| Procedure Code | Long Description | Medium Description | Short Description | Eff Date | End Date |
|---|---|---|---|---|---|
| 0001A | 0001A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage diluent reconstituted; first dose | 0001A - IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 1ST DOSE | 0001A - ADM SARSCOV2 30MCG/0.3ML 1ST | '01/01/2022 | 12/31/2999 |
| 0001F | 0001F - Heart failure assessed (includes assessment of all the following components) (CAD): Blood pressure measured (2000F) Level of activity assessed (1003F) Clinical symptoms of volume overload (excess) assessed (1004F) Weight recorded (2001F) Clinical signs of volume overload (excess) assessed (2002F) | 0001F - HRT FAILURE ASSESSED | 0001F - HEART FAILURE COMPOSITE | '01/01/2017 | 12/31/2999 |
| 0001U | 0001U - Red blood cell antigen typing DNA human erythrocyte antigen gene analysis of 35 antigens from 11 blood groups utilizing whole blood common RBC alleles reported | 0001U - RBC DNA HEA 35 AG 11 BLD GRP WHL BLD CMN ALLEL | 0001U - RBC DNA HEA 35 AG 11 BLD GRP | '01/01/2019 | 12/31/2999 |
| 0002A | 0002A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage diluent reconstituted; second dose | 0002A - IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 2ND DOSE | 0002A - ADM SARSCOV2 30MCG/0.3ML 2ND | '01/01/2022 | 12/31/2999 |
| 0002M | 0002M - Liver disease ten biochemical assays (ALT A2-macroglobulin apolipoprotein A-1 total bilirubin GGT haptoglobin AST glucose total cholesterol and triglycerides) utilizing serum prognostic algorithm reported as quantitative scores for fibrosis steatosis and alcoholic steatohepatitis (ASH) | 0002M - LIVER DIS 10 ASSAYS SERUM ALGORITHM W/ASH | 0002M - LIVER DIS 10 ASSAYS W/ASH | '01/01/2023 | 12/31/2999 |
| 0002U | 0002U - Oncology (colorectal) quantitative assessment of three urine metabolites (ascorbic acid succinic acid and carnitine) by liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring acquisition algorithm reported as likelihood of adenomatous polyps | 0002U - ONC CLRCT QUAN 3 UR METABOLITES ALG ADNMTS PLP | 0002U - ONC CLRCT 3 UR METAB ALG PLP | '01/01/2019 | 12/31/2999 |
| 0003A | 0003A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage diluent reconstituted; third dose | 0003A - IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON 3RD DOSE | 0003A - ADM SARSCOV2 30MCG/0.3ML 3RD | '01/01/2023 | 12/31/2999 |
| 0003M | 0003M - Liver disease ten biochemical assays (ALT A2-macroglobulin apolipoprotein A-1 total bilirubin GGT haptoglobin AST glucose total cholesterol and triglycerides) utilizing serum prognostic algorithm reported as quantitative scores for fibrosis steatosis and nonalcoholic steatohepatitis (NASH) | 0003M - LIVER DIS 10 ASSAYS SERUM ALGORITHM W/NASH | 0003M - LIVER DIS 10 ASSAYS W/NASH | '01/01/2023 | 12/31/2999 |
| 0003U | 0003U - Oncology (ovarian) biochemical assays of five proteins (apolipoprotein A-1 CA 125 II follicle stimulating hormone human epididymis protein 4 transferrin) utilizing serum algorithm reported as a likelihood score | 0003U - ONC OVARIAN ASSAY 5 PROTEINS SERUM ALG SCOR | 0003U - ONC OVAR 5 PRTN SER ALG SCOR | '01/01/2019 | 12/31/2999 |
| 0004A | 0004A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage diluent reconstituted; booster dose | 0004A - IMM ADMN SARSCOV2 30MCG/0.3ML DIL RECON BST DOSE | 0004A - ADM SARSCOV2 30MCG/0.3ML BST | '01/01/2023 | 12/31/2999 |
| 0004M | 0004M - Scoliosis DNA analysis of 53 single nucleotide polymorphisms (SNPs) using saliva prognostic algorithm reported as a risk score | 0004M - SCOLIOSIS DNA ALYS SALIVA ALGORITHM | 0004M - SCOLIOSIS DNA ALYS | '01/01/2023 | 12/31/2999 |
| 0005F | 0005F - Osteoarthritis assessed (OA) Includes assessment of all the following components: Osteoarthritis symptoms and functional status assessed (1006F) Use of anti-inflammatory or over-the-counter (OTC) analgesic medications assessed (1007F) Initial examination of the involved joint(s) (includes visual inspection palpation range of motion) (2004F) | 0005F - OSTEOARTHRITIS COMPOSITE | 0005F - OSTEOARTHRITIS COMPOSITE | '01/01/2017 | 12/31/2999 |
| 0005U | 0005U - Oncology (prostate) gene expression profile by real-time RT-PCR of 3 genes (ERG PCA3 and SPDEF) urine algorithm reported as risk score | 0005U - ONCO PRST8 GENE XPRS PRFL 3 GENE UR ALG RSK SCOR | 0005U - ONCO PRST8 3 GENE UR ALG | '01/01/2019 | 12/31/2999 |
| 0006M | 0006M - Oncology (hepatic) mRNA expression levels of 161 genes utilizing fresh hepatocellular carcinoma tumor tissue with alpha-fetoprotein level algorithm reported as a risk classifier | 0006M - ONCOLOGY HEP MRNA 161 GENES RISK CLASSIFIER | 0006M - ONC HEP GENE RISK CLASSIFIER | '01/01/2023 | 12/31/2999 |
| 0007M | 0007M - Oncology (gastrointestinal neuroendocrine tumors) real-time PCR expression analysis of 51 genes utilizing whole peripheral blood algorithm reported as a nomogram of tumor disease index | 0007M - ONCOLOGY GASTRO 51 GENES NOMOGRAM DISEASE INDEX | 0007M - ONC GASTRO 51 GENE NOMOGRAM | '01/01/2023 | 12/31/2999 |
| 0007U | 0007U - Drug test(s) presumptive with definitive confirmation of positive results any number of drug classes urine includes specimen verification including DNA authentication in comparison to buccal DNA per date of service | 0007U - RX TEST PRESUMPTIVE URINE W/DEF CONFIRMATION | 0007U - RX TEST PRSMV UR W/DEF CONF | '01/01/2019 | 12/31/2999 |
| 0008U | 0008U - Helicobacter pylori detection and antibiotic resistance DNA 16S and 23S rRNA gyrA pbp1 rdxA and rpoB next generation sequencing formalin-fixed paraffin embedded or fresh tissue predictive reported as positive or negative for resistance to clarithromycin fluoroquinolones metronidazole amoxicillin tetracycline and rifabutin | 0008U - HPYLORI DETECTION & ANTIBIOTIC RESISTANCE DNA | 0008U - HPYLORI DETCJ ABX RSTNC DNA | '01/01/2019 | 12/31/2999 |
| 0009U | 0009U - Oncology (breast cancer) ERBB2 (HER2) copy number by FISH tumor cells from formalin fixed paraffin embedded tissue isolated using image-based dielectrophoresis (DEP) sorting reported as ERBB2 gene amplified or non-amplified | 0009U - ONC BRST CA ERBB2 COPY NUMBER FISH AMP/NONAMP | 0009U - ONC BRST CA ERBB2 AMP/NONAMP | '01/01/2019 | 12/31/2999 |
| 100 | 100 - Anesthesia for procedures on salivary glands including biopsy | 100 - ANESTHESIA SALIVARY GLANDS WITH BIOPSY | 100 - ANESTH SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 102 | 102 - Anesthesia for procedures involving plastic repair of cleft lip | 102 - ANESTHESIA CLEFT LIP INVOLVING PLASTIC REPAIR | 102 - ANESTH REPAIR OF CLEFT LIP | '01/01/2017 | 12/31/2999 |
| 103 | 103 - Anesthesia for reconstructive procedures of eyelid (eg blepharoplasty ptosis surgery) | 103 - ANESTHESIA EYELID RECONSTRUCTIVE PROCEDURE | 103 - ANESTH BLEPHAROPLASTY | '01/01/2017 | 12/31/2999 |
| 104 | 104 - Anesthesia for electroconvulsive therapy | 104 - ANESTHESIA ELECTROCONVULSIVE THERAPY | 104 - ANESTH ELECTROSHOCK | '01/01/2017 | 12/31/2999 |
| 0010U | 0010U - Infectious disease (bacterial) strain typing by whole genome sequencing phylogenetic-based report of strain relatedness per submitted isolate | 0010U - NFCT DS STRN TYP WHL GENOME SEQUENCING PR ISOL | 0010U - NFCT DS STRN TYP WHL GEN SEQ | '01/01/2019 | 12/31/2999 |
| 0011A | 0011A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 100 mcg/0.5 mL dosage; first dose | 0011A - IMM ADMN SARSCOV2 100 MCG/0.5 ML 1ST DOSE | 0011A - ADM SARSCOV2 100MCG/0.5ML1ST | '01/01/2022 | 12/31/2999 |
| 0011M | 0011M - Oncology prostate cancer mRNA expression assay of 12 genes (10 content and 2 housekeeping) RT-PCR test utilizing blood plasma and urine algorithms to predict high-grade prostate cancer risk | 0011M - ONC PRST8 CA MRNA 12 GENES BLD PLSM &UR ALG | 0011M - ONC PRST8 CA MRNA 12 GEN ALG | '01/01/2023 | 12/31/2999 |
| 0011U | 0011U - Prescription drug monitoring evaluation of drugs present by LCMS/MS using oral fluid reported as a comparison to an estimated steady-state range per date of service including all drug compounds and metabolites | 0011U - RX MNTR DRUGS PRESENT LCMS/MS ORAL FLUID PR DOS | 0011U - U RX MNTR LC-MS/MS ORAL FLUID | '01/01/2019 | 12/31/2999 |
| 120 | 120 - Anesthesia for procedures on external middle and inner ear including biopsy; not otherwise specified | 120 - ANESTHESIA EXTERNAL MIDDLE & INNER EAR W/BX NOS | 120 - ANESTH EAR SURGERY | '01/01/2017 | 12/31/2999 |
| 124 | 124 - Anesthesia for procedures on external middle and inner ear including biopsy; otoscopy | 124 - ANES EXTERNAL MIDDLE & INNER EAR W/BX OTOSCOPY | 124 - ANESTH EAR EXAM | '01/01/2017 | 12/31/2999 |
| 126 | 126 - Anesthesia for procedures on external middle and inner ear including biopsy; tympanotomy | 126 - ANES XTRNL MID & INNER EAR W/BX TYMPANOTOMY | 126 - ANESTH TYMPANOTOMY | '01/01/2017 | 12/31/2999 |
| 0012A | 0012A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 100 mcg/0.5 mL dosage; second dose | 0012A - IMM ADMN SARSCOV2 100 MCG/0.5 ML 2ND DOSE | 0012A - ADM SARSCOV2 100MCG/0.5ML2ND | '01/01/2022 | 12/31/2999 |
| 0012F | 0012F - Community-acquired bacterial pneumonia assessment (includes all of the following components) (CAP): Co-morbid conditions assessed (1026F) Vital signs recorded (2010F) Mental status assessed (2014F) Hydration status assessed (2018F) | 0012F - COMMUNITY-ACQUIRED BACTERIAL PNEUMONIA ASSMT | 0012F - CAP BACTERIAL ASSESS | '01/01/2017 | 12/31/2999 |
| 0012M | 0012M - Oncology (urothelial) mRNA gene expression profiling by real-time quantitative PCR of five genes (MDK HOXA13 CDC2 [CDK1] IGFBP5 and CXCR2) utilizing urine algorithm reported as a risk score for having urothelial carcinoma | 0012M - ONC MRNA 5 GENES UR ALG RISK UROTHELIAL CANCER | 0012M - ONC MRNA 5 GEN RSK URTHL CA | '01/01/2023 | 12/31/2999 |
| 0013A | 0013A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 100 mcg/0.5 mL dosage; third dose | 0013A - IMM ADMN SARSCOV2 100 MCG/0.5 ML 3RD DOSE | 0013A - ADM SARSCOV2 100MCG/0.5ML3RD | '08/12/2021 | 12/31/2999 |
| 0013M | 0013M - Oncology (urothelial) mRNA gene expression profiling by real-time quantitative PCR of five genes (MDK HOXA13 CDC2 [CDK1] IGFBP5 and CXCR2) utilizing urine algorithm reported as a risk score for having recurrent urothelial carcinoma | 0013M - ONC MRNA 5 GENES UR ALG RISK RECR UROTHELIAL CA | 0013M - ONC MRNA 5 GEN RECR URTHL CA | '01/01/2019 | 12/31/2999 |
| 140 | 140 - Anesthesia for procedures on eye; not otherwise specified | 140 - ANESTHESIA EYE NOT OTHERWISE SPECIFIED | 140 - ANESTH PROCEDURES ON EYE | '01/01/2017 | 12/31/2999 |
| 142 | 142 - Anesthesia for procedures on eye; lens surgery | 142 - ANESTHESIA EYE LENS SURGERY | 142 - ANESTH LENS SURGERY | '01/01/2017 | 12/31/2999 |
| 144 | 144 - Anesthesia for procedures on eye; corneal transplant | 144 - ANESTHESIA EYE CORNEAL TRANSPLANT | 144 - ANESTH CORNEAL TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 145 | 145 - Anesthesia for procedures on eye; vitreoretinal surgery | 145 - ANESTHESIA EYE VITREORETINAL SURGERY | 145 - ANESTH VITREORETINAL SURG | '01/01/2017 | 12/31/2999 |
| 147 | 147 - Anesthesia for procedures on eye; iridectomy | 147 - ANESTHESIA EYE IRIDECTOMY | 147 - ANESTH IRIDECTOMY | '01/01/2017 | 12/31/2999 |
| 148 | 148 - Anesthesia for procedures on eye; ophthalmoscopy | 148 - ANESTHESIA EYE OPHTHALMOSCOPY | 148 - ANESTH EYE EXAM | '01/01/2017 | 12/31/2999 |
| 0014F | 0014F - Comprehensive preoperative assessment performed for cataract surgery with intraocular lens (IOL) placement (includes assessment of all of the following components) (EC): Dilated fundus evaluation performed within 12 months prior to cataract surgery (2020F) Pre-surgical (cataract) axial length corneal power measurement and method of intraocular lens power calculation documented (must be performed within 12 months prior to surgery) (3073F) Preoperative assessment of functional or medical indication(s) for surgery prior to the cataract surgery with intraocular lens placement (must be performed within 12 months prior to cataract surgery) (3325F) | 0014F - COMP PREOP ASSESS CATARACT SURG W/IOL PLACEMNT | 0014F - COMP PREOP ASSESS CAT SURG | '01/01/2017 | 12/31/2999 |
| 0014M | 0014M - Liver disease analysis of 3 biomarkers (hyaluronic acid [HA] procollagen III amino terminal peptide [PIIINP] tissue inhibitor of metalloproteinase 1 [TIMP-1]) using immunoassays utilizing serum prognostic algorithm reported as a risk score and risk of liver fibrosis and liver-related clinical events within 5 years | 0014M - LIVER DS ALYS 3 BIOMARKERS IA SRM PROGNOSTIC ALG | 0014M - LIVER DS ALYS 3 BMRK SRM ALG | '04/01/2020 | 12/31/2999 |
| 0015F | 0015F - Melanoma follow up completed (includes assessment of all of the following components) (ML): History obtained regarding new or changing moles (1050F) Complete physical skin exam performed (2029F) Patient counseled to perform a monthly self skin examination (5005F) | 0015F - MELANOMA FOLLOW UP COMPLETED | 0015F - MELAN FOLLOW-UP COMPLETE | '01/01/2017 | 12/31/2999 |
| 0015M | 0015M - Adrenal cortical tumor biochemical assay of 25 steroid markers utilizing 24-hour urine specimen and clinical parameters prognostic algorithm reported as a clinical risk and integrated clinical steroid risk for adrenal cortical carcinoma adenoma or other adrenal malignancy | 0015M - ADRENAL CORTCL TUM BIOCHEM ASSAY 25 STRD MRK ALG | 0015M - ADRNL CORTCL TUM BCHM ASY 25 | '01/01/2023 | 12/31/2999 |
| 160 | 160 - Anesthesia for procedures on nose and accessory sinuses; not otherwise specified | 160 - ANESTHESIA NOSE & ACCESSORY SINUSES NOS | 160 - ANESTH NOSE/SINUS SURGERY | '01/01/2017 | 12/31/2999 |
| 162 | 162 - Anesthesia for procedures on nose and accessory sinuses; radical surgery | 162 - ANES NOSE & ACCESSORY SINUSES RADICAL SURGERY | 162 - ANESTH NOSE/SINUS SURGERY | '01/01/2017 | 12/31/2999 |
| 164 | 164 - Anesthesia for procedures on nose and accessory sinuses; biopsy soft tissue | 164 - ANES NOSE & ACCESSORY SINUSES BIOPSY SOFT TISSUE | 164 - ANESTH BIOPSY OF NOSE | '01/01/2017 | 12/31/2999 |
| 0016M | 0016M - Oncology (bladder) mRNA microarray gene expression profiling of 219 genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as molecular subtype (luminal luminal infiltrated basal basal claudin-low neuroendocrine-like) | 0016M - ONC BLADDER MRNA MICRORA GEN XPRSN PRFLG 219 ALG | 0016M - ONC BLADDER MRNA 219 GEN ALG | '07/01/2022 | 12/31/2999 |
| 0016U | 0016U - Oncology (hematolymphoid neoplasia) RNA BCR/ABL1 major and minor breakpoint fusion transcripts quantitative PCR amplification blood or bone marrow report of fusion not detected or detected with quantitation | 0016U - ONC HMTLMF NEO RNA BCR/ABL1 BLD/BNE MARROW | 0016U - ONC HMTLMF NEO RNA BCR/ABL1 | '01/01/2019 | 12/31/2999 |
| 170 | 170 - Anesthesia for intraoral procedures including biopsy; not otherwise specified | 170 - ANESTHESIA INTRAORAL WITH BIOPSY NOS | 170 - ANESTH PROCEDURE ON MOUTH | '01/01/2017 | 12/31/2999 |
| 172 | 172 - Anesthesia for intraoral procedures including biopsy; repair of cleft palate | 172 - ANES INTRAORAL W/BIOPSY REPAIR CLEFT PALATE | 172 - ANESTH CLEFT PALATE REPAIR | '01/01/2017 | 12/31/2999 |
| 174 | 174 - Anesthesia for intraoral procedures including biopsy; excision of retropharyngeal tumor | 174 - ANES INTRAORAL W/BX EXC RETROPHARYNGEAL TUMOR | 174 - ANESTH PHARYNGEAL SURGERY | '01/01/2017 | 12/31/2999 |
| 176 | 176 - Anesthesia for intraoral procedures including biopsy; radical surgery | 176 - ANESTHESIA INTRAORAL W/BIOPSY RADICAL SURGERY | 176 - ANESTH PHARYNGEAL SURGERY | '01/01/2017 | 12/31/2999 |
| 0017M | 0017M - Oncology (diffuse large B-cell lymphoma [DLBCL]) mRNA gene expression profiling by fluorescent probe hybridization of 20 genes formalin-fixed paraffin-embedded tissue algorithm reported as cell of origin | 0017M - ONC DLBCL MRNA FLUOR PRB HYBRDZTN 20 GENES ALG | 0017M - ONC DLBCL MRNA 20 GENES ALG | '01/01/2021 | 12/31/2999 |
| 0017U | 0017U - Oncology (hematolymphoid neoplasia) JAK2 mutation DNA PCR amplification of exons 12-14 and sequence analysis blood or bone marrow report of JAK2 mutation not detected or detected | 0017U - ONC HMTLMF NEO JAK2 MUTATION DNA BLD/BNE MARROW | 0017U - ONC HMTLMF NEO JAK2 MUT DNA | '01/01/2019 | 12/31/2999 |
| 0018M | 0018M - Transplantation medicine (allograft rejection renal) measurement of donor and third-party-induced CD154+T-cytotoxic memory cells utilizing whole peripheral blood algorithm reported as a rejection risk score | 0018M - TRNSPLJ RNL RJCTN MEAS CD154+T CLL WHL PRPH BLD | 0018M - TRNSPLJ RNL MEAS CD154+CLL | 01-10-2021 | 12/31/2999 |
| 0018U | 0018U - Oncology (thyroid) microRNA profiling by RT-PCR of 10 microRNA sequences utilizing fine needle aspirate algorithm reported as a positive or negative result for moderate to high risk of malignancy | 0018U - ONC THYR 10 MICRORNA SEQ +/- RSLT MOD HI RSK MAL | 0018U - ONC THYR 10 MICRORNA SEQ ALG | '01/01/2019 | 12/31/2999 |
| 190 | 190 - Anesthesia for procedures on facial bones or skull; not otherwise specified | 190 - ANESTHESIA FACIAL BONES OR SKULL NOS | 190 - ANESTH FACE/SKULL BONE SURG | '01/01/2017 | 12/31/2999 |
| 192 | 192 - Anesthesia for procedures on facial bones or skull; radical surgery (including prognathism) | 192 - ANES FACIAL BONES/SKULL RAD SURG W/PROGNATHISM | 192 - ANESTH FACIAL BONE SURGERY | '01/01/2017 | 12/31/2999 |
| 0019U | 0019U - Oncology RNA gene expression by whole transcriptome sequencing formalin-fixed paraffin embedded tissue or fresh frozen tissue predictive algorithm reported as potential targets for therapeutic agents | 0019U - ONC RNA WHL TRANSCIPTOME SEQ TISS PREDCT ALG | 0019U - ONC RNA TISS PREDICT ALG | '01/01/2019 | 12/31/2999 |
| 210 | 210 - Anesthesia for intracranial procedures; not otherwise specified | 210 - ANESTHESIA INTRACRANIAL PROCEDURE NOS | 210 - ANESTH CRANIAL SURG NOS | '01/01/2017 | 12/31/2999 |
| 211 | 211 - Anesthesia for intracranial procedures; craniotomy or craniectomy for evacuation of hematoma | 211 - ANES INTRACRANIAL CRANIOTOMY/CRANIECTOMY HMTMA | 211 - ANESTH CRAN SURG HEMOTOMA | '01/01/2017 | 12/31/2999 |
| 212 | 212 - Anesthesia for intracranial procedures; subdural taps | 212 - ANESTHESIA INTRACRANIAL PROCEDURE SUBDURAL TAPS | 212 - ANESTH SKULL DRAINAGE | '01/01/2017 | 12/31/2999 |
| 214 | 214 - Anesthesia for intracranial procedures; burr holes including ventriculography | 214 - ANES INTRACRANIAL BURR HOLES W/VENTRICULOGRAPHY | 214 - ANESTH SKULL DRAINAGE | '01/01/2017 | 12/31/2999 |
| 215 | 215 - Anesthesia for intracranial procedures; cranioplasty or elevation of depressed skull fracture extradural (simple or compound) | 215 - ANES INTRACRANIAL/ELEVATION DEPRSD SKULL FX XDRL | 215 - ANESTH SKULL REPAIR/FRACT | '01/01/2017 | 12/31/2999 |
| 216 | 216 - Anesthesia for intracranial procedures; vascular procedures | 216 - ANESTHESIA INTRACRANIAL VASCULAR PROCEDURE | 216 - ANESTH HEAD VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 218 | 218 - Anesthesia for intracranial procedures; procedures in sitting position | 218 - ANES INTRACRANIAL PROCEDURE IN SITTING POSITION | 218 - ANESTH SPECIAL HEAD SURGERY | '01/01/2017 | 12/31/2999 |
| 0021U | 0021U - Oncology (prostate) detection of 8 autoantibodies (ARF 6 NKX3-1 5'-UTR-BMI1 CEP 164 3'-UTR-Ropporin Desmocollin AURKAIP-1 CSNK2A2) multiplexed immunoassay and flow cytometry serum algorithm reported as risk score | 0021U - ONC PRST8 DETCJ 8 AUTOANTIBODIES ALG RSK SCOR | 0021U - ONC PRST8 DETCJ 8 AUTOANTB | '01/01/2019 | 12/31/2999 |
| 220 | 220 - Anesthesia for intracranial procedures; cerebrospinal fluid shunting procedures | 220 - ANES INTRACRANIAL CEREBROSPINAL FLUID SHUNTING | 220 - ANESTH INTRCRN NERVE | '01/01/2017 | 12/31/2999 |
| 222 | 222 - Anesthesia for intracranial procedures; electrocoagulation of intracranial nerve | 222 - ANES INTRACRANIAL ELECTROCOAGULATION ICRA NERVE | 222 - ANESTH HEAD NERVE SURGERY | '01/01/2017 | 12/31/2999 |
| 0022U | 0022U - Targeted genomic sequence analysis panel nonsmall cell lung neoplasia DNA and RNA analysis 23 genes interrogation for sequence variants and rearrangements reported as presence/-or absence of variants and associated therapy(ies) to consider | 0022U - TGSAP NONSMALL CELL LUNG NEO DNA&RNA 23 GENES | 0022U - TGSAP NSM LUNG NEO DNA&RNA23 | '04/01/2023 | 12/31/2999 |
| 0022U | 0022U - Targeted genomic sequence analysis panel non-small cell lung neoplasia DNA and RNA analysis 23 genes interrogation for sequence variants and rearrangements reported as presence/absence of variants and associated therapy(ies) to consider | 0022U - TRGT GEN SEQ ALYS NONSM LNG NEO DNA&RNA 23 GENES | 0022U - TRGT GEN SEQ DNA&RNA 23 GENE | '01/01/2019 | '03/31/2023 |
| 0023U | 0023U - Oncology (acute myelogenous leukemia) DNA genotyping of internal tandem duplication p.D835 p.I836 using mononuclear cells reported as detection or non-detection of FLT3 mutation and indication for or against the use of midostaurin | 0023U - ONC AML DNA GNTYP INT TANDEM DUP DETCJ/NONDETCJ | 0023U - ONC AML DNA DETCJ/NONDETCJ | '01/01/2019 | 12/31/2999 |
| 0024U | 0024U - Glycosylated acute phase proteins (GlycA) nuclear magnetic resonance spectroscopy quantitative | 0024U - GLYCA NUC MR SPECTROSCOPY QUANTITATIVE | 0024U - GLYCA NUC MR SPECTRSC QUAN | '01/01/2019 | 12/31/2999 |
| 0025U | 0025U - Tenofovir by liquid chromatography with tandem mass spectrometry (LC-MS/MS) urine quantitative | 0025U - TENOFOVIR LIQ CHROM TANDEM MASS SPECT UR QUAN | 0025U - TENOFOVIR LIQ CHROM UR QUAN | '01/01/2019 | 12/31/2999 |
| 0026U | 0026U - Oncology (thyroid) DNA and mRNA of 112 genes next-generation sequencing fine needle aspirate of thyroid nodule algorithmic analysis reported as a categorical result (Positive high probability of malignancy or Negative low probability of malignancy) | 0026U - ONC THYR DNA&MRNA 112 GENES FNA NDUL ALG ALYS | 0026U - ONC THYR DNA&MRNA 112 GENES | '01/01/2019 | 12/31/2999 |
| 0027U | 0027U - JAK2 (Janus kinase 2) (eg myeloproliferative disorder) gene analysis targeted sequence analysis exons 12-15 | 0027U - JAK2 GENE ANALYSIS TRGT SEQ ALYS EXONS 12-15 | 0027U - JAK2 GENE TRGT SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 0029U | 0029U - Drug metabolism (adverse drug reactions and drug response) targeted sequence analysis (ie CYP1A2 CYP2C19 CYP2C9 CYP2D6 CYP3A4 CYP3A5 CYP4F2 SLCO1B1 VKORC1 and rs12777823) | 0029U - RX METAB ADVRS RX RXN & RSPSE TRGT SEQ ALYS | 0029U - RX METAB ADVRS TRGT SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 300 | 300 - Anesthesia for all procedures on the integumentary system muscles and nerves of head neck and posterior trunk not otherwise specified | 300 - ANES INTEG MUSC & NRV HEAD NECK&POSTERIOR TRUNK | 300 - ANESTH HEAD/NECK/PTRUNK | '01/01/2017 | 12/31/2999 |
| 0030U | 0030U - Drug metabolism (warfarin drug response) targeted sequence analysis (ie CYP2C9 CYP4F2 VKORC1 rs12777823) | 0030U - RX METAB WARFARIN RX RESPONSE TRGT SEQ ALYS | 0030U - RX METAB WARF TRGT SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 0031A | 0031A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine DNA spike protein adenovirus type 26 (Ad26) vector preservative free 5x1010 viral particles/0.5 mL dosage; single dose | 0031A - IMM ADMN SARSCOV2 AD26 5X1010VP/0.5 ML 1 DOSE | 0031A - ADM SARSCOV2 VAC AD26 .5ML | '01/01/2023 | 12/31/2999 |
| 0031U | 0031U - CYP1A2 (cytochrome P450 family 1 subfamily A member 2)(eg drug metabolism) gene analysis common variants (ie *1F *1K *6 *7) | 0031U - CYP1A2 GENE ANALYSIS COMMON VARIANTS | 0031U - CYP1A2 GENE | '01/01/2019 | 12/31/2999 |
| 320 | 320 - Anesthesia for all procedures on esophagus thyroid larynx trachea and lymphatic system of neck; not otherwise specified age 1 year or older | 320 - ANES ESOPH THYRD LARYNX TRACH & LYMPH NECK 1YR | 320 - ANESTH NECK ORGAN 1YR/> | '01/01/2017 | 12/31/2999 |
| 322 | 322 - Anesthesia for all procedures on esophagus thyroid larynx trachea and lymphatic system of neck; needle biopsy of thyroid | 322 - ANES ESOPH THYRD LARX TRACH & LYMPH NCK BX THYRD | 322 - ANESTH BIOPSY OF THYROID | '01/01/2017 | 12/31/2999 |
| 326 | 326 - Anesthesia for all procedures on the larynx and trachea in children younger than 1 year of age | 326 - ANESTHESIA LARYNX & TRACHEA CHILDREN <1 YEAR | 326 - ANESTH LARYNX/TRACH < 1 YR | '01/01/2017 | 12/31/2999 |
| 0032U | 0032U - COMT (catechol-O-methyltransferase)(drug metabolism) gene analysis c.472G>A (rs4680) variant | 0032U - COMT GENE ANALYSIS C.472G>A VARIANT | 0032U - COMT GENE | '01/01/2019 | 12/31/2999 |
| 0033U | 0033U - HTR2A (5-hydroxytryptamine receptor 2A) HTR2C (5-hydroxytryptamine receptor 2C) (eg citalopram metabolism) gene analysis common variants (ie HTR2A rs7997012 [c.614-2211T>C] HTR2C rs3813929 [c.-759C>T] and rs1414334 [c.551-3008C>G]) | 0033U - HTR2A HTR2C GENE ANALYSIS COMMON VARIANTS | 0033U - HTR2A HTR2C GENES | '01/01/2019 | 12/31/2999 |
| 0034A | 0034A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine DNA spike protein adenovirus type 26 (Ad26) vector preservative free 5x1010 viral particles/0.5 mL dosage; booster dose | 0034A - IMM ADMN SARSCOV2 AD26 5X1010 VP/0.5 ML BST DOSE | 0034A - ADM SARSCOV2 VAC AD26 .5ML B | '01/01/2023 | 12/31/2999 |
| 0034U | 0034U - TPMT (thiopurine S-methyltransferase) NUDT15 (nudix hydroxylase 15)(eg thiopurine metabolism) gene analysis common variants (ie TPMT *2 *3A *3B *3C *4 *5 *6 *8 *12; NUDT15 *3 *4 *5) | 0034U - TPMT NUDT15 GENE ANALYSIS COMMON VARIANTS | 0034U - TPMT NUDT15 GENES | '01/01/2019 | 12/31/2999 |
| 350 | 350 - Anesthesia for procedures on major vessels of neck; not otherwise specified | 350 - ANESTHESIA MAJOR VESSELS NECK NOS | 350 - ANESTH NECK VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 352 | 352 - Anesthesia for procedures on major vessels of neck; simple ligation | 352 - ANESTHESIA MAJOR VESSELS NECK SIMPLE LIGATION | 352 - ANESTH NECK VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 0035U | 0035U - Neurology (prion disease) cerebrospinal fluid detection of prion protein by quaking- induced conformational conversion qualitative | 0035U - NEURO CSF DETCJ PRION PRTN QUAKG CONF CONV QUAL | 0035U - NEURO CSF PRION PRTN QUAL | '01/01/2019 | 12/31/2999 |
| 0036U | 0036U - Exome (ie somatic mutations) paired formalin-fixed paraffin-embedded tumor tissue and normal specimen sequence analyses | 0036U - EXOME TUMOR TISSUE & NORMAL SPECIMEN SEQ ALYS | 0036U - XOME TUM & NML SPEC SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 0037U | 0037U - Targeted genomic sequence analysis solid organ neoplasm DNA analysis of 324 genes interrogation for sequence variants gene copy number amplifications gene rearrangements microsatellite instability and tumor mutational burden | 0037U - TRGT GEN SEQ ALYS SLD ORGN NEO DNA 324 GENES | 0037U - TRGT GEN SEQ DNA 324 GENES | '01/01/2019 | 12/31/2999 |
| 0038U | 0038U - Vitamin D 25 hydroxy D2 and D3 by LC- MS/MS serum microsample quantitative | 0038U - VITAMIN D SERUM MICROSAMPLE QUANTITATIVE | 0038U - VITAMIN D SRM MICROSAMP QUAN | '01/01/2019 | 12/31/2999 |
| 0039U | 0039U - Deoxyribonucleic acid (DNA) antibody double stranded high avidity | 0039U - DNA ANTIBODY DOUBLE STRANDED HIGH AVIDITY | 0039U - DNA ANTB 2STRAND HI AVIDITY | '01/01/2019 | 12/31/2999 |
| 400 | 400 - Anesthesia for procedures on the integumentary system on the extremities anterior trunk and perineum; not otherwise specified | 400 - ANES INTEG EXTREMITIES ANT TRUNK & PERINEUM NOS | 400 - ANESTH SKIN EXT/PER/ATRUNK | '01/01/2017 | 12/31/2999 |
| 402 | 402 - Anesthesia for procedures on the integumentary system on the extremities anterior trunk and perineum; reconstructive procedures on breast (eg reduction or augmentation mammoplasty muscle flaps) | 402 - ANESTHESIA RECONSTRUCTION BREAST | 402 - ANESTH SURGERY OF BREAST | '01/01/2017 | 12/31/2999 |
| 404 | 404 - Anesthesia for procedures on the integumentary system on the extremities anterior trunk and perineum; radical or modified radical procedures on breast | 404 - ANESTHESIA RADICAL/MODIFIED RADICAL BREAST | 404 - ANESTH SURGERY OF BREAST | '01/01/2017 | 12/31/2999 |
| 406 | 406 - Anesthesia for procedures on the integumentary system on the extremities anterior trunk and perineum; radical or modified radical procedures on breast with internal mammary node dissection | 406 - ANES RADICAL/MODIFIED RADICAL BREAST W/NODES | 406 - ANESTH SURGERY OF BREAST | '01/01/2017 | 12/31/2999 |
| 0040U | 0040U - BCR/ABL1 (t(9;22)) (eg chronic myelogenous leukemia) translocation analysis major breakpoint quantitative | 0040U - BCR/ABL1 GENE TLCJ ALYS MAJOR BP QUANTITATIVE | 0040U - BCR/ABL1 GENE MAJOR BP QUAN | '01/01/2019 | 12/31/2999 |
| 410 | 410 - Anesthesia for procedures on the integumentary system on the extremities anterior trunk and perineum; electrical conversion of arrhythmias | 410 - ANES INTEG SYS ELEC CONVERSION ARRHYTHMIAS | 410 - ANESTH CORRECT HEART RHYTHM | '01/01/2017 | 12/31/2999 |
| 0041A | 0041A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine recombinant spike protein nanoparticle saponin-based adjuvant preservative free 5 mcg/0.5 mL dosage; first dose | 0041A - IMM ADMN SARSCOV2 5 MCG/0.5 ML 1ST DOSE | 0041A - ADM SARSCOV2 5MCG/0.5ML 1ST | '01/01/2023 | 12/31/2999 |
| 0041U | 0041U - Borrelia burgdorferi antibody detection of 5 recombinant protein groups by immunoblot IgM | 0041U - B BURGDORFERI ANTB 5 PRTN GRP IMMUNOBLOT IGM | 0041U - B BRGDRFERI ANTB 5 PRTN IGM | '01/01/2019 | 12/31/2999 |
| 0042A | 0042A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine recombinant spike protein nanoparticle saponin-based adjuvant preservative free 5 mcg/0.5 mL dosage; second dose | 0042A - IMM ADMN SARSCOV2 5 MCG/0.5 ML 2ND DOSE | 0042A - ADM SARSCOV2 5MCG/0.5ML 2ND | '01/01/2023 | 12/31/2999 |
| 0042T | 0042T - Cerebral perfusion analysis using computed tomography with contrast administration including post-processing of parametric maps with determination of cerebral blood flow cerebral blood volume and mean transit time | 0042T - CEREBRAL PERFUSION ANALYS CT W/BLOOD FLOW&VOLUME | 0042T - CT PERFUSION W/CONTRAST CBF | '01/01/2017 | 12/31/2999 |
| 0042U | 0042U - Borrelia burgdorferi antibody detection of 12 recombinant protein groups by immunoblot IgG | 0042U - B BURGDORFERI ANTB 12 PRTN GRP IMMUNOBLOT IGG | 0042U - B BRGDRFERI ANTB 12 PRTN IGG | '01/01/2019 | 12/31/2999 |
| 0043U | 0043U - Tick-borne relapsing fever Borrelia group antibody detection to 4 recombinant protein groups by immunoblot IgM | 0043U - TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGM | 0043U - TBRF B GRP ANTB 4 PRTN IGM | '01/01/2019 | 12/31/2999 |
| 0044A | 0044A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine recombinant spike protein nanoparticle saponin-based adjuvant preservative free 5 mcg/0.5 mL dosage; booster dose | 0044A - IMM ADMN SARSCOV2 5 MCG/0.5 ML BOOSTER DOSE | 0044A - ADM SARSCOV2 5MCG/0.5ML BST | 10/19/2022 | 12/31/2999 |
| 0044U | 0044U - Tick-borne relapsing fever Borrelia group antibody detection to 4 recombinant protein groups by immunoblot IgG | 0044U - TBRF B GRP ANTB DETCJ 4 RECOMB PRTN IMUNOBLT IGG | 0044U - TBRF B GRP ANTB 4 PRTN IGG | '01/01/2019 | 12/31/2999 |
| 450 | 450 - Anesthesia for procedures on clavicle and scapula; not otherwise specified | 450 - ANESTHESIA CLAVICLE AND SCAPULA NOS | 450 - ANESTH SURGERY OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 454 | 454 - Anesthesia for procedures on clavicle and scapula; biopsy of clavicle | 454 - ANESTHESIA CLAVICLE & SCAPULA BIOPSY CLAVICLE | 454 - ANESTH COLLAR BONE BIOPSY | '01/01/2017 | 12/31/2999 |
| 0045U | 0045U - Oncology (breast ductal carcinoma in situ) mRNA gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as recurrence score | 0045U - ONC BRST DUX CARC IS MRNA 12 GENES ALG RSK SCOR | 0045U - ONC BRST DUX CARC IS 12 GENE | '01/01/2019 | 12/31/2999 |
| 0046U | 0046U - FLT3 (fms-related tyrosine kinase 3) (eg acute myeloid leukemia) internal tandem duplication (ITD) variants quantitative | 0046U - FLT3 GENE INT TANDEM DUPL VARIANTS QUANTITATIVE | 0046U - FLT3 GENE ITD VARIANTS QUAN | '01/01/2019 | 12/31/2999 |
| 470 | 470 - Anesthesia for partial rib resection; not otherwise specified | 470 - ANESTHESIA PARTIAL RIB RESECTION NOS | 470 - ANESTH REMOVAL OF RIB | '01/01/2017 | 12/31/2999 |
| 472 | 472 - Anesthesia for partial rib resection; thoracoplasty (any type) | 472 - ANESTHESIA PARTIAL RIB RESECTION THORACOPLASTY | 472 - ANESTH CHEST WALL REPAIR | '01/01/2017 | 12/31/2999 |
| 474 | 474 - Anesthesia for partial rib resection; radical procedures (eg pectus excavatum) | 474 - ANESTHESIA PARTIAL RIB RESECTION RADICAL | 474 - ANESTH SURGERY OF RIB | '01/01/2017 | 12/31/2999 |
| 0047U | 0047U - Oncology (prostate) mRNA gene expression profiling by real-time RT-PCR of 17 genes (12 content and 5 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a risk score | 0047U - ONC PRST8 MRNA GEN XPRS PRFL 17 GEN ALG RSK SCOR | 0047U - ONC PRST8 MRNA 17 GENE ALG | '01/01/2019 | 12/31/2999 |
| 0048U | 0048U - Oncology (solid organ neoplasia) DNA targeted sequencing of protein-coding exons of 468 cancer-associated genes including interrogation for somatic mutations and microsatellite instability matched with normal specimens utilizing formalin-fixed paraffin-embedded tumor tissue report of clinically significant mutation(s) | 0048U - ONC SLD ORG NEO DNA 468 CANCER ASSOCIATED GENES | 0048U - ONC SLD ORG NEO DNA 468 GENE | '01/01/2019 | 12/31/2999 |
| 0049U | 0049U - NPM1 (nucleophosmin) (eg acute myeloid leukemia) gene analysis quantitative | 0049U - NPM1 GENE ANALYSIS QUANTITATIVE | 0049U - NPM1 GENE ANALYSIS QUAN | '01/01/2019 | 12/31/2999 |
| 500 | 500 - Anesthesia for all procedures on esophagus | 500 - ANESTHESIA ESOPHAGUS | 500 - ANESTH ESOPHAGEAL SURGERY | '01/01/2017 | 12/31/2999 |
| 0050U | 0050U - Targeted genomic sequence analysis panel acute myelogenous leukemia DNA analysis 194 genes interrogation for sequence variants copy number variants or rearrangements | 0050U - TRGT GEN SEQ ALYS AML 194 GENE INTERROG SEQ VRNT | 0050U - TRGT GEN SEQ DNA 194 GENES | '01/01/2019 | 12/31/2999 |
| 0051A | 0051A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation; first dose | 0051A - IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 1ST | 0051A - ADM SARSCV2 30MCG TRS-SUCR 1 | '01/01/2023 | 12/31/2999 |
| 0051U | 0051U - Prescription drug monitoring evaluation of drugs present by liquid chromatography tandem mass spectrometry (LC-MS/MS) urine or blood 31 drug panel reported as quantitative results detected or not detected per date of service | 0051U - RX MNTR DRUGS PRESENT LC-MS/MS UR/BLD 31 RXDRUG PANEL | 0051U - RX MNTR LC-MS/MS UR/BLD 31 | 01-10-2021 | 12/31/2999 |
| 520 | 520 - Anesthesia for closed chest procedures; (including bronchoscopy) not otherwise specified | 520 - ANESTHESIA CLOSED CHEST W/BRONCHOSCOPY NOS | 520 - ANESTH CHEST PROCEDURE | '01/01/2017 | 12/31/2999 |
| 522 | 522 - Anesthesia for closed chest procedures; needle biopsy of pleura | 522 - ANESTHESIA CLOSED CHEST NEEDLE BIOPSY PLEURA | 522 - ANESTH CHEST LINING BIOPSY | '01/01/2017 | 12/31/2999 |
| 524 | 524 - Anesthesia for closed chest procedures; pneumocentesis | 524 - ANESTHESIA CLOSED CHEST PNEUMOCENTESIS | 524 - ANESTH CHEST DRAINAGE | '01/01/2017 | 12/31/2999 |
| 528 | 528 - Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy not utilizing 1 lung ventilation | 528 - ANES MEDIASTINOSCOPY&THORACSCOPY W/O 1 LUNG VNTJ | 528 - ANES MEDIASCPY & DX THORSCPY | '01/01/2017 | 12/31/2999 |
| 529 | 529 - Anesthesia for closed chest procedures; mediastinoscopy and diagnostic thoracoscopy utilizing 1 lung ventilation | 529 - ANES MEDIASTINOSCOPY&THORACOSCOPY W/1 LUNG VNT | 529 - ANES MEDSCPY&THORSCPY 1 LUNG | '01/01/2017 | 12/31/2999 |
| 0052A | 0052A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation; second dose | 0052A - IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 2ND | 0052A - ADM SARSCV2 30MCG TRS-SUCR 2 | '01/01/2023 | 12/31/2999 |
| 0052U | 0052U - Lipoprotein blood high resolution fractionation and quantitation of lipoproteins including all five major lipoprotein classes and subclasses of HDL LDL and VLDL by vertical auto profile ultracentrifugation | 0052U - LPOPRTN BLD W/5 MAJ CLASS AUTO PRFL UCENTRFUGTN | 0052U - LPOPRTN BLD W/5 MAJ CLASSES | '01/01/2019 | 12/31/2999 |
| 530 | 530 - Anesthesia for permanent transvenous pacemaker insertion | 530 - ANES PERMANENT TRANSVENOUS PACEMAKER INSERTION | 530 - ANESTH PACEMAKER INSERTION | '01/01/2017 | 12/31/2999 |
| 532 | 532 - Anesthesia for access to central venous circulation | 532 - ANESTHESIA ACCESS CENTRAL VENOUS CIRCULATION | 532 - ANESTH VASCULAR ACCESS | '01/01/2017 | 12/31/2999 |
| 534 | 534 - Anesthesia for transvenous insertion or replacement of pacing cardioverter-defibrillator | 534 - ANES TRANSVENOUS INSJ/REPLACEMENT PACING CVDFB | 534 - ANESTH CARDIOVERTER/DEFIB | '01/01/2017 | 12/31/2999 |
| 537 | 537 - Anesthesia for cardiac electrophysiologic procedures including radiofrequency ablation | 537 - ANES CARDIAC ELECTROPHYSIOL STDY W/RF ABLATION | 537 - ANESTH CARDIAC ELECTROPHYS | '01/01/2017 | 12/31/2999 |
| 539 | 539 - Anesthesia for tracheobronchial reconstruction | 539 - ANESTHESIA TRACHEOBRONCHIAL RECONSTRUCTION | 539 - ANESTH TRACH-BRONCH RECONST | '01/01/2017 | 12/31/2999 |
| 0053A | 0053A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation; third dose | 0053A - IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE 3RD | 0053A - ADM SARSCV2 30MCG TRS-SUCR 3 | '01/01/2023 | 12/31/2999 |
| 0053U | 0053U - Oncology (prostate cancer) FISH analysis of 4 genes (ASAP1 HDAC9 CHD1 and PTEN) needle biopsy specimen algorithm reported as probability of higher tumor grade | 0053U - ONC PRST8 CA FISH ALYS 4 GENES NDL BX SPEC ALG | 0053U - ONC PRST8 CA FISH ALYS 4 GEN | '01/01/2019 | 12/31/2999 |
| 540 | 540 - Anesthesia for thoracotomy procedures involving lungs pleura diaphragm and mediastinum (including surgical thoracoscopy); not otherwise specified | 540 - ANES THORACOTOMY & THORACOSCOPY NOS | 540 - ANESTH CHEST SURGERY | '01/01/2017 | 12/31/2999 |
| 541 | 541 - Anesthesia for thoracotomy procedures involving lungs pleura diaphragm and mediastinum (including surgical thoracoscopy); utilizing 1 lung ventilation | 541 - ANES THORACOTOMY & THORACOSCOPY W/1 LUNG VNTJ | 541 - ANESTH ONE LUNG VENTILATION | '01/01/2017 | 12/31/2999 |
| 542 | 542 - Anesthesia for thoracotomy procedures involving lungs pleura diaphragm and mediastinum (including surgical thoracoscopy); decortication | 542 - ANES THORACOTOMY & THORACOSCOPY DECORTICATION | 542 - ANESTHESIA REMOVAL PLEURA | '01/01/2017 | 12/31/2999 |
| 546 | 546 - Anesthesia for thoracotomy procedures involving lungs pleura diaphragm and mediastinum (including surgical thoracoscopy); pulmonary resection with thoracoplasty | 546 - ANES THORACOTOMY & THORACOSCOPY PULMONARY RESC | 546 - ANESTH LUNG CHEST WALL SURG | '01/01/2017 | 12/31/2999 |
| 548 | 548 - Anesthesia for thoracotomy procedures involving lungs pleura diaphragm and mediastinum (including surgical thoracoscopy); intrathoracic procedures on the trachea and bronchi | 548 - ANES THORACOTOMY &THORACSCOPY TRACHEA & BRONCHI | 548 - ANESTH TRACHEA BRONCHI SURG | '01/01/2017 | 12/31/2999 |
| 0054A | 0054A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation; booster dose | 0054A - IMM ADMN SARSCOV2 30MCG/0.3ML TRIS-SUCROSE BST | 0054A - ADM SARSCV2 30MCG TRS-SUCR B | '01/01/2023 | 12/31/2999 |
| 0054T | 0054T - Computer-assisted musculoskeletal surgical navigational orthopedic procedure with image-guidance based on fluoroscopic images (List separately in addition to code for primary procedure) | 0054T - CPTR-ASST MUSCSKEL NAVIGJ ORTHO FLUOR IMAGES | 0054T - BONE SRGRY CMPTR FLUOR IMAGE | '01/01/2017 | 12/31/2999 |
| 0054U | 0054U - Prescription drug monitoring 14 or more classes of drugs and substances definitive tandem mass spectrometry with chromatography capillary blood quantitative report with therapeutic and toxic ranges including steady-state range for the prescribed dose when detected per date of service | 0054U - RX MNTR 14+ CLASS DRUGS & SBSTS CAPILLARY BLOOD | 0054U - RX MNTR 14+ DRUGS & SBSTS | '01/01/2019 | 12/31/2999 |
| 550 | 550 - Anesthesia for sternal debridement | 550 - ANESTHESIA FOR STERNAL DEBRIDEMENT | 550 - ANESTH STERNAL DEBRIDEMENT | '01/01/2017 | 12/31/2999 |
| 0055T | 0055T - Computer-assisted musculoskeletal surgical navigational orthopedic procedure with image-guidance based on CT/MRI images (List separately in addition to code for primary procedure) | 0055T - CPTR-ASST MUSCSKEL NAVIGJ ORTHO CT/MRI | 0055T - BONE SRGRY CMPTR CT/MRI IMAG | '01/01/2017 | 12/31/2999 |
| 0055U | 0055U - Cardiology (heart transplant) cell-free DNA PCR assay of 96 DNA target sequences (94 single nucleotide polymorphism targets and two control targets) plasma | 0055U - CARD HRT TRNSPL 96 TARGET DNA SEQUENCES PLASMA | 0055U - CARD HRT TRNSPL 96 DNA SEQ | '01/01/2019 | 12/31/2999 |
| 560 | 560 - Anesthesia for procedures on heart pericardial sac and great vessels of chest; without pump oxygenator | 560 - ANES HRT PERICARDIAL SAC& GRT VESLS W/O PMP OXT | 560 - ANESTH HEART SURG W/O PUMP | '01/01/2017 | 12/31/2999 |
| 561 | 561 - Anesthesia for procedures on heart pericardial sac and great vessels of chest; with pump oxygenator younger than 1 year of age | 561 - ANES HRT PERICARD SAC&GREAT VSLS W/PMP OXTJ <1YR | 561 - ANESTH HEART SURG <1 YR | '01/01/2017 | 12/31/2999 |
| 562 | 562 - Anesthesia for procedures on heart pericardial sac and great vessels of chest; with pump oxygenator age 1 year or older for all noncoronary bypass procedures (eg valve procedures) or for re-operation for coronary bypass more than 1 month after original operation | 562 - ANES HRT PERICRD SAC&GRT VSLS W/PMP OXTJ >1MO PO | 562 - ANESTH HRT SURG W/PMP AGE 1+ | '01/01/2017 | 12/31/2999 |
| 563 | 563 - Anesthesia for procedures on heart pericardial sac and great vessels of chest; with pump oxygenator with hypothermic circulatory arrest | 563 - ANES HRT PRCRD SAC & GREAT VSL W/PUMP OXTJ HYPTH | 563 - ANESTH HEART SURG W/ARREST | '01/01/2017 | 12/31/2999 |
| 566 | 566 - Anesthesia for direct coronary artery bypass grafting; without pump oxygenator | 566 - ANES DIRECT CABG W/O PUMP OXYGENATOR | 566 - ANESTH CABG W/O PUMP | '01/01/2017 | 12/31/2999 |
| 567 | 567 - Anesthesia for direct coronary artery bypass grafting; with pump oxygenator | 567 - ANES DIRECT CABG W/PUMP OXYGENATOR | 567 - ANESTH CABG W/PUMP | '01/01/2017 | 12/31/2999 |
| 580 | 580 - Anesthesia for heart transplant or heart/lung transplant | 580 - ANES HEART TRANSPLANT/HEART/LUNG TRANSPLANT | 580 - ANESTH HEART/LUNG TRANSPLNT | '01/01/2017 | 12/31/2999 |
| 0058U | 0058U - Oncology (Merkel cell carcinoma) detection of antibodies to the Merkel cell polyoma virus oncoprotein (small T antigen) serum quantitative | 0058U - ONC MERKEL CELL CARC DETCJ ANTB SERUM QUAN | 0058U - ONC MERKEL CLL CARC SRM QUAN | '01/01/2019 | 12/31/2999 |
| 0059U | 0059U - Oncology (Merkel cell carcinoma) detection of antibodies to the Merkel cell polyoma virus capsid protein (VP1) serum reported as positive or negative | 0059U - ONC MERKEL CELL CARC DETCJ ANTB SERUM REPRTD +/- | 0059U - ONC MERKEL CLL CARC SRM +/- | '01/01/2019 | 12/31/2999 |
| 600 | 600 - Anesthesia for procedures on cervical spine and cord; not otherwise specified | 600 - ANESTHESIA CERVICAL SPINE & CORD NOS | 600 - ANESTH SPINE CORD SURGERY | '01/01/2017 | 12/31/2999 |
| 604 | 604 - Anesthesia for procedures on cervical spine and cord; procedures with patient in the sitting position | 604 - ANES CERVICAL SPINE & CORD W/PATIENT SITTING | 604 - ANESTH SITTING PROCEDURE | '01/01/2017 | 12/31/2999 |
| 0060U | 0060U - Twin zygosity genomic targeted sequence analysis of chromosome 2 using circulating cell-free fetal DNA in maternal blood | 0060U - TWN ZYG GEN TRGT SEQ ALYS CHRMS2 FTL DNA MAT BLD | 0060U - TWN ZYG GEN SEQ ALYS CHRMS2 | '01/01/2019 | 12/31/2999 |
| 0061U | 0061U - Transcutaneous measurement of five biomarkers (tissue oxygenation [StO2] oxyhemoglobin [ctHbO2] deoxyhemoglobin [ctHbR] papillary and reticular dermal hemoglobin concentrations [ctHb1 and ctHb2]) using spatial frequency domain imaging (SFDI) and multi-spectral analysis | 0061U - TC MEAS 5 BIOMARKERS W/SFDI MULTI-SPECTRAL ALYS | 0061U - TC MEAS 5 BMRK SFDI M-S ALYS | '01/01/2019 | 12/31/2999 |
| 620 | 620 - Anesthesia for procedures on thoracic spine and cord not otherwise specified | 620 - ANESTHESIA THORACIC SPINE & CORD NOS | 620 - ANESTH SPINE CORD SURGERY | '01/01/2017 | 12/31/2999 |
| 625 | 625 - Anesthesia for procedures on the thoracic spine and cord via an anterior transthoracic approach; not utilizing 1 lung ventilation | 625 - ANES THRC SPINE & CORD ANT APPR W/O 1 LUNG VENTJ | 625 - ANES SPINE TRANTHOR W/O VENT | '01/01/2017 | 12/31/2999 |
| 626 | 626 - Anesthesia for procedures on the thoracic spine and cord via an anterior transthoracic approach; utilizing 1 lung ventilation | 626 - ANES THORACIC SPINE & CORD ANT APPR W/1 LNG VENT | 626 - ANES SPINE TRANSTHOR W/VENT | '01/01/2017 | 12/31/2999 |
| 0062U | 0062U - Autoimmune (systemic lupus erythematosus) IgG and IgM analysis of 80 biomarkers utilizing serum algorithm reported with a risk score | 0062U - AI SLE IGG & IGM ALYS 80 BMRK SRM ALG RSK SCORE | 0062U - AI SLE IGG&IGM ALYS 80 BMRK | '01/01/2019 | 12/31/2999 |
| 630 | 630 - Anesthesia for procedures in lumbar region; not otherwise specified | 630 - ANESTHESIA LUMBAR REGION NOS | 630 - ANESTH SPINE CORD SURGERY | '01/01/2017 | 12/31/2999 |
| 632 | 632 - Anesthesia for procedures in lumbar region; lumbar sympathectomy | 632 - ANESTHESIA LUMBAR REGION LUMBAR SYMPATHECTOMY | 632 - ANESTH REMOVAL OF NERVES | '01/01/2017 | 12/31/2999 |
| 635 | 635 - Anesthesia for procedures in lumbar region; diagnostic or therapeutic lumbar puncture | 635 - ANES DIAGNOSTIC/THERAPEUTIC LUMBAR PUNCTURE | 635 - ANESTH LUMBAR PUNCTURE | '01/01/2017 | 12/31/2999 |
| 0063U | 0063U - Neurology (autism) 32 amines by LC-MS/MS using plasma algorithm reported as metabolic signature associated with autism spectrum disorder | 0063U - NEURO AUTISM 32 AMINES PLSM ALG METAB SIGNATURE | 0063U - NEURO AUTISM 32 AMINES ALG | '01/01/2019 | 12/31/2999 |
| 640 | 640 - Anesthesia for manipulation of the spine or for closed procedures on the cervical thoracic or lumbar spine | 640 - ANES MANIPULATE SPINE/CLSD CRV THORC/LUMBR SPINE | 640 - ANESTH SPINE MANIPULATION | '01/01/2017 | 12/31/2999 |
| 0064A | 0064A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.25 mL dosage booster dose | 0064A - IMM ADMN SARSCOV2 50 MCG/0.25 ML BOOSTER DOSE | 0064A - ADM SARSCOV2 50MCG/0.25MLBST | '01/01/2023 | 12/31/2999 |
| 0064U | 0064U - Antibody Treponema pallidum total and rapid plasma reagin (RPR) immunoassay qualitative | 0064U - ANTIBODY TREPONEMA PALLIDUM TOTAL & RPR IA QUAL | 0064U - ANTB TP TOTAL&RPR IA QUAL | '01/01/2019 | 12/31/2999 |
| 0065U | 0065U - Syphilis test non-treponemal antibody immunoassay qualitative (RPR) | 0065U - SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAL RPR | 0065U - SYFLS TST NONTREPONEMAL ANTB | '01/01/2019 | 12/31/2999 |
| 0066U | 0066U - Placental alpha-micro globulin-1 (PAMG-1) immunoassay with direct optical observation cervico-vaginal fluid each specimen | 0066U - PAMG-1 IA W/DIR OPT OBS CERVICO-VAG FLU EA SPEC | 0066U - PAMG-1 IA CERVICO-VAG FLUID | '01/01/2019 | 12/31/2999 |
| 670 | 670 - Anesthesia for extensive spine and spinal cord procedures (eg spinal instrumentation or vascular procedures) | 670 - ANESTHESIA EXTENSIVE SPINE & SPINAL CORD | 670 - ANESTH SPINE CORD SURGERY | '01/01/2017 | 12/31/2999 |
| 0067U | 0067U - Oncology (breast) immunohistochemistry protein expression profiling of 4 biomarkers (matrix metalloproteinase-1 [MMP-1] carcinoembryonic antigen-related cell adhesion molecule 6 [CEACAM6] hyaluronoglucosaminidase [HYAL1] highly expressed in cancer protein [HEC1]) formalin-fixed paraffin-embedded precancerous breast tissue algorithm reported as carcinoma risk score | 0067U - ONC BRST IMHCHEM PRTN XPRS PRFL 4 BMRK CA PRTN | 0067U - ONC BRST IMHCHEM PRFL 4 BMRK | '01/01/2019 | 12/31/2999 |
| 0068U | 0068U - Candida species panel (C. albicans C. glabrata C. parapsilosis C. kruseii C tropicalis and C. auris) amplified probe technique with qualitative report of the presence or absence of each species | 0068U - CANDIDA SPECIES PANEL AMP PRB TQ W/QUAL REPORT | 0068U - CANDIDA SPECIES PNL AMP PRB | '01/01/2019 | 12/31/2999 |
| 0069U | 0069U - Oncology (colorectal) microRNA RT-PCR expression profiling of miR-31-3p formalin-fixed paraffin-embedded tissue algorithm reported as an expression score | 0069U - ONC CLRCT MICRORNA XPRS PRFL MIR-31-3P ALG | 0069U - ONC CLRCT MICRORNA MIR-31-3P | '01/01/2019 | 12/31/2999 |
| 700 | 700 - Anesthesia for procedures on upper anterior abdominal wall; not otherwise specified | 700 - ANESTHESIA UPPER ANTERIOR ABDOMINAL WALL NOS | 700 - ANESTH ABDOMINAL WALL SURG | '01/01/2017 | 12/31/2999 |
| 702 | 702 - Anesthesia for procedures on upper anterior abdominal wall; percutaneous liver biopsy | 702 - ANES UPR ANT ABDL WALL PERCUTANEOUS LIVER BX | 702 - ANESTH FOR LIVER BIOPSY | '01/01/2017 | 12/31/2999 |
| 0070U | 0070U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis common and select rare variants (ie *2 *3 *4 *4N *5 *6 *7 *8 *9 *10 *11 *12 *13 *14A *14B *15 *17 *29 *35 *36 *41 *57 *61 *63 *68 *83 *xN) | 0070U - CYP2D6 GENE ANALYSIS COMMON & SELECT RARE VRNTS | 0070U - CYP2D6 GEN COM&SLCT RAR VRNT | '01/01/2019 | 12/31/2999 |
| 0071A | 0071A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; first dose | 0071A - IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 1ST | 0071A - ADM SARSCV2 10MCG TRS-SUCR 1 | 10/29/2021 | 12/31/2999 |
| 0071T | 0071T - Focused ultrasound ablation of uterine leiomyomata including MR guidance; total leiomyomata volume less than 200 cc of tissue | 0071T - US ABLATJ UTERINE LEIOMYOMATA < 200 CC TISSUE | 0071T - US LEIOMYOMATA ABLATE <200 | '01/01/2017 | 12/31/2999 |
| 0071U | 0071U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis full gene sequence (List separately in addition to code for primary procedure) | 0071U - CYP2D6 GENE ANALYSIS FULL GENE SEQUENCE | 0071U - CYP2D6 FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 0072A | 0072A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; second dose | 0072A - IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 2ND | 0072A - ADM SARSCV2 10MCG TRS-SUCR 2 | 10/29/2021 | 12/31/2999 |
| 0072T | 0072T - Focused ultrasound ablation of uterine leiomyomata including MR guidance; total leiomyomata volume greater or equal to 200 cc of tissue | 0072T - US ABLATJ UTERINE LEIOMYOMAT >/EQUAL 200 CC TISS | 0072T - US LEIOMYOMATA ABLATE >200 | '01/01/2017 | 12/31/2999 |
| 0072U | 0072U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis targeted sequence analysis (ie CYP2D6-2D7 hybrid gene) (List separately in addition to code for primary procedure) | 0072U - CYP2D6 GENE TRGT SEQ ALYS CYP2D6-2D7 HYBRID GENE | 0072U - CYP2D6 GEN CYP2D6-2D7 HYBRID | '01/01/2019 | 12/31/2999 |
| 730 | 730 - Anesthesia for procedures on upper posterior abdominal wall | 730 - ANESTHESIA UPPER POSTERIOR ABDOMINAL WALL | 730 - ANESTH ABDOMINAL WALL SURG | '01/01/2017 | 12/31/2999 |
| 731 | 731 - Anesthesia for upper gastrointestinal endoscopic procedures endoscope introduced proximal to duodenum; not otherwise specified | 731 - ANESTHESIA UPPER GI ENDOSCOPIC PX NOS | 731 - ANES UPR GI NDSC PX NOS | '01/01/2018 | 12/31/2999 |
| 732 | 732 - Anesthesia for upper gastrointestinal endoscopic procedures endoscope introduced proximal to duodenum; endoscopic retrograde cholangiopancreatography (ERCP) | 732 - ANESTHESIA UPPER GI ENDOSCOPIC PX ERCP | 732 - ANES UPR GI NDSC PX ERCP | '01/01/2018 | 12/31/2999 |
| 0073A | 0073A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; third dose | 0073A - IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE 3RD | 0073A - ADM SARSCV2 10MCG TRS-SUCR 3 | '01/03/2022 | 12/31/2999 |
| 0073U | 0073U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis targeted sequence analysis (ie CYP2D7-2D6 hybrid gene) (List separately in addition to code for primary procedure) | 0073U - CYP2D6 GENE TRGT SEQ ALYS CYP2D7-2D6 HYBRID GENE | 0073U - CYP2D6 GEN CYP2D7-2D6 HYBRID | '01/01/2019 | 12/31/2999 |
| 0074A | 0074A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; booster dose | 0074A - IMM ADMN SARSCOV2 10MCG/0.2ML TRIS-SUCROSE BST | 0074A - ADM SARSCV2 10MCG TRS-SUCR B | '01/01/2023 | 12/31/2999 |
| 0074U | 0074U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis targeted sequence analysis (ie non-duplicated gene when duplication/multiplication is trans) (List separately in addition to code for primary procedure) | 0074U - CYP2D6 TRGT SEQ ALYS NONDUP GENE DUPL/MLT TRANS | 0074U - CYP2D6 NONDUPLICATED GENE | '01/01/2019 | 12/31/2999 |
| 750 | 750 - Anesthesia for hernia repairs in upper abdomen; not otherwise specified | 750 - ANESTHESIA HERNIA REPAIR UPPER ABDOMEN NOS | 750 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 752 | 752 - Anesthesia for hernia repairs in upper abdomen; lumbar and ventral (incisional) hernias and/or wound dehiscence | 752 - ANES HRNA RPR UPR ABD LMBR&VENTRAL HERNIA&DEHISC | 752 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 754 | 754 - Anesthesia for hernia repairs in upper abdomen; omphalocele | 754 - ANES HERNIA REPAIR UPPER ABDOMEN OMPHALOCELE | 754 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 756 | 756 - Anesthesia for hernia repairs in upper abdomen; transabdominal repair of diaphragmatic hernia | 756 - ANES HRNA REPAIR UPR ABD TABDL RPR DIPHRG HRNA | 756 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 0075T | 0075T - Transcatheter placement of extracranial vertebral artery stent(s) including radiologic supervision and interpretation open or percutaneous; initial vessel | 0075T - TCAT PLMT XTRC VRT CRTD STENT RS&I PRQ 1ST VSL | 0075T - PERQ STENT/CHEST VERT ART | '01/01/2017 | 12/31/2999 |
| 0075U | 0075U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis targeted sequence analysis (ie 5’ gene duplication/multiplication) (List separately in addition to code for primary procedure) | 0075U - CYP2D6 GENE TRGT SEQ ALYS 5' GENE DUPL/MLT | 0075U - CYP2D6 5' GENE DUP/MLT | '01/01/2019 | 12/31/2999 |
| 0076T | 0076T - Transcatheter placement of extracranial vertebral artery stent(s) including radiologic supervision and interpretation open or percutaneous; each additional vessel (List separately in addition to code for primary procedure) | 0076T - TCAT PLMT XTRC VRT CRTD STENT RS&IPRQ EA VSL | 0076T - S&I STENT/CHEST VERT ART | '01/01/2017 | 12/31/2999 |
| 0076U | 0076U - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis targeted sequence analysis (ie 3’ gene duplication/ multiplication) (List separately in addition to code for primary procedure) | 0076U - CYP2D6 GENE TRGT SEQ ALYS 3' GENE DUPL/MLT | 0076U - CYP2D6 3' GENE DUP/MLT | '01/01/2019 | 12/31/2999 |
| 770 | 770 - Anesthesia for all procedures on major abdominal blood vessels | 770 - ANESTHESIA MAJOR ABDOMINAL BLOOD VESSELS | 770 - ANESTH BLOOD VESSEL REPAIR | '01/01/2017 | 12/31/2999 |
| 0077U | 0077U - Immunoglobulin paraprotein (M-protein) qualitative immunoprecipitation and mass spectrometry blood or urine including isotype | 0077U - IG PARAPROTEIN QUAL IMPRCIP&MS BLD/UR W/ISOTYPE | 0077U - IG PARAPROTEIN QUAL BLD/UR | '01/01/2019 | 12/31/2999 |
| 0078U | 0078U - Pain management (opioid-use disorder) genotyping panel 16 common variants (ie ABCB1 COMT DAT1 DBH DOR DRD1 DRD2 DRD4 GABA GAL HTR2A HTTLPR MTHFR MUOR OPRK1 OPRM1) buccal swab or other germline tissue sample algorithm reported as positive or negative risk of opioid-use disorder | 0078U - PAIN MGT OPIOID USE DO GNOTYP PNL 16 CMN VRNTS | 0078U - PAIN MGT OPI USE GNOTYP PNL | '01/01/2019 | 12/31/2999 |
| 790 | 790 - Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; not otherwise specified | 790 - ANES INTRAPERITONEAL UPPER ABDOMEN W/LAPS NOS | 790 - ANESTH SURG UPPER ABDOMEN | '01/01/2017 | 12/31/2999 |
| 792 | 792 - Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; partial hepatectomy or management of liver hemorrhage (excluding liver biopsy) | 792 - ANES LAPS PARTIAL HEPATECTOMY W/MGMT LIVER HEMOR | 792 - ANESTH HEMORR/EXCISE LIVER | '01/01/2017 | 12/31/2999 |
| 794 | 794 - Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; pancreatectomy partial or total (eg Whipple procedure) | 794 - ANES LAPAROSCOPIC PARTIAL/TOTAL PANCREATECTOMY | 794 - ANESTH PANCREAS REMOVAL | '01/01/2017 | 12/31/2999 |
| 796 | 796 - Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; liver transplant (recipient) | 796 - ANES LAPAROSCOPIC LIVER TRANSPLANT | 796 - ANESTH FOR LIVER TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 797 | 797 - Anesthesia for intraperitoneal procedures in upper abdomen including laparoscopy; gastric restrictive procedure for morbid obesity | 797 - ANES IPR UPPER ABDOMEN LAPS GASTRIC RSTCV MO | 797 - ANESTH SURGERY FOR OBESITY | '01/01/2017 | 12/31/2999 |
| 0079U | 0079U - Comparative DNA analysis using multiple selected single-nucleotide polymorphisms (SNPs) urine and buccal DNA for specimen identity verification | 0079U - CMPRTV DNA ALYS MLT SNPS UR&BUCCAL SPEC ID VERIF | 0079U - CMPRTV DNA ALYS MLT SNPS | '01/01/2019 | 12/31/2999 |
| 800 | 800 - Anesthesia for procedures on lower anterior abdominal wall; not otherwise specified | 800 - ANESTHESIA LOWER ANTERIOR ABDOMINAL WALL NOS | 800 - ANESTH ABDOMINAL WALL SURG | '01/01/2017 | 12/31/2999 |
| 802 | 802 - Anesthesia for procedures on lower anterior abdominal wall; panniculectomy | 802 - ANES LOWER ANT ABDOMINAL WALL PANNICULECTOMY | 802 - ANESTH FAT LAYER REMOVAL | '01/01/2017 | 12/31/2999 |
| 0080U | 0080U - Oncology (lung) mass spectrometric analysis of galectin-3-binding protein and scavenger receptor cysteine-rich type 1 protein M130 with five clinical risk factors (age smoking status nodule diameter nodule-spiculation status and nodule location) utilizing plasma algorithm reported as a categorical probability of malignancy | 0080U - ONC LUNG 5 CLINICAL RISK FACTORS ALG PRBLTY MAL | 0080U - ONC LNG 5 CLIN RSK FACTR ALG | '01/01/2019 | 12/31/2999 |
| 811 | 811 - Anesthesia for lower intestinal endoscopic procedures endoscope introduced distal to duodenum; not otherwise specified | 811 - ANESTHESIA LOWER INTST ENDOSCOPIC PX NOS | 811 - ANES LWR INTST NDSC NOS | '01/01/2018 | 12/31/2999 |
| 812 | 812 - Anesthesia for lower intestinal endoscopic procedures endoscope introduced distal to duodenum; screening colonoscopy | 812 - ANESTHESIA LOWER INTST ENDOSCOPIC PX SCR COLSC | 812 - ANES LWR INTST SCR COLSC | '01/01/2018 | 12/31/2999 |
| 813 | 813 - Anesthesia for combined upper and lower gastrointestinal endoscopic procedures endoscope introduced both proximal to and distal to the duodenum | 813 - ANESTHESIA COMBINED UPPER&LOWER GI ENDOSCOPIC PX | 813 - ANES UPR LWR GI NDSC PX | '01/01/2018 | 12/31/2999 |
| 0081A | 0081A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; first dose | 0081A - IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 1ST | 0081A - ADM SARSCV2 3MCG TRS-SUCR 1 | '01/01/2023 | 12/31/2999 |
| 820 | 820 - Anesthesia for procedures on lower posterior abdominal wall | 820 - ANESTHESIA LOWER POSTERIOR ABDOMINAL WALL | 820 - ANESTH ABDOMINAL WALL SURG | '01/01/2017 | 12/31/2999 |
| 0082A | 0082A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; second dose | 0082A - IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 2ND | 0082A - ADM SARSCV2 3MCG TRS-SUCR 2 | '01/01/2023 | 12/31/2999 |
| 0082U | 0082U - Drug test(s) definitive 90 or more drugs or substances definitive chromatography with mass spectrometry and presumptive any number of drug classes by instrument chemistry analyzer (utilizing immunoassay) urine report of presence or absence of each drug drug metabolite or substance with description and severity of significant interactions per date of service | 0082U - RX TST DEF 90+ RX/SBSTS UR REPRT PRES/ABS EA RX | 0082U - RX TEST DEF 90+ RX/SBSTS UR | '01/01/2019 | 12/31/2999 |
| 830 | 830 - Anesthesia for hernia repairs in lower abdomen; not otherwise specified | 830 - ANESTHESIA HERNIA REPAIR LOWER ABDOMEN NOS | 830 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 832 | 832 - Anesthesia for hernia repairs in lower abdomen; ventral and incisional hernias | 832 - ANES LWR ABD VENTRAL & INCISIONAL HERNIA REPAIR | 832 - ANESTH REPAIR OF HERNIA | '01/01/2017 | 12/31/2999 |
| 834 | 834 - Anesthesia for hernia repairs in the lower abdomen not otherwise specified younger than 1 year of age | 834 - ANES HERNIA REPAIR LOWER ABDOMEN NOS & 1YR AGE | 834 - ANESTH HERNIA REPAIR < 1 YR | '01/01/2017 | 12/31/2999 |
| 836 | 836 - Anesthesia for hernia repairs in the lower abdomen not otherwise specified infants younger than 37 weeks gestational age at birth and younger than 50 weeks gestational age at time of surgery | 836 - ANES HRNA RPR LWR ABD NOS INFTS <37WK BRTH/50WK | 836 - ANESTH HERNIA REPAIR PREEMIE | '01/01/2017 | 12/31/2999 |
| 0083A | 0083A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation; third dose | 0083A - IMM ADMN SARSCOV2 3MCG/0.2ML TRIS-SUCROSE 3RD | 0083A - ADM SARSCV2 3MCG TRS-SUCR 3 | '01/01/2023 | 12/31/2999 |
| 0083U | 0083U - Oncology response to chemotherapy drugs using motility contrast tomography fresh or frozen tissue reported as likelihood of sensitivity or resistance to drugs or drug combinations | 0083U - ONC RSPSE CHEMOTX RX MOTILITY CNTRST TOMOGRAPHY | 0083U - ONC RSPSE CHEMO CNTRST TOMOG | '01/01/2019 | 12/31/2999 |
| 840 | 840 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; not otherwise specified | 840 - ANESTHESIA INTRAPERITONEAL LOWER ABD W/LAPS NOS | 840 - ANESTH SURG LOWER ABDOMEN | '01/01/2017 | 12/31/2999 |
| 842 | 842 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; amniocentesis | 842 - ANES IPER LOWER ABDOMEN W/LAPS AMNIOCENTESIS | 842 - ANESTH AMNIOCENTESIS | '01/01/2017 | 12/31/2999 |
| 844 | 844 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; abdominoperineal resection | 844 - ANES IPER LOWER ABD W/LAPS ABDOMINOPRNL RESCJ | 844 - ANESTH PELVIS SURGERY | '01/01/2017 | 12/31/2999 |
| 846 | 846 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; radical hysterectomy | 846 - ANES IPER LOWER ABD W/LAPS RAD HYSTERECTOMY | 846 - ANESTH HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 848 | 848 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; pelvic exenteration | 848 - ANES IPER LOWER ABD W/LAPS PELVIC EXENTERATION | 848 - ANESTH PELVIC ORGAN SURG | '01/01/2017 | 12/31/2999 |
| 0084U | 0084U - Red blood cell antigen typing DNA genotyping of 10 blood groups with phenotype prediction of 37 red blood cell antigens | 0084U - RBC DNA GNOTYP 10 BLD GRP PHNT PREDICT 37 RBC AG | 0084U - RBC DNA GNOTYP 10 BLD GROUPS | '07/01/2019 | 12/31/2999 |
| 851 | 851 - Anesthesia for intraperitoneal procedures in lower abdomen including laparoscopy; tubal ligation/transection | 851 - ANES IPER LWR ABD W/LAPS TUBAL LIGATION/TRANSECT | 851 - ANESTH TUBAL LIGATION | '01/01/2017 | 12/31/2999 |
| 860 | 860 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; not otherwise specified | 860 - ANES EXTRAPERITONEAL LWR ABD W/URINARY TRACT NOS | 860 - ANESTH SURGERY OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 862 | 862 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; renal procedures including upper one-third of ureter or donor nephrectomy | 862 - ANES XTRPRTL LOWER ABD UR TRACT RENAL DON NFRCT | 862 - ANESTH KIDNEY/URETER SURG | '01/01/2017 | 12/31/2999 |
| 864 | 864 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; total cystectomy | 864 - ANES XTRPRTL LWER ABD W/URINARY TRACT TOT CYSTEC | 864 - ANESTH REMOVAL OF BLADDER | '01/01/2017 | 12/31/2999 |
| 865 | 865 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; radical prostatectomy (suprapubic retropubic) | 865 - ANES XTRPRTL LWR ABD W/URINARY TRACT RAD PRSTECT | 865 - ANESTH REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 866 | 866 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; adrenalectomy | 866 - ANES XTRPRTL LOWER ABD W/URIN TRACT ADRENLECTOMY | 866 - ANESTH REMOVAL OF ADRENAL | '01/01/2017 | 12/31/2999 |
| 868 | 868 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; renal transplant (recipient) | 868 - ANES XTRPRTL LWR ABD W/URIN TRACT RENAL TRANSPL | 868 - ANESTH KIDNEY TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 0086U | 0086U - Infectious disease (bacterial and fungal) organism identification blood culture using rRNA FISH 6 or more organism targets reported as positive or negative with phenotypic minimum inhibitory concentration (MIC)-based antimicrobial susceptibility | 0086U - NFCT DS BACT&FNG ORG ID BLD CUL RRNA FISH 6+TRGT | 0086U - NFCT DS BACT&FNG ORG ID 6+ | '07/01/2019 | 12/31/2999 |
| 870 | 870 - Anesthesia for extraperitoneal procedures in lower abdomen including urinary tract; cystolithotomy | 870 - ANES XTRPRTL LWR ABD W/URIN TRACT CSTOLITHOTOMY | 870 - ANESTH BLADDER STONE SURG | '01/01/2017 | 12/31/2999 |
| 872 | 872 - Anesthesia for lithotripsy extracorporeal shock wave; with water bath | 872 - ANES LITHOTRP XTRCORP SHOCK WAVE W/WATER BATH | 872 - ANESTH KIDNEY STONE DESTRUCT | '01/01/2017 | 12/31/2999 |
| 873 | 873 - Anesthesia for lithotripsy extracorporeal shock wave; without water bath | 873 - ANES LITHOTRP XTRCORP SHOCK WAVE W/O WATER BATH | 873 - ANESTH KIDNEY STONE DESTRUCT | '01/01/2017 | 12/31/2999 |
| 0087U | 0087U - Cardiology (heart transplant) mRNA gene expression profiling by microarray of 1283 genes transplant biopsy tissue allograft rejection and injury algorithm reported as a probability score | 0087U - CARD HRT TRNSPL MRNA GEN XPRS PRFL 1283 GENE ALG | 0087U - CRD HRT TRNSPL MRNA 1283 GEN | '07/01/2019 | 12/31/2999 |
| 880 | 880 - Anesthesia for procedures on major lower abdominal vessels; not otherwise specified | 880 - ANESTHESIA MAJOR LOWER ABDOMINAL VESSELS NOS | 880 - ANESTH ABDOMEN VESSEL SURG | '01/01/2017 | 12/31/2999 |
| 882 | 882 - Anesthesia for procedures on major lower abdominal vessels; inferior vena cava ligation | 882 - ANES MAJOR LOWER ABDOMINAL VESSELS IVC LIGATION | 882 - ANESTH MAJOR VEIN LIGATION | '01/01/2017 | 12/31/2999 |
| 0088U | 0088U - Transplantation medicine (kidney allograft rejection) microarray gene expression profiling of 1494 genes utilizing transplant biopsy tissue algorithm reported as a probability score for rejection | 0088U - TRNSPLJ MED KDN ALGRFT REJ 1494 GENES ALG | 0088U - TRNSPLJ KDN ALGRFT REJ 1494 | '07/01/2019 | 12/31/2999 |
| 0089U | 0089U - Oncology (melanoma) gene expression profiling by RTqPCR PRAME and LINC00518 superficial collection using adhesive patch(es) | 0089U - ONC MLNMA GEN XPRS PRFL RTQPCR PRAME & LINC00518 | 0089U - ONC MLNMA PRAME & LINC00518 | '07/01/2019 | 12/31/2999 |
| 902 | 902 - Anesthesia for; anorectal procedure | 902 - ANESTHESIA ANORECTAL PROCEDURE | 902 - ANESTH ANORECTAL SURGERY | '01/01/2017 | 12/31/2999 |
| 904 | 904 - Anesthesia for; radical perineal procedure | 904 - ANESTHESIA RADICAL PERINEAL PROCEDURE | 904 - ANESTH PERINEAL SURGERY | '01/01/2017 | 12/31/2999 |
| 906 | 906 - Anesthesia for; vulvectomy | 906 - ANESTHESIA VULVECTOMY | 906 - ANESTH REMOVAL OF VULVA | '01/01/2017 | 12/31/2999 |
| 908 | 908 - Anesthesia for; perineal prostatectomy | 908 - ANESTHESIA PERINEAL PROSTATECTOMY | 908 - ANESTH REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 0090U | 0090U - Oncology (cutaneous melanoma) mRNA gene expression profiling by RT-PCR of 23 genes (14 content and 9 housekeeping) utilizing formalin-fixed paraffin-embedded tissue (FFPE) algorithm reported as a categorical result (ie benign intermediate malignant) | 0090U - ONC CUTAN MLNMA MRNA GEN XPRS PRFL 23 GENES ALG | 0090U - ONC CUTAN MLNMA MRNA 23 GENE | '01/01/2022 | 12/31/2999 |
| 910 | 910 - Anesthesia for transurethral procedures (including urethrocystoscopy); not otherwise specified | 910 - ANES TRANSURETHRAL W/URETHROCYSTOSCOPY NOS | 910 - ANESTH BLADDER SURGERY | '01/01/2017 | 12/31/2999 |
| 912 | 912 - Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of bladder tumor(s) | 912 - ANES TRANSURETHRAL RESECTION OF BLADDER TUMOR | 912 - ANESTH BLADDER TUMOR SURG | '01/01/2017 | 12/31/2999 |
| 914 | 914 - Anesthesia for transurethral procedures (including urethrocystoscopy); transurethral resection of prostate | 914 - ANESTHESIA TRANSURETHRAL RESECTION OF PROSTATE | 914 - ANESTH REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 916 | 916 - Anesthesia for transurethral procedures (including urethrocystoscopy); post-transurethral resection bleeding | 916 - ANES TRURL POST-TRURL RESECTION BLEEDING | 916 - ANESTH BLEEDING CONTROL | '01/01/2017 | 12/31/2999 |
| 918 | 918 - Anesthesia for transurethral procedures (including urethrocystoscopy); with fragmentation manipulation and/or removal of ureteral calculus | 918 - ANES TRURL FRAGMNTJ MANJ&/RMVL URETERAL CALCULUS | 918 - ANESTH STONE REMOVAL | '01/01/2017 | 12/31/2999 |
| 0091A | 0091A - &Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.5 mL dosage; first dose when administered to individuals 6 through 11 years& | 0091A - IMM ADMN SARSCOV2 50 MCG/0.5 ML 1ST DOSE 6-11 | 0091A - ADM SARSCOV2 50 MCG/.5 ML1ST | '06/17/2022 | 12/31/2999 |
| 0091U | 0091U - Oncology (colorectal) screening cell enumeration of circulating tumor cells utilizing whole blood algorithm for the presence of adenoma or cancer reported as a positive or negative result | 0091U - ONC CLRCT SCR CLL ENUM CRCG TUM CLL WHL BLD ALG | 0091U - ONC CLRCT SCR WHL BLD ALG | '07/01/2019 | 12/31/2999 |
| 920 | 920 - Anesthesia for procedures on male genitalia (including open urethral procedures); not otherwise specified | 920 - ANESTHESIA MALE GENITALIA INCL OPEN URETHRAL PX | 920 - ANESTH GENITALIA SURGERY | '01/01/2017 | 12/31/2999 |
| 921 | 921 - Anesthesia for procedures on male genitalia (including open urethral procedures); vasectomy unilateral or bilateral | 921 - ANES VASECTOMY UNI/BI INCL OPEN URETHRAL PX | 921 - ANESTH VASECTOMY | '01/01/2017 | 12/31/2999 |
| 922 | 922 - Anesthesia for procedures on male genitalia (including open urethral procedures); seminal vesicles | 922 - ANES SEMINAL VESICLES INCL OPEN URETHRAL PX | 922 - ANESTH SPERM DUCT SURGERY | '01/01/2017 | 12/31/2999 |
| 924 | 924 - Anesthesia for procedures on male genitalia (including open urethral procedures); undescended testis unilateral or bilateral | 924 - ANES UNDSCND TESTIS UNI/BI INCL OPEN URTL PX | 924 - ANESTH TESTIS EXPLORATION | '01/01/2017 | 12/31/2999 |
| 926 | 926 - Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy inguinal | 926 - ANES RAD ORCHIECTOMY INGUN INCL OPEN URTL PX | 926 - ANESTH REMOVAL OF TESTIS | '01/01/2017 | 12/31/2999 |
| 928 | 928 - Anesthesia for procedures on male genitalia (including open urethral procedures); radical orchiectomy abdominal | 928 - ANES RAD ORCHIECTOMY ABDOMINAL INCL OPN URTL | 928 - ANESTH REMOVAL OF TESTIS | '01/01/2017 | 12/31/2999 |
| 0092A | 0092A - &Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.5 mL dosage; second dose when administered to individuals 6 through 11 years & | 0092A - IMM ADMN SARSCOV2 50 MCG/0.5 ML 2ND DOSE 6-11 | 0092A - ADM SARSCOV2 50 MCG/.5 ML2ND | '06/17/2022 | 12/31/2999 |
| 0092U | 0092U - Oncology (lung) three protein biomarkers immunoassay using magnetic nanosensor technology plasma algorithm reported as risk score for likelihood of malignancy | 0092U - ONC LUNG 3 PRTN BMRK IA PLSM ALG RSK SCOR MALIG | 0092U - ONC LNG 3 PRTN BMRK PLSM ALG | '07/01/2019 | 12/31/2999 |
| 930 | 930 - Anesthesia for procedures on male genitalia (including open urethral procedures); orchiopexy unilateral or bilateral | 930 - ANES ORCHIOPEXY UNI/BI INCL OPEN URETHRAL PX | 930 - ANESTH TESTIS SUSPENSION | '01/01/2017 | 12/31/2999 |
| 932 | 932 - Anesthesia for procedures on male genitalia (including open urethral procedures); complete amputation of penis | 932 - ANES COMPLETE AMPUTATION PENIS INCL OPEN URTL | 932 - ANESTH AMPUTATION OF PENIS | '01/01/2017 | 12/31/2999 |
| 934 | 934 - Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal lymphadenectomy | 934 - ANES RAD AMP PENIS W/BI INGUINAL LYMPH NODE RMVL | 934 - ANESTH PENIS NODES REMOVAL | '01/01/2017 | 12/31/2999 |
| 936 | 936 - Anesthesia for procedures on male genitalia (including open urethral procedures); radical amputation of penis with bilateral inguinal and iliac lymphadenectomy | 936 - ANES RAD AMP PENIS W/BI INGUNL&ILIAC LYMPH RMOVL | 936 - ANESTH PENIS NODES REMOVAL | '01/01/2017 | 12/31/2999 |
| 938 | 938 - Anesthesia for procedures on male genitalia (including open urethral procedures); insertion of penile prosthesis (perineal approach) | 938 - ANES INSJ PENILE PROSTH PRNL INCL OPEN URTL | 938 - ANESTH INSERT PENIS DEVICE | '01/01/2017 | 12/31/2999 |
| 0093A | 0093A - &Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.5 mL dosage; third dose when administered to individuals 6 through 11 years & | 0093A - IMM ADMN SARSCOV2 50 MCG/0.5 ML 3RD DOSE 6-11 | 0093A - ADM SARSCOV2 50 MCG/.5 ML3RD | '06/17/2022 | 12/31/2999 |
| 0093U | 0093U - Prescription drug monitoring evaluation of 65 common drugs by LC-MS/MS urine each drug reported detected or not detected | 0093U - RX MNTR 65 COM DRUGS LC-MS/MS UR DETC/NOT DETC | 0093U - RX MNTR 65 COM DRUGS URINE | '07/01/2019 | 12/31/2999 |
| 940 | 940 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); not otherwise specified | 940 - ANESTHESIA VAGINAL PROCEDURE W/BIOPSY NOS | 940 - ANESTH VAGINAL PROCEDURES | '01/01/2017 | 12/31/2999 |
| 942 | 942 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); colpotomy vaginectomy colporrhaphy and open urethral procedures | 942 - ANES COLPTMY VAGNC COLPRPHY INCL BX W/OPN URTL | 942 - ANESTH SURG ON VAG/URETHRAL | '01/01/2017 | 12/31/2999 |
| 944 | 944 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); vaginal hysterectomy | 944 - ANESTHESIA VAGINAL HYSTERECTOMY INCL BIOPSY | 944 - ANESTH VAGINAL HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 948 | 948 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); cervical cerclage | 948 - ANESTHESIA CERVICAL CERCLAGE INCLUDING BIOPSY | 948 - ANESTH REPAIR OF CERVIX | '01/01/2017 | 12/31/2999 |
| 0094A | 0094A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.5 mL dosage booster dose | 0094A - IMM ADMN SARSCOV2 50 MCG/0.5 ML BOOSTER DOSE | 0094A - ADM SARSCOV2 50 MCG/.5 MLBST | '01/01/2023 | 12/31/2999 |
| 0094U | 0094U - Genome (eg unexplained constitutional or heritable disorder or syndrome) rapid sequence analysis | 0094U - GENOME RAPID SEQUENCE ANALYSIS | 0094U - GENOME RAPID SEQUENCE ALYS | '07/01/2019 | 12/31/2999 |
| 950 | 950 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); culdoscopy | 950 - ANESTHESIA CULDOSCOPY INCLUDING BIOPSY | 950 - ANESTH VAGINAL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 952 | 952 - Anesthesia for vaginal procedures (including biopsy of labia vagina cervix or endometrium); hysteroscopy and/or hysterosalpingography | 952 - ANES HYSTEROSCOPY&/HYSTEROSALPINGOGRAPHY W/BX | 952 - ANESTH HYSTEROSCOPE/GRAPH | '01/01/2017 | 12/31/2999 |
| 0095T | 0095T - Removal of total disc arthroplasty (artificial disc) anterior approach each additional interspace cervical (List separately in addition to code for primary procedure) | 0095T - RMVL TOT DISC ARTHRP ANT APPR CRV EA NTRSPC | 0095T - RMVL ARTIFIC DISC ADDL CRVCL | '01/01/2017 | 12/31/2999 |
| 0095U | 0095U - Eosinophilic esophagitis (Eotaxin-3 [CCL26 {C-C motif chemokine ligand 26}] and major basic protein [PRG2 {proteoglycan 2 pro eosinophil major basic protein}] enzyme-linked immunosorbent assays (ELISA) specimen obtained by esophageal string test device algorithm reported as probability of active or inactive eosinophilic esophagitis | 0095U - EE&MAJ BASIC PRTN ELISA ESOPHGL STRING TST DEV | 0095U - EE&MJ BSC PRTN ELISA EST DEV | '04/01/2023 | 12/31/2999 |
| 0095U | 0095U - Inflammation (eosinophilic esophagitis) ELISA analysis of eotaxin-3 (CCL26 [C-C motif chemokine ligand 26]) and major basic protein (PRG2 [proteoglycan 2 pro eosinophil major basic protein]) specimen obtained by swallowed nylon string algorithm reported as predictive probability index for active eosinophilic esophagitis | 0095U - INFLAMMATION EE ELISA ALYS ALG PREDICT PROB IDX | 0095U - INFLM EE ELISA ALYS ALG | '07/01/2019 | '03/31/2023 |
| 0096U | 0096U - Human papillomavirus (HPV) high-risk types (ie 16 18 31 33 35 39 45 51 52 56 58 59 66 68) male urine | 0096U - HPV HIGH RISK TYPES MALE URINE | 0096U - HPV HI RISK TYPES MALE URINE | '07/01/2019 | 12/31/2999 |
| 0098T | 0098T - Revision including replacement of total disc arthroplasty (artificial disc) anterior approach each additional interspace cervical (List separately in addition to code for primary procedure) | 0098T - REVJ TOT DISC ARTHRP ANT APPR CRV EA NTRSPC | 0098T - REV ARTIFIC DISC ADDL | '01/01/2017 | 12/31/2999 |
| 0100T | 0100T - Placement of a subconjunctival retinal prosthesis receiver and pulse generator and implantation of intraocular retinal electrode array with vitrectomy | 0100T - PLMT SCJNCL RTA PROSTH&PLS&IMPLTJ INTRA-OC RTA | 0100T - PROSTH RETINA RECEIVE&GEN | '01/01/2018 | 12/31/2999 |
| 0101T | 0101T - Extracorporeal shock wave involving musculoskeletal system not otherwise specified | 0101T - EXTRACORPOREAL SHOCK WAVE MUSCSKEL SYS NOS | 0101T - ESW MUSCSKEL SYS NOS | '01/01/2022 | 12/31/2999 |
| 0101U | 0101U - Hereditary colon cancer disorders (eg Lynch syndrome PTEN hamartoma syndrome Cowden syndrome familial adenomatosis polyposis) genomic sequence analysis panel utilizing a combination of NGS Sanger MLPA and array CGH with MRNA analytics to resolve variants of unknown significance when indicated (15 genes [sequencing and deletion/duplication] EPCAM and GREM1 [deletion/duplication only]) | 0101U - HERED COLON CA DO GEN SEQ ALYS PANEL 15 GENES | 0101U - HERED COLON CA DO 15 GENES | '07/01/2019 | 12/31/2999 |
| 0102T | 0102T - Extracorporeal shock wave performed by a physician requiring anesthesia other than local and involving the lateral humeral epicondyle | 0102T - ESW BY PHYS W/ANES INVG LAT HUMERL EPICONDYLE | 0102T - ESW PHY ANES LAT HMRL EPCNDL | '01/01/2022 | 12/31/2999 |
| 0102U | 0102U - Hereditary breast cancer-related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer) genomic sequence analysis panel utilizing a combination of NGS Sanger MLPA and array CGH with MRNA analytics to resolve variants of unknown significance when indicated (17 genes [sequencing and deletion/duplication]) | 0102U - HERED BRST CA RLTD DO GEN SEQ ALYS PNL 17 GENES | 0102U - HERED BRST CA RLTD DO 17 GEN | '07/01/2019 | 12/31/2999 |
| 0103U | 0103U - Hereditary ovarian cancer (eg hereditary ovarian cancer hereditary endometrial cancer) genomic sequence analysis panel utilizing a combination of NGS Sanger MLPA and array CGH with MRNA analytics to resolve variants of unknown significance when indicated (24 genes [sequencing and deletion/duplication] EPCAM [deletion/duplication only]) | 0103U - HERED OVARIAN CANCER GEN SEQ ALYS PANEL 24 GENES | 0103U - HERED OVA CA PNL 24 GENES | '07/01/2019 | 12/31/2999 |
| 0105U | 0105U - Nephrology (chronic kidney disease) multiplex electrochemiluminescent immunoassay (ECLIA) of tumor necrosis factor receptor 1A receptor superfamily 2 (TNFR1 TNFR2) and kidney injury molecule-1 (KIM-1) combined with longitudinal clinical data including APOL1 genotype if available and plasma (isolated fresh or frozen) algorithm reported as probability score for rapid kidney function decline (RKFD) | 0105U - NEPHROLOGY CKD ECLIA TUMOR NECROSIS ALG RKFD | 0105U - NEPH CKD MULT ECLIA TUM NEC | 01-10-2019 | 12/31/2999 |
| 0106T | 0106T - Quantitative sensory testing (QST) testing and interpretation per extremity; using touch pressure stimuli to assess large diameter sensation | 0106T - QUANT SENSORY TEST&INTERPJ/XTR W/TOUCH STIMULI | 0106T - TOUCH QUANT SENSORY TEST | '01/01/2017 | 12/31/2999 |
| 0106U | 0106U - Gastric emptying serial collection of 7 timed breath specimens non-radioisotope carbon-13 (13C) spirulina substrate analysis of each specimen by gas isotope ratio mass spectrometry reported as rate of 13CO2 excretion | 0106U - GASTRIC EMPTYING SERIAL COLLJ 7 TIMED BRTH SPEC | 0106U - GSTR EMPTG 7 TIMED BRTH SPEC | 01-10-2019 | 12/31/2999 |
| 0107T | 0107T - Quantitative sensory testing (QST) testing and interpretation per extremity; using vibration stimuli to assess large diameter fiber sensation | 0107T - QUANT SENSORY TEST&INTERPJ/XTR W/VIBRJ STIMULI | 0107T - VIBRATE QUANT SENSORY TEST | '01/01/2017 | 12/31/2999 |
| 0107U | 0107U - Clostridium difficile toxin(s) antigen detection by immunoassay technique stool qualitative multiple-step method | 0107U - C DIFF TOXIN ANTIGEN DETCJ IA TECH STOOL QUAL | 0107U - C DIFF TOX AG DETCJ IA STOOL | 01-10-2019 | 12/31/2999 |
| 0108T | 0108T - Quantitative sensory testing (QST) testing and interpretation per extremity; using cooling stimuli to assess small nerve fiber sensation and hyperalgesia | 0108T - QUANT SENSORY TEST&INTERPJ/XTR W/COOL STIMULI | 0108T - COOL QUANT SENSORY TEST | '01/01/2017 | 12/31/2999 |
| 0108U | 0108U - Gastroenterology (Barrett’s esophagus) whole slide–digital imaging including morphometric analysis computer-assisted quantitative immunolabeling of 9 protein biomarkers (p16 AMACR p53 CD68 COX-2 CD45RO HIF1a HER-2 K20) and morphology formalin-fixed paraffin-embedded tissue algorithm reported as risk of progression to high-grade dysplasia or cancer | 0108U - GI BARRETTS ESOPH QUAN IMMUNOLABEL 9 PRTN BMRK | 0108U - GI BARRETT ESOPH 9 PRTN BMRK | 01-10-2019 | 12/31/2999 |
| 0109T | 0109T - Quantitative sensory testing (QST) testing and interpretation per extremity; using heat-pain stimuli to assess small nerve fiber sensation and hyperalgesia | 0109T - QUANT SENAORY TEST&INTERPJ/XTR W/HT-PN STIMULI | 0109T - HEAT QUANT SENSORY TEST | '01/01/2017 | 12/31/2999 |
| 0109U | 0109U - Infectious disease (Aspergillus species) real-time PCR for detection of DNA from 4 species (A. fumigatus A. terreus A. niger and A. flavus) blood lavage fluid or tissue qualitative reporting of presence or absence of each species | 0109U - ID ASPERGILLUS DNA 4 SPECIES BLD LVG FLU/TISS | 0109U - ID ASPERGILLUS DNA 4 SPECIES | 01-10-2019 | 12/31/2999 |
| 0110T | 0110T - Quantitative sensory testing (QST) testing and interpretation per extremity; using other stimuli to assess sensation | 0110T - QUANT SENSORY TEST&INTERPJ/XTR OTHER STIMULI | 0110T - NOS QUANT SENSORY TEST | '01/01/2017 | 12/31/2999 |
| 0110U | 0110U - Prescription drug monitoring one or more oral oncology drug(s) and substances definitive tandem mass spectrometry with chromatography serum or plasma from capillary blood or venous blood quantitative report with steady-state range for the prescribed drug(s) when detected | 0110U - RX MNTR 1+ORAL ONC RX&SBSTS SRM/PLSM CAP/VEN BLD | 0110U - RX MNTR 1+ORAL ONC RX&SBSTS | 01-10-2019 | 12/31/2999 |
| 1112 | 1112 - Anesthesia for bone marrow aspiration and/or biopsy anterior or posterior iliac crest | 1112 - ANES BONE MARROW ASPIR&/BX ANT/PST ILIAC CREST | 1112 - ANESTH BONE ASPIRATE/BX | '01/01/2017 | 12/31/2999 |
| 0111A | 0111A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 25 mcg/0.25 mL dosage; first dose | 0111A - IMM ADMN SARSCOV2 25 MCG/0.25 ML 1ST DOSE | 0111A - ADM SARSCOV2 25MCG/0.25ML1ST | '01/01/2023 | 12/31/2999 |
| 0111U | 0111U - Oncology (colon cancer) targeted KRAS (codons 12 13 and 61) and NRAS (codons 12 13 and 61) gene analysis utilizing formalin-fixed paraffin-embedded tissue | 0111U - ONCOLOGY COLON CANCER TRGT KRAS&NRAS GENE ALYS | 0111U - ONC COLON CA KRAS&NRAS ALYS | 01-10-2019 | 12/31/2999 |
| 1120 | 1120 - Anesthesia for procedures on bony pelvis | 1120 - ANESTHESIA ON BONY PELVIS | 1120 - ANESTH PELVIS SURGERY | '01/01/2017 | 12/31/2999 |
| 0112A | 0112A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 25 mcg/0.25 mL dosage; second dose | 0112A - IMM ADMN SARSCOV2 25 MCG/0.25 ML 2ND DOSE | 0112A - ADM SARSCOV2 25MCG/0.25ML2ND | '01/01/2023 | 12/31/2999 |
| 0112U | 0112U - Infectious agent detection and identification targeted sequence analysis (16S and 18S rRNA genes) with drug-resistance gene | 0112U - IADI TRGT SEQ ALYS 16S&18S RRNA GENES | 0112U - IADI 16S&18S RRNA GENES | 01-10-2019 | 12/31/2999 |
| 1130 | 1130 - Anesthesia for body cast application or revision | 1130 - ANESTHESIA BODY CAST APPLICATION OR REVISION | 1130 - ANESTH BODY CAST PROCEDURE | '01/01/2017 | 12/31/2999 |
| 0113A | 0113A - &Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein preservative free 25 mcg/0.25 mL dosage; third dose& | 0113A - IMM ADMN SARSCOV2 25 MCG/0.25 ML 3RD DOSE | 0113A - ADM SARSCOV2 25MCG/0.25ML3RD | '06/17/2022 | 12/31/2999 |
| 0113U | 0113U - Oncology (prostate) measurement of PCA3 and TMPRSS2-ERG in urine and PSA in serum following prostatic massage by RNA amplification and fluorescence-based detection algorithm reported as risk score | 0113U - ONCOLOGY PRST8 MEAS PCA3&TMPRSS2-ERG UR&PSA SRM | 0113U - ONC PRST8 PCA3&TMPRSS2-ERG | 01-10-2019 | 12/31/2999 |
| 1140 | 1140 - Anesthesia for interpelviabdominal (hindquarter) amputation | 1140 - ANESTHESIA INTERPELVI ABDOMINAL AMPUTATION | 1140 - ANESTH AMPUTATION AT PELVIS | '01/01/2017 | 12/31/2999 |
| 0114U | 0114U - Gastroenterology (Barrett’s esophagus) VIM and CCNA1 methylation analysis esophageal cells algorithm reported as likelihood for Barrett’s esophagus | 0114U - GI BARRETTS ESOPHAGUS VIM&CCNA1 MTHYLTN ALYS ALG | 0114U - GI BARRETTS ESOPH VIM&CCNA1 | 01-10-2019 | 12/31/2999 |
| 1150 | 1150 - Anesthesia for radical procedures for tumor of pelvis except hindquarter amputation | 1150 - ANES RADICAL TUMOR PELVIS XCP HINDQUARTER AMP | 1150 - ANESTH PELVIC TUMOR SURGERY | '01/01/2017 | 12/31/2999 |
| 0115U | 0115U - Respiratory infectious agent detection by nucleic acid (DNA and RNA) 18 viral types and subtypes and 2 bacterial targets amplified probe technique including multiplex reverse transcription for RNA targets each analyte reported as detected or not detected | 0115U - RESPIR IADNA 18 VIRAL TYPE&SUBTYPE & 2 BACT TRGT | 0115U - RESPIR IADNA 18 VIRAL&2 BACT | 01-10-2019 | 12/31/2999 |
| 1160 | 1160 - Anesthesia for closed procedures involving symphysis pubis or sacroiliac joint | 1160 - ANES CLOSED SYMPHYSIS PUBIS/SACROILIAC JOINT | 1160 - ANESTH PELVIS PROCEDURE | '01/01/2017 | 12/31/2999 |
| 0116U | 0116U - Prescription drug monitoring enzyme immunoassay of 35 or more drugs confirmed with LC-MS/MS oral fluid algorithm results reported as a patient-compliance measurement with risk of drug to drug interactions for prescribed medications | 0116U - RX MNTR NZM IA 35+DRUGS LC-MS/MS ORAL FLUID ALG | 0116U - RX MNTR NZM IA 35+ORAL FLU | 01-10-2019 | 12/31/2999 |
| 1170 | 1170 - Anesthesia for open procedures involving symphysis pubis or sacroiliac joint | 1170 - ANES OPEN SYMPHYSIS PUBIS/SACROILIAC JOINT | 1170 - ANESTH PELVIS SURGERY | '01/01/2017 | 12/31/2999 |
| 1173 | 1173 - Anesthesia for open repair of fracture disruption of pelvis or column fracture involving acetabulum | 1173 - ANES OPN RPR DISRPJ PELVIS/COLUMN FX ACETABULUM | 1173 - ANESTH FX REPAIR PELVIS | '01/01/2017 | 12/31/2999 |
| 0117U | 0117U - Pain management analysis of 11 endogenous analytes (methylmalonic acid xanthurenic acid homocysteine pyroglutamic acid vanilmandelate 5-hydroxyindoleacetic acid hydroxymethylglutarate ethylmalonate 3-hydroxypropyl mercapturic acid (3-HPMA) quinolinic acid kynurenic acid) LC-MS/MS urine algorithm reported as a pain-index score with likelihood of atypical biochemical function associated with pain | 0117U - PAIN MGMT ALYS 11 ENDOGENOUS ANALYTES URINE ALG | 0117U - PAIN MGMT 11 ENDOGENOUS ANAL | 01-10-2019 | 12/31/2999 |
| 0118U | 0118U - Transplantation medicine quantification of donor-derived cell-free DNA using whole genome next-generation sequencing plasma reported as percentage of donor-derived cell-free DNA in the total cell-free DNA | 0118U - TRANSPLANTATION MED QUAN DON-DRV CLL-FR DNA PLSM | 0118U - TRNSPLJ DON-DRV CLL-FR DNA | 01-10-2019 | 12/31/2999 |
| 0119U | 0119U - Cardiology ceramides by liquid chromatography–tandem mass spectrometry plasma quantitative report with risk score for major cardiovascular events | 0119U - CARDIOLOGY CERAMIDES LIQ CHROM TANDEM MS PLASMA | 0119U - CRD CERAMIDES LIQ CHROM PLSM | 01-10-2019 | 12/31/2999 |
| 1200 | 1200 - Anesthesia for all closed procedures involving hip joint | 1200 - ANESTHESIA CLOSED HIP JOINT PROCEDURE | 1200 - ANESTH HIP JOINT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1202 | 1202 - Anesthesia for arthroscopic procedures of hip joint | 1202 - ANESTHESIA ARTHROSCOPIC HIP JOINT PROCEDURE | 1202 - ANESTH ARTHROSCOPY OF HIP | '01/01/2017 | 12/31/2999 |
| 0120U | 0120U - Oncology (B-cell lymphoma classification) mRNA gene expression profiling by fluorescent probe hybridization of 58 genes (45 content and 13 housekeeping genes) formalin-fixed paraffin-embedded tissue algorithm reported as likelihood for primary mediastinal B-cell lymphoma (PMBCL) and diffuse large B-cell lymphoma (DLBCL) with cell of origin subtyping in the latter | 0120U - ONC B CLL LYMPHM MRNA GENE XPRSN PRFL 58 GEN ALG | 0120U - ONC B CLL LYMPHM MRNA 58 GEN | 01-10-2019 | 12/31/2999 |
| 1210 | 1210 - Anesthesia for open procedures involving hip joint; not otherwise specified | 1210 - ANESTHESIA OPEN HIP JOINT PROCEDURE NOS | 1210 - ANESTH HIP JOINT SURGERY | '01/01/2017 | 12/31/2999 |
| 1212 | 1212 - Anesthesia for open procedures involving hip joint; hip disarticulation | 1212 - ANESTHESIA OPEN HIP JOINT DISARTICULATION | 1212 - ANESTH HIP DISARTICULATION | '01/01/2017 | 12/31/2999 |
| 1214 | 1214 - Anesthesia for open procedures involving hip joint; total hip arthroplasty | 1214 - ANESTHESIA OPEN TOTAL HIP ARTHROPLASTY | 1214 - ANESTH HIP ARTHROPLASTY | '01/01/2017 | 12/31/2999 |
| 1215 | 1215 - Anesthesia for open procedures involving hip joint; revision of total hip arthroplasty | 1215 - ANESTHESIA OPEN REVISION TOTAL HIP ARTHROPLASTY | 1215 - ANESTH REVISE HIP REPAIR | '01/01/2017 | 12/31/2999 |
| 0121U | 0121U - Sickle cell disease microfluidic flow adhesion (VCAM-1) whole blood | 0121U - SICKLE CELL DISEASE VCAM-1 WHOLE BLOOD | 0121U - SC DIS VCAM-1 WHOLE BLOOD | 01-10-2019 | 12/31/2999 |
| 1220 | 1220 - Anesthesia for all closed procedures involving upper two-thirds of femur | 1220 - ANESTHESIA CLOSED PROCEDURES UPPER 2/3 FEMUR | 1220 - ANESTH PROCEDURE ON FEMUR | '01/01/2017 | 12/31/2999 |
| 0122U | 0122U - Sickle cell disease microfluidic flow adhesion (P-Selectin) whole blood | 0122U - SICKLE CELL DISEASE P-SELECTIN WHOLE BLOOD | 0122U - SC DIS P-SELECTIN WHL BLOOD | 01-10-2019 | 12/31/2999 |
| 1230 | 1230 - Anesthesia for open procedures involving upper two-thirds of femur; not otherwise specified | 1230 - ANESTHESIA OPEN PROCEDURES UPPER 2/3 FEMUR NOS | 1230 - ANESTH SURGERY OF FEMUR | '01/01/2017 | 12/31/2999 |
| 1232 | 1232 - Anesthesia for open procedures involving upper two-thirds of femur; amputation | 1232 - ANESTHESIA UPPER 2/3 FEMUR AMPUTATION | 1232 - ANESTH AMPUTATION OF FEMUR | '01/01/2017 | 12/31/2999 |
| 1234 | 1234 - Anesthesia for open procedures involving upper two-thirds of femur; radical resection | 1234 - ANES UPPER 2/3 FEMUR RADICAL RESCECTION | 1234 - ANESTH RADICAL FEMUR SURG | '01/01/2017 | 12/31/2999 |
| 0123U | 0123U - Mechanical fragility RBC shear stress and spectral analysis profiling | 0123U - MCHNL FRGLTY RBC SHEAR STRS&SPECTRAL ALYS PRFLG | 0123U - MCHNL FRAGILITY RBC PRFLG | 01-10-2019 | 12/31/2999 |
| 0124A | 0124A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation booster dose | 0124A - IMM ADMN SARSCOV2 BIVALENT 30 MCG/0.3 ML BST | 0124A - ADM SARSCV2 BVL 30MCG/.3ML B | '08/31/2022 | 12/31/2999 |
| 1250 | 1250 - Anesthesia for all procedures on nerves muscles tendons fascia and bursae of upper leg | 1250 - ANES NERVE MUSC TENDON FASCIA & BURSAE UPPER LEG | 1250 - ANESTH UPPER LEG SURGERY | '01/01/2017 | 12/31/2999 |
| 1260 | 1260 - Anesthesia for all procedures involving veins of upper leg including exploration | 1260 - ANES VEINS OF UPPER LEG INCLUDING EXPLORATION | 1260 - ANESTH UPPER LEG VEINS SURG | '01/01/2017 | 12/31/2999 |
| 1270 | 1270 - Anesthesia for procedures involving arteries of upper leg including bypass graft; not otherwise specified | 1270 - ANESTHESIA ARTERIES UPPER LEG INCL BYPASS GRAFT | 1270 - ANESTH THIGH ARTERIES SURG | '01/01/2017 | 12/31/2999 |
| 1272 | 1272 - Anesthesia for procedures involving arteries of upper leg including bypass graft; femoral artery ligation | 1272 - ANES ART UPPER LEG W/BYPASS GRAFT FEM ART LIG | 1272 - ANESTH FEMORAL ARTERY SURG | '01/01/2017 | 12/31/2999 |
| 1274 | 1274 - Anesthesia for procedures involving arteries of upper leg including bypass graft; femoral artery embolectomy | 1274 - ANES UPPER LEG W/BYPASS GRFT FEM ART EMBOLECTOMY | 1274 - ANESTH FEMORAL EMBOLECTOMY | '01/01/2017 | 12/31/2999 |
| 0129U | 0129U - Hereditary breast cancer–related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer) genomic sequence analysis and deletion/duplication analysis panel (ATM BRCA1 BRCA2 CDH1 CHEK2 PALB2 PTEN and TP53) | 0129U - HEREDITARY BRST CA RLTD DO GEN SEQ&DEL/DUP PNL | 0129U - HERED BRST CA RLTD DO PANEL | 01-10-2019 | 12/31/2999 |
| 0130U | 0130U - Hereditary colon cancer disorders (eg Lynch syndrome PTEN hamartoma syndrome Cowden syndrome familial adenomatosis polyposis) targeted mRNA sequence analysis panel (APC CDH1 CHEK2 MLH1 MSH2 MSH6 MUTYH PMS2 PTEN and TP53) (List separately in addition to code for primary procedure) | 0130U - HEREDITARY COLON CA DO TRGT MRNA SEQ ALYS PANEL | 0130U - HERED COLON CA DO MRNA PNL | 01-10-2019 | 12/31/2999 |
| 0131U | 0131U - Hereditary breast cancer–related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer) targeted mRNA sequence analysis panel (13 genes) (List separately in addition to code for primary procedure) | 0131U - HERED BRST CA RLTD DO TRGT MRNA SEQ ALYS 13 GENE | 0131U - HERED BRST CA RLTD DO PNL 13 | 01-10-2019 | 12/31/2999 |
| 1320 | 1320 - Anesthesia for all procedures on nerves muscles tendons fascia and bursae of knee and/or popliteal area | 1320 - ANES NERVE MUSC TENDON FASCIA&BURSA KNEE&/POPLT | 1320 - ANESTH KNEE AREA SURGERY | '01/01/2017 | 12/31/2999 |
| 0132U | 0132U - Hereditary ovarian cancer–related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer) targeted mRNA sequence analysis panel (17 genes) (List separately in addition to code for primary procedure) | 0132U - HERED OVA CA RLTD DO TRGT MRNA SEQ ALYS 17 GENE | 0132U - HERED OVA CA RLTD DO PNL 17 | 01-10-2019 | 12/31/2999 |
| 0133U | 0133U - Hereditary prostate cancer–related disorders targeted mRNA sequence analysis panel (11 genes) (List separately in addition to code for primary procedure) | 0133U - HERED PRST8 CA RLTD DO TRGT MRNA SEQ ALYS 11 GEN | 0133U - HERED PRST8 CA RLTD DO 11 | 01-10-2019 | 12/31/2999 |
| 1340 | 1340 - Anesthesia for all closed procedures on lower one-third of femur | 1340 - ANESTHESIA CLOSED PROCEDURES LOWER 1/3 FEMUR | 1340 - ANESTH KNEE AREA PROCEDURE | '01/01/2017 | 12/31/2999 |
| 0134A | 0134A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein bivalent preservative free 50 mcg/0.5 mL dosage booster dose | 0134A - IMM ADMN SARSCOV2 BIVALENT 50 MCG/0.5 ML BST | 0134A - ADM SARSCV2 BVL 50MCG/.5ML B | '08/31/2022 | 12/31/2999 |
| 0134U | 0134U - Hereditary pan cancer (eg hereditary breast and ovarian cancer hereditary endometrial cancer hereditary colorectal cancer) targeted mRNA sequence analysis panel (18 genes) (List separately in addition to code for primary procedure) | 0134U - HEREDITARY PAN CA TRGT MRNA SEQ ALYS 18 GENE | 0134U - HERED PAN CA MRNA PNL 18 GEN | 01-10-2019 | 12/31/2999 |
| 0135U | 0135U - Hereditary gynecological cancer (eg hereditary breast and ovarian cancer hereditary endometrial cancer hereditary colorectal cancer) targeted mRNA sequence analysis panel (12 genes) (List separately in addition to code for primary procedure) | 0135U - HEREDITARY GYN CA TRGT MRNA SEQ ALYS 12 GENE | 0135U - HERED GYN CA MRNA PNL 12 GEN | 01-10-2019 | 12/31/2999 |
| 1360 | 1360 - Anesthesia for all open procedures on lower one-third of femur | 1360 - ANESTHESIA OPEN PROCEDURES LOWER 1/3 FEMUR | 1360 - ANESTH KNEE AREA SURGERY | '01/01/2017 | 12/31/2999 |
| 0136U | 0136U - ATM (ataxia telangiectasia mutated) (eg ataxia telangiectasia) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0136U - ATM MRNA SEQUENCE ANALYSIS | 0136U - ATM MRNA SEQ ALYS | 01-10-2019 | 12/31/2999 |
| 0137U | 0137U - PALB2 (partner and localizer of BRCA2) (eg breast and pancreatic cancer) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0137U - PALB2 MRNA SEQUENCE ANALYSIS | 0137U - PALB2 MRNA SEQ ALYS | 01-10-2019 | 12/31/2999 |
| 1380 | 1380 - Anesthesia for all closed procedures on knee joint | 1380 - ANESTHESIA CLOSED PROCEDURES KNEE JOINT | 1380 - ANESTH KNEE JOINT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1382 | 1382 - Anesthesia for diagnostic arthroscopic procedures of knee joint | 1382 - ANESTH DIAGNOSTIC ARTHROSCOPIC PROC KNEE JOINT | 1382 - ANESTH DX KNEE ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 0138U | 0138U - BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0138U - BRCA1 BRCA2 MRNA SEQUENCE ANALYSIS | 0138U - BRCA1 BRCA2 MRNA SEQ ALYS | 01-10-2019 | 12/31/2999 |
| 1390 | 1390 - Anesthesia for all closed procedures on upper ends of tibia fibula and/or patella | 1390 - ANES CLOSED PROC UPPER END TIBIA FIBULA/PATELLA | 1390 - ANESTH KNEE AREA PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1392 | 1392 - Anesthesia for all open procedures on upper ends of tibia fibula and/or patella | 1392 - ANES OPEN PROC UPPER ENDS TIBIA FIBULA&/PATELLA | 1392 - ANESTH KNEE AREA SURGERY | '01/01/2017 | 12/31/2999 |
| 1400 | 1400 - Anesthesia for open or surgical arthroscopic procedures on knee joint; not otherwise specified | 1400 - ANES OPEN/SURG ARTHROSCOPIC PROC KNEE JOINT NOS | 1400 - ANESTH KNEE JOINT SURGERY | '01/01/2017 | 12/31/2999 |
| 1402 | 1402 - Anesthesia for open or surgical arthroscopic procedures on knee joint; total knee arthroplasty | 1402 - ANESTH OPEN/SURG ARTHRS TOTAL KNEE ARTHROPLASTY | 1402 - ANESTH KNEE ARTHROPLASTY | '01/01/2017 | 12/31/2999 |
| 1404 | 1404 - Anesthesia for open or surgical arthroscopic procedures on knee joint; disarticulation at knee | 1404 - ANESTH OPEN/SURG ARTHRS KNEE DISARTICULATION | 1404 - ANESTH AMPUTATION AT KNEE | '01/01/2017 | 12/31/2999 |
| 0140U | 0140U - Infectious disease (fungi) fungal pathogen identification DNA (15 fungal targets) blood culture amplified probe technique each target reported as detected or not detected | 0140U - NFCT DS FUNGAL PATHOGEN ID DNA 15 FUNGAL TARGETS | 0140U - NFCT DS FUNGI DNA 15 TRGT | '01/01/2020 | 12/31/2999 |
| 0141U | 0141U - Infectious disease (bacteria and fungi) gram-positive organism identification and drug resistance element detection DNA (20 gram-positive bacterial targets 4 resistance genes 1 pan gram-negative bacterial target 1 pan Candida target) blood culture amplified probe technique each target reported as detected or not detected | 0141U - NFCT DS BACT&FNG GRAM POS ORG ID & RX RESIST DNA | 0141U - NFCT DS BACT&FNG GRAM POS | '01/01/2020 | 12/31/2999 |
| 1420 | 1420 - Anesthesia for all cast applications removal or repair involving knee joint | 1420 - ANES CAST APPLICATION REMOVAL/REPAIR KNEE JOINT | 1420 - ANESTH KNEE JOINT CASTING | '01/01/2017 | 12/31/2999 |
| 0142U | 0142U - Infectious disease (bacteria and fungi) gram-positive organism identification and drug resistance element detection DNA (20 gram-positive bacterial targets 4 resistance genes 1 pan gram-negative bacterial target 1 pan Candida target) blood culture amplified probe technique each target reported as detected or not detected | 0142U - NFCT DS BACT&FNG GRAM NEG ORG ID & RX RESIST DNA | 0142U - NFCT DS BACT&FNG GRAM NEG | '01/01/2020 | 12/31/2999 |
| 1430 | 1430 - Anesthesia for procedures on veins of knee and popliteal area; not otherwise specified | 1430 - ANESTHESIA VEINS KNEE & POPLITEAL AREA NOS | 1430 - ANESTH KNEE VEINS SURGERY | '01/01/2017 | 12/31/2999 |
| 1432 | 1432 - Anesthesia for procedures on veins of knee and popliteal area; arteriovenous fistula | 1432 - ANES KNEE & POPLITEAL ARTERY VEIN FISTULA NOS | 1432 - ANESTH KNEE VESSEL SURG | '01/01/2017 | 12/31/2999 |
| 0143U | 0143U - Drug assay definitive 120 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0143U - DRUG ASSAY DEF 120+ RX/METABOLITES URINE W/MRM | 0143U - DRUG ASSAY 120+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1440 | 1440 - Anesthesia for procedures on arteries of knee and popliteal area; not otherwise specified | 1440 - ANES ARTERIES OF KNEE & POPLITEAL AREA NOS | 1440 - ANESTH KNEE ARTERIES SURG | '01/01/2017 | 12/31/2999 |
| 1442 | 1442 - Anesthesia for procedures on arteries of knee and popliteal area; popliteal thromboendarterectomy with or without patch graft | 1442 - ANES ART KNEE POPLITEAL TEAEC W/WO PATCH GRAFT | 1442 - ANESTH KNEE ARTERY SURG | '01/01/2017 | 12/31/2999 |
| 1444 | 1444 - Anesthesia for procedures on arteries of knee and popliteal area; popliteal excision and graft or repair for occlusion or aneurysm | 1444 - ANES ART KNEE POPLITEAL EXC&GRF/RPR OCCLS/ARYS | 1444 - ANESTH KNEE ARTERY REPAIR | '01/01/2017 | 12/31/2999 |
| 0144A | 0144A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein bivalent preservative free 25 mcg/0.25 mL dosage booster dose | 0144A - IMM ADMN SARSCOV2 BIVALENT 25 MCG/0.25 ML BST | 0144A - ADM SRSCV2 BVL 25MCG/.25ML B | 12-10-2022 | 12/31/2999 |
| 0144U | 0144U - Drug assay definitive 160 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0144U - DRUG ASSAY DEF 160+ RX/METABOLITES URINE W/MRM | 0144U - DRUG ASSAY 160+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 0145U | 0145U - Drug assay definitive 65 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0145U - DRUG ASSAY DEF 65+ RX/METABOLITES URINE W/MRM | 0145U - DRUG ASSAY 65+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1462 | 1462 - Anesthesia for all closed procedures on lower leg ankle and foot | 1462 - ANESTHESIA CLOSED PROC LOWER LEG ANKLE & FOOT | 1462 - ANESTH LOWER LEG PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1464 | 1464 - Anesthesia for arthroscopic procedures of ankle and/or foot | 1464 - ANESTHESIA ARTHROSCOPIC PROCEDURE ANKLE & FOOT | 1464 - ANESTH ANKLE/FT ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 0146U | 0146U - Drug assay definitive 80 or more drugs or metabolites urine by quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0146U - DRUG ASSAY DEF 80+ RX/METABOLITES URINE W/MRM | 0146U - DRUG ASSAY 80+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1470 | 1470 - Anesthesia for procedures on nerves muscles tendons and fascia of lower leg ankle and foot; not otherwise specified | 1470 - ANES NRV/MUS/TND/FASC LOWER LEG/ANKLE/FOOT NOS | 1470 - ANESTH LOWER LEG SURGERY | '01/01/2017 | 12/31/2999 |
| 1472 | 1472 - Anesthesia for procedures on nerves muscles tendons and fascia of lower leg ankle and foot; repair of ruptured Achilles tendon with or without graft | 1472 - ANES RPR RUPTURED ACHILLES TENDON W/WO GRAFT | 1472 - ANESTH ACHILLES TENDON SURG | '01/01/2017 | 12/31/2999 |
| 1474 | 1474 - Anesthesia for procedures on nerves muscles tendons and fascia of lower leg ankle and foot; gastrocnemius recession (eg Strayer procedure) | 1474 - ANESTHESIA GASTROCNEMIUS RECESSION | 1474 - ANESTH LOWER LEG SURGERY | '01/01/2017 | 12/31/2999 |
| 0147U | 0147U - Drug assay definitive 85 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0147U - DRUG ASSAY DEF 85+ RX/METABOLITES URINE W/MRM | 0147U - DRUG ASSAY 85+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1480 | 1480 - Anesthesia for open procedures on bones of lower leg ankle and foot; not otherwise specified | 1480 - ANES OPEN PROC BONES LOWER LEG/ANKLE/FOOT NOS | 1480 - ANESTH LOWER LEG BONE SURG | '01/01/2017 | 12/31/2999 |
| 1482 | 1482 - Anesthesia for open procedures on bones of lower leg ankle and foot; radical resection (including below knee amputation) | 1482 - ANES RADICAL RESECJ INCL BELOW KNEE AMPUTATION | 1482 - ANESTH RADICAL LEG SURGERY | '01/01/2017 | 12/31/2999 |
| 1484 | 1484 - Anesthesia for open procedures on bones of lower leg ankle and foot; osteotomy or osteoplasty of tibia and/or fibula | 1484 - ANES OPEN OSTEOTOMY/OSTEOPLASTY TIBIA&/FIBULA | 1484 - ANESTH LOWER LEG REVISION | '01/01/2017 | 12/31/2999 |
| 1486 | 1486 - Anesthesia for open procedures on bones of lower leg ankle and foot; total ankle replacement | 1486 - ANESTHESIA OPEN TOTAL ANKLE REPLACEMENT | 1486 - ANESTH ANKLE REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 0148U | 0148U - Drug assay definitive 100 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0148U - DRUG ASSAY DEF 100+ RX/METABOLITES URINE W/MRM | 0148U - DRUG ASSAY 100+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1490 | 1490 - Anesthesia for lower leg cast application removal or repair | 1490 - ANES LOWER LEG CAST APPLICATION REMOVAL/REPAIR | 1490 - ANESTH LOWER LEG CASTING | '01/01/2017 | 12/31/2999 |
| 0149U | 0149U - Drug assay definitive 60 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0149U - DRUG ASSAY DEF 60+ RX/METABOLITES URINE W/MRM | 0149U - DRUG ASSAY 60+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1500 | 1500 - Anesthesia for procedures on arteries of lower leg including bypass graft; not otherwise specified | 1500 - ANESTHESIA ARTERIES LOWER LEG W/BYPASS GRAFT NOS | 1500 - ANESTH LEG ARTERIES SURG | '01/01/2017 | 12/31/2999 |
| 1502 | 1502 - Anesthesia for procedures on arteries of lower leg including bypass graft; embolectomy direct or with catheter | 1502 - ANES ART LOWER LEG W/BYP GRAFT EMBLC DIR/W/CATH | 1502 - ANESTH LWR LEG EMBOLECTOMY | '01/01/2017 | 12/31/2999 |
| 0150U | 0150U - Drug assay definitive 120 or more drugs or metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description comments including sample validation per date of service | 0150U - DRUG ASSAY DEF 120+ RX/METABOLITES URINE W/MRM | 0150U - DRUG ASSAY 120+ RX/METABLT | '01/01/2020 | 12/31/2999 |
| 1520 | 1520 - Anesthesia for procedures on veins of lower leg; not otherwise specified | 1520 - ANESTHESIA VEINS OF LOWER LEG NOS | 1520 - ANESTH LOWER LEG VEIN SURG | '01/01/2017 | 12/31/2999 |
| 1522 | 1522 - Anesthesia for procedures on veins of lower leg; venous thrombectomy direct or with catheter | 1522 - ANES VEINS LOWER LEG VENOUS THRMBC DIR/W/CATH | 1522 - ANESTH LOWER LEG VEIN SURG | '01/01/2017 | 12/31/2999 |
| 0152U | 0152U - Infectious disease (bacteria fungi parasites and DNA viruses) microbial cell-free DNA plasma untargeted next-generation sequencing report for significant positive pathogens | 0152U - NFCT DS MCRB CLL FR UNTRGT NEXT GENRJ SEQ | 0152U - NFCT DS DNA UNTRGT NGNRJ SEQ | '01/01/2021 | 12/31/2999 |
| 0153U | 0153U - Oncology (breast) mRNA gene expression profiling by next-generation sequencing of 101 genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a triple negative breast cancer clinical subtype(s) with information on immune cell involvement | 0153U - ONC BREAST MRNA GENE EXPRESSION PRFL 101 GENES | 0153U - ONC BREAST MRNA 101 GENES | '01/01/2020 | 12/31/2999 |
| 0154A | 0154A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation booster dose | 0154A - IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML BST | 0154A - ADM SARSCV2 BVL 10MCG/.2ML B | 12-10-2022 | 12/31/2999 |
| 0154U | 0154U - Oncology (urothelial cancer) RNA analysis by real-time RT-PCR of the FGFR3 (fibroblast growth factor receptor 3) gene analysis (ie p.R248C [c.742C>T] p.S249C [c.746C>G] p.G370C [c.1108G>T] p.Y373C [c.1118A>G] FGFR3-TACC3v1 and FGFR3-TACC3v3) utilizing formalin-fixed paraffin-embedded urothelial cancer tumor tissue reported as FGFR gene alteration status | 0154U - ONC UROTHELIAL CANCER RNA RT-PCR FGFR3 GENE ALYS | 0154U - ONC URTHL CA RNA FGFR3 GENE | '01/01/2020 | 12/31/2999 |
| 0155U | 0155U - Oncology (breast cancer) DNA PIK3CA (phosphatidylinositol-4 5-bisphosphate 3-kinase catalytic subunit alpha) (eg breast cancer) gene analysis (ie p.C420R p.E542K p.E545A p.E545D [g.1635G>T only] p.E545G p.E545K p.Q546E p.Q546R p.H1047L p.H1047R p.H1047Y) utilizing formalin-fixed paraffin-embedded breast tumor tissue reported as PIK3CA gene mutation status | 0155U - ONC BRST CA DNA PIK3CA GENE ALYS BRST TUM TISS | 0155U - ONC BRST CA DNA PIK3CA GENE | '01/01/2020 | 12/31/2999 |
| 0156U | 0156U - Copy number (eg intellectual disability dysmorphology) sequence analysis | 0156U - COPY NUMBER SEQUENCE ANALYSIS | 0156U - COPY NUMBER SEQUENCE ALYS | '01/01/2020 | 12/31/2999 |
| 0157U | 0157U - APC (APC regulator of WNT signaling pathway) (eg familial adenomatosis polyposis [FAP]) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0157U - APC GENE MRNA SEQUENCE ANALYSIS | 0157U - APC MRNA SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 0158U | 0158U - MLH1 (mutL homolog 1) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0158U - MLH1 GENE MRNA SEQUENCE ANALYSIS | 0158U - MLH1 MRNA SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 0159U | 0159U - MSH2 (mutS homolog 2) (eg hereditary colon cancer Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0159U - MSH2 GENE MRNA SEQUENCE ANALYSIS | 0159U - MSH2 MRNA SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 0160U | 0160U - MSH6 (mutS homolog 6) (eg hereditary colon cancer Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0160U - MSH6 GENE MRNA SEQUENCE ANALYSIS | 0160U - MSH6 MRNA SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 1610 | 1610 - Anesthesia for all procedures on nerves muscles tendons fascia and bursae of shoulder and axilla | 1610 - ANES NRV MUSC TNDN FSCIA BURSA SHOULDER & AXILLA | 1610 - ANESTH SURGERY OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 0161U | 0161U - PMS2 (PMS1 homolog 2 mismatch repair system component) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) mRNA sequence analysis (List separately in addition to code for primary procedure) | 0161U - PMS2 GENE MRNA SEQUENCE ANALYSIS | 0161U - PMS2 MRNA SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 1620 | 1620 - Anesthesia for all closed procedures on humeral head and neck sternoclavicular joint acromioclavicular joint and shoulder joint | 1620 - ANES CLOSED HUMRL H/N STRNCLAV JOINT& SHO JOINT | 1620 - ANESTH SHOULDER PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1622 | 1622 - Anesthesia for diagnostic arthroscopic procedures of shoulder joint | 1622 - ANES DIAG ARTHROSCOPIC SHOULDER JOINT PROC NOS | 1622 - ANES DX SHOULDER ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 0162U | 0162U - Hereditary colon cancer (Lynch syndrome) targeted mRNA sequence analysis panel (MLH1 MSH2 MSH6 PMS2) (List separately in addition to code for primary procedure) | 0162U - HERED COLON CA TARGETED MRNA SEQUENCE ALYS PANEL | 0162U - HERED COLON CA TRGT MRNA PNL | '01/01/2020 | 12/31/2999 |
| 1630 | 1630 - Anesthesia for open or surgical arthroscopic procedures on humeral head and neck sternoclavicular joint acromioclavicular joint and shoulder joint; not otherwise specified | 1630 - ANES ARTHRS HUMERAL H/N STRNCLAV & SHOULDER NOS | 1630 - ANESTH SURGERY OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 1634 | 1634 - Anesthesia for open or surgical arthroscopic procedures on humeral head and neck sternoclavicular joint acromioclavicular joint and shoulder joint; shoulder disarticulation | 1634 - ANESTHESIA ARTHROSCOPIC SHOULDER DISARTICULATION | 1634 - ANESTH SHOULDER JOINT AMPUT | '01/01/2017 | 12/31/2999 |
| 1636 | 1636 - Anesthesia for open or surgical arthroscopic procedures on humeral head and neck sternoclavicular joint acromioclavicular joint and shoulder joint; interthoracoscapular (forequarter) amputation | 1636 - ANES ARTHRS INTERTHORACOSCAPULAR AMPUTATION | 1636 - ANESTH FOREQUARTER AMPUT | '01/01/2017 | 12/31/2999 |
| 1638 | 1638 - Anesthesia for open or surgical arthroscopic procedures on humeral head and neck sternoclavicular joint acromioclavicular joint and shoulder joint; total shoulder replacement | 1638 - ANES ARTHROSCOPIC TOTAL SHOULDER REPLACEMENT | 1638 - ANESTH SHOULDER REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 0163U | 0163U - Oncology (colorectal) screening biochemical enzyme-linked immunosorbent assay (ELISA) of 3 plasma or serum proteins (teratocarcinoma derived growth factor-1 [TDGF-1 Cripto-1] carcinoembryonic antigen [CEA] extracellular matrix protein [ECM]) with demographic data (age gender CRC-screening compliance) using a proprietary algorithm and reported as likelihood of CRC or advanced adenomas | 0163U - ONC CLRCT SCR BIOCHEM ELISA 3 PLSM/SRM PRTN ALG | 0163U - ONC CLRCT SCR 3 PRTN ALG | '04/01/2020 | 12/31/2999 |
| 0164A | 0164A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein bivalent preservative free 10 mcg/0.2 mL dosage booster dose | 0164A - IMM ADMN SARSCOV2 BIVALENT 10 MCG/0.2 ML BST | 0164A - ADM SRSCV2 BVL 10MCG/0.2ML B | 08-12-2022 | 12/31/2999 |
| 0164T | 0164T - Removal of total disc arthroplasty (artificial disc) anterior approach each additional interspace lumbar (List separately in addition to code for primary procedure) | 0164T - RMVL TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC | 0164T - REMOVE LUMB ARTIF DISC ADDL | '01/01/2017 | 12/31/2999 |
| 0164U | 0164U - Gastroenterology (irritable bowel syndrome [IBS]) immunoassay for anti-CdtB and anti-vinculin antibodies utilizing plasma algorithm for elevated or not elevated qualitative results | 0164U - GI IBS IA ANTI-CDTB&ANTI-VINCULIN ANTB PLSM ALG | 0164U - GI IBS IA ANTI-CDTB&VINCULIN | '04/01/2020 | 12/31/2999 |
| 1650 | 1650 - Anesthesia for procedures on arteries of shoulder and axilla; not otherwise specified | 1650 - ANESTHESIA ARTERIES SHOULDER & AXILLA NOS | 1650 - ANESTH SHOULDER ARTERY SURG | '01/01/2017 | 12/31/2999 |
| 1652 | 1652 - Anesthesia for procedures on arteries of shoulder and axilla; axillary-brachial aneurysm | 1652 - ANESTHESIA AXILLARY-BRACHIAL ANEURYSM | 1652 - ANESTH SHOULDER VESSEL SURG | '01/01/2017 | 12/31/2999 |
| 1654 | 1654 - Anesthesia for procedures on arteries of shoulder and axilla; bypass graft | 1654 - ANES ARTERIES SHOULDER & AXILLA BYPASS GRAFT | 1654 - ANESTH SHOULDER VESSEL SURG | '01/01/2017 | 12/31/2999 |
| 1656 | 1656 - Anesthesia for procedures on arteries of shoulder and axilla; axillary-femoral bypass graft | 1656 - ANESTHESIA AXILLARY-FEMORAL BYPASS GRAFT | 1656 - ANESTH ARM-LEG VESSEL SURG | '01/01/2017 | 12/31/2999 |
| 0165T | 0165T - Revision including replacement of total disc arthroplasty (artificial disc) anterior approach each additional interspace lumbar (List separately in addition to code for primary procedure) | 0165T - REVJ TOT DISC ARTHRP ANT APPR LMBR EA NTRSPC | 0165T - REVISE LUMB ARTIF DISC ADDL | '01/01/2017 | 12/31/2999 |
| 0165U | 0165U - Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA) blood individual epitope results and probability of peanut allergy | 0165U - PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD PROB ALL | 0165U - PEANUT ALLG ASMT EPI PRB ALL | '07/01/2020 | 12/31/2999 |
| 0166U | 0166U - Liver disease 10 biochemical assays (?2-macroglobulin haptoglobin apolipoprotein A1 bilirubin GGT ALT AST triglycerides cholesterol fasting glucose) and biometric and demographic data utilizing serum algorithm reported as scores for fibrosis necroinflammatory activity and steatosis with a summary interpretation | 0166U - LIVER DISEASE 10 BIOCHEMICAL ASSAYS SERUM ALG | 0166U - LIVER DS 10 BIOCHEM ASY SRM | '04/01/2020 | 12/31/2999 |
| 1670 | 1670 - Anesthesia for all procedures on veins of shoulder and axilla | 1670 - ANESTHESIA VEINS SHOULDER & AXILLA | 1670 - ANESTH SHOULDER VEIN SURG | '01/01/2017 | 12/31/2999 |
| 0167U | 0167U - Gonadotropin chorionic (hCG) immunoassay with direct optical observation blood | 0167U - CHORIONIC GONADOTROPIN HCG IA DIR OPT OBS BLD | 0167U - CHORNC GONADOTROPIN HCG IA | '04/01/2020 | 12/31/2999 |
| 1680 | 1680 - Anesthesia for shoulder cast application removal or repair not otherwise specified | 1680 - ANES SHOULDER CAST APPL REMOVAL/REPAIR NOS | 1680 - ANESTH SHOULDER CASTING | '01/01/2018 | 12/31/2999 |
| 0169U | 0169U - NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg drug metabolism) gene analysis common variants | 0169U - NUDT15 & TPMT GENE ANALYSIS COMMON VARIANTS | 0169U - NUDT15&TPMT GENE COM VRNT | '04/01/2020 | 12/31/2999 |
| 0170U | 0170U - Neurology (autism spectrum disorder [ASD]) RNA next-generation sequencing saliva algorithmic analysis and results reported as predictive probability of ASD diagnosis | 0170U - NEURO ASD RNA NEXT-GNRJ SEQ SALIVA ALG ALYS | 0170U - NEURO ASD RNA NEXT GEN SEQ | '04/01/2020 | 12/31/2999 |
| 1710 | 1710 - Anesthesia for procedures on nerves muscles tendons fascia and bursae of upper arm and elbow; not otherwise specified | 1710 - ANES NRV MUSC TDN FSCA&BRS UPR ARM/ELBOW NOS | 1710 - ANESTH ELBOW AREA SURGERY | '01/01/2017 | 12/31/2999 |
| 1712 | 1712 - Anesthesia for procedures on nerves muscles tendons fascia and bursae of upper arm and elbow; tenotomy elbow to shoulder open | 1712 - ANESTHESIA OPEN TENOTOMY ELBOW TO SHOULDER | 1712 - ANESTH UPPR ARM TENDON SURG | '01/01/2017 | 12/31/2999 |
| 1714 | 1714 - Anesthesia for procedures on nerves muscles tendons fascia and bursae of upper arm and elbow; tenoplasty elbow to shoulder | 1714 - ANESTHESIA TENOPLASTY ELBOW TO SHOULDER | 1714 - ANESTH UPPR ARM TENDON SURG | '01/01/2017 | 12/31/2999 |
| 1716 | 1716 - Anesthesia for procedures on nerves muscles tendons fascia and bursae of upper arm and elbow; tenodesis rupture of long tendon of biceps | 1716 - ANESTHESIA BICEPS TENODESIS RUPTURE LONG TENDON | 1716 - ANESTH BICEPS TENDON REPAIR | '01/01/2017 | 12/31/2999 |
| 0171U | 0171U - Targeted genomic sequence analysis panel acute myeloid leukemia myelodysplastic syndrome and myeloproliferative neoplasms DNA analysis 23 genes interrogation for sequence variants rearrangements and minimal residual disease reported as presence/absence | 0171U - TARGETED GENOMIC SEQUENCE ALYS PNL DNA 23 GENES | 0171U - TRGT GEN SEQ ALYS PNL DNA 23 | '04/01/2020 | 12/31/2999 |
| 0172U | 0172U - Oncology (solid tumor as indicated by the label) somatic mutation analysis of BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) and analysis of homologous recombination deficiency pathways DNA formalin-fixed paraffin-embedded tissue algorithm quantifying tumor genomic instability score | 0172U - ONC SLD TUM SOMATIC MUT ALYS BRCA1 BRCA2 ALG | 0172U - ONC SLD TUM ALYS BRCA1 BRCA2 | '07/01/2020 | 12/31/2999 |
| 1730 | 1730 - Anesthesia for all closed procedures on humerus and elbow | 1730 - ANESTHESIA CLOSED PROCEDURES HUMERUS & ELBOW | 1730 - ANESTH UPPR ARM PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1732 | 1732 - Anesthesia for diagnostic arthroscopic procedures of elbow joint | 1732 - ANESTHESIA ELBOW JOINT DIAGNOSTIC ARTHROSCOPIC | 1732 - ANESTH DX ELBOW ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 0173A | 0173A - Immunization administration by intramuscular injection of severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation third dose | 0173A - IMM ADMN SARSCOV2 BIVALENT 3 MCG/0.2 ML 3RD | 0173A - ADM SARSCV2 BVL 3MCG/0.2ML 3 | 08-12-2022 | 12/31/2999 |
| 0173U | 0173U - Psychiatry (ie depression anxiety) genomic analysis panel includes variant analysis of 14 genes | 0173U - PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 14 GENES | 0173U - PEANUT ALLG SPEC ASMT 64 EPI | '07/01/2020 | 12/31/2999 |
| 1740 | 1740 - Anesthesia for open or surgical arthroscopic procedures of the elbow; not otherwise specified | 1740 - ANES OPEN/SURG ARTHROSCOPIC ELBOW PROC NOS | 1740 - ANESTH UPPER ARM SURGERY | '01/01/2017 | 12/31/2999 |
| 1742 | 1742 - Anesthesia for open or surgical arthroscopic procedures of the elbow; osteotomy of humerus | 1742 - ANESTHESIA OPEN/SURG ARTHRS OSTEOTOMY HUMERUS | 1742 - ANESTH HUMERUS SURGERY | '01/01/2017 | 12/31/2999 |
| 1744 | 1744 - Anesthesia for open or surgical arthroscopic procedures of the elbow; repair of nonunion or malunion of humerus | 1744 - ANES OPEN/SURG ARTHRS REPRS NON/MALUNION HUMERUS | 1744 - ANESTH HUMERUS REPAIR | '01/01/2017 | 12/31/2999 |
| 0174T | 0174T - Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report with or without digitization of film radiographic images chest radiograph(s) performed concurrent with primary interpretation (List separately in addition to code for primary procedure) | 0174T - CAD CHEST RADIOGRAPH CONCURRENT W/INTERPRETATION | 0174T - CAD CXR WITH INTERP | '01/01/2017 | 12/31/2999 |
| 0174U | 0174U - Oncology (solid tumor) mass spectrometric 30 protein targets formalin-fixed paraffin-embedded tissue prognostic and predictive algorithm reported as likely unlikely or uncertain benefit of 39 chemotherapy and targeted therapeutic oncology agents | 0174U - ONC SOLID TUM MASS SPECTROMETRIC 30 PROTEIN TRGT | 0174U - ONC SOLID TUMOR 30 PRTN TRGT | '07/01/2020 | 12/31/2999 |
| 1756 | 1756 - Anesthesia for open or surgical arthroscopic procedures of the elbow; radical procedures | 1756 - ANESTHESIA OPEN/SURG ARTHRS RADICAL PROC ELBOW | 1756 - ANESTH RADICAL HUMERUS SURG | '01/01/2017 | 12/31/2999 |
| 1758 | 1758 - Anesthesia for open or surgical arthroscopic procedures of the elbow; excision of cyst or tumor of humerus | 1758 - ANESTH OPEN/SURG ARTHRS EXC CYST/TUMOR HUMERUS | 1758 - ANESTH HUMERAL LESION SURG | '01/01/2017 | 12/31/2999 |
| 0175T | 0175T - Computer-aided detection (CAD) (computer algorithm analysis of digital image data for lesion detection) with further physician review for interpretation and report with or without digitization of film radiographic images chest radiograph(s) performed remote from primary interpretation | 0175T - CAD CHEST RADIOGRAPH REMOTE FROM PRIMARY INTERPJ | 0175T - CAD CXR REMOTE | '01/01/2017 | 12/31/2999 |
| 0175U | 0175U - Psychiatry (eg depression anxiety) genomic analysis panel variant analysis of 15 genes | 0175U - PSYCHIATRY GEN ALYS PNL W/VARIANT ALYS 15 GENES | 0175U - PSYC GEN ALYS PANEL 15 GENES | '07/01/2020 | 12/31/2999 |
| 1760 | 1760 - Anesthesia for open or surgical arthroscopic procedures of the elbow; total elbow replacement | 1760 - ANESTH OPEN/SURG ARTHRS TOTAL ELBOW REPLACEMENT | 1760 - ANESTH ELBOW REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 0176U | 0176U - Cytolethal distending toxin B (CdtB) and vinculin IgG antibodies by immunoassay (ie ELISA) | 0176U - CDTB & VINCULIN IGG ANTIBODIES BY IMMUNOASSAY | 0176U - CDTB&VINCULIN IGG ANTB IA | '07/01/2020 | 12/31/2999 |
| 1770 | 1770 - Anesthesia for procedures on arteries of upper arm and elbow; not otherwise specified | 1770 - ANESTHESIA ARTERIES UPPER ARM & ELBOW NOS | 1770 - ANESTH UPPR ARM ARTERY SURG | '01/01/2017 | 12/31/2999 |
| 1772 | 1772 - Anesthesia for procedures on arteries of upper arm and elbow; embolectomy | 1772 - ANESTHESIA ARTERIES UPPER ARM&ELBOW EMBOLECTOM | 1772 - ANESTH UPPR ARM EMBOLECTOMY | '01/01/2017 | 12/31/2999 |
| 0177U | 0177U - Oncology (breast cancer) DNA PIK3CA (phosphatidylinositol-4 5-bisphosphate 3-kinase catalytic subunit alpha) gene analysis of 11 gene variants utilizing plasma reported as PIK3CA gene mutation status | 0177U - ONC BRST CA DNA PIK3CA GEN ALYS 11 GEN VRNT PLSM | 0177U - ONC BRST CA DNA PIK3CA 11 | '07/01/2020 | 12/31/2999 |
| 1780 | 1780 - Anesthesia for procedures on veins of upper arm and elbow; not otherwise specified | 1780 - ANESTHESIA VEINS UPPER ARM & ELBOW NOS | 1780 - ANESTH UPPER ARM VEIN SURG | '01/01/2018 | 12/31/2999 |
| 1782 | 1782 - Anesthesia for procedures on veins of upper arm and elbow; phleborrhaphy | 1782 - ANESTHESIA VEINS UPPER ARM & ELBOW PHLEBORRHAPHY | 1782 - ANESTH UPPR ARM VEIN REPAIR | '01/01/2017 | 12/31/2999 |
| 0178U | 0178U - Peanut allergen-specific quantitative assessment of multiple epitopes using enzyme-linked immunosorbent assay (ELISA) blood report of minimum eliciting exposure for a clinical reaction | 0178U - PEANUT ALLG SPEC ASMT MLT EPI ELISA BLD CLIN RXN | 0178U - PEANUT ALLG ASMT EPI CLIN RX | '07/01/2020 | 12/31/2999 |
| 0179U | 0179U - Oncology (non-small cell lung cancer) cell-free DNA targeted sequence analysis of 23 genes (single nucleotide variations insertions and deletions fusions without prior knowledge of partner/breakpoint copy number variations) with report of significant mutation(s) | 0179U - ONC NONSM CLL LNG CA CELL FREE DNA ALYS 23 GEN | 0179U - ONC NONSM CLL LNG CA ALYS 23 | '07/01/2020 | 12/31/2999 |
| 0180U | 0180U - Red cell antigen (ABO blood group) genotyping (ABO) gene analysis Sanger/chain termination/conventional sequencing ABO (ABO alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase) gene including subtyping 7 exons | 0180U - ABO GNOTYP ALYS SANGER/CHAIN SEQ ABO 7 EXONS | 0180U - ABO GNOTYP ABO 7 EXONS | '07/01/2020 | 12/31/2999 |
| 1810 | 1810 - Anesthesia for all procedures on nerves muscles tendons fascia and bursae of forearm wrist and hand | 1810 - ANES NERVE MUSCLE TDN FASCIA&BURSA FOREARM WRIST | 1810 - ANESTH LOWER ARM SURGERY | '01/01/2017 | 12/31/2999 |
| 0181U | 0181U - Red cell antigen (Colton blood group) genotyping (CO) gene analysis AQP1 (aquaporin 1 [Colton blood group]) exon 1 | 0181U - CO GNOTYP GENE ANALYSIS AQP1 EXON 1 | 0181U - CO GNOTYP AQP1 EXON 1 | '07/01/2020 | 12/31/2999 |
| 1820 | 1820 - Anesthesia for all closed procedures on radius ulna wrist or hand bones | 1820 - ANES RADIUS ULNA WRIST/HAND BONES CLOSED PX | 1820 - ANESTH LOWER ARM PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1829 | 1829 - Anesthesia for diagnostic arthroscopic procedures on the wrist | 1829 - ANESTHESIA DIAGNOSTIC ARTHROSCOPIC PROC WRIST | 1829 - ANESTH DX WRIST ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 0182U | 0182U - Red cell antigen (Cromer blood group) genotyping (CROM) gene analysis CD55 (CD55 molecule [Cromer blood group]) exons 1-10 | 0182U - CROM GNOTYP GENE ANALYSIS CD55 EXONS 1-10 | 0182U - CROM GNOTYP CD55 EXONS 1-10 | '07/01/2020 | 12/31/2999 |
| 1830 | 1830 - Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius distal ulna wrist or hand joints; not otherwise specified | 1830 - ANES ARTHRS/ENDSCPY DSTL RADIUS ULNA/WRIST/HAND | 1830 - ANESTH LOWER ARM SURGERY | '01/01/2017 | 12/31/2999 |
| 1832 | 1832 - Anesthesia for open or surgical arthroscopic/endoscopic procedures on distal radius distal ulna wrist or hand joints; total wrist replacement | 1832 - ANESTHESIA ARTHRS/ENDOSCPIC TOTAL WRIST REPLCMT | 1832 - ANESTH WRIST REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 0183U | 0183U - Red cell antigen (Diego blood group) genotyping (DI) gene analysis SLC4A1 (solute carrier family 4 member 1 [Diego blood group]) exon 19 | 0183U - DI GNOTYP GENE ANALYSIS SLC4A1 EXON 19 | 0183U - DI GNOTYP SLC4A1 EXON 19 | '07/01/2020 | 12/31/2999 |
| 1840 | 1840 - Anesthesia for procedures on arteries of forearm wrist and hand; not otherwise specified | 1840 - ANESTHESIA ARTERIES FOREARM WRIST & HAND NOS | 1840 - ANESTH LWR ARM ARTERY SURG | '01/01/2017 | 12/31/2999 |
| 1842 | 1842 - Anesthesia for procedures on arteries of forearm wrist and hand; embolectomy | 1842 - ANES ARTERIES FOREARM WRIST & HAND EMBOLECTOMY | 1842 - ANESTH LWR ARM EMBOLECTOMY | '01/01/2017 | 12/31/2999 |
| 1844 | 1844 - Anesthesia for vascular shunt or shunt revision any type (eg dialysis) | 1844 - ANESTHESIA VASCULAR SHUNT/SHUNT REVISION | 1844 - ANESTH VASCULAR SHUNT SURG | '01/01/2017 | 12/31/2999 |
| 0184T | 0184T - Excision of rectal tumor transanal endoscopic microsurgical approach (ie TEMS) including muscularis propria (ie full thickness) | 0184T - RECTAL TUMOR EXCISION TRANSANAL ENDOSCOPIC | 0184T - EXC RECTAL TUMOR ENDOSCOPIC | '01/01/2017 | 12/31/2999 |
| 0184U | 0184U - Red cell antigen (Dombrock blood group) genotyping (DO) gene analysis ART4 (ADP-ribosyltransferase 4 [Dombrock blood group]) exon 2 | 0184U - DO GNOTYP GENE ANALYSIS ART4 EXON 2 | 0184U - DO GNOTYP ART4 EXON 2 | '07/01/2020 | 12/31/2999 |
| 1850 | 1850 - Anesthesia for procedures on veins of forearm wrist and hand; not otherwise specified | 1850 - ANESTHESIA VEINS FOREARM WRIST & HAND NOS | 1850 - ANESTH LOWER ARM VEIN SURG | '01/01/2017 | 12/31/2999 |
| 1852 | 1852 - Anesthesia for procedures on veins of forearm wrist and hand; phleborrhaphy | 1852 - ANES VEINS FOREARM WRIST & HAND PHLEBORRHAPHY | 1852 - ANESTH LWR ARM VEIN REPAIR | '01/01/2017 | 12/31/2999 |
| 0185U | 0185U - Red cell antigen (H blood group) genotyping (FUT1) gene analysis FUT1 (fucosyltransferase 1 [H blood group]) exon 4 | 0185U - FUT1 GNOTYP GENE ANALYSIS FUT1 EXON 4 | 0185U - FUT1 GNOTYP FUT1 EXON 4 | '07/01/2020 | 12/31/2999 |
| 1860 | 1860 - Anesthesia for forearm wrist or hand cast application removal or repair | 1860 - ANES FOREARM WRIST/HAND CAST APPL RMVL/REPAIR | 1860 - ANESTH LOWER ARM CASTING | '01/01/2017 | 12/31/2999 |
| 0186U | 0186U - Red cell antigen (H blood group) genotyping (FUT2) gene analysis FUT2 (fucosyltransferase 2) exon 2 | 0186U - FUT2 GNOTYP GENE ANALYSIS FUT2 EXON 2 | 0186U - FUT2 GNOTYP FUT2 EXON 2 | '07/01/2020 | 12/31/2999 |
| 0187U | 0187U - Red cell antigen (Duffy blood group) genotyping (FY) gene analysis ACKR1 (atypical chemokine receptor 1 [Duffy blood group]) exons 1-2 | 0187U - FY GNOTYP GENE ANALYSIS ACKR1 EXONS 1-2 | 0187U - FY GNOTYP ACKR1 EXONS 1-2 | '07/01/2020 | 12/31/2999 |
| 0188U | 0188U - Red cell antigen (Gerbich blood group) genotyping (GE) gene analysis GYPC (glycophorin C [Gerbich blood group]) exons 1-4 | 0188U - GE GNOTYP GENE ANALYSIS GYPC EXONS 1-4 | 0188U - GE GNOTYP GYPC EXONS 1-4 | '07/01/2020 | 12/31/2999 |
| 0189U | 0189U - Red cell antigen (MNS blood group) genotyping (GYPA) gene analysis GYPA (glycophorin A [MNS blood group]) introns 1 5 exon 2 | 0189U - GYPA GNOTYP GENE ALYS GYPA INTRONS 1 5 EXON 2 | 0189U - GYPA GNOTYP NTRNS 1 5 EXON 2 | '07/01/2020 | 12/31/2999 |
| 0190U | 0190U - Red cell antigen (MNS blood group) genotyping (GYPB) gene analysis GYPB (glycophorin B [MNS blood group]) introns 1 5 pseudoexon 3 | 0190U - GYPB GNOTYP ALYS GYPB INTRON 1 5 PSEUDOEXON 3 | 0190U - GYPB GNOTYP NTRNS 1 5 SEUX 3 | '07/01/2020 | 12/31/2999 |
| 1916 | 1916 - Anesthesia for diagnostic arteriography/venography | 1916 - ANESTHESIA DIAGNOSTIC ARTERIOGRAPHY/VENOGRAPH | 1916 - ANESTH DX ARTERIOGRAPHY | '01/01/2017 | 12/31/2999 |
| 0191U | 0191U - Red cell antigen (Indian blood group) genotyping (IN) gene analysis CD44 (CD44 molecule [Indian blood group]) exons 2 3 6 | 0191U - IN GNOTYP GENE ANALYSIS CD44 EXONS 2 3 6 | 0191U - IN GNOTYP CD44 EXONS 2 3 6 | '07/01/2020 | 12/31/2999 |
| 1920 | 1920 - Anesthesia for cardiac catheterization including coronary angiography and ventriculography (not to include Swan-Ganz catheter) | 1920 - ANES C-CATHJ W/C ANGIOGRAPHY & VENTRICULOGRAPHY | 1920 - ANESTH CATHETERIZE HEART | '01/01/2017 | 12/31/2999 |
| 1922 | 1922 - Anesthesia for non-invasive imaging or radiation therapy | 1922 - ANES NON-INVASIVE IMAGING/RADIATION THERAPY | 1922 - ANESTH CAT OR MRI SCAN | '01/01/2017 | 12/31/2999 |
| 1924 | 1924 - Anesthesia for therapeutic interventional radiological procedures involving the arterial system; not otherwise specified | 1924 - ANESTHESIA THER IVNTL RADIOLOGICAL ARTERIAL | 1924 - ANES THER INTERVEN RAD ARTRL | '01/01/2017 | 12/31/2999 |
| 1925 | 1925 - Anesthesia for therapeutic interventional radiological procedures involving the arterial system; carotid or coronary | 1925 - ANESTHESIA CAROTID/CORONARY THER IVNTL RAD | 1925 - ANES THER INTERVEN RAD CARD | '01/01/2017 | 12/31/2999 |
| 1926 | 1926 - Anesthesia for therapeutic interventional radiological procedures involving the arterial system; intracranial intracardiac or aortic | 1926 - ANES ICRA ICAR/AORTIC THER IVNTL RAD ARTL | 1926 - ANES TX INTERV RAD HRT/CRAN | '01/01/2017 | 12/31/2999 |
| 0192U | 0192U - Red cell antigen (Kidd blood group) genotyping (JK) gene analysis SLC14A1 (solute carrier family 14 member 1 [Kidd blood group]) gene promoter exon 9 | 0192U - JK GNOTYP GENE ANALYSIS SLC14A1 GEN PRMTR EXON 9 | 0192U - JK GNOTYP SLC14A1 EXON 9 | '07/01/2020 | 12/31/2999 |
| 1930 | 1930 - Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); not otherwise specified | 1930 - ANES VENOUS/LYMPHATIC NOS THER IVNTL RAD NOS | 1930 - ANES THER INTERVEN RAD VEIN | '01/01/2017 | 12/31/2999 |
| 1931 | 1931 - Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrahepatic or portal circulation (eg transvenous intrahepatic portosystemic shunt[s] [TIPS]) | 1931 - ANESTHESIA INTRAHEPATIC/PORTAL THER IVNTL RAD | 1931 - ANES THER INTERVEN RAD TIPS | '01/01/2017 | 12/31/2999 |
| 1932 | 1932 - Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intrathoracic or jugular | 1932 - ANESTHESIA INTRATHORACIC/JUGULAR THER IVNTL RAD | 1932 - ANES TX INTERV RAD TH VEIN | '01/01/2017 | 12/31/2999 |
| 1933 | 1933 - Anesthesia for therapeutic interventional radiological procedures involving the venous/lymphatic system (not to include access to the central circulation); intracranial | 1933 - ANES INTRACRANIAL THER IVNTL RAD VENS/LYMPHTC | 1933 - ANES TX INTERV RAD CRAN VEIN | '01/01/2017 | 12/31/2999 |
| 1937 | 1937 - Anesthesia for percutaneous image-guided injection drainage or aspiration procedures on the spine or spinal cord; cervical or thoracic | 1937 - ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP CRV/THRC | 1937 - ANES DRG/ASPIR CRV/THRC | '01/01/2022 | 12/31/2999 |
| 1938 | 1938 - Anesthesia for percutaneous image-guided injection drainage or aspiration procedures on the spine or spinal cord; lumbar or sacral | 1938 - ANES PERQ IMG NJX DRG/ASPIR PX SPI/SP LMBR/SAC | 1938 - ANES DRG/ASPIR LMBR/SAC | '01/01/2022 | 12/31/2999 |
| 1939 | 1939 - Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; cervical or thoracic | 1939 - ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP CRV/THRC | 1939 - ANES NULYT AGT CRV/THRC | '01/01/2022 | 12/31/2999 |
| 0193U | 0193U - Red cell antigen (JR blood group) genotyping (JR) gene analysis ABCG2 (ATP binding cassette subfamily G member 2 [Junior blood group]) exons 2-26 | 0193U - JR GNOTYP GENE ANALYSIS ABCG2 EXONS 2-26 | 0193U - JR GNOTYP ABCG2 EXONS 2-26 | '07/01/2020 | 12/31/2999 |
| 1940 | 1940 - Anesthesia for percutaneous image-guided destruction procedures by neurolytic agent on the spine or spinal cord; lumbar or sacral | 1940 - ANES PERQ IMG DSTRJ PX NULYT AGT SPI/SP LMBR/SAC | 1940 - ANES NULYT AGT LMBR/SAC | '01/01/2022 | 12/31/2999 |
| 1941 | 1941 - Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg kyphoplasty vertebroplasty) on the spine or spinal cord; cervical or thoracic | 1941 - ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP CRV/THRC | 1941 - ANES NEUROMD/NTRVRT CRV/THRC | '01/01/2022 | 12/31/2999 |
| 1942 | 1942 - Anesthesia for percutaneous image-guided neuromodulation or intravertebral procedures (eg kyphoplasty vertebroplasty) on the spine or spinal cord; lumbar or sacral | 1942 - ANES PERQ IMG NEUROMD/NTRVRT PX SPI/SP LMBR/SAC | 1942 - ANES NEUROMD/NTRVRT LMBR/SAC | '01/01/2022 | 12/31/2999 |
| 0194U | 0194U - Red cell antigen (Kell blood group) genotyping (KEL) gene analysis KEL (Kell metallo-endopeptidase [Kell blood group]) exon 8 | 0194U - KEL GNOTYP GENE ANALYSIS KEL EXON 8 | 0194U - KEL GNOTYP KEL EXON 8 | '07/01/2020 | 12/31/2999 |
| 1951 | 1951 - Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting any site for total body surface area (TBSA) treated during anesthesia and surgery; less than 4% total body surface area | 1951 - ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4 % TBSA | 1951 - ANESTH BURN LESS 4 PERCENT | '01/01/2017 | 12/31/2999 |
| 1952 | 1952 - Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting any site for total body surface area (TBSA) treated during anesthesia and surgery; between 4% and 9% of total body surface area | 1952 - ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRFT 4-9 % TBSA | 1952 - ANESTH BURN 4-9 PERCENT | '01/01/2017 | 12/31/2999 |
| 1953 | 1953 - Anesthesia for second- and third-degree burn excision or debridement with or without skin grafting any site for total body surface area (TBSA) treated during anesthesia and surgery; each additional 9% total body surface area or part thereof (List separately in addition to code for primary procedure) | 1953 - ANES 2/3 DGR BRN EXC/DBRDMT W/WO GRF EA 9% TBS | 1953 - ANESTH BURN EACH 9 PERCENT | '01/01/2017 | 12/31/2999 |
| 1958 | 1958 - Anesthesia for external cephalic version procedure | 1958 - ANESTHESIA EXTERNAL CEPHALIC VERSION | 1958 - ANESTH ANTEPARTUM MANIPUL | '01/01/2017 | 12/31/2999 |
| 0195U | 0195U - KLF1 (Kruppel-like factor 1) targeted sequencing (ie exon 13) | 0195U - KLF1 TARGETED SEQUENCING | 0195U - KLF1 TARGETED SEQUENCING | '07/01/2020 | 12/31/2999 |
| 1960 | 1960 - Anesthesia for vaginal delivery only | 1960 - ANESTHESIA VAGINAL DELIVERY ONLY | 1960 - ANESTH VAGINAL DELIVERY | '01/01/2017 | 12/31/2999 |
| 1961 | 1961 - Anesthesia for cesarean delivery only | 1961 - ANESTHESIA CESAREAN DELIVERY ONLY | 1961 - ANESTH CS DELIVERY | '01/01/2017 | 12/31/2999 |
| 1962 | 1962 - Anesthesia for urgent hysterectomy following delivery | 1962 - ANES URGENT HYSTERECTOMY FOLLOWING DELIVERY | 1962 - ANESTH EMER HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 1963 | 1963 - Anesthesia for cesarean hysterectomy without any labor analgesia/anesthesia care | 1963 - ANESTHESIA C HYST W/O ANY LABOR ANALG/ANES CARE | 1963 - ANESTH CS HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 1965 | 1965 - Anesthesia for incomplete or missed abortion procedures | 1965 - ANESTHESIA INCOMPLETE/MISSED ABORTION | 1965 - ANESTH INC/MISSED AB PROC | '01/01/2017 | 12/31/2999 |
| 1966 | 1966 - Anesthesia for induced abortion procedures | 1966 - ANESTHESIA INDUCED ABORTION | 1966 - ANESTH INDUCED AB PROCEDURE | '01/01/2017 | 12/31/2999 |
| 1967 | 1967 - Neuraxial labor analgesia/anesthesia for planned vaginal delivery (this includes any repeat subarachnoid needle placement and drug injection and/or any necessary replacement of an epidural catheter during labor) | 1967 - NEURAXIAL LABOR ANALG/ANES PLND VAGINAL DELIVERY | 1967 - ANESTH/ANALG VAG DELIVERY | '01/01/2017 | 12/31/2999 |
| 1968 | 1968 - Anesthesia for cesarean delivery following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) | 1968 - ANES CESARN DLVR FLWG NEURAXIAL LABOR ANALG/ANES | 1968 - ANES/ANALG CS DELIVER ADD-ON | '01/01/2017 | 12/31/2999 |
| 1969 | 1969 - Anesthesia for cesarean hysterectomy following neuraxial labor analgesia/anesthesia (List separately in addition to code for primary procedure performed) | 1969 - ANES CESARN HYST FLWG NEURAXIAL LABOR ANALG/ANES | 1969 - ANESTH/ANALG CS HYST ADD-ON | '01/01/2017 | 12/31/2999 |
| 0196U | 0196U - Red cell antigen (Lutheran blood group) genotyping (LU) gene analysis BCAM (basal cell adhesion molecule [Lutheran blood group]) exon 3 | 0196U - LU GNOTYP GENE ANALYSIS BCAM EXON 3 | 0196U - LU GNOTYP BCAM EXON 3 | '07/01/2020 | 12/31/2999 |
| 0197U | 0197U - Red cell antigen (Landsteiner-Wiener blood group) genotyping (LW) gene analysis ICAM4 (intercellular adhesion molecule 4 [Landsteiner-Wiener blood group]) exon 1 | 0197U - LW GNOTYP GENE ANALYSIS ICAM4 EXON 1 | 0197U - LW GNOTYP ICAM4 EXON 1 | '07/01/2020 | 12/31/2999 |
| 0198T | 0198T - Measurement of ocular blood flow by repetitive intraocular pressure sampling with interpretation and report | 0198T - MEAS OCULAR BLOOD FLOW REPEAT IO PRES SAMP W/I&R | 0198T - OCULAR BLOOD FLOW MEASURE | '01/01/2017 | 12/31/2999 |
| 0198U | 0198U - Red cell antigen (RH blood group) genotyping (RHD and RHCE) gene analysis Sanger/chain termination/conventional sequencing RHD (Rh blood group D antigen) exons 1-10 and RHCE (Rh blood group CcEe antigens) exon 5 | 0198U - RHD&RHCE GNOTYP SANGER/CHAIN SEQ RHD 1-10&RHCE 5 | 0198U - RHD&RHCE GNTYP RHD1-10&RHCE5 | '07/01/2020 | 12/31/2999 |
| 1990 | 1990 - Physiological support for harvesting of organ(s) from brain-dead patient | 1990 - PHYSIOL SUPPORT HARVEST ORGAN FROM BRAIN-DEAD PT | 1990 - SUPPORT FOR ORGAN DONOR | '01/01/2017 | 12/31/2999 |
| 1991 | 1991 - Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); other than the prone position | 1991 - ANES DX/THER NRV BLK/NJX OTH/THN PRONE POS | 1991 - ANESTH NERVE BLOCK/INJ | '01/01/2017 | 12/31/2999 |
| 1992 | 1992 - Anesthesia for diagnostic or therapeutic nerve blocks and injections (when block or injection is performed by a different physician or other qualified health care professional); prone position | 1992 - ANES DX/THER NERVE BLOCK/INJECTION PRONE POS | 1992 - ANESTH N BLOCK/INJ PRONE | '01/01/2017 | 12/31/2999 |
| 1996 | 1996 - Daily hospital management of epidural or subarachnoid continuous drug administration | 1996 - DAILY HOSP MGMT EDRL/SARACH CONT DRUG ADMN | 1996 - HOSP MANAGE CONT DRUG ADMIN | '01/01/2017 | 12/31/2999 |
| 1999 | 1999 - Unlisted anesthesia procedure(s) | 1999 - UNLISTED ANESTHESIA PROCEDURE | 1999 - UNLISTED ANESTH PROCEDURE | '01/01/2017 | 12/31/2999 |
| 0199U | 0199U - Red cell antigen (Scianna blood group) genotyping (SC) gene analysis ERMAP (erythroblast membrane associated protein [Scianna blood group]) exons 4 12 | 0199U - SC GNOTYP GENE ANALYSIS ERMAP EXONS 4 12 | 0199U - SC GNOTYP ERMAP EXONS 4 12 | '07/01/2020 | 12/31/2999 |
| 0200T | 0200T - Percutaneous sacral augmentation (sacroplasty) unilateral injection(s) including the use of a balloon or mechanical device when used 1 or more needles includes imaging guidance and bone biopsy when performed | 0200T - PERQ SAC AGMNTJ UNI W/WO BALO/MCHNL DEV 1/> NDL | 0200T - PERQ SACRAL AUGMT UNILAT INJ | '01/01/2017 | 12/31/2999 |
| 0200U | 0200U - Red cell antigen (Kx blood group) genotyping (XK) gene analysis XK (X-linked Kx blood group) exons 1-3 | 0200U - XK GNOTYP GENE ANALYSIS XK EXONS 1-3 | 0200U - XK GNOTYP XK EXONS 1-3 | '07/01/2020 | 12/31/2999 |
| 0201T | 0201T - Percutaneous sacral augmentation (sacroplasty) bilateral injections including the use of a balloon or mechanical device when used 2 or more needles includes imaging guidance and bone biopsy when performed | 0201T - PERQ SAC AGMNTJ BI W/WO BALO/MCHNL DEV 2/> NDLS | 0201T - PERQ SACRAL AUGMT BILAT INJ | '01/01/2017 | 12/31/2999 |
| 0201U | 0201U - Red cell antigen (Yt blood group) genotyping (YT) gene analysis ACHE (acetylcholinesterase [Cartwright blood group]) exon 2 | 0201U - YT GNOTYP GENE ANALYSIS ACHE EXON 2 | 0201U - YT GNOTYP ACHE EXON 2 | '07/01/2020 | 12/31/2999 |
| 0202T | 0202T - Posterior vertebral joint(s) arthroplasty (eg facet joint[s] replacement) including facetectomy laminectomy foraminotomy and vertebral column fixation injection of bone cement when performed including fluoroscopy single level lumbar spine | 0202T - POST VERT ARTHRPLSTY W/WO BONE CEMENT 1 LUMB LVL | 0202T - POST VERT ARTHRPLST 1 LUMBAR | '01/01/2017 | 12/31/2999 |
| 0202U | 0202U - Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific nucleic acid (DNA or RNA) 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) qualitative RT-PCR nasopharyngeal swab each pathogen reported as detected or not detected | 0202U - NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2 | 0202U - NFCT DS 22 TRGT SARS-COV-2 | '05/20/2020 | 12/31/2999 |
| 0203U | 0203U - Autoimmune (inflammatory bowel disease) mRNA gene expression profiling by quantitative RT-PCR 17 genes (15 target and 2 reference genes) whole blood reported as a continuous risk score and classification of inflammatory bowel disease aggressiveness | 0203U - AUTOIMMUN IBD MRNA GEN XPRSN PRFL 17 GEN WHL BLD | 0203U - AI IBD MRNA XPRSN PRFL 17 | 01-10-2020 | 12/31/2999 |
| 0204U | 0204U - Oncology (thyroid) mRNA gene expression analysis of 593 genes (including BRAF RAS RET PAX8 and NTRK) for sequence variants and rearrangements utilizing fine needle aspirate reported as detected or not detected | 0204U - ONC THYR MRNA GENE XPRSN ALYS 593 GENES FNA | 0204U - ONC THYR MRNA XPRSN ALYS 593 | 01-10-2020 | 12/31/2999 |
| 0205U | 0205U - Ophthalmology (age-related macular degeneration) analysis of 3 gene variants (2 CFH gene 1 ARMS2 gene) using PCR and MALDI-TOF buccal swab reported as positive or negative for neovascular age-related macular-degeneration risk associated with zinc supplements | 0205U - OPH AGE-RELATED MAC DEGENERATION ALYS 3 GEN VRNT | 0205U - OPH AMD ALYS 3 GENE VARIANTS | 01-10-2020 | 12/31/2999 |
| 0206U | 0206U - Neurology (Alzheimer disease); cell aggregation using morphometric imaging and protein kinase C-epsilon (PKCe) concentration in response to amylospheroid treatment by ELISA cultured skin fibroblasts each reported as positive or negative for Alzheimer disease | 0206U - NEUROLOGY ALZHEIMER DISEASE CELL AGGREGATION | 0206U - NEURO ALZHEIMER CELL AGGREGJ | 01-10-2020 | 12/31/2999 |
| 0207T | 0207T - Evacuation of meibomian glands automated using heat and intermittent pressure unilateral | 0207T - EVAC MEIBOMIAN GLNDS AUTO HT& INTMT PRESS UNI | 0207T - CLEAR EYELID GLAND W/HEAT | '01/01/2017 | 12/31/2999 |
| 0207U | 0207U - Neurology (Alzheimer disease); quantitative imaging of phosphorylated ERK1 and ERK2 in response to bradykinin treatment by in situ immunofluorescence using cultured skin fibroblasts reported as a probability index for Alzheimer disease | 0207U - NEUROLOGY ALZHEIMER DISEASE QUANTITATIVE IMAGING | 0207U - NEURO ALZHEIMER QUAN IMAGING | 01-10-2020 | 12/31/2999 |
| 0208T | 0208T - Pure tone audiometry (threshold) automated; air only | 0208T - PURE TONE AUDIOMETRY AUTOMATED AIR ONLY | 0208T - AUDIOMETRY AIR ONLY | '01/01/2017 | 12/31/2999 |
| 0209T | 0209T - Pure tone audiometry (threshold) automated; air and bone | 0209T - PURE TONE AUDIOMETRY AUTOMATED AIR & BONE | 0209T - AUDIOMETRY AIR & BONE | '01/01/2017 | 12/31/2999 |
| 0209U | 0209U - Cytogenomic constitutional (genome-wide) analysis interrogation of genomic regions for copy number structural changes and areas of homozygosity for chromosomal abnormalities | 0209U - CYTOG CONST ALYS INTERROG GEN REG F/COPY NUMBER | 0209U - CYTOG CONST ALYS INTERROG | 01-10-2020 | 12/31/2999 |
| 0210T | 0210T - Speech audiometry threshold automated; | 0210T - SPEECH AUDIOMETRY THRESHOLD AUTOMATED | 0210T - SPEECH AUDIOMETRY THRESHOLD | '01/01/2017 | 12/31/2999 |
| 0210U | 0210U - Syphilis test non-treponemal antibody immunoassay quantitative (RPR) | 0210U - SYPHILIS TST NON-TREPONEMAL ANTIBODY IA QUAN RPR | 0210U - SYPHILIS TST ANTB IA QUAN | 01-10-2020 | 12/31/2999 |
| 0211T | 0211T - Speech audiometry threshold automated; with speech recognition | 0211T - SPEECH AUDIOM THRESHLD AUTO W/SPEECH RECOGNITION | 0211T - SPEECH AUDIOM THRESH & RECOG | '01/01/2017 | 12/31/2999 |
| 0211U | 0211U - Oncology (pan-tumor) DNA and RNA by next-generation sequencing utilizing formalin-fixed paraffin-embedded tissue interpretative report for single nucleotide variants copy number alterations tumor mutational burden and microsatellite instability with therapy association | 0211U - ONC PAN-TUMOR DNA&RNA NEXT-GENERATION SEQUENCING | 0211U - ONC PAN-TUM DNA&RNA GNRJ SEQ | 01-10-2020 | 12/31/2999 |
| 0212T | 0212T - Comprehensive audiometry threshold evaluation and speech recognition (0209T 0211T combined) automated | 0212T - COMPRE AUDIOM THRESHOLD EVAL & SPEECH RECOG | 0212T - COMPRE AUDIOMETRY EVALUATION | '01/01/2017 | 12/31/2999 |
| 0212U | 0212U - Rare diseases (constitutional/heritable disorders) whole genome and mitochondrial DNA sequence analysis including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants proband | 0212U - RARE DS WHL GEN&MITOCHDRL DNA SEQ ALYS PROBAND | 0212U - RARE DS GEN DNA ALYS PROBAND | 01-10-2020 | 12/31/2999 |
| 0213T | 0213T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance cervical or thoracic; single level | 0213T - NJX DX/THER PARAVER FCT JT W/US CER/THOR 1 LVL | 0213T - NJX PARAVERT W/US CER/THOR | '01/01/2017 | 12/31/2999 |
| 0213U | 0213U - Rare diseases (constitutional/heritable disorders) whole genome and mitochondrial DNA sequence analysis including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants each comparator genome (eg parent sibling) | 0213U - RARE DS WHL GEN&MITOCHDRL DNA SEQ ALYS EA CMPRTR | 0213U - RARE DS GEN DNA ALYS EA COMP | 01-10-2020 | 12/31/2999 |
| 0214T | 0214T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance cervical or thoracic; second level (List separately in addition to code for primary procedure) | 0214T - NJX DX/THER PARAVER FCT JT W/US CER/THOR 2ND LVL | 0214T - NJX PARAVERT W/US CER/THOR | '01/01/2017 | 12/31/2999 |
| 0214U | 0214U - Rare diseases (constitutional/heritable disorders) whole exome and mitochondrial DNA sequence analysis including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants proband | 0214U - RARE DS WHL XOM&MITOCHDRL DNA SEQ ALYS PROBAND | 0214U - RARE DS XOM DNA ALYS PROBAND | 01-10-2020 | 12/31/2999 |
| 0215T | 0215T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure) | 0215T - NJX PARAVERTBRL FACET JT W/US CER/THOR 3RD&> LVL | 0215T - NJX PARAVERT W/US CER/THOR | '01/01/2017 | 12/31/2999 |
| 0215U | 0215U - Rare diseases (constitutional/heritable disorders) whole exome and mitochondrial DNA sequence analysis including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants each comparator exome (eg parent sibling) | 0215U - RARE DS WHL XOM&MITOCHDRL DNA SEQ ALYS EA CMPRTR | 0215U - RARE DS XOM DNA ALYS EA COMP | 01-10-2020 | 12/31/2999 |
| 0216T | 0216T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance lumbar or sacral; single level | 0216T - NJX DX/THER PARAVER FCT JT W/US LUMB/SAC 1 LVL | 0216T - NJX PARAVERT W/US LUMB/SAC | '01/01/2017 | 12/31/2999 |
| 0216U | 0216U - Neurology (inherited ataxias) genomic DNA sequence analysis of 12 common genes including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants | 0216U - NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 12 BLD/SLV | 0216U - NEURO INH ATAXIA DNA 12 COM | 01-10-2020 | 12/31/2999 |
| 0217T | 0217T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance lumbar or sacral; second level (List separately in addition to code for primary procedure) | 0217T - NJX DX/THER PARAVER FCT JT W/US LUMB/SAC LVL 2 | 0217T - NJX PARAVERT W/US LUMB/SAC | '01/01/2017 | 12/31/2999 |
| 0217U | 0217U - Neurology (inherited ataxias) genomic DNA sequence analysis of 51 genes including small sequence changes deletions duplications short tandem repeat gene expansions and variants in non-uniquely mappable regions blood or saliva identification and categorization of genetic variants | 0217U - NEURO INH ATAXIA GENOMIC DNA SEQ ALYS 51 BLD/SLV | 0217U - NEURO INH ATAXIA DNA 51 GENE | 01-10-2020 | 12/31/2999 |
| 0218T | 0218T - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure) | 0218T - NJX PARAVERTBRL FCT JT W/US LUMB/SAC 3RD&> LVL | 0218T - NJX PARAVERT W/US LUMB/SAC | '01/01/2017 | 12/31/2999 |
| 0218U | 0218U - Neurology (muscular dystrophy) DMD gene sequence analysis including small sequence changes deletions duplications and variants in non-uniquely mappable regions blood or saliva identification and characterization of genetic variants | 0218U - NEURO MUSCULAR DYSTROPHY DMD SEQ ALYS BLD/SALIVA | 0218U - NEURO MUSC DYS DMD SEQ ALYS | 01-10-2020 | 12/31/2999 |
| 0219T | 0219T - Placement of a posterior intrafacet implant(s) unilateral or bilateral including imaging and placement of bone graft(s) or synthetic device(s) single level; cervical | 0219T - PLMT POST FACET IMPLANT UNI/BI W/IMG & GRFT CERV | 0219T - PLMT POST FACET IMPLT CERV | '01/01/2017 | 12/31/2999 |
| 0219U | 0219U - Infectious agent (human immunodeficiency virus) targeted viral next-generation sequence analysis (ie protease [PR] reverse transcriptase [RT] integrase [INT]) algorithm reported as prediction of antiviral drug susceptibility | 0219U - NFCT AGENT HIV TRGT VIRAL NEXT-GNRJ SEQ ALYS ALG | 0219U - NFCT AGT HIV GNRJ SEQ ALYS | 01-10-2020 | 12/31/2999 |
| 0220T | 0220T - Placement of a posterior intrafacet implant(s) unilateral or bilateral including imaging and placement of bone graft(s) or synthetic device(s) single level; thoracic | 0220T - PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT THOR | 0220T - PLMT POST FACET IMPLT THOR | '01/01/2017 | 12/31/2999 |
| 0220U | 0220U - Oncology (breast cancer) image analysis with artificial intelligence assessment of 12 histologic and immunohistochemical features reported as a recurrence score | 0220U - ONC BRST CA IMAGE ALYS W/AI ASSMT 12 FEATURES | 0220U - ONC BRST CA AI ASSMT 12 FEAT | 01-10-2020 | 12/31/2999 |
| 0221T | 0221T - Placement of a posterior intrafacet implant(s) unilateral or bilateral including imaging and placement of bone graft(s) or synthetic device(s) single level; lumbar | 0221T - PLMT POST FACET IMPLT UNI/BI W/IMG & GRFT LUMB | 0221T - PLMT POST FACET IMPLT LUMB | '01/01/2017 | 12/31/2999 |
| 0221U | 0221U - Red cell antigen (ABO blood group) genotyping (ABO) gene analysis next-generation sequencing ABO (ABO alpha 1-3-N-acetylgalactosaminyltransferase and alpha 1-3-galactosyltransferase) gene | 0221U - ABO GNOTYP GENE ALYS NEXT-GENERATION SEQ ABO GEN | 0221U - ABO GNOTYP NEXT GNRJ SEQ ABO | 01-10-2020 | 12/31/2999 |
| 0222T | 0222T - Placement of a posterior intrafacet implant(s) unilateral or bilateral including imaging and placement of bone graft(s) or synthetic device(s) single level; each additional vertebral segment (List separately in addition to code for primary procedure) | 0222T - PLACE POSTERIOR INTRAFACET IMPLANT ADDL SEGMENT | 0222T - PLMT POST FACET IMPLT ADDL | '01/01/2017 | 12/31/2999 |
| 0222U | 0222U - Red cell antigen (RH blood group) genotyping (RHD and RHCE) gene analysis next-generation sequencing RH proximal promoter exons 1-10 portions of introns 2-3 | 0222U - RHD&RHCE GNOTYP NEXT-GNRJ SEQ RH PROX PROMOTER | 0222U - RHD&RHCE GNTYP NEXT GNRJ SEQ | 01-10-2020 | 12/31/2999 |
| 0223U | 0223U - Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific nucleic acid (DNA or RNA) 22 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) qualitative RT-PCR nasopharyngeal swab each pathogen reported as detected or not detected | 0223U - NFCT DS BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2 | 0223U - NFCT DS 22 TRGT SARS-COV-2 | '06/25/2020 | 12/31/2999 |
| 0224U | 0224U - Antibody severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) includes titer(s) when performed | 0224U - ANTB SEV AQT RESPIR SYND CORONAVIRUS 2 TITER(S) | 0224U - ANTIBODY SARS-COV-2 TITER(S) | '06/25/2020 | 12/31/2999 |
| 0225U | 0225U - Infectious disease (bacterial or viral respiratory tract infection) pathogen-specific DNA and RNA 21 targets including severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) amplified probe technique including multiplex reverse transcription for RNA targets each analyte reported as detected or not detected | 0225U - NFCT DS DNA&RNA 21 TARGETS SARS-COV-2 AMP PROBE | 0225U - NFCT DS DNA&RNA 21 SARSCOV2 | '08/10/2020 | 12/31/2999 |
| 0226U | 0226U - Surrogate viral neutralization test (sVNT) severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) ELISA plasma seru | 0226U - SUROGAT VIR NEUTRLZJ TST SARSCOV2 ELISA PLSM SRM | 0226U - SVNT SARSCOV2 ELISA PLSM SRM | '08/10/2020 | 12/31/2999 |
| 0227U | 0227U - Drug assay presumptive 30 or more drugs or metabolites urine liquid chromatography with tandem mass spectrometry (LC-MS/MS) using multiple reaction monitoring (MRM) with drug or metabolite description includes sample validation | 0227U - RX ASSAY PRSMV 30+RX/METABLT UR LC-MS/MS MRM | 0227U - RX ASY PRSMV 30+RX/METABLT | '01/01/2021 | 12/31/2999 |
| 0228U | 0228U - Oncology (prostate) multianalyte molecular profile by photometric detection of macromolecules adsorbed on nanosponge array slides with machine learning utilizing first morning voided urine algorithm reported as likelihood of prostate cancer | 0228U - ONC PRST8 MULTIANAL MOLEC PRFL PHOTOMETRIC DETCJ | 0228U - ONC PRST8 MA MOLEC PRFL ALG | '01/01/2021 | 12/31/2999 |
| 0229U | 0229U - BCAT1 (Branched chain amino acid transaminase 1) and IKZF1 (IKAROS family zinc finger 1) (eg colorectal cancer) promoter methylation analysis | 0229U - BCAT1&IKZF1 PROMOTER METHYLATION ANALYSIS | 0229U - BCAT1&IKZF1 PRMTR MTHLN ALYS | '07/01/2022 | 12/31/2999 |
| 0230U | 0230U - AR (androgen receptor) (eg spinal and bulbar muscular atrophy Kennedy disease X chromosome inactivation) full sequence analysis including small sequence changes in exonic and intronic regions deletions duplications short tandem repeat (STR) expansions mobile element insertions and variants in non-uniquely mappable regions | 0230U - AR FUL SEQ ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS | 0230U - AR FULL SEQUENCE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0231U | 0231U - CACNA1A (calcium voltage-gated channel subunit alpha 1A) (eg spinocerebellar ataxia) full gene analysis including small sequence changes in exonic and intronic regions deletions duplications short tandem repeat (STR) gene expansions mobile element insertions and variants in non-uniquely mappable regions | 0231U - CACNA1A FUL GEN ALY CHNG DELT DUP XPNSJ INSJ VRT | 0231U - CACNA1A FULL GENE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0232T | 0232T - Injection(s) platelet rich plasma any site including image guidance harvesting and preparation when performed | 0232T - NJX PLTLT PLASMA W/IMG HARVEST/PREPARATION | 0232T - NJX PLATELET PLASMA | '01/01/2017 | 12/31/2999 |
| 0232U | 0232U - CSTB (cystatin B) (eg progressive myoclonic epilepsy type 1A Unverricht-Lundborg disease) full gene analysis including small sequence changes in exonic and intronic regions deletions duplications short tandem repeat (STR) expansions mobile element insertions and variants in non-uniquely mappable regions | 0232U - CSTB FUL GEN ALY CHNG DELET DUPL XPNSJ INSJ VRNT | 0232U - CSTB FULL GENE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0233U | 0233U - FXN (frataxin) (eg Friedreich ataxia) gene analysis including small sequence changes in exonic and intronic regions deletions duplications short tandem repeat (STR) expansions mobile element insertions and variants in non-uniquely mappable regions | 0233U - FXN GENE ALYS CHNG DELET DUPL XPNSJ INSJ VRNTS | 0233U - FXN GENE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0234T | 0234T - Transluminal peripheral atherectomy open or percutaneous including radiological supervision and interpretation; renal artery | 0234T - TRLUML PERIPHERAL ATHERECTOMY RENAL ARTERY EA | 0234T - TRLUML PERIP ATHRC RENAL ART | '01/01/2017 | 12/31/2999 |
| 0234U | 0234U - MECP2 (methyl CpG binding protein 2) (eg Rett syndrome) full gene analysis including small sequence changes in exonic and intronic regions deletions duplications mobile element insertions and variants in non-uniquely mappable regions | 0234U - MECP2 FUL GEN ALYS CHANGES DELET DUPL INSJ VRNTS | 0234U - MECP2 FULL GENE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0235T | 0235T - Transluminal peripheral atherectomy open or percutaneous including radiological supervision and interpretation; visceral artery (except renal) each vessel | 0235T - TRLUML PERIPHERAL ATHERECTOMY VISCERAL ARTERY EA | 0235T - TRLUML PERIP ATHRC VISCERAL | '01/01/2017 | 12/31/2999 |
| 0235U | 0235U - PTEN (phosphatase and tensin homolog) (eg Cowden syndrome PTEN hamartoma tumor syndrome) full gene analysis including small sequence changes in exonic and intronic regions deletions duplications mobile element insertions and variants in non-uniquely mappable regions | 0235U - PTEN FULL GEN ALYS CHANGES DELET DUPL INSJ VRNTS | 0235U - PTEN FULL GENE ANALYSIS | '01/01/2021 | 12/31/2999 |
| 0236T | 0236T - Transluminal peripheral atherectomy open or percutaneous including radiological supervision and interpretation; abdominal aorta | 0236T - TRLUML PERIPH ATHRC W/RS&I ABDOM AORTA | 0236T - TRLUML PERIP ATHRC ABD AORTA | '01/01/2017 | 12/31/2999 |
| 0236U | 0236U - SMN1 (survival of motor neuron 1 telomeric) and SMN2 (survival of motor neuron 2 centromeric) (eg spinal muscular atrophy) full gene analysis including small sequence changes in exonic and intronic regions duplications deletions and mobile element insertions | 0236U - SMN1&SMN2 FUL GEN ALYS CHNG DUPL&DELET&INSJ | 0236U - SMN1&SMN2 FULL GENE ANALYSIS | 01-10-2021 | 12/31/2999 |
| 0237T | 0237T - Transluminal peripheral atherectomy open or percutaneous including radiological supervision and interpretation; brachiocephalic trunk and branches each vessel | 0237T - TRLUML PERIPH ATHRC W/RS&I BRCHIOCPHL EA VSL | 0237T - TRLUML PERIP ATHRC BRCHIOCPH | '01/01/2017 | 12/31/2999 |
| 0237U | 0237U - Cardiac ion channelopathies (eg Brugada syndrome long QT syndrome short QT syndrome catecholaminergic polymorphic ventricular tachycardia) genomic sequence analysis panel including ANK2 CASQ2 CAV3 KCNE1 KCNE2 KCNH2 KCNJ2 KCNQ1 RYR2 and SCN5A including small sequence changes in exonic and intronic regions deletions duplications mobile element insertions and variants in non-uniquely mappable regions | 0237U - CARDIAC ION CHANNELOPATHIES GENOMIC SEQ ALYS PNL | 0237U - CAR ION CHNLPTHY GEN SEQ PNL | '01/01/2021 | 12/31/2999 |
| 0238T | 0238T - Transluminal peripheral atherectomy open or percutaneous including radiological supervision and interpretation; iliac artery each vessel | 0238T - TRLUML PERIPHERAL ATHERECTOMY ILIAC ARTERY EA | 0238T - TRLUML PERIP ATHRC ILIAC ART | '01/01/2017 | 12/31/2999 |
| 0238U | 0238U - Oncology (Lynch syndrome) genomic DNA sequence analysis of MLH1 MSH2 MSH6 PMS2 and EPCAM including small sequence changes in exonic and intronic regions deletions duplications mobile element insertions and variants in non-uniquely mappable regions | 0238U - ONC LYNCH SYNDROME GENOMIC DNA SEQUENCE ANALYSIS | 0238U - ONC LNCH SYN GEN DNA SEQ ALY | '01/01/2021 | 12/31/2999 |
| 0239U | 0239U - Targeted genomic sequence analysis panel solid organ neoplasm cell-free DNA analysis of 311 or more genes interrogation for sequence variants including substitutions insertions deletions select rearrangements and copy number variations | 0239U - TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 311+ | 0239U - TRGT GEN SEQ ALYS PNL 311+ | '01/01/2021 | 12/31/2999 |
| 0240U | 0240U - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) and influenza virus types A and B multiplex amplified probe technique | 0240U - NFCT DS RNA 3 TARGETS UPPER RESPIRATORY SPECIMEN | 0240U - NFCT DS VIR RESP RNA 3 TRGT | 06-10-2020 | 12/31/2999 |
| 0241U | 0241U - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) influenza virus types A and B and respiratory syncytial virus multiplex amplified probe technique | 0241U - NFCT DS RNA 4 TARGETS UPPER RESPIRATORY SPECIME | 0241U - NFCT DS VIR RESP RNA 4 TRGT | 06-10-2020 | 12/31/2999 |
| 0242U | 0242U - Targeted genomic sequence analysis panel solid organ neoplasm cell-free circulating DNA analysis of 55-74 genes interrogation for sequence variants gene copy number amplifications and gene rearrangements | 0242U - TRGT GEN SEQ ALYS PNL SOLID ORGN NEO DNA 55-74 | 0242U - TRGT GEN SEQ ALYS PNL 55-74 | '04/01/2021 | 12/31/2999 |
| 0243U | 0243U - Obstetrics (preeclampsia) biochemical assay of placental-growth factor time-resolved fluorescence immunoassay maternal serum predictive algorithm reported as a risk score for preeclampsia | 0243U - OB PE BIOCHEM ASY PLCNTL GRWTH FACTR MAT SRM ALG | 0243U - OB PE BIOCHEM ASSAY PGF ALG | '04/01/2021 | 12/31/2999 |
| 0244U | 0244U - Oncology (solid organ) DNA comprehensive genomic profiling 257 genes interrogation for single-nucleotide variants insertions/deletions copy number alterations gene rearrangements tumor-mutational burden and microsatellite instability utilizing formalin-fixed paraffin-embedded tumor tissue | 0244U - ONC SOLID ORGN DNA COMPRE GENOMIC PRFLG 257 GENE | 0244U - ONC SOLID ORGN DNA 257 GENES | '04/01/2021 | 12/31/2999 |
| 0245U | 0245U - Oncology (thyroid) mutation analysis of 10 genes and 37 RNA fusions and expression of 4 mRNA markers using next-generation sequencing fine needle aspirate report includes associated risk of malignancy expressed as a percentage | 0245U - ONC THYR MUT ALYS 10 GEN 37 RNA FSN XPRSN 4 MRNA | 0245U - ONC THYR MUT ALYS 10 GEN&37 | '04/01/2021 | 12/31/2999 |
| 0246U | 0246U - Red blood cell antigen typing DNA genotyping of at least 16 blood groups with phenotype prediction of at least 51 red blood cell antigens | 0246U - RBC DNA GNOTYP 16 BLD GRP PHNT PREDICT 51 RBC AG | 0246U - RBC DNA GNOTYP 16 BLD GROUPS | '04/01/2021 | 12/31/2999 |
| 0247U | 0247U - Obstetrics (preterm birth) insulin-like growth factor–binding protein 4 (IBP4) sex hormone–binding globulin (SHBG) quantitative measurement by LC-MS/MS utilizing maternal serum combined with clinical data reported as predictive-risk stratification for spontaneous preterm birth | 0247U - OB PRETERM BIRTH IBP4 SHBG QUAN MEAS MAT SRM PRS | 0247U - OB PRTRM BRTH IBP4 SHBG MEAS | '04/01/2021 | 12/31/2999 |
| 0248U | 0248U - Oncology (brain) spheroid cell culture in a 3D microenvironment 12 drug panel tumor-response prediction for each drug | 0248U - ONC BRAIN SPHRD CLL CUL 12 RX PNL TUMOR RESPONSE | 0248U - ONC BRN SPHRD CLL 12 RX PNL | '07/01/2021 | 12/31/2999 |
| 0249U | 0249U - Oncology (breast) semiquantitative analysis of 32 phosphoproteins and protein analytes includes laser capture microdissection with algorithmic analysis and interpretative report | 0249U - ONC BRST SEMIQ ALYS 32 PHSPRTN&PRTN ANALYTE ALG | 0249U - ONC BRST ALYS 32 PHSPRTN ALG | '07/01/2021 | 12/31/2999 |
| 0250U | 0250U - Oncology (solid organ neoplasm) targeted genomic sequence DNA analysis of 505 genes interrogation for somatic alterations (SNVs [single nucleotide variant] small insertions and deletions one amplification and four translocations) microsatellite instability and tumor-mutation burden | 0250U - ONC SLD ORG NEO TRGT GEN SEQ DNA ALYS 505 GENES | 0250U - ONC SLD ORG NEO DNA 505 GENE | '07/01/2021 | 12/31/2999 |
| 0251U | 0251U - Hepcidin-25 enzyme-linked immunosorbent assay (ELISA) serum or plasma | 0251U - HEPCIDIN-25 ELISA SERUM OR PLASMA | 0251U - HEPCIDIN-25 ELISA SERUM/PLSM | '07/01/2021 | 12/31/2999 |
| 0252U | 0252U - Fetal aneuploidy short tandem–repeat comparative analysis fetal DNA from products of conception reported as normal (euploidy) monosomy trisomy or partial deletion/duplication mosaicism and segmental aneuploidy | 0252U - FTL ANEUPLOIDY STR CMPRTV ALYS FTL DNA PRDC CNCP | 0252U - FTL ANEUPLOIDY STR ALYS DNA | 01-10-2021 | 12/31/2999 |
| 0253T | 0253T - Insertion of anterior segment aqueous drainage device without extraocular reservoir internal approach into the suprachoroidal space | 0253T - INSERT ANT SGM DRAINAGE DEV W/O RESERVR INT APPR | 0253T - INSERT AQUEOUS DRAIN DEVICE | '01/01/2017 | 12/31/2999 |
| 0253U | 0253U - Reproductive medicine (endometrial receptivity analysis) RNA gene expression profile 238 genes by next-generation sequencing endometrial tissue predictive algorithm reported as endometrial window of implantation (eg pre-receptive receptive post-receptive) | 0253U - REPRDTVE MED RNA 238 GEN NXT GEN SEQ ENDMT TISS | 0253U - RPRDTVE MED RNA GEN PRFL 238 | '07/01/2021 | 12/31/2999 |
| 0254U | 0254U - Reproductive medicine (preimplantation genetic assessment) analysis of 24 chromosomes using embryonic DNA genomic sequence analysis for aneuploidy and a mitochondrial DNA score in euploid embryos results reported as normal (euploidy) monosomy trisomy or partial deletion/duplication mosaicism and segmental aneuploidy per embryo tested | 0254U - REPRDTVE MED ALYS 24 CHRMSM EMBRY& MITOCHDRL DNA | 0254U - REPRDTVE MED ALYS 24 CHRMSM | 01-10-2021 | 12/31/2999 |
| 0255U | 0255U - Andrology (infertility) sperm-capacitation assessment of ganglioside GM1 distribution patterns fluorescence microscopy fresh or frozen specimen reported as percentage of capacitated sperm and probability of generating a pregnancy score | 0255U - ANDROLOGY INFERTILITY SPERM CAPACITATION ASSMT | 0255U - ANDROLOGY INFERTILITY ASSMT | 01-10-2021 | 12/31/2999 |
| 0256U | 0256U - Trimethylamine/trimethylamine N-oxide (TMA/TMAO) profile tandem mass spectrometry (MS/MS) urine with algorithmic analysis and interpretive report | 0256U - TMA/TMAO PROFILE MS/MS URINE ALG ALYS&REPORT | 0256U - TMA/TMAO PRFL MS/MS UR ALG | 01-10-2021 | 12/31/2999 |
| 0257U | 0257U - Very long chain acyl-coenzyme A (CoA) dehydrogenase (VLCAD) leukocyte enzyme activity whole blood | 0257U - VLCAD LEUKOCYTE ENZYME ACTIVITY WHOLE BLOOD | 0257U - VLCAD LEUK NZM ACTV WHL BLD | 01-10-2021 | 12/31/2999 |
| 0258U | 0258U - Autoimmune (psoriasis) mRNA next-generation sequencing gene expression profiling of 50-100 genes skin-surface collection using adhesive patch algorithm reported as likelihood of response to psoriasis biologics | 0258U - AI PSORIASIS MRNA GEN XPRSN PRFL 50-100 GEN ALG | 0258U - AI PSOR MRNA 50-100 GEN ALG | 01-10-2021 | 12/31/2999 |
| 0259U | 0259U - Nephrology (chronic kidney disease) nuclear magnetic resonance spectroscopy measurement of myo-inositol valine and creatinine algorithmically combined with cystatin C (by immunoassay) and demographic data to determine estimated glomerular filtration rate (GFR) serum quantitative | 0259U - NEPHROLOGY CKD NUCLEAR MRS MEAS GFR SRM QUAN | 0259U - NEPH CKD NUC MRS MEAS GFR | 01-10-2021 | 12/31/2999 |
| 0260U | 0260U - Rare diseases (constitutional/heritable disorders) identification of copy number variations inversions insertions translocations and other structural variants by optical genome mapping | 0260U - RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG | 0260U - RARE DS ID OPT GENOME MAPG | 01-10-2021 | 12/31/2999 |
| 0261U | 0261U - Oncology (colorectal cancer) image analysis with artificial intelligence assessment of 4 histologic and immunohistochemical features (CD3 and CD8 within tumor-stroma border and tumor core) tissue reported as immune response and recurrence-risk score | 0261U - ONC CLRCT CA IMG ANALYSIS W/AI ASSMT 4 FEATURES | 0261U - ONC CLRCT CA IMG ALYS W/AI | 01-10-2021 | 12/31/2999 |
| 0262U | 0262U - Oncology (solid tumor) gene expression profiling by real-time RT-PCR of 7 gene pathways (ER AR PI3K MAPK HH TGFB Notch) formalin-fixed paraffin-embedded (FFPE) algorithm reported as gene pathway activity score | 0262U - ONC SOLID TUM GEN XPRSN PRFL RT-PCR 7 GEN PTHWY | 0262U - ONC SLD TUM RT-PCR 7 GEN | 01-10-2021 | 12/31/2999 |
| 0263T | 0263T - Intramuscular autologous bone marrow cell therapy with preparation of harvested cells multiple injections one leg including ultrasound guidance if performed; complete procedure including unilateral or bilateral bone marrow harvest | 0263T - AUTO BONE MARRW CELL RX COMPLT BONE MARRW HARVST | 0263T - IM B1 MRW CEL THER CMPL | '01/01/2017 | 12/31/2999 |
| 0263U | 0263U - Neurology (autism spectrum disorder [ASD]) quantitative measurements of 16 central carbon metabolites (ie ?-ketoglutarate alanine lactate phenylalanine pyruvate succinate carnitine citrate fumarate hypoxanthine inosine malate S-sulfocysteine taurine urate and xanthine) liquid chromatography tandem mass spectrometry (LC-MS/MS) plasma algorithmic analysis with result reported as negative or positive (with metabolic subtypes of ASD) | 0263U - NEURO AUTISM QUAN MEAS 16 CTR CARBON METABOLITES | 0263U - NEURO ASD MEAS 16 C METBLT | 01-10-2021 | 12/31/2999 |
| 0264T | 0264T - Intramuscular autologous bone marrow cell therapy with preparation of harvested cells multiple injections one leg including ultrasound guidance if performed; complete procedure excluding bone marrow harvest | 0264T - AUTO BONE MARRW CELL RX COMP W/O BONE MAR HARVST | 0264T - IM B1 MRW CEL THER XCL HRVST | '01/01/2017 | 12/31/2999 |
| 0264U | 0264U - Rare diseases (constitutional/heritable disorders) identification of copy number variations inversions insertions translocations and other structural variants by optical genome mapping | 0264U - RARE DS ID VRTJ INVRJ INSJ TLCJ OPT GENOME MAPG | 0264U - RARE DS ID OPT GENOME MAPG | 01-10-2021 | 12/31/2999 |
| 0265T | 0265T - Intramuscular autologous bone marrow cell therapy with preparation of harvested cells multiple injections one leg including ultrasound guidance if performed; unilateral or bilateral bone marrow harvest only for intramuscular autologous bone marrow cell therapy | 0265T - BONE MAR HARVST ONLY FOR INTMUSC AUTOLO CELL RX | 0265T - IM B1 MRW CEL THER HRVST ONL | '01/01/2017 | 12/31/2999 |
| 0265U | 0265U - Rare constitutional and other heritable disorders whole genome and mitochondrial DNA sequence analysis blood frozen and formalin-fixed paraffin-embedded (FFPE) tissue saliva buccal swabs or cell lines identification of single nucleotide and copy number variants | 0265U - RARE DO WHL GENOME& MITOCHDRL DNA SEQ ALYS | 0265U - RAR DO WHL GN&MTCDRL DNA ALS | 01-10-2021 | 12/31/2999 |
| 0266T | 0266T - Implantation or replacement of carotid sinus baroreflex activation device; total system (includes generator placement unilateral or bilateral lead placement intra-operative interrogation programming and repositioning when performed) | 0266T - IM/REPL CARTD SINUS BAROREFLX ACTIV DEV TOT SYST | 0266T - IMPLT/RPL CRTD SNS DEV TOTAL | '01/01/2017 | 12/31/2999 |
| 0266U | 0266U - Unexplained constitutional or other heritable disorders or syndromes tissue-specific gene expression by whole-transcriptome and next-generation sequencing blood formalin-fixed paraffin-embedded (FFPE) tissue or fresh frozen tissue reported as presence or absence of splicing or expression changes | 0266U - UNXPLAIND CONST/OTH HERITABLE DO/SYND GEN XPRSN | 0266U - UNXPL CNST HRTBL DO GN XPRS | 01-10-2021 | 12/31/2999 |
| 0267T | 0267T - Implantation or replacement of carotid sinus baroreflex activation device; lead only unilateral (includes intra-operative interrogation programming and repositioning when performed) | 0267T - IM/REPL CARTD SINS BAROREFLX ACTIV DEV LEAD ONLY | 0267T - IMPLT/RPL CRTD SNS DEV LEAD | '01/01/2017 | 12/31/2999 |
| 0267U | 0267U - Rare constitutional and other heritable disorders identification of copy number variations inversions insertions translocations and other structural variants by optical genome mapping and whole genome sequencing | 0267U - RARE DO ID VARIATIONS OPT GEN MAP&WHL GEN SEQ | 0267U - RARE DO ID OPT GEN MAPG&SEQ | 01-10-2021 | 12/31/2999 |
| 0268T | 0268T - Implantation or replacement of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation programming and repositioning when performed) | 0268T - IM/REPL CARTD SINS BARREFLX ACT DEV PLS GEN ONLY | 0268T - IMPLT/RPL CRTD SNS DEV GEN | '01/01/2017 | 12/31/2999 |
| 0268U | 0268U - Hematology (atypical hemolytic uremic syndrome [aHUS]) genomic sequence analysis of 15 genes blood buccal swab or amniotic fluid | 0268U - HEM ATYP HEMOLYTIC UREMC SYND GEN SEQ ALY 15 GEN | 0268U - HEM AHUS GEN SEQ ALYS 15 GEN | 01-10-2021 | 12/31/2999 |
| 0269T | 0269T - Revision or removal of carotid sinus baroreflex activation device; total system (includes generator placement unilateral or bilateral lead placement intra-operative interrogation programming and repositioning when performed) | 0269T - REV/REMVL CARTD SINS BARREFLX ACT DEV TOT SYSTEM | 0269T - REV/REMVL CRTD SNS DEV TOTAL | '01/01/2017 | 12/31/2999 |
| 0269U | 0269U - Hematology (autosomal dominant congenital thrombocytopenia) genomic sequence analysis of 14 genes blood buccal swab or amniotic fluid | 0269U - HEM AUTO DOM CGEN THRMBCTPNA GEN SEQ ALYS 14 GEN | 0269U - HEM AUT DM CGEN TRMBCTPNA 14 | 01-10-2021 | 12/31/2999 |
| 0270T | 0270T - Revision or removal of carotid sinus baroreflex activation device; lead only unilateral (includes intra-operative interrogation programming and repositioning when performed) | 0270T - REV/REMVL CARTD SINS BARREFLX ACT DEV LEAD ONLY | 0270T - REV/REMVL CRTD SNS DEV LEAD | '01/01/2017 | 12/31/2999 |
| 0270U | 0270U - Hematology (congenital coagulation disorders) genomic sequence analysis of 20 genes blood buccal swab or amniotic fluid | 0270U - HEM CGEN COAGJ DO GENOMIC SEQ ALYS 20 GENES | 0270U - HEM CGEN COAGJ DO 20 GENES | 01-10-2021 | 12/31/2999 |
| 0271T | 0271T - Revision or removal of carotid sinus baroreflex activation device; pulse generator only (includes intra-operative interrogation programming and repositioning when performed) | 0271T - REV/REM CARTD SINS BARREFLX ACT DEV PLS GEN ONLY | 0271T - REV/REMVL CRTD SNS DEV GEN | '01/01/2017 | 12/31/2999 |
| 0271U | 0271U - Hematology (congenital neutropenia) genomic sequence analysis of 23 genes blood buccal swab or amniotic fluid | 0271U - HEM CGEN NEUTROPENIA GEN SEQ ALYS 23 GENES | 0271U - HEM CGEN NEUTROPENIA 23 GEN | 01-10-2021 | 12/31/2999 |
| 0272T | 0272T - Interrogation device evaluation (in person) carotid sinus baroreflex activation system including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values with interpretation and report (eg battery status lead impedance pulse amplitude pulse width therapy frequency pathway mode burst mode therapy start/stop times each day); | 0272T - INTRGORTION DEV EVAL CARTD SINS BARREFLX W/I&R | 0272T - INTERROGATE CRTD SNS DEV | '01/01/2017 | 12/31/2999 |
| 0272U | 0272U - Hematology (genetic bleeding disorders) genomic sequence analysis of 51 genes blood buccal swab or amniotic fluid comprehensive | 0272U - HEM GENETIC BLEEDING DO GEN SEQ ALYS 51 GENES | 0272U - HEM GENETIC BLD DO 51 GENES | 01-10-2021 | 12/31/2999 |
| 0273T | 0273T - Interrogation device evaluation (in person) carotid sinus baroreflex activation system including telemetric iterative communication with the implantable device to monitor device diagnostics and programmed therapy values with interpretation and report (eg battery status lead impedance pulse amplitude pulse width therapy frequency pathway mode burst mode therapy start/stop times each day); with programming | 0273T - INTROGATION DEV EVAL CARTD SINS BARREFLX W/PRGRM | 0273T - INTERROGATE CRTD SNS W/PGRMG | '01/01/2017 | 12/31/2999 |
| 0273U | 0273U - Hematology (genetic hyperfibrinolysis delayed bleeding) genomic sequence analysis of 8 genes (F13A1 F13B FGA FGB FGG SERPINA1 SERPINE1 SERPINF2 PLAU) blood buccal swab or amniotic fluid | 0273U - HEM GEN HYPRFIBRNLYSIS DLYD BLD SEQ ALYS 8 GEN | 0273U - HEM GEN HYPRFIBRNLYSIS 8 GEN | 01-10-2021 | 12/31/2999 |
| 0274T | 0274T - Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements (with or without ligamentous resection discectomy facetectomy and/or foraminotomy) any method under indirect image guidance (eg fluoroscopic CT) single or multiple levels unilateral or bilateral; cervical or thoracic | 0274T - PERC LAMINO-/LAMINECTOMY IMAGE GUIDE CERV/THORAC | 0274T - PERQ LAMOT/LAM CRV/THRC | '01/01/2017 | 12/31/2999 |
| 0274U | 0274U - Hematology (genetic platelet disorders) genomic sequence analysis of 43 genes blood buccal swab or amniotic fluid | 0274U - HEM GENETIC PLTLT DO GEN SEQ ALYS 43 GENES | 0274U - HEM GEN PLTLT DO 43 GENES | 01-10-2021 | 12/31/2999 |
| 0275T | 0275T - Percutaneous laminotomy/laminectomy (interlaminar approach) for decompression of neural elements (with or without ligamentous resection discectomy facetectomy and/or foraminotomy) any method under indirect image guidance (eg fluoroscopic CT) single or multiple levels unilateral or bilateral; lumbar | 0275T - PERC LAMINO-/LAMINECTOMY INDIR IMAG GUIDE LUMBAR | 0275T - PERQ LAMOT/LAM LUMBAR | '01/01/2017 | 12/31/2999 |
| 0275U | 0275U - Hematology (heparin-induced thrombocytopenia) platelet antibody reactivity by flow cytometry serum | 0275U - HEM HEPARIN INDUCD TRMBCTPNA PLTLT ANTB REAC SRM | 0275U - HEM HEPRN NDUC TRMBCTPNA SRM | 01-10-2021 | 12/31/2999 |
| 0276U | 0276U - Hematology (inherited thrombocytopenia) genomic sequence analysis of 42 genes blood buccal swab or amniotic fluid | 0276U - HEM INH THROMBOCYTOPENIA GEN SEQ ALYS 42 GENES | 0276U - HEM INH THROMBOCYTOPENIA 42 | 01-10-2022 | 12/31/2999 |
| 0277U | 0277U - Hematology (genetic platelet function disorder) genomic sequence analysis of 31 genes blood buccal swab or amniotic fluid | 0277U - HEM GEN PLTL FUNCJ DO GEN SEQ ALYS 31 GENES | 0277U - HEM GEN PLTLT FUNCJ DO 31 | 01-10-2021 | 12/31/2999 |
| 0278T | 0278T - Transcutaneous electrical modulation pain reprocessing (eg scrambler therapy) each treatment session (includes placement of electrodes) | 0278T - TRNSCUT ELECT MODLATION PAIN REPROCES EA TX SESS | 0278T - TEMPR | '01/01/2017 | 12/31/2999 |
| 0278U | 0278U - Hematology (genetic thrombosis) genomic sequence analysis of 12 genes blood buccal swab or amniotic fluid | 0278U - HEM GEN THROMBOSIS GEN SEQ ALYS 12 GENES | 0278U - HEM GEN PLTLT FUNCJ DO 31 | 01-10-2021 | 12/31/2999 |
| 0279U | 0279U - Hematology (von Willebrand disease [VWD]) von Willebrand factor (VWF) and collagen III binding by enzyme-linked immunosorbent assays (ELISA) plasma report of collagen III binding | 0279U - HEM VW DS VW FACTOR & COLLAGEN III BINDING ELISA | 0279U - HEM VW FACTOR&CLGN III BNDG | 01-10-2021 | 12/31/2999 |
| 0280U | 0280U - Hematology (von Willebrand disease [VWD]) von Willebrand factor (VWF) and collagen IV binding by enzyme-linked immunosorbent assays (ELISA) plasma report of collagen IV binding | 0280U - HEM VW DS VW FACTOR & COLLAGEN IV BINDING ELISA | 0280U - HEM VW FACTOR&CLGN IV BNDG | 01-10-2021 | 12/31/2999 |
| 0281U | 0281U - Hematology (von Willebrand disease [VWD]) von Willebrand propeptide enzyme-linked immunosorbent assays (ELISA) plasma diagnostic report of von Willebrand factor (VWF) propeptide antigen level | 0281U - HEM VW DS VW PROPEPTIDE ELISA AG LEVEL | 0281U - HEM VWD PROPEPTIDE AG LVL | 01-10-2021 | 12/31/2999 |
| 0282U | 0282U - Red blood cell antigen typing DNA genotyping of 12 blood group system genes to predict 44 red blood cell antigen phenotypes | 0282U - RBC DNA GNOTYP 12 BLD GRP PREDICT 44 RBC AG PHNT | 0282U - RBC DNA GNTYP 12 BLD GRP GEN | 01-10-2021 | 12/31/2999 |
| 0283U | 0283U - von Willebrand factor (VWF) type 2B platelet-binding evaluation radioimmunoassay plasma | 0283U - VON WILLEBRAND FACTOR TYPE 2B PLASMA | 0283U - VW FACTOR TYPE 2B EVAL PLSM | 01-10-2021 | 12/31/2999 |
| 0284U | 0284U - von Willebrand factor (VWF) type 2N factor VIII and VWF binding evaluation enzyme-linked immunosorbent assays (ELISA) plasma | 0284U - VON WILLEBRAND FACTOR TYPE 2N FACTOR VIII PLASMA | 0284U - VW FACTOR TYPE 2N EVAL PLSM | 01-10-2021 | 12/31/2999 |
| 0285U | 0285U - Oncology response to radiation cell-free DNA quantitative branched chain DNA amplification plasma reported as a radiation toxicity score | 0285U - ONC RSPSE RADJ CELL FR DNA PLASMA RADJ TOX SCORE | 0285U - ONC RSPS RADJ CLL FR DNA TOX | '01/01/2022 | 12/31/2999 |
| 0286U | 0286U - CEP72 (centrosomal protein 72-KDa) NUDT15 (nudix hydrolase 15) and TPMT (thiopurine S-methyltransferase) (eg drug metabolism) gene analysis common variants | 0286U - CEP72 NUDT15&TPMT GENE ANALYSIS COMMON VARIANTS | 0286U - CEP72 NUDT15&TPMT GENE ALYS | '01/01/2022 | 12/31/2999 |
| 0287U | 0287U - Oncology (thyroid) DNA and mRNA next-generation sequencing analysis of 112 genes fine needle aspirate or formalin-fixed paraffin-embedded (FFPE) tissue algorithmic prediction of cancer recurrence reported as a categorical risk result (low intermediate high) | 0287U - ONC THYR DNA&MRNA NEXT-GEN SEQ ALYS 112 GEN ALG | 0287U - ONC THYR DNA&MRNA 112 GENES | '01/01/2022 | 12/31/2999 |
| 0288U | 0288U - Oncology (lung) mRNA quantitative PCR analysis of 11 genes (BAG1 BRCA1 CDC6 CDK2AP1 ERBB3 FUT3 IL11 LCK RND3 SH3BGR WNT3A) and 3 reference genes (ESD TBP YAP1) formalin-fixed paraffin-embedded (FFPE) tumor tissue algorithmic interpretation reported as a recurrence risk score | 0288U - ONC LUNG MRNA QUAN PCR ALYS 11 GEN&3 REF GEN ALG | 0288U - ONC LUNG MRNA QUAN PCR 11&3 | '01/01/2022 | 12/31/2999 |
| 0289U | 0289U - Neurology (Alzheimer disease) mRNA gene expression profiling by RNA sequencing of 24 genes whole blood algorithm reported as predictive risk score | 0289U - NEURO ALZHEIMER MRNA GEN XPRSN PRFL RNA SEQ 24 | 0289U - NEURO ALZHEIMER MRNA 24 GEN | '01/01/2022 | 12/31/2999 |
| 0290U | 0290U - Pain management mRNA gene expression profiling by RNA sequencing of 36 genes whole blood algorithm reported as predictive risk score | 0290U - PAIN MGMT MRNA GEN XPRSN PRFL RNA SEQ 36 GENES | 0290U - PAIN MGMT MRNA GEN XPRSN 36 | '01/01/2022 | 12/31/2999 |
| 0291U | 0291U - Psychiatry (mood disorders) mRNA gene expression profiling by RNA sequencing of 144 genes whole blood algorithm reported as predictive risk score | 0291U - PSYC MOOD DO MRNA GEN XPRSN PRFL RNA SEQ 144 GEN | 0291U - PSYC MOOD DO MRNA 144 GENES | '01/01/2022 | 12/31/2999 |
| 0292U | 0292U - Psychiatry (stress disorders) mRNA gene expression profiling by RNA sequencing of 72 genes whole blood algorithm reported as predictive risk score | 0292U - PSYC STRS DO MRNA GEN XPRSN PRFL RNA SEQ 72 GEN | 0292U - PSYC STRS DO MRNA 72 GENES | '01/01/2022 | 12/31/2999 |
| 0293U | 0293U - Psychiatry (suicidal ideation) mRNA gene expression profiling by RNA sequencing of 54 genes whole blood algorithm reported as predictive risk score | 0293U - PSYC SUICDL IDEA MRNA GEN XPRSN PRFL RNA SEQ 54 | 0293U - PSYC SUICIDAL IDEA MRNA 54 | '01/01/2022 | 12/31/2999 |
| 0294U | 0294U - Longevity and mortality risk mRNA gene expression profiling by RNA sequencing of 18 genes whole blood algorithm reported as predictive risk score | 0294U - LNGVTY&MRTLTY RSK MRNA GEN XPRSN PRFL RNA 18 GEN | 0294U - LNGVTY&MRTLTY RSK MRNA 18GEN | '01/01/2022 | 12/31/2999 |
| 0295U | 0295U - Oncology (breast ductal carcinoma in situ) protein expression profiling by immunohistochemistry of 7 proteins (COX2 FOXA1 HER2 Ki-67 p16 PR SIAH2) with 4 clinicopathologic factors (size age margin status palpability) utilizing formalin-fixed paraffin-embedded (FFPE) tissue algorithm reported as a recurrence risk score | 0295U - ONC BRST DUX CARC PRTN XPRSN PRFL IMHCHEM 7 PRTN | 0295U - ONC BRST DUX CARC 7 PROTEINS | '01/01/2022 | 12/31/2999 |
| 0296U | 0296U - Oncology (oral and/or oropharyngeal cancer) gene expression profiling by RNA sequencing at least 20 molecular features (eg human and/or microbial mRNA) saliva algorithm reported as positive or negative for signature associated with malignancy | 0296U - ONC ORL&/OROP CA GEN XPRSN PRFL RNA 20 MLEC FEAT | 0296U - ONC ORL&/OROP CA 20 MLC FEAT | '01/01/2022 | 12/31/2999 |
| 0297U | 0297U - Oncology (pan tumor) whole genome sequencing of paired malignant and normal DNA specimens fresh or formalin-fixed paraffin-embedded (FFPE) tissue blood or bone marrow comparative sequence analyses and variant identification | 0297U - ONC PAN TUM WHL GEN SEQ PAIRED MAL&NML DNA SPEC | 0297U - ONC PAN TUM WHL GEN SEQ DNA | '01/01/2022 | 12/31/2999 |
| 0298U | 0298U - Oncology (pan tumor) whole transcriptome sequencing of paired malignant and normal RNA specimens fresh or formalin-fixed paraffin-embedded (FFPE) tissue blood or bone marrow comparative sequence analyses and expression level and chimeric transcript identification | 0298U - ONC PAN TUM WHL TRNS SEQ PAIRED MAL&NML RNA SPEC | 0298U - ONC PAN TUM WHL TRNS SEQ RNA | '01/01/2022 | 12/31/2999 |
| 0299U | 0299U - Oncology (pan tumor) whole genome optical genome mapping of paired malignant and normal DNA specimens fresh frozen tissue blood or bone marrow comparative structural variant identification | 0299U - ONC PAN TUM WHL GEN OPT MAPG MAL&NML DNA SPEC | 0299U - ONC PAN TUM WHL GEN OPT MAPG | '01/01/2022 | 12/31/2999 |
| 0300U | 0300U - Oncology (pan tumor) whole genome sequencing and optical genome mapping of paired malignant and normal DNA specimens fresh tissue blood or bone marrow comparative sequence analyses and variant identification | 0300U - ONC PAN TUM WHL GEN SEQ&OPT GEN MAPG MAL&NML DNA | 0300U - ONC PAN TUM WHL GEN SEQ&OPT | '01/01/2022 | 12/31/2999 |
| 0301U | 0301U - Infectious agent detection by nucleic acid (DNA or RNA) Bartonella henselae and Bartonella quintana droplet digital PCR (ddPCR); | 0301U - IADNA BARTONELLA HENSELAE & QUINTANA DDPCR | 0301U - IADNA BARTONELLA DDPCR | '01/01/2022 | 12/31/2999 |
| 0302U | 0302U - Infectious agent detection by nucleic acid (DNA or RNA) Bartonella henselae and Bartonella quintana droplet digital PCR (ddPCR); following liquid enrichment | 0302U - IADNA BRTNLA HNSLAE&QUINTN DDPCR FLWG LIQ NRCHMT | 0302U - IADNA BRTNLA DDPCR FLWG LIQ | '01/01/2022 | 12/31/2999 |
| 0303U | 0303U - Hematology red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules functional assessment whole blood with algorithmic analysis and result reported as an RBC adhesion index; hypoxic | 0303U - HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC HYPOXIC | 0303U - HEM RBC ADS WHL BLD HYPOXIC | '01/01/2022 | 12/31/2999 |
| 0304U | 0304U - Hematology red blood cell (RBC) adhesion to endothelial/subendothelial adhesion molecules functional assessment whole blood with algorithmic analysis and result reported as an RBC adhesion index; normoxic | 0304U - HEM RBC ADS NDOTHL/SUBNDOTHL ADS MOLEC NORMOXIC | 0304U - HEM RBC ADS WHL BLD NORMOXIC | '01/01/2022 | 12/31/2999 |
| 0305U | 0305U - Hematology red blood cell (RBC) functionality and deformity as a function of shear stress whole blood reported as a maximum elongation index | 0305U - HEM RBC FNCLTY&DFRM FUNCJ SHEAR STRS WHL BLOOD | 0305U - HEM RBC FNCLTY&DFRM SHR STRS | '01/01/2022 | 12/31/2999 |
| 0306U | 0306U - Oncology (minimal residual disease [MRD]) next-generation targeted sequencing analysis cell-free DNA initial (baseline) assessment to determine a patient specific panel for future comparisons to evaluate for MRD | 0306U - ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA 1ST | 0306U - ONC MRD NXT-GNRJ ALYS 1ST | '04/01/2022 | 12/31/2999 |
| 0307U | 0307U - Oncology (minimal residual disease [MRD]) next-generation targeted sequencing analysis of a patient-specific panel cell-free DNA subsequent assessment with comparison to previously analyzed patient specimens to evaluate for MRD | 0307U - ONC MRD NEXT-GNRJ TRGT SEQ ALYS CLL-FR DNA SBSQ | 0307U - ONC MRD NXT-GNRJ ALYS SBSQ | '04/01/2022 | 12/31/2999 |
| 0308T | 0308T - Insertion of ocular telescope prosthesis including removal of crystalline lens or intraocular lens prosthesis | 0308T - INSJ OC TLSCP PROSTH RMVL CRYSTALLINE/IO LENS | 0308T - INSJ OCULAR TELESCOPE PROSTH | '01/01/2017 | 12/31/2999 |
| 0308U | 0308U - Cardiology (coronary artery disease [CAD]) analysis of 3 proteins (high sensitivity [hs] troponin adiponectin and kidney injury molecule-1 [KIM-1]) plasma algorithm reported as a risk score for obstructive CAD | 0308U - CRD CAD ALYS 3 PRTN PLSM ALG RSK OBSTRUCTIVE CAD | 0308U - CRD CAD ALYS 3 PRTN PLSM ALG | '04/01/2022 | 12/31/2999 |
| 0309U | 0309U - Cardiology (cardiovascular disease) analysis of 4 proteins (NT-proBNP osteopontin tissue inhibitor of metalloproteinase-1 [TIMP-1] and kidney injury molecule-1 [KIM-1]) plasma algorithm reported as a risk score for major adverse cardiac event | 0309U - CRD CV DS ALYS 4 PRTN PLSM ALG RSK MAJ CAR EVENT | 0309U - CRD CV DS ALY 4 PRTN PLM ALG | '04/01/2022 | 12/31/2999 |
| 0310U | 0310U - Pediatrics (vasculitis Kawasaki disease [KD]) analysis of 3 biomarkers (NTproBNP C-reactive protein and T-uptake) plasma algorithm reported as a risk score for KD | 0310U - PED VSCLTS KD ALYS 3 BMRK PLSM ALG RSK SCORE KD | 0310U - PED VSCLTS KD ALYS 3 BMRKS | '04/01/2022 | 12/31/2999 |
| 0311U | 0311U - Infectious disease (bacterial) quantitative antimicrobial susceptibility reported as phenotypic minimum inhibitory concentration (MIC)–based antimicrobial susceptibility for each organisms identified | 0311U - NFCT DS BCT QUAN ANTMCRB SC MIC EA ORG ID | 0311U - NFCT DS BCT QUAN ANTMCRB SC | '04/01/2022 | 12/31/2999 |
| 0312U | 0312U - Autoimmune diseases (eg systemic lupus erythematosus [SLE]) analysis of 8 IgG autoantibodies and 2 cell-bound complement activation products using enzyme-linked immunosorbent immunoassay (ELISA) flow cytometry and indirect immunofluorescence serum or plasma and whole blood individual components reported along with an algorithmic SLE-likelihood assessment | 0312U - AI DS SLE ALYS 8 IGG AUTOANTand2 CLL BOUND PRDCTS | 0312U - AI DS SLE ALYS 8 IGG AUTOANT | '04/01/2022 | 12/31/2999 |
| 0313U | 0313U - Oncology (pancreas) DNA and mRNA next-generation sequencing analysis of 74 genes and analysis of CEA (CEACAM5) gene expression pancreatic cyst fluid algorithm reported as a categorical result (ie negative low probability of neoplasia or positive high probability of neoplasia) | 0313U - ONC PNCRS DNAandMRNA NXT-GNRJ SEQ ALYS 74 GENandCEA | 0313U - ONC PNCRS DNAandMRNA SEQ 74 | '04/01/2022 | 12/31/2999 |
| 0314U | 0314U - Oncology (cutaneous melanoma) mRNA gene expression profiling by RT-PCR of 35 genes (32 content and 3 housekeeping) utilizing formalin-fixed paraffin-embedded (FFPE) tissue algorithm reported as a categorical result (ie benign intermediate malignant) | 0314U - ONC CUTAN MLNMA MRNA GEN XPRSN PRFL 35 GENES ALG | 0314U - ONC CUTAN MLNMA MRNA 35 GENE | '04/01/2022 | 12/31/2999 |
| 0315U | 0315U - Oncology (cutaneous squamous cell carcinoma) mRNA gene expression profiling by RT-PCR of 40 genes (34 content and 6 housekeeping) utilizing formalin-fixed paraffin-embedded (FFPE) tissue algorithm reported as a categorical risk result (ie Class 1 Class 2A Class 2B) | 0315U - ONC CUTAN SQ CLL CARC MRNA GEN XPRSN PRFL 40 ALG | 0315U - ONC CUTAN SQ CLL CA MRNA 40 | '04/01/2022 | 12/31/2999 |
| 0316U | 0316U - Borrelia burgdorferi (Lyme disease) OspA protein evaluation urine | 0316U - BORRELIA BURGDORFERI LYME DS OSPA PRTN EVAL UR | 0316U - B BRGDRFERI LYME DS OSPA EVL | '04/01/2022 | 12/31/2999 |
| 0317U | 0317U - Oncology (lung cancer) four-probe FISH (3q29 3p22.1 10q22.3 10cen) assay whole blood predictive algorithmgenerated evaluation reported as decreased or increased risk for lung cancer | 0317U - ONC LUNG CA 4-PRB FISH ASY WHL BLD PREDICTIV ALG | 0317U - ONC LUNG CA 4-PRB FISH ASSAY | '04/01/2022 | 12/31/2999 |
| 0318U | 0318U - Pediatrics (congenital epigenetic disorders) whole genome methylation analysis by microarray for 50 or more genes blood | 0318U - PED WHL GENOME MTHYLTN ALYS MICRORA 50+GENES BLD | 0318U - PED WHL GEN MTHYLTN ALYS 50+ | '04/01/2022 | 12/31/2999 |
| 0319U | 0319U - Nephrology (renal transplant) RNA expression by select transcriptome sequencing using pretransplant peripheral blood algorithm reported as a risk score for early acute rejection | 0319U - NEPH RNL TRNSPL RNA PRETRNSPL PERPH BLD ALG | 0319U - NEPH RNA PRETRNSPL PERPH BLD | '04/01/2022 | 12/31/2999 |
| 0320U | 0320U - Nephrology (renal transplant) RNA expression by select transcriptome sequencing using posttransplant peripheral blood algorithm reported as a risk score for acute cellular rejection | 0320U - NEPH RNL TRNSPL RNA POSTTRNSPL PERPH BLD ALG | 0320U - NEPH RNA PSTTRNSPL PERPH BLD | '04/01/2022 | 12/31/2999 |
| 0321U | 0321U - Infectious agent detection by nucleic acid (DNA or RNA) genitourinary pathogens identification of 20 bacterial and fungal organisms and identification of 16 associated antibiotic-resistance genes multiplex amplified probe technique | 0321U - IADNA GU PTHGN 20BCTandFNGL ORGandID 16 ABX RSIST GN | 0321U - IADNA GU PTHGN 20BCTandFNG ORG | '04/01/2022 | 12/31/2999 |
| 0322U | 0322U - Neurology (autism spectrum disorder [ASD]) quantitative measurements of 14 acyl carnitines and microbiome-derived metabolites liquid chromatography with tandem mass spectrometry (LC-MS/MS) plasma results reported as negative or positive for risk of metabolic subtypes associated with ASD | 0322U - NEURO ASD QUAN MEAS 14 ACYL CARNITINES and METABLT | 0322U - NEURO ASD MEAS 14 ACYL CARN | '04/01/2022 | 12/31/2999 |
| 0323U | 0323U - Infectious agent detection by nucleic acid (DNA and RNA) central nervous system pathogen metagenomic next-generation sequencing cerebrospinal fluid (CSF) identification of pathogenic bacteria viruses parasites or fungi | 0323U - IADNA CNS PATHOGEN NEXT-GENERATION SEQUENCING | 0323U - IADNA CNS PTHGN NEXT GEN SEQ | '07/01/2022 | 12/31/2999 |
| 0324U | 0324U - Oncology (ovarian) spheroid cell culture 4-drug panel (carboplatin doxorubicin gemcitabine paclitaxel) tumor chemotherapy response prediction for each drug | 0324U - ONC OVAR SPHRD CLL CUL 4 RX PNL TUM CHEMO RSPSE | 0324U - ONC OVAR SPHRD CELL 4 RX PNL | '07/01/2022 | '03/31/2023 |
| 0325U | 0325U - Oncology (ovarian) spheroid cell culture poly (ADP-ribose) polymerase (PARP) inhibitors (niraparib olaparib rucaparib velparib) tumor response prediction for each drug | 0325U - ONC OVAR SPHRD CLL CUL PARP INHIBITOR TUM RSPSE | 0325U - ONC OVAR SPHRD CELL PARP | '07/01/2022 | '03/31/2023 |
| 0326U | 0326U - Targeted genomic sequence analysis panel solid organ neoplasm cell-free circulating DNA analysis of 83 or more genes interrogation for sequence variants gene copy number amplifications gene rearrangements microsatellite instability and tumor mutational burden | 0326U - TRGT GEN SEQ ALYS SLD ORGN NEO CLL-FR DNA 83+ | 0326U - TRGT GEN SEQ ALYS PNL 83+ | '07/01/2022 | 12/31/2999 |
| 0327U | 0327U - Fetal aneuploidy (trisomy 13 18 and 21) DNA sequence analysis of selected regions using maternal plasma algorithm reported as a risk score for each trisomy includes sex reporting if performed | 0327U - FTL ANEUPLOIDY TRSMY DNA SEQ ALYS MAT PLSM RSK | 0327U - FTL ANEUPLOIDY TRSMY DNA SEQ | '07/01/2022 | 12/31/2999 |
| 0328U | 0328U - Drug assay definitive 120 or more drugs and metabolites urine quantitative liquid chromatography with tandem mass spectrometry (LC-MS/MS) includes specimen validity and algorithmic analysis describing drug or metabolite and presence or absence of risks for a significant patient-adverse event per date of service | 0328U - DRUG ASSAY DEF 120+ RXandMETABOLITES UR W/LC-MS/MS | 0328U - DRUG ASSAY 120+ RXandMETABLT | '07/01/2022 | 12/31/2999 |
| 0329T | 0329T - Monitoring of intraocular pressure for 24 hours or longer unilateral or bilateral with interpretation and report | 0329T - MNTR INTRAOCULAR PRESS 24HRS/> UNI/BI W/INTERP | 0329T - MNTR IO PRESS 24HRS/> UNI/BI | '01/01/2017 | 12/31/2999 |
| 0329U | 0329U - Oncology (neoplasia) exome and transcriptome sequence analysis for sequence variants gene copy number amplifications and deletions gene rearrangements microsatellite instability and tumor mutational burden utilizing DNA and RNA from tumor with DNA from normal blood or saliva for subtraction report of clinically significant mutation(s) with therapy associations | 0329U - ONC NEOPLASIA XOMEandTRNS SEQ ALYS DNAandRNA TUMOR | 0329U - ONC NEO XOMEandTRNS SEQ ALYS | '07/01/2022 | 12/31/2999 |
| 0330T | 0330T - Tear film imaging unilateral or bilateral with interpretation and report | 0330T - TEAR FILM IMAGING UNILATERAL OR BILATERAL W/I&R | 0330T - TEAR FILM IMG UNI/BI W/I&R | '01/01/2017 | 12/31/2999 |
| 0330U | 0330U - Infectious agent detection by nucleic acid (DNA or RNA) vaginal pathogen panel identification of 27 organisms amplified probe technique vaginal swab | 0330U - IADNA VAG PTHGN PNL 27 ORG AMP PROBE VAG SWAB | 0330U - IADNA VAG PTHGN PANEL 27 ORG | '07/01/2022 | 12/31/2999 |
| 0331T | 0331T - Myocardial sympathetic innervation imaging planar qualitative and quantitative assessment; | 0331T - MYOCRD SYMPATHETIC INNERVAJ IMG PLNR QUAL&QUANT | 0331T - HEART SYMP IMAGE PLNR | '01/01/2017 | 12/31/2999 |
| 0331U | 0331U - Oncology (hematolymphoid neoplasia) optical genome mapping for copy number alterations and gene rearrangements utilizing DNA from blood or bone marrow report of clinically significant alternations | 0331U - ONC HL NEO OPT GEN MAPPING W/DNA BLD/BONE MARROW | 0331U - ONC HL NEO OPT GEN MAPPING | '07/01/2022 | 12/31/2999 |
| 0332T | 0332T - Myocardial sympathetic innervation imaging planar qualitative and quantitative assessment; with tomographic SPECT | 0332T - MYOCRD SYMP INNERVAJ IMG PLNR QUAL&QUANT W/SPECT | 0332T - HEART SYMP IMAGE PLNR SPECT | '01/01/2017 | 12/31/2999 |
| 0332U | 0332U - Oncology (pan-tumor) genetic profiling of 8 DNA-regulatory (epigenetic) markers by quantitative polymerase chain reaction (qPCR) whole blood reported as a high or low probability of responding to immune checkpoint–inhibitor therapy | 0332U - ONC PAN TUM GENETIC PRFLG 8 DNA QUAN PCR WHL BLD | 0332U - ONC PAN TUM GEN PRFLG 8 DNA | 01-10-2022 | 12/31/2999 |
| 0333T | 0333T - Visual evoked potential screening of visual acuity automated with report | 0333T - VISUAL EVOKED POTENTIAL ACUITY SCREENING AUTO | 0333T - VISUAL EP SCR ACUITY AUTO | '01/01/2019 | 12/31/2999 |
| 0333U | 0333U - Oncology (liver) surveillance for hepatocellular carcinoma (HCC) in highrisk patients analysis of methylation patterns on circulating cell-free DNA (cfDNA) plus measurement of serum of AFP/AFP-L3 and oncoprotein des-gammacarboxy-prothrombin (DCP) algorithm reported as normal or abnormal result | 0333U - ONC LVR SRVLNC HCC ALYS METHYLTN PATTERNS CFDNA | 0333U - ONC LVR SURVEILANC HCC CFDNA | 01-10-2022 | 12/31/2999 |
| 0334U | 0334U - Oncology (solid organ) targeted genomic sequence analysis formalin-fixed paraffinembedded (FFPE) tumor tissue DNA analysis 84 or more genes interrogation for sequence variants gene copy number amplifications gene rearrangements microsatellite instability and tumor mutational burden | 0334U - ONC SLD ORGN TGSA FFPE TUM TISS DNA 84/+ GEN | 0334U - ONC SLD ORGN TGSA DNA 84/+ | 01-10-2022 | 12/31/2999 |
| 0335T | 0335T - Insertion of sinus tarsi implant | 0335T - INSERTION OF SINUS TARSI IMPLANT | 0335T - INSJ SINUS TARSI IMPLANT | '01/01/2019 | 12/31/2999 |
| 0335U | 0335U - Rare diseases (constitutional/heritable disorders) whole genome sequence analysis including small sequence changes copy number variants deletions duplications mobile element insertions uniparental disomy (UPD) inversions aneuploidy mitochondrial genome sequence analysis with heteroplasmy and large deletions short tandem repeat (STR) gene expansions fetal sample identification and categorization of genetic variants | 0335U - RARE DISEASES WHOLE GENOME SEQ ALYS FETAL SAMPLE | 0335U - RARE DS WHL GEN SEQ FETAL | 01-10-2022 | 12/31/2999 |
| 0336U | 0336U - Rare diseases (constitutional/heritable disorders) whole genome sequence analysis including small sequence changes copy number variants deletions duplications mobile element insertions uniparental disomy (UPD) inversions aneuploidy mitochondrial genome sequence analysis with heteroplasmy and large deletions short tandem repeat (STR) gene expansions blood or saliva identification and categorization of genetic variants each comparator genome (eg parent) | 0336U - RARE DISEASES WHOLE GENOME SEQ ALYS BLOOD/SALIVA | 0336U - RARE DS WHL GEN SEQ BLD/SLV | 01-10-2022 | 12/31/2999 |
| 0337U | 0337U - Oncology (plasma cell disorders and myeloma) circulating plasma cell immunologic selection identification morphological characterization and enumeration of plasma cells based on differential CD138 CD38 CD19 and CD45 protein biomarker expression peripheral blood | 0337U - ONC PLSM CLL DOandMYLOMA CRCG PLSM CLL IMMLG SLCTN | 0337U - ONC PLSM CELL DOandMYELOMA ID | 01-10-2022 | 12/31/2999 |
| 0338T | 0338T - Transcatheter renal sympathetic denervation percutaneous approach including arterial puncture selective catheter placement(s) renal artery(ies) fluoroscopy contrast injection(s) intraprocedural roadmapping and radiological supervision and interpretation including pressure gradient measurements flush aortogram and diagnostic renal angiography when performed; unilateral | 0338T - TRANSCATHETER RENAL SYMPATH DENERVATION UNILAT | 0338T - TRNSCTH RENAL SYMP DENRV UNL | '01/01/2017 | 12/31/2999 |
| 0338U | 0338U - Oncology (solid tumor) circulating tumor cell selection identification morphological characterization detection and enumeration based on differential EpCAM cytokeratins 8 18 and 19 and CD45 protein biomarkers and quantification of HER2 protein biomarker–expressing cells peripheral blood | 0338U - ONC SLD TUM CRCG TUMOR CELL SELECTION | 0338U - ONC SLD TUM CRCG TUM CL SLCT | 01-10-2022 | 12/31/2999 |
| 0339T | 0339T - Transcatheter renal sympathetic denervation percutaneous approach including arterial puncture selective catheter placement(s) renal artery(ies) fluoroscopy contrast injection(s) intraprocedural roadmapping and radiological supervision and interpretation including pressure gradient measurements flush aortogram and diagnostic renal angiography when performed; bilateral | 0339T - TRANSCATHETER RENAL SYMPATH DENERVATION BILAT | 0339T - TRNSCTH RENAL SYMP DENRV BIL | '01/01/2017 | 12/31/2999 |
| 0339U | 0339U - Oncology (prostate) mRNA expression profiling of HOXC6 and DLX1 reverse transcription polymerase chain reaction (RT-PCR) first-void urine following digital rectal examination algorithm reported as probability of high-grade cancer | 0339U - ONC PROSTATE MRNA XPRSN PRFLG HOXC6 andDLX1 RT-PCR | 0339U - ONC PRST8 MRNA HOXC6 and DLX1 | 01-10-2022 | 12/31/2999 |
| 0340U | 0340U - Oncology (pan-cancer) analysis of minimal residual disease (MRD) from plasma with assays personalized to each patient based on prior next-generation sequencing of the patient’s tumor and germline DNA reported as absence or presence of MRD with disease-burden correlation if appropriate | 0340U - ONC PAN CANCER ANALYSIS MRD FROM PLASMA | 0340U - ONC PAN CA ALYS MRD PLASMA | 01-10-2022 | 12/31/2999 |
| 0341U | 0341U - Fetal aneuploidy DNA sequencing comparative analysis fetal DNA from products of conception reported as normal (euploidy) monosomy trisomy or partial deletion/duplication mosaicism and segmental aneuploid | 0341U - FETAL ANEUPLOIDY DNA SEQUENCING COMPARATIVE ALYS | 0341U - FTL ANEUP DNA SEQ CMPR ALYS | 01-10-2022 | 12/31/2999 |
| 0342T | 0342T - Therapeutic apheresis with selective HDL delipidation and plasma reinfusion | 0342T - THERAPEUTIC APHERESIS W/SELECTIVE HDL DELIP | 0342T - THXP APHERESIS W/HDL DELIP | '01/01/2017 | 12/31/2999 |
| 0342U | 0342U - Oncology (pancreatic cancer) multiplex immunoassay of C5 C4 cystatin C factor B osteoprotegerin (OPG) gelsolin IGFBP3 CA125 and multiplex electrochemiluminescent immunoassay (ECLIA) for CA19-9 serum diagnostic algorithm reported qualitatively as positive negative or borderline | 0342U - ONC PNCRTC CA MULT IA ECLIA SRM ALG | 0342U - ONC PNCRTC CA MULT IA ECLIA | 01-10-2022 | 12/31/2999 |
| 0343U | 0343U - Oncology (prostate) exosome-based analysis of 442 small noncoding RNAs (sncRNAs) by quantitative reverse transcription polymerase chain reaction (RT-qPCR) urine reported as molecular evidence of no- low- intermediate- or high-risk of prostate cancer | 0343U - ONC PRST8 XOME BASED ALYS 442 SNCRNA RTQPCR UR | 0343U - ONC PRST8 XOM ALY 442 SNCRNA | 01-10-2022 | 12/31/2999 |
| 0344U | 0344U - Hepatology (nonalcoholic fatty liver disease [NAFLD]) semiquantitative evaluation of 28 lipid markers by liquid chromatography with tandem mass spectrometry (LC-MS/MS) serum reported as at-risk for nonalcoholic steatohepatitis (NASH) or not NASH | 0344U - HEP NAFLD SEMIQ EVAL 28 LIPID MRK SRM NASH/XNASH | 0344U - HEP NAFLD SEMIQ EVL 28 LIPID | 01-10-2022 | 12/31/2999 |
| 0345T | 0345T - Transcatheter mitral valve repair percutaneous approach via the coronary sinus | 0345T - TRANSCATH MITRAL VALVE REPAIR VIA CORONARY SINUS | 0345T - TRANSCATH MTRAL VLVE REPAIR | '01/01/2017 | 12/31/2999 |
| 0345U | 0345U - Psychiatry (eg depression anxiety attention deficit hyperactivity disorder [ADHD]) genomic analysis panel variant analysis of 15 genes including deletion/duplication analysis of CYP2D6 | 0345U - PSYC GENOMIC ALYS PANEL VARIANT ALYS 15 GENES | 0345U - PSYC GENOM ALYS PNL 15 GEN | 01-10-2022 | 12/31/2999 |
| 0346U | 0346U - Beta amyloid A?40 and A?42 by liquid chromatography with tandem mass spectrometry (LC-MS/MS) ratio plasma | 0346U - BETA AMYLOID A?40andA?42 LC-MS/MS RATIO PLASMA | 0346U - BETA AMYL A?40andA?42 LC-MS/MS | 01-10-2022 | 12/31/2999 |
| 0347T | 0347T - Placement of interstitial device(s) in bone for radiostereometric analysis (RSA) | 0347T - PLACE INTERSTITIAL DEVICE(S) IN BONE FOR RSA | 0347T - INS BONE DEVICE FOR RSA | '01/01/2017 | 12/31/2999 |
| 0347U | 0347U - Drug metabolism or processing (multiple conditions) whole blood or buccal specimen DNA analysis 16 gene report with variant analysis and reported phenotypes | 0347U - RX METAB/PCX DNA 16 GENE VRNT ALYSandREPRTD PHNT | 0347U - RX METAB/PCX DNA 16 GEN ALYS | 01-10-2022 | 12/31/2999 |
| 0348T | 0348T - Radiologic examination radiostereometric analysis (RSA); spine (includes cervical thoracic and lumbosacral when performed) | 0348T - RADIOSTEREOMETRIC ANALYSIS SPINE EXAM | 0348T - RSA SPINE EXAM | '01/01/2017 | 12/31/2999 |
| 0348U | 0348U - Drug metabolism or processing (multiple conditions) whole blood or buccal specimen DNA analysis 25 gene report with variant analysis and reported phenotypes | 0348U - RX METAB/PCX DNA 25 GENE VRNT ALYSandREPRTD PHNT | 0348U - RX METAB/PCX DNA 25 GEN ALYS | 01-10-2022 | 12/31/2999 |
| 0349T | 0349T - Radiologic examination radiostereometric analysis (RSA); upper extremity(ies) (includes shoulder elbow and wrist when performed) | 0349T - RADIOSTEREOMETRIC ANALYSIS UPPER EXTREMITY EXAM | 0349T - RSA UPPER EXTR EXAM | '01/01/2017 | 12/31/2999 |
| 0349U | 0349U - Drug metabolism or processing (multiple conditions) whole blood or buccal specimen DNA analysis 27 gene report with variant analysis including reported phenotypes and impacted gene-drug interactions | 0349U - RX METAB/PCX DNA 27 GEN VRNT ALYSandPHNT GEN-RX IA | 0349U - RX METAB/PCX DNA 27GEN RX IA | 01-10-2022 | 12/31/2999 |
| 0350T | 0350T - Radiologic examination radiostereometric analysis (RSA); lower extremity(ies) (includes hip proximal femur knee and ankle when performed) | 0350T - RADIOSTEREOMETRIC ANALYSIS LOWER EXTREMITY EXAM | 0350T - RSA LOWER EXTR EXAM | '01/01/2017 | 12/31/2999 |
| 0350U | 0350U - Drug metabolism or processing (multiple conditions) whole blood or buccal specimen DNA analysis 27 gene report with variant analysis and reported phenotypes | 0350U - RX METAB/PCX DNA 27 GENE VRNT ALYSandREPRTD PHNT | 0350U - RX METAB/PCX DNA 27 GEN ALYS | 01-10-2022 | 12/31/2999 |
| 0351T | 0351T - Optical coherence tomography of breast or axillary lymph node excised tissue each specimen; real-time intraoperative | 0351T - INTRAOP OCT BREAST OR AXILL NODE EACH SPECIMEN | 0351T - INTRAOP OCT BRST/NODE SPEC | '01/01/2017 | 12/31/2999 |
| 0351U | 0351U - Infectious disease (bacterial or viral) biochemical assays tumor necrosis factorrelated apoptosis-inducing ligand (TRAIL) interferon gamma-induced protein-10 (IP10) and C-reactive protein serum algorithm reported as likelihood of bacterial infection | 0351U - NFCT DS BCT/VIRAL TRAIL IP-10 C-REACT PRTN SRM | 0351U - NFCT DS BCT/VIRAL TRAIL IP10 | 01-10-2022 | 12/31/2999 |
| 0352T | 0352T - Optical coherence tomography of breast or axillary lymph node excised tissue each specimen; interpretation and report real-time or referred | 0352T - OCT BREAST OR AXILL NODE SPECIMEN I&R | 0352T - OCT BRST/NODE I&R PER SPEC | '01/01/2017 | 12/31/2999 |
| 0352U | 0352U - Infectious disease (bacterial vaginosis and vaginitis) multiplex amplified probe technique for detection of bacterial vaginosis–associated bacteria (BVAB-2 Atopobium vaginae and Megasphera type 1) algorithm reported as detected or not detected and separate detection of Candida species (C. albicans C. tropicalis C. parapsilosis C. dubliniensis) Candida glabrata/Candida krusei and trichomonas vaginalis vaginal-fluid specimen each result reported as detected or not detected | 0352U - NFCT DS BCT VAGINOSISandVAGINITIS MULT AMP PROBE | 0352U - NFCT DS BVandVAGINITIS AMP PRB | 01-10-2022 | 12/31/2999 |
| 0353T | 0353T - Optical coherence tomography of breast surgical cavity; real-time intraoperative | 0353T - OCT OF BREAST SURG CAVITY REAL TIME INTRAOP | 0353T - INTRAOP OCT BREAST CAVITY | '01/01/2017 | 12/31/2999 |
| 0353U | 0353U - Infectious agent detection by nucleic acid (DNA) Chlamydia trachomatis and Neisseria gonorrhoeae multiplex amplified probe technique urine vaginal pharyngeal or rectal each pathogen reported as detected or not detected | 0353U - IADNA CHLMYD TRCHMTSandNEISSRA GONORR MULT AMP PRB | 0353U - IADNA CHLMYDandGONORR AMP PRB | 01-10-2022 | 12/31/2999 |
| 0354T | 0354T - Optical coherence tomography of breast surgical cavity; interpretation and report real-time or referred | 0354T - OCT BREAST SURG CAVITY REAL TIME/REFERRED I&R | 0354T - OCT BREAST SURG CAVITY I&R | '01/01/2017 | 12/31/2999 |
| 0354U | 0354U - Human papilloma virus (HPV) high-risk types (ie 16 18 31 33 45 52 and 58) qualitative mRNA expression of E6/E7 by quantitative polymerase chain reaction (qPCR) | 0354U - HPV HIGH RISK QUALITATIVE MRNA XPRSN E6/E7 QPCR | 0354U - HPV HI RSK QUAL MRNA E6/E7 | 01-10-2022 | 12/31/2999 |
| 0355U | 0355U - APOL1 (apolipoprotein L1) (eg chronic kidney disease) risk variants (G1 G2) | 0355U - APOL1 RISK VARIANTS | 0355U - APOL1 RISK VARIANTS | '01/01/2023 | 12/31/2999 |
| 0356U | 0356U - Oncology (oropharyngeal) evaluation of 17 DNA biomarkers using droplet digital PCR (ddPCR) cell-free DNA algorithm reported as a prognostic risk score for cancer recurrence | 0356U - ONC OROPHARYNGEAL 17 BMRK CLL FREE DNA DDPCR ALG | 0356U - ONC OROP 17 DNA DDPCR ALG | '01/01/2023 | 12/31/2999 |
| 0357U | 0357U - Oncology (melanoma) artificial intelligence (AI)-enabled quantitative mass spectrometry analysis of 142 unique pairs of glycopeptide and product fragments plasma prognostic and predictive algorithm reported as likely unlikely or uncertain benefit from immunotherapy agents | 0357U - ONC MLNMA AI QUAN MASS SPECTROMETRY ALYS 142 | 0357U - ONC MLNMA AI QUAN ALYS 142 | '01/01/2023 | 12/31/2999 |
| 0358T | 0358T - Bioelectrical impedance analysis whole body composition assessment with interpretation and report | 0358T - BIA WHOLE BODY COMPOSITION ASSESSMENT W/I&R | 0358T - BIA WHOLE BODY | '01/01/2017 | 12/31/2999 |
| 0358U | 0358U - Neurology (mild cognitive impairment) analysis of β-amyloid 1-42 and 1-40 chemiluminescence enzyme immunoassay cerebral spinal fluid reported as positive likely positive or negative | 0358U - NEURO MLD COG IMPAIRMNT ALYS β-AMYLOID 1-42&1-40 | 0358U - NEURO ALYS β-AMYL 1-42&1-40 | '01/01/2023 | 12/31/2999 |
| 0359U | 0359U - Oncology (prostate cancer) analysis of all prostate-specific antigen (PSA) structural isoforms by phase separation and immunoassay plasma algorithm reports risk of cancer | 0359U - ONC PRST8 CA ALYS ALL PSA STRUCTURAL ISOFORMS | 0359U - ONC PRST8 CA ALYS ALL PSA | '01/01/2023 | 12/31/2999 |
| 0360U | 0360U - Oncology (lung) enzyme-linked immunosorbent assay (ELISA) of 7 autoantibodies (p53 NY-ESO-1 CAGE GBU4-5 SOX2 MAGE A4 and HuD) plasma algorithm reported as a categorical result for risk of malignancy | 0360U - ONCOLOGY LUNG ELISA 7 AUTOANTIBODIES PLASMA ALG | 0360U - ONC LUNG ELISA 7 AUTOANT ALG | '01/01/2023 | 12/31/2999 |
| 0361U | 0361U - Neurofilament light chain digital immunoassay plasma quantitative | 0361U - NEUROFILAMENT LIGHT CHAIN DIGITAL IA PLASMA QUAN | 0361U - NEURFLMNT LT CHN DIG IA QUAN | '01/01/2023 | 12/31/2999 |
| 0362T | 0362T - Behavior identification supporting assessment each 15 minutes of technicians' time face-to-face with a patient requiring the following components: administration by the physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior. | 0362T - BEHAVIOR ID SUPPORT ASSMT EA 15 MIN TECH TIME | 0362T - BHV ID SUPRT ASSMT EA 15 MIN | '01/01/2019 | 12/31/2999 |
| 0362U | 0362U - Oncology (papillary thyroid cancer) gene-expression profiling via targeted hybrid capture–enrichment RNA sequencing of 82 content genes and 10 housekeeping genes formalin-fixed paraffin embedded (FFPE) tissue algorithm reported as one of three molecular subtypes | 0362U - ONC PAP THYR CA RNA SEQ 82 CNT&10 HSKP GEN ALG | 0362U - ONC PAP THYR CA RNA 82&10 | '01/01/2023 | 12/31/2999 |
| 0363U | 0363U - Oncology (urothelial) mRNA gene-expression profiling by real-time quantitative PCR of 5 genes (MDK HOXA13 CDC2 [CDK1] IGFBP5 and CXCR2) utilizing urine algorithm incorporates age sex smoking history and macrohematuria frequency reported as a risk score for having urothelial carcinoma | 0363U - ONC URTHL MRNA GEN XPRSN PRFLG RT QUAN PCR 5 GEN | 0363U - ONC URTHL MRNA 5 GEN ALG | '01/01/2023 | 12/31/2999 |
| 0364U | 0364U - Oncology (hematolymphoid neoplasm) genomic sequence analysis using multiplex (PCR) and next-generation sequencing with algorithm quantification of dominant clonal sequence(s) reported as presence or absence of minimal residual disease (MRD) with quantitation of disease burden when appropriate | 0364U - ONC HL NEO GEN SEQ ALYS ALG QUAN DMT CLNL SEQ | 0364U - ONC HL NEO GEN SEQ ALYS ALG | '04/01/2023 | 12/31/2999 |
| 0365U | 0365U - Oncology (bladder) analysis of 10 protein biomarkers (A1AT ANG APOE CA9 IL8 MMP9 MMP10 PAI1 SDC1 and VEGFA) by immunoassays urine algorithm reported as a probability of bladder cancer | 0365U - ONC BLDR ALYS 10 PRTN BMRK ALG PRB BLDR CA | 0365U - ONC BLDR 10 PRB BLDR CA | '04/01/2023 | 12/31/2999 |
| 0366U | 0366U - Oncology (bladder) analysis of 10 protein biomarkers (A1AT ANG APOE CA9 IL8 MMP9 MMP10 PAI1 SDC1 and VEGFA) by immunoassays urine algorithm reported as a probability of recurrent bladder cancer | 0366U - ONC BLDR ALYS 10 PRTN BMRK ALG PRB RECR BLDR CA | 0366U - ONC BLDR 10 PRB RECR BLDR CA | '04/01/2023 | 12/31/2999 |
| 0367U | 0367U - Oncology (bladder) analysis of 10 protein biomarkers (A1AT ANG APOE CA9 IL8 MMP9 MMP10 PAI1 SDC1 and VEGFA) by immunoassays urine diagnostic algorithm reported as a risk score for probability of rapid recurrence of recurrent or persistent cancer following transurethral resection | 0367U - ONC BLDR 10PRTN BMRK ALG PRB CA FLWG TRURL RESCJ | 0367U - ONC BLDR 10 FLWG TRURL RESCJ | '04/01/2023 | 12/31/2999 |
| 0368U | 0368U - Oncology (colorectal cancer) evaluation for mutations of APC BRAF CTNNB1 KRAS NRAS PIK3CA SMAD4 and TP53 and methylation markers (MYO1G KCNQ5 C9ORF50 FLI1 CLIP4 ZNF132 and TWIST1) multiplex quantitative polymerase chain reaction (qPCR) circulating cell-free DNA (cfDNA) plasma report of risk score for advanced adenoma or colorectal cancer | 0368U - ONC CLRCT CA EVAL MUT&MTHYLTN MRK MULT QPCR | 0368U - ONC CLRCT CA MUT&MTHYLTN MRK | '04/01/2023 | 12/31/2999 |
| 0369U | 0369U - Infectious agent detection by nucleic acid (DNA and RNA) gastrointestinal pathogens 31 bacterial viral and parasitic organisms and identification of 21 associated antibiotic-resistance genes multiplex amplified probe technique | 0369U - IADNA GI PTHGN 31ORG& ID 21 ARG MULT AMP PRB TQ | 0369U - IADNA GI PTHGN 31 ORG&21 ARG | '04/01/2023 | 12/31/2999 |
| 0370U | 0370U - Infectious agent detection by nucleic acid (DNA and RNA) surgical wound pathogens 34 microorganisms and identification of 21 associated antibioticresistance genes multiplex amplified probe technique wound swab | 0370U - IADNA SURG WND PTHGN 34 MICROORG&ID 21 ARG | 0370U - IADNA SURG WND PTHGN 34&21 | '04/01/2023 | 12/31/2999 |
| 0371U | 0371U - Infectious agent detection by nucleic acid (DNA or RNA) genitourinary pathogen semiquantitative identification DNA from 16 bacterial organisms and 1 fungal organism multiplex amplified probe technique via quantitative polymerase chain reaction (qPCR) urine | 0371U - IADNA GU PTHGN SEMIQ ID DNA 16 BCT&1FNGL ORG UR | 0371U - IADNA GU PTHGN SEMIQ DNA16&1 | '04/01/2023 | 12/31/2999 |
| 0372U | 0372U - Infectious disease (genitourinary pathogens) antibiotic-resistance gene detection multiplex amplified probe technique urine reported as an antimicrobial stewardship risk score | 0372U - NFCT DS GU PTHGN ARG DETCJ MULT AMP PRB TQ UR | 0372U - NFCT DS GU PTHGN ARG DETCJ | '04/01/2023 | 12/31/2999 |
| 0373T | 0373T - Adaptive behavior treatment with protocol modification each 15 minutes of technicians' time face-to-face with a patient requiring the following components: administration by the physician or other qualified health care professional who is on site; with the assistance of two or more technicians; for a patient who exhibits destructive behavior; completion in an environment that is customized to the patient's behavior. | 0373T - ADAPT BHV TX PRTCL MODIFICAJ EA 15 MIN TECH TIME | 0373T - ADAPT BHV TX EA 15 MIN | '01/01/2019 | 12/31/2999 |
| 0373U | 0373U - Infectious agent detection by nucleic acid (DNA and RNA) respiratory tract infection 17 bacteria 8 fungus 13 virus and 16 antibiotic-resistance genes multiplex amplified probe technique upper or lower respiratory specimen | 0373U - IADNA RESP TRC NFCTJ 17 8 13&16 MULT AMP PRB TQ | 0373U - IADNA RSP TR NFCT 17 8 13&16 | '04/01/2023 | 12/31/2999 |
| 0374U | 0374U - Infectious agent detection by nucleic acid (DNA or RNA) genitourinary pathogens identification of 21 bacterial and fungal organisms and identification of 21 associated antibiotic-resistance genes multiplex amplified probe technique urine | 0374U - ADNA GU PTHGN ID 21 ORG&21 ARG MULT AMP PRB TQ | 0374U - ADNA GU PTHGN 21 ORG&21ARG | '04/01/2023 | 12/31/2999 |
| 0375U | 0375U - Oncology (ovarian) biochemical assays of 7 proteins (follicle stimulating hormone human epididymis protein 4 apolipoprotein A-1 transferrin beta-2 macroglobulin prealbumin [ie transthyretin] and cancer antigen 125) algorithm reported as ovarian cancer risk score | 0375U - ONC OVARIAN BIOCHEM ASSAY 7 PRTNS ALG RSK SCOR | 0375U - ONC OVRN BCHM ASY 7 PRTN ALG | '04/01/2023 | 12/31/2999 |
| 0376U | 0376U - Oncology (prostate cancer) image analysis of at least 128 histologic features and clinical factors prognostic algorithm determining the risk of distant metastases and prostate cancerspecific mortality includes predictive algorithm to androgen deprivationtherapy response if appropriate | 0376U - ONC PRST8 CA IMG ALYS 128 HLOG FEAT&CLIN FCTR | 0376U - ONC PRST8 CA IMG ALYS 128 | '04/01/2023 | 12/31/2999 |
| 0377U | 0377U - Cardiovascular disease quantification of advanced serum or plasma lipoprotein profile by nuclear magnetic resonance (NMR) spectrometry with report of a lipoprotein profile (including 23 variables) | 0377U - CV DS QUAN ADV SRM/PLSM LPOPRTN PRFL NMR SPECT | 0377U - CV DS QUAN ADVSRM/PLSM LPRTN | '04/01/2023 | 12/31/2999 |
| 0378T | 0378T - Visual field assessment with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional | 0378T - VISUAL FIELD ASSESSMENT PHYS REVIEW AND REPORT | 0378T - VISUAL FIELD ASSMNT REV/RPRT | '01/01/2017 | 12/31/2999 |
| 0378U | 0378U - RFC1 (replication factor C subunit 1) repeat expansion variant analysis by traditional and repeat-primed PCR blood saliva or buccal swab | 0378U - RFC1 REPEAT XPNSJ VRNT ALY TRAD&REPEAT PRIME PCR | 0378U - RFC1 REPEAT XPNSJ VRNT ALYS | '04/01/2023 | 12/31/2999 |
| 0379T | 0379T - Visual field assessment with concurrent real time data analysis and accessible data storage with patient initiated data transmitted to a remote surveillance center for up to 30 days; technical support and patient instructions surveillance analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional | 0379T - VISUAL FIELD ASSESSMENT TECH SUPPORT W/INSTRUCT | 0379T - VIS FIELD ASSMNT TECH SUPPT | '01/01/2017 | 12/31/2999 |
| 0379U | 0379U - Targeted genomic sequence analysis panel solid organ neoplasm DNA (523 genes) and RNA (55 genes) by nextgeneration sequencing interrogation for sequence variants gene copy number amplifications gene rearrangements microsatellite instability and tumor mutational burden | 0379U - TGSAP SLD ORG NEO DNA 523&RNA 55 NEXT GNRJ SEQ | 0379U - TGSAP SL OR NEO DNA523&RNA55 | '04/01/2023 | 12/31/2999 |
| 0380U | 0380U - Drug metabolism (adverse drug reactions and drug response) targeted sequence analysis 20 gene variants and CYP2D6 deletion or duplication analysis with reported genotype and phenotype | 0380U - RX METAB ADVRS RX RXN&RSPSE TRGT SEQ ALYS 20 GEN | 0380U - RX METB ADVRS TRGT SQ ALY 20 | '04/01/2023 | 12/31/2999 |
| 0381U | 0381U - Maple syrup urine disease monitoring by patient-collected blood card sample quantitative measurement of alloisoleucine leucine isoleucine and valine liquid chromatography with tandem mass spectrometry (LCMS/MS) | 0381U - MAPLE SYRUP UR DS MNTR BLD CARD SAMP QUAN MEAS | 0381U - MAPLE SYRUP UR DS MNTR QUAN | '04/01/2023 | 12/31/2999 |
| 0382U | 0382U - Hyperphenylalaninemia monitoring by patient-collected blood card sample quantitative measurement of phenylalanine and tyrosine liquid chromatography with tandem mass spectrometry (LC-MS/MS) | 0382U - HYPERPHENYLALANINEMIA MNTR BLD CARD SAMP QUAN | 0382U - HYPRPHENYLALNINMIA MNTR QUAN | '04/01/2023 | 12/31/2999 |
| 0383U | 0383U - Tyrosinemia type I monitoring by patient-collected blood card sample quantitative measurement of tyrosine phenylalanine methionine succinylacetone nitisinone liquid chromatography with tandem mass spectrometry (LC-MS/MS) | 0383U - TYROSINEMIA TYPE 1 MNTR BLD CARD SAMP QUAN MEAS | 0383U - TYROSINEMIA TYP I MNTR QUAN | '04/01/2023 | 12/31/2999 |
| 0384U | 0384U - Nephrology (chronic kidney disease) carboxymethyllysine methylglyoxal hydroimidazolone and carboxyethyl lysine by liquid chromatography with tandem mass spectrometry (LCMS/MS) and HbA1c and estimated glomerular filtration rate (GFR) with risk score reported for predictive progression to high-stage kidney disease | 0384U - NEPH CKD RSK SCOR PREDICTIVE PRGSN HI STG KDN DS | 0384U - NEPH CKD RSK HI STG KDN DS | '04/01/2023 | 12/31/2999 |
| 0385U | 0385U - Nephrology (chronic kidney disease) apolipoprotein A4 (ApoA4) CD5 antigen-like (CD5L) and insulin-like growth factor binding protein 3 (IGFBP3) by enzyme-linked immunoassay (ELISA) plasma algorithm combining results with HDL estimated glomerular filtration rate (GFR) and clinical data reported as a risk score for developing diabetic kidney disease | 0385U - NEPH CKD PLSM ALG RSK SCORE DIABETIC KDN DS | 0385U - NEPH CKD ALG RSK DBTC KDN DS | '04/01/2023 | 12/31/2999 |
| 0386U | 0386U - Gastroenterology (Barrett’s esophagus) P16 RUNX3 HPP1 and FBN1 methylation analysis prognostic and predictive algorithm reported as a risk score for progression to high-grade dysplasia or esophageal cancer | 0386U - GI BARRETT ESOPH MTHYLTN ALYS ALG DYSP/ESPHGL CA | 0386U - GI BARRETT ESOPH MTHYLTN ALY | '04/01/2023 | 12/31/2999 |
| 0394T | 0394T - High dose rate electronic brachytherapy skin surface application per fraction includes basic dosimetry when performed | 0394T - HDR ELECTRONIC BRACHYTHERAPY SKIN SURFACE | 0394T - HDR ELCTRNC SKN SURF BRCHYTX | '01/01/2017 | 12/31/2999 |
| 0395T | 0395T - High dose rate electronic brachytherapy interstitial or intracavitary treatment per fraction includes basic dosimetry when performed | 0395T - HDR ELECTRONIC BRACHYTHERAPY NTRSTL/INTRCAV | 0395T - HDR ELCTR NTRST/NTRCV BRCHTX | '01/01/2017 | 12/31/2999 |
| 0397T | 0397T - Endoscopic retrograde cholangiopancreatography (ERCP) with optical endomicroscopy (List separately in addition to code for primary procedure) | 0397T - ERCP WITH OPTICAL ENDOMICROSCOPY ADD ON | 0397T - ERCP W/OPTICAL ENDOMICROSCPY | '01/01/2017 | 12/31/2999 |
| 0398T | 0398T - Magnetic resonance image guided high intensity focused ultrasound (MRgFUS) stereotactic ablation lesion intracranial for movement disorder including stereotactic navigation and frame placement when performed | 0398T - MRGFUS STEREOTACTIC ABLATION LESION INTRACRANIAL | 0398T - MRGFUS STRTCTC LES ABLTJ | '01/01/2017 | 12/31/2999 |
| 0402T | 0402T - Collagen cross-linking of cornea including removal of the corneal epithelium when performed and intraoperative pachymetry when performed | 0402T - COLLAGEN CROSS-LINKING CORNEA&PACHYMTRY | 0402T - COLGN CRS-LINK CRN&PACHYMTRY | '01/01/2023 | 12/31/2999 |
| 0403T | 0403T - Preventive behavior change intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum provided to individuals in a group setting minimum 60 minutes per day | 0403T - DIABETES PREVENTION PROG STANDARDIZED CURRICULUM | 0403T - DIABETES PREV STANDARD CURR | '01/01/2017 | 12/31/2999 |
| 0404T | 0404T - Transcervical uterine fibroid(s) ablation with ultrasound guidance radiofrequency | 0404T - TRANSCERVICAL UTERINE FIBROID ABLTJ W/US GDN RF | 0404T - TRNSCRV UTERIN FIBROID ABLTJ | '01/01/2017 | 12/31/2999 |
| 0408T | 0408T - Insertion or replacement of permanent cardiac contractility modulation system including contractility evaluation when performed and programming of sensing and therapeutic parameters; pulse generator with transvenous electrodes | 0408T - INSJ/RPLC CAR MODULJ SYS PLS GEN TRANSVNS ELTRD | 0408T - INSJ/RPLC CARDIAC MODULJ SYS | '01/01/2017 | 12/31/2999 |
| 0409T | 0409T - Insertion or replacement of permanent cardiac contractility modulation system including contractility evaluation when performed and programming of sensing and therapeutic parameters; pulse generator only | 0409T - INSJ/RPLC CARDIAC MODULJ SYS PLS GENERATOR ONLY | 0409T - INSJ/RPLC CAR MODULJ PLS GN | '01/01/2017 | 12/31/2999 |
| 0410T | 0410T - Insertion or replacement of permanent cardiac contractility modulation system including contractility evaluation when performed and programming of sensing and therapeutic parameters; atrial electrode only | 0410T - INSJ/RPLC CARDIAC MODULJ SYS ATR ELECTRODE ONLY | 0410T - INSJ/RPLC CAR MODULJ ATR ELT | '01/01/2017 | 12/31/2999 |
| 0411T | 0411T - Insertion or replacement of permanent cardiac contractility modulation system including contractility evaluation when performed and programming of sensing and therapeutic parameters; ventricular electrode only | 0411T - INSJ/RPLC CAR MODULJ SYS VENTR ELECTRODE ONLY | 0411T - INSJ/RPLC CAR MODULJ VNT ELT | '01/01/2017 | 12/31/2999 |
| 0412T | 0412T - Removal of permanent cardiac contractility modulation system; pulse generator only | 0412T - REMOVAL CARDIAC MODULJ SYS PLS GENERATOR ONLY | 0412T - RMVL CARDIAC MODULJ PLS GEN | '01/01/2017 | 12/31/2999 |
| 0413T | 0413T - Removal of permanent cardiac contractility modulation system; transvenous electrode (atrial or ventricular) | 0413T - REMOVAL CARDIAC MODULJ SYS TRANSVENOUS ELECTRODE | 0413T - RMVL CAR MODULJ TRANVNS ELT | '01/01/2017 | 12/31/2999 |
| 0414T | 0414T - Removal and replacement of permanent cardiac contractility modulation system pulse generator only | 0414T - RMVL & RPL CARDIAC MODULJ SYS PLS GENERATOR ONLY | 0414T - RMVL & RPL CAR MODULJ PLS GN | '01/01/2017 | 12/31/2999 |
| 0415T | 0415T - Repositioning of previously implanted cardiac contractility modulation transvenous electrode (atrial or ventricular lead) | 0415T - REPOS CARDIAC MODULJ TRANSVENOUS ELECTRODE | 0415T - REPOS CAR MODULJ TRANVNS ELT | '01/01/2017 | 12/31/2999 |
| 0416T | 0416T - Relocation of skin pocket for implanted cardiac contractility modulation pulse generator | 0416T - RELOC SKIN POCKET CARDIAC MODULJ PULSE GENERATOR | 0416T - RELOC SKIN POCKET PLS GEN | '01/01/2017 | 12/31/2999 |
| 0417T | 0417T - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis including review and report implantable cardiac contractility modulation system | 0417T - PRGRMG DEVICE EVALUATION CARDIAC MODULJ SYSTEM | 0417T - PRGRMG EVAL CARDIAC MODULJ | '01/01/2017 | 12/31/2999 |
| 0418T | 0418T - Interrogation device evaluation (in person) with analysis review and report includes connection recording and disconnection per patient encounter implantable cardiac contractility modulation system | 0418T - INTERRO DEVICE EVALUATION CARDIAC MODULJ SYSTEM | 0418T - INTERRO EVAL CARDIAC MODULJ | '01/01/2017 | 12/31/2999 |
| 0419T | 0419T - Destruction of neurofibroma extensive (cutaneous dermal extending into subcutaneous); face head and neck greater than 50 neurofibromas | 0419T - DSTRJ NEUROFIBROMA XTNSV FACE HEAD NECK >50 | 0419T - DSTRJ NEUROFIBROMA XTNSV | '01/01/2017 | 12/31/2999 |
| 0420T | 0420T - Destruction of neurofibroma extensive (cutaneous dermal extending into subcutaneous); trunk and extremities extensive greater than 100 neurofibromas | 0420T - DSTRJ NEUROFIBROMA XTNSV TRNK EXTREMITIES >100 | 0420T - DSTRJ NEUROFIBROMA XTNSV | '01/01/2017 | 12/31/2999 |
| 0421T | 0421T - Transurethral waterjet ablation of prostate including control of post-operative bleeding including ultrasound guidance complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation and internal urethrotomy are included when performed) | 0421T - TRANSURETHRAL WATERJET ABLATION PROSTATE COMPL | 0421T - WATERJET PROSTATE ABLTJ CMPL | '01/01/2017 | 12/31/2999 |
| 0422T | 0422T - Tactile breast imaging by computer-aided tactile sensors unilateral or bilateral | 0422T - TACTILE BREAST IMG COMPUTER-AIDED SENSORS UNI/BI | 0422T - TACTILE BREAST IMG UNI/BI | '01/01/2018 | 12/31/2999 |
| 0424T | 0424T - Insertion or replacement of neurostimulator system for treatment of central sleep apnea; complete system (transvenous placement of right or left stimulation lead sensing lead implantable pulse generator) | 0424T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA COMPLETE | 0424T - INSJ/RPLC NSTIM APNEA COMPL | '01/01/2017 | 12/31/2999 |
| 0425T | 0425T - Insertion or replacement of neurostimulator system for treatment of central sleep apnea; sensing lead only | 0425T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA SENSING LEAD | 0425T - INSJ/RPLC NSTIM APNEA SEN LD | '01/01/2017 | 12/31/2999 |
| 0426T | 0426T - Insertion or replacement of neurostimulator system for treatment of central sleep apnea; stimulation lead only | 0426T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA STIMJ LEAD | 0426T - INSJ/RPLC NSTIM APNEA STM LD | '01/01/2017 | 12/31/2999 |
| 0427T | 0427T - Insertion or replacement of neurostimulator system for treatment of central sleep apnea; pulse generator only | 0427T - INSJ/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR | 0427T - INSJ/RPLC NSTIM APNEA PLS GN | '01/01/2017 | 12/31/2999 |
| 0428T | 0428T - Removal of neurostimulator system for treatment of central sleep apnea; pulse generator only | 0428T - REMOVAL NSTIM SYSTEM SLEEP APNEA PLS GENERATOR | 0428T - RMVL NSTIM APNEA PLS GEN | '01/01/2017 | 12/31/2999 |
| 0429T | 0429T - Removal of neurostimulator system for treatment of central sleep apnea; sensing lead only | 0429T - REMOVAL NSTIM SYSTEM SLEEP APNEA SENSING LEAD | 0429T - RMVL NSTIM APNEA SEN LD | '01/01/2017 | 12/31/2999 |
| 0430T | 0430T - Removal of neurostimulator system for treatment of central sleep apnea; stimulation lead only | 0430T - REMOVAL NSTIM SYSTEM SLEEP APNEA STIMJ LEAD | 0430T - RMVL NSTIM APNEA STIMJ LD | '01/01/2017 | 12/31/2999 |
| 0431T | 0431T - Removal and replacement of neurostimulator system for treatment of central sleep apnea pulse generator only | 0431T - RMVL/RPLC NSTIM SYSTEM SLEEP APNEA PLS GENERATOR | 0431T - RMVL/RPLC NSTIM APNEA PLS GN | '01/01/2017 | 12/31/2999 |
| 0432T | 0432T - Repositioning of neurostimulator system for treatment of central sleep apnea; stimulation lead only | 0432T - REPOS NSTIM SYSTEM SLEEP APNEA STIMJ LEAD | 0432T - REPOS NSTIM APNEA STIMJ LD | '01/01/2017 | 12/31/2999 |
| 0433T | 0433T - Repositioning of neurostimulator system for treatment of central sleep apnea; sensing lead only | 0433T - REPOS NSTIM SYSTEM SLEEP APNEA SENSING LEAD | 0433T - REPOS NSTIM APNEA SENSING LD | '01/01/2017 | 12/31/2999 |
| 0434T | 0434T - Interrogation device evaluation implanted neurostimulator pulse generator system for central sleep apnea | 0434T - INTERRO DEV EVAL NSTIM PLS GEN SYS SLEEP APNEA | 0434T - INTERRO EVAL NPGS APNEA | '01/01/2017 | 12/31/2999 |
| 0435T | 0435T - Programming device evaluation of implanted neurostimulator pulse generator system for central sleep apnea; single session | 0435T - PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA 1 SESS | 0435T - PRGRMG EVAL NPGS APNEA 1 SES | '01/01/2017 | 12/31/2999 |
| 0436T | 0436T - Programming device evaluation of implanted neurostimulator pulse generator system for central sleep apnea; during sleep study | 0436T - PRGRMG EVAL NSTIM PLS GEN SYS SLEEP APNEA STUDY | 0436T - PRGRMG EVAL NPGS APNEA STUDY | '01/01/2017 | 12/31/2999 |
| 0437T | 0437T - Implantation of non-biologic or synthetic implant (eg polypropylene) for fascial reinforcement of the abdominal wall (List separately in addition to code for primary procedure) | 0437T - IMPLTJ NONBIOL/SYNTH IMPLT FASC RNFCMT ABDL WALL | 0437T - IMPLTJ SYNTH RNFCMT ABDL WAL | '01/01/2017 | 12/31/2999 |
| 0439T | 0439T - Myocardial contrast perfusion echocardiography at rest or with stress for assessment of myocardial ischemia or viability (List separately in addition to code for primary procedure) | 0439T - MYOCARDIAL PERFUSION ECHO ISCHM/VIABILITY ASSMT | 0439T - MYOCRD CONTRAST PRFUJ ECHO | '01/01/2017 | 12/31/2999 |
| 0440T | 0440T - Ablation percutaneous cryoablation includes imaging guidance; upper extremity distal/peripheral nerve | 0440T - ABLTJ PERC CRYOABLTJ IMG GDN UXTR/PERPH NERVE | 0440T - ABLTJ PERC UXTR/PERPH NRV | '01/01/2017 | 12/31/2999 |
| 0441T | 0441T - Ablation percutaneous cryoablation includes imaging guidance; lower extremity distal/peripheral nerve | 0441T - ABLTJ PERC CRYOABLTJ IMG GDN LXTR/PERPH NERVE | 0441T - ABLTJ PERC LXTR/PERPH NRV | '01/01/2017 | 12/31/2999 |
| 0442T | 0442T - Ablation percutaneous cryoablation includes imaging guidance; nerve plexus or other truncal nerve (eg brachial plexus pudendal nerve) | 0442T - ABLTJ PERC CRYOABLTJ IMG GDN NRV PLEX/TRNCL NRV | 0442T - ABLTJ PERC PLEX/TRNCL NRV | '01/01/2017 | 12/31/2999 |
| 0443T | 0443T - Real-time spectral analysis of prostate tissue by fluorescence spectroscopy including imaging guidance (List separately in addition to code for primary procedure) | 0443T - R-T SPCTRL ALYS PRST8 TISS FLUORESCENC SPCTRSCPY | 0443T - R-T SPCTRL ALYS PRST8 TISS | '01/01/2017 | 12/31/2999 |
| 0444T | 0444T - Initial placement of a drug-eluting ocular insert under one or more eyelids including fitting training and insertion unilateral or bilateral | 0444T - INITIAL PLMT DRUG ELUTING OCULAR INSERT UNI/BI | 0444T - 1ST PLMT DRUG ELUT OC INS | '01/01/2017 | 12/31/2999 |
| 0445T | 0445T - Subsequent placement of a drug-eluting ocular insert under one or more eyelids including re-training and removal of existing insert unilateral or bilateral | 0445T - SBSQ PLMT DRUG ELUTING OCULAR INSERT UNI/BI | 0445T - SBSQT PLMT DRUG ELUT OC INS | '01/01/2017 | 12/31/2999 |
| 0446T | 0446T - Creation of subcutaneous pocket with insertion of implantable interstitial glucose sensor including system activation and patient training | 0446T - CRTJ SUBQ INSJ IMPLTBL GLUCOSE SENSOR SYS TRAIN | 0446T - INSJ IMPLTBL GLUCOSE SENSOR | '01/01/2017 | 12/31/2999 |
| 0447T | 0447T - Removal of implantable interstitial glucose sensor from subcutaneous pocket via incision | 0447T - RMVL IMPLTBL GLUCOSE SENSOR SUBQ POCKET VIA INC | 0447T - RMVL IMPLTBL GLUCOSE SENSOR | '01/01/2017 | 12/31/2999 |
| 0448T | 0448T - Removal of implantable interstitial glucose sensor with creation of subcutaneous pocket at different anatomic site and insertion of new implantable sensor including system activation | 0448T - RMVL INSJ IMPLTBL GLUC SENSOR DIF ANATOMIC SITE | 0448T - REMVL INSJ IMPLTBL GLUC SENS | '01/01/2017 | 12/31/2999 |
| 0449T | 0449T - Insertion of aqueous drainage device without extraocular reservoir internal approach into the subconjunctival space; initial device | 0449T - INSJ AQUEOUS DRAIN DEV W/O EO RSVR INITIAL DEV | 0449T - INSJ AQUEOUS DRAIN DEV 1ST | '01/01/2017 | 12/31/2999 |
| 0450T | 0450T - Insertion of aqueous drainage device without extraocular reservoir internal approach into the subconjunctival space; each additional device (List separately in addition to code for primary procedure) | 0450T - INSJ AQUEOUS DRAIN DEV W/O EO RSVR EACH ADDL DEV | 0450T - INSJ AQUEOUS DRAIN DEV EACH | '01/01/2017 | 12/31/2999 |
| 0464T | 0464T - Visual evoked potential testing for glaucoma with interpretation and report | 0464T - VISUAL EP TESTING FOR GLAUCOMA W/INTERPJ & REPRT | 0464T - VISUAL EP TEST FOR GLAUCOMA | '01/01/2018 | 12/31/2999 |
| 0465T | 0465T - Suprachoroidal injection of a pharmacologic agent (does not include supply of medication) | 0465T - SUPCHRDL NJX OF RX AGT W/O SUPPLY OF MEDICATION | 0465T - SUPCHRDL NJX RX W/O SUPPLY | '01/01/2018 | 12/31/2999 |
| 0469T | 0469T - Retinal polarization scan ocular screening with on-site automated results bilateral | 0469T - RTA POLARIZE SCAN OC SCR W/ONSITE AUTO RSLT BI | 0469T - RTA POLARIZE SCAN OC SCR BI | '07/01/2017 | 12/31/2999 |
| 0472T | 0472T - Device evaluation interrogation and initial programming of intraocular retinal electrode array (eg retinal prosthesis) in person with iterative adjustment of the implantable device to test functionality select optimal permanent programmed values with analysis including visual training with review and report by a qualified health care professional | 0472T - DEV INTERR PRGRMG IO RTA ELTRD RA W/ADJ & REPRT | 0472T - PRGRMG IO RTA ELTRD RA | '07/01/2017 | 12/31/2999 |
| 0473T | 0473T - Device evaluation and interrogation of intraocular retinal electrode array (eg retinal prosthesis) in person including reprogramming and visual training when performed with review and report by a qualified health care professional | 0473T - DEV INTERR REPRGRMG IO RTA ELTRD RA W/REPRT | 0473T - REPRGRMG IO RTA ELTRD RA | '01/01/2018 | 12/31/2999 |
| 0474T | 0474T - Insertion of anterior segment aqueous drainage device with creation of intraocular reservoir internal approach into the supraciliary space | 0474T - INSJ ANT SEG AQUEOUS DRG DEV W/IO RSVR | 0474T - INSJ AQUEOUS DRG DEV IO RSVR | '07/01/2017 | 12/31/2999 |
| 0479T | 0479T - Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; first 100 cm2 or part thereof or 1% of body surface area of infants and children | 0479T - FRACTIONAL ABL LSR FENESTRATION FIRST 100 SQCM | 0479T - FXJL ABL LSR 1ST 100 SQ CM | '01/01/2018 | 12/31/2999 |
| 0480T | 0480T - Fractional ablative laser fenestration of burn and traumatic scars for functional improvement; each additional 100 cm2 or each additional 1% of body surface area of infants and children or part thereof (List separately in addition to code for primary procedure) | 0480T - FRACTIONAL ABL LSR FENESTRATION EA ADDL 100 SQCM | 0480T - FXJL ABL LSR EA ADDL 100SQCM | '01/01/2018 | 12/31/2999 |
| 0481T | 0481T - Injection(s) autologous white blood cell concentrate (autologous protein solution) any site including image guidance harvesting and preparation when performed | 0481T - NJX AUTOL WBC CONCENTR INC IMG GDN HRV & PREP | 0481T - NJX AUTOL WBC CONCENTRATE | '01/01/2018 | 12/31/2999 |
| 0483T | 0483T - Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; percutaneous approach including transseptal puncture when performed | 0483T - TMVI W/PROSTHETIC VALVE PERCUTANEOUS APPROACH | 0483T - TMVI PERCUTANEOUS APPROACH | '01/01/2018 | 12/31/2999 |
| 0484T | 0484T - Transcatheter mitral valve implantation/replacement (TMVI) with prosthetic valve; transthoracic exposure (eg thoracotomy transapical) | 0484T - TMVI W/PROSTHETIC VALVE TRANSTHORACIC EXPOSURE | 0484T - TMVI TRANSTHORACIC EXPOSURE | '01/01/2018 | 12/31/2999 |
| 0485T | 0485T - Optical coherence tomography (OCT) of middle ear with interpretation and report; unilateral | 0485T - OCT MIDDLE EAR WITH I&R UNILATERAL | 0485T - OCT MID EAR I&R UNILATERAL | '01/01/2018 | 12/31/2999 |
| 0486T | 0486T - Optical coherence tomography (OCT) of middle ear with interpretation and report; bilateral | 0486T - OCT MIDDLE EAR WITH I&R BILATERAL | 0486T - OCT MID EAR I&R BILATERAL | '01/01/2018 | 12/31/2999 |
| 0488T | 0488T - Preventive behavior change online/electronic structured intensive program for prevention of diabetes using a standardized diabetes prevention program curriculum provided to an individual per 30 days | 0488T - DIABETES PREV ONLINE/ELECTRONIC PRGRM PR 30 DAYS | 0488T - DIABETES PREV ONLINE/ELEC | '01/01/2018 | 12/31/2999 |
| 0489T | 0489T - Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; adipose tissue harvesting isolation and preparation of harvested cells including incubation with cell dissociation enzymes removal of non-viable cells and debris determination of concentration and dilution of regenerative cells | 0489T - AUTOL REGN CELL TX SCLERODERMA HANDS | 0489T - REGN CELL TX SCLDR HANDS | '01/01/2018 | 12/31/2999 |
| 0490T | 0490T - Autologous adipose-derived regenerative cell therapy for scleroderma in the hands; multiple injections in one or both hands | 0490T - AUTOL REGN CELL TX SCLDR MLT INJ 1/> HANDS | 0490T - REGN CELL TX SCLDR H MLT INJ | '01/01/2018 | 12/31/2999 |
| 0494T | 0494T - Surgical preparation and cannulation of marginal (extended) cadaver donor lung(s) to ex vivo organ perfusion system including decannulation separation from the perfusion system and cold preservation of the allograft prior to implantation when performed | 0494T - PREP & CANNULJ CDVR DON LNG ORGN PRFUJ SYS | 0494T - PREP & CANNULJ CDVR DON LUNG | '01/01/2018 | 12/31/2999 |
| 0495T | 0495T - Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional including physiological and laboratory assessment (eg pulmonary artery flow pulmonary artery pressure left atrial pressure pulmonary vascular resistance mean/peak and plateau airway pressure dynamic compliance and perfusate gas analysis) including bronchoscopy and X ray when performed; first two hours in sterile field | 0495T - INIT & MNTR CDVR DON LNG ORGN PRFUJ SYS 1ST 2 HR | 0495T - MNTR CDVR DON LNG 1ST 2 HRS | '01/01/2018 | 12/31/2999 |
| 0496T | 0496T - Initiation and monitoring marginal (extended) cadaver donor lung(s) organ perfusion system by physician or qualified health care professional including physiological and laboratory assessment (eg pulmonary artery flow pulmonary artery pressure left atrial pressure pulmonary vascular resistance mean/peak and plateau airway pressure dynamic compliance and perfusate gas analysis) including bronchoscopy and X ray when performed; each additional hour (List separately in addition to code for primary procedure) | 0496T - MNTR CDVR DON LNG ORGN PRFUJ SYS EA ADDL HR | 0496T - MNTR CDVR DON LNG EA ADDL HR | '01/01/2018 | 12/31/2999 |
| 0499T | 0499T - Cystourethroscopy with mechanical dilation and urethral therapeutic drug delivery for urethral stricture or stenosis including fluoroscopy when performed | 0499T - CYSTO W/DIL & URTL RX DEL F/URTL STRIX/STENOSIS | 0499T - CYSTO F/URTL STRIX/STENOSIS | '01/01/2018 | 12/31/2999 |
| 0500F | 0500F - Initial prenatal care visit (report at first prenatal encounter with health care professional providing obstetrical care. Report also date of visit and in a separate field the date of the last menstrual period [LMP]) (Prenatal) | 0500F - INITIAL PRENATAL CARE VISIT | 0500F - INITIAL PRENATAL CARE VISIT | '01/01/2017 | 12/31/2999 |
| 0500T | 0500T - Infectious agent detection by nucleic acid (DNA or RNA) Human Papillomavirus (HPV) for five or more separately reported high-risk HPV types (eg 16 18 31 33 35 39 45 51 52 56 58 59 68) (ie genotyping) | 0500T - IADNA HPV 5+ SEP REPRT HIGH RISK HPV TYPES | 0500T - HPV 5+ HI RISK HPV TYPES | '01/01/2019 | 12/31/2999 |
| 0501F | 0501F - Prenatal flow sheet documented in medical record by first prenatal visit (documentation includes at minimum blood pressure weight urine protein uterine size fetal heart tones and estimated date of delivery). Report also: date of visit and in a separate field the date of the last menstrual period [LMP] (Note: If reporting 0501F Prenatal flow sheet it is not necessary to report 0500F Initial prenatal care visit) (Prenatal) | 0501F - PRENATAL FLOW SHEET | 0501F - PRENATAL FLOW SHEET | '01/01/2017 | 12/31/2999 |
| 0501T | 0501T - Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; data preparation and transmission analysis of fluid dynamics and simulated maximal coronary hyperemia generation of estimated FFR model with anatomical data review in comparison with estimated FFR model to reconcile discordant data interpretation and report | 0501T - COR FFR DERIVED CTA DATA ASSESS COR ART DISEASE | 0501T - COR FFR DERIVED COR CTA DATA | '01/01/2018 | 12/31/2999 |
| 0502F | 0502F - Subsequent prenatal care visit (Prenatal) [Excludes: patients who are seen for a condition unrelated to pregnancy or prenatal care (eg an upper respiratory infection; patients seen for consultation only not for continuing care)] | 0502F - SUBSEQUENT PRENATAL CARE VISIT | 0502F - SUBSEQUENT PRENATAL CARE | '01/01/2017 | 12/31/2999 |
| 0502T | 0502T - Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; data preparation and transmission | 0502T - COR FFR DERIVED CTA DATA PREP & TRANSMIS | 0502T - COR FFR DATA PREP & TRANSMIS | '01/01/2018 | 12/31/2999 |
| 0503F | 0503F - Postpartum care visit (Prenatal) | 0503F - POSTPARTUM CARE VISIT | 0503F - POSTPARTUM CARE VISIT | '01/01/2017 | 12/31/2999 |
| 0503T | 0503T - Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; analysis of fluid dynamics and simulated maximal coronary hyperemia and generation of estimated FFR model | 0503T - COR FFR CTA DATA ALYS & GNRJ ESTIMATED FFR MODEL | 0503T - COR FFR ALYS GNRJ FFR MDL | '01/01/2018 | 12/31/2999 |
| 0504T | 0504T - Noninvasive estimated coronary fractional flow reserve (FFR) derived from coronary computed tomography angiography data using computation fluid dynamics physiologic simulation software analysis of functional data to assess the severity of coronary artery disease; anatomical data review in comparison with estimated FFR model to reconcile discordant data interpretation and report | 0504T - COR FFR CTA DATA REVIEW W/INTERPJ & FINAL REPORT | 0504T - COR FFR DATA REVIEW I&R | '01/01/2018 | 12/31/2999 |
| 0505F | 0505F - Hemodialysis plan of care documented (ESRD P-ESRD) | 0505F - HEMODIALYSIS PLAN OF CARE DOCUMENTED | 0505F - HEMODIALYSIS PLAN DOCD | '01/01/2017 | 12/31/2999 |
| 0505T | 0505T - Endovenous femoral-popliteal arterial revascularization with transcatheter placement of intravascular stent graft(s) and closure by any method including percutaneous or open vascular access ultrasound guidance for vascular access when performed all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention all associated radiological supervision and interpretation when performed with crossing of the occlusive lesion in an extraluminal fashion | 0505T - EV FEMPOP ARTL REVSC TCAT PLMT IV ST GRF & CLSR | 0505T - EV FEMPOP ARTL REVSC | '07/01/2018 | 12/31/2999 |
| 0506T | 0506T - Macular pigment optical density measurement by heterochromatic flicker photometry unilateral or bilateral with interpretation and report | 0506T - MAC PGMT OPTICAL DNS MEAS HFP UNI/BI W/I&R | 0506T - MAC PGMT OPT DNS MEAS HFP | '01/01/2019 | 12/31/2999 |
| 0507F | 0507F - Peritoneal dialysis plan of care documented (ESRD) | 0507F - PERITONEAL DIALYSIS PLAN DOCUMENTED | 0507F - PERITON DIALYSIS PLAN DOCD | '01/01/2017 | 12/31/2999 |
| 0507T | 0507T - Near infrared dual imaging (ie simultaneous reflective and transilluminated light) of meibomian glands unilateral or bilateral with interpretation and report | 0507T - NEAR INFRARED DUAL IMG MEIBOMIAN GLND UNI/BI I&R | 0507T - NEAR IFR 2IMG MIBMN GLND I&R | '01/01/2019 | 12/31/2999 |
| 0508T | 0508T - Pulse-echo ultrasound bone density measurement resulting in indicator of axial bone mineral density tibia | 0508T - PLS ECHO US B1 DNS MEAS INDIC AXL B1 MIN DNS TIB | 0508T - PLS ECHO US B1 DNS MEAS TIB | '07/01/2018 | 12/31/2999 |
| 0509F | 0509F - Urinary incontinence plan of care documented (GER) | 0509F - URINARY INCONTINENCE PLAN OF CARE DOCUMENTED | 0509F - URINE INCON PLAN DOCD | '01/01/2017 | 12/31/2999 |
| 0509T | 0509T - Electroretinography (ERG) with interpretation and report pattern (PERG) | 0509T - PATTERN ELECTRORETINOGRAPHY W/I&R | 0509T - PATTERN ERG W/I&R | '01/01/2019 | 12/31/2999 |
| 0510T | 0510T - Removal of sinus tarsi implant | 0510T - REMOVAL OF SINUS TARSI IMPLANT | 0510T - RMVL SINUS TARSI IMPLANT | '01/01/2019 | 12/31/2999 |
| 0511T | 0511T - Removal and reinsertion of sinus tarsi implant | 0511T - REMOVAL AND REINSERTION OF SINUS TARSI IMPLANT | 0511T - RMVL&RINSJ SINUS TARSI IMPLT | '01/01/2019 | 12/31/2999 |
| 0512T | 0512T - Extracorporeal shock wave for integumentary wound healing including topical application and dressing care; initial wound | 0512T - ESW INTEGUMENTARY WOUND HEALING INITIAL WOUND | 0512T - ESW INTEG WND HLG 1ST WND | '01/01/2022 | 12/31/2999 |
| 0513F | 0513F - Elevated blood pressure plan of care documented (CKD) | 0513F - ELEVATED BLOOD PRESSURE PLAN OF CARE DOCUMENTED | 0513F - ELEV BP PLAN OF CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0513T | 0513T - Extracorporeal shock wave for integumentary wound healing including topical application and dressing care; each additional wound (List separately in addition to code for primary procedure) | 0513T - ESW INTEGUMENTARY WOUND HEALING EA ADDL WOUND | 0513T - ESW INTEG WND HLG EA ADDL | '01/01/2022 | 12/31/2999 |
| 0514F | 0514F - Plan of care for elevated hemoglobin level documented for patient receiving Erythropoiesis-Stimulating Agent therapy (ESA) (CKD) | 0514F - PLAN/CARE INCRSD HGB LVL DOCD PT ON ESA THXPY | 0514F - CARE PLAN HGB DOCD ESA PT | '01/01/2017 | 12/31/2999 |
| 0515T | 0515T - Insertion of wireless cardiac stimulator for left ventricular pacing including device interrogation and programming and imaging supervision and interpretation when performed; complete system (includes electrode and generator [transmitter and battery]) | 0515T - INSERTION WRLS CAR STIMULATOR LV PACG COMPL SYS | 0515T - INSJ WCS LV COMPL SYS | '01/01/2019 | 12/31/2999 |
| 0516F | 0516F - Anemia plan of care documented (ESRD) | 0516F - ANEMIA PLAN OF CARE DOCUMENTED | 0516F - ANEMIA PLAN OF CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0516T | 0516T - Insertion of wireless cardiac stimulator for left ventricular pacing including device interrogation and programming and imaging supervision and interpretation when performed; electrode only | 0516T - INSERTION WRLS CAR STIMULATOR LV PACG ELTRD ONLY | 0516T - INSJ WCS LV ELTRD ONLY | '01/01/2019 | 12/31/2999 |
| 0517F | 0517F - Glaucoma plan of care documented (EC) | 0517F - GLAUCOMA PLAN OF CARE DOCUMENTED | 0517F - GLAUCOMA PLAN OF CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0517T | 0517T - Insertion of wireless cardiac stimulator for left ventricular pacing including device interrogation and programming and imaging supervision and interpretation when performed; pulse generator component(s) (battery and/or transmitter) only | 0517T - INSERTION WRLS CAR STIMULATOR LV PACG PG COMPNT | 0517T - INSJ WCS LV PG COMPNT | '01/01/2019 | 12/31/2999 |
| 0518F | 0518F - Falls plan of care documented (GER) | 0518F - FALLS PLAN OF CARE DOCUMENTED | 0518F - FALL PLAN OF CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0518T | 0518T - Removal of only pulse generator component(s) (battery and/or transmitter) of wireless cardiac stimulator for left ventricular pacing | 0518T - REMOVAL PG COMPNT ONLY WRLS CAR STIMULATOR | 0518T - RMVL PG COMPNT WCS | '01/01/2019 | 12/31/2999 |
| 0519F | 0519F - Planned chemotherapy regimen including at a minimum: drug(s) prescribed dose and duration documented prior to initiation of a new treatment regimen (ONC) | 0519F - PLANNED CHEMO REGIMEN DOCD PRIOR START NEW TX | 0519F - PLAND CHEMO DOCD B/4 TXMNT | '01/01/2017 | 12/31/2999 |
| 0519T | 0519T - Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter) | 0519T - REMOVAL&RPLCMT WRLS CAR STIMULATOR PG COMPNT | 0519T - RMVL & RPLCMT PG COMPNT WCS | '01/01/2019 | 12/31/2999 |
| 0520F | 0520F - Radiation dose limits to normal tissues established prior to the initiation of a course of 3D conformal radiation for a minimum of 2 tissue/organ (ONC) | 0520F - RAD DOSE LIMTS EST PRIOR3D RAD FOR MIN 2 TIS/ORG | 0520F - RAD DOS LIMTS B/4 3D RAD | '01/01/2017 | 12/31/2999 |
| 0520T | 0520T - Removal and replacement of wireless cardiac stimulator for left ventricular pacing; pulse generator component(s) (battery and/or transmitter) including placement of a new electrode | 0520T - REMOVAL&RPLCMT WRLS CAR STIMULATOR W/NEW ELTRD | 0520T - RMVL&RPLCMT PG WCS NEW ELTRD | '01/01/2019 | 12/31/2999 |
| 0521F | 0521F - Plan of care to address pain documented (COA) (ONC) | 0521F - PLAN OF CARE TO ADDRESS PAIN DOCUMENTED | 0521F - PLAN OF CARE 4 PAIN DOCD | '01/01/2017 | 12/31/2999 |
| 0521T | 0521T - Interrogation device evaluation (in person) with analysis review and report includes connection recording and disconnection per patient encounter wireless cardiac stimulator for left ventricular pacing | 0521T - INTERROG DEV EVAL WRLS CAR STIMULATOR IN PERSON | 0521T - INTERROG DEV EVAL WCS IP | '01/01/2019 | 12/31/2999 |
| 0522T | 0522T - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis including review and report wireless cardiac stimulator for left ventricular pacing | 0522T - PRGRMG DEVICE EVAL WRLS CAR STIMULATOR IN PERSON | 0522T - PRGRMG DEV EVAL WCS IP | '01/01/2019 | 12/31/2999 |
| 0523T | 0523T - Intraprocedural coronary fractional flow reserve (FFR) with 3D functional mapping of color-coded FFR values for the coronary tree derived from coronary angiogram data for real-time review and interpretation of possible atherosclerotic stenosis(es) intervention (List separately in addition to code for primary procedure) | 0523T - INTRAPROCEDURAL CORONARY FFP W/3D FUNCJL MAPPING | 0523T - NTRAPX C FFR W/3D FUNCJL MAP | '01/01/2019 | 12/31/2999 |
| 0524T | 0524T - Endovenous catheter directed chemical ablation with balloon isolation of incompetent extremity vein open or percutaneous including all vascular access catheter manipulation diagnostic imaging imaging guidance and monitoring | 0524T - EV CATHETER DIR CHEM ABLTJ INCMPTNT XTR VEIN | 0524T - EV CATH DIR CHEM ABLTJ W/IMG | '01/01/2019 | 12/31/2999 |
| 0525F | 0525F - Initial visit for episode (BkP) | 0525F - INITIAL VISIT FOR EPISODE | 0525F - INITIAL VISIT FOR EPISODE | '01/01/2017 | 12/31/2999 |
| 0525T | 0525T - Insertion or replacement of intracardiac ischemia monitoring system including testing of the lead and monitor initial system programming and imaging supervision and interpretation; complete system (electrode and implantable monitor) | 0525T - INSERTION/REPLACEMENT COMPLETE IIMS | 0525T - INSJ/RPLCMT COMPL IIMS | '01/01/2019 | 12/31/2999 |
| 0526F | 0526F - Subsequent visit for episode (BkP) | 0526F - SUBSEQUENT VISIT FOR EPISODE | 0526F - SUBS VISIT FOR EPISODE | '01/01/2017 | 12/31/2999 |
| 0526T | 0526T - Insertion or replacement of intracardiac ischemia monitoring system including testing of the lead and monitor initial system programming and imaging supervision and interpretation; electrode only | 0526T - INSERTION/REPLACEMENT IIMS ELECTRODE ONLY | 0526T - INSJ/RPLCMT IIMS ELTRD ONLY | '01/01/2019 | 12/31/2999 |
| 0527T | 0527T - Insertion or replacement of intracardiac ischemia monitoring system including testing of the lead and monitor initial system programming and imaging supervision and interpretation; implantable monitor only | 0527T - INSERTION/REPLACEMENT IIMS IMPLANTABLE MNTR ONLY | 0527T - INSJ/RPLCMT IIMS IMPLT MNTR | '01/01/2019 | 12/31/2999 |
| 0528F | 0528F - Recommended follow-up interval for repeat colonoscopy of at least 10 years documented in colonoscopy report (End/Polyp) | 0528F - RCMND FLLW-UP 2ND CLNSCPY 10/> YRS DOCD RPRT | 0528F - RCMND FLW-UP 10 YRS DOCD | '01/01/2017 | 12/31/2999 |
| 0528T | 0528T - Programming device evaluation (in person) of intracardiac ischemia monitoring system with iterative adjustment of programmed values with analysis review and report | 0528T - PRGRMG DEVICE EVAL IIMS IN PERSON | 0528T - PRGRMG DEV EVAL IIMS IP | '01/01/2019 | 12/31/2999 |
| 0529F | 0529F - Interval of 3 or more years since patient's last colonoscopy documented (End/Polyp) | 0529F - INTRVL 3/> YRS PTS LAST COLONOSCOPY DOCD | 0529F - INTRVL 3/>YR PTS CLNSCP DOCD | '01/01/2017 | 12/31/2999 |
| 0529T | 0529T - Interrogation device evaluation (in person) of intracardiac ischemia monitoring system with analysis review and report | 0529T - INTERROGATION DEVICE EVAL IIMS IN PERSON | 0529T - INTERROG DEV EVAL IIMS IP | '01/01/2019 | 12/31/2999 |
| 0530T | 0530T - Removal of intracardiac ischemia monitoring system including all imaging supervision and interpretation; complete system (electrode and implantable monitor) | 0530T - REMOVAL COMPLETE IIMS INCL IMG S&I | 0530T - REMOVAL COMPLETE IIMS | '01/01/2019 | 12/31/2999 |
| 0531T | 0531T - Removal of intracardiac ischemia monitoring system including all imaging supervision and interpretation; electrode only | 0531T - REMOVAL IIMS ELECTRODE ONLY INCL IMG S&I | 0531T - REMOVAL IIMS ELECTRODE ONLY | '01/01/2019 | 12/31/2999 |
| 0532T | 0532T - Removal of intracardiac ischemia monitoring system including all imaging supervision and interpretation; implantable monitor only | 0532T - REMOVAL IIMS IMPLANTABLE MNTR ONLY INCL IMG S&I | 0532T - REMOVAL IIMS IMPLT MNTR ONLY | '01/01/2019 | 12/31/2999 |
| 0533T | 0533T - Continuous recording of movement disorder symptoms including bradykinesia dyskinesia and tremor for 6 days up to 10 days; includes set-up patient training configuration of monitor data upload analysis and initial report configuration download review interpretation and report | 0533T - CONTINUOUS REC MVMT DO SX 6 D<10 D | 0533T - CONT REC MVMT DO 6-10 DAYS | '01/01/2019 | 12/31/2999 |
| 0534T | 0534T - Continuous recording of movement disorder symptoms including bradykinesia dyskinesia and tremor for 6 days up to 10 days; set-up patient training configuration of monitor | 0534T - CONT REC MVMT DO SX 6 D<10 D SETUP & PT TRAING | 0534T - CONT REC MVMT DO SETUP&TRAIN | '01/01/2020 | 12/31/2999 |
| 0535F | 0535F - Dyspnea management plan of care documented (Pall Cr) | 0535F - DYSPNEA MANAGEMENT PLAN DOCUMENTED | 0535F - DYSPNEA MNGMNT PLAN DOCD | '01/01/2017 | 12/31/2999 |
| 0535T | 0535T - Continuous recording of movement disorder symptoms including bradykinesia dyskinesia and tremor for 6 days up to 10 days; data upload analysis and initial report configuration | 0535T - CONT REC MVMT DO SX 6 D<10 D 1ST REPRT CNFIG | 0535T - CONT REC MVMT DO REPRT CNFIG | '01/01/2019 | 12/31/2999 |
| 0536T | 0536T - Continuous recording of movement disorder symptoms including bradykinesia dyskinesia and tremor for 6 days up to 10 days; download review interpretation and report | 0536T - CONT REC MVMT DO SX 6 D<10 D DL REVIEW I&R | 0536T - CONT REC MVMT DO DL W/I&R | '01/01/2019 | 12/31/2999 |
| 0537T | 0537T - Chimeric antigen receptor T-cell (CAR-T) therapy; harvesting of blood-derived T lymphocytes for development of genetically modified autologous CAR-T cells per day | 0537T - CAR-T THERAPY HRVG BLD DRV T LMPHCYT PR DAY | 0537T - BLD DRV T LYMPHCYT CAR-T CLL | '01/01/2019 | 12/31/2999 |
| 0538T | 0538T - Chimeric antigen receptor T-cell (CAR-T) therapy; preparation of blood-derived T lymphocytes for transportation (eg cryopreservation storage) | 0538T - CAR-T THERAPY PREPJ BLD DRV T LMPHCYT F/TRNS | 0538T - BLD DRV T LYMPHCYT PREP TRNS | '01/01/2019 | 12/31/2999 |
| 0539T | 0539T - Chimeric antigen receptor T-cell (CAR-T) therapy; receipt and preparation of CAR-T cells for administration | 0539T - CAR-T THERAPY RECEIPT & PREP CAR-T CELLS F/ADMN | 0539T - RECEIPT&PREP CAR-T CLL ADMN | '01/01/2019 | 12/31/2999 |
| 0540F | 0540F - Glucorticoid Management Plan Documented (RA) | 0540F - GLUCORTICOID MANAGEMENT PLAN DOCUMENTED | 0540F - GLUCO MNGMNT PLAN DOCD | '01/01/2017 | 12/31/2999 |
| 0540T | 0540T - Chimeric antigen receptor T-cell (CAR-T) therapy; CAR-T cell administration autologous | 0540T - CAR-T THERAPY AUTOLOGOUS CELL ADMINISTRATION | 0540T - CAR-T CLL ADMN AUTOLOGOUS | '01/01/2019 | 12/31/2999 |
| 0541T | 0541T - Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia by signal acquisition using minimum 36 channel grid generation of magnetic-field time-series images quantitative analysis of magnetic dipoles machine learning-derived clinical scoring and automated report generation single study; | 0541T - MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA | 0541T - MYOCARDIAL IMAGING MCG | '01/01/2019 | 12/31/2999 |
| 0542T | 0542T - Myocardial imaging by magnetocardiography (MCG) for detection of cardiac ischemia by signal acquisition using minimum 36 channel grid generation of magnetic-field time-series images quantitative analysis of magnetic dipoles machine learning-derived clinical scoring and automated report generation single study; interpretation and report | 0542T - MYOCARDIAL IMG BY MCG DETCJ CARDIAC ISCHEMIA I&R | 0542T - MYOCARDIAL IMAGING MCG I&R | '01/01/2019 | 12/31/2999 |
| 0543T | 0543T - Transapical mitral valve repair including transthoracic echocardiography when performed with placement of artificial chordae tendineae | 0543T - TRANSAPICAL MV RPR W/TTE PLMT ARTIF CHORDAE TEND | 0543T - TA MV RPR W/ARTIF CHORD TEND | '07/01/2019 | 12/31/2999 |
| 0544T | 0544T - Transcatheter mitral valve annulus reconstruction with implantation of adjustable annulus reconstruction device percutaneous approach including transseptal puncture | 0544T - TCAT MV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV | 0544T - TCAT MV ANNULUS RCNSTJ | '07/01/2019 | 12/31/2999 |
| 0545F | 0545F - Plan for follow-up care for major depressive disorder documented (MDD ADOL) | 0545F - PLAN FOR FOLLOW-UP CARE FOR MDD DOCD | 0545F - FOLLOW UP CARE PLAN MDD DOCD | '01/01/2017 | 12/31/2999 |
| 0545T | 0545T - Transcatheter tricuspid valve annulus reconstruction with implantation of adjustable annulus reconstruction device percutaneous approach | 0545T - TCAT TV ANN RCNSTJ W/IMPL ADJST ANN RCNSTJ DEV | 0545T - TCAT TV ANNULUS RCNSTJ | '07/01/2019 | 12/31/2999 |
| 0546T | 0546T - Radiofrequency spectroscopy real time intraoperative margin assessment at the time of partial mastectomy with report | 0546T - RF SPECTRSC R-T INTRAOP MRGN ASSMT TM PRTL MAST | 0546T - RF SPECTRSC NTRAOP MRGN ASMT | '01/01/2020 | 12/31/2999 |
| 0547T | 0547T - Bone-material quality testing by microindentation(s) of the tibia(s) with results reported as a score | 0547T - BONE MATRL QUALITY TST BY MICROINDENTATION TIBIA | 0547T - B1 MATRL QUAL TST MCRIND TIB | '07/01/2019 | 12/31/2999 |
| 0550F | 0550F - Cytopathology report on routine nongynecologic specimen finalized within two working days of accession date (PATH) | 0550F - CYTOPATH REPORT ON NONGYN SPECIMEN 2 WKNG DAYS | 0550F - CYTOPATH REPORT NONGYN SPCMN | '01/01/2017 | 12/31/2999 |
| 0551F | 0551F - Cytopathology report on nongynecologic specimen with documentation that the specimen was non-routine (PATH) | 0551F - CYTOPATH REPORT NONGYN SPCMN DOCD NON-ROUTINE | 0551F - CYTOPATH REPORT NON ROUTINE | '01/01/2017 | 12/31/2999 |
| 0552T | 0552T - Low-level laser therapy dynamic photonic and dynamic thermokinetic energies provided by a physician or other qualified health care professional | 0552T - LOW-LVL LASER THER DYN PHOTONIC & THERMOKIN NRG | 0552T - LOW-LEVEL LASER THERAPY | '07/01/2019 | 12/31/2999 |
| 0553T | 0553T - Percutaneous transcatheter placement of iliac arteriovenous anastomosis implant inclusive of all radiological supervision and interpretation intraprocedural roadmapping and imaging guidance necessary to complete the intervention | 0553T - PERQ TCAT PLMT ILIAC ARVEN ANASTOMOSIS IMPLANT | 0553T - PERQ TCAT ILIAC ANAST IMPLT | '07/01/2019 | 12/31/2999 |
| 0554T | 0554T - Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data assessment of bone strength and fracture risk and bone-mineral density interpretation and report | 0554T - BONE STRENGTH & FRACTURE RISK ANALYSIS | 0554T - B1 STR & FX RSK ANALYSIS | '01/01/2020 | 12/31/2999 |
| 0555F | 0555F - Symptom management plan of care documented (HF) | 0555F - SYMPTOM MANAGEMENT PLAN OF CARE DOCUMENTED | 0555F - SYMPTOM MGMNT PLAN CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0555T | 0555T - Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; retrieval and transmission of the scan data | 0555T - BONE STRENGTH & FRACTURE RSK RETRV&TRANSMIS DATA | 0555T - B1 STR&FX RSK TRANSMIS DATA | '01/01/2020 | 12/31/2999 |
| 0556F | 0556F - Plan of care to achieve lipid control documented (CAD) | 0556F - PLAN OF CARE TO ACHIEVE LIPID CONTROL DOCUMENTED | 0556F - PLAN CARE LIPID CONTROL DOCD | '01/01/2017 | 12/31/2999 |
| 0556T | 0556T - Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; assessment of bone strength and fracture risk and bone-mineral density | 0556T - BONE STRENGTH & FRACTURE RISK ASSESSMENT | 0556T - B1 STR & FX RSK ASSESSMENT | '01/01/2020 | 12/31/2999 |
| 0557F | 0557F - Plan of care to manage anginal symptoms documented (CAD) | 0557F - PLAN OF CARE TO MANAGE ANGINAL SYMPTOMS DOCD | 0557F - PLAN CAREMNG ANGNL SYMPTDOCD | '01/01/2017 | 12/31/2999 |
| 0557T | 0557T - Bone strength and fracture risk using finite element analysis of functional data and bone-mineral density utilizing data from a computed tomography scan; interpretation and report | 0557T - BONE STRENGTH & FRACTURE RISK I&R | 0557T - B1 STR & FX RSK I&R | '01/01/2020 | 12/31/2999 |
| 0558T | 0558T - Computed tomography scan taken for the purpose of biomechanical computed tomography analysis | 0558T - CT SCAN FOR PURPOSE BIOMECHANICAL CT ANALYSIS | 0558T - CT SCAN F/BIOMCHN CT ALYS | '07/01/2019 | 12/31/2999 |
| 0559T | 0559T - Anatomic model 3D-printed from image data set(s); first individually prepared and processed component of an anatomic structure | 0559T - ANATOMIC MODEL 3D PRINTED 1ST COMPNT ANTMC STRUX | 0559T - ANTMC MDL 3D PRINT 1ST CMPNT | '07/01/2019 | 12/31/2999 |
| 0560T | 0560T - Anatomic model 3D-printed from image data set(s); each additional individually prepared and processed component of an anatomic structure (List separately in addition to code for primary procedure) | 0560T - ANATOMIC MODEL 3D PRINTED EA ADDL COMPONENT | 0560T - ANTMC MDL 3D PRINT EA ADDL | '07/01/2019 | 12/31/2999 |
| 0561T | 0561T - Anatomic guide 3D-printed and designed from image data set(s); first anatomic guide | 0561T - ANATOMIC GUIDE 3D PRINTED 1ST ANATOMIC GUIDE | 0561T - ANTMC GUIDE 3D PRINT 1ST GD | '07/01/2019 | 12/31/2999 |
| 0562T | 0562T - Anatomic guide 3D-printed and designed from image data set(s); each additional anatomic guide (List separately in addition to code for primary procedure) | 0562T - ANATOMIC GUIDE 3D PRINTED EA ADDL ANATOMIC GUIDE | 0562T - ANTMC GUIDE 3D PRINT EA ADDL | '07/01/2019 | 12/31/2999 |
| 0563T | 0563T - Evacuation of meibomian glands using heat delivered through wearable open-eye eyelid treatment devices and manual gland expression bilateral | 0563T - EVACUATION MEIBOMIAN GLANDS USING HEAT BILATERAL | 0563T - EVAC MEIBOMIAN GLND HEAT BI | '01/01/2020 | 12/31/2999 |
| 0564T | 0564T - Oncology chemotherapeutic drug cytotoxicity assay of cancer stem cells (CSCs) from cultured CSCs and primary tumor cells categorical drug response reported based on percent of cytotoxicity observed a minimum of 14 drugs or drug combinations | 0564T - ONC CHEMO RX CYTOTOXICITY ASSAY CSC MIN 14 DRUGS | 0564T - ONC CHEMO RX CYTOTOX CSC 14 | '01/01/2020 | 12/31/2999 |
| 0565T | 0565T - Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; tissue harvesting and cellular implant creation | 0565T - AUTOL CELL IMPLT ADPS TISS HRVG CELL IMPLT CRTJ | 0565T - AUTOL CELL IMPLT ADPS HRVG | '01/01/2020 | 12/31/2999 |
| 0566T | 0566T - Autologous cellular implant derived from adipose tissue for the treatment of osteoarthritis of the knees; injection of cellular implant into knee joint including ultrasound guidance unilateral | 0566T - AUTOL CELL IMPLT ADPS TISS NJX IMPLT KNEE UNI | 0566T - AUTOL CELL IMPLT ADPS NJX | '01/01/2020 | 12/31/2999 |
| 0567T | 0567T - Permanent fallopian tube occlusion with degradable biopolymer implant transcervical approach including transvaginal ultrasound | 0567T - PERM FLP TUB OCCLS W/IMPLANT TRANSCRV APPROACH | 0567T - PERM FLP TUBE OCCLS W/IMPLT | '01/01/2020 | 12/31/2999 |
| 0568T | 0568T - Introduction of mixture of saline and air for sonosalpingography to confirm occlusion of fallopian tubes transcervical approach including transvaginal ultrasound and pelvic ultrasound | 0568T - INTRO MIX SALINE&AIR F/SSG CONF OCCLS FLP TUBE | 0568T - INTRO MIX SALINE&AIR F/SSG | '01/01/2020 | 12/31/2999 |
| 0569T | 0569T - Transcatheter tricuspid valve repair percutaneous approach; initial prosthesis | 0569T - TTVR PERCUTANEOUS APPROACH INITIAL PROSTHESIS | 0569T - TTVR PERQ APPR 1ST PROSTH | '01/01/2020 | 12/31/2999 |
| 0570T | 0570T - Transcatheter tricuspid valve repair percutaneous approach; each additional prosthesis during same session (List separately in addition to code for primary procedure) | 0570T - TTVR PERCUTANEOUS APPROACH EACH ADDL PROSTHESIS | 0570T - TTVR PERQ EA ADDL PROSTH | '01/01/2020 | 12/31/2999 |
| 0571T | 0571T - Insertion or replacement of implantable cardioverter-defibrillator system with substernal electrode(s) including all imaging guidance and electrophysiological evaluation (includes defibrillation threshold evaluation induction of arrhythmia evaluation of sensing for arrhythmia termination and programming or reprogramming of sensing or therapeutic parameters) when performed | 0571T - INSJ/RPLCMT ICDS W/SUBSTERNAL ELECTRODE | 0571T - INSJ/RPLCMT ICDS SS ELTRD | '01/01/2020 | 12/31/2999 |
| 0572T | 0572T - Insertion of substernal implantable defibrillator electrode | 0572T - INSJ SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD | 0572T - INSERTION SS DFB ELECTRODE | '01/01/2020 | 12/31/2999 |
| 0573T | 0573T - Removal of substernal implantable defibrillator electrode | 0573T - RMVL SUBSTERNAL IMPLANTABLE DEFIBRILLATOR ELTRD | 0573T - REMOVAL SS DFB ELECTRODE | '01/01/2020 | 12/31/2999 |
| 0574T | 0574T - Repositioning of previously implanted substernal implantable defibrillator-pacing electrode | 0574T - REPOS PREV IMPL SS IMPLTBL DFB PACING ELTRD | 0574T - REPOS PREV SS IMPL DFB ELTRD | '01/01/2020 | 12/31/2999 |
| 0575F | 0575F - HIV RNA control plan of care documented (HIV) | 0575F - HIV RNA CONTROL PLAN OF CARE DOCD | 0575F - HIV RNA PLAN CARE DOCD | '01/01/2017 | 12/31/2999 |
| 0575T | 0575T - Programming device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional | 0575T - PROGRAMMING DEV EVAL ICDS W/SS ELTRD IN PERSON | 0575T - PRGRMG DEV EVAL ICDS SS IP | '01/01/2020 | 12/31/2999 |
| 0576T | 0576T - Interrogation device evaluation (in person) of implantable cardioverter-defibrillator system with substernal electrode with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter | 0576T - INTERROGATION DEV EVAL ICDS W/SS ELTRD IN PERSON | 0576T - INTERROG DEV EVAL ICDS SS IP | '01/01/2020 | 12/31/2999 |
| 0577T | 0577T - Electrophysiologic evaluation of implantable cardioverter-defibrillator system with substernal electrode (includes defibrillation threshold evaluation induction of arrhythmia evaluation of sensing for arrhythmia termination and programming or reprogramming of sensing or therapeutic parameters) | 0577T - ELECTROPHYSIOLOGIC EVAL ICDS W/SS ELECTRODE | 0577T - EPHYS EVAL ICDS SS | '01/01/2021 | 12/31/2999 |
| 0578T | 0578T - Interrogation device evaluation(s) (remote) up to 90 days substernal lead implantable cardioverter-defibrillator system with interim analysis review(s) and report(s) by a physician or other qualified health care professional | 0578T - REM INTERROG DEV EVAL SS LD ICDS <90D PHY/QHP | 0578T - REM INTERROG DEV ICDS PHYS | '01/01/2020 | 12/31/2999 |
| 0579T | 0579T - Interrogation device evaluation(s) (remote) up to 90 days substernal lead implantable cardioverter-defibrillator system remote data acquisition(s) receipt of transmissions and technician review technical support and distribution of results | 0579T - REM INTERROG DEV EVAL SS LD ICDS < 90D TECH | 0579T - REM INTERROG DEV ICDS TECH | '01/01/2020 | 12/31/2999 |
| 0580F | 0580F - Multidisciplinary care plan developed or updated (ALS) | 0580F - MULTIDISCIPLINARY CARE PLAN DEVELOPED/UPDATED | 0580F - MULTIDISCIPLINARY CARE PLAN | '01/01/2017 | 12/31/2999 |
| 0580T | 0580T - Removal of substernal implantable defibrillator pulse generator only | 0580T - RMVL SUBSTERNAL IMPLTBL DFB PULSE GENERATOR ONLY | 0580T - RMVL SS IMPL DFB PG ONLY | '01/01/2020 | 12/31/2999 |
| 0581F | 0581F - Patient transferred directly from anesthetizing location to critical care unit (Peri2) | 0581F - PT TRANSFERRED FROM ANESTHETIZING TO CC UNIT | 0581F - PT TRNSFRD FROM ANESTH TO CC | '01/01/2017 | 12/31/2999 |
| 0581T | 0581T - Ablation malignant breast tumor(s) percutaneous cryotherapy including imaging guidance when performed unilateral | 0581T - ABLATION MAL BRST TUMOR PERQ CRTX UNILATERAL | 0581T - ABLTJ MAL BRST TUM PERQ CRTX | '01/01/2020 | 12/31/2999 |
| 0582F | 0582F - Patient not transferred directly from anesthetizing location to critical care unit (Peri2) | 0582F - PT NOT TRANSFERRED FROM ANESTHETIZING TO CC UNIT | 0582F - NO TRNSFR FROM ANESTH TO CC | '01/01/2017 | 12/31/2999 |
| 0582T | 0582T - Transurethral ablation of malignant prostate tissue by high-energy water vapor thermotherapy including intraoperative imaging and needle guidance | 0582T - TRURL ABLTJ MAL PRST8 TISS HI ENERGY WATER VAPOR | 0582T - TRURL ABLTJ MAL PRST8 TISS | '01/01/2020 | 12/31/2999 |
| 0583F | 0583F - Transfer of care checklist used (Peri2) | 0583F - TRANSFER OF CARE CHECKLIST USED | 0583F - TRANSFER CARE CHECKLIST USED | '01/01/2017 | 12/31/2999 |
| 0583T | 0583T - Tympanostomy (requiring insertion of ventilating tube) using an automated tube delivery system iontophoresis local anesthesia | 0583T - TYMPANOSTOMY AUTOMATED TUBE DELIVERY SYSTEM | 0583T - TMPST AUTO TUBE DLVR SYS | '01/01/2020 | 12/31/2999 |
| 0584F | 0584F - Transfer of care checklist not used (Peri2) | 0584F - TRANSFER OF CARE CHECKLIST NOT USED | 0584F - NO TRANSFERCARE CHKLIST USED | '01/01/2017 | 12/31/2999 |
| 0584T | 0584T - Islet cell transplant includes portal vein catheterization and infusion including all imaging including guidance and radiological supervision and interpretation when performed; percutaneous | 0584T - PERCUTANEOUS ISLET CELL TRANSPLANT | 0584T - PERQ ISLET CELL TRANSPLANT | '01/01/2020 | 12/31/2999 |
| 0585T | 0585T - Islet cell transplant includes portal vein catheterization and infusion including all imaging including guidance and radiological supervision and interpretation when performed; laparoscopic | 0585T - LAPAROSCOPIC ISLET CELL TRANSPLANT | 0585T - LAPS ISLET CELL TRANSPLANT | '01/01/2020 | 12/31/2999 |
| 0586T | 0586T - Islet cell transplant includes portal vein catheterization and infusion including all imaging including guidance and radiological supervision and interpretation when performed; open | 0586T - OPEN ISLET CELL TRANSPLANT | 0586T - OPEN ISLET CELL TRANSPLANT | '01/01/2020 | 12/31/2999 |
| 0587T | 0587T - Percutaneous implantation or replacement of integrated single device neurostimulation system including electrode array and receiver or pulse generator including analysis programming and imaging guidance when performed posterior tibial nerve | 0587T - PERCUTANEOUS IMPLANTATION/REPLACEMENT ISDNS PTN | 0587T - PERQ IMPLTJ/RPLCMT ISDNS PTN | '01/01/2020 | 12/31/2999 |
| 0588T | 0588T - Revision or removal of integrated single device neurostimulation system including electrode array and receiver or pulse generator including analysis programming and imaging guidance when performed posterior tibial nerve | 0588T - REVISION OR REMOVAL ISDNS POSTERIOR TIBIAL NRV | 0588T - REVISION/REMOVAL ISDNS PTN | '01/01/2020 | 12/31/2999 |
| 0589T | 0589T - Electronic analysis with simple programming of implanted integrated neurostimulation system (eg electrode array and receiver) including contact group(s) amplitude pulse width frequency (Hz) on/off cycling burst dose lockout patient-selectable parameters responsive neurostimulation detection algorithms closed-loop parameters and passive parameters when performed by physician or other qualified health care professional posterior tibial nerve 1-3 parameters | 0589T - ELEC ALYS SMPL PRGRMG IINS PTN 1-3 PARAMETERS | 0589T - ELEC ALYS SMPL PRGRMG IINS | '01/01/2020 | 12/31/2999 |
| 0590T | 0590T - Electronic analysis with complex programming of implanted integrated neurostimulation system (eg electrode array and receiver) including contact group(s) amplitude pulse width frequency (Hz) on/off cycling burst dose lockout patient-selectable parameters responsive neurostimulation detection algorithms closed-loop parameters and passive parameters when performed by physician or other qualified health care professional posterior tibial nerve 4 or more parameters | 0590T - ELEC ALYS CPLX PRGRMG IINS PTN 4+ PARAMETERS | 0590T - ELEC ALYS CPLX PRGRMG IINS | '01/01/2020 | 12/31/2999 |
| 0591T | 0591T - Health and well-being coaching face-to-face; individual initial assessment | 0591T - HEALTH & WELL-BEING COACHING F2F INDIV 1ST ASSMT | 0591T - HLTH&WB COACHING INDIV 1ST | '01/01/2020 | 12/31/2999 |
| 0592T | 0592T - Health and well-being coaching face-to-face; individual follow-up session at least 30 minutes | 0592T - HEALTH & WELL-BEING COACHING F2F INDIV F-UP SESS | 0592T - HLTH&WB COACHING INDIV F-UP | '01/01/2020 | 12/31/2999 |
| 0593T | 0593T - Health and well-being coaching face-to-face; group (2 or more individuals) at least 30 minutes | 0593T - HEALTH & WELL-BEING COACHING FACE TO FACE GROUP | 0593T - HLTH&WB COACHING GROUP | '01/01/2020 | 12/31/2999 |
| 0594T | 0594T - Osteotomy humerus with insertion of an externally controlled intramedullary lengthening device including intraoperative imaging initial and subsequent alignment assessments computations of adjustment schedules and management of the intramedullary lengthening device | 0594T - OSTEOT HUM INSJ XTRNL CTRLD IMED LNGTH DEVICE | 0594T - OSTEOT HUM XTRNL LNGTH DEV | '07/01/2020 | 12/31/2999 |
| 0596T | 0596T - Temporary female intraurethral valve-pump (ie voiding prosthesis); initial insertion including urethral measurement | 0596T - TEMP FEMALE INTRAURETHRAL VALVE-PUMP 1ST INSJ | 0596T - TEMP FML IU VLV-PMP 1ST INSJ | '07/01/2020 | 12/31/2999 |
| 0597T | 0597T - Temporary female intraurethral valve-pump (ie voiding prosthesis); replacement | 0597T - TEMP FEMALE INTRAURETHRAL VALVE-PUMP REPLACEMENT | 0597T - TEMP FML IU VALVE-PMP RPLCMT | '07/01/2020 | 12/31/2999 |
| 0598T | 0598T - Noncontact real-time fluorescence wound imaging for bacterial presence location and load per session; first anatomic site (eg lower extremity) | 0598T - NONCONTACT R-T FLUOR WND IMG 1ST ANATOMIC SITE | 0598T - NCNTC R-T FLUOR WND IMG 1ST | '07/01/2020 | 12/31/2999 |
| 0599T | 0599T - Noncontact real-time fluorescence wound imaging for bacterial presence location and load per session; each additional anatomic site (eg upper extremity) (List separately in addition to code for primary procedure) | 0599T - NONCONTACT R-T FLUOR WND IMG EA ADDL ANTMC SITE | 0599T - NCNTC R-T FLUOR WND IMG EA | '01/01/2021 | 12/31/2999 |
| 0600T | 0600T - Ablation irreversible electroporation; 1 or more tumors per organ including imaging guidance when performed percutaneous | 0600T - IRE ABLATION 1+TUMORS PER ORGAN W/IMG GDN PERQ | 0600T - IRE ABLTJ 1+TUM ORGAN PERQ | '07/01/2020 | 12/31/2999 |
| 0601T | 0601T - Ablation irreversible electroporation; 1 or more tumors per organ including fluoroscopic and ultrasound guidance when performed open | 0601T - IRE ABLATION 1+TUMORS PR ORGN W/FLUOR&US GDN OPN | 0601T - IRE ABLTJ 1+TUMORS OPEN | '01/01/2021 | 12/31/2999 |
| 0602T | 0602T - Glomerular filtration rate (GFR) measurement(s) transdermal including sensor placement and administration of a single dose of fluorescent pyrazine agent | 0602T - TRANSDERMAL GFR MEAS SNR PLMT&1 DOS PYRAZINE AGT | 0602T - TRANSDERMAL GFR MEASUREMENTS | '07/01/2020 | 12/31/2999 |
| 0603T | 0603T - Glomerular filtration rate (GFR) monitoring transdermal including sensor placement and administration of more than one dose of fluorescent pyrazine agent each 24 hours | 0603T - TDRM GFR MNTR SNR PLMT&>1 DOS PYRAZINE EA 24 HRS | 0603T - TRANSDERMAL GFR MONITORING | '07/01/2020 | 12/31/2999 |
| 0604T | 0604T - Optical coherence tomography (OCT) of retina remote patient-initiated image capture and transmission to a remote surveillance center unilateral or bilateral; initial device provision set-up and patient education on use of equipment | 0604T - REMOTE OCT RETINA 1ST DEV SET-UP & PT EDUCAJ | 0604T - REM OCT RTA DEV SETUP&EDUCAJ | '01/01/2021 | 12/31/2999 |
| 0605T | 0605T - Optical coherence tomography (OCT) of retina remote patient-initiated image capture and transmission to a remote surveillance center unilateral or bilateral; remote surveillance center technical support data analyses and reports with a minimum of 8 daily recordings each 30 days | 0605T - REM OCT RETINA TECHL SUPRT MIN 8 DLY REC EA 30D | 0605T - REM OCT RTA TECHL SPRT MIN 8 | '01/01/2021 | 12/31/2999 |
| 0606T | 0606T - Optical coherence tomography (OCT) of retina remote patient-initiated image capture and transmission to a remote surveillance center unilateral or bilateral; review interpretation and report by the prescribing physician or other qualified health care professional of remote surveillance center data analyses each 30 days | 0606T - REMOTE OCT RETINA REVIEW I&R PHYS/QHP EA 30 D | 0606T - REM OCT RTA PHYS/QHP EA 30D | '01/01/2021 | 12/31/2999 |
| 0607T | 0607T - Remote monitoring of an external continuous pulmonary fluid monitoring system including measurement of radiofrequency-derived pulmonary fluid levels heart rate respiration rate activity posture and cardiovascular rhythm (eg ECG data) transmitted to a remote 24-hour attended surveillance center; set-up and patient education on use of equipment | 0607T - REM MNTR XTRNL CONT PULM FLU MNTR SYS SETUP | 0607T - REM MNTR PULM FLU MNTR SETUP | '07/01/2020 | 12/31/2999 |
| 0608T | 0608T - Remote monitoring of an external continuous pulmonary fluid monitoring system including measurement of radiofrequency-derived pulmonary fluid levels heart rate respiration rate activity posture and cardiovascular rhythm (eg ECG data) transmitted to a remote 24-hour attended surveillance center; analysis of data received and transmission of reports to the physician or other qualified health care professional | 0608T - REM MNTR XTRNL CONT PULM FLU MNTR SYS ALYS DATA | 0608T - REM MNTR PULM FLU MNTR ALYS | '07/01/2020 | 12/31/2999 |
| 0609T | 0609T - Magnetic resonance spectroscopy determination and localization of discogenic pain (cervical thoracic or lumbar); acquisition of single voxel data per disc on biomarkers (ie lactic acid carbohydrate alanine laal propionic acid proteoglycan and collagen) in at least 3 discs | 0609T - MRS DISCOGENIC PAIN ACQUISJ SINGLE VOXEL DATA | 0609T - MRS DISC PAIN ACQUISJ DATA | '07/01/2020 | 12/31/2999 |
| 0610T | 0610T - Magnetic resonance spectroscopy determination and localization of discogenic pain (cervical thoracic or lumbar); transmission of biomarker data for software analysis | 0610T - MRS DISCOGENIC PAIN TRANSMIS BMRK DATA SW ALYS | 0610T - MRS DISC PAIN TRANSMIS DATA | '07/01/2020 | 12/31/2999 |
| 0611T | 0611T - Magnetic resonance spectroscopy determination and localization of discogenic pain (cervical thoracic or lumbar); postprocessing for algorithmic analysis of biomarker data for determination of relative chemical differences between discs | 0611T - MRS DISCOGENIC PAIN ALGORTHMIC ALYS BMRK DATA | 0611T - MRS DISC PAIN ALG ALYS DATA | '07/01/2020 | 12/31/2999 |
| 0612T | 0612T - Magnetic resonance spectroscopy determination and localization of discogenic pain (cervical thoracic or lumbar); interpretation and report | 0612T - MRS DISCOGENIC PAIN INTERPRETATION AND REPORT | 0612T - MRS DISCOGENIC PAIN I&R | '07/01/2020 | 12/31/2999 |
| 0613T | 0613T - Percutaneous transcatheter implantation of interatrial septal shunt device including right and left heart catheterization intracardiac echocardiography and imaging guidance by the proceduralist when performed | 0613T - PERQ TCAT IMPLTJ INTRATRL SEPTAL SHUNT DEVICE | 0613T - PERQ TCAT INTRATRL SEPTL SHT | '07/01/2020 | 12/31/2999 |
| 0614T | 0614T - Removal and replacement of substernal implantable defibrillator pulse generator | 0614T - RMVL&RPLCMT SUBSTERNAL IMPLTBL DEFIBRILLATOR PG | 0614T - RMVL&RPLCMT SS IMPL DFB PG | '07/01/2020 | 12/31/2999 |
| 0615T | 0615T - Eye-movement analysis without spatial calibration with interpretation and report | 0615T - EYE MVMT ANALYSIS W/O SPATIAL CALIBRATION I&R | 0615T - EYE MVMT ALYS W/O CALBRJ I&R | '07/01/2020 | 12/31/2999 |
| 0616T | 0616T - Insertion of iris prosthesis including suture fixation and repair or removal of iris when performed; without removal of crystalline lens or intraocular lens without insertion of intraocular lens | 0616T - INSJ IRIS PROSTH W/SUTURE FIXATION&RPR/RMVL IRIS | 0616T - INSERTION OF IRIS PROSTHESIS | '07/01/2020 | 12/31/2999 |
| 0617T | 0617T - Insertion of iris prosthesis including suture fixation and repair or removal of iris when performed; with removal of crystalline lens and insertion of intraocular lens | 0617T - INSJ IRIS PROSTH RMVL CRYSTLN LENS &INSJ IO LENS | 0617T - INSJ IRIS PROSTH W/RMVL&INSJ | '07/01/2020 | 12/31/2999 |
| 0618T | 0618T - Insertion of iris prosthesis including suture fixation and repair or removal of iris when performed; with secondary intraocular lens placement or intraocular lens exchange | 0618T - INSJ IRIS PROSTH SECONDARY IO LENS PLMT/EXCHANGE | 0618T - INSJ IRIS PROSTH SEC IO LENS | '07/01/2020 | 12/31/2999 |
| 0619T | 0619T - Cystourethroscopy with transurethral anterior prostate commissurotomy and drug delivery including transrectal ultrasound and fluoroscopy when performed | 0619T - CYSTO W/TRURL ANT PRST8 COMMISSUROTOMY & RX DLVR | 0619T - CYSTO W/PRST8 COMMISSUROTOMY | '07/01/2020 | 12/31/2999 |
| 0620T | 0620T - Endovascular venous arterialization tibial or peroneal vein with transcatheter placement of intravascular stent graft(s) and closure by any method including percutaneous or open vascular access ultrasound guidance for vascular access when performed all catheterization(s) and intraprocedural roadmapping and imaging guidance necessary to complete the intervention all associated radiological supervision and interpretation when performed | 0620T - ENDOVASCULAR VENOUS ARTERIALIZATION TIBL/PRNL VN | 0620T - EVASC VEN ARTLZ TIBL/PRNL VN | '01/01/2021 | 12/31/2999 |
| 0621T | 0621T - Trabeculostomy ab interno by laser; | 0621T - TRABECULOSTOMY AB INTERNO BY LASER | 0621T - TRABECULOSTOMY INTERNO LASER | '01/01/2021 | 12/31/2999 |
| 0622T | 0622T - Trabeculostomy ab interno by laser; with use of ophthalmic endoscope | 0622T - TRABECULOSTOMY AB INTERNO LASER W/OPH ENDOSCOPE | 0622T - TRABECULOSTOMY INT LSR W/SCP | '01/01/2021 | 12/31/2999 |
| 0623T | 0623T - Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease using data from coronary computed tomographic angiography; data preparation and transmission computerized analysis of data with review of computerized analysis output to reconcile discordant data interpretation and report | 0623T - AUTO QUAN&CHARAC CORONARY ATHEROSCLEROTIC PLAQUE | 0623T - AUTO QUANTIFICATION C PLAQUE | '01/01/2021 | 12/31/2999 |
| 0624T | 0624T - Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease using data from coronary computed tomographic angiography; data preparation and transmission | 0624T - AUTO QUAN&CHARAC CORONARY PLAQ DATA PREP&TRNSMIS | 0624T - AUTO QUAN C PLAQ DATA PREP | '01/01/2021 | 12/31/2999 |
| 0625T | 0625T - Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease using data from coronary computed tomographic angiography; computerized analysis of data from coronary computed tomographic angiography | 0625T - AUTO QUAN&CHARAC CORONARY PLAQ COMPUTERIZED ALYS | 0625T - AUTO QUAN C PLAQ CPTR ALYS | '01/01/2021 | 12/31/2999 |
| 0626T | 0626T - Automated quantification and characterization of coronary atherosclerotic plaque to assess severity of coronary disease using data from coronary computed tomographic angiography; review of computerized analysis output to reconcile discordant data interpretation and report | 0626T - AUTO QUAN&CHARAC CORONARY PLAQ REV CPTR ALYS I&R | 0626T - AUTO QUAN C PLAQ I&R | '01/01/2021 | 12/31/2999 |
| 0627T | 0627T - Percutaneous injection of allogeneic cellular and/or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic guidance lumbar; first level | 0627T - PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR 1ST | 0627T - PERQ NJX ALGC FLUOR LMBR 1ST | '01/01/2021 | 12/31/2999 |
| 0628T | 0628T - Percutaneous injection of allogeneic cellular and/or tissue-based product intervertebral disc unilateral or bilateral injection with fluoroscopic guidance lumbar; each additional level (List separately in addition to code for primary procedure) | 0628T - PERQ NJX ALGC CELL &/PRDCT UNI/BI FLUOR LMBR EA | 0628T - PERQ NJX ALGC FLUOR LMBR EA | '01/01/2021 | 12/31/2999 |
| 0629T | 0629T - Percutaneous injection of allogeneic cellular and/or tissue-based product intervertebral disc unilateral or bilateral injection with CT guidance lumbar; first level | 0629T - PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR 1ST | 0629T - PERQ NJX ALGC CT LMBR 1ST | '01/01/2021 | 12/31/2999 |
| 0630T | 0630T - Percutaneous injection of allogeneic cellular and/or tissue-based product intervertebral disc unilateral or bilateral injection with CT guidance lumbar; each additional level (List separately in addition to code for primary procedure) | 0630T - PERQ NJX ALGC CELL&/PRDCT UNI/BI CT LMBR EA | 0630T - PERQ NJX ALGC CT LMBR EA | '01/01/2021 | 12/31/2999 |
| 0631T | 0631T - Transcutaneous visible light hyperspectral imaging measurement of oxyhemoglobin deoxyhemoglobin and tissue oxygenation with interpretation and report per extremity | 0631T - TC VISIBLE LIGHT HYPERSPECTRAL IMG MEAS PER XTR | 0631T - TC VIS LIT HYPERSPECTRAL IMG | '01/01/2021 | 12/31/2999 |
| 0632T | 0632T - Percutaneous transcatheter ultrasound ablation of nerves innervating the pulmonary arteries including right heart catheterization pulmonary artery angiography and all imaging guidance | 0632T - PERQ TCAT US ABLATION NERVES INNERVATING P-ART | 0632T - PERQ TCAT US ABLTJ NRV P-ART | '01/01/2021 | 12/31/2999 |
| 0633T | 0633T - Computed tomography breast including 3D rendering when performed unilateral; without contrast material | 0633T - CT BREAST W/3D RENDERING UNI WITHOUT CONTRAST | 0633T - CT BREAST W/3D UNI C- | '01/01/2021 | 12/31/2999 |
| 0634T | 0634T - Computed tomography breast including 3D rendering when performed unilateral; with contrast material(s) | 0634T - CT BREAST W/3D RENDERING UNI WITH CONTRAST | 0634T - CT BREAST W/3D UNI C+ | '01/01/2021 | 12/31/2999 |
| 0635T | 0635T - Computed tomography breast including 3D rendering when performed unilateral; without contrast followed by contrast material(s) | 0635T - CT BRST W/3D RENDERING UNI WO CNTRST FLWD CNTRST | 0635T - CT BREAST W/3D UNI C-/C+ | '01/01/2021 | 12/31/2999 |
| 0636T | 0636T - Computed tomography breast including 3D rendering when performed bilateral; without contrast material(s) | 0636T - CT BREAST W/3D RENDERING BI WITHOUT CONTRAST | 0636T - CT BREAST W/3D BI C- | '01/01/2021 | 12/31/2999 |
| 0637T | 0637T - Computed tomography breast including 3D rendering when performed bilateral; with contrast material(s) | 0637T - CT BREAST W/3D RENDERING BI WITH CONTRAST | 0637T - CT BREAST W/3D BI C+ | '01/01/2021 | 12/31/2999 |
| 0638T | 0638T - Computed tomography breast including 3D rendering when performed bilateral; without contrast followed by contrast material(s) | 0638T - CT BRST W/3D RENDERING BI WO CNTRST FLWD CNTRST | 0638T - CT BREAST W/3D BI C-/C+ | '01/01/2021 | 12/31/2999 |
| 0639T | 0639T - Wireless skin sensor thermal anisotropy measurement(s) and assessment of flow in cerebrospinal fluid shunt including ultrasound guidance when performed | 0639T - WIRELESS SKIN SNR THERMAL ANISOTROPY MEAS&ASSMT | 0639T - WRLS SKN SNR ANISOTROPY MEAS | '01/01/2021 | 12/31/2999 |
| 0640T | 0640T - Noncontact near-infrared spectroscopy studies of flap or wound (eg for measurement of deoxyhemoglobin oxyhemoglobin and ratio of tissue oxygenation [StO2]); image acquisition interpretation and report each flap or wound | 0640T - NCNTC NR IFR SPECTRSC FLAP/WND IMG ACQUISJ I&R | 0640T - NCNTC NR IFR SPCTRSC WND | '07/01/2021 | 12/31/2999 |
| 0641T | 0641T - Noncontact near-infrared spectroscopy studies of flap or wound (eg for measurement of deoxyhemoglobin oxyhemoglobin and ratio of tissue oxygenation [StO2]); image acquisition only each flap or wound | 0641T - NCNTC NR IFR SPECTRSC FLAP/WND IMG ACQUISJ ONLY | 0641T - NCNTC NR IFR SPCTRSC WND IMG | '07/01/2021 | 12/31/2999 |
| 0642T | 0642T - Noncontact near-infrared spectroscopy studies of flap or wound (eg for measurement of deoxyhemoglobin oxyhemoglobin and ratio of tissue oxygenation [StO2]); interpretation and report only each flap or wound | 0642T - NCNTC NR IFR SPECTRSC FLAP/WND I&R ONLY | 0642T - NCNTC NR IFR SPCTRSC WND I&R | '07/01/2021 | 12/31/2999 |
| 0643T | 0643T - Transcatheter left ventricular restoration device implantation including right and left heart catheterization and left ventriculography when performed arterial approach | 0643T - TRANSCATHETER L VENTR RESTORATION DEVICE IMPLTJ | 0643T - TCAT L VENTR RSTRJ DEV IMPLT | '07/01/2021 | 12/31/2999 |
| 0644T | 0644T - Transcatheter removal or debulking of intracardiac mass (eg vegetations thrombus) via suction (eg vacuum aspiration) device percutaneous approach with intraoperative reinfusion of aspirated blood including imaging guidance when performed | 0644T - TCAT RMVL/DEBULK ICAR MASS SUCTION DEVICE PERQ | 0644T - TCAT RMVL/DBLK ICAR MAS PERQ | '07/01/2021 | 12/31/2999 |
| 0645T | 0645T - Transcatheter implantation of coronary sinus reduction device including vascular access and closure right heart catheterization venous angiography coronary sinus angiography imaging guidance and supervision and interpretation when performed | 0645T - TCAT IMPLANTATION CORONARY SINUS REDUCTION DEV | 0645T - TCAT IMPLTJ C SINS RDCTJ DEV | '07/01/2021 | 12/31/2999 |
| 0646T | 0646T - Transcatheter tricuspid valve implantation (TTVI)/replacement with prosthetic valve percutaneous approach including right heart catheterization temporary pacemaker insertion and selective right ventricular or right atrial angiography when performed | 0646T - TTVI/RPLCMT PROSTC VLV PERQ W/R HRT CATH&ANGRPH | 0646T - TTVI/RPLCMT W/PRSTC VLV PERQ | '01/01/2022 | 12/31/2999 |
| 0647T | 0647T - Insertion of gastrostomy tube percutaneous with magnetic gastropexy under ultrasound guidance image documentation and report | 0647T - INSJ GASTROSTOMY TUBE PERQ W/MAGNETIC GASTROPEXY | 0647T - INSJ GTUBE PERQ MAG GASTRPXY | '07/01/2021 | 12/31/2999 |
| 0648T | 0648T - Quantitative magnetic resonance for analysis of tissue composition (eg fat iron water content) including multiparametric data acquisition data preparation and transmission interpretation and report obtained without diagnostic MRI examination of the same anatomy (eg organ gland tissue target structure) during the same session; single organ | 0648T - QUAN MR ALYS TISS COMPJ W/O MRI SAME SESS 1ORGN | 0648T - QUAN MR TIS WO MRI 1ORGN | '01/01/2022 | 12/31/2999 |
| 0649T | 0649T - Quantitative magnetic resonance for analysis of tissue composition (eg fat iron water content) including multiparametric data acquisition data preparation and transmission interpretation and report obtained with diagnostic MRI examination of the same anatomy (eg organ gland tissue target structure); single organ (List separately in addition to code for primary procedure) | 0649T - QUAN MR ALYS TISS COMPOSITION W/MRI 1ORGN | 0649T - QUAN MR TISS W/MRI 1ORGN | '01/01/2022 | 12/31/2999 |
| 0650T | 0650T - Programming device evaluation (remote) of subcutaneous cardiac rhythm monitor system with iterative adjustment of the implantable device to test the function of the device and select optimal permanently programmed values with analysis review and report by a physician or other qualified health care professional | 0650T - PRGRMG DEV EVAL SCRMS PHYS/QHP REMOTE | 0650T - PRGRMG DEV EVAL SCRMS REMOTE | '07/01/2021 | 12/31/2999 |
| 0651T | 0651T - Magnetically controlled capsule endoscopy esophagus through stomach including intraprocedural positioning of capsule with interpretation and report | 0651T - MAGNETICALLY CONTROLLED CAPSULE ENDOSCOPY W/I&R | 0651T - MAG CTRLD CAPSULE ENDOSCOPY | '07/01/2021 | 12/31/2999 |
| 0652T | 0652T - Esophagogastroduodenoscopy flexible transnasal; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 0652T - EGD FLEXIBLE TRANSNASAL DX W/COLLJ SPEC BR/WA | 0652T - EGD FLX TRANSNASAL DX BR/WA | '07/01/2021 | 12/31/2999 |
| 0653T | 0653T - Esophagogastroduodenoscopy flexible transnasal; with biopsy single or multiple | 0653T - EGD FLEXIBLE TRANSNASAL W/BIOPSY SINGLE/MULTIPLE | 0653T - EGD FLX TRANSNASAL BX 1/MLT | '07/01/2021 | 12/31/2999 |
| 0654T | 0654T - Esophagogastroduodenoscopy flexible transnasal; with insertion of intraluminal tube or catheter | 0654T - EGD FLEXIBLE TRANSNASAL W/INSJ INTRAL TUBE/CATH | 0654T - EGD FLX TRANSNASAL TUBE/CATH | '07/01/2021 | 12/31/2999 |
| 0655T | 0655T - Transperineal focal laser ablation of malignant prostate tissue including transrectal imaging guidance with MR-fused images or other enhanced ultrasound imaging | 0655T - TRANSPERINEAL FOCAL LASER ABLTJ MAL PRST8 TISS | 0655T - TPRNL FOCAL ABLTJ MAL PRST8 | '07/01/2021 | 12/31/2999 |
| 0656T | 0656T - Vertebral body tethering anterior; up to 7 vertebral segments | 0656T - ANTERIOR VERTEBRAL BODY TETHERING <7VRT SEGMENTS | 0656T - VRT BDY TETHERING ANT <7 SEG | '07/01/2021 | 12/31/2999 |
| 0657T | 0657T - Vertebral body tethering anterior; 8 or more vertebral segments | 0657T - ANTERIOR VERTEBRAL BODY TETHERING 8+VRT SEGMENTS | 0657T - VRT BDY TETHERING ANT 8+ SEG | '07/01/2021 | 12/31/2999 |
| 0658T | 0658T - Electrical impedance spectroscopy of 1 or more skin lesions for automated melanoma risk score | 0658T - ELECTRICAL IMPEDENCE SPECTROSCOPY 1+SKIN LESIONS | 0658T - ELEC IMPD SPECTRSC 1+SKN LES | '07/01/2021 | 12/31/2999 |
| 0659T | 0659T - Transcatheter intracoronary infusion of supersaturated oxygen in conjunction with percutaneous coronary revascularization during acute myocardial infarction including catheter placement imaging guidance (eg fluoroscopy) angiography and radiologic supervision and interpretation | 0659T - TCAT INTRA-C NFS SUPERSAT O2 W/PERQ C REVSC AMI | 0659T - TCAT INTRA-C NFS SUPERSAT O2 | '07/01/2021 | 12/31/2999 |
| 0660T | 0660T - Implantation of anterior segment intraocular nonbiodegradable drug-eluting system internal approach | 0660T - IMPLTJ ANT SGM IO NBIODEGRADABLE RX ELUTING SYS | 0660T - IMPLT ANT SGM IO NBIO RX SYS | '07/01/2021 | 12/31/2999 |
| 0661T | 0661T - Removal and reimplantation of anterior segment intraocular nonbiodegradable drug-eluting implant | 0661T - RMVL&RIMPLTJ ANT SGM IO NBIODGRD RX ELUT IMPLT | 0661T - RMVL&RIMPLTJ ANT SGM IMPLT | '07/01/2021 | 12/31/2999 |
| 0662T | 0662T - Scalp cooling mechanical; initial measurement and calibration of cap | 0662T - SCALP COOLING 1ST MEASUREMENT & CAP CALIBRATION | 0662T - SCALP COOL 1ST MEAS&CALBRJ | '07/01/2021 | 12/31/2999 |
| 0663T | 0663T - Scalp cooling mechanical; placement of device monitoring and removal of device (List separately in addition to code for primary procedure) | 0663T - SCALP COOLING PLACEMENT MNTR & REMOVAL OF DEVICE | 0663T - SCALP COOL PLMT MNTR RMVL | '07/01/2021 | 12/31/2999 |
| 0664T | 0664T - Donor hysterectomy (including cold preservation); open from cadaver donor | 0664T - DONOR HYSTERECTOMY OPEN FROM CADAVER DONOR | 0664T - DON HYSTERECTOMY OPEN CDVR | '07/01/2021 | 12/31/2999 |
| 0665T | 0665T - Donor hysterectomy (including cold preservation); open from living donor | 0665T - DONOR HYSTERECTOMY OPEN FROM LIVING DONOR | 0665T - DON HYSTERECTOMY OPEN LIV | '07/01/2021 | 12/31/2999 |
| 0666T | 0666T - Donor hysterectomy (including cold preservation); laparoscopic or robotic from living donor | 0666T - DONOR HYSTERECTOMY LAPS/ROBOTIC FROM LIV DONOR | 0666T - DON HYSTERECTOMY LAPS LIV | '07/01/2021 | 12/31/2999 |
| 0667T | 0667T - Donor hysterectomy (including cold preservation); recipient uterus allograft transplantation from cadaver or living donor | 0667T - DONOR HYST RCP UTER ALGRFT TRNSPLJ CDVR/LIV | 0667T - DON HYSTERECTOMY RCP UTER | '01/01/2022 | 12/31/2999 |
| 0668T | 0668T - Backbench standard preparation of cadaver or living donor uterine allograft prior to transplantation including dissection and removal of surrounding soft tissues and preparation of uterine vein(s) and uterine artery(ies) as necessary | 0668T - BACKBENCH PREP CDVR/LIV DONOR UTERINE ALLOGRAFT | 0668T - BKBENCH PREP DON UTER ALGRFT | '07/01/2021 | 12/31/2999 |
| 0669T | 0669T - Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; venous anastomosis each | 0669T - BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT VEN ANST | 0669T - BKBENCH RCNSTJ DON UTER VEN | '07/01/2021 | 12/31/2999 |
| 0670T | 0670T - Backbench reconstruction of cadaver or living donor uterus allograft prior to transplantation; arterial anastomosis each | 0670T - BCKBNCH RCNSTJ CDVR/LIV DON UTER ALGRFT ART ANST | 0670T - BKBENCH RCNSTJ DON UTER ARTL | '07/01/2021 | 12/31/2999 |
| 0671T | 0671T - Insertion of anterior segment aqueous drainage device into the trabecular meshwork without external reservoir and without concomitant cataract removal one or more | 0671T - INSJ ANT SGM DRG DEV TRAB MW W/O RES&CTRC RMVL1+ | 0671T - INSJ ANT SGM AQ DRG DEV 1+ | '01/01/2022 | 12/31/2999 |
| 0672T | 0672T - Endovaginal cryogen-cooled monopolar radiofrequency remodeling of the tissues surrounding the female bladder neck and proximal urethra for urinary incontinence | 0672T - NDOVAG CRYG COOLD RF REMDL TISS FML BLDR NCK&URT | 0672T - NDOVAG CRYG RF REMDL TISS | '01/01/2022 | 12/31/2999 |
| 0673T | 0673T - Ablation benign thyroid nodule(s) percutaneous laser including imaging guidance | 0673T - ABLATION B9 THYROID NODULE PERQ LASER W/IMG GDN | 0673T - ABLTJ B9 THYR NDUL PERQ LASR | '01/01/2022 | 12/31/2999 |
| 0674T | 0674T - Laparoscopic insertion of new or replacement of permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function including an implantable pulse generator and diaphragmatic lead(s) | 0674T - LAPS INSJ NEW/RPLCMT PERM ISDSS AGMNTJ CAR FUNCJ | 0674T - LAPS INSJ NW/RPCMT PRM ISDSS | '01/01/2022 | 12/31/2999 |
| 0675T | 0675T - Laparoscopic insertion of new or replacement of diaphragmatic lead(s) permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function including connection to an existing pulse generator; first lead | 0675T - LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS 1ST LEAD | 0675T - LAPS INSJ NW/RPCMT ISDSS 1LD | '01/01/2022 | 12/31/2999 |
| 0676T | 0676T - Laparoscopic insertion of new or replacement of diaphragmatic lead(s) permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function including connection to an existing pulse generator; each additional lead (List separately in addition to code for primary procedure) | 0676T - LAPS INSJ NEW/RPLCMT LEAD PERM ISDSS EA ADL LEAD | 0676T - LAPS INSJ NW/RPCMT ISDSS EA | '01/01/2022 | 12/31/2999 |
| 0677T | 0677T - Laparoscopic repositioning of diaphragmatic lead(s) permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function including connection to an existing pulse generator; first repositioned lead | 0677T - LAPS REPOS LEAD PERM ISDSS 1ST REPOSITIONED LEAD | 0677T - LAPS REPOS LEAD ISDSS 1ST LD | '01/01/2022 | 12/31/2999 |
| 0678T | 0678T - Laparoscopic repositioning of diaphragmatic lead(s) permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function including connection to an existing pulse generator; each additional repositioned lead (List separately in addition to code for primary procedure) | 0678T - LAPS REPOS LEAD PERM ISDSS EA ADDL REPOS LEAD | 0678T - LAPS REPOS LEAD ISDSS EA ADD | '01/01/2022 | 12/31/2999 |
| 0679T | 0679T - Laparoscopic removal of diaphragmatic lead(s) permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 0679T - LAPAROSCOPIC REMOVAL LEAD PERM ISDSS | 0679T - LAPS RMVL LEAD ISDSS | '01/01/2022 | 12/31/2999 |
| 0680T | 0680T - Insertion or replacement of pulse generator only permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function with connection to existing lead(s) | 0680T - INSJ/RPLCMT PULSE GENERATOR ONLY ISDSS | 0680T - INSJ/RPLCMT PG ONLY ISDSS | '01/01/2022 | 12/31/2999 |
| 0681T | 0681T - Relocation of pulse generator only permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function with connection to existing dual leads | 0681T - RELOCATION PULSE GENERATOR ONLY ISDSS | 0681T - RLCJ PULSE GEN ONLY ISDSS | '01/01/2022 | 12/31/2999 |
| 0682T | 0682T - Removal of pulse generator only permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 0682T - REMOVAL PULSE GENERATOR ONLY ISDSS | 0682T - REMOVAL PULSE GEN ONLY ISDSS | '01/01/2022 | 12/31/2999 |
| 0683T | 0683T - Programming device evaluation (in-person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 0683T - PROGRAMMING DEVICE EVALUATION IN PERSON ISDSS | 0683T - PRGRMG DEV EVAL ISDSS IP | '01/01/2022 | 12/31/2999 |
| 0684T | 0684T - Peri-procedural device evaluation (in-person) and programming of device system parameters before or after a surgery procedure or test with analysis review and report by a physician or other qualified health care professional permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 0684T - PERIPROCEDURAL DEVICE EVALUATION IN PERSON ISDSS | 0684T - PERI-PX DEV EVAL ISDSS IP | '01/01/2022 | 12/31/2999 |
| 0685T | 0685T - Interrogation device evaluation (in-person) with analysis review and report by a physician or other qualified health care professional including connection recording and disconnection per patient encounter permanent implantable synchronized diaphragmatic stimulation system for augmentation of cardiac function | 0685T - INTERROGATION DEVICE EVALUATION IN PERSON ISDSS | 0685T - INTERROG DEV EVAL ISDSS IP | '01/01/2022 | 12/31/2999 |
| 0686T | 0686T - Histotripsy (ie non-thermal ablation via acoustic energy delivery) of malignant hepatocellular tissue including image guidance | 0686T - HISTOTRIPSY MAL HEPATOCELLULAR TISS W/IMG GDN | 0686T - HISTOTRIPSY MAL HEPATCEL TIS | '01/01/2022 | 12/31/2999 |
| 0687T | 0687T - Treatment of amblyopia using an online digital program; device supply educational set-up and initial session | 0687T - TX AMBLYOPIA DEV SUPLY EDUCATIONAL SETUP 1ST SES | 0687T - TX AMBLYOPIA DEV SETUP 1ST | '01/01/2022 | 12/31/2999 |
| 0688T | 0688T - Treatment of amblyopia using an online digital program; assessment of patient performance and program data by physician or other qualified health care professional with report per calendar month | 0688T - TX AMBLYOPIA ASSMT PERF PHYS/QHP W/REPORT CAL MO | 0688T - TX AMBLYOPIA ASSMT W/REPORT | '01/01/2022 | 12/31/2999 |
| 0689T | 0689T - Quantitative ultrasound tissue characterization (non-elastographic) including interpretation and report obtained without diagnostic ultrasound examination of the same anatomy (eg organ gland tissue target structure) | 0689T - QUAN US TISS CHARAC I&R W/O DX US SAME ANAT | 0689T - QUAN US TIS CHARAC W/O DX US | '01/01/2022 | 12/31/2999 |
| 0690T | 0690T - Quantitative ultrasound tissue characterization (non-elastographic) including interpretation and report obtained with diagnostic ultrasound examination of the same anatomy (eg organ gland tissue target structure) (List separately in addition to code for primary procedure) | 0690T - QUANTITATIVE US TISS CHARAC I&R W/DX US SM ANAT | 0690T - QUAN US TIS CHARAC W/DX US | '01/01/2022 | 12/31/2999 |
| 0691T | 0691T - Automated analysis of an existing computed tomography study for vertebral fracture(s) including assessment of bone density when performed data preparation interpretation and report | 0691T - AUTO ALYS XST CT VRT FX ASMT B1 DNS DATA PRP I&R | 0691T - AUTO ALYS XST CT STD VRT FX | '01/01/2022 | 12/31/2999 |
| 0692T | 0692T - Therapeutic ultrafiltration | 0692T - THERAPEUTIC ULTRAFILTRATION | 0692T - THERAPEUTIC ULTRAFILTRATION | '01/01/2022 | 12/31/2999 |
| 0693T | 0693T - Comprehensive full body computer-based markerless 3D kinematic and kinetic motion analysis and report | 0693T - COMPRE FUL BDY CPTR MRKRLS 3D KNMTC&KIN MTN ALYS | 0693T - COMPRE FUL BDY 3D MTN ALYS | '01/01/2022 | 12/31/2999 |
| 0694T | 0694T - 3-dimensional volumetric imaging and reconstruction of breast or axillary lymph node tissue each excised specimen 3-dimensional automatic specimen reorientation interpretation and report real-time intraoperative | 0694T - 3D VOLUMETRIC IMG&RCNSTJ BRST/AX LYMPH NODE TISS | 0694T - 3D VOL IMG&RCNSTJ BRST/AX | '01/01/2022 | 12/31/2999 |
| 0695T | 0695T - Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony cardiac resynchronization therapy device including connection recording disconnection review and report; at time of implant or replacement | 0695T - BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM IMPLT | 0695T - BDY SRF MPG PM/CVDFB TM IMPL | '01/01/2022 | 12/31/2999 |
| 0696T | 0696T - Body surface-activation mapping of pacemaker or pacing cardioverter-defibrillator lead(s) to optimize electrical synchrony cardiac resynchronization therapy device including connection recording disconnection review and report; at time of follow-up interrogation or programming device evaluation | 0696T - BDY SURF ACTIVATION MAPG PM/CVDFB LEADS TM F/UP | 0696T - BDY SURF MAPG PM/CVDFB F/UP | '01/01/2022 | 12/31/2999 |
| 0697T | 0697T - Quantitative magnetic resonance for analysis of tissue composition (eg fat iron water content) including multiparametric data acquisition data preparation and transmission interpretation and report obtained without diagnostic MRI examination of the same anatomy (eg organ gland tissue target structure) during the same session; multiple organs | 0697T - QUAN MR ALYS TIS COMPJ WO MRI SAME SESS MLT ORGN | 0697T - QUAN MR TIS WO MRI MLT ORGN | '01/01/2022 | 12/31/2999 |
| 0698T | 0698T - Quantitative magnetic resonance for analysis of tissue composition (eg fat iron water content) including multiparametric data acquisition data preparation and transmission interpretation and report obtained with diagnostic MRI examination of the same anatomy (eg organ gland tissue target structure); multiple organs (List separately in addition to code for primary procedure) | 0698T - QUAN MR ALYS TISS COMPOSITION W/MRI MLT ORGANS | 0698T - QUAN MR TISS W/MRI MLT ORGN | '01/01/2022 | 12/31/2999 |
| 0699T | 0699T - Injection posterior chamber of eye medication | 0699T - INJECTION POSTERIOR CHAMBER EYE MEDICATION | 0699T - NJX PST CHMBR EYE MEDICATION | '01/01/2022 | 12/31/2999 |
| 0700T | 0700T - Molecular fluorescent imaging of suspicious nevus; first lesion | 0700T - MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS 1ST LES | 0700T - MOLEC FLUOR IMG SUS NEV 1ST | '01/01/2022 | 12/31/2999 |
| 0701T | 0701T - Molecular fluorescent imaging of suspicious nevus; each additional lesion (List separately in addition to code for primary procedure) | 0701T - MOLECULAR FLUOR IMAGING SUSPICIOUS NEVUS EA ADDL | 0701T - MOLEC FLUOR IMG SUS NEV EA | '01/01/2022 | 12/31/2999 |
| 0704T | 0704T - Remote treatment of amblyopia using an eye tracking device; device supply with initial set-up and patient education on use of equipment | 0704T - REM TX AMBLYOPIA DEV SUPPLY 1ST SETUP&PT EDUCAJ | 0704T - REM TX AMBLYOPIA SETUP&EDU | '01/01/2022 | 12/31/2999 |
| 0705T | 0705T - Remote treatment of amblyopia using an eye tracking device; surveillance center technical support including data transmission with analysis with a minimum of 18 training hours each 30 days | 0705T - REM TX AMBLYOPIA TCH SPRT MIN 18 TRAING HR EA 30 | 0705T - REM TX AMBLYOPIA TECH SPRT | '01/01/2022 | 12/31/2999 |
| 0706T | 0706T - Remote treatment of amblyopia using an eye tracking device; interpretation and report by physician or other qualified health care professional per calendar month | 0706T - REM TX AMBLYOPIA I&R PHYS/QHP PER CALENDAR MONTH | 0706T - REM TX AMBLYOPIA I&R PHY/QHP | '01/01/2022 | 12/31/2999 |
| 0707T | 0707T - Injection(s) bone-substitute material (eg calcium phosphate) into subchondral bone defect (ie bone marrow lesion bone bruise stress injury microtrabecular fracture) including imaging guidance and arthroscopic assistance for joint visualization | 0707T - NJX BONE SUB MATRL INTO SUBCHONDRAL BONE DEFECT | 0707T - NJX B1 SUB MTRL SBCHDRL DFCT | '01/01/2022 | 12/31/2999 |
| 0708T | 0708T - Intradermal cancer immunotherapy; preparation and initial injection | 0708T - INTRADERMAL CANCER IMMNTX PREP & 1ST INJECTION | 0708T - ID CA IMMNTX PREP & 1ST NJX | '01/01/2022 | 12/31/2999 |
| 0709T | 0709T - Intradermal cancer immunotherapy; each additional injection (List separately in addition to code for primary procedure) | 0709T - INTRADERMAL CANCER IMMNTX EACH ADDL INJECTION | 0709T - ID CA IMMNTX EACH ADDL NJX | '01/01/2022 | 12/31/2999 |
| 0710T | 0710T - Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; including data preparation and transmission quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability data review interpretation and report | 0710T - N-INVAS ARTL PLAQ ALYS DATA PRP QUAN REVIEW I&R | 0710T - N-INVAS ARTL PLAQ ALYS | '01/01/2022 | 12/31/2999 |
| 0711T | 0711T - Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data preparation and transmission | 0711T - N-INVAS ARTL PLAQ ALYS DATA PREP & TRANSMISSION | 0711T - N-NVS ARTL PLAQ ALYS DAT PRP | '01/01/2022 | 12/31/2999 |
| 0712T | 0712T - Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; quantification of the structure and composition of the vessel wall and assessment for lipid-rich necrotic core plaque to assess atherosclerotic plaque stability | 0712T - N-INVAS ARTL PLAQ ALYS QUAN STRUX&COMPOS VSL WAL | 0712T - N-NVS ARTL PLAQ ALYS QUAN | '01/01/2022 | 12/31/2999 |
| 0713T | 0713T - Noninvasive arterial plaque analysis using software processing of data from non-coronary computerized tomography angiography; data review interpretation and report | 0713T - N-INVAS ARTL PLAQ ALYS DATA REVIEW I&R | 0713T - N-NVS ARTL PLAQ ALYS RVW I&R | '01/01/2022 | 12/31/2999 |
| 0714T | 0714T - Transperineal laser ablation of benign prostatic hyperplasia including imaging guidance | 0714T - TPRNL LSR ABLTJ B9 PROSTATIC HYPERPLASIA W/IMG | 0714T - TPRNL LSR ABLT B9 PRST8 HYPR | '07/01/2022 | 12/31/2999 |
| 0715T | 0715T - Percutaneous transluminal coronary lithotripsy (List separately in addition to code for primary procedure) | 0715T - PERCUTANEOUS TRANSLUMINAL CORONARY LITHOTRIPSY | 0715T - PERQ TRLUML CORONRY LITHOTRP | '07/01/2022 | 12/31/2999 |
| 0716T | 0716T - Cardiac acoustic waveform recording with automated analysis and generation of coronary artery disease risk score | 0716T - CARDIAC ACOUS WAVFRM REC AUTO ALYS CAD RSK SCORE | 0716T - CAR ACOUS WAVFRM REC CAD RSK | '07/01/2022 | 12/31/2999 |
| 0717T | 0717T - Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; adipose tissue harvesting isolation and preparation of harvested cells including incubation with cell dissociation enzymes filtration washing and concentration of ADRCs | 0717T - ADRC THER PRTL THICKNESS RC TEAR | 0717T - ADRC THER PRTL RC TEAR | '01/01/2023 | 12/31/2999 |
| 0718T | 0718T - Autologous adipose-derived regenerative cell (ADRC) therapy for partial thickness rotator cuff tear; injection into supraspinatus tendon including ultrasound guidance unilateral | 0718T - ADRC THER PRTL THICKNESS RC TEAR NJX TENDON UNI | 0718T - ADRC THER PRTL RC TEAR NJX | '01/01/2023 | 12/31/2999 |
| 0719T | 0719T - Posterior vertebral joint replacement including bilateral facetectomy laminectomy and radical discectomy including imaging guidance lumbar spine single segment | 0719T - PST VERTEBRAL JOINT RPLCMT LUMBAR SPI SINGLE SGM | 0719T - PST VRT JT RPLCMT LMBR 1 SGM | '07/01/2022 | 12/31/2999 |
| 0720T | 0720T - Percutaneous electrical nerve field stimulation cranial nerves without implantation | 0720T - PERQ ELEC NRV FIELD STIMJ CRANIAL NRVS WO IMPLTJ | 0720T - PRQ ELC NRV STIM CN WO IMPLT | '07/01/2022 | 12/31/2999 |
| 0721T | 0721T - Quantitative computed tomography (CT) tissue characterization including interpretation and report obtained without concurrent CT examination of any structure contained in previously acquired diagnostic imaging | 0721T - QUAN CT TISS CHARAC I&R W/O CNCRNT CT EXAM | 0721T - QUAN CT TISS CHARAC W/O CT | '01/01/2023 | 12/31/2999 |
| 0722T | 0722T - Quantitative computed tomography (CT) tissue characterization including interpretation and report obtained with concurrent CT examination of any structure contained in the concurrently acquired diagnostic imaging dataset (List separately in addition to code for primary procedure) | 0722T - QUAN CT TISS CHARAC I&R W/CNCRNT CT EXAM | 0722T - QUAN CT TISS CHARAC W/CT | '01/01/2023 | 12/31/2999 |
| 0723T | 0723T - Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission interpretation and report obtained without diagnostic magnetic resonance imaging (MRI) examination of the same anatomy (eg organ gland tissue target structure) during the same session | 0723T - QMRCP W/O DIAGNOSTIC MRI SM ANATOMY DRG SM SESS | 0723T - QMRCP W/O DX MRI SM ANAT SES | '01/01/2023 | 12/31/2999 |
| 0724T | 0724T - Quantitative magnetic resonance cholangiopancreatography (QMRCP) including data preparation and transmission interpretation and report obtained with diagnostic magnetic resonance imaging (MRI) examination of the same anatomy (eg organ gland tissue target structure) (List separately in addition to code for primary procedure) | 0724T - QMRCP W/DIAGNOSTIC MRI SAME ANATOMY | 0724T - QMRCP W/DX MRI SAME ANATOMY | '01/01/2023 | 12/31/2999 |
| 0725T | 0725T - Vestibular device implantation unilateral | 0725T - VESTIBULAR DEVICE IMPLANTATION UNILATERAL | 0725T - VESTIBULAR DEV IMPLTJ UNI | '07/01/2022 | 12/31/2999 |
| 0726T | 0726T - Removal of implanted vestibular device unilateral | 0726T - REMOVAL IMPLANTED VESTIBULAR DEVICE UNILATERAL | 0726T - RMVL IMPLT VSTIBULAR DEV UNI | '07/01/2022 | 12/31/2999 |
| 0727T | 0727T - Removal and replacement of implanted vestibular device unilateral | 0727T - RMVL&RPLCMT IMPLANTED VESTIBULAR DEVICE UNI | 0727T - RMVL&RPLCMT IMPLT VSTBLR DEV | '01/01/2023 | 12/31/2999 |
| 0728T | 0728T - Diagnostic analysis of vestibular implant unilateral; with initial programming | 0728T - DX ALYS VESTIBULAR IMPLANT UNILATERAL 1ST PRGRMG | 0728T - DX ALYS VSTBLR IMPLT UNI 1ST | '07/01/2022 | 12/31/2999 |
| 0729T | 0729T - Diagnostic analysis of vestibular implant unilateral; with subsequent programming | 0729T - DX ALYS VESTIBULAR IMPLANT UNI SBSQ PRGRMG | 0729T - DX ALYS VSTBLR IMPLT UNI SBQ | '07/01/2022 | 12/31/2999 |
| 0730T | 0730T - Trabeculotomy by laser including optical coherence tomography (OCT) guidance | 0730T - TRABECULOTOMY BY LASER INCLUDING OCT GUIDANCE | 0730T - TRABECULOTOMY LSR W/OCT GDN | '07/01/2022 | 12/31/2999 |
| 0731T | 0731T - Augmentative AI-based facial phenotype analysis with report | 0731T - AUGMENTATIVE AI-BASED FACIAL PHENOTYPE A/R | 0731T - AUGMNT AI-BASED FCL PHNT A/R | '07/01/2022 | 12/31/2999 |
| 0732T | 0732T - Immunotherapy administration with electroporation intramuscular | 0732T - IMMUNOTHERAPY ADMN WITH ELECTROPORATION IM | 0732T - IMMNTX ADMN ELECTROPORATN IM | '07/01/2022 | 12/31/2999 |
| 0733T | 0733T - Remote real-time motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional; supply and technical support per 30 days | 0733T - REM R-T MTN CAP NREHAB THER SPLY&TECH SPRT 30D | 0733T - REM R-T MTN NREHAB THER SPLY | '01/01/2023 | 12/31/2999 |
| 0734T | 0734T - Remote real-time motion capture-based neurorehabilitative therapy ordered by a physician or other qualified health care professional; treatment management services by a physician or other qualified health care professional per calendar month | 0734T - REM R-T MTN CAP NREHAB THER TX MGMT SVCS CAL MO | 0734T - REM R-T MTN NREHAB TX MGMT | '01/01/2023 | 12/31/2999 |
| 0735T | 0735T - Preparation of tumor cavity with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with primary craniotomy (List separately in addition to code for primary procedure) | 0735T - PREPJ TUMOR CAVITY IORT CNCRNT W/PRIM CRANIOTOMY | 0735T - PREP TUM CAV IORT PRIM CRNOT | '07/01/2022 | 12/31/2999 |
| 0736T | 0736T - Colonic lavage 35 or more liters of water gravity-fed with induced defecation including insertion of rectal catheter | 0736T - COLONIC LAVAGE 35+L WATER W/INDUCED DEFECATION | 0736T - COLONIC LAVAGE 35+L WATER | '07/01/2022 | 12/31/2999 |
| 0737T | 0737T - Xenograft implantation into the articular surface | 0737T - XENOGRAFT IMPLANTATION INTO ARTICULAR SURFACE | 0737T - XENOGRAFT IMPLTJ ARTCLR SURF | '07/01/2022 | 12/31/2999 |
| 0738T | 0738T - Treatment planning for magnetic field induction ablation of malignant prostate tissue using data from previously performed magnetic resonance imaging (MRI) examination | 0738T - TX PLANNING MAG FLD INDCTJ ABLTJ MAL PRST8 TISS | 0738T - TX PLN MAG FLD ABLTJ PRST8 | '01/01/2023 | 12/31/2999 |
| 0739T | 0739T - Ablation of malignant prostate tissue by magnetic field induction including all intraprocedural transperineal needle/catheter placement for nanoparticle installation and intraprocedural temperature monitoring thermal dosimetry bladder irrigation and magnetic field nanoparticle activation | 0739T - ABLATION MAL PRST8 TISS MAGNETIC FIELD INDUCTION | 0739T - ABLTJ MAL PRST8 MAG FLD NDCT | '01/01/2023 | 12/31/2999 |
| 0740T | 0740T - Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; initial set-up and patient education | 0740T - REM AUTON ALG INSULIN DOSE 1ST SETUP& PT EDUCAJ | 0740T - REM AUTON ALG NSLN CAL SETUP | '01/01/2023 | 12/31/2999 |
| 0741T | 0741T - Remote autonomous algorithm-based recommendation system for insulin dose calculation and titration; provision of software data collection transmission and storage each 30 days | 0741T - REM AUTON ALG NSLN DOS CAL SW DATA COLL TRANSMIS | 0741T - REM AUTON ALG NSLN DATA COLL | '01/01/2023 | 12/31/2999 |
| 0742T | 0742T - Absolute quantitation of myocardial blood flow (AQMBF) single-photon emission computed tomography (SPECT) with exercise or pharmacologic stress and at rest when performed (List separately in addition to code for primary procedure) | 0742T - AQMBF SPECT W/EXERCISE/RX STRESS & REST | 0742T - AQMBF SPECT XERS/STRS & REST | '01/01/2023 | 12/31/2999 |
| 0743T | 0743T - Bone strength and fracture risk using finite element analysis of functional data and bone mineral density (BMD) with concurrent vertebral fracture assessment utilizing data from a computed tomography scan retrieval and transmission of the scan data measurement of bone strength and BMD and classification of any vertebral fractures with overall fracture-risk assessment interpretation and report | 0743T - BONE STRENGTH & FRACTURE RSK CNCRNT VRT FX ASSMT | 0743T - B1 STR & FX RSK VRT FX ASSMT | '01/01/2023 | 12/31/2999 |
| 0744T | 0744T - Insertion of bioprosthetic valve open femoral vein including duplex ultrasound imaging guidance when performed including autogenous or nonautogenous patch graft (eg polyester ePTFE bovine pericardium) when performed | 0744T - INSERTION BIOPROSTHETIC VALVE OPEN FEMORAL VEIN | 0744T - INSJ BIOPROSTC VLV FEM VN | '01/01/2023 | 12/31/2999 |
| 0745T | 0745T - Cardiac focal ablation utilizing radiation therapy for arrhythmia; noninvasive arrhythmia localization and mapping of arrhythmia site (nidus) derived from anatomical image data (eg CT MRI or myocardial perfusion scan) and electrical data (eg 12-lead ECG data) and identification of areas of avoidance | 0745T - CAR FCL ABLTJ RADJ ARRHYT N-INVAS LOCLZJ & MAPG | 0745T - CAR ABLT RAD ARR N-INVAS LOC | '01/01/2023 | 12/31/2999 |
| 0746T | 0746T - Cardiac focal ablation utilizing radiation therapy for arrhythmia; conversion of arrhythmia localization and mapping of arrhythmia site (nidus) into a multidimensional radiation treatment plan | 0746T - CAR FCL ABLTJ RADJ ARRHYT CONV LOCLZJ & MAPG | 0746T - CAR ABLT RAD ARR CNV LOC MAP | '01/01/2023 | 12/31/2999 |
| 0747T | 0747T - Cardiac focal ablation utilizing radiation therapy for arrhythmia; delivery of radiation therapy arrhythmia | 0747T - CAR FCL ABLTJ RADJ ARRHYT DLVR RADJ THER | 0747T - CAR ABLT RAD ARRHYT DLVR RAD | '01/01/2023 | 12/31/2999 |
| 0748T | 0748T - Injections of stem cell product into perianal perifistular soft tissue including fistula preparation (eg removal of setons fistula curettage closure of internal openings) | 0748T - NJX STEM CLL PRDCT PERIANAL PERIFISTULAR SFT TIS | 0748T - NJX STM CL PRDCT ANL SFT TIS | '01/01/2023 | 12/31/2999 |
| 0749T | 0749T - Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray retrieval and transmission of digital X-ray data assessment of bone strength and fracture risk and BMD interpretation and report; | 0749T - B1 STR & FX RISK ASSESSMENT USING DXR-BMD ALYS | 0749T - B1 STR&FX RSK ASSMT DXR-BMD | '01/01/2023 | 12/31/2999 |
| 0750T | 0750T - Bone strength and fracture-risk assessment using digital X-ray radiogrammetry-bone mineral density (DXR-BMD) analysis of bone mineral density (BMD) utilizing data from a digital X ray retrieval and transmission of digital X-ray data assessment of bone strength and fracture risk and BMD interpretation and report; with single-view digital X-ray examination of the hand taken for the purpose of DXR-BMD | 0750T - B1 STR&FX RSK ASSMT DXR-BMD ALYS W/1VW XRAY HAND | 0750T - B1 STR&FX RSK ASMT DXRBMD1VW | '01/01/2023 | 12/31/2999 |
| 0751T | 0751T - Digitization of glass microscope slides for level II surgical pathology gross and microscopic examination (List separately in addition to code for primary procedure) | 0751T - DGTZ GLASS MCRSCP SLD LEVEL II SURG PATH | 0751T - DGTZ GLS MCRSCP SLD LEVEL II | '01/01/2023 | 12/31/2999 |
| 0752T | 0752T - Digitization of glass microscope slides for level III surgical pathology gross and microscopic examination (List separately in addition to code for primary procedure) | 0752T - DGTZ GLASS MCRSCP SLD LEVEL III SURG PATH | 0752T - DGTZ GLS MCRSCP SLD LVL III | '01/01/2023 | 12/31/2999 |
| 0753T | 0753T - Digitization of glass microscope slides for level IV surgical pathology gross and microscopic examination (List separately in addition to code for primary procedure) | 0753T - DGTZ GLASS MCRSCP SLD LEVEL IV SURG PATH | 0753T - DGTZ GLS MCRSCP SLD LEVEL IV | '01/01/2023 | 12/31/2999 |
| 0754T | 0754T - Digitization of glass microscope slides for level V surgical pathology gross and microscopic examination (List separately in addition to code for primary procedure) | 0754T - DGTZ GLASS MCRSCP SLD LEVEL V SURG PATH | 0754T - DGTZ GLS MCRSCP SLD LEVEL V | '01/01/2023 | 12/31/2999 |
| 0755T | 0755T - Digitization of glass microscope slides for level VI surgical pathology gross and microscopic examination (List separately in addition to code for primary procedure) | 0755T - DGTZ GLASS MCRSCP SLD LEVEL VI SURG PATH | 0755T - DGTZ GLS MCRSCP SLD LEVEL VI | '01/01/2023 | 12/31/2999 |
| 0756T | 0756T - Digitization of glass microscope slides for special stain including interpretation and report group I for microorganisms (eg acid fast methenamine silver) (List separately in addition to code for primary procedure) | 0756T - DGTZ GLASS MCRSCP SLD SPEC STAIN GRP I MICROORG | 0756T - DGTZ GLS MCRSCP SLD SPC GRPI | '01/01/2023 | 12/31/2999 |
| 0757T | 0757T - Digitization of glass microscope slides for special stain including interpretation and report group II all other (eg iron trichrome) except stain for microorganisms stains for enzyme constituents or immunocytochemistry and immunohistochemistry (List separately in addition to code for primary procedure) | 0757T - DGTZ GLASS MCRSCP SLD SPEC STAIN GRP II ALL OTH | 0757T - DGTZ GLS MCRSCP SL SPC GRPII | '01/01/2023 | 12/31/2999 |
| 0758T | 0758T - Digitization of glass microscope slides for special stain including interpretation and report histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) | 0758T - DGTZ GLASS MCRSCP SLD SPEC STAIN HCHEM STAIN | 0758T - DGTZ GLS MCRSCP SL SPC HCHEM | '01/01/2023 | 12/31/2999 |
| 0759T | 0759T - Digitization of glass microscope slides for special stain including interpretation and report group III for enzyme constituents (List separately in addition to code for primary procedure) | 0759T - DGTZ GLAS MCRSCP SLD SPEC STN GRP III NZM CONST | 0759T - DGTZ GLS MCRSCP SL SP GRPIII | '01/01/2023 | 12/31/2999 |
| 0760T | 0760T - Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry per specimen initial single antibody stain procedure (List separately in addition to code for primary procedure) | 0760T - DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM 1ST 1STN | 0760T - DGTZ GLS MCRSCP SL IMM 1ST | '01/01/2023 | 12/31/2999 |
| 0761T | 0761T - Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry per specimen each additional single antibody stain procedure (List separately in addition to code for primary procedure) | 0761T - DGTZ GLASS MCRSCP SLD IMHCHEM/IMCYTCHM EA ADDL 1 | 0761T - DGTZ GLS MCRSCP SL IMM EA 1 | '01/01/2023 | 12/31/2999 |
| 0762T | 0762T - Digitization of glass microscope slides for immunohistochemistry or immunocytochemistry per specimen each multiplex antibody stain procedure (List separately in addition to code for primary procedure) | 0762T - DGTZ GLS MCRSCP SLD IMHCHEM/IMCTCHM EA MULT ANTB | 0762T - DGTZ GLS MCRSCP SL IMM EA M | '01/01/2023 | 12/31/2999 |
| 0763T | 0763T - Digitization of glass microscope slides for morphometric analysis tumor immunohistochemistry (eg Her-2/neu estrogen receptor/progesterone receptor) quantitative or semiquantitative per specimen each single antibody stain procedure manual (List separately in addition to code for primary procedure) | 0763T - DGTZ GLASS MCRSCP SLD M/PHMTRC ALYS TUM IMHCHEM | 0763T - DGTZ GLS MCRSCP MPHMTRC ALYS | '01/01/2023 | 12/31/2999 |
| 0764T | 0764T - Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg low-ejection fraction pulmonary hypertension hypertrophic cardiomyopathy); related to concurrently performed electrocardiogram (List separately in addition to code for primary procedure) | 0764T - ASSTV ALG ECG RSK-BASED ASSMT RELATED CNCRT ECG | 0764T - ASSTV ALG ECG RSK ASMT CNCRT | '01/01/2023 | 12/31/2999 |
| 0765T | 0765T - Assistive algorithmic electrocardiogram risk-based assessment for cardiac dysfunction (eg low-ejection fraction pulmonary hypertension hypertrophic cardiomyopathy); related to previously performed electrocardiogram | 0765T - ASSTV ALG ECG RSK-BASED ASSMT RELATED PREV ECG | 0765T - ASSTV ALG ECG RSK ASMT PREV | '01/01/2023 | 12/31/2999 |
| 0766T | 0766T - Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse peripheral nerve initial treatment with identification and marking of the treatment location including noninvasive electroneurographic localization (nerve conduction localization) when performed; first nerve | 0766T - TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1STTX 1NRV | 0766T - TC MAG STIMJ PN 1ST TX 1NRV | '01/01/2023 | 12/31/2999 |
| 0767T | 0767T - Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse peripheral nerve initial treatment with identification and marking of the treatment location including noninvasive electroneurographic localization (nerve conduction localization) when performed; each additional nerve (List separately in addition to code for primary procedure) | 0767T - TC MAG STIMJ FCSD LW FRQ EMGNT PLS PN 1STTX EA | 0767T - TC MAG STIMJ PN 1ST TX EA | '01/01/2023 | 12/31/2999 |
| 0768T | 0768T - Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse peripheral nerve subsequent treatment including noninvasive electroneurographic localization (nerve conduction localization) when performed; first nerve | 0768T - TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX 1NRV | 0768T - TC MAG STIMJ PN SBSQ TX 1NRV | '01/01/2023 | 12/31/2999 |
| 0769T | 0769T - Transcutaneous magnetic stimulation by focused low-frequency electromagnetic pulse peripheral nerve subsequent treatment including noninvasive electroneurographic localization (nerve conduction localization) when performed; each additional nerve (List separately in addition to code for primary procedure) | 0769T - TC MAG STIM FCSD LW FRQ EMGNT PLS PN SBSQTX EA | 0769T - TC MAG STIMJ PN SBSQ TX EA | '01/01/2023 | 12/31/2999 |
| 0770T | 0770T - Virtual reality technology to assist therapy (List separately in addition to code for primary procedure) | 0770T - VIRTUAL REALITY TECHNOLOGY TO ASSIST THERAPY | 0770T - VR TECHNOLOGY ASSIST THERAPY | '01/01/2023 | 12/31/2999 |
| 0771T | 0771T - Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of dissociation or consciousness and physiological status; initial 15 minutes of intraservice time patient age 5 years or older | 0771T - VR PX DISSOC SVC SAME PHYS/QHP 1ST 15 MIN 5YR/> | 0771T - VR PX DISSOC SVC SM PHY 1ST | '01/01/2023 | 12/31/2999 |
| 0772T | 0772T - Virtual reality (VR) procedural dissociation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of dissociation or consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service) | 0772T - VR PX DISSOC SVC SAME PHYS/QHP EA ADDL 15 MIN | 0772T - VR PX DISSOC SVC SM PHY EA | '01/01/2023 | 12/31/2999 |
| 0773T | 0773T - Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports; initial 15 minutes of intraservice time patient age 5 years or older | 0773T - VR PX DISSOC SVC OTH PHYS/QHP 1ST 15 MIN 5YR/> | 0773T - VR PX DISSOC SVC OTH PHY 1ST | '01/01/2023 | 12/31/2999 |
| 0774T | 0774T - Virtual reality (VR) procedural dissociation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the VR procedural dissociation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service) | 0774T - VR PX DISSOC SVC OTHER PHYS/QHP EA ADDL 15 MIN | 0774T - VR PX DISSOC SVC OTH PHY EA | '01/01/2023 | 12/31/2999 |
| 0775T | 0775T - Arthrodesis sacroiliac joint percutaneous with image guidance includes placement of intra-articular implant(s) (eg bone allograft[s] synthetic device[s]) | 0775T - ARTHRD SI JT PERQ IMG GDN INCL PLMT IARTIC IMPLT | 0775T - ARTHRD SI JT PRQ IARTIC IMPL | '01/01/2023 | 12/31/2999 |
| 0776T | 0776T - Therapeutic induction of intra-brain hypothermia including placement of a mechanical temperature-controlled cooling device to the neck over carotids and head including monitoring (eg vital signs and sport concussion assessment tool 5 [SCAT5]) 30 minutes of treatment | 0776T - THERAPEUTIC INDUCTION OF INTRA-BRAIN HYPOTHERMIA | 0776T - THER INDCTJ NTRABRN HYPTHRM | '01/01/2023 | 12/31/2999 |
| 0777T | 0777T - Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure) | 0777T - R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM | 0777T - R-T PRS SENSING EDRL GDN SYS | '01/01/2023 | 12/31/2999 |
| 0778T | 0778T - Surface mechanomyography (sMMG) with concurrent application of inertial measurement unit (IMU) sensors for measurement of multi-joint range of motion posture gait and muscle function | 0778T - SMMG CNCRNT APPL IMU SNR MEAS ROM POST GAIT MUSC | 0778T - SMMG CNCRNT APPL IMU SNR | '01/01/2023 | 12/31/2999 |
| 0779T | 0779T - Gastrointestinal myoelectrical activity study stomach through colon with interpretation and report | 0779T - GI MYOELECTRICAL ACTIVITY STUDY STMCH-COLON I&R | 0779T - GI MYOELECTRICAL ACTV STUDY | '01/01/2023 | 12/31/2999 |
| 0780T | 0780T - Instillation of fecal microbiota suspension via rectal enema into lower gastrointestinal tract | 0780T - INSTLJ FECAL MICROBIOTA SSP RCT NMA LWR GI TRC | 0780T - INSTLJ FECAL MICROBIOTA SSP | '01/01/2023 | 12/31/2999 |
| 0781T | 0781T - Bronchoscopy rigid or flexible with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves including fluoroscopic guidance when performed; bilateral mainstem bronchi | 0781T - BRNCHSC RF DSTRJ PULM NRV BI MAINSTEM BRONCHI | 0781T - BRNCHSC RF DSTRJ PULM NRV BI | '01/01/2023 | 12/31/2999 |
| 0782T | 0782T - Bronchoscopy rigid or flexible with insertion of esophageal protection device and circumferential radiofrequency destruction of the pulmonary nerves including fluoroscopic guidance when performed; unilateral mainstem bronchus | 0782T - BRNCHSC RF DSTRJ PULM NRV UNI MAINSTEM BRONCHUS | 0782T - BRNCHSC RF DSTRJ PLM NRV UNI | '01/01/2023 | 12/31/2999 |
| 0783T | 0783T - Transcutaneous auricular neurostimulation set-up calibration and patient education on use of equipment | 0783T - TC AURICULAR NSTIMJ SETUP CALIBRATION &PT EDUCAJ | 0783T - TC AURICULR NEUROSTIMULATION | '01/01/2023 | 12/31/2999 |
| 7914 | 7914 - MISCELLANEOUS DRUGS AND/OR DRUG PRESCRIPTION | 7914 - | 7914 - | '01/01/1950 | 12/31/2999 |
| 7955 | 7955 - CONTRACEPTIVE MEDICATION | 7955 - | 7955 - | '01/01/1950 | 12/31/2999 |
| 7957 | 7957 - WEIGHT LOSS | 7957 - | 7957 - | '01/01/1950 | 12/31/2999 |
| 10004 | 10004 - Fine needle aspiration biopsy without imaging guidance; each additional lesion (List separately in addition to code for primary procedure) | 10004 - FINE NEEDLE ASPIRATION BX W/O IMG GDN EA ADDL | 10004 - FNA BX W/O IMG GDN EA ADDL | '01/01/2019 | 12/31/2999 |
| 10005 | 10005 - Fine needle aspiration biopsy including ultrasound guidance; first lesion | 10005 - FINE NEEDLE ASPIRATION BX W/US GDN 1ST LESION | 10005 - FNA BX W/US GDN 1ST LES | '01/01/2019 | 12/31/2999 |
| 10006 | 10006 - Fine needle aspiration biopsy including ultrasound guidance; each additional lesion (List separately in addition to code for primary procedure) | 10006 - FINE NEEDLE ASPIRATION BX W/US GDN EA ADDL | 10006 - FNA BX W/US GDN EA ADDL | '01/01/2019 | 12/31/2999 |
| 10007 | 10007 - Fine needle aspiration biopsy including fluoroscopic guidance; first lesion | 10007 - FINE NEEDLE ASPIRATION BX W/FLUOR GDN 1ST LESION | 10007 - FNA BX W/FLUOR GDN 1ST LES | '01/01/2019 | 12/31/2999 |
| 10008 | 10008 - Fine needle aspiration biopsy including fluoroscopic guidance; each additional lesion (List separately in addition to code for primary procedure) | 10008 - FINE NEEDLE ASPIRATION BX W/FLUOR GDN EA ADDL | 10008 - FNA BX W/FLUOR GDN EA ADDL | '01/01/2019 | 12/31/2999 |
| 10009 | 10009 - Fine needle aspiration biopsy including CT guidance; first lesion | 10009 - FINE NEEDLE ASPIRATION BX W/CT GDN 1ST LESION | 10009 - FNA BX W/CT GDN 1ST LES | '01/01/2019 | 12/31/2999 |
| 1000F | 1000F - Tobacco use assessed (CAD CAP COPD PV) (DM) | 1000F - TOBACCO USE ASSESSED | 1000F - TOBACCO USE ASSESSED | '01/01/2017 | 12/31/2999 |
| 10010 | 10010 - Fine needle aspiration biopsy including CT guidance; each additional lesion (List separately in addition to code for primary procedure) | 10010 - FINE NEEDLE ASPIRATION BX W/CT GDN EA ADDL | 10010 - FNA BX W/CT GDN EA ADDL | '01/01/2019 | 12/31/2999 |
| 10011 | 10011 - Fine needle aspiration biopsy including MR guidance; first lesion | 10011 - FINE NEEDLE ASPIRATION BX W/MR GDN 1ST LESION | 10011 - FNA BX W/MR GDN 1ST LES | '01/01/2019 | 12/31/2999 |
| 10012 | 10012 - Fine needle aspiration biopsy including MR guidance; each additional lesion (List separately in addition to code for primary procedure) | 10012 - FINE NEEDLE ASPIRATION BX W/MR GDN EA ADDL | 10012 - FNA BX W/MR GDN EA ADDL | '01/01/2019 | 12/31/2999 |
| 10021 | 10021 - Fine needle aspiration biopsy without imaging guidance; first lesion | 10021 - FINE NEEDLE ASPIRATION BX W/O IMG GDN 1ST LESION | 10021 - FNA BX W/O IMG GDN 1ST LES | '01/01/2019 | 12/31/2999 |
| 1002F | 1002F - Anginal symptoms and level of activity assessed (NMA-No Measure Associated) | 1002F - ANGINAL SYMPTOMS & LEVEL ACTIVITY ASSESSED | 1002F - ASSESS ANGINAL SYMPTOM/LEVEL | '01/01/2017 | 12/31/2999 |
| 10030 | 10030 - Image-guided fluid collection drainage by catheter (eg abscess hematoma seroma lymphocele cyst) soft tissue (eg extremity abdominal wall neck) percutaneous | 10030 - IMAGE-GUIDED CATHETER FLUID COLLECTION DRAINAGE | 10030 - GUIDE CATHET FLUID DRAINAGE | '01/01/2017 | 12/31/2999 |
| 10035 | 10035 - Placement of soft tissue localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous including imaging guidance; first lesion | 10035 - PERQ SFT TISS LOC DEVICE PLMT 1ST LES W/GDNCE | 10035 - PERQ DEV SOFT TISS 1ST IMAG | '01/01/2017 | 12/31/2999 |
| 10036 | 10036 - Placement of soft tissue localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous including imaging guidance; each additional lesion (List separately in addition to code for primary procedure) | 10036 - PERQ SFT TISS LOC DEVICE PLMT ADD LES W/GDNCE | 10036 - PERQ DEV SOFT TISS ADD IMAG | '01/01/2017 | 12/31/2999 |
| 1003F | 1003F - Level of activity assessed (NMA-No Measure Associated) | 1003F - LEVEL ACTIVITY ASSESSED | 1003F - LEVEL OF ACTIVITY ASSESS | '01/01/2017 | 12/31/2999 |
| 10040 | 10040 - Acne surgery (eg marsupialization opening or removal of multiple milia comedones cysts pustules) | 10040 - ACNE SURGERY | 10040 - ACNE SURGERY | '01/01/2017 | 12/31/2999 |
| 1004F | 1004F - Clinical symptoms of volume overload (excess) assessed (NMA-No Measure Associated) | 1004F - CLINICAL SYMPTOMS VOL OVERLOAD ASSESSED | 1004F - CLIN SYMP VOL OVRLD ASSESS | '01/01/2017 | 12/31/2999 |
| 1005F | 1005F - Asthma symptoms evaluated (includes documentation of numeric frequency of symptoms or patient completion of an asthma assessment tool/survey/questionnaire) (NMA-No Measure Associated) | 1005F - ASTHMA SYMPTOMS EVALUATED | 1005F - ASTHMA SYMPTOMS EVALUATE | '01/01/2017 | 12/31/2999 |
| 10060 | 10060 - Incision and drainage of abscess (eg carbuncle suppurative hidradenitis cutaneous or subcutaneous abscess cyst furuncle or paronychia); simple or single | 10060 - INCISION & DRAINAGE ABSCESS SIMPLE/SINGLE | 10060 - DRAINAGE OF SKIN ABSCESS | '01/01/2017 | 12/31/2999 |
| 10061 | 10061 - Incision and drainage of abscess (eg carbuncle suppurative hidradenitis cutaneous or subcutaneous abscess cyst furuncle or paronychia); complicated or multiple | 10061 - INCISION & DRAINAGE ABSCESS COMPLICATED/MULTIPLE | 10061 - DRAINAGE OF SKIN ABSCESS | '01/01/2017 | 12/31/2999 |
| 1006F | 1006F - Osteoarthritis symptoms and functional status assessed (may include the use of a standardized scale or the completion of an assessment questionnaire such as the SF-36 AAOS Hip & Knee Questionnaire) (OA) [Instructions: Report when osteoarthritis is addressed during the patient encounter] | 1006F - OSTEOARTHRITIS SYMPTOMS&FUNCJAL STATUS ASSES | 1006F - OSTEOARTHRITIS ASSESS | '01/01/2017 | 12/31/2999 |
| 1007F | 1007F - Use of anti-inflammatory or analgesic over-the-counter (OTC) medications for symptom relief assessed (OA) | 1007F - ANTI-INFLAMMATORY/ANALGESIC SYMPTOM RELIEF ASSES | 1007F - ANTI-INFLM/ANLGSC OTC ASSESS | '01/01/2017 | 12/31/2999 |
| 10080 | 10080 - Incision and drainage of pilonidal cyst; simple | 10080 - INCISION & DRAINAGE PILONIDAL CYST SIMPLE | 10080 - DRAINAGE OF PILONIDAL CYST | '01/01/2017 | 12/31/2999 |
| 10081 | 10081 - Incision and drainage of pilonidal cyst; complicated | 10081 - INCISION & DRAINAGE PILONIDAL CYST COMPLICATED | 10081 - DRAINAGE OF PILONIDAL CYST | '01/01/2017 | 12/31/2999 |
| 1008F | 1008F - Gastrointestinal and renal risk factors assessed for patients on prescribed or OTC non-steroidal anti-inflammatory drug (NSAID) (OA) | 1008F - GI&RENAL PRESCRIBED/OTC NSAID RISK FACTORS ASSES | 1008F - GI/RENAL RISK ASSESS | '01/01/2017 | 12/31/2999 |
| 1010F | 1010F - Severity of angina assessed by level of activity (CAD) | 1010F - SEVERITY OF ANGINA ASSESSED BY LEVEL OF ACTIVITY | 1010F - SEVERITY ANGINA BY ACTVTY | '01/01/2017 | 12/31/2999 |
| 1011F | 1011F - Angina present (CAD) | 1011F - ANGINA PRESENT | 1011F - ANGINA PRESENT | '01/01/2017 | 12/31/2999 |
| 10120 | 10120 - Incision and removal of foreign body subcutaneous tissues; simple | 10120 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS SIMPLE | 10120 - REMOVE FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 10121 | 10121 - Incision and removal of foreign body subcutaneous tissues; complicated | 10121 - INCISION & REMOVAL FOREIGN BODY SUBQ TISS COMPL | 10121 - REMOVE FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 1012F | 1012F - Angina absent (CAD) | 1012F - ANGINA ABSENT | 1012F - ANGINA ABSENT | '01/01/2017 | 12/31/2999 |
| 10140 | 10140 - Incision and drainage of hematoma seroma or fluid collection | 10140 - I&D HEMATOMA SEROMA/FLUID COLLECTION | 10140 - DRAINAGE OF HEMATOMA/FLUID | '01/01/2017 | 12/31/2999 |
| 1015F | 1015F - Chronic obstructive pulmonary disease (COPD) symptoms assessed (Includes assessment of at least 1 of the following: dyspnea cough/sputum wheezing) or respiratory symptom assessment tool completed (COPD) | 1015F - COPD SYMPTOMS ASSESSED/TOOL COMPLETED | 1015F - COPD SYMPTOMS ASSESS | '01/01/2017 | 12/31/2999 |
| 10160 | 10160 - Puncture aspiration of abscess hematoma bulla or cyst | 10160 - PUNCTURE ASPIRATION ABSCESS HEMATOMA BULLA/CYST | 10160 - PUNCTURE DRAINAGE OF LESION | '01/01/2017 | 12/31/2999 |
| 10180 | 10180 - Incision and drainage complex postoperative wound infection | 10180 - INCISION & DRAINAGE COMPLEX PO WOUND INFECTION | 10180 - COMPLEX DRAINAGE WOUND | '01/01/2017 | 12/31/2999 |
| 1018F | 1018F - Dyspnea assessed not present (COPD) | 1018F - DYSPNEA ASSESSED NOT PRESENT | 1018F - ASSESS DYSPNEA NOT PRESENT | '01/01/2017 | 12/31/2999 |
| 1019F | 1019F - Dyspnea assessed present (COPD) | 1019F - DYSPNEA ASSESSED PRESENT | 1019F - ASSESS DYSPNEA PRESENT | '01/01/2017 | 12/31/2999 |
| 1022F | 1022F - Pneumococcus immunization status assessed (CAP COPD) | 1022F - PNEUMOCOCCUS IMMUNIZATION STATUS ASSESSED | 1022F - PNEUMO IMM STATUS ASSESS | '01/01/2017 | 12/31/2999 |
| 1026F | 1026F - Co-morbid conditions assessed (eg includes assessment for presence or absence of: malignancy liver disease congestive heart failure cerebrovascular disease renal disease chronic obstructive pulmonary disease asthma diabetes other co-morbid conditions) (CAP) | 1026F - CO-MORBID CONDITIONS ASSESSED | 1026F - CO-MORBID CONDITION ASSESS | '01/01/2017 | 12/31/2999 |
| 1030F | 1030F - Influenza immunization status assessed (CAP) | 1030F - INFLUENZA IMMUNIZATION STATUS ASSESSED | 1030F - INFLUENZA IMM STATUS ASSESS | '01/01/2017 | 12/31/2999 |
| 1031F | 1031F - Smoking status and exposure to second hand smoke in the home assessed (Asthma) | 1031F - SMOKING & 2ND HAND SMOKE IN THE HOME ASSESSED | 1031F - SMOKING & 2ND HAND ASSESSED | '01/01/2017 | 12/31/2999 |
| 1032F | 1032F - Current tobacco smoker or currently exposed to secondhand smoke (Asthma) | 1032F - CURRENT SMOKER/EXPOSED TO SECONDHAND SMOKE | 1032F - SMOKER/EXPOSED 2ND HND SMOKE | '01/01/2017 | 12/31/2999 |
| 1033F | 1033F - Current tobacco non-smoker and not currently exposed to secondhand smoke (Asthma) | 1033F - TOBACCO NON-SMOKER & NO 2NDHAND SMOKE EXPOSURE | 1033F - TOBACCO NONSMOKER NOR 2NDHND | '01/01/2017 | 12/31/2999 |
| 1034F | 1034F - Current tobacco smoker (CAD CAP COPD PV) (DM) | 1034F - CURRENT TOBACCO SMOKER | 1034F - CURRENT TOBACCO SMOKER | '01/01/2017 | 12/31/2999 |
| 1035F | 1035F - Current smokeless tobacco user (eg chew snuff) (PV) | 1035F - CURRENT SMOKELESS TOBACCO USER | 1035F - SMOKELESS TOBACCO USER | '01/01/2017 | 12/31/2999 |
| 1036F | 1036F - Current tobacco non-user (CAD CAP COPD PV) (DM) (IBD) | 1036F - CURRENT TOBACCO NON-USER CAD CAP COPD PV DM | 1036F - TOBACCO NON-USER | '01/01/2017 | 12/31/2999 |
| 1038F | 1038F - Persistent asthma (mild moderate or severe) (Asthma) | 1038F - PERSISTENT ASTHMA MILD MODERATE OR SEVERE ASTHMA | 1038F - PERSISTENT ASTHMA | '01/01/2017 | 12/31/2999 |
| 1039F | 1039F - Intermittent asthma (Asthma) | 1039F - INTERMITTENT ASTHMA | 1039F - INTERMITTENT ASTHMA | '01/01/2017 | 12/31/2999 |
| 1040F | 1040F - DSM-5 criteria for major depressive disorder documented at the initial evaluation (MDD MDD ADOL) | 1040F - DSM-5 CRITERIA MDD DOCD AT THE INITIAL EVAL | 1040F - DSM-5 INFO MDD DOCD | '01/01/2017 | 12/31/2999 |
| 1050F | 1050F - History obtained regarding new or changing moles (ML) | 1050F - HISTORY NEW OR CHANGING MOLES | 1050F - HISTORY OF MOLE CHANGES | '01/01/2017 | 12/31/2999 |
| 1052F | 1052F - Type anatomic location and activity all assessed (IBD) | 1052F - TYPE ANATOMIC LOCATION AND ACTIVITY ALL ASSESSED | 1052F - TYPE LOCATION ACTIVITYASSESS | '01/01/2017 | 12/31/2999 |
| 1055F | 1055F - Visual functional status assessed (EC) | 1055F - VISUAL FUNCTIONAL STATUS ASSESSED | 1055F - VISUAL FUNCT STATUS ASSESS | '01/01/2017 | 12/31/2999 |
| 1060F | 1060F - Documentation of permanent or persistent or paroxysmal atrial fibrillation (STR) | 1060F - DOC PERM/PERSISTENT/PAROXYSMAL ATRIAL FIB | 1060F - DOC PERM/CONT/PAROX ATR FIB | '01/01/2017 | 12/31/2999 |
| 1061F | 1061F - Documentation of absence of permanent and persistent and paroxysmal atrial fibrillation (STR) | 1061F - DOC ABSENCE PERM&PERSISTENT&PAROXYSM ATRIAL FIB | 1061F - DOC LACK PERM&CONT&PAROX FIB | '01/01/2017 | 12/31/2999 |
| 1065F | 1065F - Ischemic stroke symptom onset of less than 3 hours prior to arrival (STR) | 1065F - ISCHEMIC STROKE SYMP ONSET <3 HRS PRIOR ARRIVAL | 1065F - ISCHM STROKE SYMP LT3 HRSB/4 | '01/01/2017 | 12/31/2999 |
| 1066F | 1066F - Ischemic stroke symptom onset greater than or equal to 3 hours prior to arrival (STR) | 1066F - ISCHEMIC STROKE SYMP ONSET >=3 HRS PRIOR ARRIVA | 1066F - ISCHM STROKE SYMP GE3 HRSB/4 | '01/01/2020 | 12/31/2999 |
| 1070F | 1070F - Alarm symptoms (involuntary weight loss dysphagia or gastrointestinal bleeding) assessed; none present (GERD) | 1070F - ALARM SYMPTOMS ASSESSED NONE PRESENT | 1070F - ALARM SYMP ASSESSED-ABSENT | '01/01/2017 | 12/31/2999 |
| 1071F | 1071F - Alarm symptoms (involuntary weight loss dysphagia or gastrointestinal bleeding) assessed; 1 or more present (GERD) | 1071F - ALARM SYMPTOMS ASSESSED 1/> PRESENT | 1071F - ALARM SYMP ASSESSED-1+ PRSNT | '01/01/2017 | 12/31/2999 |
| 1090F | 1090F - Presence or absence of urinary incontinence assessed (GER) | 1090F - PRESENCE/ABSENCE URINARY INCONTINENCE ASSESSED | 1090F - PRES/ABSN URINE INCON ASSESS | '01/01/2017 | 12/31/2999 |
| 1091F | 1091F - Urinary incontinence characterized (eg frequency volume timing type of symptoms how bothersome) (GER) | 1091F - URINE INCONTINENCE CHARACTERIZED | 1091F - URINE INCON CHARACTERIZED | '01/01/2017 | 12/31/2999 |
| 11000 | 11000 - Debridement of extensive eczematous or infected skin; up to 10% of body surface | 11000 - DBRDMT EXTENSV ECZEMA/INFECT SKN UP 10% BDY SURF | 11000 - DEBRIDE INFECTED SKIN | '01/01/2017 | 12/31/2999 |
| 11001 | 11001 - Debridement of extensive eczematous or infected skin; each additional 10% of the body surface or part thereof (List separately in addition to code for primary procedure) | 11001 - DBRDMT EXTNSVE ECZEMA/INFECT SKN EA 10% BDY SURF | 11001 - DEBRIDE INFECTED SKIN ADD-ON | '01/01/2017 | 12/31/2999 |
| 11004 | 11004 - Debridement of skin subcutaneous tissue muscle and fascia for necrotizing soft tissue infection; external genitalia and perineum | 11004 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT&PR | 11004 - DEBRIDE GENITALIA & PERINEUM | '01/01/2017 | 12/31/2999 |
| 11005 | 11005 - Debridement of skin subcutaneous tissue muscle and fascia for necrotizing soft tissue infection; abdominal wall with or without fascial closure | 11005 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ ABDL WALL | 11005 - DEBRIDE ABDOM WALL | '01/01/2017 | 12/31/2999 |
| 11006 | 11006 - Debridement of skin subcutaneous tissue muscle and fascia for necrotizing soft tissue infection; external genitalia perineum and abdominal wall with or without fascial closure | 11006 - DBRDMT SKN SUBQ T/M/F NECRO INFCTJ GENT/ABDL | 11006 - DEBRIDE GENIT/PER/ABDOM WALL | '01/01/2017 | 12/31/2999 |
| 11008 | 11008 - Removal of prosthetic material or mesh abdominal wall for infection (eg for chronic or recurrent mesh infection or necrotizing soft tissue infection) (List separately in addition to code for primary procedure) | 11008 - REMOVAL PROSTHETIC MATRL ABDL WALL FOR INFECTION | 11008 - REMOVE MESH FROM ABD WALL | '01/01/2017 | 12/31/2999 |
| 1100F | 1100F - Patient screened for future fall risk; documentation of 2 or more falls in the past year or any fall with injury in the past year (GER) | 1100F - PT FALLS ASSESS DOCD 2/> FALLS/FALL W/INJURY/YR | 1100F - PTFALLS ASSESS-DOCD GE2>/YR | '01/01/2017 | 12/31/2999 |
| 11010 | 11010 - Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg excisional debridement); skin and subcutaneous tissues | 11010 - DBRDMT W/RMVL FM FX&/DISLC SKIN&SUBQ TISSUS | 11010 - DEBRIDE SKIN AT FX SITE | '01/01/2017 | 12/31/2999 |
| 11011 | 11011 - Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg excisional debridement); skin subcutaneous tissue muscle fascia and muscle | 11011 - DBRDMT W/RMVL FM FX&/DISLC SKN SUBQ T/M/F MUSC | 11011 - DEBRIDE SKIN MUSC AT FX SITE | '01/01/2017 | 12/31/2999 |
| 11012 | 11012 - Debridement including removal of foreign material at the site of an open fracture and/or an open dislocation (eg excisional debridement); skin subcutaneous tissue muscle fascia muscle and bone | 11012 - DBRDMT FX&/DISLC SUBQ T/M/F BONE | 11012 - DEB SKIN BONE AT FX SITE | '01/01/2017 | 12/31/2999 |
| 1101F | 1101F - Patient screened for future fall risk; documentation of no falls in the past year or only 1 fall without injury in the past year (GER) | 1101F - PT FALLS ASSESS DOCD W/O FALL/INJURY PAST YEAR | 1101F - PT FALLS ASSESS-DOCD LE1/YR | '01/01/2017 | 12/31/2999 |
| 11042 | 11042 - Debridement subcutaneous tissue (includes epidermis and dermis if performed); first 20 sq cm or less | 11042 - DEBRIDEMENT SUBCUTANEOUS TISSUE 20 SQ CM/< | 11042 - DEB SUBQ TISSUE 20 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 11043 | 11043 - Debridement muscle and/or fascia (includes epidermis dermis and subcutaneous tissue if performed); first 20 sq cm or less | 11043 - DEBRIDEMENT MUSCLE & FASCIA 20 SQ CM/< | 11043 - DEB MUSC/FASCIA 20 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 11044 | 11044 - Debridement bone (includes epidermis dermis subcutaneous tissue muscle and/or fascia if performed); first 20 sq cm or less | 11044 - DEBRIDEMENT BONE MUSCLE &/FASCIA 20 SQ CM/< | 11044 - DEB BONE 20 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 11045 | 11045 - Debridement subcutaneous tissue (includes epidermis and dermis if performed); each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 11045 - DBRDMT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM | 11045 - DEB SUBQ TISSUE ADD-ON | '01/01/2017 | 12/31/2999 |
| 11046 | 11046 - Debridement muscle and/or fascia (includes epidermis dermis and subcutaneous tissue if performed); each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 11046 - DEBRIDEMENT MUSCLE &/FASCIA EA ADDL 20 SQ CM | 11046 - DEB MUSC/FASCIA ADD-ON | '01/01/2017 | 12/31/2999 |
| 11047 | 11047 - Debridement bone (includes epidermis dermis subcutaneous tissue muscle and/or fascia if performed); each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 11047 - DEBRIDEMENT BONE EACH ADDITIONAL 20 SQ CM | 11047 - DEB BONE ADD-ON | '01/01/2017 | 12/31/2999 |
| 11055 | 11055 - Paring or cutting of benign hyperkeratotic lesion (eg corn or callus); single lesion | 11055 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 1 | 11055 - TRIM SKIN LESION | '01/01/2017 | 12/31/2999 |
| 11056 | 11056 - Paring or cutting of benign hyperkeratotic lesion (eg corn or callus); 2 to 4 lesions | 11056 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION 2-4 | 11056 - TRIM SKIN LESIONS 2 TO 4 | '01/01/2017 | 12/31/2999 |
| 11057 | 11057 - Paring or cutting of benign hyperkeratotic lesion (eg corn or callus); more than 4 lesions | 11057 - PARING/CUTTING BENIGN HYPERKERATOTIC LESION >4 | 11057 - TRIM SKIN LESIONS OVER 4 | '01/01/2017 | 12/31/2999 |
| 11102 | 11102 - Tangential biopsy of skin (eg shave scoop saucerize curette); single lesion | 11102 - TANGENTIAL BIOPSY SKIN SINGLE LESION | 11102 - TANGNTL BX SKIN SINGLE LES | '01/01/2019 | 12/31/2999 |
| 11103 | 11103 - Tangential biopsy of skin (eg shave scoop saucerize curette); each separate/additional lesion (List separately in addition to code for primary procedure) | 11103 - TANGENTIAL BIOPSY SKIN EA SEP/ADDITIONAL LESION | 11103 - TANGNTL BX SKIN EA SEP/ADDL | '01/01/2019 | 12/31/2999 |
| 11104 | 11104 - Punch biopsy of skin (including simple closure when performed); single lesion | 11104 - PUNCH BIOPSY SKIN SINGLE LESION | 11104 - PUNCH BX SKIN SINGLE LESION | '01/01/2019 | 12/31/2999 |
| 11105 | 11105 - Punch biopsy of skin (including simple closure when performed); each separate/additional lesion (List separately in addition to code for primary procedure) | 11105 - PUNCH BIOPSY SKIN EA SEP/ADDITIONAL LESION | 11105 - PUNCH BX SKIN EA SEP/ADDL | '01/01/2019 | 12/31/2999 |
| 11106 | 11106 - Incisional biopsy of skin (eg wedge) (including simple closure when performed); single lesion | 11106 - INCISIONAL BIOPSY SKIN SINGLE LESION | 11106 - INCAL BX SKN SINGLE LES | '01/01/2019 | 12/31/2999 |
| 11107 | 11107 - Incisional biopsy of skin (eg wedge) (including simple closure when performed); each separate/additional lesion (List separately in addition to code for primary procedure) | 11107 - INCISIONAL BIOPSY SKIN EA SEP/ADDITIONAL LESION | 11107 - INCAL BX SKN EA SEP/ADDL | '01/01/2019 | 12/31/2999 |
| 1110F | 1110F - Patient discharged from an inpatient facility (eg hospital skilled nursing facility or rehabilitation facility) within the last 60 days (GER) | 1110F - PT DISCHARGE INPT FACILITY WITHIN LAST 60 DAYS | 1110F - PT LFT INPT FAC W/IN 60 DAYS | '01/01/2017 | 12/31/2999 |
| 1111F | 1111F - Discharge medications reconciled with the current medication list in outpatient medical record (COA) (GER) | 1111F - DISCHRG MEDS RECONCILED W/CURRENT MED LIST | 1111F - DSCHRG MED/CURRENT MED MERGE | '01/01/2017 | 12/31/2999 |
| 1116F | 1116F - Auricular or periauricular pain assessed (AOE) | 1116F - AURICULAR/PERIAURICULAR PAIN ASSESSED | 1116F - AURIC/PERI PAIN ASSESSED | '01/01/2017 | 12/31/2999 |
| 1118F | 1118F - GERD symptoms assessed after 12 months of therapy (GERD) | 1118F - GERD SYMPTOMS ASSESSED AFTER 12 MONTHS THERAPY | 1118F - GERD SYMPS ASSESSED 12 MONTH | '01/01/2017 | 12/31/2999 |
| 1119F | 1119F - Initial evaluation for condition (HEP C)(EPI DSP) | 1119F - INITIAL EVALUATION FOR CONDITION | 1119F - INIT EVAL FOR CONDITION | '01/01/2017 | 12/31/2999 |
| 11200 | 11200 - Removal of skin tags multiple fibrocutaneous tags any area; up to and including 15 lesions | 11200 - REMOVAL SKN TAGS MLT FIBRQ TAGS ANY AREA UPW/15 | 11200 - REMOVAL OF SKIN TAGS | 12/31/2999 | | |
| 11201 | 11201 - Removal of skin tags multiple fibrocutaneous tags any area; each additional 10 lesions or part thereof (List separately in addition to code for primary procedure) | 11201 - REMOVAL SK TGS MLT FIBRQ TAGS ANY AREA EA 10 | 11201 - REMOVE SKIN TAGS ADD-ON | '01/01/2017 | 12/31/2999 |
| 1121F | 1121F - Subsequent evaluation for condition (HEP C)(EPI) | 1121F - SUBSEQUENT EVALUATION CONDITION | 1121F - SUBS EVAL FOR CONDITION | '01/01/2017 | 12/31/2999 |
| 1123F | 1123F - Advance Care Planning discussed and documented advance care plan or surrogate decision maker documented in the medical record (DEM) (GER Pall Cr) | 1123F - ADV CARE PLN TLKD & ALT DCSN MAKER DOCD | 1123F - ACP DISCUSS/DSCN MKR DOCD | '01/01/2017 | 12/31/2999 |
| 1124F | 1124F - Advance Care Planning discussed and documented in the medical record patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan (DEM) (GER Pall Cr) | 1124F - ADV CARE PLN/ NO ALT DCSN MKR DOCD OR REFUSAL | 1124F - ACP DISCUSS-NO DSCNMKR DOCD | '01/01/2017 | 12/31/2999 |
| 1125F | 1125F - Pain severity quantified; pain present (COA) (ONC) | 1125F - PAIN SEVERITY QUANTIFIED PAIN PRESENT | 1125F - AMNT PAIN NOTED PAIN PRSNT | '01/01/2017 | 12/31/2999 |
| 1126F | 1126F - Pain severity quantified; no pain present (COA) (ONC) | 1126F - PAIN SEVERITY QUANTIFIED NO PAIN PRESENT | 1126F - AMNT PAIN NOTED NONE PRSNT | '01/01/2017 | 12/31/2999 |
| 1127F | 1127F - New episode for condition (NMA-No Measure Associated) | 1127F - NEW EPISODE FOR CONDITION | 1127F - NEW EPISODE FOR CONDITION | '01/01/2017 | 12/31/2999 |
| 1128F | 1128F - Subsequent episode for condition (NMA-No Measure Associated) | 1128F - SUBS EPISODE FOR CONDITION | 1128F - SUBS EPISODE FOR CONDITION | '01/01/2017 | 12/31/2999 |
| 11300 | 11300 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion diameter 0.5 cm or less | 11300 - SHAVING SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.5CM/< | 11300 - SHAVE SKIN LESION 0.5 CM/< | '01/01/2017 | 12/31/2999 |
| 11301 | 11301 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion diameter 0.6 to 1.0 cm | 11301 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM 0.6-1.0 CM | 11301 - SHAVE SKIN LESION 0.6-1.0 CM | '01/01/2017 | 12/31/2999 |
| 11302 | 11302 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion diameter 1.1 to 2.0 cm | 11302 - SHVG SKN LESION 1 TRUNK/ARM/LEG DIAM 1.1-2.0 CM | 11302 - SHAVE SKIN LESION 1.1-2.0 CM | '01/01/2017 | 12/31/2999 |
| 11303 | 11303 - Shaving of epidermal or dermal lesion single lesion trunk arms or legs; lesion diameter over 2.0 cm | 11303 - SHVG SKIN LESION 1 TRUNK/ARM/LEG DIAM >2.0 CM | 11303 - SHAVE SKIN LESION >2.0 CM | '01/01/2017 | 12/31/2999 |
| 11305 | 11305 - Shaving of epidermal or dermal lesion single lesion scalp neck hands feet genitalia; lesion diameter 0.5 cm or less | 11305 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.5 CM/< | 11305 - SHAVE SKIN LESION 0.5 CM/< | '01/01/2017 | 12/31/2999 |
| 11306 | 11306 - Shaving of epidermal or dermal lesion single lesion scalp neck hands feet genitalia; lesion diameter 0.6 to 1.0 cm | 11306 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 0.6-1.0 CM | 11306 - SHAVE SKIN LESION 0.6-1.0 CM | '01/01/2017 | 12/31/2999 |
| 11307 | 11307 - Shaving of epidermal or dermal lesion single lesion scalp neck hands feet genitalia; lesion diameter 1.1 to 2.0 cm | 11307 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM 1.1-2.0 CM | 11307 - SHAVE SKIN LESION 1.1-2.0 CM | '01/01/2017 | 12/31/2999 |
| 11308 | 11308 - Shaving of epidermal or dermal lesion single lesion scalp neck hands feet genitalia; lesion diameter over 2.0 cm | 11308 - SHAVING SKIN LESION 1 S/N/H/F/G DIAM >2.0 CM | 11308 - SHAVE SKIN LESION >2.0 CM | '01/01/2017 | 12/31/2999 |
| 1130F | 1130F - Back pain and function assessed including all of the following: Pain assessment and functional status and patient history including notation of presence or absence of red flags (warning signs) and assessment of prior treatment and response and employment status (BkP) | 1130F - BK PAIN & FXN ASSESSED CERTAIN ASPECTS OF CARE | 1130F - BK PAIN & FXN ASSESSED | '01/01/2021 | 12/31/2999 |
| 11310 | 11310 - Shaving of epidermal or dermal lesion single lesion face ears eyelids nose lips mucous membrane; lesion diameter 0.5 cm or less | 11310 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM 0.5 CM/< | 11310 - SHAVE SKIN LESION 0.5 CM/< | '01/01/2017 | 12/31/2999 |
| 11311 | 11311 - Shaving of epidermal or dermal lesion single lesion face ears eyelids nose lips mucous membrane; lesion diameter 0.6 to 1.0 cm | 11311 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 0.6-1.0 CM | 11311 - SHAVE SKIN LESION 0.6-1.0 CM | '01/01/2017 | 12/31/2999 |
| 11312 | 11312 - Shaving of epidermal or dermal lesion single lesion face ears eyelids nose lips mucous membrane; lesion diameter 1.1 to 2.0 cm | 11312 - SHVG SKIN LESION 1 F/E/E/N/L/M DIAM 1.1-2.0 CM | 11312 - SHAVE SKIN LESION 1.1-2.0 CM | '01/01/2017 | 12/31/2999 |
| 11313 | 11313 - Shaving of epidermal or dermal lesion single lesion face ears eyelids nose lips mucous membrane; lesion diameter over 2.0 cm | 11313 - SHAVING SKIN LESION 1 F/E/E/N/L/M DIAM >2.0 CM | 11313 - SHAVE SKIN LESION >2.0 CM | '01/01/2017 | 12/31/2999 |
| 1134F | 1134F - Episode of back pain lasting 6 weeks or less (BkP) | 1134F - EPISODE BACK PAIN LASTING SIX WEEKS/< | 1134F - EPSD BK PAIN FOR 6 WKS/< | '01/01/2017 | 12/31/2999 |
| 1135F | 1135F - Episode of back pain lasting longer than 6 weeks (BkP) | 1135F - EPISODE BACK PAIN LASTING >SIX WEEKS | 1135F - EPSD BK PAIN FOR >6 WKS | '01/01/2017 | 12/31/2999 |
| 1136F | 1136F - Episode of back pain lasting 12 weeks or less (BkP) | 1136F - EPISODE BACK PAIN LASTING 12 WEEKS/< | 1136F - EPSD BK PAIN FOR 12 WKS/< | '01/01/2017 | 12/31/2999 |
| 1137F | 1137F - Episode of back pain lasting longer than 12 weeks (BkP) | 1137F - EPISODE BACK PAIN LASTING >12 WKS | 1137F - EPSD BK PAIN FOR >12 WKS | '01/01/2017 | 12/31/2999 |
| 11400 | 11400 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter 0.5 cm or less | 11400 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.5 CM/< | 11400 - EXC TR-EXT B9+MARG 0.5 CM< | '01/01/2017 | 12/31/2999 |
| 11401 | 11401 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter 0.6 to 1.0 cm | 11401 - EXC B9 LESION MRGN XCP SK TG T/A/L 0.6-1.0 CM | 11401 - EXC TR-EXT B9+MARG 0.6-1 CM | '01/01/2017 | 12/31/2999 |
| 11402 | 11402 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter 1.1 to 2.0 cm | 11402 - EXC B9 LESION MRGN XCP SK TG T/A/L 1.1-2.0 CM | 11402 - EXC TR-EXT B9+MARG 1.1-2 CM | '01/01/2017 | 12/31/2999 |
| 11403 | 11403 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter 2.1 to 3.0 cm | 11403 - EXC B9 LESION MRGN XCP SK TG T/A/L 2.1-3.0 CM | 11403 - EXC TR-EXT B9+MARG 2.1-3CM | '01/01/2018 | 12/31/2999 |
| 11404 | 11404 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter 3.1 to 4.0 cm | 11404 - EXC B9 LESION MRGN XCP SK TG T/A/L 3.1-4.0 CM | 11404 - EXC TR-EXT B9+MARG 3.1-4 CM | '01/01/2017 | 12/31/2999 |
| 11406 | 11406 - Excision benign lesion including margins except skin tag (unless listed elsewhere) trunk arms or legs; excised diameter over 4.0 cm | 11406 - EXC B9 LESION MRGN XCP SK TG T/A/L >4.0 CM | 11406 - EXC TR-EXT B9+MARG >4.0 CM | '01/01/2017 | 12/31/2999 |
| 11420 | 11420 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter 0.5 cm or less | 11420 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.5 CM/< | 11420 - EXC H-F-NK-SP B9+MARG 0.5/< | '01/01/2017 | 12/31/2999 |
| 11421 | 11421 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter 0.6 to 1.0 cm | 11421 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 0.6-1.0CM | 11421 - EXC H-F-NK-SP B9+MARG 0.6-1 | '01/01/2017 | 12/31/2999 |
| 11422 | 11422 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter 1.1 to 2.0 cm | 11422 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 1.1-2.0CM | 11422 - EXC H-F-NK-SP B9+MARG 1.1-2 | '01/01/2017 | 12/31/2999 |
| 11423 | 11423 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter 2.1 to 3.0 cm | 11423 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 2.1-3.0CM | 11423 - EXC H-F-NK-SP B9+MARG 2.1-3 | '01/01/2017 | 12/31/2999 |
| 11424 | 11424 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter 3.1 to 4.0 cm | 11424 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G 3.1-4.0CM | 11424 - EXC H-F-NK-SP B9+MARG 3.1-4 | '01/01/2017 | 12/31/2999 |
| 11426 | 11426 - Excision benign lesion including margins except skin tag (unless listed elsewhere) scalp neck hands feet genitalia; excised diameter over 4.0 cm | 11426 - EXC B9 LESION MRGN XCP SK TG S/N/H/F/G > 4.0CM | 11426 - EXC H-F-NK-SP B9+MARG >4 CM | '01/01/2017 | 12/31/2999 |
| 11440 | 11440 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter 0.5 cm or less | 11440 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M 0.5CM/< | 11440 - EXC FACE-MM B9+MARG 0.5 CM/< | '01/01/2017 | 12/31/2999 |
| 11441 | 11441 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter 0.6 to 1.0 cm | 11441 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 0.6-1.0CM | 11441 - EXC FACE-MM B9+MARG 0.6-1 CM | '01/01/2017 | 12/31/2999 |
| 11442 | 11442 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter 1.1 to 2.0 cm | 11442 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 1.1-2.0CM | 11442 - EXC FACE-MM B9+MARG 1.1-2 CM | '01/01/2017 | 12/31/2999 |
| 11443 | 11443 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter 2.1 to 3.0 cm | 11443 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 2.1-3.0CM | 11443 - EXC FACE-MM B9+MARG 2.1-3 CM | '01/01/2017 | 12/31/2999 |
| 11444 | 11444 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter 3.1 to 4.0 cm | 11444 - EXC B9 LES MRGN XCP SK TG F/E/E/N/L/M 3.1-4.0CM | 11444 - EXC FACE-MM B9+MARG 3.1-4 CM | '01/01/2017 | 12/31/2999 |
| 11446 | 11446 - Excision other benign lesion including margins except skin tag (unless listed elsewhere) face ears eyelids nose lips mucous membrane; excised diameter over 4.0 cm | 11446 - EXC B9 LESION MRGN XCP SK TG F/E/E/N/L/M > 4.0CM | 11446 - EXC FACE-MM B9+MARG >4 CM | '01/01/2017 | 12/31/2999 |
| 11450 | 11450 - Excision of skin and subcutaneous tissue for hidradenitis axillary; with simple or intermediate repair | 11450 - EXCISION HIDRADENITIS AXILLARY SMPL/INTRM RPR | 11450 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 11451 | 11451 - Excision of skin and subcutaneous tissue for hidradenitis axillary; with complex repair | 11451 - EXCISION HIDRADENITIS AXILLARY COMPLEX REPAIR | 11451 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 11462 | 11462 - Excision of skin and subcutaneous tissue for hidradenitis inguinal; with simple or intermediate repair | 11462 - EXCISION HIDRADENITIS INGUINAL SMPL/INTRM RPR | 11462 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 11463 | 11463 - Excision of skin and subcutaneous tissue for hidradenitis inguinal; with complex repair | 11463 - EXCISION HIDRADENITIS INGUINAL COMPLEX REPAIR | 11463 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 11470 | 11470 - Excision of skin and subcutaneous tissue for hidradenitis perianal perineal or umbilical; with simple or intermediate repair | 11470 - EXCISION H/P/P/U SIMPLE/INTERMEDIATE REPAIR | 11470 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 11471 | 11471 - Excision of skin and subcutaneous tissue for hidradenitis perianal perineal or umbilical; with complex repair | 11471 - EXCISION H/P/P/U COMPLEX REPAIR | 11471 - REMOVAL SWEAT GLAND LESION | '01/01/2017 | 12/31/2999 |
| 1150F | 1150F - Documentation that a patient has a substantial risk of death within 1 year (Pall Cr) | 1150F - DOC PT W/SUBSTANTIAL RISK DEATH WITHIN 1 YEAR | 1150F - DOC PT RSK DEATH W/IN 1YR | '01/01/2017 | 12/31/2999 |
| 1151F | 1151F - Documentation that a patient does not have a substantial risk of death within one year (Pall Cr) | 1151F - DOC PT W/O SUBSTANTIAL RISK DEATH WITHIN 1 YEAR | 1151F - DOC NO PT RSK DEATH W/IN 1YR | '01/01/2017 | 12/31/2999 |
| 1152F | 1152F - Documentation of advanced disease diagnosis goals of care prioritize comfort (Pall Cr) | 1152F - DOC ADVANCED DISEASE DX CARE GOALS COMFORT | 1152F - DOC ADVNCD DIS COMFORT 1ST | '01/01/2017 | 12/31/2999 |
| 1153F | 1153F - Documentation of advanced disease diagnosis goals of care do not prioritize comfort (Pall Cr) | 1153F - DOC ADVANCED DISEASE DX CARE GOALS W/O COMFORT | 1153F - DOC ADVNCD DIS CMFRT NOT 1ST | '01/01/2017 | 12/31/2999 |
| 1157F | 1157F - Advance care plan or similar legal document present in the medical record (COA) | 1157F - ADVNC CARE PLAN OR EQV LGL DOC IN MED RCRD | 1157F - ADVNC CARE PLAN IN RCRD | '01/01/2017 | 12/31/2999 |
| 1158F | 1158F - Advance care planning discussion documented in the medical record (COA) | 1158F - ADVNC CARE PLANNING TLK DOCD IN MED RCRD | 1158F - ADVNC CARE PLAN TLK DOCD | '01/01/2017 | 12/31/2999 |
| 1159F | 1159F - Medication list documented in medical record (COA) | 1159F - MEDICATION LIST DOCUMENTED IN MEDICAL RECORD | 1159F - MED LIST DOCD IN RCRD | '01/01/2017 | 12/31/2999 |
| 11600 | 11600 - Excision malignant lesion including margins trunk arms or legs; excised diameter 0.5 cm or less | 11600 - EXCISION MAL LESION TRUNK/ARM/LEG 0.5 CM/< | 11600 - EXC TR-EXT MAL+MARG 0.5 CM/< | '01/01/2017 | 12/31/2999 |
| 11601 | 11601 - Excision malignant lesion including margins trunk arms or legs; excised diameter 0.6 to 1.0 cm | 11601 - EXCISION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM | 11601 - EXC TR-EXT MAL+MARG 0.6-1 CM | '01/01/2017 | 12/31/2999 |
| 11602 | 11602 - Excision malignant lesion including margins trunk arms or legs; excised diameter 1.1 to 2.0 cm | 11602 - EXCISION MAL LESION TRUNK/ARM/LEG 1.1-2.0 CM | 11602 - EXC TR-EXT MAL+MARG 1.1-2 CM | '01/01/2017 | 12/31/2999 |
| 11603 | 11603 - Excision malignant lesion including margins trunk arms or legs; excised diameter 2.1 to 3.0 cm | 11603 - EXCISION MAL LESION TRUNK/ARM/LEG 2.1-3.0 CM | 11603 - EXC TR-EXT MAL+MARG 2.1-3 CM | '01/01/2017 | 12/31/2999 |
| 11604 | 11604 - Excision malignant lesion including margins trunk arms or legs; excised diameter 3.1 to 4.0 cm | 11604 - EXCISION MAL LESION TRUNK/ARM/LEG 3.1-4.0 CM | 11604 - EXC TR-EXT MAL+MARG 3.1-4 CM | '01/01/2017 | 12/31/2999 |
| 11606 | 11606 - Excision malignant lesion including margins trunk arms or legs; excised diameter over 4.0 cm | 11606 - EXCISION MALIGNANT LESION TRUNK/ARM/LEG > 4.0 CM | 11606 - EXC TR-EXT MAL+MARG >4 CM | '01/01/2017 | 12/31/2999 |
| 1160F | 1160F - Review of all medications by a prescribing practitioner or clinical pharmacist (such as prescriptions OTCs herbal therapies and supplements) documented in the medical record (COA) | 1160F - RVW ALL MEDS BY RXNG PRCTIONR OR CLIN RPH DOCD | 1160F - RVW MEDS BY RX/DR IN RCRD | '01/01/2017 | 12/31/2999 |
| 11620 | 11620 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter 0.5 cm or less | 11620 - EXCISION MALIGNANT LESION S/N/H/F/G 0.5 CM/< | 11620 - EXC H-F-NK-SP MAL+MARG 0.5/< | '01/01/2017 | 12/31/2999 |
| 11621 | 11621 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter 0.6 to 1.0 cm | 11621 - EXCISION MALIGNANT LESION S/N/H/F/G 0.6-1.0 CM | 11621 - EXC S/N/H/F/G MAL+MRG 0.6-1 | '01/01/2017 | 12/31/2999 |
| 11622 | 11622 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter 1.1 to 2.0 cm | 11622 - EXCISION MALIGNANT LESION S/N/H/F/G 1.1-2.0 CM | 11622 - EXC S/N/H/F/G MAL+MRG 1.1-2 | '01/01/2017 | 12/31/2999 |
| 11623 | 11623 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter 2.1 to 3.0 cm | 11623 - EXCISION MALIGNANT LESION S/N/H/F/G 2.1-3.0 CM | 11623 - EXC S/N/H/F/G MAL+MRG 2.1-3 | '01/01/2017 | 12/31/2999 |
| 11624 | 11624 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter 3.1 to 4.0 cm | 11624 - EXCISION MALIGNANT LESION S/N/H/F/G 3.1-4.0 CM | 11624 - EXC S/N/H/F/G MAL+MRG 3.1-4 | '01/01/2017 | 12/31/2999 |
| 11626 | 11626 - Excision malignant lesion including margins scalp neck hands feet genitalia; excised diameter over 4.0 cm | 11626 - EXCISION MALIGNANT LESION S/N/H/F/G >4.0 CM | 11626 - EXC S/N/H/F/G MAL+MRG >4 CM | '01/01/2017 | 12/31/2999 |
| 11640 | 11640 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter 0.5 cm or less | 11640 - EXCISION MALIGNANT LESION F/E/E/N/L 0.5 CM/< | 11640 - EXC F/E/E/N/L MAL+MRG 0.5CM< | '01/01/2017 | 12/31/2999 |
| 11641 | 11641 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter 0.6 to 1.0 cm | 11641 - EXCISION MALIGNANT LESION F/E/E/N/L 0.6-1.0 CM | 11641 - EXC F/E/E/N/L MAL+MRG 0.6-1 | '01/01/2017 | 12/31/2999 |
| 11642 | 11642 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter 1.1 to 2.0 cm | 11642 - EXCISION MALIGNANT LESION F/E/E/N/L 1.1-2.0 CM | 11642 - EXC F/E/E/N/L MAL+MRG 1.1-2 | '01/01/2017 | 12/31/2999 |
| 11643 | 11643 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter 2.1 to 3.0 cm | 11643 - EXCISION MALIGNANT LESION F/E/E/N/L 2.1-3.0 CM | 11643 - EXC F/E/E/N/L MAL+MRG 2.1-3 | '01/01/2017 | 12/31/2999 |
| 11644 | 11644 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter 3.1 to 4.0 cm | 11644 - EXCISION MALIGNANT LESION F/E/E/N/L 3.1-4.0 CM | 11644 - EXC F/E/E/N/L MAL+MRG 3.1-4 | '01/01/2017 | 12/31/2999 |
| 11646 | 11646 - Excision malignant lesion including margins face ears eyelids nose lips; excised diameter over 4.0 cm | 11646 - EXCISION MALIGNANT LESION F/E/E/N/L >4.0 CM | 11646 - EXC F/E/E/N/L MAL+MRG >4 CM | '01/01/2017 | 12/31/2999 |
| 1170F | 1170F - Functional status assessed (COA) (RA) | 1170F - FUNCTIONAL STATUS ASSESSED | 1170F - FXNL STATUS ASSESSED | '01/01/2017 | 12/31/2999 |
| 11719 | 11719 - Trimming of nondystrophic nails any number | 11719 - TRIMMING NONDYSTROPHIC NAILS ANY NUMBER | 11719 - TRIM NAIL(S) ANY NUMBER | '01/01/2017 | 12/31/2999 |
| 11720 | 11720 - Debridement of nail(s) by any method(s); 1 to 5 | 11720 - DEBRIDEMENT NAIL ANY METHOD 1-5 | 11720 - DEBRIDE NAIL 1-5 | '01/01/2017 | 12/31/2999 |
| 11721 | 11721 - Debridement of nail(s) by any method(s); 6 or more | 11721 - DEBRIDEMENT NAIL ANY METHOD 6/> | 11721 - DEBRIDE NAIL 6 OR MORE | '01/01/2017 | 12/31/2999 |
| 11730 | 11730 - Avulsion of nail plate partial or complete simple; single | 11730 - AVULSION NAIL PLATE PARTIAL/COMPLETE SIMPLE 1 | 11730 - REMOVAL OF NAIL PLATE | '01/01/2017 | 12/31/2999 |
| 11732 | 11732 - Avulsion of nail plate partial or complete simple; each additional nail plate (List separately in addition to code for primary procedure) | 11732 - AVULSION NAIL PLATE PARTIAL/COMP SIMPLE EA ADDL | 11732 - REMOVE NAIL PLATE ADD-ON | '01/01/2017 | 12/31/2999 |
| 11740 | 11740 - Evacuation of subungual hematoma | 11740 - EVACUATION SUBUNGUAL HEMATOMA | 11740 - DRAIN BLOOD FROM UNDER NAIL | '01/01/2017 | 12/31/2999 |
| 11750 | 11750 - Excision of nail and nail matrix partial or complete (eg ingrown or deformed nail) for permanent removal | 11750 - EXCISION NAIL MATRIX PERMANENT REMOVAL | 11750 - REMOVAL OF NAIL BED | '01/01/2017 | 12/31/2999 |
| 11755 | 11755 - Biopsy of nail unit (eg plate bed matrix hyponychium proximal and lateral nail folds) (separate procedure) | 11755 - BIOPSY NAIL UNIT SEPARATE PROCEDURE | 11755 - BIOPSY NAIL UNIT | '01/01/2017 | 12/31/2999 |
| 1175F | 1175F - Functional status for dementia assessed and results reviewed (DEM) | 1175F - FUNCTIONAL STATUS DEMENTIA ASSESS RESULTS RVWD | 1175F - FUNCTION STAT ASSESSED RVWD | '01/01/2017 | 12/31/2999 |
| 11760 | 11760 - Repair of nail bed | 11760 - REPAIR NAIL BED | 11760 - REPAIR OF NAIL BED | '01/01/2017 | 12/31/2999 |
| 11762 | 11762 - Reconstruction of nail bed with graft | 11762 - RECONSTRUCTION NAIL BED W/GRAFT | 11762 - RECONSTRUCTION OF NAIL BED | '01/01/2017 | 12/31/2999 |
| 11765 | 11765 - Wedge excision of skin of nail fold (eg for ingrown toenail) | 11765 - WEDGE EXCISION SKIN NAIL FOLD | 11765 - EXCISION OF NAIL FOLD TOE | '01/01/2017 | 12/31/2999 |
| 11770 | 11770 - Excision of pilonidal cyst or sinus; simple | 11770 - EXCISION PILONIDAL CYST/SINUS SIMPLE | 11770 - REMOVE PILONIDAL CYST SIMPLE | '01/01/2017 | 12/31/2999 |
| 11771 | 11771 - Excision of pilonidal cyst or sinus; extensive | 11771 - EXCISION PILONIDAL CYST/SINUS EXTENSIVE | 11771 - REMOVE PILONIDAL CYST EXTEN | '01/01/2017 | 12/31/2999 |
| 11772 | 11772 - Excision of pilonidal cyst or sinus; complicated | 11772 - EXCISION PILONIDAL CYST/SINUS COMPLICATED | 11772 - REMOVE PILONIDAL CYST COMPL | '01/01/2017 | 12/31/2999 |
| 1180F | 1180F - All specified thromboembolic risk factors assessed (AFIB) | 1180F - THROMBOEMBOLIC RISK ASSESSED | 1180F - THROMBOEMB RISK ASSESSED | '01/01/2017 | 12/31/2999 |
| 1181F | 1181F - Neuropsychiatric symptoms assessed and results reviewed (DEM) | 1181F - NEUROPSYCHIATRIC SYMPTS ASSESSED RESULTS REVIEWD | 1181F - NEUROPSYCHIA SYMPTS ASSESSED | '01/01/2017 | 12/31/2999 |
| 1182F | 1182F - Neuropsychiatric symptoms one or more present (DEM) | 1182F - NEUROPSYCHIATRIC SYMPTOMS ONE OR MORE PRESENT | 1182F - NEUROPSYCHI SYMPT 1+PRESENT | '01/01/2017 | 12/31/2999 |
| 1183F | 1183F - Neuropsychiatric symptoms absent (DEM) | 1183F - NEUROPSYCHIATRIC SYMPTOMS ABSENT | 1183F - NEUROPSYCHIATRIC SYMP ABSENT | '01/01/2017 | 12/31/2999 |
| 11900 | 11900 - Injection intralesional; up to and including 7 lesions | 11900 - INJECTION INTRALESIONAL UP TO & INCLUD 7 LESIONS | 11900 - INJECT SKIN LESIONS '01/01/2017 | 12/31/2999 | |
| 11901 | 11901 - Injection intralesional; more than 7 lesions | 11901 - INJECTION INTRALESIONAL >7 LESIONS | 11901 - INJECT SKIN LESIONS >7 | '01/01/2017 | 12/31/2999 |
| 11920 | 11920 - Tattooing intradermal introduction of insoluble opaque pigments to correct color defects of skin including micropigmentation; 6.0 sq cm or less | 11920 - TATTOOING INCL MICROPIGMENTATION 6.0 CM/< | 11920 - CORRECT SKIN COLOR 6.0 CM/< | '01/01/2017 | 12/31/2999 |
| 11921 | 11921 - Tattooing intradermal introduction of insoluble opaque pigments to correct color defects of skin including micropigmentation; 6.1 to 20.0 sq cm | 11921 - TATTOOING INCL MICROPIGMENTATION 6.1-20.0 CM | 11921 - CORRECT SKN COLOR 6.1-20.0CM | '01/01/2017 | 12/31/2999 |
| 11922 | 11922 - Tattooing intradermal introduction of insoluble opaque pigments to correct color defects of skin including micropigmentation; each additional 20.0 sq cm or part thereof (List separately in addition to code for primary procedure) | 11922 - TATTOOING INCL MICROPIGMENTATION EA 20.0 CM | 11922 - CORRECT SKIN COLOR EA 20.0CM | '01/01/2017 | 12/31/2999 |
| 11950 | 11950 - Subcutaneous injection of filling material (eg collagen); 1 cc or less | 11950 - SUBCUTANEOUS INJECTION FILLING MATERIAL 1 CC/< | 11950 - TX CONTOUR DEFECTS 1 CC/< | '01/01/2017 | 12/31/2999 |
| 11951 | 11951 - Subcutaneous injection of filling material (eg collagen); 1.1 to 5.0 cc | 11951 - SUBCUTANEOUS INJECTION FILLING MATRL 1.1-5.0 CC | 11951 - TX CONTOUR DEFECTS 1.1-5.0CC | '01/01/2017 | 12/31/2999 |
| 11952 | 11952 - Subcutaneous injection of filling material (eg collagen); 5.1 to 10.0 cc | 11952 - SUBCUTANEOUS INJECTION FILLING MATRL 5.1-10.0CC | 11952 - TX CONTOUR DEFECTS 5.1-10CC | '01/01/2017 | 12/31/2999 |
| 11954 | 11954 - Subcutaneous injection of filling material (eg collagen); over 10.0 cc | 11954 - SUBCUTANEOUS INJECTION FILLING MATRL >10.0 CC | 11954 - TX CONTOUR DEFECTS >10.0 CC | '01/01/2017 | 12/31/2999 |
| 11960 | 11960 - Insertion of tissue expander(s) for other than breast including subsequent expansion | 11960 - INSERTION TISSUE EXPANDER INCL SBSQ XPNSJ | 11960 - INSERT TISSUE EXPANDER(S) | '01/01/2017 | 12/31/2999 |
| 11970 | 11970 - Replacement of tissue expander with permanent implant | 11970 - REPLACEMENT TISSUE EXPANDER W/PERMANENT IMPLANT | 11970 - RPLCMT TISS XPNDR PERM IMPLT | '01/01/2021 | 12/31/2999 |
| 11971 | 11971 - Removal of tissue expander without insertion of implant | 11971 - REMOVAL TISSUE EXPANDER W/O INSERTION IMPLANT | 11971 - RMVL TIS XPNDR WO INSJ IMPLT | '01/01/2021 | 12/31/2999 |
| 11976 | 11976 - Removal implantable contraceptive capsules | 11976 - REMOVAL IMPLANTABLE CONTRACEPTIVE CAPSULES | 11976 - REMOVE CONTRACEPTIVE CAPSULE | '01/01/2017 | 12/31/2999 |
| 11980 | 11980 - Subcutaneous hormone pellet implantation (implantation of estradiol and/or testosterone pellets beneath the skin) | 11980 - SUBCUTANEOUS HORMONE PELLET IMPLANTATION | 11980 - IMPLANT HORMONE PELLET(S) | '01/01/2017 | 12/31/2999 |
| 11981 | 11981 - Insertion drug-delivery implant (ie bioresorbable biodegradable non-biodegradable) | 11981 - INSERTION DRUG DELIVERY IMPLANT | 11981 - INSERTION DRUG DLVR IMPLANT | '01/01/2022 | 12/31/2999 |
| 11982 | 11982 - Removal non-biodegradable drug delivery implant | 11982 - REMOVAL NON-BIODEGRADABLE DRUG DELIVERY IMPLANT | 11982 - REMOVE DRUG IMPLANT DEVICE | '01/01/2017 | 12/31/2999 |
| 11983 | 11983 - Removal with reinsertion non-biodegradable drug delivery implant | 11983 - RMVL W/RINSJ NON-BIODEGRADABLE DRUG DLVR IMPLT | 11983 - REMOVE/INSERT DRUG IMPLANT | '01/01/2017 | 12/31/2999 |
| 12001 | 12001 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); 2.5 cm or less | 12001 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.5CM/< | 12001 - RPR S/N/AX/GEN/TRNK 2.5CM/< | '01/01/2017 | 12/31/2999 |
| 12002 | 12002 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); 2.6 cm to 7.5 cm | 12002 - SMPL REPAIR SCALP/NECK/AX/GENIT/TRUNK 2.6-7.5CM | 12002 - RPR S/N/AX/GEN/TRNK2.6-7.5CM | '01/01/2017 | 12/31/2999 |
| 12004 | 12004 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); 7.6 cm to 12.5 cm | 12004 - SIMPLE RPR SCALP/NECK/AX/GENIT/TRUNK 7.6-12.5CM | 12004 - RPR S/N/AX/GEN/TRK7.6-12.5CM | '01/01/2017 | 12/31/2999 |
| 12005 | 12005 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); 12.6 cm to 20.0 cm | 12005 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 12.6-20.0CM | 12005 - RPR S/N/A/GEN/TRK12.6-20.0CM | '01/01/2017 | 12/31/2999 |
| 12006 | 12006 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); 20.1 cm to 30.0 cm | 12006 - SMPL RPR SCALP/NECK/AX/GENIT/TRUNK 20.1-30.0CM | 12006 - RPR S/N/A/GEN/TRK20.1-30.0CM | '01/01/2017 | 12/31/2999 |
| 12007 | 12007 - Simple repair of superficial wounds of scalp neck axillae external genitalia trunk and/or extremities (including hands and feet); over 30.0 cm | 12007 - SIMPLE REPAIR SCALP/NECK/AX/GENIT/TRUNK >30.0CM | 12007 - RPR S/N/AX/GEN/TRNK >30.0 CM | '01/01/2017 | 12/31/2999 |
| 1200F | 1200F - Seizure type(s) and current seizure frequency(ies) documented (EPI) | 1200F - SEIZURE TYPE FREQUENCY DOCUMENTED | 1200F - SEIZURE TYPE& FREQU DOCD | '01/01/2017 | 12/31/2999 |
| 12011 | 12011 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 2.5 cm or less | 12011 - SIMPLE REPAIR F/E/E/N/L/M 2.5CM/< | 12011 - RPR F/E/E/N/L/M 2.5 CM/< | '01/01/2017 | 12/31/2999 |
| 12013 | 12013 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 2.6 cm to 5.0 cm | 12013 - SIMPLE REPAIR F/E/E/N/L/M 2.6CM-5.0 CM | 12013 - RPR F/E/E/N/L/M 2.6-5.0 CM | '01/01/2017 | 12/31/2999 |
| 12014 | 12014 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 5.1 cm to 7.5 cm | 12014 - SIMPLE REPAIR F/E/E/N/L/M 5.1CM-7.5 CM | 12014 - RPR F/E/E/N/L/M 5.1-7.5 CM | '01/01/2017 | 12/31/2999 |
| 12015 | 12015 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 7.6 cm to 12.5 cm | 12015 - SIMPLE REPAIR F/E/E/N/L/M 7.6CM-12.5 CM | 12015 - RPR F/E/E/N/L/M 7.6-12.5 CM | '01/01/2017 | 12/31/2999 |
| 12016 | 12016 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 12.6 cm to 20.0 cm | 12016 - SIMPLE REPAIR F/E/E/N/L/M 12.6CM-20.0 CM | 12016 - RPR FE/E/EN/L/M 12.6-20.0 CM | '01/01/2017 | 12/31/2999 |
| 12017 | 12017 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; 20.1 cm to 30.0 cm | 12017 - SIMPLE REPAIR F/E/E/N/L/M 20.1CM-30.0 CM | 12017 - RPR FE/E/EN/L/M 20.1-30.0 CM | '01/01/2017 | 12/31/2999 |
| 12018 | 12018 - Simple repair of superficial wounds of face ears eyelids nose lips and/or mucous membranes; over 30.0 cm | 12018 - SIMPLE REPAIR F/E/E/N/L/M >30.0 CM | 12018 - RPR F/E/E/N/L/M >30.0 CM | '01/01/2017 | 12/31/2999 |
| 12020 | 12020 - Treatment of superficial wound dehiscence; simple closure | 12020 - TX SUPERFICIAL WOUND DEHISCENCE SIMPLE CLOSURE | 12020 - CLOSURE OF SPLIT WOUND | '01/01/2017 | 12/31/2999 |
| 12021 | 12021 - Treatment of superficial wound dehiscence; with packing | 12021 - TX SUPERFICIAL WOUND DEHISCENCE W/PACKING | 12021 - CLOSURE OF SPLIT WOUND | '01/01/2017 | 12/31/2999 |
| 12031 | 12031 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); 2.5 cm or less | 12031 - REPAIR INTERMEDIATE S/A/T/E 2.5 CM/< | 12031 - INTMD RPR S/A/T/EXT 2.5 CM/< | '01/01/2017 | 12/31/2999 |
| 12032 | 12032 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); 2.6 cm to 7.5 cm | 12032 - REPAIR INTERMEDIATE S/A/T/E 2.6-7.5 CM | 12032 - INTMD RPR S/A/T/EXT 2.6-7.5 | '01/01/2017 | 12/31/2999 |
| 12034 | 12034 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); 7.6 cm to 12.5 cm | 12034 - REPAIR INTERMEDIATE S/A/T/E 7.6-12.5 CM | 12034 - INTMD RPR S/TR/EXT 7.6-12.5 | '01/01/2017 | 12/31/2999 |
| 12035 | 12035 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); 12.6 cm to 20.0 cm | 12035 - REPAIR INTERMEDIATE S/A/T/E 12.6-20.0CM | 12035 - INTMD RPR S/A/T/EXT 12.6-20 | '01/01/2017 | 12/31/2999 |
| 12036 | 12036 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); 20.1 cm to 30.0 cm | 12036 - REPAIR INTERMEDIATE S/A/T/E 20.1-30.0 CM | 12036 - INTMD RPR S/A/T/EXT 20.1-30 | '01/01/2017 | 12/31/2999 |
| 12037 | 12037 - Repair intermediate wounds of scalp axillae trunk and/or extremities (excluding hands and feet); over 30.0 cm | 12037 - REPAIR INTERMEDIATE S/A/T/E >30.0 CM | 12037 - INTMD RPR S/TR/EXT >30.0 CM | '01/01/2017 | 12/31/2999 |
| 12041 | 12041 - Repair intermediate wounds of neck hands feet and/or external genitalia; 2.5 cm or less | 12041 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.5CM/< | 12041 - INTMD RPR N-HF/GENIT 2.5CM/< | '01/01/2017 | 12/31/2999 |
| 12042 | 12042 - Repair intermediate wounds of neck hands feet and/or external genitalia; 2.6 cm to 7.5 cm | 12042 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 2.6-7.5 CM | 12042 - INTMD RPR N-HF/GENIT2.6-7.5 | '01/01/2017 | 12/31/2999 |
| 12044 | 12044 - Repair intermediate wounds of neck hands feet and/or external genitalia; 7.6 cm to 12.5 cm | 12044 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 7.6-12.5CM | 12044 - INTMD RPR N-HF/GENIT7.6-12.5 | '01/01/2017 | 12/31/2999 |
| 12045 | 12045 - Repair intermediate wounds of neck hands feet and/or external genitalia; 12.6 cm to 20.0 cm | 12045 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT 12.6-20 CM | 12045 - INTMD RPR N-HF/GENIT12.6-20 | '01/01/2017 | 12/31/2999 |
| 12046 | 12046 - Repair intermediate wounds of neck hands feet and/or external genitalia; 20.1 cm to 30.0 cm | 12046 - RPR INTERMEDIATE N/H/F/XTRNL GENT 20.1-30.0 CM | 12046 - INTMD RPR N-HF/GENIT20.1-30 | '01/01/2017 | 12/31/2999 |
| 12047 | 12047 - Repair intermediate wounds of neck hands feet and/or external genitalia; over 30.0 cm | 12047 - REPAIR INTERMEDIATE N/H/F/XTRNL GENT >30.0 CM | 12047 - INTMD RPR N-HF/GENIT >30.0CM | '01/01/2017 | 12/31/2999 |
| 12051 | 12051 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 2.5 cm or less | 12051 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.5 CM/< | 12051 - INTMD RPR FACE/MM 2.5 CM/< | '01/01/2017 | 12/31/2999 |
| 12052 | 12052 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 2.6 cm to 5.0 cm | 12052 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 2.6-5.0 CM | 12052 - INTMD RPR FACE/MM 2.6-5.0 CM | '01/01/2017 | 12/31/2999 |
| 12053 | 12053 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 5.1 cm to 7.5 cm | 12053 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 5.1-7.5 CM | 12053 - INTMD RPR FACE/MM 5.1-7.5 CM | '01/01/2017 | 12/31/2999 |
| 12054 | 12054 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 7.6 cm to 12.5 cm | 12054 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 7.6-12.5 CM | 12054 - INTMD RPR FACE/MM 7.6-12.5CM | '01/01/2017 | 12/31/2999 |
| 12055 | 12055 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 12.6 cm to 20.0 cm | 12055 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 12.6-20.0CM | 12055 - INTMD RPR FACE/MM 12.6-20 CM | '01/01/2017 | 12/31/2999 |
| 12056 | 12056 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; 20.1 cm to 30.0 cm | 12056 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC 20.1-30.0CM | 12056 - INTMD RPR FACE/MM 20.1-30.0 | '01/01/2017 | 12/31/2999 |
| 12057 | 12057 - Repair intermediate wounds of face ears eyelids nose lips and/or mucous membranes; over 30.0 cm | 12057 - REPAIR INTERMEDIATE F/E/E/N/L&/MUC >30.0 CM | 12057 - INTMD RPR FACE/MM >30.0 CM | '01/01/2017 | 12/31/2999 |
| 1205F | 1205F - Etiology of epilepsy or epilepsy syndrome(s) reviewed and documented (EPI) | 1205F - ETIOLOGY OF EPILEPSY SYNDROME RVWD & DOCD | 1205F - EPI ETIOL SYND RVWD AND DOCD | '01/01/2017 | 12/31/2999 |
| 1220F | 1220F - Patient screened for depression (SUD) | 1220F - PATIENT SCREENED DEPRESSION | 1220F - PT SCREENED FOR DEPRESSION | '01/01/2017 | 12/31/2999 |
| 13100 | 13100 - Repair complex trunk; 1.1 cm to 2.5 cm | 13100 - REPAIR COMPLEX TRUNK 1.1-2.5 CM | 13100 - CMPLX RPR TRUNK 1.1-2.5 CM | '01/01/2017 | 12/31/2999 |
| 13101 | 13101 - Repair complex trunk; 2.6 cm to 7.5 cm | 13101 - REPAIR COMPLEX TRUNK 2.6-7.5 CM | 13101 - CMPLX RPR TRUNK 2.6-7.5 CM | '01/01/2017 | 12/31/2999 |
| 13102 | 13102 - Repair complex trunk; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13102 - REPAIR COMPLEX TRUNK EACH ADDITIONAL 5 CM/< | 13102 - CMPLX RPR TRUNK ADDL 5CM/< | '01/01/2017 | 12/31/2999 |
| 13120 | 13120 - Repair complex scalp arms and/or legs; 1.1 cm to 2.5 cm | 13120 - REPAIR COMPLEX SCALP/ARM/LEG 1.1-2.5 CM | 13120 - CMPLX RPR S/A/L 1.1-2.5 CM | '01/01/2017 | 12/31/2999 |
| 13121 | 13121 - Repair complex scalp arms and/or legs; 2.6 cm to 7.5 cm | 13121 - REPAIR COMPLEX SCALP/ARM/LEG 2.6-7.5 CM | 13121 - CMPLX RPR S/A/L 2.6-7.5 CM | '01/01/2017 | 12/31/2999 |
| 13122 | 13122 - Repair complex scalp arms and/or legs; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13122 - REPAIR COMPLEX SCALP/ARM/LEG EA ADDL 5 CM/< | 13122 - CMPLX RPR S/A/L ADDL 5 CM/> | '01/01/2017 | 12/31/2999 |
| 13131 | 13131 - Repair complex forehead cheeks chin mouth neck axillae genitalia hands and/or feet; 1.1 cm to 2.5 cm | 13131 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 1.1-2.5 CM | 13131 - CMPLX RPR F/C/C/M/N/AX/G/H/F | '01/01/2017 | 12/31/2999 |
| 13132 | 13132 - Repair complex forehead cheeks chin mouth neck axillae genitalia hands and/or feet; 2.6 cm to 7.5 cm | 13132 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F 2.6-7.5 CM | 13132 - CMPLX RPR F/C/C/M/N/AX/G/H/F | '01/01/2017 | 12/31/2999 |
| 13133 | 13133 - Repair complex forehead cheeks chin mouth neck axillae genitalia hands and/or feet; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13133 - REPAIR COMPLEX F/C/C/M/N/AX/G/H/F EA ADDL 5 CM/< | 13133 - CMPLX RPR F/C/C/M/N/AX/G/H/F | '01/01/2017 | 12/31/2999 |
| 13151 | 13151 - Repair complex eyelids nose ears and/or lips; 1.1 cm to 2.5 cm | 13151 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 1.1-2.5 CM | 13151 - CMPLX RPR E/N/E/L 1.1-2.5 CM | '01/01/2017 | 12/31/2999 |
| 13152 | 13152 - Repair complex eyelids nose ears and/or lips; 2.6 cm to 7.5 cm | 13152 - REPAIR COMPLEX EYELID/NOSE/EAR/LIP 2.6-7.5 CM | 13152 - CMPLX RPR E/N/E/L 2.6-7.5 CM | '01/01/2017 | 12/31/2999 |
| 13153 | 13153 - Repair complex eyelids nose ears and/or lips; each additional 5 cm or less (List separately in addition to code for primary procedure) | 13153 - REPAIR COMPLX EYELID/NOSE/EAR/LIP EA ADDL 5 CM/< | 13153 - CMPLX RPR E/N/E/L ADDL 5CM/< | '01/01/2017 | 12/31/2999 |
| 13160 | 13160 - Secondary closure of surgical wound or dehiscence extensive or complicated | 13160 - SECONDARY CLOSURE SURG WOUND/DEHSN EXTSV/COMPLIC | 13160 - LATE CLOSURE OF WOUND | '01/01/2017 | 12/31/2999 |
| 14000 | 14000 - Adjacent tissue transfer or rearrangement trunk; defect 10 sq cm or less | 14000 - ADJACENT TISSUE TRANSFER/REARGMT TRUNK 10 SQCM/< | 14000 - TIS TRNFR TRUNK 10 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 14001 | 14001 - Adjacent tissue transfer or rearrangement trunk; defect 10.1 sq cm to 30.0 sq cm | 14001 - ADJNT TIS TRANSFR/REARRANGE TRUNK 10.1-30.0 SQCM | 14001 - TIS TRNFR TRUNK 10.1-30SQCM | '01/01/2017 | 12/31/2999 |
| 1400F | 1400F - Parkinson's disease diagnosis reviewed (Prkns) | 1400F - PARKINSON DISEASE DIAGNOSIS REVIEWED | 1400F - PRKNS DIAG RVIEWED | '01/01/2017 | 12/31/2999 |
| 14020 | 14020 - Adjacent tissue transfer or rearrangement scalp arms and/or legs; defect 10 sq cm or less | 14020 - ADJT TIS TRNSFR/REARGMT SCALP/ARM/LEG 10 SQ CM/< | 14020 - TIS TRNFR S/A/L 10 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 14021 | 14021 - Adjacent tissue transfer or rearrangement scalp arms and/or legs; defect 10.1 sq cm to 30.0 sq cm | 14021 - ADJT/REARRGMT SCALP/ARM/LEG 10.1-30.0 SQ CM | 14021 - TIS TRNFR S/A/L 10.1-30 SQCM | '01/01/2017 | 12/31/2999 |
| 14040 | 14040 - Adjacent tissue transfer or rearrangement forehead cheeks chin mouth neck axillae genitalia hands and/or feet; defect 10 sq cm or less | 14040 - ADJT TIS TRNS/REARGMT F/C/C/M/N/A/G/H/F 10SQCM/< | 14040 - TIS TRNFR F/C/C/M/N/A/G/H/F | '01/01/2017 | 12/31/2999 |
| 14041 | 14041 - Adjacent tissue transfer or rearrangement forehead cheeks chin mouth neck axillae genitalia hands and/or feet; defect 10.1 sq cm to 30.0 sq cm | 14041 - ADJT/REARGMT F/C/C/M/N/AX/G/H/F 10.1-30.0 SQ CM | 14041 - TIS TRNFR F/C/C/M/N/A/G/H/F | '01/01/2017 | 12/31/2999 |
| 14060 | 14060 - Adjacent tissue transfer or rearrangement eyelids nose ears and/or lips; defect 10 sq cm or less | 14060 - ADJT TIS TRNSFR/REARRGMT E/N/E/L DFCT 10 SQ CM/< | 14060 - TIS TRNFR E/N/E/L 10 SQ CM/< | '01/01/2017 | 12/31/2999 |
| 14061 | 14061 - Adjacent tissue transfer or rearrangement eyelids nose ears and/or lips; defect 10.1 sq cm to 30.0 sq cm | 14061 - ADJT TIS REARGMT EYE/NOSE/EAR/LIP 10.1-30.0 SQCM | 14061 - TIS TRNFR E/N/E/L10.1-30SQCM | '01/01/2017 | 12/31/2999 |
| 14301 | 14301 - Adjacent tissue transfer or rearrangement any area; defect 30.1 sq cm to 60.0 sq cm | 14301 - ADJNT TIS TRNSFR/REARGMT ANY AREA 30.1-60 SQ CM | 14301 - TIS TRNFR ANY 30.1-60 SQ CM | '01/01/2017 | 12/31/2999 |
| 14302 | 14302 - Adjacent tissue transfer or rearrangement any area; each additional 30.0 sq cm or part thereof (List separately in addition to code for primary procedure) | 14302 - ADJT TIS TRNSFR/REARGMT DEFEC EA ADDL 30 SQCM | 14302 - TIS TRNFR ADDL 30 SQ CM | '01/01/2018 | 12/31/2999 |
| 14350 | 14350 - Filleted finger or toe flap including preparation of recipient site | 14350 - FILLETED FINGER/TOE FLAP W/PREPJ RECIPIENT SITE | 14350 - FILLETED FINGER/TOE FLAP | '01/01/2017 | 12/31/2999 |
| 1450F | 1450F - Symptoms improved or remained consistent with treatment goals since last assessment (HF) | 1450F - SYMPTOMS IMPROVED/CONSIST W/TXMNT GOAL ASSESSMNT | 1450F - SYMPTOMS IMPROVED/CONSIST | '01/01/2017 | 12/31/2999 |
| 1451F | 1451F - Symptoms demonstrated clinically important deterioration since last assessment (HF) | 1451F - SYMPTOMS SHOW CLIN IMPRTNT DROP SINCE ASSESSMENT | 1451F - SYMPT SHOW CLIN IMPORT DROP | '01/01/2017 | 12/31/2999 |
| 1460F | 1460F - Qualifying cardiac event/diagnosis in previous 12 months (CAD) | 1460F - QUALIFYING CARD EVENT/DIAGNOSIS PRIOR 12 MONTHS | 1460F - QUAL CARD DIAG PRIOR 12 MONS | '01/01/2017 | 12/31/2999 |
| 1461F | 1461F - No qualifying cardiac event/diagnosis in previous 12 months (CAD) | 1461F - NO QUAL CARD EVENT/DIAG IN PREVIOUS 12 MONTHS | 1461F - NO QUAL CARD DIAG PRIOR12MON | '01/01/2017 | 12/31/2999 |
| 1490F | 1490F - Dementia severity classified mild (DEM) | 1490F - DEMENTIA SEVERITY CLASSIFIED MILD | 1490F - DEM SEVERITY CLASSIFIED MILD | '01/01/2017 | 12/31/2999 |
| 1491F | 1491F - Dementia severity classified moderate (DEM) | 1491F - DEMENTIA SEVERITY CLASSIFIED MODERATE | 1491F - DEM SEVERITY CLASSIFIED MOD | '01/01/2017 | 12/31/2999 |
| 1493F | 1493F - Dementia severity classified severe (DEM) | 1493F - DEMENTIA SEVERITY CLASSIFIED SEVERE | 1493F - DEM SEVERITY CLASS SEVERE | '01/01/2017 | 12/31/2999 |
| 1494F | 1494F - Cognition assessed and reviewed (DEM) | 1494F - COGNITION ASSESSED AND REVIEWED | 1494F - COGNIT ASSESSED AND REVIEWED | '01/01/2017 | 12/31/2999 |
| 15002 | 15002 - Surgical preparation or creation of recipient site by excision of open wounds burn eschar or scar (including subcutaneous tissues) or incisional release of scar contracture trunk arms legs; first 100 sq cm or 1% of body area of infants and children | 15002 - PREP SITE TRUNK/ARM/LEG 1ST 100 SQ CM/1PCT | 15002 - WOUND PREP TRK/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15003 | 15003 - Surgical preparation or creation of recipient site by excision of open wounds burn eschar or scar (including subcutaneous tissues) or incisional release of scar contracture trunk arms legs; each additional 100 sq cm or part thereof or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure) | 15003 - PREP SITE TRUNK/ARM/LEG ADDL 100 SQ CM/1PCT | 15003 - WOUND PREP ADDL 100 CM | '01/01/2017 | 12/31/2999 |
| 15004 | 15004 - Surgical preparation or creation of recipient site by excision of open wounds burn eschar or scar (including subcutaneous tissues) or incisional release of scar contracture face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; first 100 sq cm or 1% of body area of infants and children | 15004 - PREP SITE F/S/N/H/F/G/M/D GT 1ST 100 SQ CM/1PCT | 15004 - WOUND PREP F/N/HF/G | '01/01/2017 | 12/31/2999 |
| 15005 | 15005 - Surgical preparation or creation of recipient site by excision of open wounds burn eschar or scar (including subcutaneous tissues) or incisional release of scar contracture face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; each additional 100 sq cm or part thereof or each additional 1% of body area of infants and children (List separately in addition to code for primary procedure) | 15005 - PREP SITE F/S/N/H/F/G/M/D GT ADDL 100 SQ CM/1PCT | 15005 - WND PREP F/N/HF/G ADDL CM | '01/01/2017 | 12/31/2999 |
| 1500F | 1500F - Symptoms and signs of distal symmetric polyneuropathy reviewed and documented (DSP) | 1500F - SYMP&SIGN DISTAL SYMM POLYNEUROPATHY REVWD&DOCD | 1500F - SYMPTOM&SIGN SYMM POLYNEURO | '01/01/2017 | 12/31/2999 |
| 1501F | 1501F - Not initial evaluation for condition (DSP) | 1501F - NOT INITIAL EVALUATION FOR CONDITION | 1501F - NOT INITIAL EVAL FOR COND | '01/01/2017 | 12/31/2999 |
| 1502F | 1502F - Patient queried about pain and pain interference with function using a valid and reliable instrument (DSP) | 1502F - PT QUERIED RE PAIN W/FUNC USING RELIABLE INSTRM | 1502F - PT QUERIED PAIN FXN W/ INSTR | '01/01/2017 | 12/31/2999 |
| 1503F | 1503F - Patient queried about symptoms of respiratory insufficiency (ALS) | 1503F - PT QUERIED RE SYMP RESPIRATORY INSUFFICIENCY | 1503F - PT QUERIED SYMP RESP INSUFF | '01/01/2017 | 12/31/2999 |
| 15040 | 15040 - Harvest of skin for tissue cultured skin autograft 100 sq cm or less | 15040 - HARVEST SKIN TISSUE CLTR SKIN AGRFT 100 CM/< | 15040 - HARVEST CULTURED SKIN GRAFT | '01/01/2017 | 12/31/2999 |
| 1504F | 1504F - Patient has respiratory insufficiency (ALS) | 1504F - PATIENT HAS RESPIRATORY INSUFFICIENCY | 1504F - PT HAS RESP INSUFFICIENCY | '01/01/2017 | 12/31/2999 |
| 15050 | 15050 - Pinch graft single or multiple to cover small ulcer tip of digit or other minimal open area (except on face) up to defect size 2 cm diameter | 15050 - PINCH GRAFT 1/MLT SM ULCER TIP/OTH AREA 2CM | 15050 - SKIN PINCH GRAFT | '01/01/2017 | 12/31/2999 |
| 1505F | 1505F - Patient does not have respiratory insufficiency (ALS) | 1505F - PATIENT DOES NOT HAVE RESPIRATORY INSUFFICIENCY | 1505F - PT HAS NO RESP INSUFFICIENCY | '01/01/2017 | 12/31/2999 |
| 15100 | 15100 - Split-thickness autograft trunk arms legs; first 100 sq cm or less or 1% of body area of infants and children (except 15050) | 15100 - SPLIT AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD | 15100 - SKIN SPLT GRFT TRNK/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15101 | 15101 - Split-thickness autograft trunk arms legs; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15101 - SPLIT AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD | 15101 - SKIN SPLT GRFT T/A/L ADD-ON | '01/01/2017 | 12/31/2999 |
| 15110 | 15110 - Epidermal autograft trunk arms legs; first 100 sq cm or less or 1% of body area of infants and children | 15110 - EPIDRM AGRFT T/A/L 1ST 100 CM/&/1% BDY INFT/CHLD | 15110 - EPIDRM AUTOGRFT TRNK/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15111 | 15111 - Epidermal autograft trunk arms legs; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15111 - EPIDRM AGRFT T/A/L EA 100 CM/EA 1% BDY INFT/CHLD | 15111 - EPIDRM AUTOGRFT T/A/L ADD-ON | '01/01/2017 | 12/31/2999 |
| 15115 | 15115 - Epidermal autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; first 100 sq cm or less or 1% of body area of infants and children | 15115 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/< | 15115 - EPIDRM A-GRFT FACE/NCK/HF/G | '01/01/2017 | 12/31/2999 |
| 15116 | 15116 - Epidermal autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15116 - EPIDERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM | 15116 - EPIDRM A-GRFT F/N/HF/G ADDL | '01/01/2017 | 12/31/2999 |
| 15120 | 15120 - Split-thickness autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; first 100 sq cm or less or 1% of body area of infants and children (except 15050) | 15120 - SPLIT AGRFT F/S/N/H/F/G/M/D GT 1ST 100 CM/15120 - SKN SPLT A-GRFT FAC/NCK/HF/G | '01/01/2017 | 12/31/2999 | |
| 15121 | 15121 - Split-thickness autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15121 - SPLIT AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA 1 % | 15121 - SKN SPLT A-GRFT F/N/HF/G ADD | '01/01/2017 | 12/31/2999 |
| 15130 | 15130 - Dermal autograft trunk arms legs; first 100 sq cm or less or 1% of body area of infants and children | 15130 - DERMAL AUTOGRAFT TRUNK/ARM/LEG 1ST 100 CM | 15130 - DERM AUTOGRAFT TRNK/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15131 | 15131 - Dermal autograft trunk arms legs; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15131 - DERMAL AUTOGRAFT TRUNK/ARM/LEG EA 100 CM/EA | 15131 - DERM AUTOGRAFT T/A/L ADD-ON | '01/01/2017 | 12/31/2999 |
| 15135 | 15135 - Dermal autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; first 100 sq cm or less or 1% of body area of infants and children | 15135 - DERMAL AUTOGRAFT F/S/N/H/F/G/M/D GT 1ST 100 | 15135 - DERM AUTOGRAFT FACE/NCK/HF/G | '01/01/2017 | 12/31/2999 |
| 15136 | 15136 - Dermal autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15136 - DERMAL AGRFT F/S/N/H/F/G/M/D GT EA 100 CM/EA | 15136 - DERM AUTOGRAFT F/N/HF/G ADD | '01/01/2017 | 12/31/2999 |
| 15150 | 15150 - Tissue cultured skin autograft trunk arms legs; first 25 sq cm or less | 15150 - CLTR SKIN AUTOGRAFT T/A/L 1ST 25 CM/< | 15150 - CULT SKIN GRFT T/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15151 | 15151 - Tissue cultured skin autograft trunk arms legs; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) | 15151 - CLTR SKIN AGRFT T/A/L ADDL 1 CM-75 CM | 15151 - CULT SKIN GRFT T/A/L ADDL | '01/01/2017 | 12/31/2999 |
| 15152 | 15152 - Tissue cultured skin autograft trunk arms legs; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15152 - CLTR SKIN AGRFT T/A/L EA 100 CM/EA 1%BODY AREA | 15152 - CULT SKIN GRAFT T/A/L +% | '01/01/2017 | 12/31/2999 |
| 15155 | 15155 - Tissue cultured skin autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; first 25 sq cm or less | 15155 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT 1ST 25CM/< | 15155 - CULT SKIN GRAFT F/N/HF/G | '01/01/2017 | 12/31/2999 |
| 15156 | 15156 - Tissue cultured skin autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; additional 1 sq cm to 75 sq cm (List separately in addition to code for primary procedure) | 15156 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT ADDL 1-75CM | 15156 - CULT SKIN GRFT F/N/HFG ADD | '01/01/2017 | 12/31/2999 |
| 15157 | 15157 - Tissue cultured skin autograft face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits; each additional 100 sq cm or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15157 - CLTR SKIN AGRFT F/S/N/H/F/G/M/D GT EA 100 EA | 15157 - CULT EPIDERM GRFT F/N/HFG +% | '01/01/2017 | 12/31/2999 |
| 15200 | 15200 - Full thickness graft free including direct closure of donor site trunk; 20 sq cm or less | 15200 - FTH/GFT FREE W/DIRECT CLOSURE TRUNK 20 CM/< | 15200 - SKIN FULL GRAFT TRUNK | '01/01/2017 | 12/31/2999 |
| 15201 | 15201 - Full thickness graft free including direct closure of donor site trunk; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 15201 - FTH/GFT FR W/DIR CLSR TRNK EA ADDL 20 CM/< | 15201 - SKIN FULL GRAFT TRUNK ADD-ON | '01/01/2017 | 12/31/2999 |
| 15220 | 15220 - Full thickness graft free including direct closure of donor site scalp arms and/or legs; 20 sq cm or less | 15220 - FTH/GFT FREE W/DIRECT CLOSURE S/A/L 20 CM/< | 15220 - SKIN FULL GRAFT SCLP/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15221 | 15221 - Full thickness graft free including direct closure of donor site scalp arms and/or legs; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 15221 - FTH/GFT FR W/DIR CLSR S/A/L EA ADDL 20 CM/< | 15221 - SKIN FULL GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 15240 | 15240 - Full thickness graft free including direct closure of donor site forehead cheeks chin mouth neck axillae genitalia hands and/or feet; 20 sq cm or less | 15240 - FTH/GFT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F 20 CM/< | 15240 - SKIN FULL GRFT FACE/GENIT/HF | '01/01/2017 | 12/31/2999 |
| 15241 | 15241 - Full thickness graft free including direct closure of donor site forehead cheeks chin mouth neck axillae genitalia hands and/or feet; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 15241 - FTH/GT FR W/DIR CLSR F/C/C/M/N/AX/G/H/F EA20CM/< | 15241 - SKIN FULL GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 15260 | 15260 - Full thickness graft free including direct closure of donor site nose ears eyelids and/or lips; 20 sq cm or less | 15260 - FTH/GFT FREE W/DIRECT CLOSURE N/E/E/L 20 SQ CM/< | 15260 - SKIN FULL GRAFT EEN & LIPS | '01/01/2017 | 12/31/2999 |
| 15261 | 15261 - Full thickness graft free including direct closure of donor site nose ears eyelids and/or lips; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 15261 - FTH/GFT FREE W/DIR CLSR N/E/E/L EA 20 SQ CM/< | 15261 - SKIN FULL GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 15271 | 15271 - Application of skin substitute graft to trunk arms legs total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | 15271 - APP SKN SUB GRFT T/A/L AREA/100SQ CM /<1ST 25 | 15271 - SKIN SUB GRAFT TRNK/ARM/LEG | '01/01/2017 | 12/31/2999 |
| 15272 | 15272 - Application of skin substitute graft to trunk arms legs total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area or part thereof (List separately in addition to code for primary procedure) | 15272 - APP SKN SUB GRFT T/A/L AREA/100SQ CM EA ADL 25SC | 15272 - SKIN SUB GRAFT T/A/L ADD-ON | '01/01/2017 | 12/31/2999 |
| 15273 | 15273 - Application of skin substitute graft to trunk arms legs total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area or 1% of body area of infants and children | 15273 - APP SKN SUBGRFT T/A/L AREA/100SQ CM 1ST 100SQ CM | 15273 - SKIN SUB GRFT T/ARM/LG CHILD | '01/01/2017 | 12/31/2999 |
| 15274 | 15274 - Application of skin substitute graft to trunk arms legs total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15274 - APP SKN SUB GRFT T/A/L AREA>=100SCM ADL 100SQCM | 15274 - SKN SUB GRFT T/A/L CHILD ADD | '01/01/2020 | 12/31/2999 |
| 15275 | 15275 - Application of skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | 15275 - SUB GRFT F/S/N/H/F/G/M/D <100SQ CM 1ST 25 SQ CM | 15275 - SKIN SUB GRAFT FACE/NK/HF/G | '01/01/2017 | 12/31/2999 |
| 15276 | 15276 - Application of skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area or part thereof (List separately in addition to code for primary procedure) | 15276 - SUB GRFT F/S/N/H/F/G/M/D<100SQ CM EA ADDL25SQ CM | 15276 - SKIN SUB GRAFT F/N/HF/G ADDL | '01/01/2017 | 12/31/2999 |
| 15277 | 15277 - Application of skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area or 1% of body area of infants and children | 15277 - SUB GRFT F/S/N/H/F/G/M/D >= 100SCM 1ST 100SQ CM | 15277 - SKN SUB GRFT F/N/HF/G CHILD | '01/01/2020 | 12/31/2999 |
| 15278 | 15278 - Application of skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof or each additional 1% of body area of infants and children or part thereof (List separately in addition to code for primary procedure) | 15278 - SUB GRFT F/S/N/H/F/G/M/D >= 100SCM ADL 100SQ CM | 15278 - SKN SUB GRFT F/N/HF/G CH ADD | '01/01/2020 | 12/31/2999 |
| 15570 | 15570 - Formation of direct or tubed pedicle with or without transfer; trunk | 15570 - FRMJ DIRECT/TUBED PEDICLE W/WO TRANSFER TRUNK | 15570 - SKIN PEDICLE FLAP TRUNK | '01/01/2017 | 12/31/2999 |
| 15572 | 15572 - Formation of direct or tubed pedicle with or without transfer; scalp arms or legs | 15572 - FRMJ DIRECT/TUBE PEDICLE W/WO TR SCALP ARMS/LEGS | 15572 - SKIN PEDICLE FLAP ARMS/LEGS | '01/01/2017 | 12/31/2999 |
| 15574 | 15574 - Formation of direct or tubed pedicle with or without transfer; forehead cheeks chin mouth neck axillae genitalia hands or feet | 15574 - FRMJ DIR/TUBE PEDCL W/WOTR FH/CH/CH/M/N/AX/G/H/F | 15574 - PEDCLE FH/CH/CH/M/N/AX/G/H/F | '01/01/2017 | 12/31/2999 |
| 15576 | 15576 - Formation of direct or tubed pedicle with or without transfer; eyelids nose ears lips or intraoral | 15576 - FRMJ DIRECT/TUBED PEDICLE W/WOTR E/N/E/L/NTRORAL | 15576 - PEDICLE E/N/E/L/NTRORAL | '01/01/2017 | 12/31/2999 |
| 15600 | 15600 - Delay of flap or sectioning of flap (division and inset); at trunk | 15600 - DELAY FLAP/SECTIONING FLAP TRUNK | 15600 - DELAY FLAP TRUNK | '01/01/2017 | 12/31/2999 |
| 15610 | 15610 - Delay of flap or sectioning of flap (division and inset); at scalp arms or legs | 15610 - DELAY FLAP/SECTIONING FLAP SCALP ARMS/LEGS | 15610 - DELAY FLAP ARMS/LEGS | '01/01/2017 | 12/31/2999 |
| 15620 | 15620 - Delay of flap or sectioning of flap (division and inset); at forehead cheeks chin neck axillae genitalia hands or feet | 15620 - DELAY FLAP/SECTIONING FLAP F/C/C/N/AX/G/H/F | 15620 - DELAY FLAP F/C/C/N/AX/G/H/F | '01/01/2017 | 12/31/2999 |
| 15630 | 15630 - Delay of flap or sectioning of flap (division and inset); at eyelids nose ears or lips | 15630 - DELAY FLAP/SCTJ FLAP EYELIDS NOSE EARS/LIPS | 15630 - DELAY FLAP EYE/NOS/EAR/LIP | '01/01/2017 | 12/31/2999 |
| 15650 | 15650 - Transfer intermediate of any pedicle flap (eg abdomen to wrist Walking tube) any location | 15650 - TRANSFER ANY PEDICLE FLAP ANY LOCATION | 15650 - TRANSFER SKIN PEDICLE FLAP | '01/01/2017 | 12/31/2999 |
| 15730 | 15730 - Midface flap (ie zygomaticofacial flap) with preservation of vascular pedicle(s) | 15730 - MIDFACE FLAP W/PRESERVATION OF VASCULAR PEDICLES | 15730 - MDFC FLAP W/PRSRV VASC PEDCL | '01/01/2018 | 12/31/2999 |
| 15731 | 15731 - Forehead flap with preservation of vascular pedicle (eg axial pattern flap paramedian forehead flap) | 15731 - FOREHEAD FLAP W/PRESERVATION VASCULAR PEDICLE | 15731 - FOREHEAD FLAP W/VASC PEDICLE | '01/01/2017 | 12/31/2999 |
| 15733 | 15733 - Muscle myocutaneous or fasciocutaneous flap; head and neck with named vascular pedicle (ie buccinators genioglossus temporalis masseter sternocleidomastoid levator scapulae) | 15733 - MUSC MYOQ/FSCQ FLAP HEAD&NECK W/NAMED VASC PEDCL | 15733 - MUSC MYOQ/FSCQ FLP H&N PEDCL | '01/01/2018 | 12/31/2999 |
| 15734 | 15734 - Muscle myocutaneous or fasciocutaneous flap; trunk | 15734 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP TRUNK | 15734 - MUSCLE-SKIN GRAFT TRUNK | '01/01/2017 | 12/31/2999 |
| 15736 | 15736 - Muscle myocutaneous or fasciocutaneous flap; upper extremity | 15736 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP UXTR | 15736 - MUSCLE-SKIN GRAFT ARM | '01/01/2017 | 12/31/2999 |
| 15738 | 15738 - Muscle myocutaneous or fasciocutaneous flap; lower extremity | 15738 - MUSC MYOCUTANEOUS/FASCIOCUTANEOUS FLAP LXTR | 15738 - MUSCLE-SKIN GRAFT LEG | '01/01/2017 | 12/31/2999 |
| 15740 | 15740 - Flap; island pedicle requiring identification and dissection of an anatomically named axial vessel | 15740 - FLAP ISLAND PEDICLE ANATOMIC NAMED AXIAL ARTERY | 15740 - ISLAND PEDICLE FLAP GRAFT | '01/01/2017 | 12/31/2999 |
| 15750 | 15750 - Flap; neurovascular pedicle | 15750 - FLAP NEUROVASCULAR PEDICLE | 15750 - NEUROVASCULAR PEDICLE FLAP | '01/01/2017 | 12/31/2999 |
| 15756 | 15756 - Free muscle or myocutaneous flap with microvascular anastomosis | 15756 - FREE MUSCLE/MYOCUTANEOUS FLAP W/MVASC ANAST | 15756 - FREE MYO/SKIN FLAP MICROVASC | '01/01/2017 | 12/31/2999 |
| 15757 | 15757 - Free skin flap with microvascular anastomosis | 15757 - FREE SKIN FLAP W/MICROVASCULAR ANASTOMOSIS | 15757 - FREE SKIN FLAP MICROVASC | '01/01/2017 | 12/31/2999 |
| 15758 | 15758 - Free fascial flap with microvascular anastomosis | 15758 - FREE FASCIAL FLAP W/MICROVASCULAR ANASTOMOSIS | 15758 - FREE FASCIAL FLAP MICROVASC | '01/01/2017 | 12/31/2999 |
| 15760 | 15760 - Graft; composite (eg full thickness of external ear or nasal ala) including primary closure donor area | 15760 - GRAFT COMPOSITE W/PRIMARY CLOSURE DONOR AREA | 15760 - COMPOSITE SKIN GRAFT | '01/01/2017 | 12/31/2999 |
| 15769 | 15769 - Grafting of autologous soft tissue other harvested by direct excision (eg fat dermis fascia) | 15769 - GRAFTING OF AUTOLOGOUS SOFT TISS BY DIRECT EXC | 15769 - GRFG AUTOL SOFT TISS DIR EXC | '01/01/2020 | 12/31/2999 |
| 15770 | 15770 - Graft; derma-fat-fascia | 15770 - GRAFT DERMA-FAT-FASCIA | 15770 - DERMA-FAT-FASCIA GRAFT | '01/01/2017 | 12/31/2999 |
| 15771 | 15771 - Grafting of autologous fat harvested by liposuction technique to trunk breasts scalp arms and/or legs; 50 cc or less injectate | 15771 - GRAFTING OF AUTOLOGOUS FAT BY LIPO 50 CC OR LESS | 15771 - GRFG AUTOL FAT LIPO 50 CC/< | '01/01/2020 | 12/31/2999 |
| 15772 | 15772 - Grafting of autologous fat harvested by liposuction technique to trunk breasts scalp arms and/or legs; each additional 50 cc injectate or part thereof (List separately in addition to code for primary procedure) | 15772 - GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 50 CC | 15772 - GRFG AUTOL FAT LIPO EA ADDL | '01/01/2020 | 12/31/2999 |
| 15773 | 15773 - Grafting of autologous fat harvested by liposuction technique to face eyelids mouth neck ears orbits genitalia hands and/or feet; 25 cc or less injectate | 15773 - GRAFTING OF AUTOLOGOUS FAT BY LIPO 25 CC OR LESS | 15773 - GRFG AUTOL FAT LIPO 25 CC/< | '01/01/2020 | 12/31/2999 |
| 15774 | 15774 - Grafting of autologous fat harvested by liposuction technique to face eyelids mouth neck ears orbits genitalia hands and/or feet; each additional 25 cc injectate or part thereof (List separately in addition to code for primary procedure) | 15774 - GRAFTING OF AUTOLOGOUS FAT BY LIPO EA ADDL 25 CC | 15774 - GFRG AUTOL FAT LIPO EA ADDL | '01/01/2020 | 12/31/2999 |
| 15775 | 15775 - Punch graft for hair transplant; 1 to 15 punch grafts | 15775 - PUNCH GRAFT HAIR TRANSPLANT 1-15 PUNCH GRAFTS | 15775 - HAIR TRNSPL 1-15 PUNCH GRFTS | '01/01/2017 | 12/31/2999 |
| 15776 | 15776 - Punch graft for hair transplant; more than 15 punch grafts | 15776 - PUNCH GRAFT HAIR TRANSPLANT >15 PUNCH GRAFTS | 15776 - HAIR TRNSPL >15 PUNCH GRAFTS | '01/01/2017 | 12/31/2999 |
| 15777 | 15777 - Implantation of biologic implant (eg acellular dermal matrix) for soft tissue reinforcement (ie breast trunk) (List separately in addition to code for primary procedure) | 15777 - IMPLNT BIO IMPLNT FOR SOFT TISSUE REINFORCEMENT | 15777 - ACELLULAR DERM MATRIX IMPLT | '01/01/2017 | 12/31/2999 |
| 15778 | 15778 - Implantation of absorbable mesh or other prosthesis for delayed closure of defect(s) (ie external genitalia perineum abdominal wall) due to soft tissue infection or trauma | 15778 - IMPL ABSRB MESH/PRSTH DLYD CLSR DFCT INFCTJ/TRMA | 15778 - IMPL ABSRB MSH/PRSTH DLY CLS | '01/01/2023 | 12/31/2999 |
| 15780 | 15780 - Dermabrasion; total face (eg for acne scarring fine wrinkling rhytids general keratosis) | 15780 - DERMABRASION TOTAL FACE | 15780 - DERMABRASION TOTAL FACE | '01/01/2017 | 12/31/2999 |
| 15781 | 15781 - Dermabrasion; segmental face | 15781 - DERMABRASION SEGMENTAL FACE | 15781 - DERMABRASION SEGMENTAL FACE | '01/01/2017 | 12/31/2999 |
| 15782 | 15782 - Dermabrasion; regional other than face | 15782 - DERMABRASION REGIONAL OTHER THAN FACE | 15782 - DERMABRASION OTHER THAN FACE | '01/01/2017 | 12/31/2999 |
| 15783 | 15783 - Dermabrasion; superficial any site (eg tattoo removal) | 15783 - DERMABRASION SUPERFICIAL ANY SITE | 15783 - DERMABRASION SUPRFL ANY SITE | '01/01/2017 | 12/31/2999 |
| 15786 | 15786 - Abrasion; single lesion (eg keratosis scar) | 15786 - ABRASION 1 LESION | 15786 - ABRASION LESION SINGLE | '01/01/2017 | 12/31/2999 |
| 15787 | 15787 - Abrasion; each additional 4 lesions or less (List separately in addition to code for primary procedure) | 15787 - ABRASION EACH ADDITIONAL 4 LESIONS OR LESS | 15787 - ABRASION LESIONS ADD-ON | '01/01/2017 | 12/31/2999 |
| 15788 | 15788 - Chemical peel facial; epidermal | 15788 - CHEMICAL PEEL FACIAL EPIDERMAL | 15788 - CHEMICAL PEEL FACE EPIDERM | '01/01/2017 | 12/31/2999 |
| 15789 | 15789 - Chemical peel facial; dermal | 15789 - CHEMICAL PEEL FACIAL DERMAL | 15789 - CHEMICAL PEEL FACE DERMAL | '01/01/2017 | 12/31/2999 |
| 15792 | 15792 - Chemical peel nonfacial; epidermal | 15792 - CHEMICAL PEEL NONFACIAL EPIDERMAL | 15792 - CHEMICAL PEEL NONFACIAL | '01/01/2017 | 12/31/2999 |
| 15793 | 15793 - Chemical peel nonfacial; dermal | 15793 - CHEMICAL PEEL NONFACIAL DERMAL | 15793 - CHEMICAL PEEL NONFACIAL | '01/01/2017 | 12/31/2999 |
| 15819 | 15819 - Cervicoplasty | 15819 - CERVICOPLASTY | 15819 - PLASTIC SURGERY NECK | '01/01/2017 | 12/31/2999 |
| 15820 | 15820 - Blepharoplasty lower eyelid; | 15820 - BLEPHAROPLASTY LOWER EYELID | 15820 - REVISION OF LOWER EYELID | '01/01/2017 | 12/31/2999 |
| 15821 | 15821 - Blepharoplasty lower eyelid; with extensive herniated fat pad | 15821 - BLEPHAROPLASTY LOWER EYELID HERNIATED FAT PAD | 15821 - REVISION OF LOWER EYELID | '01/01/2017 | 12/31/2999 |
| 15822 | 15822 - Blepharoplasty upper eyelid; | 15822 - BLEPHAROPLASTY UPPER EYELID | 15822 - REVISION OF UPPER EYELID | '01/01/2017 | 12/31/2999 |
| 15823 | 15823 - Blepharoplasty upper eyelid; with excessive skin weighting down lid | 15823 - BLEPHAROPLASTY UPPER EYELID W/EXCESSIVE SKIN | 15823 - REVISION OF UPPER EYELID | '01/01/2017 | 12/31/2999 |
| 15824 | 15824 - Rhytidectomy; forehead | 15824 - RHYTIDECTOMY FOREHEAD | 15824 - REMOVAL OF FOREHEAD WRINKLES | '01/01/2017 | 12/31/2999 |
| 15825 | 15825 - Rhytidectomy; neck with platysmal tightening (platysmal flap P-flap) | 15825 - RHYTIDECTOMY NECK W/PLATYSMAL TIGHTENING | 15825 - REMOVAL OF NECK WRINKLES | '01/01/2017 | 12/31/2999 |
| 15826 | 15826 - Rhytidectomy; glabellar frown lines | 15826 - RHYTIDECTOMY GLABELLAR FROWN LINES | 15826 - REMOVAL OF BROW WRINKLES | '01/01/2017 | 12/31/2999 |
| 15828 | 15828 - Rhytidectomy; cheek chin and neck | 15828 - RHYTIDECTOMY CHEEK CHIN & NECK | 15828 - REMOVAL OF FACE WRINKLES | '01/01/2017 | 12/31/2999 |
| 15829 | 15829 - Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap | 15829 - RHYTIDECTOMY SMAS FLAP | 15829 - REMOVAL OF SKIN WRINKLES | '01/01/2017 | 12/31/2999 |
| 15830 | 15830 - Excision excessive skin and subcutaneous tissue (includes lipectomy); abdomen infraumbilical panniculectomy | 15830 - EXCISION SKIN ABD INFRAUMBILICAL PANNICULECTOMY | 15830 - EXC SKIN ABD | '01/01/2017 | 12/31/2999 |
| 15832 | 15832 - Excision excessive skin and subcutaneous tissue (includes lipectomy); thigh | 15832 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE THIGH | 15832 - EXCISE EXCESSIVE SKIN THIGH | '01/01/2017 | 12/31/2999 |
| 15833 | 15833 - Excision excessive skin and subcutaneous tissue (includes lipectomy); leg | 15833 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE LEG | 15833 - EXCISE EXCESSIVE SKIN LEG | '01/01/2017 | 12/31/2999 |
| 15834 | 15834 - Excision excessive skin and subcutaneous tissue (includes lipectomy); hip | 15834 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE HIP | 15834 - EXCISE EXCESSIVE SKIN HIP | '01/01/2017 | 12/31/2999 |
| 15835 | 15835 - Excision excessive skin and subcutaneous tissue (includes lipectomy); buttock | 15835 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE BUTTOCK | 15835 - EXCISE EXCESSIVE SKIN BUTTCK | '01/01/2017 | 12/31/2999 |
| 15836 | 15836 - Excision excessive skin and subcutaneous tissue (includes lipectomy); arm | 15836 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE ARM | 15836 - EXCISE EXCESSIVE SKIN ARM | '01/01/2017 | 12/31/2999 |
| 15837 | 15837 - Excision excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand | 15837 - EXC EXCESSIVE SKIN &SUBQ TISSUE FOREARM/HAND | 15837 - EXCISE EXCESS SKIN ARM/HAND | '01/01/2017 | 12/31/2999 |
| 15838 | 15838 - Excision excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad | 15838 - EXC EXCSV SKIN & SUBQ TISSUE SUBMENTAL FAT PAD | 15838 - EXCISE EXCESS SKIN FAT PAD | '01/01/2017 | 12/31/2999 |
| 15839 | 15839 - Excision excessive skin and subcutaneous tissue (includes lipectomy); other area | 15839 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE OTHER AREA | 15839 - EXCISE EXCESS SKIN & TISSUE | '01/01/2017 | 12/31/2999 |
| 15840 | 15840 - Graft for facial nerve paralysis; free fascia graft (including obtaining fascia) | 15840 - GRAFT FACIAL NERVE PARALYSIS FREE FASCIAL GRAFT | 15840 - NERVE PALSY FASCIAL GRAFT | '01/01/2017 | 12/31/2999 |
| 15841 | 15841 - Graft for facial nerve paralysis; free muscle graft (including obtaining graft) | 15841 - GRAFT FACIAL NERVE PARALYSIS FREE MUSCLE GRAFT | 15841 - NERVE PALSY MUSCLE GRAFT | '01/01/2017 | 12/31/2999 |
| 15842 | 15842 - Graft for facial nerve paralysis; free muscle flap by microsurgical technique | 15842 - GRF FACIAL NRV PALYSS FR MUSCLE FLAP MICROSURG | 15842 - NERVE PALSY MICROSURG GRAFT | '01/01/2017 | 12/31/2999 |
| 15845 | 15845 - Graft for facial nerve paralysis; regional muscle transfer | 15845 - GRF FACIAL NERVE PARALYSIS REGIONAL MUSCLE TR | 15845 - SKIN AND MUSCLE REPAIR FACE | '01/01/2017 | 12/31/2999 |
| 15847 | 15847 - Excision excessive skin and subcutaneous tissue (includes lipectomy) abdomen (eg abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) | 15847 - EXCISION EXCESSIVE SKIN & SUBQ TISSUE ABDOMEN | 15847 - EXC SKIN ABD ADD-ON | '01/01/2017 | 12/31/2999 |
| 15851 | 15851 - Removal of sutures or staples requiring anesthesia (ie general anesthesia moderate sedation) | 15851 - REMOVAL SUTURES/STAPLES REQUIRING ANESTHESIA | 15851 - REMOVAL SUTR/STAPLE REQ ANES | '01/01/2023 | 12/31/2999 |
| 15852 | 15852 - Dressing change (for other than burns) under anesthesia (other than local) | 15852 - DRESSING CHANGE UNDER ANESTHESIA | 15852 - DRESSING CHANGE NOT FOR BURN | '01/01/2017 | 12/31/2999 |
| 15853 | 15853 - Removal of sutures or staples not requiring anesthesia (List separately in addition to E/M code) | 15853 - REMOVAL SUTURES/STAPLES NOT REQUIRING ANESTHESIA | 15853 - REMOVAL SUTR/STAPL XREQ ANES | '01/01/2023 | 12/31/2999 |
| 15854 | 15854 - Removal of sutures and staples not requiring anesthesia (List separately in addition to E/M code) | 15854 - REMOVAL SUTURES&STAPLES NOT REQUIRING ANESTHESIA | 15854 - REMOVAL SUTR&STAPL XREQ ANES | '01/01/2023 | 12/31/2999 |
| 15860 | 15860 - Intravenous injection of agent (eg fluorescein) to test vascular flow in flap or graft | 15860 - IV INJECTION TEST VASCULAR FLOW FLAP/GRAFT | 15860 - TEST FOR BLOOD FLOW IN GRAFT | '01/01/2017 | 12/31/2999 |
| 15876 | 15876 - Suction assisted lipectomy; head and neck | 15876 - SUCTION ASSISTED LIPECTOMY HEAD & NECK | 15876 - SUCTION LIPECTOMY HEAD&NECK | '01/01/2017 | 12/31/2999 |
| 15877 | 15877 - Suction assisted lipectomy; trunk | 15877 - SUCTION ASSISTED LIPECTOMY TRUNK | 15877 - SUCTION LIPECTOMY TRUNK | '01/01/2017 | 12/31/2999 |
| 15878 | 15878 - Suction assisted lipectomy; upper extremity | 15878 - SUCTION ASSISTED LIPECTOMY UPPER EXTREMITY | 15878 - SUCTION LIPECTOMY UPR EXTREM | '01/01/2017 | 12/31/2999 |
| 15879 | 15879 - Suction assisted lipectomy; lower extremity | 15879 - SUCTION ASSISTED LIPECTOMY LOWER EXTREMITY | 15879 - SUCTION LIPECTOMY LWR EXTREM | '01/01/2017 | 12/31/2999 |
| 15920 | 15920 - Excision coccygeal pressure ulcer with coccygectomy; with primary suture | 15920 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/PRIM SUTR | 15920 - REMOVAL OF TAIL BONE ULCER | '01/01/2017 | 12/31/2999 |
| 15922 | 15922 - Excision coccygeal pressure ulcer with coccygectomy; with flap closure | 15922 - EXC COCCYGEAL PR ULC W/COCCYGECTOMY W/FLAP CLSR | 15922 - REMOVAL OF TAIL BONE ULCER | '01/01/2017 | 12/31/2999 |
| 15931 | 15931 - Excision sacral pressure ulcer with primary suture; | 15931 - EXCISION SACRAL PRESSURE ULCER W/PRIMARY SUTURE | 15931 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15933 | 15933 - Excision sacral pressure ulcer with primary suture; with ostectomy | 15933 - EXC SACRAL PRESSURE ULC W/PRIM SUTR W/OSTECTOMY | 15933 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15934 | 15934 - Excision sacral pressure ulcer with skin flap closure; | 15934 - EXCISION SACRAL PRESSURE ULCER W/SKIN FLAP CLSR | 15934 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15935 | 15935 - Excision sacral pressure ulcer with skin flap closure; with ostectomy | 15935 - EXC SACRAL PR ULCER W/SKN FLAP CLSR W/OSTECTOMY | 15935 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15936 | 15936 - Excision sacral pressure ulcer in preparation for muscle or myocutaneous flap or skin graft closure; | 15936 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF CLSR | 15936 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15937 | 15937 - Excision sacral pressure ulcer in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy | 15937 - EXC SAC PR ULC PREPJ MUSC/MYOQ FLAP/SKN GRF OSTC | 15937 - REMOVE SACRUM PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15940 | 15940 - Excision ischial pressure ulcer with primary suture; | 15940 - EXC ISCHIAL PRESSURE ULCER W/PRIMARY SUTURE | 15940 - REMOVE HIP PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15941 | 15941 - Excision ischial pressure ulcer with primary suture; with ostectomy (ischiectomy) | 15941 - EXC ISCHIAL PR ULC W/PRIM SUTR W/OSTC ISCHIECT | 15941 - REMOVE HIP PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15944 | 15944 - Excision ischial pressure ulcer with skin flap closure; | 15944 - EXC ISCHIAL PRESSURE ULCER W/SKIN FLAP CLOSURE | 15944 - REMOVE HIP PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15945 | 15945 - Excision ischial pressure ulcer with skin flap closure; with ostectomy | 15945 - EXC ISCHIAL PR ULC W/SKN FLAP CLSR W/OSTECTOMY | 15945 - REMOVE HIP PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15946 | 15946 - Excision ischial pressure ulcer with ostectomy in preparation for muscle or myocutaneous flap or skin graft closure | 15946 - EXC ISCHIAL PR ULCER W/OSTC MUSC/MYOQ FLAP/SKIN | 15946 - REMOVE HIP PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15950 | 15950 - Excision trochanteric pressure ulcer with primary suture; | 15950 - EXC TROCHANTERIC PRESSURE ULCER W/PRIMARY SUTR | 15950 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15951 | 15951 - Excision trochanteric pressure ulcer with primary suture; with ostectomy | 15951 - EXC TRCHNTRIC PR ULCER W/PRIM SUTR W/OSTECTOMY | 15951 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15952 | 15952 - Excision trochanteric pressure ulcer with skin flap closure; | 15952 - EXC TROCHANTERIC PR ULCER W/SKIN FLAP CLOSURE | 15952 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15953 | 15953 - Excision trochanteric pressure ulcer with skin flap closure; with ostectomy | 15953 - EXC TRCHNTRIC PR ULC W/SKN FLAP CLSR W/OSTECTOMY | 15953 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15956 | 15956 - Excision trochanteric pressure ulcer in preparation for muscle or myocutaneous flap or skin graft closure; | 15956 - EXC TROCHANTERIC PR ULCER MUSC/MYOQ FLAP/SKIN | 15956 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15958 | 15958 - Excision trochanteric pressure ulcer in preparation for muscle or myocutaneous flap or skin graft closure; with ostectomy | 15958 - EXC TRCHNTRIC PR ULC MUSC/MYOQ FLAP/SKIN W/OSTC | 15958 - REMOVE THIGH PRESSURE SORE | '01/01/2017 | 12/31/2999 |
| 15999 | 15999 - Unlisted procedure excision pressure ulcer | 15999 - UNLISTED PROCEDURE EXCISION PRESSURE ULCER | 15999 - UNLISTED PX EXC PRESSURE ULC | '01/01/2023 | 12/31/2999 |
| 16000 | 16000 - Initial treatment first degree burn when no more than local treatment is required | 16000 - INITIAL TX 1ST DEGREE BURN LOCAL TX | 16000 - INITIAL TREATMENT OF BURN(S) | '01/01/2017 | 12/31/2999 |
| 16020 | 16020 - Dressings and/or debridement of partial-thickness burns initial or subsequent; small (less than 5% total body surface area) | 16020 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ SMALL | 16020 - DRESS/DEBRID P-THICK BURN S | '01/01/2017 | 12/31/2999 |
| 16025 | 16025 - Dressings and/or debridement of partial-thickness burns initial or subsequent; medium (eg whole face or whole extremity or 5% to 10% total body surface area) | 16025 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ MEDIUM | 16025 - DRESS/DEBRID P-THICK BURN M | '01/01/2017 | 12/31/2999 |
| 16030 | 16030 - Dressings and/or debridement of partial-thickness burns initial or subsequent; large (eg more than 1 extremity or greater than 10% total body surface area) | 16030 - DRS&/DBRDMT PRTL-THKNS BURNS 1ST/SBSQ LARGE | 16030 - DRESS/DEBRID P-THICK BURN L | '01/01/2017 | 12/31/2999 |
| 16035 | 16035 - Escharotomy; initial incision | 16035 - ESCHAROTOMY FIRST INCISION | 16035 - INCISION OF BURN SCAB INITI | '01/01/2017 | 12/31/2999 |
| 16036 | 16036 - Escharotomy; each additional incision (List separately in addition to code for primary procedure) | 16036 - ESCHAROTOMY EACH ADDITIONAL INCISION | 16036 - ESCHAROTOMY ADDL INCISION | '01/01/2017 | 12/31/2999 |
| 17000 | 17000 - Destruction (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) premalignant lesions (eg actinic keratoses); first lesion | 17000 - DESTRUCTION PREMALIGNANT LESION 1ST | 17000 - DESTRUCT PREMALG LESION | '01/01/2017 | 12/31/2999 |
| 17003 | 17003 - Destruction (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) premalignant lesions (eg actinic keratoses); second through 14 lesions each (List separately in addition to code for first lesion) | 17003 - DESTRUCTION PREMALIGNANT LESION 2-14 EA | 17003 - DESTRUCT PREMALG LES 2-14 | '01/01/2017 | 12/31/2999 |
| 17004 | 17004 - Destruction (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) premalignant lesions (eg actinic keratoses) 15 or more lesions | 17004 - DESTRUCTION PREMALIGNANT LESION 15/> | 17004 - DESTROY PREMAL LESIONS 15/> | '01/01/2017 | 12/31/2999 |
| 17106 | 17106 - Destruction of cutaneous vascular proliferative lesions (eg laser technique); less than 10 sq cm | 17106 - DESTRUCTION CUTANEOUS VASC PROLIFERATIVE <10CM | 17106 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17107 | 17107 - Destruction of cutaneous vascular proliferative lesions (eg laser technique); 10.0 to 50.0 sq cm | 17107 - DSTRJ CUTANEOUS VASCULAR LESIONS 10.0-50.0 SQ CM | 17107 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17108 | 17108 - Destruction of cutaneous vascular proliferative lesions (eg laser technique); over 50.0 sq cm | 17108 - DSTRJ CUTANEOUS VASCULAR LESIONS >50.0 SQ CM | 17108 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17110 | 17110 - Destruction (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) of benign lesions other than skin tags or cutaneous vascular proliferative lesions; up to 14 lesions | 17110 - DESTRUCTION BENIGN LESIONS UP TO 14 | 17110 - DESTRUCT B9 LESION 1-14 | '01/01/2017 | 12/31/2999 |
| 17111 | 17111 - Destruction (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) of benign lesions other than skin tags or cutaneous vascular proliferative lesions; 15 or more lesions | 17111 - DESTRUCTION BENIGN LESIONS 15/> | 17111 - DESTRUCT LESION 15 OR MORE | '01/01/2017 | 12/31/2999 |
| 17250 | 17250 - Chemical cauterization of granulation tissue (ie proud flesh) | 17250 - CHEMICAL CAUTERIZATION OF GRANULATION TISSUE | 17250 - CHEM CAUT OF GRANLTJ TISSUE | '01/01/2018 | 12/31/2999 |
| 17260 | 17260 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter 0.5 cm or less | 17260 - DESTRUCTION MALIGNANT LESION T/A/L 0.5 CM/< | 17260 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17261 | 17261 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter 0.6 to 1.0 cm | 17261 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 0.6-1.0 CM | 17261 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17262 | 17262 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter 1.1 to 2.0 cm | 17262 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 1.1-2.0CM | 17262 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17263 | 17263 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter 2.1 to 3.0 cm | 17263 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 2.1-3.0CM | 17263 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17264 | 17264 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter 3.1 to 4.0 cm | 17264 - DESTRUCTION MAL LESION TRUNK/ARM/LEG 3.1-4.0CM | 17264 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17266 | 17266 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) trunk arms or legs; lesion diameter over 4.0 cm | 17266 - DESTRUCTION MAL LESION TRUNK/ARM/LEG > 4.0 CM | 17266 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17270 | 17270 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter 0.5 cm or less | 17270 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.5 CM/> | 17270 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17271 | 17271 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter 0.6 to 1.0 cm | 17271 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 0.6-1.0CM | 17271 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17272 | 17272 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter 1.1 to 2.0 cm | 17272 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 1.1-2.0CM | 17272 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17273 | 17273 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter 2.1 to 3.0 cm | 17273 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 2.1-3.0CM | 17273 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17274 | 17274 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter 3.1 to 4.0 cm | 17274 - DESTRUCTION MALIGNANT LESION S/N/H/F/G 3.1-4.0CM | 17274 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17276 | 17276 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) scalp neck hands feet genitalia; lesion diameter over 4.0 cm | 17276 - DSTRJ MAL LESION S/N/H/F/G LESION DIAM > 4.0 CM | 17276 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17280 | 17280 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter 0.5 cm or less | 17280 - DESTRUCTION MALIGNANT LESION F/E/E/N/L/M 0.5CM/< | 17280 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17281 | 17281 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter 0.6 to 1.0 cm | 17281 - DESTRUCTION MAL LESION F/E/E/N/L/M 0.6-1.0CM | 17281 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17282 | 17282 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter 1.1 to 2.0 cm | 17282 - DESTRUCTION MAL LESION F/E/E/N/L/M 1.1-2.0CM | 17282 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17283 | 17283 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter 2.1 to 3.0 cm | 17283 - DESTRUCTION MAL LESION F/E/E/N/L/M 2.1-3.0CM | 17283 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17284 | 17284 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter 3.1 to 4.0 cm | 17284 - DESTRUCTION MAL LESION F/E/E/N/L/M 3.1-4.0CM | 17284 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17286 | 17286 - Destruction malignant lesion (eg laser surgery electrosurgery cryosurgery chemosurgery surgical curettement) face ears eyelids nose lips mucous membrane; lesion diameter over 4.0 cm | 17286 - DESTRUCTION MAL LESION F/E/E/N/L/M >4.0 CM | 17286 - DESTRUCTION OF SKIN LESIONS | '01/01/2017 | 12/31/2999 |
| 17311 | 17311 - Mohs micrographic technique including removal of all gross tumor surgical excision of tissue specimens mapping color coding of specimens microscopic examination of specimens by the surgeon and histopathologic preparation including routine stain(s) (eg hematoxylin and eosin toluidine blue) head neck hands feet genitalia or any location with surgery directly involving muscle cartilage bone tendon major nerves or vessels; first stage up to 5 tissue blocks | 17311 - MOHS MICROGRAPHIC H/N/H/F/G 1ST STAGE 5 BLOCKS | 17311 - MOHS 1 STAGE H/N/HF/G | '01/01/2017 | 12/31/2999 |
| 17312 | 17312 - Mohs micrographic technique including removal of all gross tumor surgical excision of tissue specimens mapping color coding of specimens microscopic examination of specimens by the surgeon and histopathologic preparation including routine stain(s) (eg hematoxylin and eosin toluidine blue) head neck hands feet genitalia or any location with surgery directly involving muscle cartilage bone tendon major nerves or vessels; each additional stage after the first stage up to 5 tissue blocks (List separately in addition to code for primary procedure) | 17312 - MOHS MICROGRAPHIC H/N/H/F/G EACH ADDL STAGE | 17312 - MOHS ADDL STAGE | '01/01/2017 | 12/31/2999 |
| 17313 | 17313 - Mohs micrographic technique including removal of all gross tumor surgical excision of tissue specimens mapping color coding of specimens microscopic examination of specimens by the surgeon and histopathologic preparation including routine stain(s) (eg hematoxylin and eosin toluidine blue) of the trunk arms or legs; first stage up to 5 tissue blocks | 17313 - MOHS TRUNK/ARM/LEG 1ST STAGE 5 BLOCKS | 17313 - MOHS 1 STAGE T/A/L | '01/01/2017 | 12/31/2999 |
| 17314 | 17314 - Mohs micrographic technique including removal of all gross tumor surgical excision of tissue specimens mapping color coding of specimens microscopic examination of specimens by the surgeon and histopathologic preparation including routine stain(s) (eg hematoxylin and eosin toluidine blue) of the trunk arms or legs; each additional stage after the first stage up to 5 tissue blocks (List separately in addition to code for primary procedure) | 17314 - MOHS TRUNK/ARM/LEG EA STAGE AFTER 1ST STAGE | 17314 - MOHS ADDL STAGE T/A/L | '01/01/2017 | 12/31/2999 |
| 17315 | 17315 - Mohs micrographic technique including removal of all gross tumor surgical excision of tissue specimens mapping color coding of specimens microscopic examination of specimens by the surgeon and histopathologic preparation including routine stain(s) (eg hematoxylin and eosin toluidine blue) each additional block after the first 5 tissue blocks any stage (List separately in addition to code for primary procedure) | 17315 - MOHS TRUNK/ARM/LEG EA ADDL BLOCK ANY STAGE | 17315 - MOHS SURG ADDL BLOCK | '01/01/2017 | 12/31/2999 |
| 17340 | 17340 - Cryotherapy (CO2 slush liquid N2) for acne | 17340 - CRYOTHERAPY CO2 SLUSH LIQUID N2 ACNE | 17340 - CRYOTHERAPY OF SKIN | '01/01/2017 | 12/31/2999 |
| 17360 | 17360 - Chemical exfoliation for acne (eg acne paste acid) | 17360 - CHEMICAL EXFOLIATION ACNE | 17360 - SKIN PEEL THERAPY | '01/01/2017 | 12/31/2999 |
| 17380 | 17380 - Electrolysis epilation each 30 minutes | 17380 - ELECTROLYSIS EPILATION EACH 30 MINUTES | 17380 - HAIR REMOVAL BY ELECTROLYSIS | '01/01/2017 | 12/31/2999 |
| 17999 | 17999 - Unlisted procedure skin mucous membrane and subcutaneous tissue | 17999 - UNLISTED PX SKIN MUC MEMBRANE & SUBQ TISSUE | 17999 - UNLISTD PX SKN MUC MEMB SUBQ | '01/01/2023 | 12/31/2999 |
| 19000 | 19000 - Puncture aspiration of cyst of breast; | 19000 - PUNCTURE ASPIRATION CYST BREAST | 19000 - DRAINAGE OF BREAST LESION | '01/01/2017 | 12/31/2999 |
| 19001 | 19001 - Puncture aspiration of cyst of breast; each additional cyst (List separately in addition to code for primary procedure) | 19001 - PUNCTURE ASPIRATION BREAST EACH ADDITIONAL CYST | 19001 - DRAIN BREAST LESION ADD-ON | '01/01/2017 | 12/31/2999 |
| 19020 | 19020 - Mastotomy with exploration or drainage of abscess deep | 19020 - MASTOTOMY W/EXPLORATION/DRAINAGE ABSCESS DEEP | 19020 - INCISION OF BREAST LESION | '01/01/2017 | 12/31/2999 |
| 19030 | 19030 - Injection procedure only for mammary ductogram or galactogram | 19030 - INJECTION MAMMARY DUCTOGRAM/GALACTOGRAM | 19030 - INJECTION FOR BREAST X-RAY | '01/01/2017 | 12/31/2999 |
| 19081 | 19081 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; first lesion including stereotactic guidance | 19081 - BX BREAST W/DEVICE 1ST LESION STEREOTACTIC GUID | 19081 - BX BREAST 1ST LESION STRTCTC | '01/01/2017 | 12/31/2999 |
| 19082 | 19082 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; each additional lesion including stereotactic guidance (List separately in addition to code for primary procedure) | 19082 - BX BREAST W/DEVICE ADDL LESION STEREOTACT GUID | 19082 - BX BREAST ADD LESION STRTCTC | '01/01/2017 | 12/31/2999 |
| 19083 | 19083 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; first lesion including ultrasound guidance | 19083 - BX BREAST W/DEVICE 1ST LESION ULTRASOUND GUID | 19083 - BX BREAST 1ST LESION US IMAG | '01/01/2017 | 12/31/2999 |
| 19084 | 19084 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; each additional lesion including ultrasound guidance (List separately in addition to code for primary procedure) | 19084 - BX BREAST W/DEVICE ADDL LESION ULTRASOUND GUID | 19084 - BX BREAST ADD LESION US IMAG | '01/01/2017 | 12/31/2999 |
| 19085 | 19085 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; first lesion including magnetic resonance guidance | 19085 - BX BREAST W/DEVICE 1ST LESION MAGNETIC RES GUID | 19085 - BX BREAST 1ST LESION MR IMAG | '01/01/2017 | 12/31/2999 |
| 19086 | 19086 - Biopsy breast with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed percutaneous; each additional lesion including magnetic resonance guidance (List separately in addition to code for primary procedure) | 19086 - BX BREAST W/DEVICE ADDL LESION MAGNET RES GUID | 19086 - BX BREAST ADD LESION MR IMAG | '01/01/2017 | 12/31/2999 |
| 19100 | 19100 - Biopsy of breast; percutaneous needle core not using imaging guidance (separate procedure) | 19100 - BX BREAST NEEDLE CORE W/O IMAGING GUIDANCE SPX | 19100 - BX BREAST PERCUT W/O IMAGE | '01/01/2017 | 12/31/2999 |
| 19101 | 19101 - Biopsy of breast; open incisional | 19101 - BIOPSY BREAST OPEN INCISIONAL | 19101 - BIOPSY OF BREAST OPEN | '01/01/2017 | 12/31/2999 |
| 19105 | 19105 - Ablation cryosurgical of fibroadenoma including ultrasound guidance each fibroadenoma | 19105 - ABLTJ CRYOSURGICAL W/US GID EA FIBROADENOMA | 19105 - CRYOSURG ABLATE FA EACH | '01/01/2017 | 12/31/2999 |
| 19110 | 19110 - Nipple exploration with or without excision of a solitary lactiferous duct or a papilloma lactiferous duct | 19110 - NIPPLE EXPLORATION | 19110 - NIPPLE EXPLORATION | '01/01/2017 | 12/31/2999 |
| 19112 | 19112 - Excision of lactiferous duct fistula | 19112 - EXCISION LACTIFEROUS DUCT FISTULA | 19112 - EXCISE BREAST DUCT FISTULA | '01/01/2017 | 12/31/2999 |
| 19120 | 19120 - Excision of cyst fibroadenoma or other benign or malignant tumor aberrant breast tissue duct lesion nipple or areolar lesion (except 19300) open male or female 1 or more lesions | 19120 - EXC CYST/ABERRANT BREAST TISSUE OPEN 1/> LESION | 19120 - REMOVAL OF BREAST LESION | '01/01/2017 | 12/31/2999 |
| 19125 | 19125 - Excision of breast lesion identified by preoperative placement of radiological marker open; single lesion | 19125 - EXC BREAST LES PREOP PLMT RAD MARKER OPEN 1 LES | 19125 - EXCISION BREAST LESION | '01/01/2017 | 12/31/2999 |
| 19126 | 19126 - Excision of breast lesion identified by preoperative placement of radiological marker open; each additional lesion separately identified by a preoperative radiological marker (List separately in addition to code for primary procedure) | 19126 - EXC BRST LES PREOP PLMT RAD MARKER OPN EA ADDL | 19126 - EXCISION ADDL BREAST LESION | '01/01/2017 | 12/31/2999 |
| 19281 | 19281 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; first lesion including mammographic guidance | 19281 - PERQ DEVICE PLACEMENT BREAST LOC 1ST LES W/GDNCE | 19281 - PERQ DEVICE BREAST 1ST IMAG | '01/01/2017 | 12/31/2999 |
| 19282 | 19282 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; each additional lesion including mammographic guidance (List separately in addition to code for primary procedure) | 19282 - PERQ DEVICE PLACEMT BREAST LOC EA LESION W/GDNCE | 19282 - PERQ DEVICE BREAST EA IMAG | '01/01/2017 | 12/31/2999 |
| 19283 | 19283 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; first lesion including stereotactic guidance | 19283 - PERQ BREAST LOC DEVICE PLACEMT 1ST STRTCTC GDNCE | 19283 - PERQ DEV BREAST 1ST STRTCTC | '01/01/2017 | 12/31/2999 |
| 19284 | 19284 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; each additional lesion including stereotactic guidance (List separately in addition to code for primary procedure) | 19284 - PERQ BREAST LOC DEVICE PLACEMT EA LESION STRTCTC | 19284 - PERQ DEV BREAST ADD STRTCTC | '01/01/2017 | 12/31/2999 |
| 19285 | 19285 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; first lesion including ultrasound guidance | 19285 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO US IMAG | 19285 - PERQ DEV BREAST 1ST US IMAG | '01/01/2017 | 12/31/2999 |
| 19286 | 19286 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; each additional lesion including ultrasound guidance (List separately in addition to code for primary procedure) | 19286 - PERQ BREAST LOC DEVICE PLACEMT EACH LES US IMAGE | 19286 - PERQ DEV BREAST ADD US IMAG | '01/01/2017 | 12/31/2999 |
| 19287 | 19287 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; first lesion including magnetic resonance guidance | 19287 - PERQ BREAST LOC DEVICE PLACEMT 1ST LESIO MR GUID | 19287 - PERQ DEV BREAST 1ST MR GUIDE | '01/01/2017 | 12/31/2999 |
| 19288 | 19288 - Placement of breast localization device(s) (eg clip metallic pellet wire/needle radioactive seeds) percutaneous; each additional lesion including magnetic resonance guidance (List separately in addition to code for primary procedure) | 19288 - PERQ BREAST LOC DEVICE PLACEMT ADD LESIO MR GUID | 19288 - PERQ DEV BREAST ADD MR GUIDE | '01/01/2017 | 12/31/2999 |
| 19294 | 19294 - Preparation of tumor cavity with placement of a radiation therapy applicator for intraoperative radiation therapy (IORT) concurrent with partial mastectomy (List separately in addition to code for primary procedure) | 19294 - PREPJ TUMOR CAVITY IORT W/PARTIAL MASTECTOMY | 19294 - PREPJ TUM CAV IORT PRTL MAST | '01/01/2023 | 12/31/2999 |
| 19296 | 19296 - Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy includes imaging guidance; on date separate from partial mastectomy | 19296 - PLMT EXPANDABLE CATH BRST FOLLOWING PRTL MAST | 19296 - PLACE PO BREAST CATH FOR RAD | '01/01/2017 | 12/31/2999 |
| 19297 | 19297 - Placement of radiotherapy afterloading expandable catheter (single or multichannel) into the breast for interstitial radioelement application following partial mastectomy includes imaging guidance; concurrent with partial mastectomy (List separately in addition to code for primary procedure) | 19297 - PLMT EXPANDABLE CATH BRST CONCURRENT PRTL MAST | 19297 - PLACE BREAST CATH FOR RAD | '01/01/2017 | 12/31/2999 |
| 19298 | 19298 - Placement of radiotherapy after loading brachytherapy catheters (multiple tube and button type) into the breast for interstitial radioelement application following (at the time of or subsequent to) partial mastectomy includes imaging guidance | 19298 - PLMT RADTHX BRACHYTX BRST FOLLOWING PRTL MAST | 19298 - PLACE BREAST RAD TUBE/CATHS | '01/01/2017 | 12/31/2999 |
| 19300 | 19300 - Mastectomy for gynecomastia | 19300 - MASTECTOMY GYNECOMASTIA | 19300 - REMOVAL OF BREAST TISSUE | '01/01/2017 | 12/31/2999 |
| 19301 | 19301 - Mastectomy partial (eg lumpectomy tylectomy quadrantectomy segmentectomy); | 19301 - MASTECTOMY PARTIAL | 19301 - PARTIAL MASTECTOMY | '01/01/2017 | 12/31/2999 |
| 19302 | 19302 - Mastectomy partial (eg lumpectomy tylectomy quadrantectomy segmentectomy); with axillary lymphadenectomy | 19302 - MASTECTOMY PARTIAL W/AXILLARY LYMPHADENECTOMY | 19302 - P-MASTECTOMY W/LN REMOVAL | '01/01/2017 | 12/31/2999 |
| 19303 | 19303 - Mastectomy simple complete | 19303 - MASTECTOMY SIMPLE COMPLETE | 19303 - MAST SIMPLE COMPLETE | '01/01/2017 | 12/31/2999 |
| 19305 | 19305 - Mastectomy radical including pectoral muscles axillary lymph nodes | 19305 - MAST RAD W/PECTORAL MUSCLES AXILLARY LYMPH NODES | 19305 - MAST RADICAL | '01/01/2017 | 12/31/2999 |
| 19306 | 19306 - Mastectomy radical including pectoral muscles axillary and internal mammary lymph nodes (Urban type operation) | 19306 - MAST RAD W/PECTORAL MUSC AX INT MAM LYMPH NODES | 19306 - MAST RAD URBAN TYPE | '01/01/2017 | 12/31/2999 |
| 19307 | 19307 - Mastectomy modified radical including axillary lymph nodes with or without pectoralis minor muscle but excluding pectoralis major muscle | 19307 - MAST MODF RAD W/AX LYMPH NOD W/WO PECT/ALIS MIN | 19307 - MAST MOD RAD | '01/01/2017 | 12/31/2999 |
| 19316 | 19316 - Mastopexy | 19316 - MASTOPEXY | 19316 - SUSPENSION OF BREAST | '01/01/2017 | 12/31/2999 |
| 19318 | 19318 - Breast reduction | 19318 - BREAST REDUCTION | 19318 - BREAST REDUCTION | '01/01/2021 | 12/31/2999 |
| 19325 | 19325 - Breast augmentation with implant | 19325 - BREAST AUGMENTATION WITH IMPLANT | 19325 - BREAST AUGMENTATION W/IMPLT | '01/01/2021 | 12/31/2999 |
| 19328 | 19328 - Removal of intact breast implant | 19328 - REMOVAL INTACT BREAST IMPLANT | 19328 - RMVL INTACT BREAST IMPLANT | '01/01/2021 | 12/31/2999 |
| 19330 | 19330 - Removal of ruptured breast implant including implant contents (eg saline silicone gel) | 19330 - RMVL RUPTURED BREAST IMPLANT W/IMPLANT CONTENTS | 19330 - RMVL RUPTURED BREAST IMPLANT | '01/01/2021 | 12/31/2999 |
| 19340 | 19340 - Insertion of breast implant on same day of mastectomy (ie immediate) | 19340 - INSERTION BREAST IMPLANT SAME DAY OF MASTECTOMY | 19340 - INSJ BREAST IMPLT SM D MAST | '01/01/2021 | 12/31/2999 |
| 19342 | 19342 - Insertion or replacement of breast implant on separate day from mastectomy | 19342 - INSJ/RPLCMT BREAST IMPLANT SEP DAY MASTECTOMY | 19342 - INSJ/RPLCMT BRST IMPLT SEP D | '01/01/2021 | 12/31/2999 |
| 19350 | 19350 - Nipple/areola reconstruction | 19350 - NIPPLE/AREOLA RECONSTRUCTION | 19350 - BREAST RECONSTRUCTION | '01/01/2017 | 12/31/2999 |
| 19355 | 19355 - Correction of inverted nipples | 19355 - CORRECTION INVERTED NIPPLES | 19355 - CORRECT INVERTED NIPPLE(S) | '01/01/2017 | 12/31/2999 |
| 19357 | 19357 - Tissue expander placement in breast reconstruction including subsequent expansion(s) | 19357 - TISSUE EXPANDER PLACEMENT BREAST RECONSTRUCTION | 19357 - TISS XPNDR PLMT BRST RCNSTJ | '01/01/2021 | 12/31/2999 |
| 19361 | 19361 - Breast reconstruction; with latissimus dorsi flap | 19361 - BREAST RECONSTRUCTION W/LATISSIMUS DORSI FLAP | 19361 - BRST RCNSTJ LATSMS DRSI FLAP | '01/01/2021 | 12/31/2999 |
| 19364 | 19364 - Breast reconstruction; with free flap (eg fTRAM DIEP SIEA GAP flap) | 19364 - BREAST RECONSTRUCTION W/FREE FLAP | 19364 - BRST RCNSTJ FREE FLAP | '01/01/2021 | 12/31/2999 |
| 19367 | 19367 - Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap | 19367 - BREAST RECONSTRUCTION SINGLE PEDICLED TRAM FLAP | 19367 - BRST RCNSTJ 1 PDCL TRAM FLAP | '01/01/2021 | 12/31/2999 |
| 19368 | 19368 - Breast reconstruction; with single-pedicled transverse rectus abdominis myocutaneous (TRAM) flap requiring separate microvascular anastomosis (supercharging) | 19368 - BREAST RECONSTRUCTION 1PEDICLED TRAM FLAP ANAST | 19368 - BRST RCNSTJ 1PDCL TRAM ANAST | '01/01/2021 | 12/31/2999 |
| 19369 | 19369 - Breast reconstruction; with bipedicled transverse rectus abdominis myocutaneous (TRAM) flap | 19369 - BREAST RECONSTRUCTION BIPEDICLED TRAM FLAP | 19369 - BRST RCNSTJ 2 PDCL TRAM FLAP | '01/01/2021 | 12/31/2999 |
| 19370 | 19370 - Revision of peri-implant capsule breast including capsulotomy capsulorrhaphy and/or partial capsulectomy | 19370 - REVISION PERI-IMPLANT CAPSULE BREAST | 19370 - REVJ PERI-IMPLT CAPSULE BRST | '01/01/2021 | 12/31/2999 |
| 19371 | 19371 - Peri-implant capsulectomy breast complete including removal of all intracapsular contents | 19371 - PERI-IMPLANT CAPSULECTOMY BREAST COMPLETE | 19371 - PERI-IMPLT CAPSLC BRST COMPL | '01/01/2021 | 12/31/2999 |
| 19380 | 19380 - Revision of reconstructed breast (eg significant removal of tissue re-advancement and/or re-inset of flaps in autologous reconstruction or significant capsular revision combined with soft tissue excision in implant-based reconstruction) | 19380 - REVISION OF RECONSTRUCTED BREAST | 19380 - REVJ RECONSTRUCTED BREAST | '01/01/2021 | 12/31/2999 |
| 19396 | 19396 - Preparation of moulage for custom breast implant | 19396 - PREPARATION MOULAGE CUSTOM BREAST IMPLANT | 19396 - DESIGN CUSTOM BREAST IMPLANT | '01/01/2017 | 12/31/2999 |
| 19499 | 19499 - Unlisted procedure breast | 19499 - UNLISTED PROCEDURE BREAST | 19499 - UNLISTED PROCEDURE BREAST | '01/01/2023 | 12/31/2999 |
| 2000F | 2000F - Blood pressure measured (CKD)(DM) | 2000F - BLOOD PRESSURE MEASURED | 2000F - BLOOD PRESSURE MEASURE | '01/01/2017 | 12/31/2999 |
| 2001F | 2001F - Weight recorded (PAG) | 2001F - WEIGHT RECORDED | 2001F - WEIGHT RECORD | '01/01/2017 | 12/31/2999 |
| 2002F | 2002F - Clinical signs of volume overload (excess) assessed (NMA-No Measure Associated) | 2002F - CLINICAL SIGNS VOLUME OVERLOAD ASSESSED | 2002F - CLIN SIGN VOL OVRLD ASSESS | '01/01/2017 | 12/31/2999 |
| 2004F | 2004F - Initial examination of the involved joint(s) (includes visual inspection palpation range of motion) (OA) [Instructions: Report only for initial osteoarthritis visit or for visits for new joint involvement] | 2004F - INITIAL EXAMINATION INVOLVED JOINTS | 2004F - INITIAL EXAM INVOLVED JOINTS | '01/01/2017 | 12/31/2999 |
| 20100 | 20100 - Exploration of penetrating wound (separate procedure); neck | 20100 - EXPLORATION PENETRATING WOUND SPX NECK | 20100 - EXPLORE WOUND NECK | '01/01/2017 | 12/31/2999 |
| 20101 | 20101 - Exploration of penetrating wound (separate procedure); chest | 20101 - EXPLORATION PENETRATING WOUND SPX CHEST | 20101 - EXPLORE WOUND CHEST | '01/01/2017 | 12/31/2999 |
| 20102 | 20102 - Exploration of penetrating wound (separate procedure); abdomen/flank/back | 20102 - EXPL PENETRATING WOUND SPX ABDOMEN/FLANK/BACK | 20102 - EXPLORE WOUND ABDOMEN | '01/01/2017 | 12/31/2999 |
| 20103 | 20103 - Exploration of penetrating wound (separate procedure); extremity | 20103 - EXPLORATION PENETRATING WOUND SPX EXTREMITY | 20103 - EXPLORE WOUND EXTREMITY | '01/01/2017 | 12/31/2999 |
| 2010F | 2010F - Vital signs (temperature pulse respiratory rate and blood pressure) documented and reviewed (CAP) (EM) | 2010F - VITAL SIGNS RECORDED | 2010F - VITAL SIGNS RECORDED | '01/01/2017 | 12/31/2999 |
| 2014F | 2014F - Mental status assessed (CAP) (EM) | 2014F - MENTAL STATUS ASSESSED | 2014F - MENTAL STATUS ASSESS | '01/01/2017 | 12/31/2999 |
| 20150 | 20150 - Excision of epiphyseal bar with or without autogenous soft tissue graft obtained through same fascial incision | 20150 - EXCISION EPIPHYSEAL BAR | 20150 - EXCISE EPIPHYSEAL BAR | '01/01/2017 | 12/31/2999 |
| 2015F | 2015F - Asthma impairment assessed (Asthma) | 2015F - ASTHMA IMPAIRMENT ASSESSED | 2015F - ASTHMA IMPAIRMENT ASSESSED | '01/01/2017 | 12/31/2999 |
| 2016F | 2016F - Asthma risk assessed (Asthma) | 2016F - ASTHMA RISK ASSESSED | 2016F - ASTHMA RISK ASSESSED | '01/01/2017 | 12/31/2999 |
| 2018F | 2018F - Hydration status assessed (normal/mildly dehydrated/severely dehydrated) (CAP) | 2018F - HYDRATION STATUS ASSESSED | 2018F - HYDRATION STATUS ASSESS | '01/01/2017 | 12/31/2999 |
| 2019F | 2019F - Dilated macular exam performed including documentation of the presence or absence of macular thickening or hemorrhage and the level of macular degeneration severity (EC) | 2019F - DILATED MACULAR EXAM PERFORMED | 2019F - DILATED MACUL EXAM DONE | '01/01/2017 | 12/31/2999 |
| 20200 | 20200 - Biopsy muscle; superficial | 20200 - BIOPSY MUSCLE SUPERFICIAL | 20200 - MUSCLE BIOPSY | '01/01/2017 | 12/31/2999 |
| 20205 | 20205 - Biopsy muscle; deep | 20205 - BIOPSY MUSCLE DEEP | 20205 - DEEP MUSCLE BIOPSY | '01/01/2017 | 12/31/2999 |
| 20206 | 20206 - Biopsy muscle percutaneous needle | 20206 - BIOPSY MUSCLE PERCUTANEOUS NEEDLE | 20206 - NEEDLE BIOPSY MUSCLE | '01/01/2017 | 12/31/2999 |
| 2020F | 2020F - Dilated fundus evaluation performed within 12 months prior to cataract surgery (EC) | 2020F - DILATED FUNDUS EVALUATION PERFORMED | 2020F - DILATED FUNDUS EVAL DONE | '01/01/2017 | 12/31/2999 |
| 2021F | 2021F - Dilated macular or fundus exam performed including documentation of the presence or absence of macular edema and level of severity of retinopathy (EC) | 2021F - DILATED MACULAR OR FUNDUS EXAM PERFORMED | 2021F - DILAT MACULAR EXAM DONE | '01/01/2017 | 12/31/2999 |
| 20220 | 20220 - Biopsy bone trocar or needle; superficial (eg ilium sternum spinous process ribs) | 20220 - BIOPSY BONE TROCAR/NEEDLE SUPERFICIAL | 20220 - BONE BIOPSY TROCAR/NEEDLE | '01/01/2017 | 12/31/2999 |
| 20225 | 20225 - Biopsy bone trocar or needle; deep (eg vertebral body femur) | 20225 - BIOPSY BONE TROCAR/NEEDLE DEEP | 20225 - BONE BIOPSY TROCAR/NEEDLE | '01/01/2017 | 12/31/2999 |
| 2022F | 2022F - Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM) | 2022F - DILATED RETINAL EXAM W/EVIDENCE OF RETINOPATHY | 2022F - DILAT RTA XM EVC RTNOPTHY | 01-10-2019 | 12/31/2999 |
| 2023F | 2023F - Dilated retinal eye exam with interpretation by an ophthalmologist or optometrist documented and reviewed; without evidence of retinopathy (DM) | 2023F - DILATED RETINAL EXAM W/O EVIDENCE OF RETINOPATHY | 2023F - DILAT RTA XM W/O RTNOPTHY | '01/01/2020 | 12/31/2999 |
| 20240 | 20240 - Biopsy bone open; superficial (eg sternum spinous process rib patella olecranon process calcaneus tarsal metatarsal carpal metacarpal phalanx) | 20240 - BIOPSY BONE OPEN SUPERFICIAL | 20240 - BONE BIOPSY OPEN SUPERFICIAL | '01/01/2017 | 12/31/2999 |
| 20245 | 20245 - Biopsy bone open; deep (eg humeral shaft ischium femoral shaft) | 20245 - BIOPSY BONE OPEN DEEP | 20245 - BONE BIOPSY OPEN DEEP | '01/01/2017 | 12/31/2999 |
| 2024F | 2024F - 7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; with evidence of retinopathy (DM) | 2024F - 7 STANDARD FLD RETINAL PHOTO W/EVC RTNOPTHY | 2024F - 7 FLD RTA PHOTO EVC RTNOPTHY | 01-10-2019 | 12/31/2999 |
| 20250 | 20250 - Biopsy vertebral body open; thoracic | 20250 - BIOPSY VERTEBRAL BODY OPEN THORACIC | 20250 - OPEN BONE BIOPSY | '01/01/2017 | 12/31/2999 |
| 20251 | 20251 - Biopsy vertebral body open; lumbar or cervical | 20251 - BIOPSY VERTEBRAL BODY OPEN LUMBAR/CERVICAL | 20251 - OPEN BONE BIOPSY | '01/01/2017 | 12/31/2999 |
| 2025F | 2025F - 7 standard field stereoscopic retinal photos with interpretation by an ophthalmologist or optometrist documented and reviewed; without evidence of retinopathy (DM) | 2025F - 7 STANDARD FLD RETINAL PHOTO W/O EVC RTNOPTHY | 2025F - 7 FLD RTA PHOTO W/O RTNOPTHY | '01/01/2020 | 12/31/2999 |
| 2026F | 2026F - Eye imaging validated to match diagnosis from 7 standard field stereoscopic retinal photos results documented and reviewed; with evidence of retinopathy (DM) | 2026F - EYE IMG VALID MATCH DX 7 STND FLD W/EVC RTNOPTHY | 2026F - EYE IMG VALID EVC RTNOPTHY | 01-10-2019 | 12/31/2999 |
| 2027F | 2027F - Optic nerve head evaluation performed (EC) | 2027F - OPTIC NERVE HEAD EVALUATION PERFORMED | 2027F - OPTIC NERVE HEAD EVAL DONE | '01/01/2017 | 12/31/2999 |
| 2028F | 2028F - Foot examination performed (includes examination through visual inspection sensory exam with monofilament and pulse exam - report when any of the 3 components are completed) (DM) | 2028F - FOOT EXAMINATION PERFORMED | 2028F - FOOT EXAM PERFORMED | '01/01/2017 | 12/31/2999 |
| 2029F | 2029F - Complete physical skin exam performed (ML) | 2029F - COMPLETE PHYSICAL SKIN EXAM PERFORMED | 2029F - COMPLETE PHYS SKIN EXAM DONE | '01/01/2017 | 12/31/2999 |
| 2030F | 2030F - Hydration status documented normally hydrated (PAG) | 2030F - HYDRATION STATUS DOCD NORMALLY HYDRATED | 2030F - H2O STAT DOCD NORMAL | '01/01/2017 | 12/31/2999 |
| 2031F | 2031F - Hydration status documented dehydrated (PAG) | 2031F - HYDRATION STATUS DOCUMENTED DEHYDRATED | 2031F - H2O STAT DOCD DEHYDRATED | '01/01/2017 | 12/31/2999 |
| 2033F | 2033F - Eye imaging validated to match diagnosis from 7 standard field stereoscopic retinal photos results documented and reviewed; without evidence of retinopathy (DM) | 2033F - EYE IMG VLD MTCH DX 7 STND FLD W/O EVC RTNOPTHY | 2033F - EYE IMG VALID W/O RTNOPTHY | '01/01/2020 | 12/31/2999 |
| 2035F | 2035F - Tympanic membrane mobility assessed with pneumatic otoscopy or tympanometry (OME) | 2035F - TYMPANIC MEMBRANE MOBILITY ASSESS | 2035F - TYMP MEMB MOTION EXAMD | '01/01/2017 | 12/31/2999 |
| 2040F | 2040F - Physical examination on the date of the initial visit for low back pain performed in accordance with specifications (BkP) | 2040F - PHYS EXAM ON DATE OF INIT VST FOR LBP DONE | 2040F - BK PN XM ON INIT VISIT DATE | '01/01/2017 | 12/31/2999 |
| 2044F | 2044F - Documentation of mental health assessment prior to intervention (back surgery or epidural steroid injection) or for back pain episode lasting longer than 6 weeks (BkP) | 2044F - DOC MNTL HLTH ASSES PRIOR INTVN BACK PAIN 6WKS | 2044F - DOC MNTL TST B/4 BK TRXMNT | '01/01/2017 | 12/31/2999 |
| 20500 | 20500 - Injection of sinus tract; therapeutic (separate procedure) | 20500 - INJECTION SINUS TRACT THERAPEUTIC SEPARATE PROC | 20500 - INJECTION OF SINUS TRACT | '01/01/2017 | 12/31/2999 |
| 20501 | 20501 - Injection of sinus tract; diagnostic (sinogram) | 20501 - INJECTION SINUS TRACT DIAGNOSTIC | 20501 - INJECT SINUS TRACT FOR X-RAY | '01/01/2017 | 12/31/2999 |
| 2050F | 2050F - Wound characteristics including size and nature of wound base tissue and amount of drainage prior to debridement documented (CWC) | 2050F - WOUND CHARACTERISTICS DOCD PRIOR DEBRIDEMENT | 2050F - WOUND CHAR SIZE ETC DOCD | '01/01/2017 | 12/31/2999 |
| 20520 | 20520 - Removal of foreign body in muscle or tendon sheath; simple | 20520 - REMOVAL FOREIGN BODY MUSCLE/TENDON SHEATH SIMPLE | 20520 - REMOVAL OF FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 20525 | 20525 - Removal of foreign body in muscle or tendon sheath; deep or complicated | 20525 - RMVL FOREIGN BODY MUSCLE/TENDON SHEATH DEEP/COMP | 20525 - REMOVAL OF FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 20526 | 20526 - Injection therapeutic (eg local anesthetic corticosteroid) carpal tunnel | 20526 - INJECTION THERAPEUTIC CARPAL TUNNEL | 20526 - THER INJECTION CARP TUNNEL | '01/01/2017 | 12/31/2999 |
| 20527 | 20527 - Injection enzyme (eg collagenase) palmar fascial cord (ie Dupuytren's contracture) | 20527 - INJECTION ENZYME PALMAR FASCIAL CORD | 20527 - INJ DUPUYTREN CORD W/ENZYME | '01/01/2017 | 12/31/2999 |
| 20550 | 20550 - Injection(s); single tendon sheath or ligament aponeurosis (eg plantar fascia) | 20550 - INJECTION 1 TENDON SHEATH/LIGAMENT APONEUROSIS | 20550 - INJ TENDON SHEATH/LIGAMENT | '01/01/2021 | 12/31/2999 |
| 20551 | 20551 - Injection(s); single tendon origin/insertion | 20551 - INJECTION SINGLE TENDON ORIGIN/INSERTION | 20551 - INJ TENDON ORIGIN/INSERTION | '01/01/2017 | 12/31/2999 |
| 20552 | 20552 - Injection(s); single or multiple trigger point(s) 1 or 2 muscle(s) | 20552 - INJECTION SINGLE/MLT TRIGGER POINT 1/2 MUSCLES | 20552 - INJ TRIGGER POINT 1/2 MUSCL | '01/01/2017 | 12/31/2999 |
| 20553 | 20553 - Injection(s); single or multiple trigger point(s) 3 or more muscles | 20553 - INJECTION SINGLE/MLT TRIGGER POINT 3/> MUSCLES | 20553 - INJECT TRIGGER POINTS 3/> | '01/01/2017 | 12/31/2999 |
| 20555 | 20555 - Placement of needles or catheters into muscle and/or soft tissue for subsequent interstitial radioelement application (at the time of or subsequent to the procedure) | 20555 - PLACEMENT NEEDLES MUSCLE SUBSEQUENT RADIOELEMENT | 20555 - PLACE NDL MUSC/TIS FOR RT | '01/01/2017 | 12/31/2999 |
| 20560 | 20560 - Needle insertion(s) without injection(s); 1 or 2 muscle(s) | 20560 - NEEDLE INSERTION W/O INJECTION 1 OR 2 MUSCLES | 20560 - NDL INSJ W/O NJX 1 OR 2 MUSC | '01/01/2020 | 12/31/2999 |
| 20561 | 20561 - Needle insertion(s) without injection(s); 3 or more muscles | 20561 - NEEDLE INSERTION W/O INJECTION 3 OR MORE MUSCLES | 20561 - NDL INSJ W/O NJX 3+ MUSC | '01/01/2020 | 12/31/2999 |
| 20600 | 20600 - Arthrocentesis aspiration and/or injection small joint or bursa (eg fingers toes); without ultrasound guidance | 20600 - ARTHROCENTESIS ASPIR&/INJ SMALL JT/BURSA W/O US | 20600 - DRAIN/INJ JOINT/BURSA W/O US | '01/01/2017 | 12/31/2999 |
| 20604 | 20604 - Arthrocentesis aspiration and/or injection small joint or bursa (eg fingers toes); with ultrasound guidance with permanent recording and reporting | 20604 - ARTHROCNT ASPIR&/INJ SMALL JT/BURSAW/US REC RPRT | 20604 - DRAIN/INJ JOINT/BURSA W/US | '01/01/2017 | 12/31/2999 |
| 20605 | 20605 - Arthrocentesis aspiration and/or injection intermediate joint or bursa (eg temporomandibular acromioclavicular wrist elbow or ankle olecranon bursa); without ultrasound guidance | 20605 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/O US | 20605 - DRAIN/INJ JOINT/BURSA W/O US | '01/01/2017 | 12/31/2999 |
| 20606 | 20606 - Arthrocentesis aspiration and/or injection intermediate joint or bursa (eg temporomandibular acromioclavicular wrist elbow or ankle olecranon bursa); with ultrasound guidance with permanent recording and reporting | 20606 - ARTHROCENTESIS ASPIR&/INJ INTERM JT/BURS W/US | 20606 - DRAIN/INJ JOINT/BURSA W/US | '01/01/2017 | 12/31/2999 |
| 2060F | 2060F - Patient interviewed directly on or before date of diagnosis of major depressive disorder (MDD ADOL) | 2060F - PT INTRVWD BY EVAL CLINICIAN 2060F - PT TALK EVAL HLTHWKR RE MDD | '01/01/2017 | 12/31/2999 | |
| 20610 | 20610 - Arthrocentesis aspiration and/or injection major joint or bursa (eg shoulder hip knee subacromial bursa); without ultrasound guidance | 20610 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/O US | 20610 - DRAIN/INJ JOINT/BURSA W/O US | '01/01/2017 | 12/31/2999 |
| 20611 | 20611 - Arthrocentesis aspiration and/or injection major joint or bursa (eg shoulder hip knee subacromial bursa); with ultrasound guidance with permanent recording and reporting | 20611 - ARTHROCENTESIS ASPIR&/INJ MAJOR JT/BURSA W/US | 20611 - DRAIN/INJ JOINT/BURSA W/US | '01/01/2017 | 12/31/2999 |
| 20612 | 20612 - Aspiration and/or injection of ganglion cyst(s) any location | 20612 - ASPIRATION&/INJECTION GANGLION CYST ANY LOCATJ | 20612 - ASPIRATE/INJ GANGLION CYST | '01/01/2017 | 12/31/2999 |
| 20615 | 20615 - Aspiration and injection for treatment of bone cyst | 20615 - ASPIRATION & INJECTION TREATMENT BONE CYST | 20615 - TREATMENT OF BONE CYST | '01/01/2017 | 12/31/2999 |
| 20650 | 20650 - Insertion of wire or pin with application of skeletal traction including removal (separate procedure) | 20650 - INSERTION WIRE/PIN W/APPL SKELETAL TRACTION SPX | 20650 - INSERT AND REMOVE BONE PIN | '01/01/2017 | 12/31/2999 |
| 20660 | 20660 - Application of cranial tongs caliper or stereotactic frame including removal (separate procedure) | 20660 - APPL CRANIAL TONG/STRTCTC FRAME W/REMOVAL SPX | 20660 - APPLY REM FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20661 | 20661 - Application of halo including removal; cranial | 20661 - APPLICATION HALO CRANIAL INCLUDING REMOVAL | 20661 - APPLICATION OF HEAD BRACE | '01/01/2017 | 12/31/2999 |
| 20662 | 20662 - Application of halo including removal; pelvic | 20662 - APPLICATION HALO PELVIC INCLUDING REMOVAL | 20662 - APPLICATION OF PELVIS BRACE | '01/01/2017 | 12/31/2999 |
| 20663 | 20663 - Application of halo including removal; femoral | 20663 - APPLICATION HALO FEMORAL INCLUDING REMOVAL | 20663 - APPLICATION OF THIGH BRACE | '01/01/2017 | 12/31/2999 |
| 20664 | 20664 - Application of halo including removal cranial 6 or more pins placed for thin skull osteology (eg pediatric patients hydrocephalus osteogenesis imperfecta) | 20664 - APPL HALO 6/> PINS THIN SKULL OSTEOLOGY | 20664 - APPLICATION OF HALO | '01/01/2017 | 12/31/2999 |
| 20665 | 20665 - Removal of tongs or halo applied by another individual | 20665 - REMOVAL TONG/HALO APPLIED BY ANOTHER INDIVIDUAL | 20665 - REMOVAL OF FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20670 | 20670 - Removal of implant; superficial (eg buried wire pin or rod) (separate procedure) | 20670 - REMOVAL IMPLANT SUPERFICIAL SEPARATE PROCEDURE | 20670 - REMOVAL OF SUPPORT IMPLANT | '01/01/2017 | 12/31/2999 |
| 20680 | 20680 - Removal of implant; deep (eg buried wire pin screw metal band nail rod or plate) | 20680 - REMOVAL IMPLANT DEEP | 20680 - REMOVAL OF SUPPORT IMPLANT | '01/01/2017 | 12/31/2999 |
| 20690 | 20690 - Application of a uniplane (pins or wires in 1 plane) unilateral external fixation system | 20690 - APPLICATION UNIPLANE EXTERNAL FIXATION SYSTEM | 20690 - APPLY BONE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20692 | 20692 - Application of a multiplane (pins or wires in more than 1 plane) unilateral external fixation system (eg Ilizarov Monticelli type) | 20692 - APPLICATION MULTIPLANE EXTERNAL FIXATION SYSTEM | 20692 - APPLY BONE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20693 | 20693 - Adjustment or revision of external fixation system requiring anesthesia (eg new pin[s] or wire[s] and/or new ring[s] or bar[s]) | 20693 - ADJUSTMENT/REVJ XTRNL FIXATION SYSTEM REQ ANES | 20693 - ADJUST BONE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20694 | 20694 - Removal under anesthesia of external fixation system | 20694 - REMOVAL EXTERNAL FIXATION SYSTEM UNDER ANES | 20694 - REMOVE BONE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 20696 | 20696 - Application of multiplane (pins or wires in more than 1 plane) unilateral external fixation with stereotactic computer-assisted adjustment (eg spatial frame) including imaging; initial and subsequent alignment(s) assessment(s) and computation(s) of adjustment schedule(s) | 20696 - XTRNL FIXJ W/STEREOTACTIC ADJUSTMENT 1ST & SUBQ | 20696 - COMP MULTIPLANE EXT FIXATION | '01/01/2017 | 12/31/2999 |
| 20697 | 20697 - Application of multiplane (pins or wires in more than 1 plane) unilateral external fixation with stereotactic computer-assisted adjustment (eg spatial frame) including imaging; exchange (ie removal and replacement) of strut each | 20697 - XTRNL FIXJ W/STRTCTC ADJUSTMENT EXCHANGE STRUT | 20697 - COMP EXT FIXATE STRUT CHANGE | '01/01/2017 | 12/31/2999 |
| 20700 | 20700 - Manual preparation and insertion of drug-delivery device(s) deep (eg subfascial) (List separately in addition to code for primary procedure) | 20700 - MANUAL PREP AND INSERTION DEEP DRUG DELIVERY DEV | 20700 - MNL PREP&INSJ DP RX DLVR DEV | '01/01/2020 | 12/31/2999 |
| 20701 | 20701 - Removal of drug-delivery device(s) deep (eg subfascial) (List separately in addition to code for primary procedure) | 20701 - REMOVAL DEEP DRUG DELIVERY DEVICE | 20701 - RMVL DEEP RX DELIVERY DEVICE | '01/01/2020 | 12/31/2999 |
| 20702 | 20702 - Manual preparation and insertion of drug-delivery device(s) intramedullary (List separately in addition to code for primary procedure) | 20702 - MANUAL PREP&INSJ INTRAMEDULLARY DRUG DLVR DEVICE | 20702 - MNL PREP&INSJ IMED RX DEV | '01/01/2020 | 12/31/2999 |
| 20703 | 20703 - Removal of drug-delivery device(s) intramedullary (List separately in addition to code for primary procedure) | 20703 - REMOVAL INTRAMEDULLARY DRUG DELIVERY DEVICE | 20703 - RMVL IMED RX DELIVERY DEVICE | '01/01/2020 | 12/31/2999 |
| 20704 | 20704 - Manual preparation and insertion of drug-delivery device(s) intra-articular (List separately in addition to code for primary procedure) | 20704 - MANUAL PREP&INSJ I-ARTIC DRUG DELIVERY DEVICE | 20704 - MNL PREP&INSJ I-ARTIC RX DEV | '01/01/2020 | 12/31/2999 |
| 20705 | 20705 - Removal of drug-delivery device(s) intra-articular (List separately in addition to code for primary procedure) | 20705 - REMOVAL INTRA-ARTICULAR DRUG DELIVERY DEVICE | 20705 - RMVL I-ARTIC RX DELIVERY DEV | '01/01/2020 | 12/31/2999 |
| 20802 | 20802 - Replantation arm (includes surgical neck of humerus through elbow joint) complete amputation | 20802 - REPLANTATION ARM COMPLETE AMPUTATION | 20802 - REPLANTATION ARM COMPLETE | '01/01/2017 | 12/31/2999 |
| 20805 | 20805 - Replantation forearm (includes radius and ulna to radial carpal joint) complete amputation | 20805 - REPLANTATION FOREARM COMPLETE AMPUTATION | 20805 - REPLANT FOREARM COMPLETE | '01/01/2017 | 12/31/2999 |
| 20808 | 20808 - Replantation hand (includes hand through metacarpophalangeal joints) complete amputation | 20808 - REPLANTATION HAND COMPLETE AMPUTATION | 20808 - REPLANTATION HAND COMPLETE | '01/01/2017 | 12/31/2999 |
| 20816 | 20816 - Replantation digit excluding thumb (includes metacarpophalangeal joint to insertion of flexor sublimis tendon) complete amputation | 20816 - RPLJ DGT EXCEPT THMB MTCARPHLNGL JT COMPL AMP | 20816 - REPLANTATION DIGIT COMPLETE | '01/01/2017 | 12/31/2999 |
| 20822 | 20822 - Replantation digit excluding thumb (includes distal tip to sublimis tendon insertion) complete amputation | 20822 - RPLJ DGT EXCLUDING THMB SUBLIMIS TDN COMPL AMP | 20822 - REPLANTATION DIGIT COMPLETE | '01/01/2017 | 12/31/2999 |
| 20824 | 20824 - Replantation thumb (includes carpometacarpal joint to MP joint) complete amputation | 20824 - RPLJ THMB CARP/MTCRPL JT MP JT COMPL AMPUTATION | 20824 - REPLANTATION THUMB COMPLETE | '01/01/2017 | 12/31/2999 |
| 20827 | 20827 - Replantation thumb (includes distal tip to MP joint) complete amputation | 20827 - RPLJ THUMB DISTAL TIP MP JOINT COMPL AMPUTATION | 20827 - REPLANTATION THUMB COMPLETE | '01/01/2017 | 12/31/2999 |
| 20838 | 20838 - Replantation foot complete amputation | 20838 - REPLANTATION FOOT COMPLETE AMPUTATION | 20838 - REPLANTATION FOOT COMPLETE | '01/01/2017 | 12/31/2999 |
| 20900 | 20900 - Bone graft any donor area; minor or small (eg dowel or button) | 20900 - BONE GRAFT ANY DONOR AREA MINOR/SMALL | 20900 - REMOVAL OF BONE FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20902 | 20902 - Bone graft any donor area; major or large | 20902 - BONE GRAFT ANY DONOR AREA MAJOR/LARGE | 20902 - REMOVAL OF BONE FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20910 | 20910 - Cartilage graft; costochondral | 20910 - CARTILAGE GRAFT COSTOCHONDRAL | 20910 - REMOVE CARTILAGE FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20912 | 20912 - Cartilage graft; nasal septum | 20912 - CARTILAGE GRAFT NASAL SEPTUM | 20912 - REMOVE CARTILAGE FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20920 | 20920 - Fascia lata graft; by stripper | 20920 - FASCIA LATA GRAFT BY STRIPPER | 20920 - REMOVAL OF FASCIA FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20922 | 20922 - Fascia lata graft; by incision and area exposure complex or sheet | 20922 - FASCIA LATA GRAFT INCISION & AREA EXPOSURE | 20922 - REMOVAL OF FASCIA FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20924 | 20924 - Tendon graft from a distance (eg palmaris toe extensor plantaris) | 20924 - TENDON GRAFT FROM A DISTANCE | 20924 - REMOVAL OF TENDON FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 20930 | 20930 - Allograft morselized or placement of osteopromotive material for spine surgery only (List separately in addition to code for primary procedure) | 20930 - ALLOGRAFT FOR SPINE SURGERY ONLY MORSELIZED | 20930 - SP BONE ALGRFT MORSEL ADD-ON | '01/01/2017 | 12/31/2999 |
| 20931 | 20931 - Allograft structural for spine surgery only (List separately in addition to code for primary procedure) | 20931 - ALLOGRAFT FOR SPINE SURGERY ONLY STRUCTURAL | 20931 - SP BONE ALGRFT STRUCT ADD-ON | '01/01/2017 | 12/31/2999 |
| 20932 | 20932 - Allograft includes templating cutting placement and internal fixation when performed; osteoarticular including articular surface and contiguous bone (List separately in addition to code for primary procedure) | 20932 - OSTEOARTICULAR ALLOGRAFT W/ARTICULAR SURF & BONE | 20932 - OSTEOART ALGRFT W/SURF & B1 | '01/01/2019 | 12/31/2999 |
| 20933 | 20933 - Allograft includes templating cutting placement and internal fixation when performed; hemicortical intercalary partial (ie hemicylindrical) (List separately in addition to code for primary procedure) | 20933 - HEMICORTICAL INTERCALARY ALLOGRAFT PARTIAL | 20933 - HEMICRT INTRCLRY ALGRFT PRTL | '01/01/2019 | 12/31/2999 |
| 20934 | 20934 - Allograft includes templating cutting placement and internal fixation when performed; intercalary complete (ie cylindrical) (List separately in addition to code for primary procedure) | 20934 - INTERCALARY ALLOGRAFT COMPLETE | 20934 - INTERCALARY ALGRFT COMPL | '01/01/2019 | 12/31/2999 |
| 20936 | 20936 - Autograft for spine surgery only (includes harvesting the graft); local (eg ribs spinous process or laminar fragments) obtained from same incision (List separately in addition to code for primary procedure) | 20936 - AUTOGRAFT SPINE SURGERY LOCAL FROM SAME INCISION | 20936 - SP BONE AGRFT LOCAL ADD-ON | '01/01/2017 | 12/31/2999 |
| 20937 | 20937 - Autograft for spine surgery only (includes harvesting the graft); morselized (through separate skin or fascial incision) (List separately in addition to code for primary procedure) | 20937 - AUTOGRAFT SPINE SURGERY MORSELIZED SEP INCISION | 20937 - SP BONE AGRFT MORSEL ADD-ON | '01/01/2017 | 12/31/2999 |
| 20938 | 20938 - Autograft for spine surgery only (includes harvesting the graft); structural bicortical or tricortical (through separate skin or fascial incision) (List separately in addition to code for primary procedure) | 20938 - AUTOGRAFT SPINE SURGERY BICORT/TRICORT SEP INC | 20938 - SP BONE AGRFT STRUCT ADD-ON | '01/01/2017 | 12/31/2999 |
| 20939 | 20939 - Bone marrow aspiration for bone grafting spine surgery only through separate skin or fascial incision (List separately in addition to code for primary procedure) | 20939 - BONE MARROW ASPIRATION BONE GRFG SPI SURG ONLY | 20939 - BONE MARROW ASPIR BONE GRFG | '01/01/2018 | 12/31/2999 |
| 20950 | 20950 - Monitoring of interstitial fluid pressure (includes insertion of device eg wick catheter technique needle manometer technique) in detection of muscle compartment syndrome | 20950 - MNTR INTERSTITIAL FLUID PRESSURE CMPRT SYNDROME | 20950 - FLUID PRESSURE MUSCLE | '01/01/2017 | 12/31/2999 |
| 20955 | 20955 - Bone graft with microvascular anastomosis; fibula | 20955 - BONE GRAFT MICROVASCULAR ANASTOMOSIS FIBULA | 20955 - FIBULA BONE GRAFT MICROVASC | '01/01/2017 | 12/31/2999 |
| 20956 | 20956 - Bone graft with microvascular anastomosis; iliac crest | 20956 - BONE GRAFT MICROVASCULAR ANAST ILIAC CREST | 20956 - ILIAC BONE GRAFT MICROVASC | '01/01/2017 | 12/31/2999 |
| 20957 | 20957 - Bone graft with microvascular anastomosis; metatarsal | 20957 - BONE GRAFT MICROVASCULAR ANAST METATARSAL | 20957 - MT BONE GRAFT MICROVASC | '01/01/2017 | 12/31/2999 |
| 20962 | 20962 - Bone graft with microvascular anastomosis; other than fibula iliac crest or metatarsal | 20962 - BONE GRF W/MVASC ANAST OTH/THN ILIAC CREST/METAR | 20962 - OTHER BONE GRAFT MICROVASC | '01/01/2017 | 12/31/2999 |
| 20969 | 20969 - Free osteocutaneous flap with microvascular anastomosis; other than iliac crest metatarsal or great toe | 20969 - FREE OSTQ FLAP W/MVASC ANAST METAR/GREAT TOE | 20969 - BONE/SKIN GRAFT MICROVASC | '01/01/2017 | 12/31/2999 |
| 20970 | 20970 - Free osteocutaneous flap with microvascular anastomosis; iliac crest | 20970 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS ILIAC CREST | 20970 - BONE/SKIN GRAFT ILIAC CREST | '01/01/2017 | 12/31/2999 |
| 20972 | 20972 - Free osteocutaneous flap with microvascular anastomosis; metatarsal | 20972 - FREE OSTQ FLAP W/MVASC ANASTOMOSIS METATARSAL | 20972 - BONE/SKIN GRAFT METATARSAL | '01/01/2017 | 12/31/2999 |
| 20973 | 20973 - Free osteocutaneous flap with microvascular anastomosis; great toe with web space | 20973 - FR OSTQ FLAP W/MVASC ANAST GRT TOE W/WEB SPACE | 20973 - BONE/SKIN GRAFT GREAT TOE | '01/01/2017 | 12/31/2999 |
| 20974 | 20974 - Electrical stimulation to aid bone healing; noninvasive (nonoperative) | 20974 - ELECTRICAL STIMULATION BONE HEALING NONINVASIVE | 20974 - ELECTRICAL BONE STIMULATION | '01/01/2017 | 12/31/2999 |
| 20975 | 20975 - Electrical stimulation to aid bone healing; invasive (operative) | 20975 - ELECTRICAL STIMULATION BONE HEALING INVASIVE | 20975 - ELECTRICAL BONE STIMULATION | '01/01/2017 | 12/31/2999 |
| 20979 | 20979 - Low intensity ultrasound stimulation to aid bone healing noninvasive (nonoperative) | 20979 - LOW INTENSITY US STIMJ BONE HEALING NONINVASIVE | 20979 - US BONE STIMULATION | '01/01/2017 | 12/31/2999 |
| 20982 | 20982 - Ablation therapy for reduction or eradication of 1 or more bone tumors (eg metastasis) including adjacent soft tissue when involved by tumor extension percutaneous including imaging guidance when performed; radiofrequency | 20982 - ABLATION BONE TUMOR RF PERQ W/IMG GDN WHEN DONE | 20982 - ABLATE BONE TUMOR(S) PERQ | '01/01/2017 | 12/31/2999 |
| 20983 | 20983 - Ablation therapy for reduction or eradication of 1 or more bone tumors (eg metastasis) including adjacent soft tissue when involved by tumor extension percutaneous including imaging guidance when performed; cryoablation | 20983 - ABLATJ BONE TUMOR CRYO PERQ W/IMG GDN WHEN PRFMD | 20983 - ABLATE BONE TUMOR(S) PERQ | '01/01/2017 | 12/31/2999 |
| 20985 | 20985 - Computer-assisted surgical navigational procedure for musculoskeletal procedures image-less (List separately in addition to code for primary procedure) | 20985 - CPTR-ASST SURGICAL NAVIGATION IMAGE-LESS | 20985 - CPTR-ASST DIR MS PX | '01/01/2017 | 12/31/2999 |
| 20999 | 20999 - Unlisted procedure musculoskeletal system general | 20999 - UNLISTED PROCEDURE MUSCSKELETAL SYSTEM GENERAL | 20999 - UNLISTED PX MUSCSKEL GENERAL | '01/01/2023 | 12/31/2999 |
| 21010 | 21010 - Arthrotomy temporomandibular joint | 21010 - ARTHROTOMY TEMPOROMANDIBULAR JOINT | 21010 - INCISION OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 21011 | 21011 - Excision tumor soft tissue of face or scalp subcutaneous; less than 2 cm | 21011 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ <2CM | 21011 - EXC FACE LES SC <2 CM | '01/01/2017 | 12/31/2999 |
| 21012 | 21012 - Excision tumor soft tissue of face or scalp subcutaneous; 2 cm or greater | 21012 - EXCISION TUMOR SOFT TISS FACE/SCALP SUBQ 2 CM/> | 21012 - EXC FACE LES SBQ 2 CM/> | '01/01/2017 | 12/31/2999 |
| 21013 | 21013 - Excision tumor soft tissue of face and scalp subfascial (eg subgaleal intramuscular); less than 2 cm | 21013 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL <2CM | 21013 - EXC FACE TUM DEEP < 2 CM | '01/01/2017 | 12/31/2999 |
| 21014 | 21014 - Excision tumor soft tissue of face and scalp subfascial (eg subgaleal intramuscular); 2 cm or greater | 21014 - EXC TUMOR SOFT TISS FACE&SCALP SUBFASCIAL 2 CM/> | 21014 - EXC FACE TUM DEEP 2 CM/> | '01/01/2017 | 12/31/2999 |
| 21015 | 21015 - Radical resection of tumor (eg sarcoma) soft tissue of face or scalp; less than 2 cm | 21015 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP < 2CM | 21015 - RESECT FACE/SCALP TUM < 2 CM | '01/01/2017 | 12/31/2999 |
| 21016 | 21016 - Radical resection of tumor (eg sarcoma) soft tissue of face or scalp; 2 cm or greater | 21016 - RAD RESECTION TUMOR SOFT TISS FACE/SCALP 2 CM/> | 21016 - RESECT FACE/SCALP TUM 2 CM/> | '01/01/2017 | 12/31/2999 |
| 21025 | 21025 - Excision of bone (eg for osteomyelitis or bone abscess); mandible | 21025 - EXCISION BONE MANDIBLE | 21025 - EXCISION OF BONE LOWER JAW | '01/01/2017 | 12/31/2999 |
| 21026 | 21026 - Excision of bone (eg for osteomyelitis or bone abscess); facial bone(s) | 21026 - EXCISION FACIAL BONE | 21026 - EXCISION OF FACIAL BONE(S) | '01/01/2017 | 12/31/2999 |
| 21029 | 21029 - Removal by contouring of benign tumor of facial bone (eg fibrous dysplasia) | 21029 - REMOVAL CONTOURING BENIGN TUMOR FACIAL BONE | 21029 - CONTOUR OF FACE BONE LESION | '01/01/2017 | 12/31/2999 |
| 21030 | 21030 - Excision of benign tumor or cyst of maxilla or zygoma by enucleation and curettage | 21030 - EXC BENIGN TUMOR/CYST MAXL/ZYGOMA ENCL & CURTG | 21030 - EXCISE MAX/ZYGOMA B9 TUMOR | '01/01/2017 | 12/31/2999 |
| 21031 | 21031 - Excision of torus mandibularis | 21031 - EXCISION TORUS MANDIBULARIS | 21031 - REMOVE EXOSTOSIS MANDIBLE | '01/01/2017 | 12/31/2999 |
| 21032 | 21032 - Excision of maxillary torus palatinus | 21032 - EXCISION MAXILLARY TORUS PALATINUS | 21032 - REMOVE EXOSTOSIS MAXILLA | '01/01/2017 | 12/31/2999 |
| 21034 | 21034 - Excision of malignant tumor of maxilla or zygoma | 21034 - EXCISION MALIGNANT TUMOR MAXILLA/ZYGOMA | 21034 - EXCISE MAX/ZYGOMA MAL TUMOR | '01/01/2017 | 12/31/2999 |
| 21040 | 21040 - Excision of benign tumor or cyst of mandible by enucleation and/or curettage | 21040 - EXCISION BENIGN TUMOR/CYST MANDIBLE ENCL & CURT | 21040 - EXCISE MANDIBLE LESION | '01/01/2017 | 12/31/2999 |
| 21044 | 21044 - Excision of malignant tumor of mandible; | 21044 - EXCISION MALIGNANT TUMOR MANDIBLE | 21044 - REMOVAL OF JAW BONE LESION | '01/01/2017 | 12/31/2999 |
| 21045 | 21045 - Excision of malignant tumor of mandible; radical resection | 21045 - EXCISION MALIGNANT TUMOR MANDIBLE RADICAL | 21045 - EXTENSIVE JAW SURGERY | '01/01/2017 | 12/31/2999 |
| 21046 | 21046 - Excision of benign tumor or cyst of mandible; requiring intra-oral osteotomy (eg locally aggressive or destructive lesion[s]) | 21046 - EXC BENIGN TUMOR/CYST MNDBL INTRA-ORAL OSTEOT | 21046 - REMOVE MANDIBLE CYST COMPLEX | '01/01/2017 | 12/31/2999 |
| 21047 | 21047 - Excision of benign tumor or cyst of mandible; requiring extra-oral osteotomy and partial mandibulectomy (eg locally aggressive or destructive lesion[s]) | 21047 - EXC B9 TUM/CST MNDBL XTR-ORAL OSTEOT&PRTL MNDB | 21047 - EXCISE LWR JAW CYST W/REPAIR | '01/01/2017 | 12/31/2999 |
| 21048 | 21048 - Excision of benign tumor or cyst of maxilla; requiring intra-oral osteotomy (eg locally aggressive or destructive lesion[s]) | 21048 - EXC BENIGN TUMOR/CYST MAXL INTRA-ORAL OSTEOT | 21048 - REMOVE MAXILLA CYST COMPLEX | '01/01/2017 | 12/31/2999 |
| 21049 | 21049 - Excision of benign tumor or cyst of maxilla; requiring extra-oral osteotomy and partial maxillectomy (eg locally aggressive or destructive lesion[s]) | 21049 - EXC B9 TUM/CST MAXL XTR-ORAL OSTEOT&PRTL MAXLC | 21049 - EXCIS UPPR JAW CYST W/REPAIR | '01/01/2017 | 12/31/2999 |
| 21050 | 21050 - Condylectomy temporomandibular joint (separate procedure) | 21050 - CONDYLECTOMY TEMPOROMANDIBULAR JOINT SPX | 21050 - REMOVAL OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 21060 | 21060 - Meniscectomy partial or complete temporomandibular joint (separate procedure) | 21060 - MENISCECTOMY PRTL/COMPL TEMPOROMANDIBULAR JT SPX | 21060 - REMOVE JAW JOINT CARTILAGE | '01/01/2017 | 12/31/2999 |
| 21070 | 21070 - Coronoidectomy (separate procedure) | 21070 - CORONOIDECTOMY SEPARATE PROCEDURE | 21070 - REMOVE CORONOID PROCESS | '01/01/2017 | 12/31/2999 |
| 21073 | 21073 - Manipulation of temporomandibular joint(s) (TMJ) therapeutic requiring an anesthesia service (ie general or monitored anesthesia care) | 21073 - MANIPULATION TMJ THERAPEUTIC REQUIRE ANESTHESIA | 21073 - MNPJ OF TMJ W/ANESTH | '01/01/2017 | 12/31/2999 |
| 21076 | 21076 - Impression and custom preparation; surgical obturator prosthesis | 21076 - IMPRESSION&PREPARATION SURG OBTURATOR PROSTHES | 21076 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21077 | 21077 - Impression and custom preparation; orbital prosthesis | 21077 - IMPRESSION & PREPARATION ORBITAL PROSTHESIS | 21077 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21079 | 21079 - Impression and custom preparation; interim obturator prosthesis | 21079 - IMPRESSION & PREPARATION INTERIM OBTURATOR PROST | 21079 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21080 | 21080 - Impression and custom preparation; definitive obturator prosthesis | 21080 - IMPRESSION & PREPJ DEFINITIVE OBTURATOR PROSTHES | 21080 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21081 | 21081 - Impression and custom preparation; mandibular resection prosthesis | 21081 - IMPRESSION & PREPJ MANDIBULAR RESECTION PROSTHES | 21081 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21082 | 21082 - Impression and custom preparation; palatal augmentation prosthesis | 21082 - IMPRESSION & PREPJ PALATAL AUGMENTATION PROSTHES | 21082 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21083 | 21083 - Impression and custom preparation; palatal lift prosthesis | 21083 - IMPRESSION & PREPARATION PALATAL LIFT PROSTHESIS | 21083 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21084 | 21084 - Impression and custom preparation; speech aid prosthesis | 21084 - IMPRESSION & PREPARATION SPEECH AID PROSTHESIS | 21084 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21085 | 21085 - Impression and custom preparation; oral surgical splint | 21085 - IMPRESSION & PREPARATION ORAL SURGICAL SPLINT | 21085 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21086 | 21086 - Impression and custom preparation; auricular prosthesis | 21086 - IMPRESSION & PREPARATION AURICULAR PROSTHESIS | 21086 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21087 | 21087 - Impression and custom preparation; nasal prosthesis | 21087 - IMPRESSION & PREPARATION NASAL PROSTHESIS | 21087 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21088 | 21088 - Impression and custom preparation; facial prosthesis | 21088 - IMPRESSION & PREPARATION FACIAL PROSTHESIS | 21088 - PREPARE FACE/ORAL PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 21089 | 21089 - Unlisted maxillofacial prosthetic procedure | 21089 - UNLISTED MAXILLOFACIAL PROSTHETIC PROCEDURE | 21089 - UNLISTED MAXLFCL PROSTH PX | '01/01/2023 | 12/31/2999 |
| 21100 | 21100 - Application of halo type appliance for maxillofacial fixation includes removal (separate procedure) | 21100 - APPL HALO APPLIANCE MAXILLOFACIAL FIXATION SPX | 21100 - MAXILLOFACIAL FIXATION | '01/01/2017 | 12/31/2999 |
| 21110 | 21110 - Application of interdental fixation device for conditions other than fracture or dislocation includes removal | 21110 - APPL INTERDENTAL FIXATION DEVICE NON-FX/DISLC | 21110 - INTERDENTAL FIXATION | '01/01/2017 | 12/31/2999 |
| 21116 | 21116 - Injection procedure for temporomandibular joint arthrography | 21116 - INJECTION TEMPOROMANDIBULAR JOINT ARTHROGRAPHY | 21116 - INJECTION JAW JOINT X-RAY | '01/01/2017 | 12/31/2999 |
| 21120 | 21120 - Genioplasty; augmentation (autograft allograft prosthetic material) | 21120 - GENIOPLASTY AUGMENTATION | 21120 - RECONSTRUCTION OF CHIN | '01/01/2017 | 12/31/2999 |
| 21121 | 21121 - Genioplasty; sliding osteotomy single piece | 21121 - GENIOPLASTY SLIDING OSTEOTOMY SINGLE PIECE | 21121 - RECONSTRUCTION OF CHIN | '01/01/2017 | 12/31/2999 |
| 21122 | 21122 - Genioplasty; sliding osteotomies 2 or more osteotomies (eg wedge excision or bone wedge reversal for asymmetrical chin) | 21122 - GENIOPLASTY 2/> SLIDING OSTEOTOMIES | 21122 - RECONSTRUCTION OF CHIN | '01/01/2017 | 12/31/2999 |
| 21123 | 21123 - Genioplasty; sliding augmentation with interpositional bone grafts (includes obtaining autografts) | 21123 - GENIOP SLIDING AGMNTJ W/INTERPOSAL BONE GRAFTS | 21123 - RECONSTRUCTION OF CHIN | '01/01/2017 | 12/31/2999 |
| 21125 | 21125 - Augmentation mandibular body or angle; prosthetic material | 21125 - AGMNTJ MNDBLR BODY/ANGLE PROSTHETIC MATERIAL | 21125 - AUGMENTATION LOWER JAW BONE | '01/01/2017 | 12/31/2999 |
| 21127 | 21127 - Augmentation mandibular body or angle; with bone graft onlay or interpositional (includes obtaining autograft) | 21127 - AGMNTJ MNDBLR BDY/ANGL W/GRF ONLAY/INTERPOSAL | 21127 - AUGMENTATION LOWER JAW BONE | '01/01/2017 | 12/31/2999 |
| 21137 | 21137 - Reduction forehead; contouring only | 21137 - REDUCTION FOREHEAD CONTOURING ONLY | 21137 - REDUCTION OF FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21138 | 21138 - Reduction forehead; contouring and application of prosthetic material or bone graft (includes obtaining autograft) | 21138 - RDCTJ FHD CNTRG & PROSTHETIC MATRL/BONE GRAFT | 21138 - REDUCTION OF FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21139 | 21139 - Reduction forehead; contouring and setback of anterior frontal sinus wall | 21139 - RDCTJ FHD CNTRG & SETBACK ANT FRONTAL SINUS WALL | 21139 - REDUCTION OF FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21141 | 21141 - Reconstruction midface LeFort I; single piece segment movement in any direction (eg for Long Face Syndrome) without bone graft | 21141 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/O BONE GRAFT | 21141 - LEFORT I-1 PIECE W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 21142 | 21142 - Reconstruction midface LeFort I; 2 pieces segment movement in any direction without bone graft | 21142 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/O BONE GRAFT | 21142 - LEFORT I-2 PIECE W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 21143 | 21143 - Reconstruction midface LeFort I; 3 or more pieces segment movement in any direction without bone graft | 21143 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/O BONE GRAFT | 21143 - LEFORT I-3/> PIECE W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 21145 | 21145 - Reconstruction midface LeFort I; single piece segment movement in any direction requiring bone grafts (includes obtaining autografts) | 21145 - RCNSTJ MIDFACE LEFORT I 1 PIECE W/BONE GRAFTS | 21145 - LEFORT I-1 PIECE W/ GRAFT | '01/01/2017 | 12/31/2999 |
| 21146 | 21146 - Reconstruction midface LeFort I; 2 pieces segment movement in any direction requiring bone grafts (includes obtaining autografts) (eg ungrafted unilateral alveolar cleft) | 21146 - RCNSTJ MIDFACE LEFORT I 2 PIECES W/BONE GRAFTS | 21146 - LEFORT I-2 PIECE W/ GRAFT | '01/01/2017 | 12/31/2999 |
| 21147 | 21147 - Reconstruction midface LeFort I; 3 or more pieces segment movement in any direction requiring bone grafts (includes obtaining autografts) (eg ungrafted bilateral alveolar cleft or multiple osteotomies) | 21147 - RCNSTJ MIDFACE LEFORT I 3/> PIECE W/BONE GRAFTS | 21147 - LEFORT I-3/> PIECE W/ GRAFT | '01/01/2017 | 12/31/2999 |
| 21150 | 21150 - Reconstruction midface LeFort II; anterior intrusion (eg Treacher-Collins Syndrome) | 21150 - RCNSTJ MIDFACE LEFORT II ANTERIOR INTRUSION | 21150 - LEFORT II ANTERIOR INTRUSION | '01/01/2017 | 12/31/2999 |
| 21151 | 21151 - Reconstruction midface LeFort II; any direction requiring bone grafts (includes obtaining autografts) | 21151 - RCNSTJ MIDFACE LEFORT II W/BONE GRAFTS | 21151 - LEFORT II W/BONE GRAFTS | '01/01/2017 | 12/31/2999 |
| 21154 | 21154 - Reconstruction midface LeFort III (extracranial) any type requiring bone grafts (includes obtaining autografts); without LeFort I | 21154 - RCNSTJ MIDFACE LEFORT III W/O LEFORT I | 21154 - LEFORT III W/O LEFORT I | '01/01/2017 | 12/31/2999 |
| 21155 | 21155 - Reconstruction midface LeFort III (extracranial) any type requiring bone grafts (includes obtaining autografts); with LeFort I | 21155 - RCNSTJ MIDFACE LEFORT III W/LEFORT I | 21155 - LEFORT III W/ LEFORT I | '01/01/2017 | 12/31/2999 |
| 21159 | 21159 - Reconstruction midface LeFort III (extra and intracranial) with forehead advancement (eg mono bloc) requiring bone grafts (includes obtaining autografts); without LeFort I | 21159 - RCNSTJ MIDFACE LEFORT III W/FHD W/O LEFORT I | 21159 - LEFORT III W/FHDW/O LEFORT I | '01/01/2017 | 12/31/2999 |
| 21160 | 21160 - Reconstruction midface LeFort III (extra and intracranial) with forehead advancement (eg mono bloc) requiring bone grafts (includes obtaining autografts); with LeFort I | 21160 - RCNSTJ MIDFACE LEFORT III W/FHD W/LEFORT I | 21160 - LEFORT III W/FHD W/ LEFORT I | '01/01/2017 | 12/31/2999 |
| 21172 | 21172 - Reconstruction superior-lateral orbital rim and lower forehead advancement or alteration with or without grafts (includes obtaining autografts) | 21172 - RCNSTJ SUPERIOR-LATERAL ORBITAL RIM & LOWER FHD | 21172 - RECONSTRUCT ORBIT/FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21175 | 21175 - Reconstruction bifrontal superior-lateral orbital rims and lower forehead advancement or alteration (eg plagiocephaly trigonocephaly brachycephaly) with or without grafts (includes obtaining autografts) | 21175 - RCNSTJ BIFRONTAL SUPERIOR-LAT ORB RIMS & LWR FHD | 21175 - RECONSTRUCT ORBIT/FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21179 | 21179 - Reconstruction entire or majority of forehead and/or supraorbital rims; with grafts (allograft or prosthetic material) | 21179 - RCNSTJ FOREHEAD &/ SUPRAORB RIMS W/ALGRF/PROSTC | 21179 - RECONSTRUCT ENTIRE FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21180 | 21180 - Reconstruction entire or majority of forehead and/or supraorbital rims; with autograft (includes obtaining grafts) | 21180 - RCNSTJ FOREHEAD &/ SUPRAORBITAL RIMS W/AUTOGRAFT | 21180 - RECONSTRUCT ENTIRE FOREHEAD | '01/01/2017 | 12/31/2999 |
| 21181 | 21181 - Reconstruction by contouring of benign tumor of cranial bones (eg fibrous dysplasia) extracranial | 21181 - RCNSTJ CONTOURING BENIGN TUMOR CRNL BONES XTRC | 21181 - CONTOUR CRANIAL BONE LESION | '01/01/2017 | 12/31/2999 |
| 21182 | 21182 - Reconstruction of orbital walls rims forehead nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg fibrous dysplasia) with multiple autografts (includes obtaining grafts); total area of bone grafting less than 40 sq cm | 21182 - RCNSTJ ORBIT/FHD/NASETHMD EXCBONE TUM GRF<40SQCM | 21182 - RECONSTRUCT CRANIAL BONE | '01/01/2017 | 12/31/2999 |
| 21183 | 21183 - Reconstruction of orbital walls rims forehead nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg fibrous dysplasia) with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 40 sq cm but less than 80 sq cm | 21183 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE GRF>40 <80 | 21183 - RECONSTRUCT CRANIAL BONE | '01/01/2017 | 12/31/2999 |
| 21184 | 21184 - Reconstruction of orbital walls rims forehead nasoethmoid complex following intra- and extracranial excision of benign tumor of cranial bone (eg fibrous dysplasia) with multiple autografts (includes obtaining grafts); total area of bone grafting greater than 80 sq cm | 21184 - RCNSTJ ORBIT/FHD/NASETHMD EXC BONE TUM GRF>80SQ | 21184 - RECONSTRUCT CRANIAL BONE | '01/01/2017 | 12/31/2999 |
| 21188 | 21188 - Reconstruction midface osteotomies (other than LeFort type) and bone grafts (includes obtaining autografts) | 21188 - RCNSTJ MDFC OTH/THN LEFORT OSTEOT & BONE GRAFTS | 21188 - RECONSTRUCTION OF MIDFACE | '01/01/2017 | 12/31/2999 |
| 21193 | 21193 - Reconstruction of mandibular rami horizontal vertical C or L osteotomy; without bone graft | 21193 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/O GRF | 21193 - RECONST LWR JAW W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 21194 | 21194 - Reconstruction of mandibular rami horizontal vertical C or L osteotomy; with bone graft (includes obtaining graft) | 21194 - RCNSTJ MNDBLR RAMI HRZNTL/VER/C/L OSTEOT W/GRAFT | 21194 - RECONST LWR JAW W/GRAFT | '01/01/2017 | 12/31/2999 |
| 21195 | 21195 - Reconstruction of mandibular rami and/or body sagittal split; without internal rigid fixation | 21195 - RCNSTJ MNDBLR RAMI&/BODY SGTL SPLT W/O INT RGD | 21195 - RECONST LWR JAW W/O FIXATION | '01/01/2017 | 12/31/2999 |
| 21196 | 21196 - Reconstruction of mandibular rami and/or body sagittal split; with internal rigid fixation | 21196 - RCNSTJ MNDBLR RAMI&/BDY SGTL SPLT W/INT RGD FI | 21196 - RECONST LWR JAW W/FIXATION | '01/01/2017 | 12/31/2999 |
| 21198 | 21198 - Osteotomy mandible segmental; | 21198 - OSTEOTOMY MANDIBLE SEGMENTAL | 21198 - RECONSTR LWR JAW SEGMENT | '01/01/2017 | 12/31/2999 |
| 21199 | 21199 - Osteotomy mandible segmental; with genioglossus advancement | 21199 - OSTEOTOMY MANDIBLE SGMTL W/GENIOGLOSSUS ADVMNT | 21199 - RECONSTR LWR JAW W/ADVANCE | '01/01/2017 | 12/31/2999 |
| 21206 | 21206 - Osteotomy maxilla segmental (eg Wassmund or Schuchard) | 21206 - OSTEOTOMY MAXILLA SEGMENTAL | 21206 - RECONSTRUCT UPPER JAW BONE | '01/01/2017 | 12/31/2999 |
| 21208 | 21208 - Osteoplasty facial bones; augmentation (autograft allograft or prosthetic implant) | 21208 - OSTEOPLASTY FACIAL BONES AUGMENTATION | 21208 - AUGMENTATION OF FACIAL BONES | '01/01/2017 | 12/31/2999 |
| 21209 | 21209 - Osteoplasty facial bones; reduction | 21209 - OSTEOPLASTY FACIAL BONES REDUCTION | 21209 - REDUCTION OF FACIAL BONES | '01/01/2017 | 12/31/2999 |
| 21210 | 21210 - Graft bone; nasal maxillary or malar areas (includes obtaining graft) | 21210 - GRAFT BONE NASAL/MAXILLARY/MALAR AREAS | 21210 - FACE BONE GRAFT | '01/01/2017 | 12/31/2999 |
| 21215 | 21215 - Graft bone; mandible (includes obtaining graft) | 21215 - GRAFT BONE MANDIBLE | 21215 - LOWER JAW BONE GRAFT | '01/01/2017 | 12/31/2999 |
| 21230 | 21230 - Graft; rib cartilage autogenous to face chin nose or ear (includes obtaining graft) | 21230 - GRAFT RIB CRTLG AUTOGENOUS FACE/CHIN/NOSE/EAR | 21230 - RIB CARTILAGE GRAFT | '01/01/2017 | 12/31/2999 |
| 21235 | 21235 - Graft; ear cartilage autogenous to nose or ear (includes obtaining graft) | 21235 - GRAFT EAR CRTLG AUTOGENOUS NOSE/EAR | 21235 - EAR CARTILAGE GRAFT | '01/01/2017 | 12/31/2999 |
| 21240 | 21240 - Arthroplasty temporomandibular joint with or without autograft (includes obtaining graft) | 21240 - ARTHRP TEMPOROMANDIBULAR JOINT W/WO AUTOGRAFT | 21240 - RECONSTRUCTION OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 21242 | 21242 - Arthroplasty temporomandibular joint with allograft | 21242 - ARTHROPLASTY TEMPOROMANDIBULAR JT W/ALLOGRAFT | 21242 - RECONSTRUCTION OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 21243 | 21243 - Arthroplasty temporomandibular joint with prosthetic joint replacement | 21243 - ARTHRP TMPRMAND JOINT W/PROSTHETIC REPLACEMENT | 21243 - RECONSTRUCTION OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 21244 | 21244 - Reconstruction of mandible extraoral with transosteal bone plate (eg mandibular staple bone plate) | 21244 - RCNSTJ MNDBL XTRORAL W/TRANSOSTEAL BONE PLATE | 21244 - RECONSTRUCTION OF LOWER JAW | '01/01/2017 | 12/31/2999 |
| 21245 | 21245 - Reconstruction of mandible or maxilla subperiosteal implant; partial | 21245 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT PARTIAL | 21245 - RECONSTRUCTION OF JAW | '01/01/2017 | 12/31/2999 |
| 21246 | 21246 - Reconstruction of mandible or maxilla subperiosteal implant; complete | 21246 - RCNSTJ MNDBL/MAXL SUBPRIOSTEAL IMPLANT COMPLETE | 21246 - RECONSTRUCTION OF JAW | '01/01/2017 | 12/31/2999 |
| 21247 | 21247 - Reconstruction of mandibular condyle with bone and cartilage autografts (includes obtaining grafts) (eg for hemifacial microsomia) | 21247 - RCNSTJ MNDBLR CONDYLE W/BONE CARTLG AUTOGRAFTS | 21247 - RECONSTRUCT LOWER JAW BONE | '01/01/2017 | 12/31/2999 |
| 21248 | 21248 - Reconstruction of mandible or maxilla endosteal implant (eg blade cylinder); partial | 21248 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT PARTIAL | 21248 - RECONSTRUCTION OF JAW | '01/01/2017 | 12/31/2999 |
| 21249 | 21249 - Reconstruction of mandible or maxilla endosteal implant (eg blade cylinder); complete | 21249 - RCNSTJ MANDIBLE/MAXL ENDOSTEAL IMPLANT COMPLETE | 21249 - RECONSTRUCTION OF JAW | '01/01/2017 | 12/31/2999 |
| 21255 | 21255 - Reconstruction of zygomatic arch and glenoid fossa with bone and cartilage (includes obtaining autografts) | 21255 - RCNSTJ ZYGMTC ARCH/GLENOID FOSSA W/BONE CARTLG | 21255 - RECONSTRUCT LOWER JAW BONE | '01/01/2017 | 12/31/2999 |
| 21256 | 21256 - Reconstruction of orbit with osteotomies (extracranial) and with bone grafts (includes obtaining autografts) (eg micro-ophthalmia) | 21256 - RECONSTRUCTION ORBIT W/OSTEOTOMIES & BONE GRAFTS | 21256 - RECONSTRUCTION OF ORBIT | '01/01/2017 | 12/31/2999 |
| 21260 | 21260 - Periorbital osteotomies for orbital hypertelorism with bone grafts; extracranial approach | 21260 - PERIORBITAL OSTEOTOMIES BONE GRAFTS EXTRACRANIAL | 21260 - REVISE EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 21261 | 21261 - Periorbital osteotomies for orbital hypertelorism with bone grafts; combined intra- and extracranial approach | 21261 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS ICRA & XTR | 21261 - REVISE EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 21263 | 21263 - Periorbital osteotomies for orbital hypertelorism with bone grafts; with forehead advancement | 21263 - PERIORBITAL OSTEOTOMIES W/BONE GRAFTS W/FOREHEAD | 21263 - REVISE EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 21267 | 21267 - Orbital repositioning periorbital osteotomies unilateral with bone grafts; extracranial approach | 21267 - ORBITAL REPOSITIONING W/BONE GRAFTS EXTRACRANIAL | 21267 - REVISE EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 21268 | 21268 - Orbital repositioning periorbital osteotomies unilateral with bone grafts; combined intra- and extracranial approach | 21268 - ORBITAL REPOSITIONING W/BONE GRAFTS ICRA & XTRC | 21268 - REVISE EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 21270 | 21270 - Malar augmentation prosthetic material | 21270 - MALAR AUGMENTATION PROSTHETIC MATERIAL | 21270 - AUGMENTATION CHEEK BONE | '01/01/2017 | 12/31/2999 |
| 21275 | 21275 - Secondary revision of orbitocraniofacial reconstruction | 21275 - SECONDARY REVISION ORBITOCRANIOFACIAL RCNSTJ | 21275 - REVISION ORBITOFACIAL BONES | '01/01/2017 | 12/31/2999 |
| 21280 | 21280 - Medial canthopexy (separate procedure) | 21280 - MEDIAL CANTHOPEXY SEPARATE PROCEDURE | 21280 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 21282 | 21282 - Lateral canthopexy | 21282 - LATERAL CANTHOPEXY | 21282 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 21295 | 21295 - Reduction of masseter muscle and bone (eg for treatment of benign masseteric hypertrophy); extraoral approach | 21295 - REDUCTION MASSETER MUSCLE & BONE EXTRAORAL | 21295 - REVISION OF JAW MUSCLE/BONE | '01/01/2017 | 12/31/2999 |
| 21296 | 21296 - Reduction of masseter muscle and bone (eg for treatment of benign masseteric hypertrophy); intraoral approach | 21296 - REDUCTION MASSETER MUSCLE & BONE INTRAORAL | 21296 - REVISION OF JAW MUSCLE/BONE | '01/01/2017 | 12/31/2999 |
| 21299 | 21299 - Unlisted craniofacial and maxillofacial procedure | 21299 - UNLISTED CRANIOFACIAL & MAXILLOFACIAL PROCEDURE | 21299 - UNLISTED CRANFCL&MAXLFCL PX | '01/01/2023 | 12/31/2999 |
| 2130A | 2130A - Preventative Care Covered | 2130A - | 2130A - | '01/01/2005 | 12/31/2999 |
| 21315 | 21315 - Closed treatment of nasal bone fracture with manipulation; without stabilization | 21315 - CLOSED TX NASAL BONE FX W/MNPJ W/O STABILIZATION | 21315 - CLSD TX NSL FX MNPJ WO STBLJ | '01/01/2022 | 12/31/2999 |
| 2131A | 2131A - Proc/Treat/Equip/Ins Covered | 2131A - | 2131A - | '01/01/2005 | 12/31/2999 |
| 2131B | 2131B - Long-Term Care Covered | 2131B - | 2131B - | '01/01/2005 | 12/31/2999 |
| 21320 | 21320 - Closed treatment of nasal bone fracture with manipulation; with stabilization | 21320 - CLOSED TX NASAL BONE FX W/MNPJ W/STABILIZATION | 21320 - CLSD TX NSL FX W/MNPJ&STABLJ | '01/01/2022 | 12/31/2999 |
| 21325 | 21325 - Open treatment of nasal fracture; uncomplicated | 21325 - OPEN TREATMENT NASAL FRACTURE UNCOMPLICATED | 21325 - OPEN TX NOSE FX UNCOMPLICATD | '01/01/2017 | 12/31/2999 |
| 2132A | 2132A - OTC Drugs Covered | 2132A - | 2132A - | '01/01/2005 | 12/31/2999 |
| 21330 | 21330 - Open treatment of nasal fracture; complicated with internal and/or external skeletal fixation | 21330 - OPEN TX NASAL FX COMP W/INT&/XTRNL SKELETAL FI | 21330 - OPEN TX NOSE FX W/SKELE FIXJ | '01/01/2017 | 12/31/2999 |
| 21335 | 21335 - Open treatment of nasal fracture; with concomitant open treatment of fractured septum | 21335 - OPEN TX NASAL FX W/CONCOMITANT OPTX FXD SEPTUM | 21335 - OPEN TX NOSE & SEPTAL FX | '01/01/2017 | 12/31/2999 |
| 21336 | 21336 - Open treatment of nasal septal fracture with or without stabilization | 21336 - OPEN TX NASAL SEPTAL FRACTURE W/WO STABILIZATION | 21336 - OPEN TX SEPTAL FX W/WO STABJ | '01/01/2017 | 12/31/2999 |
| 21337 | 21337 - Closed treatment of nasal septal fracture with or without stabilization | 21337 - CLOSED TX NASAL SEPTAL FRACT W/WO STABILIZATION | 21337 - CLOSED TX SEPTAL&NOSE FX | '01/01/2017 | 12/31/2999 |
| 21338 | 21338 - Open treatment of nasoethmoid fracture; without external fixation | 21338 - OPEN TX NASOETHMOID FX W/O EXTERNAL FIXATION | 21338 - OPEN NASOETHMOID FX W/O FIXJ | '01/01/2017 | 12/31/2999 |
| 21339 | 21339 - Open treatment of nasoethmoid fracture; with external fixation | 21339 - OPEN TX NASOETHMOID FX W/EXTERNAL FIXATION | 21339 - OPEN NASOETHMOID FX W/ FIXJ | '01/01/2017 | 12/31/2999 |
| 2133A | 2133A - Vision/Hear/Dental Covered | 2133A - | 2133A - | '01/01/2005 | 12/31/2999 |
| 21340 | 21340 - Percutaneous treatment of nasoethmoid complex fracture with splint wire or headcap fixation including repair of canthal ligaments and/or the nasolacrimal apparatus | 21340 - PERCUTANEOUS TX NASOETHMOID COMPLEX FRACTURE | 21340 - PERQ TX NASOETHMOID FX | '01/01/2017 | 12/31/2999 |
| 21343 | 21343 - Open treatment of depressed frontal sinus fracture | 21343 - OPEN TX DEPRESSED FRONTAL SINUS FRACTURE | 21343 - OPEN TX DPRSD FRONT SINUS FX | '01/01/2017 | 12/31/2999 |
| 21344 | 21344 - Open treatment of complicated (eg comminuted or involving posterior wall) frontal sinus fracture via coronal or multiple approaches | 21344 - OPEN TX COMPLICATED FRONTAL SINUS FRACTURE | 21344 - OPEN TX COMPL FRONT SINUS FX | '01/01/2017 | 12/31/2999 |
| 21345 | 21345 - Closed treatment of nasomaxillary complex fracture (LeFort II type) with interdental wire fixation or fixation of denture or splint | 21345 - CLOSED TX NASOMAXILLARY COMPLEX FRACTURE | 21345 - CLOSED TX NOSE/JAW FX | '01/01/2017 | 12/31/2999 |
| 21346 | 21346 - Open treatment of nasomaxillary complex fracture (LeFort II type); with wiring and/or local fixation | 21346 - OPTX NASOMAX CPLX FX LEFT II TYPE W/WIRG & FXJ | 21346 - OPN TX NASOMAX FX W/FIXJ | '01/01/2017 | 12/31/2999 |
| 21347 | 21347 - Open treatment of nasomaxillary complex fracture (LeFort II type); requiring multiple open approaches | 21347 - OPTX NASOMAX CPLX FX LEFT II TYPE REQ MLT OPN | 21347 - OPN TX NASOMAX FX MULTPLE | '01/01/2017 | 12/31/2999 |
| 21348 | 21348 - Open treatment of nasomaxillary complex fracture (LeFort II type); with bone grafting (includes obtaining graft) | 21348 - OPTX NASOMAX CPLX FX LEFT II TYPE W/BONE GRAFT | 21348 - OPN TX NASOMAX FX W/GRAFT | '01/01/2017 | 12/31/2999 |
| 2134A | 2134A - Assit Disabed/Misc Covered | 2134A - | 2134A - | '01/01/2005 | 12/31/2999 |
| 21355 | 21355 - Percutaneous treatment of fracture of malar area including zygomatic arch and malar tripod with manipulation | 21355 - PERCUTANEOUS TX MALAR AREA FRACTURE | 21355 - PERQ TX MALAR FRACTURE | '01/01/2017 | 12/31/2999 |
| 21356 | 21356 - Open treatment of depressed zygomatic arch fracture (eg Gillies approach) | 21356 - OPEN TX DEPRESSED ZYGOMATIC ARCH FRACTURE | 21356 - OPN TX DPRSD ZYGOMATIC ARCH | '01/01/2017 | 12/31/2999 |
| 2135A | 2135A - Corr Eye Surgery Covered | 2135A - | 2135A - | '01/01/2005 | 12/31/2999 |
| 21360 | 21360 - Open treatment of depressed malar fracture including zygomatic arch and malar tripod | 21360 - OPEN TX DEPRESSED MALAR FRACTURE | 21360 - OPN TX DPRSD MALAR FRACTURE | '01/01/2017 | 12/31/2999 |
| 21365 | 21365 - Open treatment of complicated (eg comminuted or involving cranial nerve foramina) fracture(s) of malar area including zygomatic arch and malar tripod; with internal fixation and multiple surgical approaches | 21365 - OPEN TX COMP FX MALAR W/INTERNAL FX&MULT SURG | 21365 - OPN TX COMPLX MALAR FX | '01/01/2017 | 12/31/2999 |
| 21366 | 21366 - Open treatment of complicated (eg comminuted or involving cranial nerve foramina) fracture(s) of malar area including zygomatic arch and malar tripod; with bone grafting (includes obtaining graft) | 21366 - OPEN TX COMP FRACTURE MALAR AREA W/BONE GRAFT | 21366 - OPN TX COMPLX MALAR W/GRFT | '01/01/2017 | 12/31/2999 |
| 2136A | 2136A - Premiums Covered | 2136A - | 2136A - | '01/01/2005 | 12/31/2999 |
| 2137A | 2137A - Copays Covered | 2137A - | 2137A - | '01/01/2005 | 12/31/2999 |
| 21385 | 21385 - Open treatment of orbital floor blowout fracture; transantral approach (Caldwell-Luc type operation) | 21385 - OPEN TX ORBITAL FLOOR BLOWOUT FX TRANSANTRAL | 21385 - OPN TX ORBIT FX TRANSANTRAL | '01/01/2017 | 12/31/2999 |
| 21386 | 21386 - Open treatment of orbital floor blowout fracture; periorbital approach | 21386 - OPEN TX ORBITAL FLOOR BLOWOUT FX PERIORBITAL | 21386 - OPN TX ORBIT FX PERIORBITAL | '01/01/2017 | 12/31/2999 |
| 21387 | 21387 - Open treatment of orbital floor blowout fracture; combined approach | 21387 - OPEN TX ORBITAL FLOOR BLOWOUT FX COMBINED APPR | 21387 - OPN TX ORBIT FX COMBINED | '01/01/2017 | 12/31/2999 |
| 21390 | 21390 - Open treatment of orbital floor blowout fracture; periorbital approach with alloplastic or other implant | 21390 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/ALLPLSTC | 21390 - OPN TX ORBIT PERIORBTL IMPLT | '01/01/2017 | 12/31/2999 |
| 21395 | 21395 - Open treatment of orbital floor blowout fracture; periorbital approach with bone graft (includes obtaining graft) | 21395 - OPTX ORB FLOOR BLWT FX PRI/BITAL APPR W/BONE GRF | 21395 - OPN TX ORBIT PERIORBT W/GRFT | '01/01/2017 | 12/31/2999 |
| 2139A | 2139A - Limited Purpose HCA Covered | 2139A - | 2139A - | '01/01/2005 | 12/31/2999 |
| 213AA | 213AA - Proc/Treat/Equip/Ins/Non-Covered | 213AA - | 213AA - | '01/01/2005 | 12/31/2999 |
| 213BA | 213BA - OTC Drugs Non-Covered | 213BA - | 213BA - | '01/01/2005 | 12/31/2999 |
| 213CA | 213CA - Vision/Hear/Dental Non-Covered | 213CA - | 213CA - | '01/01/2005 | 12/31/2999 |
| 213EA | 213EA - Assit Disabled/Misc Non-Covered | 213EA - | 213EA - | '01/01/2005 | 12/31/2999 |
| 213FA | 213FA - Corr Eye Surgery Non-Covered | 213FA - | 213FA - | '01/01/2005 | 12/31/2999 |
| 213GA | 213GA - Premiums Non- Covered | 213GA - | 213GA - | '01/01/2005 | 12/31/2999 |
| 213HA | 213HA - Copays Non-Covered | 213HA - | 213HA - | '01/01/2005 | 12/31/2999 |
| 213HC | 213HC - Previous Carrier HCA Run-Out Allowance - covered - To be used to allow payment of previous carriers member share of claims if employees have HCA dollars that transferred from another carrier into our HCA. Employers have to elect this option on the ABS/Matrix | 213HC - | 213HC - | '01/01/2009 | 12/31/2999 |
| 213HN | 213HN - Previous Carrier HCA Run-Out Allowance - NOT covered | 213HN - | 213HN - | '01/01/2009 | 12/31/2999 |
| 213JA | 213JA - Limited Purpose HCA Non- Covered | 213JA - | 213JA - | '01/01/2005 | 12/31/2999 |
| 213JC | 213JC - Weight loss programs prescribed to treat a medical condition (e.g. obesity) - covered | 213JC - | 213JC - | '01/01/2009 | 12/31/2999 |
| 213JN | 213JN - Weight loss programs - NOT covered | 213JN - | 213JN - | '01/01/2009 | 12/31/2999 |
| 213KA | 213KA - Preventative Care Non-Covered | 213KA - | 213KA - | '01/01/2005 | 12/31/2999 |
| 213LA | 213LA - Long Term Care Non-Covered | 213LA - | 213LA - | '01/01/2005 | 12/31/2999 |
| 213MC | 213MC - HMO SP Co-pays COVERED | 213MC - | 213MC - | '01/01/2009 | 12/31/2999 |
| 213MN | 213MN - HMO SP Co-pays - NOT COVERED | 213MN - | 213MN - | '01/01/2009 | 12/31/2999 |
| 213PC | 213PC - HMO PCP Co-pays - covered | 213PC - | 213PC - | '01/01/2009 | 12/31/2999 |
| 213PN | 213PN - HMO PCP Co-pays - NOT covered | 213PN - | 213PN - | '01/01/2009 | 12/31/2999 |
| 213SC | 213SC - Smoking Cessation Program for Medical Reasons - COVERED | 213SC - | 213SC - | '01/01/2009 | 12/31/2999 |
| 213SN | 213SN - Smoking Cessation Program for Medical Reasons - NOT Covered | 213SN - | 213SN - | '01/01/2009 | 12/31/2999 |
| 213WC | 213WC - HMO Wellness Co-Pays - covered | 213WC - | 213WC - | '01/01/2009 | 12/31/2999 |
| 213WN | 213WN - HMO Wellness Co-pays - NOT covered | 213WN - | 213WN - | '01/01/2009 | 12/31/2999 |
| 21400 | 21400 - Closed treatment of fracture of orbit except blowout; without manipulation | 21400 - CLSD TX FX ORBIT EXCEPT BLOWOUT W/O MANIPULATION | 21400 - CLOSED TX ORBIT W/O MANIPULJ | '01/01/2017 | 12/31/2999 |
| 21401 | 21401 - Closed treatment of fracture of orbit except blowout; with manipulation | 21401 - CLOSED TX FX ORBIT EXCEPT BLOWOUT W/MANIPULATION | 21401 - CLOSED TX ORBIT W/MANIPULJ | '01/01/2017 | 12/31/2999 |
| 21406 | 21406 - Open treatment of fracture of orbit except blowout; without implant | 21406 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/O IMPLANT | 21406 - OPN TX ORBIT FX W/O IMPLANT | '01/01/2017 | 12/31/2999 |
| 21407 | 21407 - Open treatment of fracture of orbit except blowout; with implant | 21407 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/IMPLANT | 21407 - OPN TX ORBIT FX W/IMPLANT | '01/01/2017 | 12/31/2999 |
| 21408 | 21408 - Open treatment of fracture of orbit except blowout; with bone grafting (includes obtaining graft) | 21408 - OPEN TX FX ORBIT EXCEPT BLOWOUT W/BONE GRAFT | 21408 - OPN TX ORBIT FX W/BONE GRFT | '01/01/2017 | 12/31/2999 |
| 21421 | 21421 - Closed treatment of palatal or maxillary fracture (LeFort I type) with interdental wire fixation or fixation of denture or splint | 21421 - CLOSED TX PALATAL/MAXILLARY FX W/FIXATION/SPLINT | 21421 - TREAT MOUTH ROOF FRACTURE | '01/01/2017 | 12/31/2999 |
| 21422 | 21422 - Open treatment of palatal or maxillary fracture (LeFort I type); | 21422 - OPEN TREATMENT PALATAL/MAXILLARY FRACTURE | 21422 - TREAT MOUTH ROOF FRACTURE | '01/01/2017 | 12/31/2999 |
| 21423 | 21423 - Open treatment of palatal or maxillary fracture (LeFort I type); complicated (comminuted or involving cranial nerve foramina) multiple approaches | 21423 - OPEN TX PALATAL/MAXILLARY FX COMP MULTIPLE APPR | 21423 - TREAT MOUTH ROOF FRACTURE | '01/01/2017 | 12/31/2999 |
| 21431 | 21431 - Closed treatment of craniofacial separation (LeFort III type) using interdental wire fixation of denture or splint | 21431 - CLOSED TX CRANIOFACIAL SEPARATION | 21431 - TREAT CRANIOFACIAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 21432 | 21432 - Open treatment of craniofacial separation (LeFort III type); with wiring and/or internal fixation | 21432 - OPEN TX CRANIOFACIAL SEP W/WIRING&/INT FIXJ | 21432 - TREAT CRANIOFACIAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 21433 | 21433 - Open treatment of craniofacial separation (LeFort III type); complicated (eg comminuted or involving cranial nerve foramina) multiple surgical approaches | 21433 - OPEN TX CRANIOFACIAL SEP COMPLICATED MLT APPR | 21433 - TREAT CRANIOFACIAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 21435 | 21435 - Open treatment of craniofacial separation (LeFort III type); complicated utilizing internal and/or external fixation techniques (eg head cap halo device and/or intermaxillary fixation) | 21435 - OPEN TX CRANIOFACIAL SEP COMP W/INT&/XTRNL FIX | 21435 - TREAT CRANIOFACIAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 21436 | 21436 - Open treatment of craniofacial separation (LeFort III type); complicated multiple surgical approaches internal fixation with bone grafting (includes obtaining graft) | 21436 - OPTX CRNFCL SEP LFT III TYP COMP INT FIXJ W/BONE | 21436 - TREAT CRANIOFACIAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 21440 | 21440 - Closed treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) | 21440 - CLTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX | 21440 - TREAT DENTAL RIDGE FRACTURE | '01/01/2017 | 12/31/2999 |
| 21445 | 21445 - Open treatment of mandibular or maxillary alveolar ridge fracture (separate procedure) | 21445 - OPTX MANDIBULAR/MAXILLARY ALVEOLAR RIDGE FX SPX | 21445 - TREAT DENTAL RIDGE FRACTURE | '01/01/2017 | 12/31/2999 |
| 21450 | 21450 - Closed treatment of mandibular fracture; without manipulation | 21450 - CLOSED TX MANDIBULAR FRACTURE W/O MANIPULATION | 21450 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21451 | 21451 - Closed treatment of mandibular fracture; with manipulation | 21451 - CLOSED TX MANDIBULAR FRACTURE W/MANIPULATION | 21451 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21452 | 21452 - Percutaneous treatment of mandibular fracture with external fixation | 21452 - PERCUTANEOUS TX MANDIBULAR FX W/EXTERNAL FIXJ | 21452 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21453 | 21453 - Closed treatment of mandibular fracture with interdental fixation | 21453 - CLOSED TX MANDIBULAR FX W/INTERDENTAL FIXATION | 21453 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21454 | 21454 - Open treatment of mandibular fracture with external fixation | 21454 - OPEN TX MANDIBULAR FX W/EXTERNAL FIXATION | 21454 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21461 | 21461 - Open treatment of mandibular fracture; without interdental fixation | 21461 - OPEN TX MANDIBULAR FX W/O INTERDENTAL FIXATION | 21461 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21462 | 21462 - Open treatment of mandibular fracture; with interdental fixation | 21462 - OPEN TX MANDIBULAR FX W/INTERDENTAL FIXATION | 21462 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21465 | 21465 - Open treatment of mandibular condylar fracture | 21465 - OPEN TREATMENT MANDIBULAR CONDYLAR FRACTURE | 21465 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21470 | 21470 - Open treatment of complicated mandibular fracture by multiple surgical approaches including internal fixation interdental fixation and/or wiring of dentures or splints | 21470 - OPTX COMP MANDIBULAR FX MLT APPR W/INT FIXATION | 21470 - TREAT LOWER JAW FRACTURE | '01/01/2017 | 12/31/2999 |
| 21480 | 21480 - Closed treatment of temporomandibular dislocation; initial or subsequent | 21480 - CLOSED TX TEMPOROMANDIBULAR DISLOCATION 1ST/SBSQ | 21480 - RESET DISLOCATED JAW | '01/01/2017 | 12/31/2999 |
| 21485 | 21485 - Closed treatment of temporomandibular dislocation; complicated (eg recurrent requiring intermaxillary fixation or splinting) initial or subsequent | 21485 - CLOSED TX TEMPOROMANDIBULAR DISLC COMP 1ST/SBSQ | 21485 - RESET DISLOCATED JAW | '01/01/2017 | 12/31/2999 |
| 21490 | 21490 - Open treatment of temporomandibular dislocation | 21490 - OPEN TREATMENT TEMPOROMANDIBULAR DISLOCATION | 21490 - REPAIR DISLOCATED JAW | '01/01/2017 | 12/31/2999 |
| 21497 | 21497 - Interdental wiring for condition other than fracture | 21497 - INTERDENTAL WIRING OTHER THAN FRACTURE | 21497 - INTERDENTAL WIRING | '01/01/2017 | 12/31/2999 |
| 21499 | 21499 - Unlisted musculoskeletal procedure head | 21499 - UNLISTED MUSCULOSKELETAL PROCEDURE HEAD | 21499 - UNLISTED MUSCSKEL PX HEAD | '01/01/2023 | 12/31/2999 |
| 21501 | 21501 - Incision and drainage deep abscess or hematoma soft tissues of neck or thorax; | 21501 - I&D DEEP ABSC/HMTMA SOFT TISSUE NECK/THORAX | 21501 - DRAIN NECK/CHEST LESION | '01/01/2017 | 12/31/2999 |
| 21502 | 21502 - Incision and drainage deep abscess or hematoma soft tissues of neck or thorax; with partial rib ostectomy | 21502 - I&D DP ABSC/HMTMA SOFT TISS NCK/THORAX PRTL RI | 21502 - DRAIN CHEST LESION | '01/01/2017 | 12/31/2999 |
| 21510 | 21510 - Incision deep with opening of bone cortex (eg for osteomyelitis or bone abscess) thorax | 21510 - INCISION DEEP OPENING BONE CORTEX THORAX | 21510 - DRAINAGE OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 21550 | 21550 - Biopsy soft tissue of neck or thorax | 21550 - BIOPSY SOFT TISSUE NECK/THORAX | 21550 - BIOPSY OF NECK/CHEST | '01/01/2017 | 12/31/2999 |
| 21552 | 21552 - Excision tumor soft tissue of neck or anterior thorax subcutaneous; 3 cm or greater | 21552 - EXC TUMOR SOFT TIS NECK/ANT THORAX SUBQ 3 CM/> | 21552 - EXC NECK LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 21554 | 21554 - Excision tumor soft tissue of neck or anterior thorax subfascial (eg intramuscular); 5 cm or greater | 21554 - EXC TUMOR SOFT TISSUE NECK/THORAX SUBFASC 5 CM/> | 21554 - EXC NECK TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 21555 | 21555 - Excision tumor soft tissue of neck or anterior thorax subcutaneous; less than 3 cm | 21555 - EXC TUMOR SOFT TISSUE NECK/ANT THORAX SUBQ <3CM | 21555 - EXC NECK LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 21556 | 21556 - Excision tumor soft tissue of neck or anterior thorax subfascial (eg intramuscular); less than 5 cm | 21556 - EXC TUMOR SOFT TISS NECK/THORAX SUBFASCIAL <5CM | 21556 - EXC NECK TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 21557 | 21557 - Radical resection of tumor (eg sarcoma) soft tissue of neck or anterior thorax; less than 5 cm | 21557 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX <5CM | 21557 - RESECT NECK THORAX TUMOR<5CM | '01/01/2017 | 12/31/2999 |
| 21558 | 21558 - Radical resection of tumor (eg sarcoma) soft tissue of neck or anterior thorax; 5 cm or greater | 21558 - RAD RESECT TUMOR SOFT TISS NECK/ANT THORAX 5CM/> | 21558 - RESECT NECK TUMOR 5 CM/> | '01/01/2017 | 12/31/2999 |
| 21600 | 21600 - Excision of rib partial | 21600 - EXCISION RIB PARTIAL | 21600 - PARTIAL REMOVAL OF RIB | '01/01/2017 | 12/31/2999 |
| 21601 | 21601 - Excision of chest wall tumor including rib(s) | 21601 - EXCISION CHEST WALL TUMOR INCLUDING RIBS | 21601 - EXC CHEST WALL TUMOR W/RIBS | '01/01/2020 | 12/31/2999 |
| 21602 | 21602 - Excision of chest wall tumor involving rib(s) with plastic reconstruction; without mediastinal lymphadenectomy | 21602 - EXCISION CH WAL TUM W/RIB W/O MEDSTNL LYMPHADEC | 21602 - EXC CH WAL TUM W/O LYMPHADEC | '01/01/2020 | 12/31/2999 |
| 21603 | 21603 - Excision of chest wall tumor involving rib(s) with plastic reconstruction; with mediastinal lymphadenectomy | 21603 - EXCISION CH WAL TUM W/RIB W/MEDSTNL LYMPHADEC | 21603 - EXC CH WAL TUM W/LYMPHADEC | '01/01/2020 | 12/31/2999 |
| 21610 | 21610 - Costotransversectomy (separate procedure) | 21610 - COSTOTRANSVERSECTOMY SEPARATE PROCEDURE | 21610 - PARTIAL REMOVAL OF RIB | '01/01/2017 | 12/31/2999 |
| 21615 | 21615 - Excision first and/or cervical rib; | 21615 - EXCISION 1ST &/CERVICAL RIB | 21615 - REMOVAL OF RIB | '01/01/2017 | 12/31/2999 |
| 21616 | 21616 - Excision first and/or cervical rib; with sympathectomy | 21616 - EXCISION 1ST &/CERVICAL RIB W/SYMPATHECTOMY | 21616 - REMOVAL OF RIB AND NERVES | '01/01/2017 | 12/31/2999 |
| 21620 | 21620 - Ostectomy of sternum partial | 21620 - OSTECTOMY STERNUM PARTIAL | 21620 - PARTIAL REMOVAL OF STERNUM | '01/01/2017 | 12/31/2999 |
| 21627 | 21627 - Sternal debridement | 21627 - STERNAL DEBRIDEMENT | 21627 - STERNAL DEBRIDEMENT | '01/01/2017 | 12/31/2999 |
| 21630 | 21630 - Radical resection of sternum; | 21630 - RADICAL RESECTION STERNUM | 21630 - EXTENSIVE STERNUM SURGERY | '01/01/2017 | 12/31/2999 |
| 21632 | 21632 - Radical resection of sternum; with mediastinal lymphadenectomy | 21632 - RADICAL RESECTION STERNUM W/MEDSTNL LMPHADEC | 21632 - EXTENSIVE STERNUM SURGERY | '01/01/2017 | 12/31/2999 |
| 21685 | 21685 - Hyoid myotomy and suspension | 21685 - HYOID MYOTOMY & SUSPENSION | 21685 - HYOID MYOTOMY & SUSPENSION | '01/01/2017 | 12/31/2999 |
| 21700 | 21700 - Division of scalenus anticus; without resection of cervical rib | 21700 - DIVISION SCALENUS ANTICUS W/O RESCJ CERVICAL RIB | 21700 - REVISION OF NECK MUSCLE | '01/01/2017 | 12/31/2999 |
| 21705 | 21705 - Division of scalenus anticus; with resection of cervical rib | 21705 - DIVISION SCALENUS ANTICUS RESECTION CERVICAL RIB | 21705 - REVISION OF NECK MUSCLE/RIB | '01/01/2017 | 12/31/2999 |
| 21720 | 21720 - Division of sternocleidomastoid for torticollis open operation; without cast application | 21720 - DIVISION STERNOCLEIDOMASTOID OPEN W/O CAST | 21720 - REVISION OF NECK MUSCLE | '01/01/2017 | 12/31/2999 |
| 21725 | 21725 - Division of sternocleidomastoid for torticollis open operation; with cast application | 21725 - DIVISION STERNOCLEIDOMASTOID OPEN W/CAST | 21725 - REVISION OF NECK MUSCLE | '01/01/2017 | 12/31/2999 |
| 21740 | 21740 - Reconstructive repair of pectus excavatum or carinatum; open | 21740 - REPAIR PECTUS EXCAVATUM/CARINATUM OPEN | 21740 - RECONSTRUCTION OF STERNUM | '01/01/2017 | 12/31/2999 |
| 21742 | 21742 - Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure) without thoracoscopy | 21742 - REPAIR PECTUS EXCAVATM/CARINATM MINLY W/O THRSC | 21742 - REPAIR STERN/NUSS W/O SCOPE | '01/01/2017 | 12/31/2999 |
| 21743 | 21743 - Reconstructive repair of pectus excavatum or carinatum; minimally invasive approach (Nuss procedure) with thoracoscopy | 21743 - REPAIR PECTUS EXCAVATM/CARINATM MINLY W/THRSC | 21743 - REPAIR STERNUM/NUSS W/SCOPE | '01/01/2017 | 12/31/2999 |
| 21750 | 21750 - Closure of median sternotomy separation with or without debridement (separate procedure) | 21750 - CLOSE MEDIAN STERNOTOMY SEP W/WO DEBRIDEMENT SPX | 21750 - REPAIR OF STERNUM SEPARATION | '01/01/2017 | 12/31/2999 |
| 21811 | 21811 - Open treatment of rib fracture(s) with internal fixation includes thoracoscopic visualization when performed unilateral; 1-3 ribs | 21811 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 1-3 RIBS | 21811 - OPTX OF RIB FX W/FIXJ SCOPE | '01/01/2017 | 12/31/2999 |
| 21812 | 21812 - Open treatment of rib fracture(s) with internal fixation includes thoracoscopic visualization when performed unilateral; 4-6 ribs | 21812 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 4-6 RIBS | 21812 - TREATMENT OF RIB FRACTURE | '01/01/2017 | 12/31/2999 |
| 21813 | 21813 - Open treatment of rib fracture(s) with internal fixation includes thoracoscopic visualization when performed unilateral; 7 or more ribs | 21813 - OPEN TX RIB FX W/FIXJ THORACOSCOPIC VIS 7+ RIBS | 21813 - TREATMENT OF RIB FRACTURE | '01/01/2017 | 12/31/2999 |
| 21820 | 21820 - Closed treatment of sternum fracture | 21820 - CLOSED TREATMENT STERNUM FRACTURE | 21820 - TREAT STERNUM FRACTURE | '01/01/2017 | 12/31/2999 |
| 21825 | 21825 - Open treatment of sternum fracture with or without skeletal fixation | 21825 - OPEN TX STERNUM FRACTURE W/WO SKELETAL FIXATION | 21825 - TREAT STERNUM FRACTURE | '01/01/2017 | 12/31/2999 |
| 21899 | 21899 - Unlisted procedure neck or thorax | 21899 - UNLISTED PROCEDURE NECK/THORAX | 21899 - UNLISTED PX NECK/THORAX | '01/01/2023 | 12/31/2999 |
| 21920 | 21920 - Biopsy soft tissue of back or flank; superficial | 21920 - BIOPSY SOFT TISSUE BACK/FLANK SUPERFICIAL | 21920 - BIOPSY SOFT TISSUE OF BACK | '01/01/2017 | 12/31/2999 |
| 21925 | 21925 - Biopsy soft tissue of back or flank; deep | 21925 - BIOPSY SOFT TISSUE BACK/FLANK DEEP | 21925 - BIOPSY SOFT TISSUE OF BACK | '01/01/2017 | 12/31/2999 |
| 21930 | 21930 - Excision tumor soft tissue of back or flank subcutaneous; less than 3 cm | 21930 - EXCISION TUMOR SOFT TISSUE BACK/FLANK SUBQ <3CM | 21930 - EXC BACK LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 21931 | 21931 - Excision tumor soft tissue of back or flank subcutaneous; 3 cm or greater | 21931 - EXCISION TUMOR SOFT TIS BACK/FLANK SUBQ 3 CM/> | 21931 - EXC BACK LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 21932 | 21932 - Excision tumor soft tissue of back or flank subfascial (eg intramuscular); less than 5 cm | 21932 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL <5CM | 21932 - EXC BACK TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 21933 | 21933 - Excision tumor soft tissue of back or flank subfascial (eg intramuscular); 5 cm or greater | 21933 - EXC TUMOR SOFT TISS BACK/FLANK SUBFASCIAL 5 CM/> | 21933 - EXC BACK TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 21935 | 21935 - Radical resection of tumor (eg sarcoma) soft tissue of back or flank; less than 5 cm | 21935 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK <5CM | 21935 - RESECT BACK TUM < 5 CM | '01/01/2017 | 12/31/2999 |
| 21936 | 21936 - Radical resection of tumor (eg sarcoma) soft tissue of back or flank; 5 cm or greater | 21936 - RAD RESECTION TUMOR SOFT TISSUE BACK/FLANK 5CM/> | 21936 - RESECT BACK TUM 5 CM/> | '01/01/2017 | 12/31/2999 |
| 22010 | 22010 - Incision and drainage open of deep abscess (subfascial) posterior spine; cervical thoracic or cervicothoracic | 22010 - I&D DEEP ABSCESS PST SPINE CRV THRC/CERVICOTHR | 22010 - I&D P-SPINE C/T/CERV-THOR | '01/01/2017 | 12/31/2999 |
| 22015 | 22015 - Incision and drainage open of deep abscess (subfascial) posterior spine; lumbar sacral or lumbosacral | 22015 - I&D DEEP ABSCESS PST SPINE LUMBAR SAC/LUMBOSAC | 22015 - I&D ABSCESS P-SPINE L/S/LS | '01/01/2017 | 12/31/2999 |
| 22100 | 22100 - Partial excision of posterior vertebral component (eg spinous process lamina or facet) for intrinsic bony lesion single vertebral segment; cervical | 22100 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM CRV | 22100 - REMOVE PART OF NECK VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22101 | 22101 - Partial excision of posterior vertebral component (eg spinous process lamina or facet) for intrinsic bony lesion single vertebral segment; thoracic | 22101 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM THRC | 22101 - REMOVE PART THORAX VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22102 | 22102 - Partial excision of posterior vertebral component (eg spinous process lamina or facet) for intrinsic bony lesion single vertebral segment; lumbar | 22102 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM LMBR | 22102 - REMOVE PART LUMBAR VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22103 | 22103 - Partial excision of posterior vertebral component (eg spinous process lamina or facet) for intrinsic bony lesion single vertebral segment; each additional segment (List separately in addition to code for primary procedure) | 22103 - PRTL EXC PST VRT INTRNSC B1Y LES 1 VRT SGM EA | 22103 - REMOVE EXTRA SPINE SEGMENT | '01/01/2017 | 12/31/2999 |
| 22110 | 22110 - Partial excision of vertebral body for intrinsic bony lesion without decompression of spinal cord or nerve root(s) single vertebral segment; cervical | 22110 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM CRV | 22110 - REMOVE PART OF NECK VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22112 | 22112 - Partial excision of vertebral body for intrinsic bony lesion without decompression of spinal cord or nerve root(s) single vertebral segment; thoracic | 22112 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM THRC | 22112 - REMOVE PART THORAX VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22114 | 22114 - Partial excision of vertebral body for intrinsic bony lesion without decompression of spinal cord or nerve root(s) single vertebral segment; lumbar | 22114 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM LMBR | 22114 - REMOVE PART LUMBAR VERTEBRA | '01/01/2017 | 12/31/2999 |
| 22116 | 22116 - Partial excision of vertebral body for intrinsic bony lesion without decompression of spinal cord or nerve root(s) single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) | 22116 - PRTL EXC VRT BDY B1Y LES W/O SPI CORD 1 SGM EA | 22116 - REMOVE EXTRA SPINE SEGMENT | '01/01/2017 | 12/31/2999 |
| 22206 | 22206 - Osteotomy of spine posterior or posterolateral approach 3 columns 1 vertebral segment (eg pedicle/vertebral body subtraction); thoracic | 22206 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN THORACIC | 22206 - INCIS SPINE 3 COLUMN THORAC | '01/01/2017 | 12/31/2999 |
| 22207 | 22207 - Osteotomy of spine posterior or posterolateral approach 3 columns 1 vertebral segment (eg pedicle/vertebral body subtraction); lumbar | 22207 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN LUMBAR | 22207 - INCIS SPINE 3 COLUMN LUMBAR | '01/01/2017 | 12/31/2999 |
| 22208 | 22208 - Osteotomy of spine posterior or posterolateral approach 3 columns 1 vertebral segment (eg pedicle/vertebral body subtraction); each additional vertebral segment (List separately in addition to code for primary procedure) | 22208 - OSTEOTOMY SPINE POSTERIOR 3 COLUMN EA ADDL SGM | 22208 - INCIS SPINE 3 COLUMN ADL SEG | '01/01/2017 | 12/31/2999 |
| 22210 | 22210 - Osteotomy of spine posterior or posterolateral approach 1 vertebral segment; cervical | 22210 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM CRV | 22210 - INCIS 1 VERTEBRAL SEG CERV | '01/01/2017 | 12/31/2999 |
| 22212 | 22212 - Osteotomy of spine posterior or posterolateral approach 1 vertebral segment; thoracic | 22212 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM THRC | 22212 - INCIS 1 VERTEBRAL SEG THORAC | '01/01/2017 | 12/31/2999 |
| 22214 | 22214 - Osteotomy of spine posterior or posterolateral approach 1 vertebral segment; lumbar | 22214 - OSTEOTOMY SPINE PST/PSTLAT APPR 1 VRT SGM LMBR | 22214 - INCIS 1 VERTEBRAL SEG LUMBAR | '01/01/2017 | 12/31/2999 |
| 22216 | 22216 - Osteotomy of spine posterior or posterolateral approach 1 vertebral segment; each additional vertebral segment (List separately in addition to primary procedure) | 22216 - OSTEOT SPI PST/PSTLAT APPR 1 VRT SGM EA VRT SGM | 22216 - INCIS ADDL SPINE SEGMENT | '01/01/2017 | 12/31/2999 |
| 22220 | 22220 - Osteotomy of spine including discectomy anterior approach single vertebral segment; cervical | 22220 - OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM CRV | 22220 - OSTEOT DSC ANT 1 VRT SGM CRV | '01/01/2022 | 12/31/2999 |
| 22222 | 22222 - Osteotomy of spine including discectomy anterior approach single vertebral segment; thoracic | 22222 - OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM THRC | 22222 - OSTEOT DSC ANT 1VRT SGM THRC | '01/01/2022 | 12/31/2999 |
| 22224 | 22224 - Osteotomy of spine including discectomy anterior approach single vertebral segment; lumbar | 22224 - OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM LUMBAR | 22224 - OSTEOT DSC ANT 1VRT SGM LMBR | '01/01/2022 | 12/31/2999 |
| 22226 | 22226 - Osteotomy of spine including discectomy anterior approach single vertebral segment; each additional vertebral segment (List separately in addition to code for primary procedure) | 22226 - OSTEOTOMY SPINE W/DSC ANT APPR 1 VRT SGM EA ADDL | 22226 - OSTEOT DSC ANT 1VRT SGM EA | '01/01/2022 | 12/31/2999 |
| 22310 | 22310 - Closed treatment of vertebral body fracture(s) without manipulation requiring and including casting or bracing | 22310 - CLTX VRT BDY FX W/O MANJ REQ&W/CSTING/BRACING | 22310 - CLOSED TX VERT FX W/O MANJ | '01/01/2017 | 12/31/2999 |
| 22315 | 22315 - Closed treatment of vertebral fracture(s) and/or dislocation(s) requiring casting or bracing with and including casting and/or bracing by manipulation or traction | 22315 - CLTX VRT FX&/DISLC CSTING/BRACING MANJ/TRCJ | 22315 - CLOSED TX VERT FX W/MANJ | '01/01/2017 | 12/31/2999 |
| 22318 | 22318 - Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum) anterior approach including placement of internal fixation; without grafting | 22318 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT FIXJ W/O GRAFT | 22318 - TREAT ODONTOID FX W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 22319 | 22319 - Open treatment and/or reduction of odontoid fracture(s) and or dislocation(s) (including os odontoideum) anterior approach including placement of internal fixation; with grafting | 22319 - OPTX&/RDCTJ ODNTD FX&/DISLC ANT W/INT FIXJ | 22319 - TREAT ODONTOID FX W/GRAFT | '01/01/2017 | 12/31/2999 |
| 22325 | 22325 - Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s) posterior approach 1 fractured vertebra or dislocated segment; lumbar | 22325 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM LM | 22325 - TREAT SPINE FRACTURE | '01/01/2017 | 12/31/2999 |
| 22326 | 22326 - Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s) posterior approach 1 fractured vertebra or dislocated segment; cervical | 22326 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM CR | 22326 - TREAT NECK SPINE FRACTURE | '01/01/2017 | 12/31/2999 |
| 22327 | 22327 - Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s) posterior approach 1 fractured vertebra or dislocated segment; thoracic | 22327 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM TH | 22327 - TREAT THORAX SPINE FRACTURE | '01/01/2017 | 12/31/2999 |
| 22328 | 22328 - Open treatment and/or reduction of vertebral fracture(s) and/or dislocation(s) posterior approach 1 fractured vertebra or dislocated segment; each additional fractured vertebra or dislocated segment (List separately in addition to code for primary procedure) | 22328 - OPTX&/RDCTJ VRT FX&/DISLC PST 1 VRT SGM EA | 22328 - TREAT EACH ADD SPINE FX | '01/01/2017 | 12/31/2999 |
| 22505 | 22505 - Manipulation of spine requiring anesthesia any region | 22505 - MANIPULATION SPINE REQUIRING ANESTHESIA | 22505 - MANIPULATION OF SPINE | '01/01/2017 | 12/31/2999 |
| 22510 | 22510 - Percutaneous vertebroplasty (bone biopsy included when performed) 1 vertebral body unilateral or bilateral injection inclusive of all imaging guidance; cervicothoracic | 22510 - PERQ VERTEBROPLASTY UNI/BI INJX CERVICOTHORACIC | 22510 - PERQ CERVICOTHORACIC INJECT | '01/01/2017 | 12/31/2999 |
| 22511 | 22511 - Percutaneous vertebroplasty (bone biopsy included when performed) 1 vertebral body unilateral or bilateral injection inclusive of all imaging guidance; lumbosacral | 22511 - PERQ VERTEBROPLASTY UNI/BI INJECTION LUMBOSACRAL | 22511 - PERQ LUMBOSACRAL INJECTION | '01/01/2017 | 12/31/2999 |
| 22512 | 22512 - Percutaneous vertebroplasty (bone biopsy included when performed) 1 vertebral body unilateral or bilateral injection inclusive of all imaging guidance; each additional cervicothoracic or lumbosacral vertebral body (List separately in addition to code for primary procedure) | 22512 - VERTEBROPLASTY EACH ADDL CERVICOTHOR/LUMBOSACRAL | 22512 - VERTEBROPLASTY ADDL INJECT | '01/01/2017 | 12/31/2999 |
| 22513 | 22513 - Percutaneous vertebral augmentation including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg kyphoplasty) 1 vertebral body unilateral or bilateral cannulation inclusive of all imaging guidance; thoracic | 22513 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULATION | 22513 - PERQ VERTEBRAL AUGMENTATION | '01/01/2017 | 12/31/2999 |
| 22514 | 22514 - Percutaneous vertebral augmentation including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg kyphoplasty) 1 vertebral body unilateral or bilateral cannulation inclusive of all imaging guidance; lumbar | 22514 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ LMBR | 22514 - PERQ VERTEBRAL AUGMENTATION | '01/01/2017 | 12/31/2999 |
| 22515 | 22515 - Percutaneous vertebral augmentation including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg kyphoplasty) 1 vertebral body unilateral or bilateral cannulation inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure) | 22515 - PERQ VERT AGMNTJ CAVITY CRTJ UNI/BI CANNULJ EACH | 22515 - PERQ VERTEBRAL AUGMENTATION | '01/01/2017 | 12/31/2999 |
| 22526 | 22526 - Percutaneous intradiscal electrothermal annuloplasty unilateral or bilateral including fluoroscopic guidance; single level | 22526 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY 1 LEVEL | 22526 - IDET SINGLE LEVEL | '01/01/2017 | 12/31/2999 |
| 22527 | 22527 - Percutaneous intradiscal electrothermal annuloplasty unilateral or bilateral including fluoroscopic guidance; 1 or more additional levels (List separately in addition to code for primary procedure) | 22527 - PERQ INTRDSCL ELECTROTHRM ANNULOPLASTY ADDL LVL | 22527 - IDET 1 OR MORE LEVELS | '01/01/2017 | 12/31/2999 |
| 22532 | 22532 - Arthrodesis lateral extracavitary technique including minimal discectomy to prepare interspace (other than for decompression); thoracic | 22532 - ARTHRODESIS LATERAL EXTRACAVITARY THORACIC | 22532 - ARTHRD LAT XTRCVTRY TQ THRC | '01/01/2022 | 12/31/2999 |
| 22533 | 22533 - Arthrodesis lateral extracavitary technique including minimal discectomy to prepare interspace (other than for decompression); lumbar | 22533 - ARTHRODESIS LATERAL EXTRACAVITARY LUMBAR | 22533 - ARTHRD LAT XTRCVTRY TQ LMBR | '01/01/2022 | 12/31/2999 |
| 22534 | 22534 - Arthrodesis lateral extracavitary technique including minimal discectomy to prepare interspace (other than for decompression); thoracic or lumbar each additional vertebral segment (List separately in addition to code for primary procedure) | 22534 - ARTHRODESIS LAT EXTRACAVITARY EA ADDL THRC/LMBR | 22534 - ARTHRD LAT XTRCVTRY TQ EA AD | '01/01/2022 | 12/31/2999 |
| 22548 | 22548 - Arthrodesis anterior transoral or extraoral technique clivus-C1-C2 (atlas-axis) with or without excision of odontoid process | 22548 - ARTHRD ANT TRANSORL/XTRORAL C1-C2 W/WO EXC ODNTD | 22548 - ARTHRD ANT TORAL/XORAL C1-C2 | '01/01/2022 | 12/31/2999 |
| 22551 | 22551 - Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 | 22551 - ARTHRD ANT INTERBODY DECOMPRESS CERVICAL BELW C2 | 22551 - ARTHRD ANT NTRBDY CERVICAL | '01/01/2022 | 12/31/2999 |
| 22552 | 22552 - Arthrodesis anterior interbody including disc space preparation discectomy osteophytectomy and decompression of spinal cord and/or nerve roots; cervical below C2 each additional interspace (List separately in addition to code for primary procedure) | 22552 - ARTHRD ANT INTERDY CERVCL BELW C2 EA ADDL NTRSPC | 22552 - ARTHRD ANT NTRBD CERVICAL EA | '01/01/2022 | 12/31/2999 |
| 22554 | 22554 - Arthrodesis anterior interbody technique including minimal discectomy to prepare interspace (other than for decompression); cervical below C2 | 22554 - ARTHRD ANT INTERBODY MIN DSC CRV BELOW C2 | 22554 - ARTHRD ANT NTRBD MIN DSC CRV | '01/01/2022 | 12/31/2999 |
| 22556 | 22556 - Arthrodesis anterior interbody technique including minimal discectomy to prepare interspace (other than for decompression); thoracic | 22556 - ARTHRD ANT INTERBODY MIN DSC THORACIC | 22556 - ARTHRD ANT NTRBD MIN DSC THC | '01/01/2022 | 12/31/2999 |
| 22558 | 22558 - Arthrodesis anterior interbody technique including minimal discectomy to prepare interspace (other than for decompression); lumbar | 22558 - ARTHRD ANT INTERBODY MIN DSC LUMBAR | 22558 - ARTHRD ANT NTRBD MIN DSC LUM | '01/01/2022 | 12/31/2999 |
| 22585 | 22585 - Arthrodesis anterior interbody technique including minimal discectomy to prepare interspace (other than for decompression); each additional interspace (List separately in addition to code for primary procedure) | 22585 - ARTHRD ANT NTRBD MIN DSC EA ADDL INTERSPACE | 22585 - ARTHRD ANT NTRBD MIN DSC EA | '01/01/2022 | 12/31/2999 |
| 22586 | 22586 - Arthrodesis pre-sacral interbody technique including disc space preparation discectomy with posterior instrumentation with image guidance includes bone graft when performed L5-S1 interspace | 22586 - ARTHRODESIS PRESACRAL NTRBDY DSC W/INSTRMJ L5-S1 | 22586 - ARTHRD PRE-SAC NTRBDY L5-S1 | '01/01/2022 | 12/31/2999 |
| 22590 | 22590 - Arthrodesis posterior technique craniocervical (occiput-C2) | 22590 - ARTHRODESIS POSTERIOR CRANIOCERVICAL | 22590 - ARTHRD PST TQ CRANIOCERVICAL | '01/01/2022 | 12/31/2999 |
| 22595 | 22595 - Arthrodesis posterior technique atlas-axis (C1-C2) | 22595 - ARTHRODESIS POSTERIOR ATLAS-AXIS C1-C2 | 22595 - ARTHRD PST TQ ATLAS-AXIS | '01/01/2022 | 12/31/2999 |
| 22600 | 22600 - Arthrodesis posterior or posterolateral technique single interspace; cervical below C2 segment | 22600 - ARTHRD PST/PSTLAT TQ 1NTRSPC CRV BELW C2 SEGMENT | 22600 - ARTHRD PST TQ 1NTRSPC CRV | '01/01/2022 | 12/31/2999 |
| 22610 | 22610 - Arthrodesis posterior or posterolateral technique single interspace; thoracic (with lateral transverse technique when performed) | 22610 - ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC THORACIC | 22610 - ARTHRD PST TQ 1NTRSPC THRC | '01/01/2022 | 12/31/2999 |
| 22612 | 22612 - Arthrodesis posterior or posterolateral technique single interspace; lumbar (with lateral transverse technique when performed) | 22612 - ARTHRODESIS POSTERIOR/PSTLAT TQ 1NTRSPC LUMBAR | 22612 - ARTHRD PST TQ 1NTRSPC LUMBAR | '01/01/2022 | 12/31/2999 |
| 22614 | 22614 - Arthrodesis posterior or posterolateral technique single interspace; each additional interspace (List separately in addition to code for primary procedure) | 22614 - ARTHRODESIS PST/PSTLAT TQ 1NTRSPC EA ADDL NTRSPC | 22614 - ARTHRD PST TQ 1NTRSPC EA ADD | '01/01/2022 | 12/31/2999 |
| 22630 | 22630 - Arthrodesis posterior interbody technique including laminectomy and/or discectomy to prepare interspace (other than for decompression) single interspace lumbar; | 22630 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC LUMBAR | 22630 - ARTHRD PST TQ 1NTRSPC LUM | '01/01/2023 | 12/31/2999 |
| 22632 | 22632 - Arthrodesis posterior interbody technique including laminectomy and/or discectomy to prepare interspace (other than for decompression) single interspace lumbar; each additional interspace (List separately in addition to code for primary procedure) | 22632 - ARTHRODESIS POSTERIOR INTERBODY 1 NTRSPC EA ADDL | 22632 - ARTHRD PST TQ 1NTRSPC LM EA | '01/01/2023 | 12/31/2999 |
| 22633 | 22633 - Arthrodesis combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression) single interspace lumbar; | 22633 - ARTHRODESIS COMBINED TQ 1NTRSPC LUMBAR | 22633 - ARTHRD CMBN 1NTRSPC LUMBAR | '01/01/2023 | 12/31/2999 |
| 22634 | 22634 - Arthrodesis combined posterior or posterolateral technique with posterior interbody technique including laminectomy and/or discectomy sufficient to prepare interspace (other than for decompression) single interspace lumbar; each additional interspace (List separately in addition to code for primary procedure) | 22634 - ARTHRODESIS CMBN TQ 1NTRSPC EACH ADDITIONAL | 22634 - ARTHRD CMBN 1NTRSPC EA ADDL | '01/01/2023 | 12/31/2999 |
| 22800 | 22800 - Arthrodesis posterior for spinal deformity with or without cast; up to 6 vertebral segments | 22800 - ARTHRODESIS POSTERIOR SPINAL DFRM <6 VRT SGM | 22800 - ARTHRD PST DFRM<6 VRT SGM | '01/01/2022 | 12/31/2999 |
| 22802 | 22802 - Arthrodesis posterior for spinal deformity with or without cast; 7 to 12 vertebral segments | 22802 - ARTHRODESIS POSTERIOR SPINAL DFRM 7-12 VRT SGM | 22802 - ARTHRD PST DFRM 7-12 VRT SGM | '01/01/2022 | 12/31/2999 |
| 22804 | 22804 - Arthrodesis posterior for spinal deformity with or without cast; 13 or more vertebral segments | 22804 - ARTHRODESIS POSTERIOR SPINAL DFRM 13+ VRT SGM | 22804 - ARTHRD PST DFRM 13+ VRT SGM | '01/01/2022 | 12/31/2999 |
| 22808 | 22808 - Arthrodesis anterior for spinal deformity with or without cast; 2 to 3 vertebral segments | 22808 - ARTHRODESIS ANTERIOR SPINAL DFRM 2-3 VRT SGM | 22808 - ARTHRD ANT DFRM 2-3 VRT SGM | '01/01/2022 | 12/31/2999 |
| 22810 | 22810 - Arthrodesis anterior for spinal deformity with or without cast; 4 to 7 vertebral segments | 22810 - ARTHRODESIS ANTERIOR SPINAL DFRM 4-7 VRT SGM | 22810 - ARTHRD ANT DFRM 4-7 VRT SGM | '01/01/2022 | 12/31/2999 |
| 22812 | 22812 - Arthrodesis anterior for spinal deformity with or without cast; 8 or more vertebral segments | 22812 - ARTHRODESIS ANTERIOR SPINAL DFRM 8+ VRT SGM | 22812 - ARTHRD ANT DFRM 8+ VRT SGM | '01/01/2022 | 12/31/2999 |
| 22818 | 22818 - Kyphectomy circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); single or 2 segments | 22818 - KYPHECTOMY SINGLE OR TWO SEGMENTS | 22818 - KYPHECTOMY 1-2 SEGMENTS | '01/01/2017 | 12/31/2999 |
| 22819 | 22819 - Kyphectomy circumferential exposure of spine and resection of vertebral segment(s) (including body and posterior elements); 3 or more segments | 22819 - KYPHECTOMY 3 OR MORE SEGMENTS | 22819 - KYPHECTOMY 3 OR MORE | '01/01/2017 | 12/31/2999 |
| 22830 | 22830 - Exploration of spinal fusion | 22830 - EXPLORATION SPINAL FUSION | 22830 - EXPLORATION OF SPINAL FUSION | '01/01/2017 | 12/31/2999 |
| 22840 | 22840 - Posterior non-segmental instrumentation (eg Harrington rod technique pedicle fixation across 1 interspace atlantoaxial transarticular screw fixation sublaminar wiring at C1 facet screw fixation) (List separately in addition to code for primary procedure) | 22840 - POSTERIOR NON-SEGMENTAL INSTRUMENTATION | 22840 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22841 | 22841 - Internal spinal fixation by wiring of spinous processes (List separately in addition to code for primary procedure) | 22841 - INTERNAL SPINAL FIXATION WIRING SPINOUS PROCESS | 22841 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22842 | 22842 - Posterior segmental instrumentation (eg pedicle fixation dual rods with multiple hooks and sublaminar wires); 3 to 6 vertebral segments (List separately in addition to code for primary procedure) | 22842 - POSTERIOR SEGMENTAL INSTRUMENTATION 3-6 VRT SEG | 22842 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22843 | 22843 - Posterior segmental instrumentation (eg pedicle fixation dual rods with multiple hooks and sublaminar wires); 7 to 12 vertebral segments (List separately in addition to code for primary procedure) | 22843 - POSTERIOR SEGMENTAL INSTRUMENTATION 7-12 VRT SEG | 22843 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22844 | 22844 - Posterior segmental instrumentation (eg pedicle fixation dual rods with multiple hooks and sublaminar wires); 13 or more vertebral segments (List separately in addition to code for primary procedure) | 22844 - POSTERIOR SEGMENTAL INSTRUMENTATION 13/> VRT SE | 22844 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22845 | 22845 - Anterior instrumentation; 2 to 3 vertebral segments (List separately in addition to code for primary procedure) | 22845 - ANTERIOR INSTRUMENTATION 2-3 VERTEBRAL SEGMENTS | 22845 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22846 | 22846 - Anterior instrumentation; 4 to 7 vertebral segments (List separately in addition to code for primary procedure) | 22846 - ANTERIOR INSTRUMENTATION 4-7 VERTEBRAL SEGMENTS | 22846 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22847 | 22847 - Anterior instrumentation; 8 or more vertebral segments (List separately in addition to code for primary procedure) | 22847 - ANTERIOR INSTRUMENTATION 8/> VERTEBRAL SEGMENTS | 22847 - INSERT SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22848 | 22848 - Pelvic fixation (attachment of caudal end of instrumentation to pelvic bony structures) other than sacrum (List separately in addition to code for primary procedure) | 22848 - PELVIC FIXATION OTHER THAN SACRUM | 22848 - INSERT PELV FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22849 | 22849 - Reinsertion of spinal fixation device | 22849 - REINSERTION SPINAL FIXATION DEVICE | 22849 - REINSERT SPINAL FIXATION | '01/01/2017 | 12/31/2999 |
| 22850 | 22850 - Removal of posterior nonsegmental instrumentation (eg Harrington rod) | 22850 - REMOVAL POSTERIOR NONSEGMENTAL INSTRUMENTATION | 22850 - REMOVE SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22852 | 22852 - Removal of posterior segmental instrumentation | 22852 - REMOVAL POSTERIOR SEGMENTAL INSTRUMENTATION | 22852 - REMOVE SPINE FIXATION DEVICE | '01/01/2017 | 12/31/2999 |
| 22853 | 22853 - Insertion of interbody biomechanical device(s) (eg synthetic cage mesh) with integral anterior instrumentation for device anchoring (eg screws flanges) when performed to intervertebral disc space in conjunction with interbody arthrodesis each interspace (List separately in addition to code for primary procedure) | 22853 - INSJ BIOMCHN DEV INTERVERTEBRAL DSC SPC W/ARTHRD | 22853 - INSJ BIOMECHANICAL DEVICE | '01/01/2017 | 12/31/2999 |
| 22854 | 22854 - Insertion of intervertebral biomechanical device(s) (eg synthetic cage mesh) with integral anterior instrumentation for device anchoring (eg screws flanges) when performed to vertebral corpectomy(ies) (vertebral body resection partial or complete) defect in conjunction with interbody arthrodesis each contiguous defect (List separately in addition to code for primary procedure) | 22854 - INSJ BIOMCHN DEV VRT CORPECTOMY DEFECT W/ARTHRD | 22854 - INSJ BIOMECHANICAL DEVICE | '01/01/2017 | 12/31/2999 |
| 22855 | 22855 - Removal of anterior instrumentation | 22855 - REMOVAL ANTERIOR INSTRUMENTATION | 22855 - REMOVAL ANTERIOR INSTRMJ | '01/01/2023 | 12/31/2999 |
| 22856 | 22856 - Total disc arthroplasty (artificial disc) anterior approach including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); single interspace cervical | 22856 - TOTAL DISC ARTHRP ANT SINGLE INTERSPACE CERVICAL | 22856 - TOT DISC ARTHRP 1NTRSPC CRV | '01/01/2023 | 12/31/2999 |
| 22857 | 22857 - Total disc arthroplasty (artificial disc) anterior approach including discectomy to prepare interspace (other than for decompression); single interspace lumbar | 22857 - TOTAL DISC ARTHRP ANT SINGLE INTERSPACE LUMBAR | 22857 - TOT DISC ARTHRP 1NTRSPC LMBR | '01/01/2023 | 12/31/2999 |
| 22858 | 22858 - Total disc arthroplasty (artificial disc) anterior approach including discectomy with end plate preparation (includes osteophytectomy for nerve root or spinal cord decompression and microdissection); second level cervical (List separately in addition to code for primary procedure) | 22858 - TOTAL DISC ARTHRP ANT 2ND LEVEL CERVICAL | 22858 - TOT DISC ARTHRP 2ND LVL CRV | '01/01/2023 | 12/31/2999 |
| 22859 | 22859 - Insertion of intervertebral biomechanical device(s) (eg synthetic cage mesh methylmethacrylate) to intervertebral disc space or vertebral body defect without interbody arthrodesis each contiguous defect (List separately in addition to code for primary procedure) | 22859 - INSJ BIOMCHN DEV NTRVRT DISC SPACE W/O ARTHRD | 22859 - INSJ BIOMECHANICAL DEVICE | '01/01/2017 | 12/31/2999 |
| 22860 | 22860 - Total disc arthroplasty (artificial disc) anterior approach including discectomy to prepare interspace (other than for decompression); second interspace lumbar (List separately in addition to code for primary procedure) | 22860 - TOTAL DISC ARTHRP ANT SECOND INTERSPACE LUMBAR | 22860 - TOT DISC ARTHRP 2NTRSPC LMBR | '01/01/2023 | 12/31/2999 |
| 22861 | 22861 - Revision including replacement of total disc arthroplasty (artificial disc) anterior approach single interspace; cervical | 22861 - REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC CRV | 22861 - REV RPLCM ARTHRP 1NTRSPC CRV | '01/01/2023 | 12/31/2999 |
| 22862 | 22862 - Revision including replacement of total disc arthroplasty (artificial disc) anterior approach single interspace; lumbar | 22862 - REVJ W/RPLCMT TOT DISC ARTHRP ANT 1 NTRSPC LMBR | 22862 - REV RPLCM RTHRP 1NTRSPC LMBR | '01/01/2023 | 12/31/2999 |
| 22864 | 22864 - Removal of total disc arthroplasty (artificial disc) anterior approach single interspace; cervical | 22864 - RMVL TOT DISC ARTHRP ANT 1 INTERSPACE CERVICAL | 22864 - RMVL TOT ARTHRP 1NTRSPC CRV | '01/01/2023 | 12/31/2999 |
| 22865 | 22865 - Removal of total disc arthroplasty (artificial disc) anterior approach single interspace; lumbar | 22865 - RMVL TOT DISC ARTHRP ANT 1 INTERSPACE LUMBAR | 22865 - RMVL TOT ARTHRP 1NTRSPC LMBR | '01/01/2023 | 12/31/2999 |
| 22867 | 22867 - Insertion of interlaminar/interspinous process stabilization/distraction device without fusion including image guidance when performed with open decompression lumbar; single level | 22867 - INSJ STABLJ DEV W/DCMPRN LUMBAR SINGLE LEVEL | 22867 - INSJ STABLJ DEV W/DCMPRN | '01/01/2017 | 12/31/2999 |
| 22868 | 22868 - Insertion of interlaminar/interspinous process stabilization/distraction device without fusion including image guidance when performed with open decompression lumbar; second level (List separately in addition to code for primary procedure) | 22868 - INSJ STABLJ DEV W/DCMPRN LUMBAR SECOND LEVEL | 22868 - INSJ STABLJ DEV W/DCMPRN | '01/01/2017 | 12/31/2999 |
| 22869 | 22869 - Insertion of interlaminar/interspinous process stabilization/distraction device without open decompression or fusion including image guidance when performed lumbar; single level | 22869 - INSJ STABLJ DEV W/O DCMPRN LUMBAR SINGLE LEVEL | 22869 - INSJ STABLJ DEV W/O DCMPRN | '01/01/2017 | 12/31/2999 |
| 22870 | 22870 - Insertion of interlaminar/interspinous process stabilization/distraction device without open decompression or fusion including image guidance when performed lumbar; second level (List separately in addition to code for primary procedure) | 22870 - INSJ STABLJ DEV W/O DCMPRN LUMBAR SECOND LEVEL | 22870 - INSJ STABLJ DEV W/O DCMPRN | '01/01/2017 | 12/31/2999 |
| 22899 | 22899 - Unlisted procedure spine | 22899 - UNLISTED PROCEDURE SPINE | 22899 - UNLISTED PROCEDURE SPINE | '01/01/2023 | 12/31/2999 |
| 22900 | 22900 - Excision tumor soft tissue of abdominal wall subfascial (eg intramuscular); less than 5 cm | 22900 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL <5CM | 22900 - EXC ABDL TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 22901 | 22901 - Excision tumor soft tissue of abdominal wall subfascial (eg intramuscular); 5 cm or greater | 22901 - EXC TUMOR SOFT TISSUE ABDL WALL SUBFASCIAL 5CM/> | 22901 - EXC ABDL TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 22902 | 22902 - Excision tumor soft tissue of abdominal wall subcutaneous; less than 3 cm | 22902 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ <3CM | 22902 - EXC ABD LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 22903 | 22903 - Excision tumor soft tissue of abdominal wall subcutaneous; 3 cm or greater | 22903 - EXC TUMOR SOFT TISSUE ABDOMINAL WALL SUBQ 3 CM/> | 22903 - EXC ABD LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 22904 | 22904 - Radical resection of tumor (eg sarcoma) soft tissue of abdominal wall; less than 5 cm | 22904 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL <5CM | 22904 - RADICAL RESECT ABD TUMOR<5CM | '01/01/2017 | 12/31/2999 |
| 22905 | 22905 - Radical resection of tumor (eg sarcoma) soft tissue of abdominal wall; 5 cm or greater | 22905 - RAD RESECTION TUMOR SOFT TISSUE ABDL WALL 5 CM/> | 22905 - RAD RESECT ABD TUMOR 5 CM/> | '01/01/2017 | 12/31/2999 |
| 22999 | 22999 - Unlisted procedure abdomen musculoskeletal system | 22999 - UNLISTED PX ABDOMEN MUSCULOSKELETAL SYSTEM | 22999 - UNLISTED PX ABDOMEN MUSCSKEL | '01/01/2023 | 12/31/2999 |
| 23000 | 23000 - Removal of subdeltoid calcareous deposits open | 23000 - REMOVAL SUBDELTOID CALCAREOUS DEPOSITS OPEN | 23000 - REMOVAL OF CALCIUM DEPOSITS | '01/01/2017 | 12/31/2999 |
| 23020 | 23020 - Capsular contracture release (eg Sever type procedure) | 23020 - CAPSULAR CONTRACTURE RELEASE | 23020 - RELEASE SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23030 | 23030 - Incision and drainage shoulder area; deep abscess or hematoma | 23030 - I&D SHOULDER DEEP ABSCESS/HEMATOMA | 23030 - DRAIN SHOULDER LESION | '01/01/2017 | 12/31/2999 |
| 23031 | 23031 - Incision and drainage shoulder area; infected bursa | 23031 - I&D SHOULDER INFECTED BURSA | 23031 - DRAIN SHOULDER BURSA | '01/01/2017 | 12/31/2999 |
| 23035 | 23035 - Incision bone cortex (eg osteomyelitis or bone abscess) shoulder area | 23035 - INCISION BONE CORTEX SHOULDER AREA | 23035 - DRAIN SHOULDER BONE LESION | '01/01/2017 | 12/31/2999 |
| 23040 | 23040 - Arthrotomy glenohumeral joint including exploration drainage or removal of foreign body | 23040 - ARTHROTOMY GLENOHUMERAL JT EXPL/DRG/RMVL FB | 23040 - EXPLORATORY SHOULDER SURGERY | '01/01/2017 | 12/31/2999 |
| 23044 | 23044 - Arthrotomy acromioclavicular sternoclavicular joint including exploration drainage or removal of foreign body | 23044 - ARTHRT ACROMCLAV STRNCLAV JT EXPL/DRG/RMVL FB | 23044 - EXPLORATORY SHOULDER SURGERY | '01/01/2017 | 12/31/2999 |
| 23065 | 23065 - Biopsy soft tissue of shoulder area; superficial | 23065 - BIOPSY SOFT TISSUE SHOULDER SUPERFICIAL | 23065 - BIOPSY SHOULDER TISSUES | '01/01/2017 | 12/31/2999 |
| 23066 | 23066 - Biopsy soft tissue of shoulder area; deep | 23066 - BIOPSY SOFT TISSUE SHOULDER DEEP | 23066 - BIOPSY SHOULDER TISSUES | '01/01/2017 | 12/31/2999 |
| 23071 | 23071 - Excision tumor soft tissue of shoulder area subcutaneous; 3 cm or greater | 23071 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ 3 CM/> | 23071 - EXC SHOULDER LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 23073 | 23073 - Excision tumor soft tissue of shoulder area subfascial (eg intramuscular); 5 cm or greater | 23073 - EXC TUMOR SOFT TISSUE SHOULDER SUBFASCIAL 5 CM/> | 23073 - EXC SHOULDER TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 23075 | 23075 - Excision tumor soft tissue of shoulder area subcutaneous; less than 3 cm | 23075 - EXCISION TUMOR SOFT TISSUE SHOULDER SUBQ <3CM | 23075 - EXC SHOULDER LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 23076 | 23076 - Excision tumor soft tissue of shoulder area subfascial (eg intramuscular); less than 5 cm | 23076 - EXC TUMOR SOFT TISS SHOULDER SUBFASC <5CM | 23076 - EXC SHOULDER TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 23077 | 23077 - Radical resection of tumor (eg sarcoma) soft tissue of shoulder area; less than 5 cm | 23077 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER <5CM | 23077 - RESECT SHOULDER TUMOR < 5 CM | '01/01/2017 | 12/31/2999 |
| 23078 | 23078 - Radical resection of tumor (eg sarcoma) soft tissue of shoulder area; 5 cm or greater | 23078 - RAD RESECTION TUMOR SOFT TISSUE SHOULDER 5 CM/> | 23078 - RESECT SHOULDER TUMOR 5 CM/> | '01/01/2017 | 12/31/2999 |
| 23100 | 23100 - Arthrotomy glenohumeral joint including biopsy | 23100 - ARTHROTOMY GLENOHUMERAL JOINT W/BIOPSY | 23100 - BIOPSY OF SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23101 | 23101 - Arthrotomy acromioclavicular joint or sternoclavicular joint including biopsy and/or excision of torn cartilage | 23101 - ARTHRT ACROMCLAV/STRNCLAV JT W/BX&/EXC CRTLG | 23101 - SHOULDER JOINT SURGERY | '01/01/2017 | 12/31/2999 |
| 23105 | 23105 - Arthrotomy; glenohumeral joint with synovectomy with or without biopsy | 23105 - ARTHRT GLENOHUMRL JT W/SYNOVECTOMY W/WO BIOPSY | 23105 - REMOVE SHOULDER JOINT LINING | '01/01/2017 | 12/31/2999 |
| 23106 | 23106 - Arthrotomy; sternoclavicular joint with synovectomy with or without biopsy | 23106 - ARTHRT GLENOHUMRL JT STRNCLAV JT W/SYNVCT W/WOBX | 23106 - INCISION OF COLLARBONE JOINT | '01/01/2017 | 12/31/2999 |
| 23107 | 23107 - Arthrotomy glenohumeral joint with joint exploration with or without removal of loose or foreign body | 23107 - ARTHRT GLENOHMRL JT W/JT EXPL W/WO RMVL LOOSE/FB | 23107 - EXPLORE TREAT SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23120 | 23120 - Claviculectomy; partial | 23120 - CLAVICULECTOMY PARTIAL | 23120 - PARTIAL REMOVAL COLLAR BONE | '01/01/2017 | 12/31/2999 |
| 23125 | 23125 - Claviculectomy; total | 23125 - CLAVICULECTOMY TOTAL | 23125 - REMOVAL OF COLLAR BONE | '01/01/2017 | 12/31/2999 |
| 23130 | 23130 - Acromioplasty or acromionectomy partial with or without coracoacromial ligament release | 23130 - PARTIAL REPAIR OR REMOVAL OF SHOULDER BONE | 23130 - REMOVE SHOULDER BONE PART | '01/01/2017 | 12/31/2999 |
| 23140 | 23140 - Excision or curettage of bone cyst or benign tumor of clavicle or scapula; | 23140 - EXC/CURTG BONE CYST/BENIGN TUMOR CLAV/SCAPULA | 23140 - REMOVAL OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 23145 | 23145 - Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with autograft (includes obtaining graft) | 23145 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/AGRFT | 23145 - REMOVAL OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 23146 | 23146 - Excision or curettage of bone cyst or benign tumor of clavicle or scapula; with allograft | 23146 - EXC/CURTG BONE CST/B9 TUM CLAV/SCAPULA W/ALGRFT | 23146 - REMOVAL OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 23150 | 23150 - Excision or curettage of bone cyst or benign tumor of proximal humerus; | 23150 - EXC/CURTG BONE CYST/BENIGN TUMOR PROX HUMERUS | 23150 - REMOVAL OF HUMERUS LESION | '01/01/2017 | 12/31/2999 |
| 23155 | 23155 - Excision or curettage of bone cyst or benign tumor of proximal humerus; with autograft (includes obtaining graft) | 23155 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/AGRFT | 23155 - REMOVAL OF HUMERUS LESION | '01/01/2017 | 12/31/2999 |
| 23156 | 23156 - Excision or curettage of bone cyst or benign tumor of proximal humerus; with allograft | 23156 - EXC/CURTG BONE CYST/BENIGN TUM PROX HUM W/ALGRFT | 23156 - REMOVAL OF HUMERUS LESION | '01/01/2017 | 12/31/2999 |
| 23170 | 23170 - Sequestrectomy (eg for osteomyelitis or bone abscess) clavicle | 23170 - SEQUESTRECTOMY CLAVICLE | 23170 - REMOVE COLLAR BONE LESION | '01/01/2017 | 12/31/2999 |
| 23172 | 23172 - Sequestrectomy (eg for osteomyelitis or bone abscess) scapula | 23172 - SEQUESTRECTOMY SCAPULA | 23172 - REMOVE SHOULDER BLADE LESION | '01/01/2017 | 12/31/2999 |
| 23174 | 23174 - Sequestrectomy (eg for osteomyelitis or bone abscess) humeral head to surgical neck | 23174 - SEQUESTRECTOMY HUMERAL HEAD SURGERY NECK | 23174 - REMOVE HUMERUS LESION | '01/01/2017 | 12/31/2999 |
| 23180 | 23180 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) clavicle | 23180 - PARTIAL EXCISION BONE CLAVICLE | 23180 - REMOVE COLLAR BONE LESION | '01/01/2017 | 12/31/2999 |
| 23182 | 23182 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) scapula | 23182 - PARTIAL EXCISION BONE SCAPULA | 23182 - REMOVE SHOULDER BLADE LESION | '01/01/2017 | 12/31/2999 |
| 23184 | 23184 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) proximal humerus | 23184 - PARTIAL EXCISION BONE PROXIMAL HUMERUS | 23184 - REMOVE HUMERUS LESION | '01/01/2017 | 12/31/2999 |
| 23190 | 23190 - Ostectomy of scapula partial (eg superior medial angle) | 23190 - OSTECTOMY SCAPULA PARTIAL | 23190 - PARTIAL REMOVAL OF SCAPULA | '01/01/2017 | 12/31/2999 |
| 23195 | 23195 - Resection humeral head | 23195 - RESECTION HUMERAL HEAD | 23195 - REMOVAL OF HEAD OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 23200 | 23200 - Radical resection of tumor; clavicle | 23200 - RADICAL RESECTION TUMOR CLAVICLE | 23200 - RESECT CLAVICLE TUMOR | '01/01/2017 | 12/31/2999 |
| 23210 | 23210 - Radical resection of tumor; scapula | 23210 - RADICAL RESECTION TUMOR SCAPULA | 23210 - RESECT SCAPULA TUMOR | '01/01/2017 | 12/31/2999 |
| 23220 | 23220 - Radical resection of tumor proximal humerus | 23220 - RADICAL RESECTION BONE TUMOR PROXIMAL HUMERUS | 23220 - RESECT PROX HUMERUS TUMOR | '01/01/2017 | 12/31/2999 |
| 23330 | 23330 - Removal of foreign body shoulder; subcutaneous | 23330 - REMOVAL FOREIGN BODY SHOULDER SUBCUTANEOUS | 23330 - REMOVE SHOULDER FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 23333 | 23333 - Removal of foreign body shoulder; deep (subfascial or intramuscular) | 23333 - REMOVAL SHOULDER FOREIGN BODY DEEP SUBFASCIAL/IM | 23333 - REMOVE SHOULDER FB DEEP | '01/01/2017 | 12/31/2999 |
| 23334 | 23334 - Removal of prosthesis includes debridement and synovectomy when performed; humeral or glenoid component | 23334 - PROSTHESIS REMOVAL HUMERAL/GLENOID COMPONENT | 23334 - SHOULDER PROSTHESIS REMOVAL | '01/01/2017 | 12/31/2999 |
| 23335 | 23335 - Removal of prosthesis includes debridement and synovectomy when performed; humeral and glenoid components (eg total shoulder) | 23335 - PROSTHESIS REMOVAL HUMERAL AND GLENOID COMPONENT | 23335 - SHOULDER PROSTHESIS REMOVAL | '01/01/2017 | 12/31/2999 |
| 23350 | 23350 - Injection procedure for shoulder arthrography or enhanced CT/MRI shoulder arthrography | 23350 - INJECTION SHOULDER ARTHROGRAPHY/ CT/MRI ARTHG | 23350 - INJECTION FOR SHOULDER X-RAY | '01/01/2017 | 12/31/2999 |
| 23395 | 23395 - Muscle transfer any type shoulder or upper arm; single | 23395 - MUSCLE TRANSFER SHOULDER/UPPER ARM SINGLE | 23395 - MUSCLE TRANSFER SHOULDER/ARM | '01/01/2017 | 12/31/2999 |
| 23397 | 23397 - Muscle transfer any type shoulder or upper arm; multiple | 23397 - MUSCLE TRANSFER SHOULDER/UPPER ARM MULTIPLE | 23397 - MUSCLE TRANSFERS | '01/01/2017 | 12/31/2999 |
| 23400 | 23400 - Scapulopexy (eg Sprengels deformity or for paralysis) | 23400 - SCAPULOPEXY | 23400 - FIXATION OF SHOULDER BLADE | '01/01/2017 | 12/31/2999 |
| 23405 | 23405 - Tenotomy shoulder area; single tendon | 23405 - TENOTOMY SHOULDER AREA 1 TENDON | 23405 - INCISION OF TENDON & MUSCLE | '01/01/2017 | 12/31/2999 |
| 23406 | 23406 - Tenotomy shoulder area; multiple tendons through same incision | 23406 - TENOTOMY SHOULDER MULTIPLE THRU SAME INCISION | 23406 - INCISE TENDON(S) & MUSCLE(S) | '01/01/2017 | 12/31/2999 |
| 23410 | 23410 - Repair of ruptured musculotendinous cuff (eg rotator cuff) open; acute | 23410 - OPEN REPAIR OF ROTATOR CUFF ACUTE | 23410 - REPAIR ROTATOR CUFF ACUTE | '01/01/2017 | 12/31/2999 |
| 23412 | 23412 - Repair of ruptured musculotendinous cuff (eg rotator cuff) open; chronic | 23412 - OPEN REPAIR OF ROTATOR CUFF CHRONIC | 23412 - REPAIR ROTATOR CUFF CHRONIC | '01/01/2017 | 12/31/2999 |
| 23415 | 23415 - Coracoacromial ligament release with or without acromioplasty | 23415 - CORACOACROMIAL LIGAMENT RELEAS W/WOACROMIOPLASTY | 23415 - RELEASE OF SHOULDER LIGAMENT | '01/01/2017 | 12/31/2999 |
| 23420 | 23420 - Reconstruction of complete shoulder (rotator) cuff avulsion chronic (includes acromioplasty) | 23420 - RECONSTRUCTION ROTATOR CUFF AVULSION CHRONIC | 23420 - REPAIR OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 23430 | 23430 - Tenodesis of long tendon of biceps | 23430 - TENODESIS LONG TENDON BICEPS | 23430 - REPAIR BICEPS TENDON | '01/01/2017 | 12/31/2999 |
| 23440 | 23440 - Resection or transplantation of long tendon of biceps | 23440 - RESECTION/TRANSPLANTATION LONG TENDON BICEPS | 23440 - REMOVE/TRANSPLANT TENDON | '01/01/2017 | 12/31/2999 |
| 23450 | 23450 - Capsulorrhaphy anterior; Putti-Platt procedure or Magnuson type operation | 23450 - CAPSULORRHAPHY ANTERIOR PUTTI-PLATT/MAGNUSON | 23450 - REPAIR SHOULDER CAPSULE | '01/01/2017 | 12/31/2999 |
| 23455 | 23455 - Capsulorrhaphy anterior; with labral repair (eg Bankart procedure) | 23455 - CAPSULORRHAPHY ANTERIOR W/LABRAL REPAIR | 23455 - REPAIR SHOULDER CAPSULE | '01/01/2017 | 12/31/2999 |
| 23460 | 23460 - Capsulorrhaphy anterior any type; with bone block | 23460 - CAPSULORRHAPHY ANTERIOR WITH BONE BLOCK | 23460 - REPAIR SHOULDER CAPSULE | '01/01/2017 | 12/31/2999 |
| 23462 | 23462 - Capsulorrhaphy anterior any type; with coracoid process transfer | 23462 - CAPSULORRHAPHY ANTERIOR W/CORACOID PROCESS TR | 23462 - REPAIR SHOULDER CAPSULE | '01/01/2017 | 12/31/2999 |
| 23465 | 23465 - Capsulorrhaphy glenohumeral joint posterior with or without bone block | 23465 - CAPSULORRHAPHY GLENOHUMERAL JT PST W/WO BONE BLK | 23465 - REPAIR SHOULDER CAPSULE | '01/01/2017 | 12/31/2999 |
| 23466 | 23466 - Capsulorrhaphy glenohumeral joint any type multidirectional instability | 23466 - CAPSULORRHAPHY GLENOHUMRL JT MULTI-DIRIONAL INS | 23466 - REPAIR SHOULDER CAPSULE | '01/01/2021 | 12/31/2999 |
| 23470 | 23470 - Arthroplasty glenohumeral joint; hemiarthroplasty | 23470 - ARTHROPLASTY GLENOHUMRL JT HEMIARTHROPLASTY | 23470 - RECONSTRUCT SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23472 | 23472 - Arthroplasty glenohumeral joint; total shoulder (glenoid and proximal humeral replacement (eg total shoulder)) | 23472 - ARTHROPLASTY GLENOHUMERAL JOINT TOTAL SHOULDER | 23472 - RECONSTRUCT SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23473 | 23473 - Revision of total shoulder arthroplasty including allograft when performed; humeral or glenoid component | 23473 - REVIS SHOULDER ARTHRPLSTY HUMERAL/GLENOID COMPNT | 23473 - REVIS RECONST SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23474 | 23474 - Revision of total shoulder arthroplasty including allograft when performed; humeral and glenoid component | 23474 - REVIS SHOULDER ARTHRPLSTY HUMERAL&GLENOID COMPNT | 23474 - REVIS RECONST SHOULDER JOINT | '01/01/2017 | 12/31/2999 |
| 23480 | 23480 - Osteotomy clavicle with or without internal fixation; | 23480 - OSTEOTOMY CLAVICLE W/WO INTERNAL FIXATION | 23480 - REVISION OF COLLAR BONE | '01/01/2017 | 12/31/2999 |
| 23485 | 23485 - Osteotomy clavicle with or without internal fixation; with bone graft for nonunion or malunion (includes obtaining graft and/or necessary fixation) | 23485 - OSTEOTOMY CLAV W/WO INT FIXJ W/BONE GRF NON/MAL | 23485 - REVISION OF COLLAR BONE | '01/01/2017 | 12/31/2999 |
| 23490 | 23490 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate; clavicle | 23490 - PROPH TX W/WO METHYLMETHACRYLATE CLAVICLE | 23490 - REINFORCE CLAVICLE | '01/01/2017 | 12/31/2999 |
| 23491 | 23491 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate; proximal humerus | 23491 - PROPH TX W/WO METHYLMETHACRYLATE PROX HUMERUS | 23491 - REINFORCE SHOULDER BONES | '01/01/2017 | 12/31/2999 |
| 23500 | 23500 - Closed treatment of clavicular fracture; without manipulation | 23500 - CLSD TX CLAVICULAR FRACTURE W/O MANIPULATION | 23500 - CLTX CLAVICULAR FX W/O MNPJ | '01/01/2023 | 12/31/2999 |
| 23505 | 23505 - Closed treatment of clavicular fracture; with manipulation | 23505 - CLSD TX CLAVICULAR FRACTURE W/MANIPULATION | 23505 - CLTX CLAVICULAR FX W/MNPJ | '01/01/2023 | 12/31/2999 |
| 23515 | 23515 - Open treatment of clavicular fracture includes internal fixation when performed | 23515 - OPEN TX CLAVICULAR FRACTURE INTERNAL FIXATION | 23515 - OPTX CLAVICULAR FX W/INT FIX | '01/01/2023 | 12/31/2999 |
| 23520 | 23520 - Closed treatment of sternoclavicular dislocation; without manipulation | 23520 - CLSD TX STERNOCLAVICULAR DISLC W/O MANIPULATION | 23520 - CLTX STRNCLAV DISLC W/O MNPJ | '01/01/2023 | 12/31/2999 |
| 23525 | 23525 - Closed treatment of sternoclavicular dislocation; with manipulation | 23525 - CLOSED TX STERNOCLAVICULAR DISLC W/MANIPULATION | 23525 - CLTX STRNCLAV DISLC W/MNPJ | '01/01/2023 | 12/31/2999 |
| 23530 | 23530 - Open treatment of sternoclavicular dislocation acute or chronic; | 23530 - OPEN TX STERNOCLAVICULAR DISLC ACUTE/CHRONIC | 23530 - OPTX STRNCLAV DISLC AQT/CHRN | '01/01/2023 | 12/31/2999 |
| 23532 | 23532 - Open treatment of sternoclavicular dislocation acute or chronic; with fascial graft (includes obtaining graft) | 23532 - OPTX STRNCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF | 23532 - OPTX STRCLV DSLC AQ/CHRN GRF | '01/01/2023 | 12/31/2999 |
| 23540 | 23540 - Closed treatment of acromioclavicular dislocation; without manipulation | 23540 - CLSD TX ACROMIOCLAVICULAR DISLC W/O MANIPULATION | 23540 - CLTX ACROMCLAV DISLC WO MNPJ | '01/01/2023 | 12/31/2999 |
| 23545 | 23545 - Closed treatment of acromioclavicular dislocation; with manipulation | 23545 - CLSD TX ACROMIOCLAVICULAR DISLC W/MANIPULATION | 23545 - CLTX ACROMCLAV DISLC W/MNPJ | '01/01/2023 | 12/31/2999 |
| 23550 | 23550 - Open treatment of acromioclavicular dislocation acute or chronic; | 23550 - OPEN TX ACROMIOCLAVICULAR DISLC ACUTE/CHRONIC | 23550 - OPTX ACROMCLV DISLC AQT/CHRN | '01/01/2023 | 12/31/2999 |
| 23552 | 23552 - Open treatment of acromioclavicular dislocation acute or chronic; with fascial graft (includes obtaining graft) | 23552 - OPTX ACROMCLAV DISLC ACUTE/CHRONIC W/FASCIAL GRF | 23552 - OPTX ACRCLV DSLC AQ/CHRN GRF | '01/01/2023 | 12/31/2999 |
| 23570 | 23570 - Closed treatment of scapular fracture; without manipulation | 23570 - CLOSED TX SCAPULAR FRACTURE W/O MANIPULATION | 23570 - CLTX SCAPULAR FX W/O MNPJ | '01/01/2023 | 12/31/2999 |
| 23575 | 23575 - Closed treatment of scapular fracture; with manipulation with or without skeletal traction (with or without shoulder joint involvement) | 23575 - CLTX SCAPULAR FX W/MNPJ W/WO SKELETAL TRACTION | 23575 - CLTX SCAP FX W/MNPJ +-TRACTJ | '01/01/2023 | 12/31/2999 |
| 23585 | 23585 - Open treatment of scapular fracture (body glenoid or acromion) includes internal fixation when performed | 23585 - OPEN TX SCAPULAR FX W/INT FIXATION WHEN PFRMD | 23585 - OPTX SCAPULAR FX W/INT FIXJ | '01/01/2023 | 12/31/2999 |
| 23600 | 23600 - Closed treatment of proximal humeral (surgical or anatomical neck) fracture; without manipulation | 23600 - CLTX PROXIMAL HUMERAL FRACTURE W/O MANIPULATION | 23600 - CLTX PROX HUMRL FX W/O MNPJ | '01/01/2023 | 12/31/2999 |
| 23605 | 23605 - Closed treatment of proximal humeral (surgical or anatomical neck) fracture; with manipulation with or without skeletal traction | 23605 - CLTX PROX HUMRL FX W/MNPJ W/WO SKELETAL TRACJ | 23605 - CLTX PRX HMRL FX MNPJ+-TRACT | '01/01/2023 | 12/31/2999 |
| 23615 | 23615 - Open treatment of proximal humeral (surgical or anatomical neck) fracture includes internal fixation when performed includes repair of tuberosity(s) when performed; | 23615 - OPTX PROX HUMERAL FX W/INT FIXJ RPR TUBEROSITY | 23615 - OPTX PROX HUMRL FX W/INT FIX | '01/01/2023 | 12/31/2999 |
| 23616 | 23616 - Open treatment of proximal humeral (surgical or anatomical neck) fracture includes internal fixation when performed includes repair of tuberosity(s) when performed; with proximal humeral prosthetic replacement | 23616 - OPTX PROX HUMRL FX W/INT FIXJ RPR TUBRST RPLCMT | 23616 - OPTX PRX HMRL FX FIX RPR RPL | '01/01/2023 | 12/31/2999 |
| 23620 | 23620 - Closed treatment of greater humeral tuberosity fracture; without manipulation | 23620 - CLTX GREATER HUMERAL TUBEROSITY FX W/O MNPJ | 23620 - CLTX GR HMRL TBRS FX WO MNPJ | '01/01/2023 | 12/31/2999 |
| 23625 | 23625 - Closed treatment of greater humeral tuberosity fracture; with manipulation | 23625 - CLTX GREATER HUMRL TUBEROSITY FX W/MANIPULATION | 23625 - CLTX GR HMRL TBRS FX W/MNPJ | '01/01/2023 | 12/31/2999 |
| 23630 | 23630 - Open treatment of greater humeral tuberosity fracture includes internal fixation when performed | 23630 - OPTX GREATER HUMERAL TUBEROSITY FX W/INT FIXJ | 23630 - OPTX GR HMRL TBRS FX INT FIX | '01/01/2023 | 12/31/2999 |
| 23650 | 23650 - Closed treatment of shoulder dislocation with manipulation; without anesthesia | 23650 - CLSD TX SHOULDER DISLC W/MANIPULATION W/O ANES | 23650 - CLTX SHO DSLC W/MNPJ WO ANES | '01/01/2023 | 12/31/2999 |
| 23655 | 23655 - Closed treatment of shoulder dislocation with manipulation; requiring anesthesia | 23655 - CLSD TX SHOULDER DISLC W/MANIPULATION REQ ANES | 23655 - CLTX SHO DSLC W/MNPJ W/ANES | '01/01/2023 | 12/31/2999 |
| 23660 | 23660 - Open treatment of acute shoulder dislocation | 23660 - OPEN TX ACUTE SHOULDER DISLOCATION | 23660 - OPTX ACUTE SHOULDER DISLC | '01/01/2023 | 12/31/2999 |
| 23665 | 23665 - Closed treatment of shoulder dislocation with fracture of greater humeral tuberosity with manipulation | 23665 - CLTX SHOULDER DISLC W/FX HUMERAL TUBRST W/MNPJ | 23665 - CLTX SHO DSLC FX GR HMRL TBR | '01/01/2023 | 12/31/2999 |
| 23670 | 23670 - Open treatment of shoulder dislocation with fracture of greater humeral tuberosity includes internal fixation when performed | 23670 - OPTX SHO DISLC W/FX GR HUMERAL TUBRST INT FIXJ | 23670 - OPTX SHO DISLC FX | '01/01/2023 | 12/31/2999 |
| 23675 | 23675 - Closed treatment of shoulder dislocation with surgical or anatomical neck fracture with manipulation | 23675 - CLTX SHOULDER DISLC W/SURG/ANTMCL NECK FX W/MNPJ | 23675 - CLTX SHO DISLC NECK FX MNPJ | '01/01/2023 | 12/31/2999 |
| 23680 | 23680 - Open treatment of shoulder dislocation with surgical or anatomical neck fracture includes internal fixation when performed | 23680 - OPTX SHO DISLC W/SURG/ANTMCL NECK FX INT FIXJ | 23680 - OPTX SHO DISLC NECK FX FIXJ | '01/01/2023 | 12/31/2999 |
| 23700 | 23700 - Manipulation under anesthesia shoulder joint including application of fixation apparatus (dislocation excluded) | 23700 - MNPJ W/ANES SHOULDER JT APPL FIXATION APPARATUS | 23700 - MNPJ ANES SHO JT FIXJ APRATS | '01/01/2023 | 12/31/2999 |
| 23800 | 23800 - Arthrodesis glenohumeral joint; | 23800 - ARTHRODESIS GLENOHUMERAL JOINT | 23800 - ARTHRODESIS GLENOHUMERAL JT | '01/01/2023 | 12/31/2999 |
| 23802 | 23802 - Arthrodesis glenohumeral joint; with autogenous graft (includes obtaining graft) | 23802 - ARTHRODESIS GLENOHUMERAL JT W/AUTOGENOUS GRAFT | 23802 - ARTHRD GLENOHUMERAL JT W/GRF | '01/01/2023 | 12/31/2999 |
| 23900 | 23900 - Interthoracoscapular amputation (forequarter) | 23900 - INTERTHORACOSCAPULAR AMPUTATION | 23900 - INTERTHORACOSCPLR AMPUTATION | '01/01/2023 | 12/31/2999 |
| 23920 | 23920 - Disarticulation of shoulder; | 23920 - DISARTICULATION SHOULDER | 23920 - DISARTICULATION SHOULDER | '01/01/2023 | 12/31/2999 |
| 23921 | 23921 - Disarticulation of shoulder; secondary closure or scar revision | 23921 - DISRTCJ SHOULDER SECONDARY CLSR/SCAR REVISION | 23921 - DISARTICULATION SHO SEC CLSR | '01/01/2023 | 12/31/2999 |
| 23929 | 23929 - Unlisted procedure shoulder | 23929 - UNLISTED PROCEDURE SHOULDER | 23929 - UNLISTED PROCEDURE SHOULDER | '01/01/2023 | 12/31/2999 |
| 23930 | 23930 - Incision and drainage upper arm or elbow area; deep abscess or hematoma | 23930 - I&D UPPER ARM/ELBOW DEEP ABSCESS/HEMATOMA | 23930 - I&D UPR A/E DP ABSC/HMTMA | '01/01/2023 | 12/31/2999 |
| 23931 | 23931 - Incision and drainage upper arm or elbow area; bursa | 23931 - INCISION&DRAINAGE UPPER ARM/ELBOW BURSA | 23931 - I&D UPR A/E BURSA | '01/01/2023 | 12/31/2999 |
| 23935 | 23935 - Incision deep with opening of bone cortex (eg for osteomyelitis or bone abscess) humerus or elbow | 23935 - INC DEEP W/OPENING BONE CORTEX HUMERUS/ELBOW | 23935 - INC DP OPN B1 CRTX HUM/ELBW | '01/01/2023 | 12/31/2999 |
| 24000 | 24000 - Arthrotomy elbow including exploration drainage or removal of foreign body | 24000 - ARTHRT ELBOW W/EXPLORATION DRAINAGE/REMOVAL FB | 24000 - ARTHRT ELBW EXPL DRG/RMVL FB | '01/01/2023 | 12/31/2999 |
| 24006 | 24006 - Arthrotomy of the elbow with capsular excision for capsular release (separate procedure) | 24006 - ARTHRT ELBOW CAPSULAR EXCISION CAPSULAR RLS SPX | 24006 - ARTHRT ELBW CAPSL EXC RLS | '01/01/2023 | 12/31/2999 |
| 24065 | 24065 - Biopsy soft tissue of upper arm or elbow area; superficial | 24065 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW SUPERFICIAL | 24065 - BIOPSY ARM/ELBOW SOFT TISSUE | '01/01/2017 | 12/31/2999 |
| 24066 | 24066 - Biopsy soft tissue of upper arm or elbow area; deep (subfascial or intramuscular) | 24066 - BIOPSY SOFT TISSUE UPPER ARM/ELBOW AREA DEEP | 24066 - BIOPSY ARM/ELBOW SOFT TISSUE | '01/01/2017 | 12/31/2999 |
| 24071 | 24071 - Excision tumor soft tissue of upper arm or elbow area subcutaneous; 3 cm or greater | 24071 - EXC TUMOR SOFT TISSUE UPPER ARM/ELBOW SUBQ 3CM/> | 24071 - EXC ARM/ELBOW LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 24073 | 24073 - Excision tumor soft tissue of upper arm or elbow area subfascial (eg intramuscular); 5 cm or greater | 24073 - EXC TUMOR SOFT TISS UPPER ARM/ELBW SUBFASC 5CM/> | 24073 - EX ARM/ELBOW TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 24075 | 24075 - Excision tumor soft tissue of upper arm or elbow area subcutaneous; less than 3 cm | 24075 - EXC TUMOR SOFT TISS UPPER ARM/ELBOW SUBQ <3CM | 24075 - EXC ARM/ELBOW LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 24076 | 24076 - Excision tumor soft tissue of upper arm or elbow area subfascial (eg intramuscular); less than 5 cm | 24076 - EXC TUMOR SOFT TISS UPR ARM/ELBOW SUBFASC <5CM | 24076 - EX ARM/ELBOW TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 24077 | 24077 - Radical resection of tumor (eg sarcoma) soft tissue of upper arm or elbow area; less than 5 cm | 24077 - RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW <5CM | 24077 - RAD RESCJ TUM TISS A/E <5CM | '01/01/2023 | 12/31/2999 |
| 24079 | 24079 - Radical resection of tumor (eg sarcoma) soft tissue of upper arm or elbow area; 5 cm or greater | 24079 - RAD RESCJ TUMOR SOFT TISS UPPER ARM/ELBOW 5CM+ | 24079 - RAD RESCJ TUM TISS A/E 5 CM+ | '01/01/2023 | 12/31/2999 |
| 24100 | 24100 - Arthrotomy elbow; with synovial biopsy only | 24100 - ARTHROTOMY ELBOW W/SYNOVIAL BIOPSY ONLY | 24100 - ARTHRT ELBW SYNOVIAL BX ONLY | '01/01/2023 | 12/31/2999 |
| 24101 | 24101 - Arthrotomy elbow; with joint exploration with or without biopsy with or without removal of loose or foreign body | 24101 - ARTHRT ELBOW W/JT EXPL W/WOBX W/O RMVL LOOSE/FB | 24101 - ARTHRT ELBW JT EXPL BX RMVL | '01/01/2023 | 12/31/2999 |
| 24102 | 24102 - Arthrotomy elbow; with synovectomy | 24102 - ARTHROTOMY ELBOW W/SYNOVECTOMY | 24102 - ARTHRT ELBOW W/SYNOVECTOMY | '01/01/2023 | 12/31/2999 |
| 24105 | 24105 - Excision olecranon bursa | 24105 - EXCISION OLECRANON BURSA | 24105 - EXCISION OLECRANON BURSA | '01/01/2023 | 12/31/2999 |
| 24110 | 24110 - Excision or curettage of bone cyst or benign tumor humerus; | 24110 - EXCISION/CURTG BONE CYST/BENIGN TUMOR HUMERUS | 24110 - EXC/CURTG B1 CST/B9 TUM HUM | '01/01/2023 | 12/31/2999 |
| 24115 | 24115 - Excision or curettage of bone cyst or benign tumor humerus; with autograft (includes obtaining graft) | 24115 - EXC/CURTG BONE CYST/BENIGN TUMOR HUMERUS W/AGRFT | 24115 - EXC/CRTG B1 CST/TUM HUM AGRF | '01/01/2023 | 12/31/2999 |
| 24116 | 24116 - Excision or curettage of bone cyst or benign tumor humerus; with allograft | 24116 - EXC/CURTG BONE CYST/BENIGN TUM HUMERUS W/ALGRFT | 24116 - EXC/CRTG B1 CST/TUM HUM ALGR | '01/01/2023 | 12/31/2999 |
| 24120 | 24120 - Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; | 24120 - EXC/CURTG BONE CYST/BENIGN TUMOR H/N RDS/OLECRN | 24120 - EXC/CRTG B1 CST/B9 TUM RDS | '01/01/2023 | 12/31/2999 |
| 24125 | 24125 - Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with autograft (includes obtaining graft) | 24125 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/AGRFT | 24125 - EXC/CRTG B1 CST/TUM RDS AGRF | '01/01/2023 | 12/31/2999 |
| 24126 | 24126 - Excision or curettage of bone cyst or benign tumor of head or neck of radius or olecranon process; with allograft | 24126 - EXC/CURTG BONE CST/B9 TUM H/N RDS/OLECRN W/ALGRT | 24126 - EXC/CRTG B1 CST/TUM RDS ALGR | '01/01/2023 | 12/31/2999 |
| 24130 | 24130 - Excision radial head | 24130 - EXCISION RADIAL HEAD | 24130 - EXCISION RADIAL HEAD | '01/01/2023 | 12/31/2999 |
| 24134 | 24134 - Sequestrectomy (eg for osteomyelitis or bone abscess) shaft or distal humerus | 24134 - SEQUESTRECTOMY SHAFT/DISTAL HUMERUS | 24134 - SEQUESTRECTOMY SHFT/DSTL HUM | '01/01/2023 | 12/31/2999 |
| 24136 | 24136 - Sequestrectomy (eg for osteomyelitis or bone abscess) radial head or neck | 24136 - SEQUESTRECTOMY RADIAL HEAD OR NECK | 24136 - SEQUESTRECTOMY RADIAL H/N | '01/01/2023 | 12/31/2999 |
| 24138 | 24138 - Sequestrectomy (eg for osteomyelitis or bone abscess) olecranon process | 24138 - SEQUESTRECTOMY OLECRANON PROCESS | 24138 - SEQUESTRECTOMY OLECRN PROCES | '01/01/2023 | 12/31/2999 |
| 24140 | 24140 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) humerus | 24140 - PARTIAL EXCISION BONE HUMERUS | 24140 - PARTIAL EXC BONE HUMERUS | '01/01/2023 | 12/31/2999 |
| 24145 | 24145 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) radial head or neck | 24145 - PARTIAL EXCISION BONE RADIAL HEAD/NECK | 24145 - PRTL EXC BONE RADIAL H/N | '01/01/2023 | 12/31/2999 |
| 24147 | 24147 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis) olecranon process | 24147 - PARTIAL EXCISION BONE OLECRANON PROCESS | 24147 - PRTL EXC BONE OLECRN PROCESS | '01/01/2023 | 12/31/2999 |
| 24149 | 24149 - Radical resection of capsule soft tissue and heterotopic bone elbow with contracture release (separate procedure) | 24149 - RAD RESCJ CAPSL TISS&HTRTPC B1 ELBW CONTRCT RLS | 24149 - RADICAL RESECTION OF ELBOW | '01/01/2023 | 12/31/2999 |
| 24150 | 24150 - Radical resection of tumor shaft or distal humerus | 24150 - RADICAL RESECTION TUMOR SHAFT/DISTAL HUMERUS | 24150 - RAD RESCJ TUM DSTL/SHFT HUM | '01/01/2023 | 12/31/2999 |
| 24152 | 24152 - Radical resection of tumor radial head or neck | 24152 - RADICAL RESECTION TUMOR RADIAL HEAD/NECK | 24152 - RAD RESECTION TUM RADIAL H/N | '01/01/2023 | 12/31/2999 |
| 24155 | 24155 - Resection of elbow joint (arthrectomy) | 24155 - RESECTION ELBOW JOINT ARTHRECTOMY | 24155 - RESECTION OF ELBOW JOINT | '01/01/2023 | 12/31/2999 |
| 24160 | 24160 - Removal of prosthesis includes debridement and synovectomy when performed; humeral and ulnar components | 24160 - PROSTHESIS REMOVAL HUMERAL AND ULNAR COMPONENTS | 24160 - RMVL PROSTHHUMRL&ULNAR CMPNT | '01/01/2023 | 12/31/2999 |
| 24164 | 24164 - Removal of prosthesis includes debridement and synovectomy when performed; radial head | 24164 - PROSTHESIS REMOVAL RADIAL HEAD | 24164 - REMOVAL PROSTH RADIAL HEAD | '01/01/2023 | 12/31/2999 |
| 24200 | 24200 - Removal of foreign body upper arm or elbow area; subcutaneous | 24200 - RMVL FOREIGN BODY UPPER ARM/ELBOW SUBCUTANEOUS | 24200 - RMVL FB UPPER ARM/ELBW SUBQ | '01/01/2023 | 12/31/2999 |
| 24201 | 24201 - Removal of foreign body upper arm or elbow area; deep (subfascial or intramuscular) | 24201 - REMOVAL FOREIGN BODY UPPER ARM/ELBOW DEEP | 24201 - RMVL FB UPPER ARM/ELBW DEEP | '01/01/2023 | 12/31/2999 |
| 24220 | 24220 - Injection procedure for elbow arthrography | 24220 - INJECTION PROCEDURE FOR ELBOW ARTHROGRAPHY | 24220 - INJECTION PX FOR ELBOW ARTHG | '01/01/2023 | 12/31/2999 |
| 24300 | 24300 - Manipulation elbow under anesthesia | 24300 - MANIPULATION ELBOW UNDER ANESTHESIA | 24300 - MNPJ ELBOW UNDER ANES | '01/01/2023 | 12/31/2999 |
| 24301 | 24301 - Muscle or tendon transfer any type upper arm or elbow single (excluding 24320-24331) | 24301 - MUSCLE/TENDON TRANSFER UPPER ARM/ELBOW SINGLE | 24301 - MUSC/TDN TRANSFER UPR A/E 1 | '01/01/2023 | 12/31/2999 |
| 24305 | 24305 - Tendon lengthening upper arm or elbow each tendon | 24305 - TENDON LENGTHENING UPPER ARM/ELBOW EA TENDON | 24305 - TENDON LNGTH UPR A/E EA TDN | '01/01/2023 | 12/31/2999 |
| 24310 | 24310 - Tenotomy open elbow to shoulder each tendon | 24310 - TENOTOMY OPEN ELBOW TO SHOULDER EACH TENDON | 24310 - TNOT OPN ELBW TO SHO EA TDN | '01/01/2023 | 12/31/2999 |
| 24320 | 24320 - Tenoplasty with muscle transfer with or without free graft elbow to shoulder single (Seddon-Brookes type procedure) | 24320 - TENOPLASTY ELBOW TO SHOULDER SINGLE | 24320 - TENOPLASTY ELBOW TO SHO 1 | '01/01/2023 | 12/31/2999 |
| 24330 | 24330 - Flexor-plasty elbow (eg Steindler type advancement); | 24330 - FLEXOR-PLASTY ELBOW | 24330 - FLEXOR-PLASTY ELBOW | '01/01/2023 | 12/31/2999 |
| 24331 | 24331 - Flexor-plasty elbow (eg Steindler type advancement); with extensor advancement | 24331 - FLEXOR-PLASTY ELBOW W/EXTENSOR ADVANCEMENT | 24331 - FLEXOR-PLASTY ELBW W/ADVMNT | '01/01/2023 | 12/31/2999 |
| 24332 | 24332 - Tenolysis triceps | 24332 - TENOLYSIS TRICEPS | 24332 - TENOLYSIS TRICEPS | '01/01/2017 | 12/31/2999 |
| 24340 | 24340 - Tenodesis of biceps tendon at elbow (separate procedure) | 24340 - TENODESIS BICEPS TENDON ELBOW SEPARATE PROCEDURE | 24340 - TENODESIS BICEPS TDN AT ELBW | '01/01/2023 | 12/31/2999 |
| 24341 | 24341 - Repair tendon or muscle upper arm or elbow each tendon or muscle primary or secondary (excludes rotator cuff) | 24341 - REPAIR TENDON/MUSCLE UPPER ARM/ELBOW EA TDN/MUSC | 24341 - RPR TDN/MUSC UPR A/E EACH | '01/01/2023 | 12/31/2999 |
| 24342 | 24342 - Reinsertion of ruptured biceps or triceps tendon distal with or without tendon graft | 24342 - RINSJ RPTD BICEPS/TRICEPS TDN DSTL W/WO TDN GRF | 24342 - REPAIR OF RUPTURED TENDON | '01/01/2017 | 12/31/2999 |
| 24343 | 24343 - Repair lateral collateral ligament elbow with local tissue | 24343 - REPAIR LATERAL COLLATERAL LIGAMENT ELBOW | 24343 - REPR ELBOW LAT LIGMNT W/TISS | '01/01/2017 | 12/31/2999 |
| 24344 | 24344 - Reconstruction lateral collateral ligament elbow with tendon graft (includes harvesting of graft) | 24344 - RCNSTJ LAT COLTRL LIGM ELBOW W/TENDON GRAFT | 24344 - RECONSTRUCT ELBOW LAT LIGMNT | '01/01/2017 | 12/31/2999 |
| 24345 | 24345 - Repair medial collateral ligament elbow with local tissue | 24345 - REPAIR MEDIAL COLLATERAL LIGAMENT ELBOW | 24345 - REPR ELBW MED LIGMNT W/TISSU | '01/01/2017 | 12/31/2999 |
| 24346 | 24346 - Reconstruction medial collateral ligament elbow with tendon graft (includes harvesting of graft) | 24346 - RCNSTJ MEDIAL COLTRL LIGM ELBW W/TDN GRF | 24346 - RECONSTRUCT ELBOW MED LIGMNT | '01/01/2017 | 12/31/2999 |
| 24357 | 24357 - Tenotomy elbow lateral or medial (eg epicondylitis tennis elbow golfer's elbow); percutaneous | 24357 - TENOTOMY ELBOW LATERAL/MEDIAL PERCUTANEOUS | 24357 - REPAIR ELBOW PERC | '01/01/2017 | 12/31/2999 |
| 24358 | 24358 - Tenotomy elbow lateral or medial (eg epicondylitis tennis elbow golfer's elbow); debridement soft tissue and/or bone open | 24358 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN | 24358 - REPAIR ELBOW W/DEB OPEN | '01/01/2017 | 12/31/2999 |
| 24359 | 24359 - Tenotomy elbow lateral or medial (eg epicondylitis tennis elbow golfer's elbow); debridement soft tissue and/or bone open with tendon repair or reattachment | 24359 - TNOT ELBOW LATERAL/MEDIAL DEBRIDE OPEN TDN RPR | 24359 - REPAIR ELBOW DEB/ATTCH OPEN | '01/01/2017 | 12/31/2999 |
| 24360 | 24360 - Arthroplasty elbow; with membrane (eg fascial) | 24360 - ARTHROPLASTY ELBOW W/MEMBRANE | 24360 - RECONSTRUCT ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24361 | 24361 - Arthroplasty elbow; with distal humeral prosthetic replacement | 24361 - ARTHROPLASTY ELBOW W/DISTAL HUMRL PROSTC RPLCMT | 24361 - RECONSTRUCT ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24362 | 24362 - Arthroplasty elbow; with implant and fascia lata ligament reconstruction | 24362 - ARTHRP ELBOW W/IMPLT&FSCA LATA LIGAMENT RCNSTJ | 24362 - RECONSTRUCT ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24363 | 24363 - Arthroplasty elbow; with distal humerus and proximal ulnar prosthetic replacement (eg total elbow) | 24363 - ARTHRP ELBOW W/DISTAL HUM&PROX UR PROSTC RPLCM | 24363 - REPLACE ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24365 | 24365 - Arthroplasty radial head; | 24365 - ARTHROPLASTY RADIAL HEAD | 24365 - RECONSTRUCT HEAD OF RADIUS | '01/01/2017 | 12/31/2999 |
| 24366 | 24366 - Arthroplasty radial head; with implant | 24366 - ARTHROPLASTY RADIAL HEAD W/IMPLANT | 24366 - RECONSTRUCT HEAD OF RADIUS | '01/01/2017 | 12/31/2999 |
| 24370 | 24370 - Revision of total elbow arthroplasty including allograft when performed; humeral or ulnar component | 24370 - REVIS ELBOW ARTHRPLSTY HUMERAL/ULNA COMPNT | 24370 - REVISE RECONST ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24371 | 24371 - Revision of total elbow arthroplasty including allograft when performed; humeral and ulnar component | 24371 - REVIS ELBOW ARTHRPLSTY HUMERAL&ULNA COMPNT | 24371 - REVISE RECONST ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24400 | 24400 - Osteotomy humerus with or without internal fixation | 24400 - OSTEOTOMY HUMERUS W/WO INTERNAL FIXATION | 24400 - REVISION OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 24410 | 24410 - Multiple osteotomies with realignment on intramedullary rod humeral shaft (Sofield type procedure) | 24410 - MLT OSTEOT W/RELIGNMT IMED ROD HUMERAL SHAFT | 24410 - REVISION OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 24420 | 24420 - Osteoplasty humerus (eg shortening or lengthening) (excluding 64876) | 24420 - OSTEOPLASTY HUMERUS | 24420 - REVISION OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 24430 | 24430 - Repair of nonunion or malunion humerus; without graft (eg compression technique) | 24430 - REPAIR NON/MALUNION HUMERUS W/O GRAFT | 24430 - REPAIR OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 24435 | 24435 - Repair of nonunion or malunion humerus; with iliac or other autograft (includes obtaining graft) | 24435 - REPAIR NON/MALUNION HUMERUS W/ILIAC/OTH AGRFT | 24435 - REPAIR HUMERUS WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 24470 | 24470 - Hemiepiphyseal arrest (eg cubitus varus or valgus distal humerus) | 24470 - HEMIEPIPHYSEAL ARREST | 24470 - REVISION OF ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24495 | 24495 - Decompression fasciotomy forearm with brachial artery exploration | 24495 - DECOMPRESSION FASCT F/ARM W/BRACH ART EXPL | 24495 - DECOMPRESSION OF FOREARM | '01/01/2017 | 12/31/2999 |
| 24498 | 24498 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate humeral shaft | 24498 - PROPH TX W/WO METHYLMETHACRYLATE HUMERAL SHAFT | 24498 - REINFORCE HUMERUS | '01/01/2017 | 12/31/2999 |
| 24500 | 24500 - Closed treatment of humeral shaft fracture; without manipulation | 24500 - CLSD TX HUMERAL SHAFT FRACTURE W/O MANIPULATION | 24500 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24505 | 24505 - Closed treatment of humeral shaft fracture; with manipulation with or without skeletal traction | 24505 - CLTX HUMERAL SHFT FX W/MANJ W/WO SKELETAL TRACJ | 24505 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24515 | 24515 - Open treatment of humeral shaft fracture with plate/screws with or without cerclage | 24515 - OPTX HUMERAL SHFT FX W/PLATE/SCREWS W/WOCERCLAGE | 24515 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24516 | 24516 - Treatment of humeral shaft fracture with insertion of intramedullary implant with or without cerclage and/or locking screws | 24516 - TX HUMRAL SHAFT FX W/INSJ IMED IMPLT W/W CERCLGE | 24516 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24530 | 24530 - Closed treatment of supracondylar or transcondylar humeral fracture with or without intercondylar extension; without manipulation | 24530 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/WO MANJ | 24530 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24535 | 24535 - Closed treatment of supracondylar or transcondylar humeral fracture with or without intercondylar extension; with manipulation with or without skin or skeletal traction | 24535 - CLTX SPRCNDYLR/TRANSCNDYLR HUMERAL FX W/MANJ | 24535 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24538 | 24538 - Percutaneous skeletal fixation of supracondylar or transcondylar humeral fracture with or without intercondylar extension | 24538 - PRQ SKEL FIXJ SPRCNDYLR/TRANSCNDYLR HUMERAL FX | 24538 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24545 | 24545 - Open treatment of humeral supracondylar or transcondylar fracture includes internal fixation when performed; without intercondylar extension | 24545 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/O XTN | 24545 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24546 | 24546 - Open treatment of humeral supracondylar or transcondylar fracture includes internal fixation when performed; with intercondylar extension | 24546 - OPEN TX HUMERAL SUPRACONDYLAR FRACTURE W/XTN | 24546 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24560 | 24560 - Closed treatment of humeral epicondylar fracture medial or lateral; without manipulation | 24560 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/O MANJ | 24560 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24565 | 24565 - Closed treatment of humeral epicondylar fracture medial or lateral; with manipulation | 24565 - CLTX HUMERAL EPICONDYLAR FX MEDIAL/LAT W/MANJ | 24565 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24566 | 24566 - Percutaneous skeletal fixation of humeral epicondylar fracture medial or lateral with manipulation | 24566 - PRQ SKEL FIXJ HUMRL EPCNDYLR FX MEDIAL/LAT MANJ | 24566 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24575 | 24575 - Open treatment of humeral epicondylar fracture medial or lateral includes internal fixation when performed | 24575 - OPEN TX HUMERAL EPICONDYLAR FRACTURE | 24575 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24576 | 24576 - Closed treatment of humeral condylar fracture medial or lateral; without manipulation | 24576 - CLTX HUMERAL CONDYLAR FX MEDIAL/LAT W/O MANJ | 24576 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24577 | 24577 - Closed treatment of humeral condylar fracture medial or lateral; with manipulation | 24577 - CLTX HUMERAL CONDYLAR FX MEDIAL/LATERAL W/MANJ | 24577 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24579 | 24579 - Open treatment of humeral condylar fracture medial or lateral includes internal fixation when performed | 24579 - OPEN TREATMENT HUMERAL CONDYLAR FRACTURE | 24579 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24582 | 24582 - Percutaneous skeletal fixation of humeral condylar fracture medial or lateral with manipulation | 24582 - PRQ SKEL FIXJ HUMRL CNDYLR FX MEDIAL/LAT W/MANJ | 24582 - TREAT HUMERUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24586 | 24586 - Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); | 24586 - OPTX PERIARTICULAR FRACTURE &/DISLOCATION ELBO | 24586 - TREAT ELBOW FRACTURE | '01/01/2017 | 12/31/2999 |
| 24587 | 24587 - Open treatment of periarticular fracture and/or dislocation of the elbow (fracture distal humerus and proximal ulna and/or proximal radius); with implant arthroplasty | 24587 - OPTX PRIARTICULAR FX&/DISLC ELBW W/IMPLT ARTHR | 24587 - TREAT ELBOW FRACTURE | '01/01/2017 | 12/31/2999 |
| 24600 | 24600 - Treatment of closed elbow dislocation; without anesthesia | 24600 - TREATMENT CLOSED ELBOW DISLOCATION W/O ANES | 24600 - TREAT ELBOW DISLOCATION | '01/01/2017 | 12/31/2999 |
| 24605 | 24605 - Treatment of closed elbow dislocation; requiring anesthesia | 24605 - TREATMENT CLOSED ELBOW DISLOCATION REQ ANES | 24605 - TREAT ELBOW DISLOCATION | '01/01/2017 | 12/31/2999 |
| 24615 | 24615 - Open treatment of acute or chronic elbow dislocation | 24615 - OPEN TX ACUTE/CHRONIC ELBOW DISLOCATION | 24615 - TREAT ELBOW DISLOCATION | '01/01/2017 | 12/31/2999 |
| 24620 | 24620 - Closed treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head) with manipulation | 24620 - CLOSED TX MONTEGGIA FX DISLOCATION ELBOW W/MANJ | 24620 - TREAT ELBOW FRACTURE | '01/01/2017 | 12/31/2999 |
| 24635 | 24635 - Open treatment of Monteggia type of fracture dislocation at elbow (fracture proximal end of ulna with dislocation of radial head) includes internal fixation when performed | 24635 - OPEN TX MONTEGGIA FRACTURE DISLOCATION ELBOW | 24635 - TREAT ELBOW FRACTURE | '01/01/2017 | 12/31/2999 |
| 24640 | 24640 - Closed treatment of radial head subluxation in child nursemaid elbow with manipulation | 24640 - CLTX RDL HEAD SUBLXTJ CHLD NURSEMAID ELBW W/MANJ | 24640 - TREAT ELBOW DISLOCATION | '01/01/2017 | 12/31/2999 |
| 24650 | 24650 - Closed treatment of radial head or neck fracture; without manipulation | 24650 - CLOSED TX RADIAL HEAD/NECK FX W/O MANIPULATION | 24650 - TREAT RADIUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24655 | 24655 - Closed treatment of radial head or neck fracture; with manipulation | 24655 - CLOSED TX RADIAL HEAD/NECK FX W/MANIPULATION | 24655 - TREAT RADIUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24665 | 24665 - Open treatment of radial head or neck fracture includes internal fixation or radial head excision when performed; | 24665 - OPEN TX RADIAL HEAD/NECK FRACTURE | 24665 - TREAT RADIUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24666 | 24666 - Open treatment of radial head or neck fracture includes internal fixation or radial head excision when performed; with radial head prosthetic replacement | 24666 - OPEN TX RADIAL HEAD/NECK FRACTURE PROSTHETIC | 24666 - TREAT RADIUS FRACTURE | '01/01/2017 | 12/31/2999 |
| 24670 | 24670 - Closed treatment of ulnar fracture proximal end (eg olecranon or coronoid process[es]); without manipulation | 24670 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/O MANJ | 24670 - TREAT ULNAR FRACTURE | '01/01/2017 | 12/31/2999 |
| 24675 | 24675 - Closed treatment of ulnar fracture proximal end (eg olecranon or coronoid process[es]); with manipulation | 24675 - CLOSED TX ULNAR FRACTURE PROXIMAL END W/MANJ | 24675 - TREAT ULNAR FRACTURE | '01/01/2017 | 12/31/2999 |
| 24685 | 24685 - Open treatment of ulnar fracture proximal end (eg olecranon or coronoid process[es]) includes internal fixation when performed | 24685 - OPEN TREATMENT ULNAR FRACTURE PROXIMAL END | 24685 - TREAT ULNAR FRACTURE | '01/01/2017 | 12/31/2999 |
| 24800 | 24800 - Arthrodesis elbow joint; local | 24800 - ARTHRODESIS ELBOW JOINT LOCAL | 24800 - FUSION OF ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24802 | 24802 - Arthrodesis elbow joint; with autogenous graft (includes obtaining graft) | 24802 - ARTHRODESIS ELBOW JOINT W/AUTOGENOUS GRAFT | 24802 - FUSION/GRAFT OF ELBOW JOINT | '01/01/2017 | 12/31/2999 |
| 24900 | 24900 - Amputation arm through humerus; with primary closure | 24900 - AMPUTATION ARM THRU HUMERUS W/PRIMARY CLOSURE | 24900 - AMPUTATION OF UPPER ARM | '01/01/2017 | 12/31/2999 |
| 24920 | 24920 - Amputation arm through humerus; open circular (guillotine) | 24920 - AMPUTATION ARM THRU HUMERUS OPEN CIRCULAR | 24920 - AMPUTATION OF UPPER ARM | '01/01/2017 | 12/31/2999 |
| 24925 | 24925 - Amputation arm through humerus; secondary closure or scar revision | 24925 - AMP ARM THRU HUMERUS SECONDARY CLSR/SCAR REVJ | 24925 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 24930 | 24930 - Amputation arm through humerus; re-amputation | 24930 - AMPUTATION ARM THRU HUMERUS RE-AMPUTATION | 24930 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 24931 | 24931 - Amputation arm through humerus; with implant | 24931 - AMPUTATION ARM THRU HUMERUS W/IMPLANT | 24931 - AMPUTATE UPPER ARM & IMPLANT | '01/01/2017 | 12/31/2999 |
| 24935 | 24935 - Stump elongation upper extremity | 24935 - STUMP ELONGATION UPPER EXTREMITY | 24935 - REVISION OF AMPUTATION | '01/01/2017 | 12/31/2999 |
| 24940 | 24940 - Cineplasty upper extremity complete procedure | 24940 - CINEPLASTY UPPER EXTREMITY COMPLETE PROCEDURE | 24940 - REVISION OF UPPER ARM | '01/01/2017 | 12/31/2999 |
| 24999 | 24999 - Unlisted procedure humerus or elbow | 24999 - UNLISTED PROCEDURE HUMERUS/ELBOW | 24999 - UNLISTED PX HUMERUS/ELBOW | '01/01/2023 | 12/31/2999 |
| 25000 | 25000 - Incision extensor tendon sheath wrist (eg de Quervains disease) | 25000 - INCISION EXTENSOR TENDON SHEATH WRIST | 25000 - INCISION OF TENDON SHEATH | '01/01/2018 | 12/31/2999 |
| 25001 | 25001 - Incision flexor tendon sheath wrist (eg flexor carpi radialis) | 25001 - INCISION FLEXOR TENDON SHEATH WRIST | 25001 - INCISE FLEXOR CARPI RADIALIS | '01/01/2017 | 12/31/2999 |
| 25020 | 25020 - Decompression fasciotomy forearm and/or wrist flexor OR extensor compartment; without debridement of nonviable muscle and/or nerve | 25020 - DCMPRN FASCT F/ARM&WRST FLXR/XTNSR W/O DBRDMT | 25020 - DECOMPRESS FOREARM 1 SPACE | '01/01/2017 | 12/31/2999 |
| 25023 | 25023 - Decompression fasciotomy forearm and/or wrist flexor OR extensor compartment; with debridement of nonviable muscle and/or nerve | 25023 - DCMPRN FASCT F/ARM&/WRST FLXR/XTNSR W/DBRDMT | 25023 - DECOMPRESS FOREARM 1 SPACE | '01/01/2017 | 12/31/2999 |
| 25024 | 25024 - Decompression fasciotomy forearm and/or wrist flexor AND extensor compartment; without debridement of nonviable muscle and/or nerve | 25024 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR W/O DB | 25024 - DECOMPRESS FOREARM 2 SPACES | '01/01/2017 | 12/31/2999 |
| 25025 | 25025 - Decompression fasciotomy forearm and/or wrist flexor AND extensor compartment; with debridement of nonviable muscle and/or nerve | 25025 - DCMPRN FASCT F/ARM&/WRST FLXR&XTNSR DBRDMT | 25025 - DECOMPRESS FOREARM 2 SPACES | '01/01/2017 | 12/31/2999 |
| 25028 | 25028 - Incision and drainage forearm and/or wrist; deep abscess or hematoma | 25028 - I&D FOREARM&/WRIST DEEP ABSCESS/HEMATOMA | 25028 - DRAINAGE OF FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25031 | 25031 - Incision and drainage forearm and/or wrist; bursa | 25031 - INCISION & DRAINAGE FOREARM&/WRIST BURSA | 25031 - DRAINAGE OF FOREARM BURSA | '01/01/2017 | 12/31/2999 |
| 25035 | 25035 - Incision deep bone cortex forearm and/or wrist (eg osteomyelitis or bone abscess) | 25035 - INCISION DEEP BONE CORTEX FOREARM&/WRIST | 25035 - TREAT FOREARM BONE LESION | '01/01/2017 | 12/31/2999 |
| 25040 | 25040 - Arthrotomy radiocarpal or midcarpal joint with exploration drainage or removal of foreign body | 25040 - ARTHRT RDCRPL/MIDCARPL JT W/EXPL DRG/RMVL FB | 25040 - EXPLORE/TREAT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25065 | 25065 - Biopsy soft tissue of forearm and/or wrist; superficial | 25065 - BIOPSY SOFT TISSUE FOREARM&/WRIST SUPERFICIAL | 25065 - BIOPSY FOREARM SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 25066 | 25066 - Biopsy soft tissue of forearm and/or wrist; deep (subfascial or intramuscular) | 25066 - BIOPSY SOFT TISSUE FOREARM&/WRIST DEEP | 25066 - BIOPSY FOREARM SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 25071 | 25071 - Excision tumor soft tissue of forearm and/or wrist area subcutaneous; 3 cm or greater | 25071 - EXC TUMOR SOFT TISS FOREARM AND/WRIST SUBQ 3CM/> | 25071 - EXC FOREARM LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 25073 | 25073 - Excision tumor soft tissue of forearm and/or wrist area subfascial (eg intramuscular); 3 cm or greater | 25073 - EXC TUMOR SFT TISS FOREARM&/WRIST SUBFASC 3CM/> | 25073 - EXC FOREARM TUM DEEP 3 CM/> | '01/01/2017 | 12/31/2999 |
| 25075 | 25075 - Excision tumor soft tissue of forearm and/or wrist area subcutaneous; less than 3 cm | 25075 - EXC TUMOR SOFT TISSUE FOREARM &/WRIST SUBQ <3CM | 25075 - EXC FOREARM LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 25076 | 25076 - Excision tumor soft tissue of forearm and/or wrist area subfascial (eg intramuscular); less than 3 cm | 25076 - EXC TUMOR SOFT TISS FOREARM&/WRIST SUBFASC <3CM | 25076 - EXC FOREARM TUM DEEP < 3 CM | '01/01/2017 | 12/31/2999 |
| 25077 | 25077 - Radical resection of tumor (eg sarcoma) soft tissue of forearm and/or wrist area; less than 3 cm | 25077 - RAD RESECT TUMOR SOFT TISS FOREARM&/WRIST <3 CM | 25077 - RESECT FOREARM/WRIST TUM<3CM | '01/01/2017 | 12/31/2999 |
| 25078 | 25078 - Radical resection of tumor (eg sarcoma) soft tissue of forearm and/or wrist area; 3 cm or greater | 25078 - RAD RESCJ TUM SOFT TISSUE FOREARM&/WRIST 3 CM/> | 25078 - RESECT FORARM/WRIST TUM 3CM> | '01/01/2017 | 12/31/2999 |
| 25085 | 25085 - Capsulotomy wrist (eg contracture) | 25085 - CAPSULOTOMY WRIST | 25085 - INCISION OF WRIST CAPSULE | '01/01/2017 | 12/31/2999 |
| 25100 | 25100 - Arthrotomy wrist joint; with biopsy | 25100 - ARTHROTOMY WRIST JOINT WITH BIOPSY | 25100 - BIOPSY OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25101 | 25101 - Arthrotomy wrist joint; with joint exploration with or without biopsy with or without removal of loose or foreign body | 25101 - ARTHRT WRST W/JT EXPL W/WO BX W/WO RMVL LOOSE/FB | 25101 - EXPLORE/TREAT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25105 | 25105 - Arthrotomy wrist joint; with synovectomy | 25105 - ARTHROTOMY WRIST JOINT WITH SYNOVECTOMY | 25105 - REMOVE WRIST JOINT LINING | '01/01/2017 | 12/31/2999 |
| 25107 | 25107 - Arthrotomy distal radioulnar joint including repair of triangular cartilage complex | 25107 - ARTHROTOMY DSTL RADIOULNAR JOINT RPR CARTILAGE | 25107 - REMOVE WRIST JOINT CARTILAGE | '01/01/2017 | 12/31/2999 |
| 25109 | 25109 - Excision of tendon forearm and/or wrist flexor or extensor each | 25109 - EXC TENDON FOREARM&/WRIST FLEXOR/EXTENSOR EA | 25109 - EXCISE TENDON FOREARM/WRIST | '01/01/2017 | 12/31/2999 |
| 25110 | 25110 - Excision lesion of tendon sheath forearm and/or wrist | 25110 - EXCISION LESION TENDON SHEATH FOREARM&/WRIST | 25110 - REMOVE WRIST TENDON LESION | '01/01/2017 | 12/31/2999 |
| 25111 | 25111 - Excision of ganglion wrist (dorsal or volar); primary | 25111 - EXCISION GANGLION WRIST DORSAL/VOLAR PRIMARY | 25111 - REMOVE WRIST TENDON LESION | '01/01/2017 | 12/31/2999 |
| 25112 | 25112 - Excision of ganglion wrist (dorsal or volar); recurrent | 25112 - EXCISION GANGLION WRIST DORSAL/VOLAR RECURRENT | 25112 - REREMOVE WRIST TENDON LESION | '01/01/2017 | 12/31/2999 |
| 25115 | 25115 - Radical excision of bursa synovia of wrist or forearm tendon sheaths (eg tenosynovitis fungus Tbc or other granulomas rheumatoid arthritis); flexors | 25115 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS FLXRS | 25115 - REMOVE WRIST/FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25116 | 25116 - Radical excision of bursa synovia of wrist or forearm tendon sheaths (eg tenosynovitis fungus Tbc or other granulomas rheumatoid arthritis); extensors with or without transposition of dorsal retinaculum | 25116 - RAD EXC BURSA SYNVA WRST/F/ARM TDN SHTHS XTNSRS | 25116 - REMOVE WRIST/FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25118 | 25118 - Synovectomy extensor tendon sheath wrist single compartment; | 25118 - SYNOVECTOMY EXTENSOR TENDON SHTH WRIST 1 CMPRT | 25118 - EXCISE WRIST TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 25119 | 25119 - Synovectomy extensor tendon sheath wrist single compartment; with resection of distal ulna | 25119 - SYNVCT XTNSR TDN SHTH WRST 1 RESCJ DSTL ULNA | 25119 - PARTIAL REMOVAL OF ULNA | '01/01/2017 | 12/31/2999 |
| 25120 | 25120 - Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); | 25120 - EXCISION/CURETTAGE CYST/TUMOR RADIUS/ULNA | 25120 - REMOVAL OF FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25125 | 25125 - Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with autograft (includes obtaining graft) | 25125 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/AUTOGRAFT | 25125 - REMOVE/GRAFT FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25126 | 25126 - Excision or curettage of bone cyst or benign tumor of radius or ulna (excluding head or neck of radius and olecranon process); with allograft | 25126 - EXC/CURTG CYST/TUMOR RADIUS/ULNA W/ALLOGRAFT | 25126 - REMOVE/GRAFT FOREARM LESION | '01/01/2017 | 12/31/2999 |
| 25130 | 25130 - Excision or curettage of bone cyst or benign tumor of carpal bones; | 25130 - EXCISION/CURETTAGE CYST/TUMOR CARPAL BONES | 25130 - REMOVAL OF WRIST LESION | '01/01/2017 | 12/31/2999 |
| 25135 | 25135 - Excision or curettage of bone cyst or benign tumor of carpal bones; with autograft (includes obtaining graft) | 25135 - EXC/CURTG CYST/TUMOR CARPAL BONES W/AUTOGRAFT | 25135 - REMOVE & GRAFT WRIST LESION | '01/01/2017 | 12/31/2999 |
| 25136 | 25136 - Excision or curettage of bone cyst or benign tumor of carpal bones; with allograft | 25136 - EXC/CURTG CYST/TUMOR CARPAL BONES W/ALLOGRAFT | 25136 - REMOVE & GRAFT WRIST LESION | '01/01/2017 | 12/31/2999 |
| 25145 | 25145 - Sequestrectomy (eg for osteomyelitis or bone abscess) forearm and/or wrist | 25145 - SEQUESTRECTOMY FOREARM &/WRIST | 25145 - REMOVE FOREARM BONE LESION | '01/01/2017 | 12/31/2999 |
| 25150 | 25150 - Partial excision (craterization saucerization or diaphysectomy) of bone (eg for osteomyelitis); ulna | 25150 - PARTIAL EXCISION BONE ULNA | 25150 - PARTIAL REMOVAL OF ULNA | '01/01/2017 | 12/31/2999 |
| 25151 | 25151 - Partial excision (craterization saucerization or diaphysectomy) of bone (eg for osteomyelitis); radius | 25151 - PARTIAL EXCISION BONE RADIUS | 25151 - PARTIAL REMOVAL OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25170 | 25170 - Radical resection of tumor radius or ulna | 25170 - RADICAL RESECTION TUMOR RADIUS OR ULNA | 25170 - RESECT RADIUS/ULNAR TUMOR | '01/01/2017 | 12/31/2999 |
| 25210 | 25210 - Carpectomy; 1 bone | 25210 - CARPECTOMY 1 BONE | 25210 - REMOVAL OF WRIST BONE | '01/01/2017 | 12/31/2999 |
| 25215 | 25215 - Carpectomy; all bones of proximal row | 25215 - CARPECTOMY ALL BONES PROXIMAL ROW | 25215 - REMOVAL OF WRIST BONES | '01/01/2017 | 12/31/2999 |
| 25230 | 25230 - Radial styloidectomy (separate procedure) | 25230 - RADICAL STYLOIDECTOMY SEPARATE PROCEDURE | 25230 - PARTIAL REMOVAL OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25240 | 25240 - Excision distal ulna partial or complete (eg Darrach type or matched resection) | 25240 - EXCISION DISTAL ULNA PARTIAL/COMPLETE | 25240 - PARTIAL REMOVAL OF ULNA | '01/01/2017 | 12/31/2999 |
| 25246 | 25246 - Injection procedure for wrist arthrography | 25246 - INJECTION WRIST ARTHROGRAPHY | 25246 - INJECTION FOR WRIST X-RAY | '01/01/2017 | 12/31/2999 |
| 25248 | 25248 - Exploration with removal of deep foreign body forearm or wrist | 25248 - EXPL W/REMOVAL DEEP FOREIGN BODY FOREARM/WRIST | 25248 - REMOVE FOREARM FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 25250 | 25250 - Removal of wrist prosthesis; (separate procedure) | 25250 - REMOVAL WRIST PROSTHESIS SEPARATE PROCEDURE | 25250 - REMOVAL OF WRIST PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 25251 | 25251 - Removal of wrist prosthesis; complicated including total wrist | 25251 - REMOVAL WRIST PROSTH COMPLICATED W/TOTAL WRIST | 25251 - REMOVAL OF WRIST PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 25259 | 25259 - Manipulation wrist under anesthesia | 25259 - MANIPULATION WRIST UNDER ANESTHESIA | 25259 - MANIPULATE WRIST W/ANESTHES | '01/01/2017 | 12/31/2999 |
| 25260 | 25260 - Repair tendon or muscle flexor forearm and/or wrist; primary single each tendon or muscle | 25260 - RPR TDN/MUSC FLXR F/ARM&/WRST PRIM 1 EA TDN/MU | 25260 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25263 | 25263 - Repair tendon or muscle flexor forearm and/or wrist; secondary single each tendon or muscle | 25263 - RPR TDN/MUSC FLXR F/ARM&/WRIST SEC 1 EA TDN/MUS | 25263 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25265 | 25265 - Repair tendon or muscle flexor forearm and/or wrist; secondary with free graft (includes obtaining graft) each tendon or muscle | 25265 - RPR TDN/MUSC FLXR F/ARM&/WRISTSEC FR GRF EA | 25265 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25270 | 25270 - Repair tendon or muscle extensor forearm and/or wrist; primary single each tendon or muscle | 25270 - RPR TDN/MUSC XTNSR F/ARM&/WRIST PRIM 1 EA TDN | 25270 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25272 | 25272 - Repair tendon or muscle extensor forearm and/or wrist; secondary single each tendon or muscle | 25272 - RPR TDN/MUSC XTNSR F/ARM&/WRIST SEC 1 EA TDN/MU | 25272 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25274 | 25274 - Repair tendon or muscle extensor forearm and/or wrist; secondary with free graft (includes obtaining graft) each tendon or muscle | 25274 - RPR TDN/MUSC XTNSR F/ARM&/WRST SEC FR GRF EA TDN | 25274 - REPAIR FOREARM TENDON/MUSCLE | '01/01/2017 | 12/31/2999 |
| 25275 | 25275 - Repair tendon sheath extensor forearm and/or wrist with free graft (includes obtaining graft) (eg for extensor carpi ulnaris subluxation) | 25275 - RPR TENDON SHEATH EXTENSOR F/ARM&/WRIST W/GRAFT | 25275 - REPAIR FOREARM TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 25280 | 25280 - Lengthening or shortening of flexor or extensor tendon forearm and/or wrist single each tendon | 25280 - LNGTH/SHRT FLXR/XTNSR TDN F/ARM&/WRIST 1 EA TDN | 25280 - REVISE WRIST/FOREARM TENDON | '01/01/2017 | 12/31/2999 |
| 25290 | 25290 - Tenotomy open flexor or extensor tendon forearm and/or wrist single each tendon | 25290 - TNOT FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA | 25290 - INCISE WRIST/FOREARM TENDON | '01/01/2017 | 12/31/2999 |
| 25295 | 25295 - Tenolysis flexor or extensor tendon forearm and/or wrist single each tendon | 25295 - TNOLS FLXR/XTNSR TENDON FOREARM&/WRIST 1 EA | 25295 - RELEASE WRIST/FOREARM TENDON | '01/01/2017 | 12/31/2999 |
| 25300 | 25300 - Tenodesis at wrist; flexors of fingers | 25300 - TENODESIS WRIST FLEXORS FINGERS | 25300 - FUSION OF TENDONS AT WRIST | '01/01/2017 | 12/31/2999 |
| 25301 | 25301 - Tenodesis at wrist; extensors of fingers | 25301 - TENODESIS WRIST EXTENSORS FINGERS | 25301 - FUSION OF TENDONS AT WRIST | '01/01/2017 | 12/31/2999 |
| 25310 | 25310 - Tendon transplantation or transfer flexor or extensor forearm and/or wrist single; each tendon | 25310 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1 EA TDN | 25310 - TRANSPLANT FOREARM TENDON | '01/01/2017 | 12/31/2999 |
| 25312 | 25312 - Tendon transplantation or transfer flexor or extensor forearm and/or wrist single; with tendon graft(s) (includes obtaining graft) each tendon | 25312 - TDN TRNSPLJ/TR FLXR/XTNSR F/ARM&/WRST 1/TDN GR | 25312 - TRANSPLANT FOREARM TENDON | '01/01/2017 | 12/31/2999 |
| 25315 | 25315 - Flexor origin slide (eg for cerebral palsy Volkmann contracture) forearm and/or wrist; | 25315 - FLEXOR ORIGIN SLIDE FOREARM &/WRIST | 25315 - REVISE PALSY HAND TENDON(S) | '01/01/2017 | 12/31/2999 |
| 25316 | 25316 - Flexor origin slide (eg for cerebral palsy Volkmann contracture) forearm and/or wrist; with tendon(s) transfer | 25316 - FLEXOR ORIGIN SLIDE F/ARM&/WRST TENDON TRANSFE | 25316 - REVISE PALSY HAND TENDON(S) | '01/01/2017 | 12/31/2999 |
| 25320 | 25320 - Capsulorrhaphy or reconstruction wrist open (eg capsulodesis ligament repair tendon transfer or graft) (includes synovectomy capsulotomy and open reduction) for carpal instability | 25320 - CAPSL-RHPHY/RCNSTJ WRST OPN CARPL INS | 25320 - REPAIR/REVISE WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25332 | 25332 - Arthroplasty wrist with or without interposition with or without external or internal fixation | 25332 - ARTHRP WRST W/WO INTERPOS W/WO XTRNL/INT FIXJ | 25332 - REVISE WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25335 | 25335 - Centralization of wrist on ulna (eg radial club hand) | 25335 - CENTRALIZATION WRST ULNA | 25335 - REALIGNMENT OF HAND | '01/01/2017 | 12/31/2999 |
| 25337 | 25337 - Reconstruction for stabilization of unstable distal ulna or distal radioulnar joint secondary by soft tissue stabilization (eg tendon transfer tendon graft or weave or tenodesis) with or without open reduction of distal radioulnar joint | 25337 - RCNSTJ STABLJ DSTL U/DSTL JT 2 SOFT TISS STABLJ | 25337 - RECONSTRUCT ULNA/RADIOULNAR | '01/01/2017 | 12/31/2999 |
| 25350 | 25350 - Osteotomy radius; distal third | 25350 - OSTEOTOMY RADIUS DISTAL THIRD | 25350 - REVISION OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25355 | 25355 - Osteotomy radius; middle or proximal third | 25355 - OSTEOTOMY RADIUS MIDDLE/PROXIMAL THIRD | 25355 - REVISION OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25360 | 25360 - Osteotomy; ulna | 25360 - OSTEOTOMY ULNA | 25360 - REVISION OF ULNA | '01/01/2017 | 12/31/2999 |
| 25365 | 25365 - Osteotomy; radius AND ulna | 25365 - OSTEOTOMY RADIUS & ULNA | 25365 - REVISE RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25370 | 25370 - Multiple osteotomies with realignment on intramedullary rod (Sofield type procedure); radius OR ulna | 25370 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS/ULNA | 25370 - REVISE RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25375 | 25375 - Multiple osteotomies with realignment on intramedullary rod (Sofield type procedure); radius AND ulna | 25375 - MLT OSTEOTOMIES W/RELIGNMT IMED ROD RADIUS&ULNA | 25375 - REVISE RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25390 | 25390 - Osteoplasty radius OR ulna; shortening | 25390 - OSTEOPLASTY RADIUS/ULNA SHORTENING | 25390 - SHORTEN RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25391 | 25391 - Osteoplasty radius OR ulna; lengthening with autograft | 25391 - OSTEOPLASTY RADIUS/ULNA LENGTHENING W/AUTOGRAFT | 25391 - LENGTHEN RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25392 | 25392 - Osteoplasty radius AND ulna; shortening (excluding 64876) | 25392 - OSTEOPLASTY RADIUS & ULNA SHORTENING | 25392 - SHORTEN RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25393 | 25393 - Osteoplasty radius AND ulna; lengthening with autograft | 25393 - OSTEOPLASTY RADIUS&ULNA LENGTHENING W/AUTOGRAF | 25393 - LENGTHEN RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25394 | 25394 - Osteoplasty carpal bone shortening | 25394 - OSTEOPLASTY CARPAL BONE SHORTENING | 25394 - REPAIR CARPAL BONE SHORTEN | '01/01/2017 | 12/31/2999 |
| 25400 | 25400 - Repair of nonunion or malunion radius OR ulna; without graft (eg compression technique) | 25400 - RPR NONUNION/MALUNION RADIUS/ULNA W/O AUTOGRAFT | 25400 - REPAIR RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25405 | 25405 - Repair of nonunion or malunion radius OR ulna; with autograft (includes obtaining graft) | 25405 - RPR NONUNION/MALUNION RADIUS/ULNA W/AUTOGRAFT | 25405 - REPAIR/GRAFT RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25415 | 25415 - Repair of nonunion or malunion radius AND ulna; without graft (eg compression technique) | 25415 - RPR NONUNION/MALUNION RADIUS&ULNA W/O AUTOGRAF | 25415 - REPAIR RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25420 | 25420 - Repair of nonunion or malunion radius AND ulna; with autograft (includes obtaining graft) | 25420 - RPR NONUNION/MALUNION RADIUS&ULNA W/AUTOGRAFT | 25420 - REPAIR/GRAFT RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25425 | 25425 - Repair of defect with autograft; radius OR ulna | 25425 - REPAIR DEFECT W/AUTOGRAFT RADIUS/ULNA | 25425 - REPAIR/GRAFT RADIUS OR ULNA | '01/01/2017 | 12/31/2999 |
| 25426 | 25426 - Repair of defect with autograft; radius AND ulna | 25426 - REPAIR DEFECT W/AUTOGRAFT RADIUS&ULNA | 25426 - REPAIR/GRAFT RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25430 | 25430 - Insertion of vascular pedicle into carpal bone (eg Hori procedure) | 25430 - INSERTION VASCULAR PEDICLE CARPAL BONE | 25430 - VASC GRAFT INTO CARPAL BONE | '01/01/2017 | 12/31/2999 |
| 25431 | 25431 - Repair of nonunion of carpal bone (excluding carpal scaphoid (navicular)) (includes obtaining graft and necessary fixation) each bone | 25431 - REPAIR NONUNION CARPAL BONE EACH BONE | 25431 - REPAIR NONUNION CARPAL BONE | '01/01/2017 | 12/31/2999 |
| 25440 | 25440 - Repair of nonunion scaphoid carpal (navicular) bone with or without radial styloidectomy (includes obtaining graft and necessary fixation) | 25440 - RPR NONUNION SCAPHOID CARPAL BNE W/WO RDL STYLEC | 25440 - REPAIR/GRAFT WRIST BONE | '01/01/2017 | 12/31/2999 |
| 25441 | 25441 - Arthroplasty with prosthetic replacement; distal radius | 25441 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL RADIUS | 25441 - RECONSTRUCT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25442 | 25442 - Arthroplasty with prosthetic replacement; distal ulna | 25442 - ARTHROPLASTY W/PROSTHETIC RPLCMT DISTAL ULNA | 25442 - RECONSTRUCT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25443 | 25443 - Arthroplasty with prosthetic replacement; scaphoid carpal (navicular) | 25443 - ARTHROPLASTY W/PROSTHETIC RPLCMT SCAPHOID CARPAL | 25443 - RECONSTRUCT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25444 | 25444 - Arthroplasty with prosthetic replacement; lunate | 25444 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT LUNATE | 25444 - RECONSTRUCT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25445 | 25445 - Arthroplasty with prosthetic replacement; trapezium | 25445 - ARTHROPLASTY W/PROSTHETIC REPLACEMENT TRAPEZIUM | 25445 - RECONSTRUCT WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25446 | 25446 - Arthroplasty with prosthetic replacement; distal radius and partial or entire carpus (total wrist) | 25446 - ARTHRP W/PROSTC RPLCMT DSTL RDS&PRTL/CARPUS | 25446 - WRIST REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 25447 | 25447 - Arthroplasty interposition intercarpal or carpometacarpal joints | 25447 - ARTHRP INTERPOS INTERCARPAL/METACARPAL JOINTS | 25447 - REPAIR WRIST JOINTS | '01/01/2017 | 12/31/2999 |
| 25449 | 25449 - Revision of arthroplasty including removal of implant wrist joint | 25449 - REVJ ARTHRP W/REMOVAL IMPLANT WRIST JOINT | 25449 - REMOVE WRIST JOINT IMPLANT | '01/01/2017 | 12/31/2999 |
| 25450 | 25450 - Epiphyseal arrest by epiphysiodesis or stapling; distal radius OR ulna | 25450 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS/U | 25450 - REVISION OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25455 | 25455 - Epiphyseal arrest by epiphysiodesis or stapling; distal radius AND ulna | 25455 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING DSTL RDS&ULNA | 25455 - REVISION OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25490 | 25490 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate; radius | 25490 - PROPH TX N/P/PLTWR W/WO METHYLACRYLATE RADIUS | 25490 - REINFORCE RADIUS | '01/01/2017 | 12/31/2999 |
| 25491 | 25491 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate; ulna | 25491 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE ULNA | 25491 - REINFORCE ULNA | '01/01/2017 | 12/31/2999 |
| 25492 | 25492 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate; radius AND ulna | 25492 - PROPH TX N/P/PLTWR W/WO METHYLMECRYLATE RAD&UL | 25492 - REINFORCE RADIUS AND ULNA | '01/01/2017 | 12/31/2999 |
| 25500 | 25500 - Closed treatment of radial shaft fracture; without manipulation | 25500 - CLOSED TX RADIAL SHAFT FRACTURE W/O MANIPULATION | 25500 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25505 | 25505 - Closed treatment of radial shaft fracture; with manipulation | 25505 - CLOSED TX RADIAL SHAFT FRACTURE W/MANIPULATION | 25505 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25515 | 25515 - Open treatment of radial shaft fracture includes internal fixation when performed | 25515 - OPEN TREATMENT RADIAL SHAFT FRACTURE | 25515 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25520 | 25520 - Closed treatment of radial shaft fracture and closed treatment of dislocation of distal radioulnar joint (Galeazzi fracture/dislocation) | 25520 - CLTX RDL SHFT FX&CLTX DISLC DSTL RAD/ULN JT | 25520 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25525 | 25525 - Open treatment of radial shaft fracture includes internal fixation when performed and closed treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation) includes percutaneous skeletal fixation when performed | 25525 - OPEN RDL SHAFT FX CLOSED RAD/ULN JT DISLOCATE | 25525 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25526 | 25526 - Open treatment of radial shaft fracture includes internal fixation when performed and open treatment of distal radioulnar joint dislocation (Galeazzi fracture/ dislocation) includes internal fixation when performed includes repair of triangular fibrocartilage complex | 25526 - OPEN RDL SHAFT FX OPEN RAD/ULN JT DISLOCATE | 25526 - TREAT FRACTURE OF RADIUS | '01/01/2017 | 12/31/2999 |
| 25530 | 25530 - Closed treatment of ulnar shaft fracture; without manipulation | 25530 - CLOSED TX ULNAR SHAFT FRACTURE W/O MANIPULATION | 25530 - TREAT FRACTURE OF ULNA | '01/01/2017 | 12/31/2999 |
| 25535 | 25535 - Closed treatment of ulnar shaft fracture; with manipulation | 25535 - CLOSED TX ULNAR SHAFT FRACTURE W/MANIPULATION | 25535 - TREAT FRACTURE OF ULNA | '01/01/2017 | 12/31/2999 |
| 25545 | 25545 - Open treatment of ulnar shaft fracture includes internal fixation when performed | 25545 - OPEN TREATMENT OF ULNAR SHAFT FRACTURE | 25545 - TREAT FRACTURE OF ULNA | '01/01/2017 | 12/31/2999 |
| 25560 | 25560 - Closed treatment of radial and ulnar shaft fractures; without manipulation | 25560 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/O MAN | 25560 - TREAT FRACTURE RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25565 | 25565 - Closed treatment of radial and ulnar shaft fractures; with manipulation | 25565 - CLOSED TX RADIAL&ULNAR SHAFT FRACTURES W/MANJ | 25565 - TREAT FRACTURE RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25574 | 25574 - Open treatment of radial AND ulnar shaft fractures with internal fixation when performed; of radius OR ulna | 25574 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS/ULNA | 25574 - TREAT FRACTURE RADIUS & ULNA | '01/01/2017 | 12/31/2999 |
| 25575 | 25575 - Open treatment of radial AND ulnar shaft fractures with internal fixation when performed; of radius AND ulna | 25575 - OPEN TX RADIAL&ULNAR SHAFT FX W/FIXJ RADIUS&ULNA | 25575 - TREAT FRACTURE RADIUS/ULNA | '01/01/2017 | 12/31/2999 |
| 25600 | 25600 - Closed treatment of distal radial fracture (eg Colles or Smith type) or epiphyseal separation includes closed treatment of fracture of ulnar styloid when performed; without manipulation | 25600 - CLTX DSTL RADIAL FX/EPIPHYSL SEP W/O MANJ | 25600 - TREAT FRACTURE RADIUS/ULNA | '01/01/2017 | 12/31/2999 |
| 25605 | 25605 - Closed treatment of distal radial fracture (eg Colles or Smith type) or epiphyseal separation includes closed treatment of fracture of ulnar styloid when performed; with manipulation | 25605 - CLTX DSTL RDL FX/EPIPHYSL SEP W/MANJ WHEN PERF | 25605 - TREAT FRACTURE RADIUS/ULNA | '01/01/2017 | 12/31/2999 |
| 25606 | 25606 - Percutaneous skeletal fixation of distal radial fracture or epiphyseal separation | 25606 - PERQ SKEL FIXJ DISTAL RADIAL FX/EPIPHYSL SEP | 25606 - TREAT FX DISTAL RADIAL | '01/01/2017 | 12/31/2999 |
| 25607 | 25607 - Open treatment of distal radial extra-articular fracture or epiphyseal separation with internal fixation | 25607 - OPTX DSTL RADL X-ARTIC FX/EPIPHYSL SEP | 25607 - TREAT FX RAD EXTRA-ARTICUL | '01/01/2017 | 12/31/2999 |
| 25608 | 25608 - Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 2 fragments | 25608 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 2 FRAG | 25608 - TREAT FX RAD INTRA-ARTICUL | '01/01/2017 | 12/31/2999 |
| 25609 | 25609 - Open treatment of distal radial intra-articular fracture or epiphyseal separation; with internal fixation of 3 or more fragments | 25609 - OPTX DSTL RADL I-ARTIC FX/EPIPHYSL SEP 3 FRAG | 25609 - TREAT FX RADIAL 3+ FRAG | '01/01/2017 | 12/31/2999 |
| 25622 | 25622 - Closed treatment of carpal scaphoid (navicular) fracture; without manipulation | 25622 - CLOSED TX CARPAL SCAPHOID FRACTURE W/O MANJ | 25622 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25624 | 25624 - Closed treatment of carpal scaphoid (navicular) fracture; with manipulation | 25624 - CLOSED TX CARPAL SCAPHOID FRACTURE W/MANJ | 25624 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25628 | 25628 - Open treatment of carpal scaphoid (navicular) fracture includes internal fixation when performed | 25628 - OPEN TX CARPAL SCAPHOID NAVICULAR FRACTURE | 25628 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25630 | 25630 - Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); without manipulation each bone | 25630 - CLTX CARPAL BONE FX W/O MANJ EACH BONE | 25630 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25635 | 25635 - Closed treatment of carpal bone fracture (excluding carpal scaphoid [navicular]); with manipulation each bone | 25635 - CLTX CARPAL BONE FX W/MANJ EACH BONE | 25635 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25645 | 25645 - Open treatment of carpal bone fracture (other than carpal scaphoid [navicular]) each bone | 25645 - OPEN TX CARPAL BONE FRACTURE OTH/THN SCAPHOID EA | 25645 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25650 | 25650 - Closed treatment of ulnar styloid fracture | 25650 - CLOSED TREATMENT ULNAR STYLOID FRACTURE | 25650 - TREAT WRIST BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 25651 | 25651 - Percutaneous skeletal fixation of ulnar styloid fracture | 25651 - PRQ SKELETAL FIXATION ULNAR STYLOID FRACTURE | 25651 - PIN ULNAR STYLOID FRACTURE | '01/01/2017 | 12/31/2999 |
| 25652 | 25652 - Open treatment of ulnar styloid fracture | 25652 - OPEN TREATMENT ULNAR STYLOID FRACTURE | 25652 - TREAT FRACTURE ULNAR STYLOID | '01/01/2017 | 12/31/2999 |
| 25660 | 25660 - Closed treatment of radiocarpal or intercarpal dislocation 1 or more bones with manipulation | 25660 - CLTX RDCRPL/INTERCARPL DISLC 1/> BONES W/MANJ | 25660 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25670 | 25670 - Open treatment of radiocarpal or intercarpal dislocation 1 or more bones | 25670 - OPEN TX RADIOCARPAL/INTERCARPAL DISLC 1/> BONES | 25670 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25671 | 25671 - Percutaneous skeletal fixation of distal radioulnar dislocation | 25671 - PRQ SKELETAL FIXJ DISTAL RADIOULNAR DISLOCATION | 25671 - PIN RADIOULNAR DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25675 | 25675 - Closed treatment of distal radioulnar dislocation with manipulation | 25675 - CLOSED TX DISTAL RADIOULNAR DISLOCATION W/MANJ | 25675 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25676 | 25676 - Open treatment of distal radioulnar dislocation acute or chronic | 25676 - OPEN TX DISTAL RADIOULNAR DISLC ACUTE/CHRONIC | 25676 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25680 | 25680 - Closed treatment of trans-scaphoperilunar type of fracture dislocation with manipulation | 25680 - CLTX TRANS-SCAPHOPRILUNAR TYP FX DISLC W/MANJ | 25680 - TREAT WRIST FRACTURE | '01/01/2017 | 12/31/2999 |
| 25685 | 25685 - Open treatment of trans-scaphoperilunar type of fracture dislocation | 25685 - OPEN TX TRANS-SCAPHOPERILUNAR FRACTURE DISLC | 25685 - TREAT WRIST FRACTURE | '01/01/2017 | 12/31/2999 |
| 25690 | 25690 - Closed treatment of lunate dislocation with manipulation | 25690 - CLOSED TX LUNATE DISLOCATION W/MANIPULATION | 25690 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25695 | 25695 - Open treatment of lunate dislocation | 25695 - OPEN TREATMENT LUNATE DISLOCATION | 25695 - TREAT WRIST DISLOCATION | '01/01/2017 | 12/31/2999 |
| 25800 | 25800 - Arthrodesis wrist; complete without bone graft (includes radiocarpal and/or intercarpal and/or carpometacarpal joints) | 25800 - ARTHRODESIS WRIST COMPLETE W/O BONE GRAFT | 25800 - FUSION OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25805 | 25805 - Arthrodesis wrist; with sliding graft | 25805 - ARTHRODESIS WRIST W/SLIDING GRAFT | 25805 - FUSION/GRAFT OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25810 | 25810 - Arthrodesis wrist; with iliac or other autograft (includes obtaining graft) | 25810 - ARTHRODESIS WRIST W/ILIAC/OTHER AUTOGRAFT | 25810 - FUSION/GRAFT OF WRIST JOINT | '01/01/2017 | 12/31/2999 |
| 25820 | 25820 - Arthrodesis wrist; limited without bone graft (eg intercarpal or radiocarpal) | 25820 - ARTHRODESIS WRIST LIMITED W/O BONE GRAFT | 25820 - FUSION OF HAND BONES | '01/01/2017 | 12/31/2999 |
| 25825 | 25825 - Arthrodesis wrist; with autograft (includes obtaining graft) | 25825 - ARTHRODESIS WRIST LIMITED W/AUTOGRAFT | 25825 - FUSE HAND BONES WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 25830 | 25830 - Arthrodesis distal radioulnar joint with segmental resection of ulna with or without bone graft (eg Sauve-Kapandji procedure) | 25830 - ARTHRD DSTL RAD/ULN JT SGMTL RSCJ ULNA W/WO BONE | 25830 - FUSION RADIOULNAR JNT/ULNA | '01/01/2017 | 12/31/2999 |
| 25900 | 25900 - Amputation forearm through radius and ulna; | 25900 - AMPUTATION FOREARM THROUGH RADIUS & ULNA | 25900 - AMPUTATION OF FOREARM | '01/01/2017 | 12/31/2999 |
| 25905 | 25905 - Amputation forearm through radius and ulna; open circular (guillotine) | 25905 - AMP FOREARM THRU RADIUS & ULNA OPEN CIRCULAR | 25905 - AMPUTATION OF FOREARM | '01/01/2017 | 12/31/2999 |
| 25907 | 25907 - Amputation forearm through radius and ulna; secondary closure or scar revision | 25907 - AMP F/ARM THRU RADIUS&ULNA SEC CLOSURE/SCAR RE | 25907 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 25909 | 25909 - Amputation forearm through radius and ulna; re-amputation | 25909 - AMP FOREARM THRU RADIUS&ULNA RE-AMPUTATION | 25909 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 25915 | 25915 - Krukenberg procedure | 25915 - KRUKENBERG PROCEDURE | 25915 - AMPUTATION OF FOREARM | '01/01/2017 | 12/31/2999 |
| 25920 | 25920 - Disarticulation through wrist; | 25920 - DISARTICULATION THROUGH WRIST | 25920 - AMPUTATE HAND AT WRIST | '01/01/2017 | 12/31/2999 |
| 25922 | 25922 - Disarticulation through wrist; secondary closure or scar revision | 25922 - DISARTICULATION THRU WRIST SEC CLOSURE/SCAR REVJ | 25922 - AMPUTATE HAND AT WRIST | '01/01/2017 | 12/31/2999 |
| 25924 | 25924 - Disarticulation through wrist; re-amputation | 25924 - DISARTICULATION THRU WRIST RE-AMPUTATION | 25924 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 25927 | 25927 - Transmetacarpal amputation; | 25927 - TRANSMETACARPAL AMPUTATION | 25927 - AMPUTATION OF HAND | '01/01/2017 | 12/31/2999 |
| 25929 | 25929 - Transmetacarpal amputation; secondary closure or scar revision | 25929 - TRANSMETACARPAL AMPUTATION SEC CLOSURE/SCAR REVJ | 25929 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 25931 | 25931 - Transmetacarpal amputation; re-amputation | 25931 - TRANSMETACARPAL AMPUTATION RE-AMPUTATION | 25931 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 25999 | 25999 - Unlisted procedure forearm or wrist | 25999 - UNLISTED PROCEDURE FOREARM/WRIST | 25999 - UNLISTED PX FOREARM/WRIST | '01/01/2023 | 12/31/2999 |
| 26010 | 26010 - Drainage of finger abscess; simple | 26010 - DRAINAGE FINGER ABSCESS SIMPLE | 26010 - DRAINAGE OF FINGER ABSCESS | '01/01/2017 | 12/31/2999 |
| 26011 | 26011 - Drainage of finger abscess; complicated (eg felon) | 26011 - DRAINAGE FINGER ABSCESS COMPLICATED | 26011 - DRAINAGE OF FINGER ABSCESS | '01/01/2017 | 12/31/2999 |
| 26020 | 26020 - Drainage of tendon sheath digit and/or palm each | 26020 - DRAINAGE TENDON SHEATH DIGIT&/PALM EACH | 26020 - DRAIN HAND TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 26025 | 26025 - Drainage of palmar bursa; single bursa | 26025 - DRAINAGE OF PALMAR BURSA SINGLE BURSA | 26025 - DRAINAGE OF PALM BURSA | '01/01/2017 | 12/31/2999 |
| 26030 | 26030 - Drainage of palmar bursa; multiple bursa | 26030 - DRAINAGE OF PALMAR BURSA MULTIPLE BURSA | 26030 - DRAINAGE OF PALM BURSAS | '01/01/2017 | 12/31/2999 |
| 26034 | 26034 - Incision bone cortex hand or finger (eg osteomyelitis or bone abscess) | 26034 - INCISION BONE CORTEX HAND/FINGER | 26034 - TREAT HAND BONE LESION | '01/01/2017 | 12/31/2999 |
| 26035 | 26035 - Decompression fingers and/or hand injection injury (eg grease gun) | 26035 - DECOMPRESSION FINGERS&/HAND INJECTION INJURY | 26035 - DECOMPRESS FINGERS/HAND | '01/01/2017 | 12/31/2999 |
| 26037 | 26037 - Decompressive fasciotomy hand (excludes 26035) | 26037 - DECOMPRESSIVE FASCIOTOMY HAND | 26037 - DECOMPRESS FINGERS/HAND | '01/01/2017 | 12/31/2999 |
| 26040 | 26040 - Fasciotomy palmar (eg Dupuytren's contracture); percutaneous | 26040 - FASCIOTOMY PALMAR PERCUTANEOUS | 26040 - RELEASE PALM CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26045 | 26045 - Fasciotomy palmar (eg Dupuytren's contracture); open partial | 26045 - FASCIOTOMY PALMAR OPEN PARTIAL | 26045 - RELEASE PALM CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26055 | 26055 - Tendon sheath incision (eg for trigger finger) | 26055 - TENDON SHEATH INCISION | 26055 - INCISE FINGER TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 26060 | 26060 - Tenotomy percutaneous single each digit | 26060 - TENOTOMY PERCUTANEOUS SINGLE EACH DIGIT | 26060 - INCISION OF FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26070 | 26070 - Arthrotomy with exploration drainage or removal of loose or foreign body; carpometacarpal joint | 26070 - ARTHRT EXPL DRG/RMVL LOOSE/FB CARP/MTCRPL JT | 26070 - EXPLORE/TREAT HAND JOINT | '01/01/2017 | 12/31/2999 |
| 26075 | 26075 - Arthrotomy with exploration drainage or removal of loose or foreign body; metacarpophalangeal joint each | 26075 - ARTHRT EXPL DRG/RMVL LOOSE/FB MTCARPHLNGL JT EA | 26075 - EXPLORE/TREAT FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26080 | 26080 - Arthrotomy with exploration drainage or removal of loose or foreign body; interphalangeal joint each | 26080 - ARTHRT EXPL DRG/RMVL LOOSE/FB IPHAL JT EA | 26080 - EXPLORE/TREAT FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26100 | 26100 - Arthrotomy with biopsy; carpometacarpal joint each | 26100 - ARTHROTOMY BIOPSY CARP/MTCRPL JOINT EACH | 26100 - BIOPSY HAND JOINT LINING | '01/01/2017 | 12/31/2999 |
| 26105 | 26105 - Arthrotomy with biopsy; metacarpophalangeal joint each | 26105 - ARTHROTOMY BIOPSY MTCARPHLNGL JOINT EACH | 26105 - BIOPSY FINGER JOINT LINING | '01/01/2017 | 12/31/2999 |
| 26110 | 26110 - Arthrotomy with biopsy; interphalangeal joint each | 26110 - ARTHROTOMY BIOPSY INTERPHALANGEAL JOINT EACH | 26110 - BIOPSY FINGER JOINT LINING | '01/01/2017 | 12/31/2999 |
| 26111 | 26111 - Excision tumor or vascular malformation soft tissue of hand or finger subcutaneous; 1.5 cm or greater | 26111 - EX TUM/VASC MALF SFT TISS HAND/FNGR SUBQ 1.5CM/> | 26111 - EXC HAND LES SC 1.5 CM/> | '01/01/2017 | 12/31/2999 |
| 26113 | 26113 - Excision tumor soft tissue or vascular malformation of hand or finger subfascial (eg intramuscular); 1.5 cm or greater | 26113 - EX TUM/VASC MAL SFT TIS HAND/FNGR SUBFSC 1.5CM/> | 26113 - EXC HAND TUM DEEP 1.5 CM/> | '01/01/2017 | 12/31/2999 |
| 26115 | 26115 - Excision tumor or vascular malformation soft tissue of hand or finger subcutaneous; less than 1.5 cm | 26115 - EXC TUM/VASC MAL SFT TISS HAND/FNGR SUBQ <1.5CM | 26115 - EXC HAND LES SC < 1.5 CM | '01/01/2017 | 12/31/2999 |
| 26116 | 26116 - Excision tumor soft tissue or vascular malformation of hand or finger subfascial (eg intramuscular); less than 1.5 cm | 26116 - EXC TUM/VAS MAL SFT TIS HAND/FNGR SUBFASC<1.5CM | 26116 - EXC HAND TUM DEEP < 1.5 CM | '01/01/2017 | 12/31/2999 |
| 26117 | 26117 - Radical resection of tumor (eg sarcoma) soft tissue of hand or finger; less than 3 cm | 26117 - RAD RESECT TUMOR SOFT TISSUE HAND/FINGER <3CM | 26117 - RAD RESECT HAND TUMOR < 3 CM | '01/01/2017 | 12/31/2999 |
| 26118 | 26118 - Radical resection of tumor (eg sarcoma) soft tissue of hand or finger; 3 cm or greater | 26118 - RAD RESCJ TUM SOFT TISSUE HAND/FINGER 3 CM/> | 26118 - RAD RESECT HAND TUMOR 3 CM/> | '01/01/2017 | 12/31/2999 |
| 26121 | 26121 - Fasciectomy palm only with or without Z-plasty other local tissue rearrangement or skin grafting (includes obtaining graft) | 26121 - FASCT PALM W/WO Z-PLASTY TISSUE REARGMT/SKN GRFT | 26121 - RELEASE PALM CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26123 | 26123 - Fasciectomy partial palmar with release of single digit including proximal interphalangeal joint with or without Z-plasty other local tissue rearrangement or skin grafting (includes obtaining graft); | 26123 - FASCT PRTL PALMAR 1 DGT PROX IPHAL JT W/WO RPR | 26123 - RELEASE PALM CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26125 | 26125 - Fasciectomy partial palmar with release of single digit including proximal interphalangeal joint with or without Z-plasty other local tissue rearrangement or skin grafting (includes obtaining graft); each additional digit (List separately in addition to code for primary procedure) | 26125 - FASCT PRTL PALMR ADDL DGT PROX IPHAL JT W/WO RPR | 26125 - RELEASE PALM CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26130 | 26130 - Synovectomy carpometacarpal joint | 26130 - SYNOVECTOMY CARPOMETACARPAL JOINT | 26130 - REMOVE WRIST JOINT LINING | '01/01/2017 | 12/31/2999 |
| 26135 | 26135 - Synovectomy metacarpophalangeal joint including intrinsic release and extensor hood reconstruction each digit | 26135 - SYNVCT MTCARPHLNGL JT W/INTRNSC RLS&XTNSR HOOD | 26135 - REVISE FINGER JOINT EACH | '01/01/2017 | 12/31/2999 |
| 26140 | 26140 - Synovectomy proximal interphalangeal joint including extensor reconstruction each interphalangeal joint | 26140 - SYNVCT PROX IPHAL JT W/XTNSR RCNSTJ EA IPHAL JT | 26140 - REVISE FINGER JOINT EACH | '01/01/2017 | 12/31/2999 |
| 26145 | 26145 - Synovectomy tendon sheath radical (tenosynovectomy) flexor tendon palm and/or finger each tendon | 26145 - SYNVCT TDN SHTH RAD FLXR TDN PALM&/FNGR EA TDN | 26145 - TENDON EXCISION PALM/FINGER | '01/01/2017 | 12/31/2999 |
| 26160 | 26160 - Excision of lesion of tendon sheath or joint capsule (eg cyst mucous cyst or ganglion) hand or finger | 26160 - EXC LESION TDN SHTH/JT CAPSL HAND/FNGR | 26160 - REMOVE TENDON SHEATH LESION | '01/01/2017 | 12/31/2999 |
| 26170 | 26170 - Excision of tendon palm flexor or extensor single each tendon | 26170 - EXCISION TENDON PALM FLEXOR/EXTENSOR SINGLE EACH | 26170 - REMOVAL OF PALM TENDON EACH | '01/01/2017 | 12/31/2999 |
| 26180 | 26180 - Excision of tendon finger flexor or extensor each tendon | 26180 - EXCISION TENDON FINGER FLEXOR/EXTENSOR EACH | 26180 - REMOVAL OF FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26185 | 26185 - Sesamoidectomy thumb or finger (separate procedure) | 26185 - SESAMOIDECTOMY THUMB/FINGER SEPARATE PROCEDURE | 26185 - REMOVE FINGER BONE | '01/01/2017 | 12/31/2999 |
| 26200 | 26200 - Excision or curettage of bone cyst or benign tumor of metacarpal; | 26200 - EXCISION/CURETTAGE CYST/TUMOR METACARPAL | 26200 - REMOVE HAND BONE LESION | '01/01/2017 | 12/31/2999 |
| 26205 | 26205 - Excision or curettage of bone cyst or benign tumor of metacarpal; with autograft (includes obtaining graft) | 26205 - EXC/CURETTAGE CYST/TUMOR METACARPAL W/AUTOGRAFT | 26205 - REMOVE/GRAFT BONE LESION | '01/01/2017 | 12/31/2999 |
| 26210 | 26210 - Excision or curettage of bone cyst or benign tumor of proximal middle or distal phalanx of finger; | 26210 - EXCISION/CURETTAGE CYST/TUMOR PHALANX FINGER | 26210 - REMOVAL OF FINGER LESION | '01/01/2017 | 12/31/2999 |
| 26215 | 26215 - Excision or curettage of bone cyst or benign tumor of proximal middle or distal phalanx of finger; with autograft (includes obtaining graft) | 26215 - EXC/CURETTAGE CYST/TUMOR PHALANX FINGER W/AGRAFT | 26215 - REMOVE/GRAFT FINGER LESION | '01/01/2017 | 12/31/2999 |
| 26230 | 26230 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis); metacarpal | 26230 - PARTIAL EXCISION BONE METACARPAL | 26230 - PARTIAL REMOVAL OF HAND BONE | '01/01/2017 | 12/31/2999 |
| 26235 | 26235 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis); proximal or middle phalanx of finger | 26235 - PARTIAL EXCISION PROXIMAL/MIDDLE PHALANX FINGER | 26235 - PARTIAL REMOVAL FINGER BONE | '01/01/2017 | 12/31/2999 |
| 26236 | 26236 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis); distal phalanx of finger | 26236 - PARTIAL EXCISION DISTAL PHALANX FINGER | 26236 - PARTIAL REMOVAL FINGER BONE | '01/01/2017 | 12/31/2999 |
| 26250 | 26250 - Radical resection of tumor metacarpal | 26250 - RADICAL RESECTION TUMOR METACARPAL | 26250 - EXTENSIVE HAND SURGERY | '01/01/2017 | 12/31/2999 |
| 26260 | 26260 - Radical resection of tumor proximal or middle phalanx of finger | 26260 - RAD RESECTION TUMOR PROX/MIDDLE PHALANX FINGER | 26260 - RESECT PROX FINGER TUMOR | '01/01/2017 | 12/31/2999 |
| 26262 | 26262 - Radical resection of tumor distal phalanx of finger | 26262 - RADICAL RESECTION TUMOR DISTAL PHALANX FINGER | 26262 - RESECT DISTAL FINGER TUMOR | '01/01/2017 | 12/31/2999 |
| 26320 | 26320 - Removal of implant from finger or hand | 26320 - REMOVAL IMPLANT FROM FINGER/HAND | 26320 - REMOVAL OF IMPLANT FROM HAND | '01/01/2017 | 12/31/2999 |
| 26340 | 26340 - Manipulation finger joint under anesthesia each joint | 26340 - MANIPULATION FINGER JOINT UNDER ANES EACH JOINT | 26340 - MANIPULATE FINGER W/ANESTH | '01/01/2017 | 12/31/2999 |
| 26341 | 26341 - Manipulation palmar fascial cord (ie Dupuytren's cord) post enzyme injection (eg collagenase) single cord | 26341 - MANIPLATN PALAR FASCIAL CRD POST INJ SINGLE CORD | 26341 - MANIPULAT PALM CORD POST INJ | '01/01/2017 | 12/31/2999 |
| 26350 | 26350 - Repair or advancement flexor tendon not in zone 2 digital flexor tendon sheath (eg no man's land); primary or secondary without free graft each tendon | 26350 - RPR/ADVMNT FLXR TDN N/Z/2 W/O FR GRAFT EA TENDON | 26350 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26352 | 26352 - Repair or advancement flexor tendon not in zone 2 digital flexor tendon sheath (eg no man's land); secondary with free graft (includes obtaining graft) each tendon | 26352 - RPR/ADVMNT FLXR TDN N/Z/2 W/FR GRAFT EA TENDON | 26352 - REPAIR/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26356 | 26356 - Repair or advancement flexor tendon in zone 2 digital flexor tendon sheath (eg no man's land); primary without free graft each tendon | 26356 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON | 26356 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26357 | 26357 - Repair or advancement flexor tendon in zone 2 digital flexor tendon sheath (eg no man's land); secondary without free graft each tendon | 26357 - RPR/ADVMNT FLXR TDN ZONE 2 W/O FR GRFT EA TENDON | 26357 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26358 | 26358 - Repair or advancement flexor tendon in zone 2 digital flexor tendon sheath (eg no man's land); secondary with free graft (includes obtaining graft) each tendon | 26358 - RPR/ADVMNT FLXR TDN ZONE 2 W/FR GRAFT EA TENDON | 26358 - REPAIR/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26370 | 26370 - Repair or advancement of profundus tendon with intact superficialis tendon; primary each tendon | 26370 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN PRIM EA TDN | 26370 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26372 | 26372 - Repair or advancement of profundus tendon with intact superficialis tendon; secondary with free graft (includes obtaining graft) each tendon | 26372 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/FREE GRAFT EA | 26372 - REPAIR/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26373 | 26373 - Repair or advancement of profundus tendon with intact superficialis tendon; secondary without free graft each tendon | 26373 - RPR/ADVMNT TDN W/NTC SUPFCIS TDN W/O FREE GRF EA | 26373 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26390 | 26390 - Excision flexor tendon with implantation of synthetic rod for delayed tendon graft hand or finger each rod | 26390 - EXC FLXR TDN W/IMPLTJ SYNTH ROD DLYD TDN GRF H/F | 26390 - REVISE HAND/FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26392 | 26392 - Removal of synthetic rod and insertion of flexor tendon graft hand or finger (includes obtaining graft) each rod | 26392 - RMVL SYNTH ROD & INSJ FLXR TDN GRF H/F EA ROD | 26392 - REPAIR/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26410 | 26410 - Repair extensor tendon hand primary or secondary; without free graft each tendon | 26410 - REPAIR EXTENSOR TENDON HAND W/O GRAFT EACH | 26410 - REPAIR HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26412 | 26412 - Repair extensor tendon hand primary or secondary; with free graft (includes obtaining graft) each tendon | 26412 - REPAIR EXTENSOR TENDON HAND W/GRAFT EACH | 26412 - REPAIR/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26415 | 26415 - Excision of extensor tendon with implantation of synthetic rod for delayed tendon graft hand or finger each rod | 26415 - EXC XTNSR TDN W/IMPLTJ SYNTH ROD DLYD GRF H/F EA | 26415 - EXCISION HAND/FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26416 | 26416 - Removal of synthetic rod and insertion of extensor tendon graft (includes obtaining graft) hand or finger each rod | 26416 - RMVL SYNTH ROD & INSJ XTNSR TDN GRF H/F EA ROD | 26416 - GRAFT HAND OR FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26418 | 26418 - Repair extensor tendon finger primary or secondary; without free graft each tendon | 26418 - REPAIR EXTENSOR TENDON FINGER W/O GRAFT EACH | 26418 - REPAIR FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26420 | 26420 - Repair extensor tendon finger primary or secondary; with free graft (includes obtaining graft) each tendon | 26420 - REPAIR EXTENSOR TENDON FINGER W/GRAFT EACH | 26420 - REPAIR/GRAFT FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26426 | 26426 - Repair of extensor tendon central slip secondary (eg boutonniere deformity); using local tissue(s) including lateral band(s) each finger | 26426 - RPR XTNSR TDN CNTRL SLIP TISS W/LAT BAND EA FNGR | 26426 - REPAIR FINGER/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26428 | 26428 - Repair of extensor tendon central slip secondary (eg boutonniere deformity); with free graft (includes obtaining graft) each finger | 26428 - RPR XTNSR TDN CNTRL SLIP SEC W/FR GRFT EA FINGER | 26428 - REPAIR/GRAFT FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26432 | 26432 - Closed treatment of distal extensor tendon insertion with or without percutaneous pinning (eg mallet finger) | 26432 - CLTX DSTL XTNSR TDN INSJ W/WO PERCUTAN PINNING | 26432 - REPAIR FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26433 | 26433 - Repair of extensor tendon distal insertion primary or secondary; without graft (eg mallet finger) | 26433 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/O GRF | 26433 - REPAIR FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26434 | 26434 - Repair of extensor tendon distal insertion primary or secondary; with free graft (includes obtaining graft) | 26434 - REPAIR EXTENSOR TENDON DISTAL INSERTION W/GRAFT | 26434 - REPAIR/GRAFT FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26437 | 26437 - Realignment of extensor tendon hand each tendon | 26437 - REALIGNMENT EXTENSOR TENDON HAND EACH TENDON | 26437 - REALIGNMENT OF TENDONS | '01/01/2017 | 12/31/2999 |
| 26440 | 26440 - Tenolysis flexor tendon; palm OR finger each tendon | 26440 - TENOLYSIS FLEXOR TENDON PALM/FINGER EACH TENDON | 26440 - RELEASE PALM/FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26442 | 26442 - Tenolysis flexor tendon; palm AND finger each tendon | 26442 - TENOLYSIS FLEXOR TENDON PALM&FINGER EACH TENDO | 26442 - RELEASE PALM & FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26445 | 26445 - Tenolysis extensor tendon hand OR finger each tendon | 26445 - TENOLYSIS EXTENSOR TENDON HAND/FINGER EACH | 26445 - RELEASE HAND/FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26449 | 26449 - Tenolysis complex extensor tendon finger including forearm each tendon | 26449 - TENOLYSIS CPLX XTNSR TENDON FINGER W/FOREARM EA | 26449 - RELEASE FOREARM/HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26450 | 26450 - Tenotomy flexor palm open each tendon | 26450 - TENOTOMY FLEXOR PALM OPEN EACH TENDON | 26450 - INCISION OF PALM TENDON | '01/01/2017 | 12/31/2999 |
| 26455 | 26455 - Tenotomy flexor finger open each tendon | 26455 - TENOTOMY FLEXOR FINGER OPEN EACH TENDON | 26455 - INCISION OF FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26460 | 26460 - Tenotomy extensor hand or finger open each tendon | 26460 - TENOTOMY EXTENSOR HAND/FINGER OPEN EACH TENDON | 26460 - INCISE HAND/FINGER TENDON | '01/01/2017 | 12/31/2999 |
| 26471 | 26471 - Tenodesis; of proximal interphalangeal joint each joint | 26471 - TENODESIS PROXIMAL INTERPHALANGEAL JOINT EACH | 26471 - FUSION OF FINGER TENDONS | '01/01/2017 | 12/31/2999 |
| 26474 | 26474 - Tenodesis; of distal joint each joint | 26474 - TENODESIS DISTAL JOINT EACH | 26474 - FUSION OF FINGER TENDONS | '01/01/2017 | 12/31/2999 |
| 26476 | 26476 - Lengthening of tendon extensor hand or finger each tendon | 26476 - LENGTHENING TENDON EXTENSOR HAND/FINGER EACH | 26476 - TENDON LENGTHENING | '01/01/2017 | 12/31/2999 |
| 26477 | 26477 - Shortening of tendon extensor hand or finger each tendon | 26477 - SHORTENING TENDON EXTENSOR HAND/FINGER EACH | 26477 - TENDON SHORTENING | '01/01/2017 | 12/31/2999 |
| 26478 | 26478 - Lengthening of tendon flexor hand or finger each tendon | 26478 - LENGTHENING TENDON FLEXOR HAND/FINGER EACH | 26478 - LENGTHENING OF HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26479 | 26479 - Shortening of tendon flexor hand or finger each tendon | 26479 - SHORTENING TENDON FLEXOR HAND/FINGER EACH | 26479 - SHORTENING OF HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26480 | 26480 - Transfer or transplant of tendon carpometacarpal area or dorsum of hand; without free graft each tendon | 26480 - TR/TRNSPL TDN CARP/MTCRPL HAND W/O FR GRF EA TDN | 26480 - TRANSPLANT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26483 | 26483 - Transfer or transplant of tendon carpometacarpal area or dorsum of hand; with free tendon graft (includes obtaining graft) each tendon | 26483 - TENDON TRANSFER TRANSPLANT CARP/MTCRPL GRAFT | 26483 - TRANSPLANT/GRAFT HAND TENDON | '01/01/2017 | 12/31/2999 |
| 26485 | 26485 - Transfer or transplant of tendon palmar; without free tendon graft each tendon | 26485 - TRANSFER/TRANSPLANT TENDON PALMAR W/O GRAFT EACH | 26485 - TRANSPLANT PALM TENDON | '01/01/2017 | 12/31/2999 |
| 26489 | 26489 - Transfer or transplant of tendon palmar; with free tendon graft (includes obtaining graft) each tendon | 26489 - TRANSFER/TRANSPLANT TENDON PALMAR W/GRAFT EACH | 26489 - TRANSPLANT/GRAFT PALM TENDON | '01/01/2017 | 12/31/2999 |
| 26490 | 26490 - Opponensplasty; superficialis tendon transfer type each tendon | 26490 - OPPONENSPLASTY SUPFCIS TDN TR TYP EA TDN | 26490 - REVISE THUMB TENDON | '01/01/2017 | 12/31/2999 |
| 26492 | 26492 - Opponensplasty; tendon transfer with graft (includes obtaining graft) each tendon | 26492 - OPPONENSPLASTY TDN TR W/GRF EA TDN | 26492 - TENDON TRANSFER WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26494 | 26494 - Opponensplasty; hypothenar muscle transfer | 26494 - OPPONENSPLASTY HYPOTHENAR MUSC TR | 26494 - HAND TENDON/MUSCLE TRANSFER | '01/01/2017 | 12/31/2999 |
| 26496 | 26496 - Opponensplasty; other methods | 26496 - OPPONENSPLASTY OTHER METHODS | 26496 - REVISE THUMB TENDON | '01/01/2017 | 12/31/2999 |
| 26497 | 26497 - Transfer of tendon to restore intrinsic function; ring and small finger | 26497 - TR TDN RESTORE INTRNSC FUNCJ RING&SM FNGR | 26497 - FINGER TENDON TRANSFER | '01/01/2017 | 12/31/2999 |
| 26498 | 26498 - Transfer of tendon to restore intrinsic function; all 4 fingers | 26498 - TR TDN RESTORE INTRNSC FUNCJ ALL 4 FNGRS | 26498 - FINGER TENDON TRANSFER | '01/01/2017 | 12/31/2999 |
| 26499 | 26499 - Correction claw finger other methods | 26499 - CORRECTION CLAW FINGER OTHER METHODS | 26499 - REVISION OF FINGER | '01/01/2017 | 12/31/2999 |
| 26500 | 26500 - Reconstruction of tendon pulley each tendon; with local tissues (separate procedure) | 26500 - RCNSTJ TENDON PULLEY EACH W/LOCAL TISSUES SPX | 26500 - HAND TENDON RECONSTRUCTION | '01/01/2017 | 12/31/2999 |
| 26502 | 26502 - Reconstruction of tendon pulley each tendon; with tendon or fascial graft (includes obtaining graft) (separate procedure) | 26502 - RCNSTJ TDN PULLEY EA TDN W/TDN/FSCAL GRF SPX | 26502 - HAND TENDON RECONSTRUCTION | '01/01/2017 | 12/31/2999 |
| 26508 | 26508 - Release of thenar muscle(s) (eg thumb contracture) | 26508 - RELEASE THENAR MUSCLE | 26508 - RELEASE THUMB CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26510 | 26510 - Cross intrinsic transfer each tendon | 26510 - CROSS INTRINSIC TRANSFER EACH TENDON | 26510 - THUMB TENDON TRANSFER | '01/01/2017 | 12/31/2999 |
| 26516 | 26516 - Capsulodesis metacarpophalangeal joint; single digit | 26516 - CAPSULODESIS MTCARPHLNGL JOINT SINGLE DIGIT | 26516 - FUSION OF KNUCKLE JOINT | '01/01/2017 | 12/31/2999 |
| 26517 | 26517 - Capsulodesis metacarpophalangeal joint; 2 digits | 26517 - CAPSULODESIS MTCARPHLNGL JOINT 2 DIGITS | 26517 - FUSION OF KNUCKLE JOINTS | '01/01/2017 | 12/31/2999 |
| 26518 | 26518 - Capsulodesis metacarpophalangeal joint; 3 or 4 digits | 26518 - CAPSULODESIS MTCARPHLNGL JOINT 3/4 DIGITS | 26518 - FUSION OF KNUCKLE JOINTS | '01/01/2017 | 12/31/2999 |
| 26520 | 26520 - Capsulectomy or capsulotomy; metacarpophalangeal joint each joint | 26520 - CAPSULECTOMY/CAPSULOTOMY MTCARPHLNGL JOINT EACH | 26520 - RELEASE KNUCKLE CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26525 | 26525 - Capsulectomy or capsulotomy; interphalangeal joint each joint | 26525 - CAPSULECTOMY/CAPSULOTOMY IPHAL JOINT EACH | 26525 - RELEASE FINGER CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 26530 | 26530 - Arthroplasty metacarpophalangeal joint; each joint | 26530 - ARTHROPLASTY METACARPOPHALANGEAL JOINT EACH | 26530 - REVISE KNUCKLE JOINT | '01/01/2017 | 12/31/2999 |
| 26531 | 26531 - Arthroplasty metacarpophalangeal joint; with prosthetic implant each joint | 26531 - ARTHRP MTCARPHLNGL JT W/PROSTC IMPLT EA JT | 26531 - REVISE KNUCKLE WITH IMPLANT | '01/01/2017 | 12/31/2999 |
| 26535 | 26535 - Arthroplasty interphalangeal joint; each joint | 26535 - ARTHROPLASTY INTERPHALANGEAL JOINT EACH | 26535 - REVISE FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26536 | 26536 - Arthroplasty interphalangeal joint; with prosthetic implant each joint | 26536 - ARTHROPLASTY INTERPHALANGEAL JT W/PROSTHETIC EA | 26536 - REVISE/IMPLANT FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26540 | 26540 - Repair of collateral ligament metacarpophalangeal or interphalangeal joint | 26540 - RPR COLTRL LIGM MTCARPHLNGL/IPHAL JT | 26540 - REPAIR HAND JOINT | '01/01/2017 | 12/31/2999 |
| 26541 | 26541 - Reconstruction collateral ligament metacarpophalangeal joint single; with tendon or fascial graft (includes obtaining graft) | 26541 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/TDN/FSCAL GRF | 26541 - REPAIR HAND JOINT WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26542 | 26542 - Reconstruction collateral ligament metacarpophalangeal joint single; with local tissue (eg adductor advancement) | 26542 - RCNSTJ COLTRL LIGM MTCARPHLNGL 1 W/LOCAL TISS | 26542 - REPAIR HAND JOINT WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26545 | 26545 - Reconstruction collateral ligament interphalangeal joint single including graft each joint | 26545 - RCNSTJ COLTRL LIGM IPHAL JT 1 W/GRF EA JT | 26545 - RECONSTRUCT FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26546 | 26546 - Repair non-union metacarpal or phalanx (includes obtaining bone graft with or without external or internal fixation) | 26546 - RPR NON-UNION MTCRPL/PHALANX | 26546 - REPAIR NONUNION HAND | '01/01/2017 | 12/31/2999 |
| 26548 | 26548 - Repair and reconstruction finger volar plate interphalangeal joint | 26548 - RPR & RCNSTJ FINGER VOLAR PLATE INTERPHALANGEAL | 26548 - RECONSTRUCT FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26550 | 26550 - Pollicization of a digit | 26550 - POLLICIZATION DIGIT | 26550 - CONSTRUCT THUMB REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 26551 | 26551 - Transfer toe-to-hand with microvascular anastomosis; great toe wrap-around with bone graft | 26551 - TR TOE-TO-HAND W/MVASC ANAST GRT TOE WRP/ARND | 26551 - GREAT TOE-HAND TRANSFER | '01/01/2017 | 12/31/2999 |
| 26553 | 26553 - Transfer toe-to-hand with microvascular anastomosis; other than great toe single | 26553 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 1 | 26553 - SINGLE TRANSFER TOE-HAND | '01/01/2017 | 12/31/2999 |
| 26554 | 26554 - Transfer toe-to-hand with microvascular anastomosis; other than great toe double | 26554 - TR TOE-TO-HAND W/MVASC ANAST OTH/THN GRT TOE 2 | 26554 - DOUBLE TRANSFER TOE-HAND | '01/01/2017 | 12/31/2999 |
| 26555 | 26555 - Transfer finger to another position without microvascular anastomosis | 26555 - TR FNGR AXH POS W/O MVASC ANAST | 26555 - POSITIONAL CHANGE OF FINGER | '01/01/2017 | 12/31/2999 |
| 26556 | 26556 - Transfer free toe joint with microvascular anastomosis | 26556 - TRANSFER FREE TOE JOINT W/MVASC ANASTOMOSIS | 26556 - TOE JOINT TRANSFER | '01/01/2017 | 12/31/2999 |
| 26560 | 26560 - Repair of syndactyly (web finger) each web space; with skin flaps | 26560 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS | 26560 - REPAIR OF WEB FINGER | '01/01/2017 | 12/31/2999 |
| 26561 | 26561 - Repair of syndactyly (web finger) each web space; with skin flaps and grafts | 26561 - REPAIR SYNDACTYLY EACH SPACE W/SKIN FLAPS&GRAFT | 26561 - REPAIR OF WEB FINGER | '01/01/2017 | 12/31/2999 |
| 26562 | 26562 - Repair of syndactyly (web finger) each web space; complex (eg involving bone nails) | 26562 - REPAIR SYNDACTYLY EACH SPACE COMPLEX | 26562 - REPAIR OF WEB FINGER | '01/01/2017 | 12/31/2999 |
| 26565 | 26565 - Osteotomy; metacarpal each | 26565 - OSTEOTOMY METACARPAL EACH | 26565 - CORRECT METACARPAL FLAW | '01/01/2017 | 12/31/2999 |
| 26567 | 26567 - Osteotomy; phalanx of finger each | 26567 - OSTEOTOMY PHALANX FINGER EACH | 26567 - CORRECT FINGER DEFORMITY | '01/01/2017 | 12/31/2999 |
| 26568 | 26568 - Osteoplasty lengthening metacarpal or phalanx | 26568 - OSTEOPLASTY LENGTHENING METACARPAL/PHALANX | 26568 - LENGTHEN METACARPAL/FINGER | '01/01/2017 | 12/31/2999 |
| 26580 | 26580 - Repair cleft hand | 26580 - REPAIR CLEFT HAND | 26580 - REPAIR HAND DEFORMITY | '01/01/2017 | 12/31/2999 |
| 26587 | 26587 - Reconstruction of polydactylous digit soft tissue and bone | 26587 - RCNSTJ POLYDACTYLOUS DIGIT SOFT TISSUE & BONE | 26587 - RECONSTRUCT EXTRA FINGER | '01/01/2017 | 12/31/2999 |
| 26590 | 26590 - Repair macrodactylia each digit | 26590 - REPAIR MACRODACTYLIA EACH DIGIT | 26590 - REPAIR FINGER DEFORMITY | '01/01/2017 | 12/31/2999 |
| 26591 | 26591 - Repair intrinsic muscles of hand each muscle | 26591 - REPAIR INTRINSIC MUSCLES HAND EACH MUSCLE | 26591 - REPAIR MUSCLES OF HAND | '01/01/2017 | 12/31/2999 |
| 26593 | 26593 - Release intrinsic muscles of hand each muscle | 26593 - RELEASE INTRINSIC MUSCLES HAND EACH MUSCLE | 26593 - RELEASE MUSCLES OF HAND | '01/01/2017 | 12/31/2999 |
| 26596 | 26596 - Excision of constricting ring of finger with multiple Z-plasties | 26596 - EXC CONSTRICTING RING FNGR W/MLT Z-PLASTIES | 26596 - EXCISION CONSTRICTING TISSUE | '01/01/2017 | 12/31/2999 |
| 26600 | 26600 - Closed treatment of metacarpal fracture single; without manipulation each bone | 26600 - CLTX METACARPAL FX W/O MANIPULATION EACH BONE | 26600 - TREAT METACARPAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 26605 | 26605 - Closed treatment of metacarpal fracture single; with manipulation each bone | 26605 - CLTX METACARPAL FX W/MANIPULATION EACH BONE | 26605 - TREAT METACARPAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 26607 | 26607 - Closed treatment of metacarpal fracture with manipulation with external fixation each bone | 26607 - CLTX METACARPAL FX W/MANJ W/XTRNL FIXJ EA BONE | 26607 - TREAT METACARPAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 26608 | 26608 - Percutaneous skeletal fixation of metacarpal fracture each bone | 26608 - PRQ SKELETAL FIXJ METACARPAL FX EACH BONE | 26608 - TREAT METACARPAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 26615 | 26615 - Open treatment of metacarpal fracture single includes internal fixation when performed each bone | 26615 - OPEN TX METACARPAL FRACTURE SINGLE EA BONE | 26615 - TREAT METACARPAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 26641 | 26641 - Closed treatment of carpometacarpal dislocation thumb with manipulation | 26641 - CLTX CARPO/METACARPAL DISLOCATION THUMB W/MANJ | 26641 - TREAT THUMB DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26645 | 26645 - Closed treatment of carpometacarpal fracture dislocation thumb (Bennett fracture) with manipulation | 26645 - CLTX CARPO/METACARPAL FX DISLC THUMB W/MANJ | 26645 - TREAT THUMB FRACTURE | '01/01/2017 | 12/31/2999 |
| 26650 | 26650 - Percutaneous skeletal fixation of carpometacarpal fracture dislocation thumb (Bennett fracture) with manipulation | 26650 - PRQ SKELETAL FIX CARPO/METACARPAL FX DISLC THUMB | 26650 - TREAT THUMB FRACTURE | '01/01/2017 | 12/31/2999 |
| 26665 | 26665 - Open treatment of carpometacarpal fracture dislocation thumb (Bennett fracture) includes internal fixation when performed | 26665 - OPEN TX CARPOMETACARPAL FRACTURE DISLOCATE THUMB | 26665 - TREAT THUMB FRACTURE | '01/01/2017 | 12/31/2999 |
| 26670 | 26670 - Closed treatment of carpometacarpal dislocation other than thumb with manipulation each joint; without anesthesia | 26670 - CLTX CARPO/METACARPL DISLC THMB MANJ EA W/O ANES | 26670 - TREAT HAND DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26675 | 26675 - Closed treatment of carpometacarpal dislocation other than thumb with manipulation each joint; requiring anesthesia | 26675 - CLTX CARPO/MTCRPL DISLC THUMB MANJ EA JT W/ANES | 26675 - TREAT HAND DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26676 | 26676 - Percutaneous skeletal fixation of carpometacarpal dislocation other than thumb with manipulation each joint | 26676 - PRQ SKEL FIXJ CARPO/MTCRPL DISLC THMB MANJ EA JT | 26676 - PIN HAND DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26685 | 26685 - Open treatment of carpometacarpal dislocation other than thumb; includes internal fixation when performed each joint | 26685 - OPEN TX CARPOMETACARPAL DISLOCATE NOT THUMB | 26685 - TREAT HAND DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26686 | 26686 - Open treatment of carpometacarpal dislocation other than thumb; complex multiple or delayed reduction | 26686 - OPTX CARP/MTCRPL DISLC THMB CPLX MLT/DLYD RDCTJ | 26686 - TREAT HAND DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26700 | 26700 - Closed treatment of metacarpophalangeal dislocation single with manipulation; without anesthesia | 26700 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/O ANES | 26700 - TREAT KNUCKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26705 | 26705 - Closed treatment of metacarpophalangeal dislocation single with manipulation; requiring anesthesia | 26705 - CLTX METACARPOPHALANGEAL DISLC W/MANJ W/ANES | 26705 - TREAT KNUCKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26706 | 26706 - Percutaneous skeletal fixation of metacarpophalangeal dislocation single with manipulation | 26706 - PRQ SKEL FIXJ METACARPOPHALANGEAL DISLC W/MANJ | 26706 - PIN KNUCKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26715 | 26715 - Open treatment of metacarpophalangeal dislocation single includes internal fixation when performed | 26715 - OPEN TREATMENT METACARPOPHALANGEAL DISLOCATION | 26715 - TREAT KNUCKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26720 | 26720 - Closed treatment of phalangeal shaft fracture proximal or middle phalanx finger or thumb; without manipulation each | 26720 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/O MANJ EA | 26720 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26725 | 26725 - Closed treatment of phalangeal shaft fracture proximal or middle phalanx finger or thumb; with manipulation with or without skin or skeletal traction each | 26725 - CLTX PHLNGL FX PROX/MIDDLE PX/F/T W/MANJ EA | 26725 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26727 | 26727 - Percutaneous skeletal fixation of unstable phalangeal shaft fracture proximal or middle phalanx finger or thumb with manipulation each | 26727 - PRQ SKEL FIXJ PHLNGL SHFT FX PROX/MIDDLE PX/F/T | 26727 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26735 | 26735 - Open treatment of phalangeal shaft fracture proximal or middle phalanx finger or thumb includes internal fixation when performed each | 26735 - OPEN TX PHALANGEAL SHAFT FRACTURE PROX/MIDDLE EA | 26735 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26740 | 26740 - Closed treatment of articular fracture involving metacarpophalangeal or interphalangeal joint; without manipulation each | 26740 - CLTX ARTCLR FX INVG MTCRPHLNGL/IPHAL JT W/O MANJ | 26740 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26742 | 26742 - Closed treatment of articular fracture involving metacarpophalangeal or interphalangeal joint; with manipulation each | 26742 - CLTX ARTCLR FX INVG MTCARPHLNGL/IPHAL JT W/MANJ | 26742 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26746 | 26746 - Open treatment of articular fracture involving metacarpophalangeal or interphalangeal joint includes internal fixation when performed each | 26746 - OPEN TX ARTICULAR FRACTURE MCP/IP JOINT EA | 26746 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26750 | 26750 - Closed treatment of distal phalangeal fracture finger or thumb; without manipulation each | 26750 - CLTX DSTL PHLNGL FX FNGR/THMB W/O MANJ EA | 26750 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26755 | 26755 - Closed treatment of distal phalangeal fracture finger or thumb; with manipulation each | 26755 - CLTX DSTL PHLNGL FX FNGR/THMB W/MANJ EA | 26755 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26756 | 26756 - Percutaneous skeletal fixation of distal phalangeal fracture finger or thumb each | 26756 - PRQ SKEL FIXJ DSTL PHLNGL FX FNGR/THMB EA | 26756 - PIN FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26765 | 26765 - Open treatment of distal phalangeal fracture finger or thumb includes internal fixation when performed each | 26765 - OPEN TX DISTAL PHALANGEAL FRACTURE EACH | 26765 - TREAT FINGER FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 26770 | 26770 - Closed treatment of interphalangeal joint dislocation single with manipulation; without anesthesia | 26770 - CLTX IPHAL JT DISLC W/MANJ W/O ANES | 26770 - TREAT FINGER DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26775 | 26775 - Closed treatment of interphalangeal joint dislocation single with manipulation; requiring anesthesia | 26775 - CLTX IPHAL JT DISLC W/MANJ REQ ANES | 26775 - TREAT FINGER DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26776 | 26776 - Percutaneous skeletal fixation of interphalangeal joint dislocation single with manipulation | 26776 - PRQ SKEL FIXJ IPHAL JT DISLC W/MANJ | 26776 - PIN FINGER DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26785 | 26785 - Open treatment of interphalangeal joint dislocation includes internal fixation when performed single | 26785 - OPEN TX INTERPHALANGEAL JOINT DISLOCATION | 26785 - TREAT FINGER DISLOCATION | '01/01/2017 | 12/31/2999 |
| 26820 | 26820 - Fusion in opposition thumb with autogenous graft (includes obtaining graft) | 26820 - FUSION OPPOSITION THUMB W/AUTOGENOUS GRAFT | 26820 - THUMB FUSION WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26841 | 26841 - Arthrodesis carpometacarpal joint thumb with or without internal fixation; | 26841 - ARTHRD CARPO/METACARPAL JT THUMB W/WO INT FIXJ | 26841 - FUSION OF THUMB | '01/01/2017 | 12/31/2999 |
| 26842 | 26842 - Arthrodesis carpometacarpal joint thumb with or without internal fixation; with autograft (includes obtaining graft) | 26842 - ARTHRD CRP/MTACRPL JT THMB W/WO INT FIXJ W/AGRFT | 26842 - THUMB FUSION WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26843 | 26843 - Arthrodesis carpometacarpal joint digit other than thumb each; | 26843 - ARTHRD CARP/MTCRPL JT DGT OTHER THAN THUMB EACH | 26843 - FUSION OF HAND JOINT | '01/01/2017 | 12/31/2999 |
| 26844 | 26844 - Arthrodesis carpometacarpal joint digit other than thumb each; with autograft (includes obtaining graft) | 26844 - ARTHRD CARP/MTCRPL JT DGT OTH/THN THMB W/AGRFT | 26844 - FUSION/GRAFT OF HAND JOINT | '01/01/2017 | 12/31/2999 |
| 26850 | 26850 - Arthrodesis metacarpophalangeal joint with or without internal fixation; | 26850 - ARTHRODESIS METACARPOPHALANGEAL JT W/WO INT FIXJ | 26850 - FUSION OF KNUCKLE | '01/01/2017 | 12/31/2999 |
| 26852 | 26852 - Arthrodesis metacarpophalangeal joint with or without internal fixation; with autograft (includes obtaining graft) | 26852 - ARTHRODESIS MTCRPL JT W/WO INT FIXJ W/AUTOGRAFT | 26852 - FUSION OF KNUCKLE WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 26860 | 26860 - Arthrodesis interphalangeal joint with or without internal fixation; | 26860 - ARTHRODESIS INTERPHALANGEAL JT W/WO INT FIXJ | 26860 - FUSION OF FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26861 | 26861 - Arthrodesis interphalangeal joint with or without internal fixation; each additional interphalangeal joint (List separately in addition to code for primary procedure) | 26861 - ARTHRODESIS IPHAL JT W/WO INT FIXJ EA IPHAL JT | 26861 - FUSION OF FINGER JNT ADD-ON | '01/01/2017 | 12/31/2999 |
| 26862 | 26862 - Arthrodesis interphalangeal joint with or without internal fixation; with autograft (includes obtaining graft) | 26862 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AUTOGRAFT | 26862 - FUSION/GRAFT OF FINGER JOINT | '01/01/2017 | 12/31/2999 |
| 26863 | 26863 - Arthrodesis interphalangeal joint with or without internal fixation; with autograft (includes obtaining graft) each additional joint (List separately in addition to code for primary procedure) | 26863 - ARTHRODESIS IPHAL JT W/WO INT FIXJ W/AGRFT EA JT | 26863 - FUSE/GRAFT ADDED JOINT | '01/01/2017 | 12/31/2999 |
| 26910 | 26910 - Amputation metacarpal with finger or thumb (ray amputation) single with or without interosseous transfer | 26910 - AMP MTCRPL W/FINGER/THUMB W/WO INTEROSS TRANSFER | 26910 - AMPUTATE METACARPAL BONE | '01/01/2017 | 12/31/2999 |
| 26951 | 26951 - Amputation finger or thumb primary or secondary any joint or phalanx single including neurectomies; with direct closure | 26951 - AMP F/TH 1/2 JT/PHALANX W/NEURECT W/DIR CLSR | 26951 - AMPUTATION OF FINGER/THUMB | '01/01/2017 | 12/31/2999 |
| 26952 | 26952 - Amputation finger or thumb primary or secondary any joint or phalanx single including neurectomies; with local advancement flaps (V-Y hood) | 26952 - AMP F/TH 1/2 JT/PHALANX W/NEURECT LOCAL FLAP | 26952 - AMPUTATION OF FINGER/THUMB | '01/01/2017 | 12/31/2999 |
| 26989 | 26989 - Unlisted procedure hands or fingers | 26989 - UNLISTED PROCEDURE HANDS/FINGERS | 26989 - UNLISTED PX HANDS/FINGERS | '01/01/2023 | 12/31/2999 |
| 26990 | 26990 - Incision and drainage pelvis or hip joint area; deep abscess or hematoma | 26990 - I&D PELVIS/HIP JT AREA DEEP ABSCESS/HEMATOMA | 26990 - DRAINAGE OF PELVIS LESION | '01/01/2017 | 12/31/2999 |
| 26991 | 26991 - Incision and drainage pelvis or hip joint area; infected bursa | 26991 - I&D PELVIS/HIP JOINT AREA INFECTED BURSA | 26991 - DRAINAGE OF PELVIS BURSA | '01/01/2017 | 12/31/2999 |
| 26992 | 26992 - Incision bone cortex pelvis and/or hip joint (eg osteomyelitis or bone abscess) | 26992 - INCISION BONE CORTEX PELVIS&/HIP JOINT | 26992 - DRAINAGE OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 27000 | 27000 - Tenotomy adductor of hip percutaneous (separate procedure) | 27000 - TENOTOMY ADDUCTOR HIP PERCUTANEOUS SPX | 27000 - INCISION OF HIP TENDON | '01/01/2017 | 12/31/2999 |
| 27001 | 27001 - Tenotomy adductor of hip open | 27001 - TENOTOMY ADDUCTOR HIP OPEN | 27001 - INCISION OF HIP TENDON | '01/01/2017 | 12/31/2999 |
| 27003 | 27003 - Tenotomy adductor subcutaneous open with obturator neurectomy | 27003 - TX ADDUXOR SUBQ OPN W/OBTURATOR NEURECTOMY | 27003 - INCISION OF HIP TENDON | '01/01/2017 | 12/31/2999 |
| 27005 | 27005 - Tenotomy hip flexor(s) open (separate procedure) | 27005 - TENOTOMY HIP FLEXOR OPEN SEPARATE PROCEDURE | 27005 - INCISION OF HIP TENDON | '01/01/2017 | 12/31/2999 |
| 27006 | 27006 - Tenotomy abductors and/or extensor(s) of hip open (separate procedure) | 27006 - TENOTOMY ABDUCTORS&/EXTENSOR HIP OPEN SPX | 27006 - INCISION OF HIP TENDONS | '01/01/2017 | 12/31/2999 |
| 27025 | 27025 - Fasciotomy hip or thigh any type | 27025 - FASCIOTOMY HIP/THIGH ANY TYPE | 27025 - INCISION OF HIP/THIGH FASCIA | '01/01/2017 | 12/31/2999 |
| 27027 | 27027 - Decompression fasciotomy(ies) pelvic (buttock) compartment(s) (eg gluteus medius-minimus gluteus maximus iliopsoas and/or tensor fascia lata muscle) unilateral | 27027 - DECOMPRESSION FASCIOTOMY PELVIC COMPARTMENT UNI | 27027 - BUTTOCK FASCIOTOMY | '01/01/2017 | 12/31/2999 |
| 27030 | 27030 - Arthrotomy hip with drainage (eg infection) | 27030 - ARTHROTOMY HIP W/DRAINAGE | 27030 - DRAINAGE OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27033 | 27033 - Arthrotomy hip including exploration or removal of loose or foreign body | 27033 - ARTHROTOMY HIP EXPLORATION/REMOVAL FOREIGN BODY | 27033 - EXPLORATION OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27035 | 27035 - Denervation hip joint intrapelvic or extrapelvic intra-articular branches of sciatic femoral or obturator nerves | 27035 - DNRVTJ HIP JT INTRAPEL/XTRPEL INTRA-ARTCLR BRNCH | 27035 - DENERVATION OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27036 | 27036 - Capsulectomy or capsulotomy hip with or without excision of heterotopic bone with release of hip flexor muscles (ie gluteus medius gluteus minimus tensor fascia latae rectus femoris sartorius iliopsoas) | 27036 - CAPSLCTOMY/CAPSUL HIP W/RLS HIP FLXR MUSC | 27036 - EXCISION OF HIP JOINT/MUSCLE | '01/01/2017 | 12/31/2999 |
| 27040 | 27040 - Biopsy soft tissue of pelvis and hip area; superficial | 27040 - BIOPSY SOFT TISSUE PELVIS&HIP AREA SUPERFICIAL | 27040 - BIOPSY OF SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 27041 | 27041 - Biopsy soft tissue of pelvis and hip area; deep subfascial or intramuscular | 27041 - BIOPSY SOFT TISSUE PELVIS&HIP DEEP/SUBFSCAL/IM | 27041 - BIOPSY OF SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 27043 | 27043 - Excision tumor soft tissue of pelvis and hip area subcutaneous; 3 cm or greater | 27043 - EXCISION TUMOR SOFT TISSUE PELVIS&HIP SUBQ 3CM/> | 27043 - EXC HIP PELVIS LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 27045 | 27045 - Excision tumor soft tissue of pelvis and hip area subfascial (eg intramuscular); 5 cm or greater | 27045 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC 5CM/> | 27045 - EXC HIP/PELV TUM DEEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 27047 | 27047 - Excision tumor soft tissue of pelvis and hip area subcutaneous; less than 3 cm | 27047 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBQ <3CM | 27047 - EXC HIP/PELVIS LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 27048 | 27048 - Excision tumor soft tissue of pelvis and hip area subfascial (eg intramuscular); less than 5 cm | 27048 - EXC TUMOR SOFT TISSUE PELVIS & HIP SUBFASC <5CM | 27048 - EXC HIP/PELV TUM DEEP < 5 CM | '01/01/2017 | 12/31/2999 |
| 27049 | 27049 - Radical resection of tumor (eg sarcoma) soft tissue of pelvis and hip area; less than 5 cm | 27049 - RAD RESECT TUMOR SOFT TISSUE PELVIS & HIP <5 CM | 27049 - RESECT HIP/PELV TUM < 5 CM | '01/01/2017 | 12/31/2999 |
| 27050 | 27050 - Arthrotomy with biopsy; sacroiliac joint | 27050 - ARTHROTOMY W/BIOPSY SACROILIAC JOINT | 27050 - BIOPSY OF SACROILIAC JOINT | '01/01/2017 | 12/31/2999 |
| 27052 | 27052 - Arthrotomy with biopsy; hip joint | 27052 - ARTHROTOMY W/BIOPSY HIP JOINT | 27052 - BIOPSY OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27054 | 27054 - Arthrotomy with synovectomy hip joint | 27054 - ARTHROTOMY W/SYNOVECTOMY HIP JOINT | 27054 - REMOVAL OF HIP JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27057 | 27057 - Decompression fasciotomy(ies) pelvic (buttock) compartment(s) (eg gluteus medius-minimus gluteus maximus iliopsoas and/or tensor fascia lata muscle) with debridement of nonviable muscle unilateral | 27057 - DCMPRN FASCIOTOMY PELVIC CMPRT DBRDMT MUSCLE UNI | 27057 - BUTTOCK FASCIOTOMY W/DBRDMT | '01/01/2017 | 12/31/2999 |
| 27059 | 27059 - Radical resection of tumor (eg sarcoma) soft tissue of pelvis and hip area; 5 cm or greater | 27059 - RAD RESECTION TUMOR SOFT TISS PELVIS&HIP 5 CM/> | 27059 - RESECT HIP/PELV TUM 5 CM/> | '01/01/2017 | 12/31/2999 |
| 27060 | 27060 - Excision; ischial bursa | 27060 - EXCISION ISCHIAL BURSA | 27060 - REMOVAL OF ISCHIAL BURSA | '01/01/2017 | 12/31/2999 |
| 27062 | 27062 - Excision; trochanteric bursa or calcification | 27062 - EXCISION TROCHANTERIC BURSA/CALCIFICATION | 27062 - REMOVE FEMUR LESION/BURSA | '01/01/2017 | 12/31/2999 |
| 27065 | 27065 - Excision of bone cyst or benign tumor wing of ilium symphysis pubis or greater trochanter of femur; superficial includes autograft when performed | 27065 - EXCISION BONE CYST/BNIGN TUMOR SUPERFICIAL | 27065 - REMOVE HIP BONE LES SUPER | '01/01/2017 | 12/31/2999 |
| 27066 | 27066 - Excision of bone cyst or benign tumor wing of ilium symphysis pubis or greater trochanter of femur; deep (subfascial) includes autograft when performed | 27066 - EXCISION BONE CYST/BENIGN TUMOR DEEP | 27066 - REMOVE HIP BONE LES DEEP | '01/01/2017 | 12/31/2999 |
| 27067 | 27067 - Excision of bone cyst or benign tumor wing of ilium symphysis pubis or greater trochanter of femur; with autograft requiring separate incision | 27067 - EXC B1 CST/B9 TUM W/AGRFT REQ SEP INC | 27067 - REMOVE/GRAFT HIP BONE LESION | '01/01/2017 | 12/31/2999 |
| 27070 | 27070 - Partial excision wing of ilium symphysis pubis or greater trochanter of femur (craterization saucerization) (eg osteomyelitis or bone abscess); superficial | 27070 - PARTIAL EXCISION SUPERFICIAL PELVIS | 27070 - PART REMOVE HIP BONE SUPER | '01/01/2017 | 12/31/2999 |
| 27071 | 27071 - Partial excision wing of ilium symphysis pubis or greater trochanter of femur (craterization saucerization) (eg osteomyelitis or bone abscess); deep (subfascial or intramuscular) | 27071 - PARTIAL EXCISION DEEP PELVIS | 27071 - PART REMOVAL HIP BONE DEEP | '01/01/2017 | 12/31/2999 |
| 27075 | 27075 - Radical resection of tumor; wing of ilium 1 pubic or ischial ramus or symphysis pubis | 27075 - RAD RESCT TUMOR WING OF ILIUM 1 PUBIC/ISCHIAL | 27075 - RESECT HIP TUMOR | '01/01/2017 | 12/31/2999 |
| 27076 | 27076 - Radical resection of tumor; ilium including acetabulum both pubic rami or ischium and acetabulum | 27076 - RAD RESCT TUMOR ILIUM ACETABULUM BOTH PUBIC | 27076 - RESECT HIP TUM INCL ACETABUL | '01/01/2017 | 12/31/2999 |
| 27077 | 27077 - Radical resection of tumor; innominate bone total | 27077 - RADICAL RESCTION TUMOR INNOMINATE BONE TOTAL | 27077 - RESECT HIP TUM W/INNOM BONE | '01/01/2017 | 12/31/2999 |
| 27078 | 27078 - Radical resection of tumor; ischial tuberosity and greater trochanter of femur | 27078 - RAD RESCT TUMOR ISCHIAL TUBEROSITY&GRT TRCHNTR | 27078 - RSECT HIP TUM INCL FEMUR | '01/01/2017 | 12/31/2999 |
| 27080 | 27080 - Coccygectomy primary | 27080 - COCCYGECTOMY PRIMARY | 27080 - REMOVAL OF TAIL BONE | '01/01/2017 | 12/31/2999 |
| 27086 | 27086 - Removal of foreign body pelvis or hip; subcutaneous tissue | 27086 - RMVL FOREIGN BODY PELVIS/HIP SUBCUTANEOUS TISS | 27086 - REMOVE HIP FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 27087 | 27087 - Removal of foreign body pelvis or hip; deep (subfascial or intramuscular) | 27087 - REMOVAL FOREIGN BODY PELVIS/HIP DEEP | 27087 - REMOVE HIP FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 27090 | 27090 - Removal of hip prosthesis; (separate procedure) | 27090 - REMOVAL HIP PROSTHESIS SEPARATE PROCEDURE | 27090 - REMOVAL OF HIP PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 27091 | 27091 - Removal of hip prosthesis; complicated including total hip prosthesis methylmethacrylate with or without insertion of spacer | 27091 - RMVL HIP PROSTH COMP W/TOT HIP PROSTH MMA | 27091 - REMOVAL OF HIP PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 27093 | 27093 - Injection procedure for hip arthrography; without anesthesia | 27093 - INJECTION HIP ARTHROGRAPHY W/O ANESTHESIA | 27093 - INJECTION FOR HIP X-RAY | '01/01/2017 | 12/31/2999 |
| 27095 | 27095 - Injection procedure for hip arthrography; with anesthesia | 27095 - INJECTION HIP ARTHROGRAPHY W/ANESTHESIA | 27095 - INJECTION FOR HIP X-RAY | '01/01/2017 | 12/31/2999 |
| 27096 | 27096 - Injection procedure for sacroiliac joint anesthetic/steroid with image guidance (fluoroscopy or CT) including arthrography when performed | 27096 - INJECT SI JOINT ARTHRGRPHY&/ANES/STEROID W/IMA | 27096 - INJECT SACROILIAC JOINT | '01/01/2017 | 12/31/2999 |
| 27097 | 27097 - Release or recession hamstring proximal | 27097 - RELEASE/RECESSION HAMSTRING PROXIMAL | 27097 - REVISION OF HIP TENDON | '01/01/2017 | 12/31/2999 |
| 27098 | 27098 - Transfer adductor to ischium | 27098 - TRANSFER ADDUCTOR ISCHIUM | 27098 - TRANSFER TENDON TO PELVIS | '01/01/2017 | 12/31/2999 |
| 27100 | 27100 - Transfer external oblique muscle to greater trochanter including fascial or tendon extension (graft) | 27100 - TR XTRNL OBLQ MUSC TRCHNTR W/FSCAL/TDN XTN GRF | 27100 - TRANSFER OF ABDOMINAL MUSCLE | '01/01/2017 | 12/31/2999 |
| 27105 | 27105 - Transfer paraspinal muscle to hip (includes fascial or tendon extension graft) | 27105 - TR PARASPI MUSC HIP FASC/TDN XTN GRF | 27105 - TRANSFER OF SPINAL MUSCLE | '01/01/2017 | 12/31/2999 |
| 27110 | 27110 - Transfer iliopsoas; to greater trochanter of femur | 27110 - TRANSFER ILIOPSOAS GREATER TROCHANTER FEMUR | 27110 - TRANSFER OF ILIOPSOAS MUSCLE | '01/01/2017 | 12/31/2999 |
| 27111 | 27111 - Transfer iliopsoas; to femoral neck | 27111 - TRANSFER ILIOPSOAS FEMORAL NECK | 27111 - TRANSFER OF ILIOPSOAS MUSCLE | '01/01/2017 | 12/31/2999 |
| 27120 | 27120 - Acetabuloplasty; (eg Whitman Colonna Haygroves or cup type) | 27120 - ACETABULOPLASTY | 27120 - RECONSTRUCTION OF HIP SOCKET | '01/01/2017 | 12/31/2999 |
| 27122 | 27122 - Acetabuloplasty; resection femoral head (eg Girdlestone procedure) | 27122 - ACETABULOPLASTY RESECTION FEMORAL HEAD | 27122 - RECONSTRUCTION OF HIP SOCKET | '01/01/2017 | 12/31/2999 |
| 27125 | 27125 - Hemiarthroplasty hip partial (eg femoral stem prosthesis bipolar arthroplasty) | 27125 - HEMIARTHROPLASTY HIP PARTIAL | 27125 - PARTIAL HIP REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 27130 | 27130 - Arthroplasty acetabular and proximal femoral prosthetic replacement (total hip arthroplasty) with or without autograft or allograft | 27130 - ARTHRP ACETBLR/PROX FEM PROSTC AGRFT/ALGRFT | 27130 - TOTAL HIP ARTHROPLASTY | '01/01/2017 | 12/31/2999 |
| 27132 | 27132 - Conversion of previous hip surgery to total hip arthroplasty with or without autograft or allograft | 27132 - CONV PREV HIP TOT HIP ARTHRP W/WO AGRFT/ALGRFT | 27132 - TOTAL HIP ARTHROPLASTY | '01/01/2017 | 12/31/2999 |
| 27134 | 27134 - Revision of total hip arthroplasty; both components with or without autograft or allograft | 27134 - REVJ TOT HIP ARTHRP BTH W/WO AGRFT/ALGRFT | 27134 - REVISE HIP JOINT REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 27137 | 27137 - Revision of total hip arthroplasty; acetabular component only with or without autograft or allograft | 27137 - REVJ TOT HIP ARTHRP ACTBLR W/WO AGRFT/ALGRFT | 27137 - REVISE HIP JOINT REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 27138 | 27138 - Revision of total hip arthroplasty; femoral component only with or without allograft | 27138 - REVJ TOT HIP ARTHRP FEM ONLY W/WO ALGRFT | 27138 - REVISE HIP JOINT REPLACEMENT | '01/01/2017 | 12/31/2999 |
| 27140 | 27140 - Osteotomy and transfer of greater trochanter of femur (separate procedure) | 27140 - OSTEOTOMY&TRANSFER GREATER TROCHANTER SPX | 27140 - TRANSPLANT FEMUR RIDGE | '01/01/2017 | 12/31/2999 |
| 27146 | 27146 - Osteotomy iliac acetabular or innominate bone; | 27146 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE BONE | 27146 - INCISION OF HIP BONE | '01/01/2017 | 12/31/2999 |
| 27147 | 27147 - Osteotomy iliac acetabular or innominate bone; with open reduction of hip | 27147 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE HIP RDCTJ | 27147 - REVISION OF HIP BONE | '01/01/2017 | 12/31/2999 |
| 27151 | 27151 - Osteotomy iliac acetabular or innominate bone; with femoral osteotomy | 27151 - OSTEOTOMY ILIAC ACETABULAR/INNOMINATE FEM OSTEOT | 27151 - INCISION OF HIP BONES | '01/01/2017 | 12/31/2999 |
| 27156 | 27156 - Osteotomy iliac acetabular or innominate bone; with femoral osteotomy and with open reduction of hip | 27156 - OSTEOT ILIAC ACTBLR/INNOMINATE BONE OSTEOT RDCTJ | 27156 - REVISION OF HIP BONES | '01/01/2017 | 12/31/2999 |
| 27158 | 27158 - Osteotomy pelvis bilateral (eg congenital malformation) | 27158 - OSTEOTOMY PELVIS BILATERAL | 27158 - REVISION OF PELVIS | '01/01/2017 | 12/31/2999 |
| 27161 | 27161 - Osteotomy femoral neck (separate procedure) | 27161 - OSTEOTOMY FEMORAL NECK SEPARATE PROCEDURE | 27161 - INCISION OF NECK OF FEMUR | '01/01/2017 | 12/31/2999 |
| 27165 | 27165 - Osteotomy intertrochanteric or subtrochanteric including internal or external fixation and/or cast | 27165 - OSTEOT INTERTRCHNTRIC/SUBTRCHNTRIC W/INT/XTRNL | 27165 - INCISION/FIXATION OF FEMUR | '01/01/2017 | 12/31/2999 |
| 27170 | 27170 - Bone graft femoral head neck intertrochanteric or subtrochanteric area (includes obtaining bone graft) | 27170 - B1 GRF FEM H/N INTERTRCHNTRIC/SUBTRCHNTRIC AREA | 27170 - REPAIR/GRAFT FEMUR HEAD/NECK | '01/01/2017 | 12/31/2999 |
| 27175 | 27175 - Treatment of slipped femoral epiphysis; by traction without reduction | 27175 - TX SLP FEMORAL EPIPHYSIS TRCJ W/O REDUCTION | 27175 - TREAT SLIPPED EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27176 | 27176 - Treatment of slipped femoral epiphysis; by single or multiple pinning in situ | 27176 - TX SLP FEM EPIPHYSIS SINGLE/MULTIPL PINNING SITU | 27176 - TREAT SLIPPED EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27177 | 27177 - Open treatment of slipped femoral epiphysis; single or multiple pinning or bone graft (includes obtaining graft) | 27177 - OPTX SLP FEM EPIPHYSIS SINGLE/MULT PIN/BONE GRFT | 27177 - TREAT SLIPPED EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27178 | 27178 - Open treatment of slipped femoral epiphysis; closed manipulation with single or multiple pinning | 27178 - OPTX SLP FEM EPIPHYSIS CLSD MANJ SINGL/MLTPL PIN | 27178 - TREAT SLIPPED EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27179 | 27179 - Open treatment of slipped femoral epiphysis; osteoplasty of femoral neck (Heyman type procedure) | 27179 - OPTX SLP FEM EPIPHYSIS OSTPL FEM NCK HEYMAN PX | 27179 - REVISE HEAD/NECK OF FEMUR | '01/01/2017 | 12/31/2999 |
| 27181 | 27181 - Open treatment of slipped femoral epiphysis; osteotomy and internal fixation | 27181 - OPTX SLP FEM EPIPHYSIS OSTEOT&INT FIXJ | 27181 - TREAT SLIPPED EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27185 | 27185 - Epiphyseal arrest by epiphysiodesis or stapling greater trochanter of femur | 27185 - EPIPHYSL ARRST EPIPHYSIOD/STAPLING TRCHNTR FEMUR | 27185 - REVISION OF FEMUR EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27187 | 27187 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate femoral neck and proximal femur | 27187 - PROPH TX N/P/PLTWR W/WO MMA FEM NCK & PROX FEMUR | 27187 - REINFORCE HIP BONES | '01/01/2017 | 12/31/2999 |
| 27197 | 27197 - Closed treatment of posterior pelvic ring fracture(s) dislocation(s) diastasis or subluxation of the ilium sacroiliac joint and/or sacrum with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami unilateral or bilateral; without manipulation | 27197 - CLSD TX PELVIC RING FX W/O MANIPULATION | 27197 - CLSD TX PELVIC RING FX | '01/01/2017 | 12/31/2999 |
| 27198 | 27198 - Closed treatment of posterior pelvic ring fracture(s) dislocation(s) diastasis or subluxation of the ilium sacroiliac joint and/or sacrum with or without anterior pelvic ring fracture(s) and/or dislocation(s) of the pubic symphysis and/or superior/inferior rami unilateral or bilateral; with manipulation requiring more than local anesthesia (ie general anesthesia moderate sedation spinal/epidural) | 27198 - CLSD TX PELVIC RING FX W/MANIPULATION W/ANES | 27198 - CLSD TX PELVIC RING FX | '01/01/2017 | 12/31/2999 |
| 27200 | 27200 - Closed treatment of coccygeal fracture | 27200 - CLOSED TREATMENT COCCYGEAL FRACTURE | 27200 - TREAT TAIL BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27202 | 27202 - Open treatment of coccygeal fracture | 27202 - OPEN TREATMENT COCCYGEAL FRACTURE | 27202 - TREAT TAIL BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27215 | 27215 - Open treatment of iliac spine(s) tuberosity avulsion or iliac wing fracture(s) unilateral for pelvic bone fracture patterns that do not disrupt the pelvic ring includes internal fixation when performed | 27215 - OPTX ILIAC TUBRST AVLS/WING FX FIXJ IF PRFRMD | 27215 - TREAT PELVIC FRACTURE(S) | '01/01/2017 | 12/31/2999 |
| 27216 | 27216 - Percutaneous skeletal fixation of posterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring unilateral (includes ipsilateral ilium sacroiliac joint and/or sacrum) | 27216 - PERQ SKELETAL FIXATION PST PELVIC BONE FX&/DIS | 27216 - TREAT PELVIC RING FRACTURE | '01/01/2017 | 12/31/2999 |
| 27217 | 27217 - Open treatment of anterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring unilateral includes internal fixation when performed (includes pubic symphysis and/or ipsilateral superior/inferior rami) | 27217 - OPTX ANT PELVIC BONE FX&/DISLC INT FIXJ IF PFR | 27217 - TREAT PELVIC RING FRACTURE | '01/01/2017 | 12/31/2999 |
| 27218 | 27218 - Open treatment of posterior pelvic bone fracture and/or dislocation for fracture patterns that disrupt the pelvic ring unilateral includes internal fixation when performed (includes ipsilateral ilium sacroiliac joint and/or sacrum) | 27218 - OPTX POST PEL BONE FX&/DISLC INT FIXJ IF PFRMD | 27218 - TREAT PELVIC RING FRACTURE | '01/01/2017 | 12/31/2999 |
| 27220 | 27220 - Closed treatment of acetabulum (hip socket) fracture(s); without manipulation | 27220 - CLTX ACETABULUM HIP/SOCKT FX W/O MANJ | 27220 - TREAT HIP SOCKET FRACTURE | '01/01/2017 | 12/31/2999 |
| 27222 | 27222 - Closed treatment of acetabulum (hip socket) fracture(s); with manipulation with or without skeletal traction | 27222 - CLTX ACETABULM HIP/SOCKT FX MANJ W/WO SKEL TRACJ | 27222 - TREAT HIP SOCKET FRACTURE | '01/01/2017 | 12/31/2999 |
| 27226 | 27226 - Open treatment of posterior or anterior acetabular wall fracture with internal fixation | 27226 - OPTX PST/ANT ACTBLR WALL FX W/INT FIXJ | 27226 - TREAT HIP WALL FRACTURE | '01/01/2017 | 12/31/2999 |
| 27227 | 27227 - Open treatment of acetabular fracture(s) involving anterior or posterior (one) column or a fracture running transversely across the acetabulum with internal fixation | 27227 - OPTX ACTBLR FX INVG ANT/PST 1 COLUMN/FX W/INT | 27227 - TREAT HIP FRACTURE(S) | '01/01/2017 | 12/31/2999 |
| 27228 | 27228 - Open treatment of acetabular fracture(s) involving anterior and posterior (two) columns includes T-fracture and both column fracture with complete articular detachment or single column or transverse fracture with associated acetabular wall fracture with internal fixation | 27228 - OPTX ACTBLR FX INVG ANT&POST 2 COLUMNS FX W/INT | 27228 - TREAT HIP FRACTURE(S) | '01/01/2017 | 12/31/2999 |
| 27230 | 27230 - Closed treatment of femoral fracture proximal end neck; without manipulation | 27230 - CLTX FEM FX PROX END NCK W/O MANJ | 27230 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27232 | 27232 - Closed treatment of femoral fracture proximal end neck; with manipulation with or without skeletal traction | 27232 - CLTX FEM FX PROX END NCK W/MANJ W/WO SKEL TRACJ | 27232 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27235 | 27235 - Percutaneous skeletal fixation of femoral fracture proximal end neck | 27235 - PRQ SKEL FIXJ FEMORAL FX PROX END NECK | 27235 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27236 | 27236 - Open treatment of femoral fracture proximal end neck internal fixation or prosthetic replacement | 27236 - OPTX FEM FX PROX END NCK INT FIXJ/PROSTC RPLCMT | 27236 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27238 | 27238 - Closed treatment of intertrochanteric peritrochanteric or subtrochanteric femoral fracture; without manipulation | 27238 - CLTX INTER/PERI/SUBTROCHANTERIC FEM FX W/O MANJ | 27238 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27240 | 27240 - Closed treatment of intertrochanteric peritrochanteric or subtrochanteric femoral fracture; with manipulation with or without skin or skeletal traction | 27240 - CLTX INTR/PERI/SBTRCHNTC FEMORAL FX W/MANJ | 27240 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27244 | 27244 - Treatment of intertrochanteric peritrochanteric or subtrochanteric femoral fracture; with plate/screw type implant with or without cerclage | 27244 - TX INTER/PR/SUBTRCHNTRIC FEMORAL FX SCREW IMPLT | 27244 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27245 | 27245 - Treatment of intertrochanteric peritrochanteric or subtrochanteric femoral fracture; with intramedullary implant with or without interlocking screws and/or cerclage | 27245 - TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW | 27245 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27246 | 27246 - Closed treatment of greater trochanteric fracture without manipulation | 27246 - CLTX GREATER TROCHANTERIC FX W/O MANJ | 27246 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27248 | 27248 - Open treatment of greater trochanteric fracture includes internal fixation when performed | 27248 - OPEN TREATMENT GREATER TROCHANTERIC FRACTURE | 27248 - TREAT THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27250 | 27250 - Closed treatment of hip dislocation traumatic; without anesthesia | 27250 - CLTX HIP DISLOCATION TRAUMATIC W/O ANESTHESIA | 27250 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27252 | 27252 - Closed treatment of hip dislocation traumatic; requiring anesthesia | 27252 - CLTX HIP DISLOCATION TRAUMATIC REQ ANESTHESIA | 27252 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27253 | 27253 - Open treatment of hip dislocation traumatic without internal fixation | 27253 - OPTX HIP DISLOCATION TRAUMATIC W/O INTERNAL FIXJ | 27253 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27254 | 27254 - Open treatment of hip dislocation traumatic with acetabular wall and femoral head fracture with or without internal or external fixation | 27254 - OPTX HIP DISLC TRAUMTC W/ACTBLR WALL&FEM HEAD | 27254 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27256 | 27256 - Treatment of spontaneous hip dislocation (developmental including congenital or pathological) by abduction splint or traction; without anesthesia without manipulation | 27256 - TX SPONTAN HIP DISLC ABDCT SPLNT/TRCJ W/O ANES | 27256 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27257 | 27257 - Treatment of spontaneous hip dislocation (developmental including congenital or pathological) by abduction splint or traction; with manipulation requiring anesthesia | 27257 - TX SPON HIP DISLC ABDCT SPLNT/TRCJ W/MANJ ANES | 27257 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27258 | 27258 - Open treatment of spontaneous hip dislocation (developmental including congenital or pathological) replacement of femoral head in acetabulum (including tenotomy etc); | 27258 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM | 27258 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27259 | 27259 - Open treatment of spontaneous hip dislocation (developmental including congenital or pathological) replacement of femoral head in acetabulum (including tenotomy etc); with femoral shaft shortening | 27259 - OPTX SPON HIP DISLC RPLCMT FEM HEAD ACTBLM SHRT | 27259 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27265 | 27265 - Closed treatment of post hip arthroplasty dislocation; without anesthesia | 27265 - CLTX POST HIP ARTHRP DISLC W/O ANES | 27265 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27266 | 27266 - Closed treatment of post hip arthroplasty dislocation; requiring regional or general anesthesia | 27266 - CLTX POST HIP ARTHRP DISLC REQ ANES | 27266 - TREAT HIP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27267 | 27267 - Closed treatment of femoral fracture proximal end head; without manipulation | 27267 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/O MANJ | 27267 - CLTX THIGH FX | '01/01/2017 | 12/31/2999 |
| 27268 | 27268 - Closed treatment of femoral fracture proximal end head; with manipulation | 27268 - CLOSED TX FEMORAL FRACTURE PROX HEAD W/MANJ | 27268 - CLTX THIGH FX W/MNPJ | '01/01/2017 | 12/31/2999 |
| 27269 | 27269 - Open treatment of femoral fracture proximal end head includes internal fixation when performed | 27269 - OPEN TX FEMORAL FRACTURE PROXIMAL END HEAD | 27269 - OPTX THIGH FX | '01/01/2017 | 12/31/2999 |
| 27275 | 27275 - Manipulation hip joint requiring general anesthesia | 27275 - MANIPULATION HIP JOINT GENERAL ANESTHESIA | 27275 - MANIPULATION OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27279 | 27279 - Arthrodesis sacroiliac joint percutaneous or minimally invasive (indirect visualization) with image guidance includes obtaining bone graft when performed and placement of transfixing device | 27279 - ARTHRODESIS SI JOINT PERCUTANEOUS/MIN INVASIVE | 27279 - ARTHRD SI JT PERQ/MIN NVAS | '01/01/2023 | 12/31/2999 |
| 27280 | 27280 - Arthrodesis sacroiliac joint open includes obtaining bone graft including instrumentation when performed | 27280 - ARTHRODESIS SI JT OPN W/OBTAINING B1 GRF INSTRMJ | 27280 - ARTHR SI JT OPN B1GRF INSTRM | '01/01/2023 | 12/31/2999 |
| 27282 | 27282 - Arthrodesis symphysis pubis (including obtaining graft) | 27282 - ARTHRODESIS SYMPHYSIS PUBIS W/OBTAINING GRAFT | 27282 - ARTHRODESIS SYMPHYSIS PUBIS | '01/01/2023 | 12/31/2999 |
| 27284 | 27284 - Arthrodesis hip joint (including obtaining graft); | 27284 - ARTHRODESIS HIP JOINT W/OBTAINING GRAFT | 27284 - FUSION OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27286 | 27286 - Arthrodesis hip joint (including obtaining graft); with subtrochanteric osteotomy | 27286 - ARTHRD HIP JT W/OBTG GRF W/SUBTRCHNTRIC OSTEOT | 27286 - FUSION OF HIP JOINT | '01/01/2017 | 12/31/2999 |
| 27290 | 27290 - Interpelviabdominal amputation (hindquarter amputation) | 27290 - INTERPELVIABDOMINAL AMPUTATION | 27290 - AMPUTATION OF LEG AT HIP | '01/01/2017 | 12/31/2999 |
| 27295 | 27295 - Disarticulation of hip | 27295 - DISARTICULATION HIP | 27295 - AMPUTATION OF LEG AT HIP | '01/01/2017 | 12/31/2999 |
| 27299 | 27299 - Unlisted procedure pelvis or hip joint | 27299 - UNLISTED PROCEDURE PELVIS/HIP JOINT | 27299 - UNLISTED PX PELVIS/HIP JOINT | '01/01/2023 | 12/31/2999 |
| 27301 | 27301 - Incision and drainage deep abscess bursa or hematoma thigh or knee region | 27301 - I&D DEEP ABSC BURSA/HEMATOMA THIGH/KNEE REGION | 27301 - DRAIN THIGH/KNEE LESION | '01/01/2017 | 12/31/2999 |
| 27303 | 27303 - Incision deep with opening of bone cortex femur or knee (eg osteomyelitis or bone abscess) | 27303 - INC DEEP W/OPNG BONE CORTEX FEMUR/KNEE | 27303 - DRAINAGE OF BONE LESION | '01/01/2017 | 12/31/2999 |
| 27305 | 27305 - Fasciotomy iliotibial (tenotomy) open | 27305 - FASCIOTOMY ILIOTIBIAL OPEN | 27305 - INCISE THIGH TENDON & FASCIA | '01/01/2017 | 12/31/2999 |
| 27306 | 27306 - Tenotomy percutaneous adductor or hamstring; single tendon (separate procedure) | 27306 - TENOTOMY PRQ ADDUCTOR/HAMSTRING 1 TENDON SPX | 27306 - INCISION OF THIGH TENDON | '01/01/2017 | 12/31/2999 |
| 27307 | 27307 - Tenotomy percutaneous adductor or hamstring; multiple tendons | 27307 - TENOTOMY PRQ ADDUCTOR/HAMSTRING MULTIPLE TENDON | 27307 - INCISION OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27310 | 27310 - Arthrotomy knee with exploration drainage or removal of foreign body (eg infection) | 27310 - ARTHRT KNE W/EXPL DRG/RMVL FB | 27310 - EXPLORATION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27323 | 27323 - Biopsy soft tissue of thigh or knee area; superficial | 27323 - BIOPSY SOFT TISSUE THIGH/KNEE AREA SUPERFICIAL | 27323 - BIOPSY THIGH SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 27324 | 27324 - Biopsy soft tissue of thigh or knee area; deep (subfascial or intramuscular) | 27324 - BIOPSY SOFT TISSUE THIGH/KNEE AREA DEEP | 27324 - BIOPSY THIGH SOFT TISSUES | '01/01/2017 | 12/31/2999 |
| 27325 | 27325 - Neurectomy hamstring muscle | 27325 - NEURECTOMY HAMSTRING MUSCLE | 27325 - NEURECTOMY HAMSTRING | '01/01/2017 | 12/31/2999 |
| 27326 | 27326 - Neurectomy popliteal (gastrocnemius) | 27326 - NEURECTOMY POPLITEAL | 27326 - NEURECTOMY POPLITEAL | '01/01/2017 | 12/31/2999 |
| 27327 | 27327 - Excision tumor soft tissue of thigh or knee area subcutaneous; less than 3 cm | 27327 - EXCISION TUMOR SOFT TISSUE THIGH/KNEE SUBQ <3CM | 27327 - EXC THIGH/KNEE LES SC < 3 CM | '01/01/2017 | 12/31/2999 |
| 27328 | 27328 - Excision tumor soft tissue of thigh or knee area subfascial (eg intramuscular); less than 5 cm | 27328 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC <5CM | 27328 - EXC THIGH/KNEE TUM DEEP <5CM | '01/01/2017 | 12/31/2999 |
| 27329 | 27329 - Radical resection of tumor (eg sarcoma) soft tissue of thigh or knee area; less than 5 cm | 27329 - RAD RESECT TUMOR SOFT TISSUE THIGH/KNEE <5CM | 27329 - RESECT THIGH/KNEE TUM < 5 CM | '01/01/2017 | 12/31/2999 |
| 27330 | 27330 - Arthrotomy knee; with synovial biopsy only | 27330 - ARTHROTOMY KNEE W/SYNOVIAL BIOPSY ONLY | 27330 - BIOPSY KNEE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27331 | 27331 - Arthrotomy knee; including joint exploration biopsy or removal of loose or foreign bodies | 27331 - ARTHRT KNE W/JT EXPL BX/RMVL LOOSE/FB | 27331 - EXPLORE/TREAT KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27332 | 27332 - Arthrotomy with excision of semilunar cartilage (meniscectomy) knee; medial OR lateral | 27332 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL/LAT | 27332 - REMOVAL OF KNEE CARTILAGE | '01/01/2017 | 12/31/2999 |
| 27333 | 27333 - Arthrotomy with excision of semilunar cartilage (meniscectomy) knee; medial AND lateral | 27333 - ARTHRT W/EXC SEMILUNAR CRTLG KNEE MEDIAL&LAT | 27333 - REMOVAL OF KNEE CARTILAGE | '01/01/2017 | 12/31/2999 |
| 27334 | 27334 - Arthrotomy with synovectomy knee; anterior OR posterior | 27334 - ARTHROTOMY W/SYNOVECTOMY KNEE ANTERIOR/POSTERIOR | 27334 - REMOVE KNEE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27335 | 27335 - Arthrotomy with synovectomy knee; anterior AND posterior including popliteal area | 27335 - ARTHRT W/SYNVCT KNE ANT&POST W/POP AREA | 27335 - REMOVE KNEE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27337 | 27337 - Excision tumor soft tissue of thigh or knee area subcutaneous; 3 cm or greater | 27337 - EXCISON TUMOR SOFT TISSUE THIGH/KNEE SUBQ 3 CM/> | 27337 - EXC THIGH/KNEE LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 27339 | 27339 - Excision tumor soft tissue of thigh or knee area subfascial (eg intramuscular); 5 cm or greater | 27339 - EXC TUMOR SOFT TISSUE THIGH/KNEE SUBFASC 5 CM/> | 27339 - EXC THIGH/KNEE TUM DEP 5CM/> | '01/01/2017 | 12/31/2999 |
| 27340 | 27340 - Excision prepatellar bursa | 27340 - EXCISION PREPATELLAR BURSA | 27340 - REMOVAL OF KNEECAP BURSA | '01/01/2017 | 12/31/2999 |
| 27345 | 27345 - Excision of synovial cyst of popliteal space (eg Baker's cyst) | 27345 - EXCISION SYNOVIAL CYST POPLITEAL SPACE | 27345 - REMOVAL OF KNEE CYST | '01/01/2017 | 12/31/2999 |
| 27347 | 27347 - Excision of lesion of meniscus or capsule (eg cyst ganglion) knee | 27347 - EXCISION LESION MENISCUS/CAPSULE KNEE | 27347 - REMOVE KNEE CYST | '01/01/2017 | 12/31/2999 |
| 27350 | 27350 - Patellectomy or hemipatellectomy | 27350 - PATELLECTOMY/HEMIPATELLECTOMY | 27350 - REMOVAL OF KNEECAP | '01/01/2017 | 12/31/2999 |
| 27355 | 27355 - Excision or curettage of bone cyst or benign tumor of femur; | 27355 - EXCISION/CURETTAGE CYST/TUMOR FEMUR | 27355 - REMOVE FEMUR LESION | '01/01/2017 | 12/31/2999 |
| 27356 | 27356 - Excision or curettage of bone cyst or benign tumor of femur; with allograft | 27356 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/ALLOGRAFT | 27356 - REMOVE FEMUR LESION/GRAFT | '01/01/2017 | 12/31/2999 |
| 27357 | 27357 - Excision or curettage of bone cyst or benign tumor of femur; with autograft (includes obtaining graft) | 27357 - EXCISION/CURETTAGE CYST/TUMOR FEMUR W/AUTOGRAFT | 27357 - REMOVE FEMUR LESION/GRAFT | '01/01/2017 | 12/31/2999 |
| 27358 | 27358 - Excision or curettage of bone cyst or benign tumor of femur; with internal fixation (List in addition to code for primary procedure) | 27358 - EXCISION/CURETTAGE CYST/TUMOR FEMUR INT FIXATION | 27358 - REMOVE FEMUR LESION/FIXATION | '01/01/2017 | 12/31/2999 |
| 27360 | 27360 - Partial excision (craterization saucerization or diaphysectomy) bone femur proximal tibia and/or fibula (eg osteomyelitis or bone abscess) | 27360 - PRTL EXC BONE FEMUR PROX TIBIA&/FIBULA | 27360 - PARTIAL REMOVAL LEG BONE(S) | '01/01/2017 | 12/31/2999 |
| 27364 | 27364 - Radical resection of tumor (eg sarcoma) soft tissue of thigh or knee area; 5 cm or greater | 27364 - RAD RESECTION TUMOR SOFT TIS THIGH/KNEE 5 CM/> | 27364 - RESECT THIGH/KNEE TUM 5 CM/> | '01/01/2017 | 12/31/2999 |
| 27365 | 27365 - Radical resection of tumor femur or knee | 27365 - RADICAL RESECTION TUMOR FEMOR OR KNEE | 27365 - RESECT FEMUR/KNEE TUMOR | '01/01/2017 | 12/31/2999 |
| 27369 | 27369 - Injection procedure for contrast knee arthrography or contrast enhanced CT/MRI knee arthrography | 27369 - NJX PX CNTRST KNE ARTHG CNTRST ENHNCD CT/MRI KNE | 27369 - NJX CNTRST KNE ARTHG/CT/MRI | '01/01/2019 | 12/31/2999 |
| 27372 | 27372 - Removal of foreign body deep thigh region or knee area | 27372 - REMOVAL FOREIGN BODY DEEP THIGH/KNEE | 27372 - REMOVAL OF FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 27380 | 27380 - Suture of infrapatellar tendon; primary | 27380 - SUTURE INFRAPATELLAR TENDON PRIMARY | 27380 - REPAIR OF KNEECAP TENDON | '01/01/2017 | 12/31/2999 |
| 27381 | 27381 - Suture of infrapatellar tendon; secondary reconstruction including fascial or tendon graft | 27381 - SUTR INFRAPATELLAR TDN 2 RCNSTJ W/FSCAL/TDN GRF | 27381 - REPAIR/GRAFT KNEECAP TENDON | '01/01/2017 | 12/31/2999 |
| 27385 | 27385 - Suture of quadriceps or hamstring muscle rupture; primary | 27385 - SUTURE QUADRICEPS/HAMSTRING RUPTURE PRIMARY | 27385 - REPAIR OF THIGH MUSCLE | '01/01/2017 | 12/31/2999 |
| 27386 | 27386 - Suture of quadriceps or hamstring muscle rupture; secondary reconstruction including fascial or tendon graft | 27386 - SUTR QUADRICEPS/HAMSTRING MUSC RPT RCNSTJ | 27386 - REPAIR/GRAFT OF THIGH MUSCLE | '01/01/2017 | 12/31/2999 |
| 27390 | 27390 - Tenotomy open hamstring knee to hip; single tendon | 27390 - TENOTOMY OPEN HAMSTRING KNEE HIP SINGLE TENDON | 27390 - INCISION OF THIGH TENDON | '01/01/2017 | 12/31/2999 |
| 27391 | 27391 - Tenotomy open hamstring knee to hip; multiple tendons 1 leg | 27391 - TENOTOMY OPN HAMSTRING KNEE HIP MULTIPLE 1 LEG | 27391 - INCISION OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27392 | 27392 - Tenotomy open hamstring knee to hip; multiple tendons bilateral | 27392 - TENOTOMY OPEN HAMSTRING KNEE HIP MULTIPLE BI | 27392 - INCISION OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27393 | 27393 - Lengthening of hamstring tendon; single tendon | 27393 - LENGTHENING HAMSTRING TENDON SINGLE | 27393 - LENGTHENING OF THIGH TENDON | '01/01/2017 | 12/31/2999 |
| 27394 | 27394 - Lengthening of hamstring tendon; multiple tendons 1 leg | 27394 - LENGTHENING HAMSTRING TENDON MULTIPLE 1 LEG | 27394 - LENGTHENING OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27395 | 27395 - Lengthening of hamstring tendon; multiple tendons bilateral | 27395 - LENGTHENING HAMSTRING TENDON MULTIPLE BILATERAL | 27395 - LENGTHENING OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27396 | 27396 - Transplant or transfer (with muscle redirection or rerouting) thigh (eg extensor to flexor); single tendon | 27396 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR 1 TENDON | 27396 - TRANSPLANT OF THIGH TENDON | '01/01/2017 | 12/31/2999 |
| 27397 | 27397 - Transplant or transfer (with muscle redirection or rerouting) thigh (eg extensor to flexor); multiple tendons | 27397 - TRANSPLANT/TRANSFER THIGH XTNSR TO FLXR MULT TDN | 27397 - TRANSPLANTS OF THIGH TENDONS | '01/01/2017 | 12/31/2999 |
| 27400 | 27400 - Transfer tendon or muscle hamstrings to femur (eg Egger's type procedure) | 27400 - TRANSFER TENDON/MUSCLE HAMSTRINGS FEMUR | 27400 - REVISE THIGH MUSCLES/TENDONS | '01/01/2017 | 12/31/2999 |
| 27403 | 27403 - Arthrotomy with meniscus repair knee | 27403 - ARTHROTOMY W/MENISCUS REPAIR KNEE | 27403 - REPAIR OF KNEE CARTILAGE | '01/01/2017 | 12/31/2999 |
| 27405 | 27405 - Repair primary torn ligament and/or capsule knee; collateral | 27405 - RPR PRIMARY TORN LIGM&/CAPSULE KNEE COLLATERAL | 27405 - REPAIR OF KNEE LIGAMENT | '01/01/2017 | 12/31/2999 |
| 27407 | 27407 - Repair primary torn ligament and/or capsule knee; cruciate | 27407 - REPAIR PRIMARY TORN LIGM&/CAPSULE KNEE CRUCIAT | 27407 - REPAIR OF KNEE LIGAMENT | '01/01/2017 | 12/31/2999 |
| 27409 | 27409 - Repair primary torn ligament and/or capsule knee; collateral and cruciate ligaments | 27409 - RPR 1 TORN LIGM&/CAPSL KNE COLTRL&CRUCIATE | 27409 - REPAIR OF KNEE LIGAMENTS | '01/01/2017 | 12/31/2999 |
| 27412 | 27412 - Autologous chondrocyte implantation knee | 27412 - AUTOLOGOUS CHONDROCYTE IMPLANTATION KNEE | 27412 - AUTOCHONDROCYTE IMPLANT KNEE | '01/01/2017 | 12/31/2999 |
| 27415 | 27415 - Osteochondral allograft knee open | 27415 - OSTEOCHONDRAL ALLOGRAFT KNEE OPEN | 27415 - OSTEOCHONDRAL KNEE ALLOGRAFT | '01/01/2017 | 12/31/2999 |
| 27416 | 27416 - Osteochondral autograft(s) knee open (eg mosaicplasty) (includes harvesting of autograft[s]) | 27416 - OSTEOCHONDRAL AUTOGRAFT KNEE OPEN MOSAICPLASTY | 27416 - OSTEOCHONDRAL KNEE AUTOGRAFT | '01/01/2017 | 12/31/2999 |
| 27418 | 27418 - Anterior tibial tubercleplasty (eg Maquet type procedure) | 27418 - ANTERIOR TIBIAL TUBERCLEPLASTY | 27418 - REPAIR DEGENERATED KNEECAP | '01/01/2017 | 12/31/2999 |
| 27420 | 27420 - Reconstruction of dislocating patella; (eg Hauser type procedure) | 27420 - RCNSTJ DISLOCATING PATELLA | 27420 - REVISION OF UNSTABLE KNEECAP | '01/01/2017 | 12/31/2999 |
| 27422 | 27422 - Reconstruction of dislocating patella; with extensor realignment and/or muscle advancement or release (eg Campbell Goldwaite type procedure) | 27422 - RCNSTJ DISLC PATELLA W/XTNSR RELIGNMT&/MUSC RL | 27422 - REVISION OF UNSTABLE KNEECAP | '01/01/2017 | 12/31/2999 |
| 27424 | 27424 - Reconstruction of dislocating patella; with patellectomy | 27424 - RCNSTJ DISLC PATELLA W/PATELLECTOMY | 27424 - REVISION/REMOVAL OF KNEECAP | '01/01/2017 | 12/31/2999 |
| 27425 | 27425 - Lateral retinacular release open | 27425 - LATERAL RETINACULAR RELEASE OPEN | 27425 - LAT RETINACULAR RELEASE OPEN | '01/01/2017 | 12/31/2999 |
| 27427 | 27427 - Ligamentous reconstruction (augmentation) knee; extra-articular | 27427 - LIGAMENTOUS RECONSTRUCTION KNEE EXTRA-ARTICULAR | 27427 - RECONSTRUCTION KNEE | '01/01/2017 | 12/31/2999 |
| 27428 | 27428 - Ligamentous reconstruction (augmentation) knee; intra-articular (open) | 27428 - LIGAMENTOUS RECONSTRUCTION KNEE INTRA-ARTICULAR | 27428 - RECONSTRUCTION KNEE | '01/01/2017 | 12/31/2999 |
| 27429 | 27429 - Ligamentous reconstruction (augmentation) knee; intra-articular (open) and extra-articular | 27429 - LIGMOUS RCNSTJ AGMNTJ KNE INTRA-ARTICULAR XTR | 27429 - RECONSTRUCTION KNEE | '01/01/2017 | 12/31/2999 |
| 27430 | 27430 - Quadricepsplasty (eg Bennett or Thompson type) | 27430 - QUADRICEPSPLASTY | 27430 - REVISION OF THIGH MUSCLES | '01/01/2017 | 12/31/2999 |
| 27435 | 27435 - Capsulotomy posterior capsular release knee | 27435 - CAPSULOTOMY POSTERIOR CAPSULAR RELEASE KNEE | 27435 - INCISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27437 | 27437 - Arthroplasty patella; without prosthesis | 27437 - ARTHROPLASTY PATELLA W/O PROSTHESIS | 27437 - REVISE KNEECAP | '01/01/2017 | 12/31/2999 |
| 27438 | 27438 - Arthroplasty patella; with prosthesis | 27438 - ARTHROPLASTY PATELLA W/PROSTHESIS | 27438 - REVISE KNEECAP WITH IMPLANT | '01/01/2017 | 12/31/2999 |
| 27440 | 27440 - Arthroplasty knee tibial plateau; | 27440 - ARTHROPLASTY KNEE TIBIAL PLATEAU | 27440 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27441 | 27441 - Arthroplasty knee tibial plateau; with debridement and partial synovectomy | 27441 - ARTHRP KNEE TIBIAL PLATEAU DBRDMT&PRTL SYNVCT | 27441 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27442 | 27442 - Arthroplasty femoral condyles or tibial plateau(s) knee; | 27442 - ARTHROPLASTY FEM CONDYLES/TIBIAL PLATEAU KNEE | 27442 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27443 | 27443 - Arthroplasty femoral condyles or tibial plateau(s) knee; with debridement and partial synovectomy | 27443 - ARTHRP FEM CONDYLES/TIBL PLATU KNE DBRDMT&PRTL | 27443 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27445 | 27445 - Arthroplasty knee hinge prosthesis (eg Walldius type) | 27445 - ARTHROPLASTY KNEE HINGE PROSTHESIS | 27445 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27446 | 27446 - Arthroplasty knee condyle and plateau; medial OR lateral compartment | 27446 - ARTHRP KNEE CONDYLE&PLATEAU MEDIAL/LAT CMPRT | 27446 - REVISION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27447 | 27447 - Arthroplasty knee condyle and plateau; medial AND lateral compartments with or without patella resurfacing (total knee arthroplasty) | 27447 - ARTHRP KNE CONDYLE&PLATU MEDIAL&LAT COMPARTMENTS | 27447 - TOTAL KNEE ARTHROPLASTY | '01/01/2017 | 12/31/2999 |
| 27448 | 27448 - Osteotomy femur shaft or supracondylar; without fixation | 27448 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/O FIXATION | 27448 - INCISION OF THIGH | '01/01/2017 | 12/31/2999 |
| 27450 | 27450 - Osteotomy femur shaft or supracondylar; with fixation | 27450 - OSTEOTOMY FEMUR SHAFT/SUPRACONDYLAR W/FIXATION | 27450 - INCISION OF THIGH | '01/01/2017 | 12/31/2999 |
| 27454 | 27454 - Osteotomy multiple with realignment on intramedullary rod femoral shaft (eg Sofield type procedure) | 27454 - OSTEOT MLT W/RELIGNMT IMED ROD FEM SHFT | 27454 - REALIGNMENT OF THIGH BONE | '01/01/2017 | 12/31/2999 |
| 27455 | 27455 - Osteotomy proximal tibia including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); before epiphyseal closure | 27455 - OSTEOT PROX TIBIA FIB EXC/OSTEOT BEFORE EPIPHYSL | 27455 - REALIGNMENT OF KNEE | '01/01/2017 | 12/31/2999 |
| 27457 | 27457 - Osteotomy proximal tibia including fibular excision or osteotomy (includes correction of genu varus [bowleg] or genu valgus [knock-knee]); after epiphyseal closure | 27457 - OSTEOT PROX TIBIA FIB EXC/OSTEOT AFTER EPIPHYSL | 27457 - REALIGNMENT OF KNEE | '01/01/2017 | 12/31/2999 |
| 27465 | 27465 - Osteoplasty femur; shortening (excluding 64876) | 27465 - OSTEOPLASTY FEMUR SHORTENING EXCLUDING 64876 | 27465 - SHORTENING OF THIGH BONE | '01/01/2017 | 12/31/2999 |
| 27466 | 27466 - Osteoplasty femur; lengthening | 27466 - OSTEOPLASTY FEMUR LENGTHENING | 27466 - LENGTHENING OF THIGH BONE | '01/01/2017 | 12/31/2999 |
| 27468 | 27468 - Osteoplasty femur; combined lengthening and shortening with femoral segment transfer | 27468 - OSTPL FEMUR CMBN LNGTH&SHRT W/FEMORAL SGM TRNSFR | 27468 - SHORTEN/LENGTHEN THIGHS | '01/01/2017 | 12/31/2999 |
| 27470 | 27470 - Repair nonunion or malunion femur distal to head and neck; without graft (eg compression technique) | 27470 - RPR NON/MAL FEMUR DSTL H/N W/O GRF | 27470 - REPAIR OF THIGH | '01/01/2017 | 12/31/2999 |
| 27472 | 27472 - Repair nonunion or malunion femur distal to head and neck; with iliac or other autogenous bone graft (includes obtaining graft) | 27472 - RPR NON/MAL FEMUR DSTL H/N W/ILIAC/AUTOG BONE | 27472 - REPAIR/GRAFT OF THIGH | '01/01/2017 | 12/31/2999 |
| 27475 | 27475 - Arrest epiphyseal any method (eg epiphysiodesis); distal femur | 27475 - ARREST EPIPHYSEAL DISTAL FEMUR | 27475 - SURGERY TO STOP LEG GROWTH | '01/01/2017 | 12/31/2999 |
| 27477 | 27477 - Arrest epiphyseal any method (eg epiphysiodesis); tibia and fibula proximal | 27477 - ARREST EPIPHYSEAL TIBIA & FIBULA PROXIMAL | 27477 - SURGERY TO STOP LEG GROWTH | '01/01/2017 | 12/31/2999 |
| 27479 | 27479 - Arrest epiphyseal any method (eg epiphysiodesis); combined distal femur proximal tibia and fibula | 27479 - ARRST EPIPHYSL CMBN DSTL FEMUR PROX TIBFIB | 27479 - SURGERY TO STOP LEG GROWTH | '01/01/2017 | 12/31/2999 |
| 27485 | 27485 - Arrest hemiepiphyseal distal femur or proximal tibia or fibula (eg genu varus or valgus) | 27485 - ARRST HEMIEPIPHYSL DSTL FEMUR/PROX TIBIA/FIBULA | 27485 - SURGERY TO STOP LEG GROWTH | '01/01/2017 | 12/31/2999 |
| 27486 | 27486 - Revision of total knee arthroplasty with or without allograft; 1 component | 27486 - REVJ TOTAL KNEE ARTHRP W/WO ALGRFT 1 COMPONENT | 27486 - REVISE/REPLACE KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27487 | 27487 - Revision of total knee arthroplasty with or without allograft; femoral and entire tibial component | 27487 - REVJ TOT KNEE ARTHRP FEM&ENTIRE TIBIAL COMPONE | 27487 - REVISE/REPLACE KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27488 | 27488 - Removal of prosthesis including total knee prosthesis methylmethacrylate with or without insertion of spacer knee | 27488 - RMVL PROSTH TOT KNEE PROSTH MMA W/WO INSJ SPACER | 27488 - REMOVAL OF KNEE PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 27495 | 27495 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate femur | 27495 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE FEMUR | 27495 - REINFORCE THIGH | '01/01/2017 | 12/31/2999 |
| 27496 | 27496 - Decompression fasciotomy thigh and/or knee 1 compartment (flexor or extensor or adductor); | 27496 - DECOMPRESSION FASCIOTOMY THIGH&/KNEE 1 COMPONENT | 27496 - DECOMPRESSION OF THIGH/KNEE | '01/01/2017 | 12/31/2999 |
| 27497 | 27497 - Decompression fasciotomy thigh and/or knee 1 compartment (flexor or extensor or adductor); with debridement of nonviable muscle and/or nerve | 27497 - DCMPRN FASCT THIGH&/KNEE DBRDMT MUSCLE&/NERVE | 27497 - DECOMPRESSION OF THIGH/KNEE | '01/01/2017 | 12/31/2999 |
| 27498 | 27498 - Decompression fasciotomy thigh and/or knee multiple compartments; | 27498 - DCMPRN FASCIOTOMY THIGH&/KNEE MLT COMPARTMENTS | 27498 - DECOMPRESSION OF THIGH/KNEE | '01/01/2017 | 12/31/2999 |
| 27499 | 27499 - Decompression fasciotomy thigh and/or knee multiple compartments; with debridement of nonviable muscle and/or nerve | 27499 - DCMPRN FASCT THIGH&/KNEE MLT DBRDMT NV MUSC&NRVE | 27499 - DECOMPRESSION OF THIGH/KNEE | '01/01/2017 | 12/31/2999 |
| 27500 | 27500 - Closed treatment of femoral shaft fracture without manipulation | 27500 - CLOSED TX FEMORAL SHAFT FX W/O MANIPULATION | 27500 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27501 | 27501 - Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension without manipulation | 27501 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/O MANJ | 27501 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27502 | 27502 - Closed treatment of femoral shaft fracture with manipulation with or without skin or skeletal traction | 27502 - CLTX FEM SHFT FX W/MANJ W/WO SKIN/SKELETAL TRACJ | 27502 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27503 | 27503 - Closed treatment of supracondylar or transcondylar femoral fracture with or without intercondylar extension with manipulation with or without skin or skeletal traction | 27503 - CLTX SPRCNDYLR/TRNSCNDYLR FEM FX W/MANJ | 27503 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27506 | 27506 - Open treatment of femoral shaft fracture with or without external fixation with insertion of intramedullary implant with or without cerclage and/or locking screws | 27506 - OPTX FEM SHFT FX W/INSJ IMED IMPLT W/WO SCREW | 27506 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27507 | 27507 - Open treatment of femoral shaft fracture with plate/screws with or without cerclage | 27507 - OPTX FEM SHFT FX W/PLATE/SCREWS W/WO CERCLAGE | 27507 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27508 | 27508 - Closed treatment of femoral fracture distal end medial or lateral condyle without manipulation | 27508 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/O MANJ | 27508 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27509 | 27509 - Percutaneous skeletal fixation of femoral fracture distal end medial or lateral condyle or supracondylar or transcondylar with or without intercondylar extension or distal femoral epiphyseal separation | 27509 - PRQ SKELETAL FIXJ FEMORAL FX DISTAL END | 27509 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27510 | 27510 - Closed treatment of femoral fracture distal end medial or lateral condyle with manipulation | 27510 - CLTX FEM FX DSTL END MEDIAL/LAT CONDYLE W/MANJ | 27510 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27511 | 27511 - Open treatment of femoral supracondylar or transcondylar fracture without intercondylar extension includes internal fixation when performed | 27511 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/O XTN | 27511 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27513 | 27513 - Open treatment of femoral supracondylar or transcondylar fracture with intercondylar extension includes internal fixation when performed | 27513 - OPEN TX FEMORAL SUPRACONDYLAR FRACTURE W/XTN | 27513 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27514 | 27514 - Open treatment of femoral fracture distal end medial or lateral condyle includes internal fixation when performed | 27514 - OPEN TX FEMORAL FRACTURE DISTAL MED/LAT CONDYLE | 27514 - TREATMENT OF THIGH FRACTURE | '01/01/2017 | 12/31/2999 |
| 27516 | 27516 - Closed treatment of distal femoral epiphyseal separation; without manipulation | 27516 - CLTX DISTAL FEMORAL EPIPHYSL SEPARATION W/O MANJ | 27516 - TREAT THIGH FX GROWTH PLATE | '01/01/2017 | 12/31/2999 |
| 27517 | 27517 - Closed treatment of distal femoral epiphyseal separation; with manipulation with or without skin or skeletal traction | 27517 - CLTX DSTL FEM EPIPHYSL SEP W/MANJ W/WO SKIN/SKEL | 27517 - TREAT THIGH FX GROWTH PLATE | '01/01/2017 | 12/31/2999 |
| 27519 | 27519 - Open treatment of distal femoral epiphyseal separation includes internal fixation when performed | 27519 - OPEN TX DISTAL FEMORAL EPIPHYSEAL SEPARATION | 27519 - TREAT THIGH FX GROWTH PLATE | '01/01/2017 | 12/31/2999 |
| 27520 | 27520 - Closed treatment of patellar fracture without manipulation | 27520 - CLOSED TX PATELLAR FRACTURE W/O MANIPULATION | 27520 - TREAT KNEECAP FRACTURE | '01/01/2017 | 12/31/2999 |
| 27524 | 27524 - Open treatment of patellar fracture with internal fixation and/or partial or complete patellectomy and soft tissue repair | 27524 - OPTX PATLLR FX W/INT FIXJ/PATLLC&SOFT TISS RPR | 27524 - TREAT KNEECAP FRACTURE | '01/01/2017 | 12/31/2999 |
| 27530 | 27530 - Closed treatment of tibial fracture proximal (plateau); without manipulation | 27530 - CLTX TIBIAL FX PROXIMAL W/O MANIPULATION | 27530 - TREAT KNEE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27532 | 27532 - Closed treatment of tibial fracture proximal (plateau); with or without manipulation with skeletal traction | 27532 - CLTX TIBIAL FX PROXIMAL W/WO MANJ W/SKEL TRACJ | 27532 - TREAT KNEE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27535 | 27535 - Open treatment of tibial fracture proximal (plateau); unicondylar includes internal fixation when performed | 27535 - OPEN TX TIBIAL FRACTURE PROXIMAL UNICONDYLAR | 27535 - TREAT KNEE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27536 | 27536 - Open treatment of tibial fracture proximal (plateau); bicondylar with or without internal fixation | 27536 - OPTX TIBIAL FX PROX BICONDYLAR W/WO INT FIXJ | 27536 - TREAT KNEE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27538 | 27538 - Closed treatment of intercondylar spine(s) and/or tuberosity fracture(s) of knee with or without manipulation | 27538 - CLTX INTERCONDYLAR SPI&/TUBRST FX KNE W/WO MAN | 27538 - TREAT KNEE FRACTURE(S) | '01/01/2017 | 12/31/2999 |
| 27540 | 27540 - Open treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee includes internal fixation when performed | 27540 - OPEN TX INTERCONDYLAR SPINE/TUBRST FRACTURE KNEE | 27540 - TREAT KNEE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27550 | 27550 - Closed treatment of knee dislocation; without anesthesia | 27550 - CLOSED TX KNEE DISLOCATION W/O ANESTHESIA | 27550 - TREAT KNEE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27552 | 27552 - Closed treatment of knee dislocation; requiring anesthesia | 27552 - CLOSED TX KNEE DISLOCATION W/ANESTHESIA | 27552 - TREAT KNEE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27556 | 27556 - Open treatment of knee dislocation includes internal fixation when performed; without primary ligamentous repair or augmentation/reconstruction | 27556 - OPEN TX KNEE DISLOCATION W/O LIGAMENTOUS REPAIR | 27556 - TREAT KNEE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27557 | 27557 - Open treatment of knee dislocation includes internal fixation when performed; with primary ligamentous repair | 27557 - OPEN TX KNEE DISLOCATION W/LIGAMENTOUS REPAIR | 27557 - TREAT KNEE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27558 | 27558 - Open treatment of knee dislocation includes internal fixation when performed; with primary ligamentous repair with augmentation/reconstruction | 27558 - OPEN TX KNEE DISLOCATION W/REPAIR/RECONSTRUCTION | 27558 - TREAT KNEE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27560 | 27560 - Closed treatment of patellar dislocation; without anesthesia | 27560 - CLOSED TX PATELLAR DISLOCATION W/O ANESTHESIA | 27560 - TREAT KNEECAP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27562 | 27562 - Closed treatment of patellar dislocation; requiring anesthesia | 27562 - CLOSED TX PATELLAR DISLOCATION W/ANESTHESIA | 27562 - TREAT KNEECAP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27566 | 27566 - Open treatment of patellar dislocation with or without partial or total patellectomy | 27566 - OPTX PATELLAR DISLC W/WO PRTL/TOT PATELLECTOMY | 27566 - TREAT KNEECAP DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27570 | 27570 - Manipulation of knee joint under general anesthesia (includes application of traction or other fixation devices) | 27570 - MANIPULATION KNEE JOINT UNDER GENERAL ANESTHESIA | 27570 - FIXATION OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 27580 | 27580 - Arthrodesis knee any technique | 27580 - ARTHRODESIS KNEE ANY TECHNIQUE | 27580 - FUSION OF KNEE | '01/01/2017 | 12/31/2999 |
| 27590 | 27590 - Amputation thigh through femur any level; | 27590 - AMPUTATION THIGH THROUGH FEMUR ANY LEVEL | 27590 - AMPUTATE LEG AT THIGH | '01/01/2017 | 12/31/2999 |
| 27591 | 27591 - Amputation thigh through femur any level; immediate fitting technique including first cast | 27591 - AMP THI THRU FEMUR LVL IMMT FITG TQ W/1ST CST | 27591 - AMPUTATE LEG AT THIGH | '01/01/2017 | 12/31/2999 |
| 27592 | 27592 - Amputation thigh through femur any level; open circular (guillotine) | 27592 - AMPUTATION THIGH THRU FEMUR OPEN CIRCULAR | 27592 - AMPUTATE LEG AT THIGH | '01/01/2017 | 12/31/2999 |
| 27594 | 27594 - Amputation thigh through femur any level; secondary closure or scar revision | 27594 - AMP THIGH THRU FEMUR SEC CLOSURE/SCAR REVISION | 27594 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 27596 | 27596 - Amputation thigh through femur any level; re-amputation | 27596 - AMPUTATION THIGH THROUGH FEMUR RE-AMPUTATION | 27596 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 27598 | 27598 - Disarticulation at knee | 27598 - DISARTICULATION KNEE | 27598 - AMPUTATE LOWER LEG AT KNEE | '01/01/2017 | 12/31/2999 |
| 27599 | 27599 - Unlisted procedure femur or knee | 27599 - UNLISTED PROCEDURE FEMUR/KNEE | 27599 - UNLISTED PX FEMUR/KNEE | '01/01/2023 | 12/31/2999 |
| 27600 | 27600 - Decompression fasciotomy leg; anterior and/or lateral compartments only | 27600 - DCMPRN FASCT LEG ANT&/LAT COMPARTMENTS ONLY | 27600 - DECOMPRESSION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27601 | 27601 - Decompression fasciotomy leg; posterior compartment(s) only | 27601 - DCMPRN FASCT LEG POST COMPARTMENT ONLY | 27601 - DECOMPRESSION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27602 | 27602 - Decompression fasciotomy leg; anterior and/or lateral and posterior compartment(s) | 27602 - DCMPRN FASCT LEG ANT&/LAT&PST CMPRT | 27602 - DECOMPRESSION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27603 | 27603 - Incision and drainage leg or ankle; deep abscess or hematoma | 27603 - INCISION & DRAINAGE LEG/ANKLE ABSCESS/HEMATOMA | 27603 - DRAIN LOWER LEG LESION | '01/01/2017 | 12/31/2999 |
| 27604 | 27604 - Incision and drainage leg or ankle; infected bursa | 27604 - INCISION & DRAINAGE LEG/ANKLE INFECTED BURSA | 27604 - DRAIN LOWER LEG BURSA | '01/01/2017 | 12/31/2999 |
| 27605 | 27605 - Tenotomy percutaneous Achilles tendon (separate procedure); local anesthesia | 27605 - TENOTOMY PRQ ACHILLES TENDON SPX LOCAL ANES | 27605 - INCISION OF ACHILLES TENDON | '01/01/2017 | 12/31/2999 |
| 27606 | 27606 - Tenotomy percutaneous Achilles tendon (separate procedure); general anesthesia | 27606 - TENOTOMY PRQ ACHILLES TENDON SPX GENERAL ANES | 27606 - INCISION OF ACHILLES TENDON | '01/01/2017 | 12/31/2999 |
| 27607 | 27607 - Incision (eg osteomyelitis or bone abscess) leg or ankle | 27607 - INCISION LEG/ANKLE | 27607 - TREAT LOWER LEG BONE LESION | '01/01/2017 | 12/31/2999 |
| 27610 | 27610 - Arthrotomy ankle including exploration drainage or removal of foreign body | 27610 - ARTHROTOMY ANKLE W/EXPL DRAINAGE/REMOVAL FB | 27610 - EXPLORE/TREAT ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27612 | 27612 - Arthrotomy posterior capsular release ankle with or without Achilles tendon lengthening | 27612 - ARTHRT PST CAPSUL RLS ANKLE W/WO ACHLL TDN LNGTH | 27612 - EXPLORATION OF ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27613 | 27613 - Biopsy soft tissue of leg or ankle area; superficial | 27613 - BIOPSY SOFT TISSUE LEG/ANKLE AREA SUPERFICIAL | 27613 - BIOPSY LOWER LEG SOFT TISSUE | '01/01/2017 | 12/31/2999 |
| 27614 | 27614 - Biopsy soft tissue of leg or ankle area; deep (subfascial or intramuscular) | 27614 - BIOPSY SOFT TISSUE LEG/ANKLE AREA DEEP | 27614 - BIOPSY LOWER LEG SOFT TISSUE | '01/01/2017 | 12/31/2999 |
| 27615 | 27615 - Radical resection of tumor (eg sarcoma) soft tissue of leg or ankle area; less than 5 cm | 27615 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE <5CM | 27615 - RESECT LEG/ANKLE TUM < 5 CM | '01/01/2017 | 12/31/2999 |
| 27616 | 27616 - Radical resection of tumor (eg sarcoma) soft tissue of leg or ankle area; 5 cm or greater | 27616 - RAD RESECTION TUMOR SOFT TISSUE LEG/ANKLE 5 CM/> | 27616 - RESECT LEG/ANKLE TUM 5 CM/> | '01/01/2017 | 12/31/2999 |
| 27618 | 27618 - Excision tumor soft tissue of leg or ankle area subcutaneous; less than 3 cm | 27618 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBQ <3CM | 27618 - EXC LEG/ANKLE TUM < 3 CM | '01/01/2017 | 12/31/2999 |
| 27619 | 27619 - Excision tumor soft tissue of leg or ankle area subfascial (eg intramuscular); less than 5 cm | 27619 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASCIAL <5CM | 27619 - EXC LEG/ANKLE TUM DEEP <5 CM | '01/01/2017 | 12/31/2999 |
| 27620 | 27620 - Arthrotomy ankle with joint exploration with or without biopsy with or without removal of loose or foreign body | 27620 - ARTHRT ANKLE W/EXPL W/WO BX W/WO RMVL LOOSE/FB | 27620 - EXPLORE/TREAT ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27625 | 27625 - Arthrotomy with synovectomy ankle; | 27625 - ARTHROTOMY W/SYNOVECTOMY ANKLE | 27625 - REMOVE ANKLE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27626 | 27626 - Arthrotomy with synovectomy ankle; including tenosynovectomy | 27626 - ARTHROTOMY W/SYNOVECTOMY ANKLE TENOSYNOVECTOMY | 27626 - REMOVE ANKLE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 27630 | 27630 - Excision of lesion of tendon sheath or capsule (eg cyst or ganglion) leg and/or ankle | 27630 - EXCISION LESION TENDON SHEATH/CAPSULE LEG&/ANK | 27630 - REMOVAL OF TENDON LESION | '01/01/2017 | 12/31/2999 |
| 27632 | 27632 - Excision tumor soft tissue of leg or ankle area subcutaneous; 3 cm or greater | 27632 - EXCISION TUMOR SOFT TISSUE LEG/ANKLE SUBQ 3 CM/> | 27632 - EXC LEG/ANKLE LES SC 3 CM/> | '01/01/2017 | 12/31/2999 |
| 27634 | 27634 - Excision tumor soft tissue of leg or ankle area subfascial (eg intramuscular); 5 cm or greater | 27634 - EXC TUMOR SOFT TISSUE LEG/ANKLE SUBFASC 5 CM/> | 27634 - EXC LEG/ANKLE TUM DEP 5 CM/> | '01/01/2017 | 12/31/2999 |
| 27635 | 27635 - Excision or curettage of bone cyst or benign tumor tibia or fibula; | 27635 - EXCISION/CURETTAGE BONE CYST/TUMOR TIBIA/FIBULA | 27635 - REMOVE LOWER LEG BONE LESION | '01/01/2017 | 12/31/2999 |
| 27637 | 27637 - Excision or curettage of bone cyst or benign tumor tibia or fibula; with autograft (includes obtaining graft) | 27637 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/AGRAFT | 27637 - REMOVE/GRAFT LEG BONE LESION | '01/01/2017 | 12/31/2999 |
| 27638 | 27638 - Excision or curettage of bone cyst or benign tumor tibia or fibula; with allograft | 27638 - EXC/CURETTAGE CYST/TUMOR TIBIA/FIBULA W/ALGRAFT | 27638 - REMOVE/GRAFT LEG BONE LESION | '01/01/2017 | 12/31/2999 |
| 27640 | 27640 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis); tibia | 27640 - PARTIAL EXCISION BONE TIBIA | 27640 - PARTIAL REMOVAL OF TIBIA | '01/01/2017 | 12/31/2999 |
| 27641 | 27641 - Partial excision (craterization saucerization or diaphysectomy) bone (eg osteomyelitis); fibula | 27641 - PARTIAL EXCISION BONE FIBULA | 27641 - PARTIAL REMOVAL OF FIBULA | '01/01/2017 | 12/31/2999 |
| 27645 | 27645 - Radical resection of tumor; tibia | 27645 - RADICAL RESECTION OF TUMOR TIBIA | 27645 - RESECT TIBIA TUMOR | '01/01/2017 | 12/31/2999 |
| 27646 | 27646 - Radical resection of tumor; fibula | 27646 - RADICAL RESECTION TUMOR BONE FIBULA | 27646 - RESECT FIBULA TUMOR | '01/01/2017 | 12/31/2999 |
| 27647 | 27647 - Radical resection of tumor; talus or calcaneus | 27647 - RADICAL RESECTION OF TUMOR TALUS OR CALCANEUS | 27647 - RESECT TALUS/CALCANEUS TUM | '01/01/2017 | 12/31/2999 |
| 27648 | 27648 - Injection procedure for ankle arthrography | 27648 - INJECTION ANKLE ARTHROGRAPHY | 27648 - INJECTION FOR ANKLE X-RAY | '01/01/2017 | 12/31/2999 |
| 27650 | 27650 - Repair primary open or percutaneous ruptured Achilles tendon; | 27650 - REPAIR PRIMARY OPEN/PRQ RUPTURED ACHILLES TENDON | 27650 - REPAIR ACHILLES TENDON | '01/01/2017 | 12/31/2999 |
| 27652 | 27652 - Repair primary open or percutaneous ruptured Achilles tendon; with graft (includes obtaining graft) | 27652 - RPR PRIMARY OPEN/PRQ RUPTURED ACHILLES W/GRAFT | 27652 - REPAIR/GRAFT ACHILLES TENDON | '01/01/2017 | 12/31/2999 |
| 27654 | 27654 - Repair secondary Achilles tendon with or without graft | 27654 - REPAIR SECONDARY ACHILLES TENDON W/WO GRAFT | 27654 - REPAIR OF ACHILLES TENDON | '01/01/2017 | 12/31/2999 |
| 27656 | 27656 - Repair fascial defect of leg | 27656 - REPAIR FASCIAL DEFECT LEG | 27656 - REPAIR LEG FASCIA DEFECT | '01/01/2017 | 12/31/2999 |
| 27658 | 27658 - Repair flexor tendon leg; primary without graft each tendon | 27658 - REPAIR FLEXOR TENDON LEG PRIMARY W/O GRAFT EACH | 27658 - REPAIR OF LEG TENDON EACH | '01/01/2017 | 12/31/2999 |
| 27659 | 27659 - Repair flexor tendon leg; secondary with or without graft each tendon | 27659 - RPR FLEXOR TENDON LEG SECONDARY W/O GRAFT EACH | 27659 - REPAIR OF LEG TENDON EACH | '01/01/2017 | 12/31/2999 |
| 27664 | 27664 - Repair extensor tendon leg; primary without graft each tendon | 27664 - RPR EXTENSOR TENDON LEG PRIMARY W/O GRAFT EACH | 27664 - REPAIR OF LEG TENDON EACH | '01/01/2017 | 12/31/2999 |
| 27665 | 27665 - Repair extensor tendon leg; secondary with or without graft each tendon | 27665 - RPR EXTENSOR TENDON LEG SECONDRY W/WO GRAFT EACH | 27665 - REPAIR OF LEG TENDON EACH | '01/01/2017 | 12/31/2999 |
| 27675 | 27675 - Repair dislocating peroneal tendons; without fibular osteotomy | 27675 - RPR DISLOC PERONEAL TENDON W/O FIBULAR OSTEOTOMY | 27675 - REPAIR LOWER LEG TENDONS | '01/01/2017 | 12/31/2999 |
| 27676 | 27676 - Repair dislocating peroneal tendons; with fibular osteotomy | 27676 - REPAIR DISLOCATING PERONEAL TENDON W/FIB OSTEOT | 27676 - REPAIR LOWER LEG TENDONS | '01/01/2017 | 12/31/2999 |
| 27680 | 27680 - Tenolysis flexor or extensor tendon leg and/or ankle; single each tendon | 27680 - TENOLYSIS FLXR/XTNSR TENDON LEG&/ANKLE 1 EACH | 27680 - RELEASE OF LOWER LEG TENDON | '01/01/2017 | 12/31/2999 |
| 27681 | 27681 - Tenolysis flexor or extensor tendon leg and/or ankle; multiple tendons (through separate incision[s]) | 27681 - TNOLS FLXR/XTNSR TDN LEG&/ANKLE MLT TDN | 27681 - RELEASE OF LOWER LEG TENDONS | '01/01/2017 | 12/31/2999 |
| 27685 | 27685 - Lengthening or shortening of tendon leg or ankle; single tendon (separate procedure) | 27685 - LNGTH/SHRT TENDON LEG/ANKLE 1 TENDON SPX | 27685 - REVISION OF LOWER LEG TENDON | '01/01/2017 | 12/31/2999 |
| 27686 | 27686 - Lengthening or shortening of tendon leg or ankle; multiple tendons (through same incision) each | 27686 - LNGTH/SHRT TDN LEG/ANKLE MLT TDN SAME INC EA | 27686 - REVISE LOWER LEG TENDONS | '01/01/2017 | 12/31/2999 |
| 27687 | 27687 - Gastrocnemius recession (eg Strayer procedure) | 27687 - GASTROCNEMIUS RECESSION | 27687 - REVISION OF CALF TENDON | '01/01/2017 | 12/31/2999 |
| 27690 | 27690 - Transfer or transplant of single tendon (with muscle redirection or rerouting); superficial (eg anterior tibial extensors into midfoot) | 27690 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING SUPFC | 27690 - REVISE LOWER LEG TENDON | '01/01/2017 | 12/31/2999 |
| 27691 | 27691 - Transfer or transplant of single tendon (with muscle redirection or rerouting); deep (eg anterior tibial or posterior tibial through interosseous space flexor digitorum longus flexor hallucis longus or peroneal tendon to midfoot or hindfoot) | 27691 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING DP | 27691 - REVISE LOWER LEG TENDON | '01/01/2017 | 12/31/2999 |
| 27692 | 27692 - Transfer or transplant of single tendon (with muscle redirection or rerouting); each additional tendon (List separately in addition to code for primary procedure) | 27692 - TR/TRNSPL 1 TDN W/MUSC REDIRION/REROUTING EA TDN | 27692 - REVISE ADDITIONAL LEG TENDON | '01/01/2017 | 12/31/2999 |
| 27695 | 27695 - Repair primary disrupted ligament ankle; collateral | 27695 - RPR PRIMARY DISRUPTED LIGAMENT ANKLE COLLATERAL | 27695 - REPAIR OF ANKLE LIGAMENT | '01/01/2017 | 12/31/2999 |
| 27696 | 27696 - Repair primary disrupted ligament ankle; both collateral ligaments | 27696 - RPR PRIM DISRUPTED LIGM ANKLE BTH COLTRL LIGMS | 27696 - REPAIR OF ANKLE LIGAMENTS | '01/01/2017 | 12/31/2999 |
| 27698 | 27698 - Repair secondary disrupted ligament ankle collateral (eg Watson-Jones procedure) | 27698 - REPAIR SECONDARY DISRUPTED LIGAMENT ANKLE COLTRL | 27698 - REPAIR OF ANKLE LIGAMENT | '01/01/2017 | 12/31/2999 |
| 27700 | 27700 - Arthroplasty ankle; | 27700 - ARTHROPLASTY ANKLE | 27700 - REVISION OF ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27702 | 27702 - Arthroplasty ankle; with implant (total ankle) | 27702 - ARTHROPLASTY ANKLE W/IMPLANT | 27702 - RECONSTRUCT ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27703 | 27703 - Arthroplasty ankle; revision total ankle | 27703 - ARTHROPLASTY ANKLE REVISION TOTAL ANKLE | 27703 - RECONSTRUCTION ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27704 | 27704 - Removal of ankle implant | 27704 - REMOVAL ANKLE IMPLANT | 27704 - REMOVAL OF ANKLE IMPLANT | '01/01/2017 | 12/31/2999 |
| 27705 | 27705 - Osteotomy; tibia | 27705 - OSTEOTOMY TIBIA | 27705 - INCISION OF TIBIA | '01/01/2017 | 12/31/2999 |
| 27707 | 27707 - Osteotomy; fibula | 27707 - OSTEOTOMY FIBULA | 27707 - INCISION OF FIBULA | '01/01/2017 | 12/31/2999 |
| 27709 | 27709 - Osteotomy; tibia and fibula | 27709 - OSTEOTOMY TIBIA & FIBULA | 27709 - INCISION OF TIBIA & FIBULA | '01/01/2017 | 12/31/2999 |
| 27712 | 27712 - Osteotomy; multiple with realignment on intramedullary rod (eg Sofield type procedure) | 27712 - OSTEOT MLT W/RELIGNMT IMED ROD | 27712 - REALIGNMENT OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27715 | 27715 - Osteoplasty tibia and fibula lengthening or shortening | 27715 - OSTEOPLASTY TIBIA & FIBULA LENGTHENING/SHORTENIN | 27715 - REVISION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27720 | 27720 - Repair of nonunion or malunion tibia; without graft (eg compression technique) | 27720 - REPAIR NONUNION/MALUNION TIBIA W/O GRAFT | 27720 - REPAIR OF TIBIA | '01/01/2017 | 12/31/2999 |
| 27722 | 27722 - Repair of nonunion or malunion tibia; with sliding graft | 27722 - REPAIR NONUNION/MALUNION TIBIA W/SLIDING GRAFT | 27722 - REPAIR/GRAFT OF TIBIA | '01/01/2017 | 12/31/2999 |
| 27724 | 27724 - Repair of nonunion or malunion tibia; with iliac or other autograft (includes obtaining graft) | 27724 - RPR NON/MAL TIBIA W/ILIAC/OTH AGRFT | 27724 - REPAIR/GRAFT OF TIBIA | '01/01/2017 | 12/31/2999 |
| 27725 | 27725 - Repair of nonunion or malunion tibia; by synostosis with fibula any method | 27725 - RPR NON/MAL TIBIA SYNOSTOSIS W/FIBULA ANY METH | 27725 - REPAIR OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27726 | 27726 - Repair of fibula nonunion and/or malunion with internal fixation | 27726 - REPAIR FIBULA NONUNION/MALUNION W/INT FIXATION | 27726 - REPAIR FIBULA NONUNION | '01/01/2017 | 12/31/2999 |
| 27727 | 27727 - Repair of congenital pseudarthrosis tibia | 27727 - REPAIR CONGENITAL PSEUDARTHROSIS TIBIA | 27727 - REPAIR OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27730 | 27730 - Arrest epiphyseal (epiphysiodesis) open; distal tibia | 27730 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA | 27730 - REPAIR OF TIBIA EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27732 | 27732 - Arrest epiphyseal (epiphysiodesis) open; distal fibula | 27732 - ARREST EPIPHYSEAL OPEN DISTAL FIBULA | 27732 - REPAIR OF FIBULA EPIPHYSIS | '01/01/2017 | 12/31/2999 |
| 27734 | 27734 - Arrest epiphyseal (epiphysiodesis) open; distal tibia and fibula | 27734 - ARREST EPIPHYSEAL OPEN DISTAL TIBIA&FIBULA | 27734 - REPAIR LOWER LEG EPIPHYSES | '01/01/2017 | 12/31/2999 |
| 27740 | 27740 - Arrest epiphyseal (epiphysiodesis) any method combined proximal and distal tibia and fibula; | 27740 - ARREST EPIPHYSEAL ANY METHOD TIBIA & FIBULA | 27740 - REPAIR OF LEG EPIPHYSES | '01/01/2017 | 12/31/2999 |
| 27742 | 27742 - Arrest epiphyseal (epiphysiodesis) any method combined proximal and distal tibia and fibula; and distal femur | 27742 - ARRST EPIPHYSL ANY METH TIBFIB&DSTL FEMUR | 27742 - REPAIR OF LEG EPIPHYSES | '01/01/2017 | 12/31/2999 |
| 27745 | 27745 - Prophylactic treatment (nailing pinning plating or wiring) with or without methylmethacrylate tibia | 27745 - PROPH TX N/P/PLTWR W/WO METHYLMETHACRYLATE TIBIA | 27745 - REINFORCE TIBIA | '01/01/2017 | 12/31/2999 |
| 27750 | 27750 - Closed treatment of tibial shaft fracture (with or without fibular fracture); without manipulation | 27750 - CLTX TIBIAL SHAFT FX W/O MANIPULATION | 27750 - TREATMENT OF TIBIA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27752 | 27752 - Closed treatment of tibial shaft fracture (with or without fibular fracture); with manipulation with or without skeletal traction | 27752 - CLTX TIBIAL SHAFT FX W/MANJ W/WO SKEL TRACJ | 27752 - TREATMENT OF TIBIA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27756 | 27756 - Percutaneous skeletal fixation of tibial shaft fracture (with or without fibular fracture) (eg pins or screws) | 27756 - PRQ SKELETAL FIXATION TIBIAL SHAFT FRACTURE | 27756 - TREATMENT OF TIBIA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27758 | 27758 - Open treatment of tibial shaft fracture (with or without fibular fracture) with plate/screws with or without cerclage | 27758 - OPTX TIBIAL SHFT FX W/PLATE/SCREWS W/WO CERCLAGE | 27758 - TREATMENT OF TIBIA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27759 | 27759 - Treatment of tibial shaft fracture (with or without fibular fracture) by intramedullary implant with or without interlocking screws and/or cerclage | 27759 - TX TIBL SHFT FX IMED IMPLT W/WO SCREWS&/CERCLA | 27759 - TREATMENT OF TIBIA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27760 | 27760 - Closed treatment of medial malleolus fracture; without manipulation | 27760 - CLTX MEDIAL MALLEOLUS FX W/O MANIPULATION | 27760 - CLTX MEDIAL ANKLE FX | '01/01/2017 | 12/31/2999 |
| 27762 | 27762 - Closed treatment of medial malleolus fracture; with manipulation with or without skin or skeletal traction | 27762 - CLTX MEDIAL MALLS FX W/MANJ W/WO SKN/SKEL TRACJ | 27762 - CLTX MED ANKLE FX W/MNPJ | '01/01/2017 | 12/31/2999 |
| 27766 | 27766 - Open treatment of medial malleolus fracture includes internal fixation when performed | 27766 - OPEN TREATMENT MEDIAL MALLEOLUS FRACTURE | 27766 - OPTX MEDIAL ANKLE FX | '01/01/2017 | 12/31/2999 |
| 27767 | 27767 - Closed treatment of posterior malleolus fracture; without manipulation | 27767 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/O MANJ | 27767 - CLTX POST ANKLE FX | '01/01/2017 | 12/31/2999 |
| 27768 | 27768 - Closed treatment of posterior malleolus fracture; with manipulation | 27768 - CLOSED TREATMENT PST MALLEOLUS FRACTURE W/MANJ | 27768 - CLTX POST ANKLE FX W/MNPJ | '01/01/2017 | 12/31/2999 |
| 27769 | 27769 - Open treatment of posterior malleolus fracture includes internal fixation when performed | 27769 - OPEN TREATMENT POSTERIOR MALLEOLUS FRACTURE | 27769 - OPTX POST ANKLE FX | '01/01/2017 | 12/31/2999 |
| 27780 | 27780 - Closed treatment of proximal fibula or shaft fracture; without manipulation | 27780 - CLTX PROX FIBULA/SHFT FX W/O MANJ | 27780 - TREATMENT OF FIBULA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27781 | 27781 - Closed treatment of proximal fibula or shaft fracture; with manipulation | 27781 - CLTX PROX FIBULA/SHFT FX W/MANJ | 27781 - TREATMENT OF FIBULA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27784 | 27784 - Open treatment of proximal fibula or shaft fracture includes internal fixation when performed | 27784 - OPEN TREATMENT PROXIMAL FIBULA/SHAFT FRACTURE | 27784 - TREATMENT OF FIBULA FRACTURE | '01/01/2017 | 12/31/2999 |
| 27786 | 27786 - Closed treatment of distal fibular fracture (lateral malleolus); without manipulation | 27786 - CLTX DSTL FIBULAR FX LAT MALLS W/O MANJ | 27786 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27788 | 27788 - Closed treatment of distal fibular fracture (lateral malleolus); with manipulation | 27788 - CLTX DSTL FIBULAR FX LAT MALLS W/MANJ | 27788 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27792 | 27792 - Open treatment of distal fibular fracture (lateral malleolus) includes internal fixation when performed | 27792 - OPEN TX DISTAL FIBULAR FRACTURE LAT MALLEOLUS | 27792 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27808 | 27808 - Closed treatment of bimalleolar ankle fracture (eg lateral and medial malleoli or lateral and posterior malleoli or medial and posterior malleoli); without manipulation | 27808 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/O MANJ | 27808 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27810 | 27810 - Closed treatment of bimalleolar ankle fracture (eg lateral and medial malleoli or lateral and posterior malleoli or medial and posterior malleoli); with manipulation | 27810 - CLOSED TX BIMALLEOLAR ANKLE FRACTURE W/MANJ | 27810 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27814 | 27814 - Open treatment of bimalleolar ankle fracture (eg lateral and medial malleoli or lateral and posterior malleoli or medial and posterior malleoli) includes internal fixation when performed | 27814 - OPEN TREATMENT BIMALLEOLAR ANKLE FRACTURE | 27814 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27816 | 27816 - Closed treatment of trimalleolar ankle fracture; without manipulation | 27816 - CLTX TRIMALLEOLAR ANKLE FX W/O MANIPULATION | 27816 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27818 | 27818 - Closed treatment of trimalleolar ankle fracture; with manipulation | 27818 - CLTX TRIMALLEOLAR ANKLE FX W/MANIPULATION | 27818 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27822 | 27822 - Open treatment of trimalleolar ankle fracture includes internal fixation when performed medial and/or lateral malleolus; without fixation of posterior lip | 27822 - OPEN TX TRIMALLEOLAR ANKLE FX W/O FIXJ PST LIP | 27822 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27823 | 27823 - Open treatment of trimalleolar ankle fracture includes internal fixation when performed medial and/or lateral malleolus; with fixation of posterior lip | 27823 - OPEN TX TRIMALLEOLAR ANKLE FX W/FIXJ PST LIP | 27823 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 27824 | 27824 - Closed treatment of fracture of weight bearing articular portion of distal tibia (eg pilon or tibial plafond) with or without anesthesia; without manipulation | 27824 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIBIA W/O MANJ | 27824 - TREAT LOWER LEG FRACTURE | '01/01/2017 | 12/31/2999 |
| 27825 | 27825 - Closed treatment of fracture of weight bearing articular portion of distal tibia (eg pilon or tibial plafond) with or without anesthesia; with skeletal traction and/or requiring manipulation | 27825 - CLTX FX W8 BRG ARTCLR PRTN DSTL TIB W/SKEL TRACJ | 27825 - TREAT LOWER LEG FRACTURE | '01/01/2017 | 12/31/2999 |
| 27826 | 27826 - Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg pilon or tibial plafond) with internal fixation when performed; of fibula only | 27826 - OPEN TREATMENT FRACTURE DISTAL TIBIA FIBULA | 27826 - TREAT LOWER LEG FRACTURE | '01/01/2017 | 12/31/2999 |
| 27827 | 27827 - Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg pilon or tibial plafond) with internal fixation when performed; of tibia only | 27827 - OPEN TREATMENT FRACTURE DISTAL TIBIA ONLY | 27827 - TREAT LOWER LEG FRACTURE | '01/01/2017 | 12/31/2999 |
| 27828 | 27828 - Open treatment of fracture of weight bearing articular surface/portion of distal tibia (eg pilon or tibial plafond) with internal fixation when performed; of both tibia and fibula | 27828 - OPEN TREATMENT FRACTURE DISTAL TIBIA & FIBULA | 27828 - TREAT LOWER LEG FRACTURE | '01/01/2017 | 12/31/2999 |
| 27829 | 27829 - Open treatment of distal tibiofibular joint (syndesmosis) disruption includes internal fixation when performed | 27829 - OPEN TX DISTAL TIBIOFIBULAR JOINT DISRUPTION | 27829 - TREAT LOWER LEG JOINT | '01/01/2017 | 12/31/2999 |
| 27830 | 27830 - Closed treatment of proximal tibiofibular joint dislocation; without anesthesia | 27830 - CLTX PROX TIBFIB JT DISLC W/O ANES | 27830 - TREAT LOWER LEG DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27831 | 27831 - Closed treatment of proximal tibiofibular joint dislocation; requiring anesthesia | 27831 - CLTX PROX TIBFIB JT DISLC REQ ANES | 27831 - TREAT LOWER LEG DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27832 | 27832 - Open treatment of proximal tibiofibular joint dislocation includes internal fixation when performed or with excision of proximal fibula | 27832 - OPEN TX PROX TIBFIB JOINT DISLOCATE EXC PROX FIB | 27832 - TREAT LOWER LEG DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27840 | 27840 - Closed treatment of ankle dislocation; without anesthesia | 27840 - CLOSED TX ANKLE DISLOCATION W/O ANESTHESIA | 27840 - TREAT ANKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27842 | 27842 - Closed treatment of ankle dislocation; requiring anesthesia with or without percutaneous skeletal fixation | 27842 - CLTX ANKLE DISLC REQ ANES W/WO PRQ SKEL FIXJ | 27842 - TREAT ANKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27846 | 27846 - Open treatment of ankle dislocation with or without percutaneous skeletal fixation; without repair or internal fixation | 27846 - OPTX ANKLE DISLOCATION W/O REPAIR/INTERNAL FIXJ | 27846 - TREAT ANKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27848 | 27848 - Open treatment of ankle dislocation with or without percutaneous skeletal fixation; with repair or internal or external fixation | 27848 - OPTX ANKLE DISLOCATION W/REPAIR/INT/XTRNL FIXJ | 27848 - TREAT ANKLE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 27860 | 27860 - Manipulation of ankle under general anesthesia (includes application of traction or other fixation apparatus) | 27860 - MANIPULATION ANKLE UNDER GENERAL ANESTHESIA | 27860 - FIXATION OF ANKLE JOINT | '01/01/2017 | 12/31/2999 |
| 27870 | 27870 - Arthrodesis ankle open | 27870 - ARTHRODESIS ANKLE OPEN | 27870 - FUSION OF ANKLE JOINT OPEN | '01/01/2017 | 12/31/2999 |
| 27871 | 27871 - Arthrodesis tibiofibular joint proximal or distal | 27871 - ARTHRODESIS TIBIOFIBULAR JOINT PROXIMAL/DISTAL | 27871 - FUSION OF TIBIOFIBULAR JOINT | '01/01/2017 | 12/31/2999 |
| 27880 | 27880 - Amputation leg through tibia and fibula; | 27880 - AMPUTATION LEG THROUGH TIBIA&FIBULA | 27880 - AMPUTATION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27881 | 27881 - Amputation leg through tibia and fibula; with immediate fitting technique including application of first cast | 27881 - AMP LEG THRU TIBFIB W/IMMT FITG TQ W/1ST CST | 27881 - AMPUTATION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27882 | 27882 - Amputation leg through tibia and fibula; open circular (guillotine) | 27882 - AMPUTATION LEG THRU TIBIA&FIBULA OPEN CIRCULAR | 27882 - AMPUTATION OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 27884 | 27884 - Amputation leg through tibia and fibula; secondary closure or scar revision | 27884 - AMP LEG THRU TIBIA&FIBULA SEC CLOSURE/SCAR REV | 27884 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 27886 | 27886 - Amputation leg through tibia and fibula; re-amputation | 27886 - AMP LEG THRU TIBIA&FIBULA RE-AMPUTATION | 27886 - AMPUTATION FOLLOW-UP SURGERY | '01/01/2017 | 12/31/2999 |
| 27888 | 27888 - Amputation ankle through malleoli of tibia and fibula (eg Syme Pirogoff type procedures) with plastic closure and resection of nerves | 27888 - AMP ANKLE-MALLI TIBFIB W/PLSTC CLSR&RESCJ NRV | 27888 - AMPUTATION OF FOOT AT ANKLE | '01/01/2017 | 12/31/2999 |
| 27889 | 27889 - Ankle disarticulation | 27889 - ANKLE DISARTICULATION | 27889 - AMPUTATION OF FOOT AT ANKLE | '01/01/2017 | 12/31/2999 |
| 27892 | 27892 - Decompression fasciotomy leg; anterior and/or lateral compartments only with debridement of nonviable muscle and/or nerve | 27892 - DCMPRN FASCT LEG ANT&/LAT W/DBRDMT MUSC&/NERVE | 27892 - DECOMPRESSION OF LEG | '01/01/2017 | 12/31/2999 |
| 27893 | 27893 - Decompression fasciotomy leg; posterior compartment(s) only with debridement of nonviable muscle and/or nerve | 27893 - DCMPRN FASCT LEG PST W/DBRDMT MUSC&/NRV | 27893 - DECOMPRESSION OF LEG | '01/01/2017 | 12/31/2999 |
| 27894 | 27894 - Decompression fasciotomy leg; anterior and/or lateral and posterior compartment(s) with debridement of nonviable muscle and/or nerve | 27894 - DCMPRN FASCT LEG ANT&/LAT&PST W/DBRDMT MUS | 27894 - DECOMPRESSION OF LEG | '01/01/2017 | 12/31/2999 |
| 27899 | 27899 - Unlisted procedure leg or ankle | 27899 - UNLISTED PROCEDURE LEG/ANKLE | 27899 - UNLISTED PX LEG/ANKLE | '01/01/2023 | 12/31/2999 |
| 28001 | 28001 - Incision and drainage bursa foot | 28001 - INCISION&DRAINAGE BURSA FOOT | 28001 - DRAINAGE OF BURSA OF FOOT | '01/01/2017 | 12/31/2999 |
| 28002 | 28002 - Incision and drainage below fascia with or without tendon sheath involvement foot; single bursal space | 28002 - I&D BELOW FASCIA FOOT 1 BURSAL SPACE | 28002 - TREATMENT OF FOOT INFECTION | '01/01/2017 | 12/31/2999 |
| 28003 | 28003 - Incision and drainage below fascia with or without tendon sheath involvement foot; multiple areas | 28003 - I&D BELOW FASCIA FOOT MULTIPLE AREAS | 28003 - TREATMENT OF FOOT INFECTION | '01/01/2017 | 12/31/2999 |
| 28005 | 28005 - Incision bone cortex (eg osteomyelitis or bone abscess) foot | 28005 - INCISION BONE CORTEX FOOT | 28005 - TREAT FOOT BONE LESION | '01/01/2017 | 12/31/2999 |
| 28008 | 28008 - Fasciotomy foot and/or toe | 28008 - FASCIOTOMY FOOT&/TOE | 28008 - INCISION OF FOOT FASCIA | '01/01/2017 | 12/31/2999 |
| 28010 | 28010 - Tenotomy percutaneous toe; single tendon | 28010 - TENOTOMY PERCUTANEOUS TOE SINGLE TENDON | 28010 - INCISION OF TOE TENDON | '01/01/2017 | 12/31/2999 |
| 28011 | 28011 - Tenotomy percutaneous toe; multiple tendons | 28011 - TENOTOMY PERCUTANEOUS TOE MULTIPLE TENDON | 28011 - INCISION OF TOE TENDONS | '01/01/2017 | 12/31/2999 |
| 28020 | 28020 - Arthrotomy including exploration drainage or removal of loose or foreign body; intertarsal or tarsometatarsal joint | 28020 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB NTRTRSL/TARS JT | 28020 - EXPLORATION OF FOOT JOINT | '01/01/2017 | 12/31/2999 |
| 28022 | 28022 - Arthrotomy including exploration drainage or removal of loose or foreign body; metatarsophalangeal joint | 28022 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB MTTARPHLNGL JT | 28022 - EXPLORATION OF FOOT JOINT | '01/01/2017 | 12/31/2999 |
| 28024 | 28024 - Arthrotomy including exploration drainage or removal of loose or foreign body; interphalangeal joint | 28024 - ARTHRT W/EXPL DRG/RMVL LOOSE/FB IPHAL JT | 28024 - EXPLORATION OF TOE JOINT | '01/01/2017 | 12/31/2999 |
| 28035 | 28035 - Release tarsal tunnel (posterior tibial nerve decompression) | 28035 - RELEASE TARSAL TUNNEL | 28035 - DECOMPRESSION OF TIBIA NERVE | '01/01/2017 | 12/31/2999 |
| 28039 | 28039 - Excision tumor soft tissue of foot or toe subcutaneous; 1.5 cm or greater | 28039 - EXCISION TUMOR SOFT TIS FOOT/TOE SUBQ 1.5 CM/> | 28039 - EXC FOOT/TOE TUM SC 1.5 CM/> | '01/01/2017 | 12/31/2999 |
| 28041 | 28041 - Excision tumor soft tissue of foot or toe subfascial (eg intramuscular); 1.5 cm or greater | 28041 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC 1.5 CM/> | 28041 - EXC FOOT/TOE TUM DEP 1.5CM/> | '01/01/2017 | 12/31/2999 |
| 28043 | 28043 - Excision tumor soft tissue of foot or toe subcutaneous; less than 1.5 cm | 28043 - EXCISION TUMOR SOFT TISSUE FOOT/TOE SUBQ <1.5CM | 28043 - EXC FOOT/TOE TUM SC < 1.5 CM | '01/01/2017 | 12/31/2999 |
| 28045 | 28045 - Excision tumor soft tissue of foot or toe subfascial (eg intramuscular); less than 1.5 cm | 28045 - EXC TUMOR SOFT TISSUE FOOT/TOE SUBFASC <1.5CM | 28045 - EXC FOOT/TOE TUM DEEP <1.5CM | '01/01/2017 | 12/31/2999 |
| 28046 | 28046 - Radical resection of tumor (eg sarcoma) soft tissue of foot or toe; less than 3 cm | 28046 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE <3CM | 28046 - RESECT FOOT/TOE TUMOR < 3 CM | '01/01/2017 | 12/31/2999 |
| 28047 | 28047 - Radical resection of tumor (eg sarcoma) soft tissue of foot or toe; 3 cm or greater | 28047 - RAD RESECTION TUMOR SOFT TISSUE FOOT/TOE 3 CM/> | 28047 - RESECT FOOT/TOE TUMOR 3 CM/> | '01/01/2017 | 12/31/2999 |
| 28050 | 28050 - Arthrotomy with biopsy; intertarsal or tarsometatarsal joint | 28050 - ARTHRT W/BX INTERTARSAL/TARSOMETATARSAL JOINT | 28050 - BIOPSY OF FOOT JOINT LINING | '01/01/2017 | 12/31/2999 |
| 28052 | 28052 - Arthrotomy with biopsy; metatarsophalangeal joint | 28052 - ARTHRTOMY W/BX METATARSOPHALANGEAL JOINT | 28052 - BIOPSY OF FOOT JOINT LINING | '01/01/2017 | 12/31/2999 |
| 28054 | 28054 - Arthrotomy with biopsy; interphalangeal joint | 28054 - ARTHRTOMY W/BX INTERPHALANGEAL JOINT | 28054 - BIOPSY OF TOE JOINT LINING | '01/01/2017 | 12/31/2999 |
| 28055 | 28055 - Neurectomy intrinsic musculature of foot | 28055 - NEURECTOMY INTRINSIC MUSCULATURE OF FOOT | 28055 - NEURECTOMY FOOT | '01/01/2017 | 12/31/2999 |
| 28060 | 28060 - Fasciectomy plantar fascia; partial (separate procedure) | 28060 - FASCIECTOMY PLANTAR FASCIA PARTIAL SPX | 28060 - PARTIAL REMOVAL FOOT FASCIA | '01/01/2017 | 12/31/2999 |
| 28062 | 28062 - Fasciectomy plantar fascia; radical (separate procedure) | 28062 - FASCIECTOMY PLANTAR FASCIA RADICAL SPX | 28062 - REMOVAL OF FOOT FASCIA | '01/01/2023 | 12/31/2999 |
| 28070 | 28070 - Synovectomy; intertarsal or tarsometatarsal joint each | 28070 - SYNVCT INTERTARSAL/TARSOMETATARSAL JT EA SPX | 28070 - REMOVAL OF FOOT JOINT LINING | '01/01/2017 | 12/31/2999 |
| 28072 | 28072 - Synovectomy; metatarsophalangeal joint each | 28072 - SYNOVECTOMY METATARSOPHALANGEAL JOINT EACH | 28072 - REMOVAL OF FOOT JOINT LINING | '01/01/2017 | 12/31/2999 |
| 28080 | 28080 - Excision interdigital (Morton) neuroma single each | 28080 - EXCISION INTERDIGITAL MORTON NEUROMA SINGLE EACH | 28080 - REMOVAL OF FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28086 | 28086 - Synovectomy tendon sheath foot; flexor | 28086 - SYNOVECTOMY TENDON SHEATH FOOT FLEXOR | 28086 - EXCISE FOOT TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 28088 | 28088 - Synovectomy tendon sheath foot; extensor | 28088 - SYNOVECTOMY TENDON SHEATH FOOT EXTENSOR | 28088 - EXCISE FOOT TENDON SHEATH | '01/01/2017 | 12/31/2999 |
| 28090 | 28090 - Excision of lesion tendon tendon sheath or capsule (including synovectomy) (eg cyst or ganglion); foot | 28090 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT FOOT | 28090 - REMOVAL OF FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28092 | 28092 - Excision of lesion tendon tendon sheath or capsule (including synovectomy) (eg cyst or ganglion); toe(s) each | 28092 - EXC LESION TENDON SHEATH/CAPSULE W/SYNVCT TOE EA | 28092 - REMOVAL OF TOE LESIONS | '01/01/2017 | 12/31/2999 |
| 28100 | 28100 - Excision or curettage of bone cyst or benign tumor talus or calcaneus; | 28100 - EXCISION/CURETTAGE CYST/TUMOR TALUS/CALCANEUS | 28100 - REMOVAL OF ANKLE/HEEL LESION | '01/01/2017 | 12/31/2999 |
| 28102 | 28102 - Excision or curettage of bone cyst or benign tumor talus or calcaneus; with iliac or other autograft (includes obtaining graft) | 28102 - EXC/CURTG CST/B9 TUM TALUS/CLCNS W/ILIAC/AGRFT | 28102 - REMOVE/GRAFT FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28103 | 28103 - Excision or curettage of bone cyst or benign tumor talus or calcaneus; with allograft | 28103 - EXC/CURETTAGE CYST/TUMOR TALUS/CALCANEUS ALGRFT | 28103 - REMOVE/GRAFT FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28104 | 28104 - Excision or curettage of bone cyst or benign tumor tarsal or metatarsal except talus or calcaneus; | 28104 - EXC/CURTG BONE CYST/B9 TUMORTARSAL/METATARSAL | 28104 - REMOVAL OF FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28106 | 28106 - Excision or curettage of bone cyst or benign tumor tarsal or metatarsal except talus or calcaneus; with iliac or other autograft (includes obtaining graft) | 28106 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ILIAC/AGRFT | 28106 - REMOVE/GRAFT FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28107 | 28107 - Excision or curettage of bone cyst or benign tumor tarsal or metatarsal except talus or calcaneus; with allograft | 28107 - EXC/CURTG CST/B9 TUM TARSAL/METAR W/ALGRFT | 28107 - REMOVE/GRAFT FOOT LESION | '01/01/2017 | 12/31/2999 |
| 28108 | 28108 - Excision or curettage of bone cyst or benign tumor phalanges of foot | 28108 - EXC/CURTG CST/B9 TUM PHALANGES FOOT | 28108 - REMOVAL OF TOE LESIONS | '01/01/2017 | 12/31/2999 |
| 28110 | 28110 - Ostectomy partial excision fifth metatarsal head (bunionette) (separate procedure) | 28110 - OSTECTOMY PRTL 5TH METAR HEAD SPX | 28110 - PART REMOVAL OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28111 | 28111 - Ostectomy complete excision; first metatarsal head | 28111 - OSTECTOMY COMPLETE 1ST METATARSAL HEAD | 28111 - PART REMOVAL OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28112 | 28112 - Ostectomy complete excision; other metatarsal head (second third or fourth) | 28112 - OSTECTOMY COMPLETE OTHER METATARSAL HEAD 2/3/4 | 28112 - PART REMOVAL OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28113 | 28113 - Ostectomy complete excision; fifth metatarsal head | 28113 - OSTECTOMY COMPLETE 5TH METATARSAL HEAD | 28113 - PART REMOVAL OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28114 | 28114 - Ostectomy complete excision; all metatarsal heads with partial proximal phalangectomy excluding first metatarsal (eg Clayton type procedure) | 28114 - OSTC COMPL ALL METAR HEADS W/PRTL PROX PHALANGC | 28114 - REMOVAL OF METATARSAL HEADS | '01/01/2017 | 12/31/2999 |
| 28116 | 28116 - Ostectomy excision of tarsal coalition | 28116 - OSTECTOMY TARSAL COALITION | 28116 - REVISION OF FOOT | '01/01/2017 | 12/31/2999 |
| 28118 | 28118 - Ostectomy calcaneus; | 28118 - OSTECTOMY CALCANEUS | 28118 - REMOVAL OF HEEL BONE | '01/01/2017 | 12/31/2999 |
| 28119 | 28119 - Ostectomy calcaneus; for spur with or without plantar fascial release | 28119 - OSTECTOMY CALCANEUS SPUR W/WO PLNTAR FASCIAL RLS | 28119 - REMOVAL OF HEEL SPUR | '01/01/2017 | 12/31/2999 |
| 28120 | 28120 - Partial excision (craterization saucerization sequestrectomy or diaphysectomy) bone (eg osteomyelitis or bossing); talus or calcaneus | 28120 - PARTIAL EXCISION BONE TALUS/CALCANEUS | 28120 - PART REMOVAL OF ANKLE/HEEL | '01/01/2017 | 12/31/2999 |
| 28122 | 28122 - Partial excision (craterization saucerization sequestrectomy or diaphysectomy) bone (eg osteomyelitis or bossing); tarsal or metatarsal bone except talus or calcaneus | 28122 - PRTL EXC B1 TARSAL/METAR B1 XCP TALUS/CALCANEUS | 28122 - PARTIAL REMOVAL OF FOOT BONE | '01/01/2017 | 12/31/2999 |
| 28124 | 28124 - Partial excision (craterization saucerization sequestrectomy or diaphysectomy) bone (eg osteomyelitis or bossing); phalanx of toe | 28124 - PARTICAL EXCISION BONE PHALANX TOE | 28124 - PARTIAL REMOVAL OF TOE | '01/01/2017 | 12/31/2999 |
| 28126 | 28126 - Resection partial or complete phalangeal base each toe | 28126 - RESECTION PARTIAL/COMPLETE PHALANGEAL BASE EACH | 28126 - PARTIAL REMOVAL OF TOE | '01/01/2017 | 12/31/2999 |
| 28130 | 28130 - Talectomy (astragalectomy) | 28130 - TALECTOMY ASTRAGALECTOMY | 28130 - REMOVAL OF ANKLE BONE | '01/01/2017 | 12/31/2999 |
| 28140 | 28140 - Metatarsectomy | 28140 - METATARSECTOMY | 28140 - REMOVAL OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28150 | 28150 - Phalangectomy toe each toe | 28150 - PHALANGECTOMY TOE EACH TOE | 28150 - REMOVAL OF TOE | '01/01/2017 | 12/31/2999 |
| 28153 | 28153 - Resection condyle(s) distal end of phalanx each toe | 28153 - RESECTION CONDYLE DISTAL END PHALANX EACH TOE | 28153 - PARTIAL REMOVAL OF TOE | '01/01/2017 | 12/31/2999 |
| 28160 | 28160 - Hemiphalangectomy or interphalangeal joint excision toe proximal end of phalanx each | 28160 - HEMIPHALANGECTOMY/INTERPHALANGEAL JOINT EXC TOE | 28160 - PARTIAL REMOVAL OF TOE | '01/01/2017 | 12/31/2999 |
| 28171 | 28171 - Radical resection of tumor; tarsal (except talus or calcaneus) | 28171 - RAD RESCJ TUMOR TARSAL EXCEPT TALUS/CALCANEUS | 28171 - RESECT TARSAL TUMOR | '01/01/2017 | 12/31/2999 |
| 28173 | 28173 - Radical resection of tumor; metatarsal | 28173 - RADICAL RESECTION TUMOR METATARSAL | 28173 - RESECT METATARSAL TUMOR | '01/01/2017 | 12/31/2999 |
| 28175 | 28175 - Radical resection of tumor; phalanx of toe | 28175 - RADICAL RESECTION TUMOR PHALANX OR TOE | 28175 - RESECT PHALANX OF TOE TUMOR | '01/01/2017 | 12/31/2999 |
| 28190 | 28190 - Removal of foreign body foot; subcutaneous | 28190 - REMOVAL FOREIGN BODY FOOT SUBCUTANEOUS | 28190 - REMOVAL OF FOOT FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 28192 | 28192 - Removal of foreign body foot; deep | 28192 - REMOVAL FOREIGN BODY FOOT DEEP | 28192 - REMOVAL OF FOOT FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 28193 | 28193 - Removal of foreign body foot; complicated | 28193 - REMOVAL FOREIGN BODY FOOT COMPLICATED | 28193 - REMOVAL OF FOOT FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 28200 | 28200 - Repair tendon flexor foot; primary or secondary without free graft each tendon | 28200 - RPR TDN FLXR FOOT 1/2 W/O FREE GRAFG EACH TENDON | 28200 - REPAIR OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28202 | 28202 - Repair tendon flexor foot; secondary with free graft each tendon (includes obtaining graft) | 28202 - RPR TENDON FLXR FOOT SEC W/FREE GRAFT EA TENDON | 28202 - REPAIR/GRAFT OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28208 | 28208 - Repair tendon extensor foot; primary or secondary each tendon | 28208 - REPAIR TENDON EXTENSOR FOOT 1/2 EACH TENDON | 28208 - REPAIR OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28210 | 28210 - Repair tendon extensor foot; secondary with free graft each tendon (includes obtaining graft) | 28210 - RPR TENDON XTNSR FOOT SEC W/FREE GRAFT EA TENDON | 28210 - REPAIR/GRAFT OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28220 | 28220 - Tenolysis flexor foot; single tendon | 28220 - TENOLYSIS FLEXOR FOOT SINGLE TENDON | 28220 - RELEASE OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28222 | 28222 - Tenolysis flexor foot; multiple tendons | 28222 - TENOLYSIS FLEXOR FOOT MULTIPLE TENDONS | 28222 - RELEASE OF FOOT TENDONS | '01/01/2017 | 12/31/2999 |
| 28225 | 28225 - Tenolysis extensor foot; single tendon | 28225 - TENOLYSIS EXTENSOR FOOT SINGLE TENDON | 28225 - RELEASE OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28226 | 28226 - Tenolysis extensor foot; multiple tendons | 28226 - TENOLYSIS EXTENSOR FOOT MULTIPLE TENDON | 28226 - RELEASE OF FOOT TENDONS | '01/01/2017 | 12/31/2999 |
| 28230 | 28230 - Tenotomy open tendon flexor; foot single or multiple tendon(s) (separate procedure) | 28230 - TX OPN TENDON FLEXOR FOOT SINGLE/MULT TENDON SPX | 28230 - INCISION OF FOOT TENDON(S) | '01/01/2017 | 12/31/2999 |
| 28232 | 28232 - Tenotomy open tendon flexor; toe single tendon (separate procedure) | 28232 - TX OPEN TENDON FLEXOR TOE 1 TENDON SPX | 28232 - INCISION OF TOE TENDON | '01/01/2017 | 12/31/2999 |
| 28234 | 28234 - Tenotomy open extensor foot or toe each tendon | 28234 - TENOTOMY OPEN EXTENSOR FOOT/TOE EACH TENDON | 28234 - INCISION OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28238 | 28238 - Reconstruction (advancement) posterior tibial tendon with excision of accessory tarsal navicular bone (eg Kidner type procedure) | 28238 - RCNSTJ PST TIBL TDN W/EXC ACCESSORY TARSL NAVCLR | 28238 - REVISION OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28240 | 28240 - Tenotomy lengthening or release abductor hallucis muscle | 28240 - TENOTOMY LENGTHENING/RLS ABDUCTOR HALLUCIS MUSC | 28240 - RELEASE OF BIG TOE | '01/01/2017 | 12/31/2999 |
| 28250 | 28250 - Division of plantar fascia and muscle (eg Steindler stripping) (separate procedure) | 28250 - DIVISION PLANTAR FASCIA & MUSCLE SPX | 28250 - REVISION OF FOOT FASCIA | '01/01/2017 | 12/31/2999 |
| 28260 | 28260 - Capsulotomy midfoot; medial release only (separate procedure) | 28260 - CAPSULOTOMY MIDFOOT MEDIAL RELEASE ONLY SPX | 28260 - RELEASE OF MIDFOOT JOINT | '01/01/2017 | 12/31/2999 |
| 28261 | 28261 - Capsulotomy midfoot; with tendon lengthening | 28261 - CAPSULOTOMY MIDFOOT W/TENDON LENGTHENING | 28261 - REVISION OF FOOT TENDON | '01/01/2017 | 12/31/2999 |
| 28262 | 28262 - Capsulotomy midfoot; extensive including posterior talotibial capsulotomy and tendon(s) lengthening (eg resistant clubfoot deformity) | 28262 - CAPSUL MIDFOOT W/PST TALOTIBL CAPSUL&TDN LNGTH | 28262 - REVISION OF FOOT AND ANKLE | '01/01/2017 | 12/31/2999 |
| 28264 | 28264 - Capsulotomy midtarsal (eg Heyman type procedure) | 28264 - CAPSULOTOMY MIDTARSAL | 28264 - RELEASE OF MIDFOOT JOINT | '01/01/2017 | 12/31/2999 |
| 28270 | 28270 - Capsulotomy; metatarsophalangeal joint with or without tenorrhaphy each joint (separate procedure) | 28270 - CAPSUL MTTARPHLNGL JT W/WO TENORRHAPHY EA JT SPX | 28270 - RELEASE OF FOOT CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 28272 | 28272 - Capsulotomy; interphalangeal joint each joint (separate procedure) | 28272 - CAPSULOTOMY IPHAL JOINT EACH JOINT SPX | 28272 - RELEASE OF TOE JOINT EACH | '01/01/2017 | 12/31/2999 |
| 28280 | 28280 - Syndactylization toes (eg webbing or Kelikian type procedure) | 28280 - SYNDACTYLIZATION TOES | 28280 - FUSION OF TOES | '01/01/2017 | 12/31/2999 |
| 28285 | 28285 - Correction hammertoe (eg interphalangeal fusion partial or total phalangectomy) | 28285 - CORRECTION HAMMERTOE | 28285 - REPAIR OF HAMMERTOE | '01/01/2017 | 12/31/2999 |
| 28286 | 28286 - Correction cock-up fifth toe with plastic skin closure (eg Ruiz-Mora type procedure) | 28286 - CORRECTION COCK-UP 5TH TOE W/PLASTIC CLOSURE | 28286 - REPAIR OF HAMMERTOE | '01/01/2017 | 12/31/2999 |
| 28288 | 28288 - Ostectomy partial exostectomy or condylectomy metatarsal head each metatarsal head | 28288 - OSTC PRTL EXOSTC/CONDYLC METAR HEAD | 28288 - PARTIAL REMOVAL OF FOOT BONE | '01/01/2017 | 12/31/2999 |
| 28289 | 28289 - Hallux rigidus correction with cheilectomy debridement and capsular release of the first metatarsophalangeal joint; without implant | 28289 - HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/O IMPLT | 28289 - CORRJ HALUX RIGDUS W/O IMPLT | '01/01/2017 | 12/31/2999 |
| 28291 | 28291 - Hallux rigidus correction with cheilectomy debridement and capsular release of the first metatarsophalangeal joint; with implant | 28291 - HALLUX RIGIDUS W/CHEILECTOMY 1ST MP JT W/IMPLT | 28291 - CORRJ HALUX RIGDUS W/IMPLT | '01/01/2017 | 12/31/2999 |
| 28292 | 28292 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with resection of proximal phalanx base when performed any method | 28292 - CORRJ HALLUX VALGUS W/SESMDC W/RESCJ PROX PHAL | 28292 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28295 | 28295 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with proximal metatarsal osteotomy any method | 28295 - CORRJ HALLUX VALGUS W/SESMDC W/PROX METAR OSTEOT | 28295 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28296 | 28296 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with distal metatarsal osteotomy any method | 28296 - CORRJ HALLUX VALGUS W/SESMDC W/DIST METAR OSTEOT | 28296 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28297 | 28297 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with first metatarsal and medial cuneiform joint arthrodesis any method | 28297 - CORRJ HALLUX VALGUS W/SESMDC W/1METAR MEDIAL CNF | 28297 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28298 | 28298 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with proximal phalanx osteotomy any method | 28298 - CORRJ HALLUX VALGUS W/SESMDC W/PROX PHLNX OSTEOT | 28298 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28299 | 28299 - Correction hallux valgus (bunionectomy) with sesamoidectomy when performed; with double osteotomy any method | 28299 - CORRJ HALLUX VALGUS W/SESMDC W/2 OSTEOT | 28299 - CORRECTION HALLUX VALGUS | '01/01/2017 | 12/31/2999 |
| 28300 | 28300 - Osteotomy; calcaneus (eg Dwyer or Chambers type procedure) with or without internal fixation | 28300 - OSTEOTOMY CALCANEUS W/WO INTERNAL FIXATION | 28300 - INCISION OF HEEL BONE | '01/01/2017 | 12/31/2999 |
| 28302 | 28302 - Osteotomy; talus | 28302 - OSTEOTOMY TALUS | 28302 - INCISION OF ANKLE BONE | '01/01/2017 | 12/31/2999 |
| 28304 | 28304 - Osteotomy tarsal bones other than calcaneus or talus; | 28304 - OSTEOTOMY TARSAL BONES OTH/THN CALCANEUS/TALUS | 28304 - INCISION OF MIDFOOT BONES | '01/01/2017 | 12/31/2999 |
| 28305 | 28305 - Osteotomy tarsal bones other than calcaneus or talus; with autograft (includes obtaining graft) (eg Fowler type) | 28305 - OSTEOT TARSAL OTH/THN CALCANEUS/TALUS W/AGRFT | 28305 - INCISE/GRAFT MIDFOOT BONES | '01/01/2017 | 12/31/2999 |
| 28306 | 28306 - Osteotomy with or without lengthening shortening or angular correction metatarsal; first metatarsal | 28306 - OSTEOT W/WO LNGTH SHRT/CORRJ 1ST METAR | 28306 - INCISION OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28307 | 28307 - Osteotomy with or without lengthening shortening or angular correction metatarsal; first metatarsal with autograft (other than first toe) | 28307 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST TOE | 28307 - INCISION OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28308 | 28308 - Osteotomy with or without lengthening shortening or angular correction metatarsal; other than first metatarsal each | 28308 - OSTEOT W/WO LNGTH SHRT/CORRJ METAR XCP 1ST EA | 28308 - INCISION OF METATARSAL | '01/01/2017 | 12/31/2999 |
| 28309 | 28309 - Osteotomy with or without lengthening shortening or angular correction metatarsal; multiple (eg Swanson type cavus foot procedure) | 28309 - OSTEOT W/WO LNGTH SHRT/ANGULAR CORRJ METAR MLT | 28309 - INCISION OF METATARSALS | '01/01/2017 | 12/31/2999 |
| 28310 | 28310 - Osteotomy shortening angular or rotational correction; proximal phalanx first toe (separate procedure) | 28310 - OSTEOT SHRT CORRJ PROX PHALANX 1ST TOE | 28310 - REVISION OF BIG TOE | '01/01/2017 | 12/31/2999 |
| 28312 | 28312 - Osteotomy shortening angular or rotational correction; other phalanges any toe | 28312 - OSTEOT SHRT CORRJ OTH PHALANGES ANY TOE | 28312 - REVISION OF TOE | '01/01/2017 | 12/31/2999 |
| 28313 | 28313 - Reconstruction angular deformity of toe soft tissue procedures only (eg overlapping second toe fifth toe curly toes) | 28313 - RCNSTJ ANGULAR DFRM TOE SOFT TISS PX ONLY | 28313 - REPAIR DEFORMITY OF TOE | '01/01/2017 | 12/31/2999 |
| 28315 | 28315 - Sesamoidectomy first toe (separate procedure) | 28315 - SESAMOIDECTOMY FIRST TOE SPX | 28315 - REMOVAL OF SESAMOID BONE | '01/01/2017 | 12/31/2999 |
| 28320 | 28320 - Repair nonunion or malunion; tarsal bones | 28320 - REPAIR NONUNION/MALUNION TARSAL BONES | 28320 - REPAIR OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28322 | 28322 - Repair nonunion or malunion; metatarsal with or without bone graft (includes obtaining graft) | 28322 - RPR NON/MALUNION METARSAL W/WO BONE GRAFT | 28322 - REPAIR OF METATARSALS | '01/01/2017 | 12/31/2999 |
| 28340 | 28340 - Reconstruction toe macrodactyly; soft tissue resection | 28340 - RCNSTJ TOE MACRODACTYLY SOFT TISSUE RESECTION | 28340 - RESECT ENLARGED TOE TISSUE | '01/01/2017 | 12/31/2999 |
| 28341 | 28341 - Reconstruction toe macrodactyly; requiring bone resection | 28341 - RCNSTJ TOE MACRODACTYLY REQUIRING BONE RESECTION | 28341 - RESECT ENLARGED TOE | '01/01/2017 | 12/31/2999 |
| 28344 | 28344 - Reconstruction toe(s); polydactyly | 28344 - RECONSTRUCTION TOE POLYDACTYLY | 28344 - REPAIR EXTRA TOE(S) | '01/01/2017 | 12/31/2999 |
| 28345 | 28345 - Reconstruction toe(s); syndactyly with or without skin graft(s) each web | 28345 - RCNSTJ TOE SYNDACTYLY W/WO SKIN GRAFT EACH WEB | 28345 - REPAIR WEBBED TOE(S) | '01/01/2017 | 12/31/2999 |
| 28360 | 28360 - Reconstruction cleft foot | 28360 - RECONSTRUCTION CLEFT FOOT | 28360 - RECONSTRUCT CLEFT FOOT | '01/01/2017 | 12/31/2999 |
| 28400 | 28400 - Closed treatment of calcaneal fracture; without manipulation | 28400 - CLOSED TX CALCANEAL FRACTURE W/O MANIPULATION | 28400 - TREATMENT OF HEEL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28405 | 28405 - Closed treatment of calcaneal fracture; with manipulation | 28405 - CLOSED TX CALCANEAL FRACTURE W/MANIPULATION | 28405 - TREATMENT OF HEEL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28406 | 28406 - Percutaneous skeletal fixation of calcaneal fracture with manipulation | 28406 - PRQ SKELETAL FIXJ CALCANEAL FRACTURE W/MANJ | 28406 - TREATMENT OF HEEL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28415 | 28415 - Open treatment of calcaneal fracture includes internal fixation when performed; | 28415 - OPEN TREATMENT CALCANEAL FRACTURE | 28415 - TREAT HEEL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28420 | 28420 - Open treatment of calcaneal fracture includes internal fixation when performed; with primary iliac or other autogenous bone graft (includes obtaining graft) | 28420 - OPEN TREATMENT CALCANEAL FRACTURE W BONE GRAFT | 28420 - TREAT/GRAFT HEEL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28430 | 28430 - Closed treatment of talus fracture; without manipulation | 28430 - CLOSED TX TALUS FRACTURE W/O MANIPULATION | 28430 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28435 | 28435 - Closed treatment of talus fracture; with manipulation | 28435 - CLOSED TX TALUS FRACTURE W/MANIPULATION | 28435 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28436 | 28436 - Percutaneous skeletal fixation of talus fracture with manipulation | 28436 - PRQ SKELETAL FIXATION TALUS FRACTURE W/MANJ | 28436 - TREATMENT OF ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28445 | 28445 - Open treatment of talus fracture includes internal fixation when performed | 28445 - OPEN TREATMENT TALUS FRACTURE | 28445 - TREAT ANKLE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28446 | 28446 - Open osteochondral autograft talus (includes obtaining graft[s]) | 28446 - OPEN OSTEOCHONDRAL AUTOGRAFT TALUS | 28446 - OSTEOCHONDRAL TALUS AUTOGRFT | '01/01/2017 | 12/31/2999 |
| 28450 | 28450 - Treatment of tarsal bone fracture (except talus and calcaneus); without manipulation each | 28450 - TX TARSAL BONE FX XCP TALUS&CALCN W/O MANJ | 28450 - TREAT MIDFOOT FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 28455 | 28455 - Treatment of tarsal bone fracture (except talus and calcaneus); with manipulation each | 28455 - TX TARSAL BONE FX XCP TALUS&CALCN W/MANJ | 28455 - TREAT MIDFOOT FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 28456 | 28456 - Percutaneous skeletal fixation of tarsal bone fracture (except talus and calcaneus) with manipulation each | 28456 - PRQ SKEL FIXJ TARSL FX XCP TALUS&CALCNS W/MANJ | 28456 - TREAT MIDFOOT FRACTURE | '01/01/2017 | 12/31/2999 |
| 28465 | 28465 - Open treatment of tarsal bone fracture (except talus and calcaneus) includes internal fixation when performed each | 28465 - OPEN TX TARSAL FRACTURE XCP TALUS & CALCANEUS EA | 28465 - TREAT MIDFOOT FRACTURE EACH | '01/01/2017 | 12/31/2999 |
| 28470 | 28470 - Closed treatment of metatarsal fracture; without manipulation each | 28470 - CLOSED TX METATARSAL FRACTURE W/O MANIPULATION | 28470 - TREAT METATARSAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28475 | 28475 - Closed treatment of metatarsal fracture; with manipulation each | 28475 - CLTX METAR FX W/MANJ | 28475 - TREAT METATARSAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28476 | 28476 - Percutaneous skeletal fixation of metatarsal fracture with manipulation each | 28476 - PRQ SKEL FIXJ METAR FX W/MANJ | 28476 - TREAT METATARSAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28485 | 28485 - Open treatment of metatarsal fracture includes internal fixation when performed each | 28485 - OPEN TREATMENT METATARSAL FRACTURE EACH | 28485 - TREAT METATARSAL FRACTURE | '01/01/2017 | 12/31/2999 |
| 28490 | 28490 - Closed treatment of fracture great toe phalanx or phalanges; without manipulation | 28490 - CLTX FX GRT TOE PHLX/PHLG W/O MANJ | 28490 - TREAT BIG TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28495 | 28495 - Closed treatment of fracture great toe phalanx or phalanges; with manipulation | 28495 - CLTX FX GRT TOE PHLX/PHLG W/MANJ | 28495 - TREAT BIG TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28496 | 28496 - Percutaneous skeletal fixation of fracture great toe phalanx or phalanges with manipulation | 28496 - PRQ SKEL FIXJ FX GRT TOE PHLX/PHLG W/MANJ | 28496 - TREAT BIG TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28505 | 28505 - Open treatment of fracture great toe phalanx or phalanges includes internal fixation when performed | 28505 - OPEN TX FRACTURE GREAT TOE/PHALANX/PHALANGES | 28505 - TREAT BIG TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28510 | 28510 - Closed treatment of fracture phalanx or phalanges other than great toe; without manipulation each | 28510 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/O MANJ | 28510 - TREATMENT OF TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28515 | 28515 - Closed treatment of fracture phalanx or phalanges other than great toe; with manipulation each | 28515 - CLTX FX PHLX/PHLG OTH/THN GRT TOE W/MANJ | 28515 - TREATMENT OF TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28525 | 28525 - Open treatment of fracture phalanx or phalanges other than great toe includes internal fixation when performed each | 28525 - OPEN TX FRACTURE PHALANX/PHALANGES NOT GREAT TOE | 28525 - TREAT TOE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28530 | 28530 - Closed treatment of sesamoid fracture | 28530 - CLOSED TREATMENT SESAMOID FRACTURE | 28530 - TREAT SESAMOID BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28531 | 28531 - Open treatment of sesamoid fracture with or without internal fixation | 28531 - OPEN TX SESAMOID FRACTURE W/WO INTERNAL FIXATION | 28531 - TREAT SESAMOID BONE FRACTURE | '01/01/2017 | 12/31/2999 |
| 28540 | 28540 - Closed treatment of tarsal bone dislocation other than talotarsal; without anesthesia | 28540 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/O ANES | 28540 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28545 | 28545 - Closed treatment of tarsal bone dislocation other than talotarsal; requiring anesthesia | 28545 - CLTX TARSAL DISLC OTH/THN TALOTARSAL W/ANES | 28545 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28546 | 28546 - Percutaneous skeletal fixation of tarsal bone dislocation other than talotarsal with manipulation | 28546 - PRQ SKEL FIXJ TARSL DISLC XCP TALOTARSAL W/MANJ | 28546 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28555 | 28555 - Open treatment of tarsal bone dislocation includes internal fixation when performed | 28555 - OPEN TREATMENT TARSAL BONE DISLOCATION | 28555 - REPAIR FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28570 | 28570 - Closed treatment of talotarsal joint dislocation; without anesthesia | 28570 - CLOSED TX TALOTARSAL JOINT DISLC W/O ANES | 28570 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28575 | 28575 - Closed treatment of talotarsal joint dislocation; requiring anesthesia | 28575 - CLOSED TX TALOTARSAL JOINT DISLOCATION W/ANES | 28575 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28576 | 28576 - Percutaneous skeletal fixation of talotarsal joint dislocation with manipulation | 28576 - PRQ SKEL FIXJ TALOTARSAL JT DISLC W/MANJ | 28576 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28585 | 28585 - Open treatment of talotarsal joint dislocation includes internal fixation when performed | 28585 - OPEN TREATMENT TALOTARSAL JOINT DISLOCATION | 28585 - REPAIR FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28600 | 28600 - Closed treatment of tarsometatarsal joint dislocation; without anesthesia | 28600 - CLOSED TX TARSOMETATARSAL DISLOCATION W/O ANES | 28600 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28605 | 28605 - Closed treatment of tarsometatarsal joint dislocation; requiring anesthesia | 28605 - CLOSED TX TARSOMETATARSAL DISLOCATION W/ANES | 28605 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28606 | 28606 - Percutaneous skeletal fixation of tarsometatarsal joint dislocation with manipulation | 28606 - PRQ SKEL FIXJ TARS JT DISLC W/MANJ | 28606 - TREAT FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28615 | 28615 - Open treatment of tarsometatarsal joint dislocation includes internal fixation when performed | 28615 - OPEN TREATMENT TARSOMETATARSAL JOINT DISLOCATION | 28615 - REPAIR FOOT DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28630 | 28630 - Closed treatment of metatarsophalangeal joint dislocation; without anesthesia | 28630 - CLTX METATARSOPHLNGL JT DISLC W/O ANES | 28630 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28635 | 28635 - Closed treatment of metatarsophalangeal joint dislocation; requiring anesthesia | 28635 - CLTX METATARSOPHLNGL JT DISLC REQ ANES | 28635 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28636 | 28636 - Percutaneous skeletal fixation of metatarsophalangeal joint dislocation with manipulation | 28636 - PRQ SKEL FIXJ METATARSOPHLNGL JT DISLC W/MANJ | 28636 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28645 | 28645 - Open treatment of metatarsophalangeal joint dislocation includes internal fixation when performed | 28645 - OPEN TX METATARSOPHALANGEAL JOINT DISLOCATION | 28645 - REPAIR TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28660 | 28660 - Closed treatment of interphalangeal joint dislocation; without anesthesia | 28660 - CLTX INTERPHALANGEAL JOINT DISLOCATION W/O ANES | 28660 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28665 | 28665 - Closed treatment of interphalangeal joint dislocation; requiring anesthesia | 28665 - CLTX INTERPHALANGEAL JOINT DISLOCATION REQ ANES | 28665 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28666 | 28666 - Percutaneous skeletal fixation of interphalangeal joint dislocation with manipulation | 28666 - PRQ SKEL FIXJ INTERPHALANGEAL JOINT DISLC W/MANJ | 28666 - TREAT TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28675 | 28675 - Open treatment of interphalangeal joint dislocation includes internal fixation when performed | 28675 - OPEN TREATMENT INTERPHALANGEAL JOINT DISLOCATION | 28675 - REPAIR OF TOE DISLOCATION | '01/01/2017 | 12/31/2999 |
| 28705 | 28705 - Arthrodesis; pantalar | 28705 - ARTHRODESIS PANTALAR | 28705 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28715 | 28715 - Arthrodesis; triple | 28715 - ARTHRODESIS TRIPLE | 28715 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28725 | 28725 - Arthrodesis; subtalar | 28725 - ARTHRODESIS SUBTALAR | 28725 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28730 | 28730 - Arthrodesis midtarsal or tarsometatarsal multiple or transverse; | 28730 - ARTHRD MIDTARSL/TARSOMETATARSAL MULT/TRANSVRS | 28730 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28735 | 28735 - Arthrodesis midtarsal or tarsometatarsal multiple or transverse; with osteotomy (eg flatfoot correction) | 28735 - ARTHRD MIDTARSL/TARS MLT/TRANSVRS W/OSTEOT | 28735 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28737 | 28737 - Arthrodesis with tendon lengthening and advancement midtarsal tarsal navicular-cuneiform (eg Miller type procedure) | 28737 - ARTHRD W/TDN LNGTH&ADVMNT TARSL NVCLR-CUNEIFOR | 28737 - REVISION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28740 | 28740 - Arthrodesis midtarsal or tarsometatarsal single joint | 28740 - ARTHRODESIS MIDTARSOMETATARSAL SINGLE JOINT | 28740 - FUSION OF FOOT BONES | '01/01/2017 | 12/31/2999 |
| 28750 | 28750 - Arthrodesis great toe; metatarsophalangeal joint | 28750 - ARTHRODESIS GREAT TOE METATARSOPHALANGEAL JOINT | 28750 - FUSION OF BIG TOE JOINT | '01/01/2017 | 12/31/2999 |
| 28755 | 28755 - Arthrodesis great toe; interphalangeal joint | 28755 - ARTHRODESIS GREAT TOE INTERPHALANGEAL JOINT | 28755 - FUSION OF BIG TOE JOINT | '01/01/2017 | 12/31/2999 |
| 28760 | 28760 - Arthrodesis with extensor hallucis longus transfer to first metatarsal neck great toe interphalangeal joint (eg Jones type procedure) | 28760 - ARTHRD W/XTNSR HALLUCIS LONGUS TR 1ST METAR NCK | 28760 - FUSION OF BIG TOE JOINT | '01/01/2017 | 12/31/2999 |
| 28800 | 28800 - Amputation foot; midtarsal (eg Chopart type procedure) | 28800 - AMPUTATION FOOT MIDTARSAL | 28800 - AMPUTATION OF MIDFOOT | '01/01/2017 | 12/31/2999 |
| 28805 | 28805 - Amputation foot; transmetatarsal | 28805 - AMPUTATION FOOT TRANSMETARSAL | 28805 - AMPUTATION THRU METATARSAL | '01/01/2017 | 12/31/2999 |
| 28810 | 28810 - Amputation metatarsal with toe single | 28810 - AMPUTATION METATARSAL W/TOE SINGLE | 28810 - AMPUTATION TOE & METATARSAL | '01/01/2017 | 12/31/2999 |
| 28820 | 28820 - Amputation toe; metatarsophalangeal joint | 28820 - AMPUTATION TOE METATARSOPHALANGEAL JOINT | 28820 - AMPUTATION OF TOE | '01/01/2017 | 12/31/2999 |
| 28825 | 28825 - Amputation toe; interphalangeal joint | 28825 - AMPUTATION TOE INTERPHALANGEAL JOINT | 28825 - PARTIAL AMPUTATION OF TOE | '01/01/2017 | 12/31/2999 |
| 28890 | 28890 - Extracorporeal shock wave high energy performed by a physician or other qualified health care professional requiring anesthesia other than local including ultrasound guidance involving the plantar fascia | 28890 - ESWT HI NRG PHYS/QHP W/US GDN INVG PLNTAR FASCIA | 28890 - HI ENRGY ESWT PLANTAR FASCIA | '01/01/2017 | 12/31/2999 |
| 28899 | 28899 - Unlisted procedure foot or toes | 28899 - UNLISTED PROCEDURE FOOT/TOES | 28899 - UNLISTED PX FOOT/TOES | '01/01/2023 | 12/31/2999 |
| 29000 | 29000 - Application of halo type body cast (see 20661-20663 for insertion) | 29000 - APPLICATION HALO TYPE BODY CAST | 29000 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29010 | 29010 - Application of Risser jacket localizer body; only | 29010 - APPLICATION RISSER JACKET LOCALIZER BODY ONLY | 29010 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29015 | 29015 - Application of Risser jacket localizer body; including head | 29015 - APPLICATION RISSER JACKET LOCALIZER BODY W/HEAD | 29015 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29035 | 29035 - Application of body cast shoulder to hips; | 29035 - APPLICATION BODY CAST SHOULDER HIPS | 29035 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29040 | 29040 - Application of body cast shoulder to hips; including head Minerva type | 29040 - APPLICATION BODY CAST SHOULDER HIPS HEAD MINERVA | 29040 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29044 | 29044 - Application of body cast shoulder to hips; including 1 thigh | 29044 - APPLICATION BODY CAST SHOULDER HIPS W/ONE THIGH | 29044 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29046 | 29046 - Application of body cast shoulder to hips; including both thighs | 29046 - APPLICATION BODY CAST SHOULDER HIPS BOTH THIGHS | 29046 - APPLICATION OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29049 | 29049 - Application cast; figure-of-eight | 29049 - APPLICATION CAST FIGURE-OF-8 | 29049 - APPLICATION OF FIGURE EIGHT | '01/01/2017 | 12/31/2999 |
| 29055 | 29055 - Application cast; shoulder spica | 29055 - APPLICATION CAST SHOULDER SPICA | 29055 - APPLICATION OF SHOULDER CAST | '01/01/2017 | 12/31/2999 |
| 29058 | 29058 - Application cast; plaster Velpeau | 29058 - APPLICATION CAST PLASTER VELPEAU | 29058 - APPLICATION OF SHOULDER CAST | '01/01/2017 | 12/31/2999 |
| 29065 | 29065 - Application cast; shoulder to hand (long arm) | 29065 - APPLICATION CAST SHOULDER HAND LONG ARM | 29065 - APPLICATION OF LONG ARM CAST | '01/01/2017 | 12/31/2999 |
| 29075 | 29075 - Application cast; elbow to finger (short arm) | 29075 - APPLICATION CAST ELBOW FINGER SHORT ARM | 29075 - APPLICATION OF FOREARM CAST | '01/01/2017 | 12/31/2999 |
| 29085 | 29085 - Application cast; hand and lower forearm (gauntlet) | 29085 - APPLICATION CAST HAND & LOWER FOREARM GAUNTLET | 29085 - APPLY HAND/WRIST CAST | '01/01/2017 | 12/31/2999 |
| 29086 | 29086 - Application cast; finger (eg contracture) | 29086 - APPLICATION CAST FINGER | 29086 - APPLY FINGER CAST | '01/01/2017 | 12/31/2999 |
| 29105 | 29105 - Application of long arm splint (shoulder to hand) | 29105 - APPLICATION LONG ARM SPLINT SHOULDER HAND | 29105 - APPLY LONG ARM SPLINT | '01/01/2017 | 12/31/2999 |
| 29125 | 29125 - Application of short arm splint (forearm to hand); static | 29125 - APPLICATION SHORT ARM SPLINT FOREARM-HAND STATIC | 29125 - APPLY FOREARM SPLINT | '01/01/2017 | 12/31/2999 |
| 29126 | 29126 - Application of short arm splint (forearm to hand); dynamic | 29126 - APPLICATION SHORT ARM SPLINT DYNAMIC | 29126 - APPLY FOREARM SPLINT | '01/01/2017 | 12/31/2999 |
| 29130 | 29130 - Application of finger splint; static | 29130 - APPLICATION FINGER SPLINT STATIC | 29130 - APPLICATION OF FINGER SPLINT | '01/01/2017 | 12/31/2999 |
| 29131 | 29131 - Application of finger splint; dynamic | 29131 - APPLICATION FINGER SPLINT DYNAMIC | 29131 - APPLICATION OF FINGER SPLINT | '01/01/2017 | 12/31/2999 |
| 29200 | 29200 - Strapping; thorax | 29200 - STRAPPING THORAX | 29200 - STRAPPING OF CHEST | '01/01/2017 | 12/31/2999 |
| 29240 | 29240 - Strapping; shoulder (eg Velpeau) | 29240 - STRAPPING SHOULDER | 29240 - STRAPPING OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 29260 | 29260 - Strapping; elbow or wrist | 29260 - STRAPPING ELBOW/WRIST | 29260 - STRAPPING OF ELBOW OR WRIST | '01/01/2017 | 12/31/2999 |
| 29280 | 29280 - Strapping; hand or finger | 29280 - STRAPPING HAND/FINGER | 29280 - STRAPPING OF HAND OR FINGER | '01/01/2017 | 12/31/2999 |
| 29305 | 29305 - Application of hip spica cast; 1 leg | 29305 - APPLICATION HIP SPICA CAST 1 LEG | 29305 - APPLICATION OF HIP CAST | '01/01/2017 | 12/31/2999 |
| 29325 | 29325 - Application of hip spica cast; 1 and one-half spica or both legs | 29325 - APPL HIP SPICA CAST ONE&ONE-HALF SPICA/BOTH LEGS | 29325 - APPLICATION OF HIP CASTS | '01/01/2017 | 12/31/2999 |
| 29345 | 29345 - Application of long leg cast (thigh to toes); | 29345 - APPLICATION LONG LEG CAST THIGH-TOE | 29345 - APPLICATION OF LONG LEG CAST | '01/01/2017 | 12/31/2999 |
| 29355 | 29355 - Application of long leg cast (thigh to toes); walker or ambulatory type | 29355 - APPLICATION LONG LEG CAST WALKER/AMBULATORY TYPE | 29355 - APPLICATION OF LONG LEG CAST | '01/01/2017 | 12/31/2999 |
| 29358 | 29358 - Application of long leg cast brace | 29358 - APPLICATION LONG LEG CAST BRACE | 29358 - APPLY LONG LEG CAST BRACE | '01/01/2017 | 12/31/2999 |
| 29365 | 29365 - Application of cylinder cast (thigh to ankle) | 29365 - APPLICATION CYLINDER CAST THIGH ANKLE | 29365 - APPLICATION OF LONG LEG CAST | '01/01/2017 | 12/31/2999 |
| 29405 | 29405 - Application of short leg cast (below knee to toes); | 29405 - APPLICATION SHORT LEG CAST BELOW KNEE-TOE | 29405 - APPLY SHORT LEG CAST | '01/01/2017 | 12/31/2999 |
| 29425 | 29425 - Application of short leg cast (below knee to toes); walking or ambulatory type | 29425 - APPLICATION SHORT LEG CAST WALKING/AMBULATORY | 29425 - APPLY SHORT LEG CAST | '01/01/2017 | 12/31/2999 |
| 29435 | 29435 - Application of patellar tendon bearing (PTB) cast | 29435 - APPLICATION PATELLAR TENDON BEARING CAST | 29435 - APPLY SHORT LEG CAST | '01/01/2017 | 12/31/2999 |
| 29440 | 29440 - Adding walker to previously applied cast | 29440 - ADDING WALKER PREVIOUSLY APPLIED CAST | 29440 - ADDITION OF WALKER TO CAST | '01/01/2017 | 12/31/2999 |
| 29445 | 29445 - Application of rigid total contact leg cast | 29445 - APPLICATION RIGID TOTAL CONTACT LEG CAST | 29445 - APPLY RIGID LEG CAST | '01/01/2017 | 12/31/2999 |
| 29450 | 29450 - Application of clubfoot cast with molding or manipulation long or short leg | 29450 - APPL CLUBFOOT CAST MOLDING/MANJ LONG/SHORT LEG | 29450 - APPLICATION OF LEG CAST | '01/01/2017 | 12/31/2999 |
| 29505 | 29505 - Application of long leg splint (thigh to ankle or toes) | 29505 - APPLICATION LONG LEG SPLINT THIGH ANKLE/TOES | 29505 - APPLICATION LONG LEG SPLINT | '01/01/2017 | 12/31/2999 |
| 29515 | 29515 - Application of short leg splint (calf to foot) | 29515 - APPLICATION SHORT LEG SPLINT CALF FOOT | 29515 - APPLICATION LOWER LEG SPLINT | '01/01/2017 | 12/31/2999 |
| 29520 | 29520 - Strapping; hip | 29520 - STRAPPING HIP | 29520 - STRAPPING OF HIP | '01/01/2017 | 12/31/2999 |
| 29530 | 29530 - Strapping; knee | 29530 - STRAPPING KNEE | 29530 - STRAPPING OF KNEE | '01/01/2017 | 12/31/2999 |
| 29540 | 29540 - Strapping; ankle and/or foot | 29540 - STRAPPING ANKLE &/FOOT | 29540 - STRAPPING OF ANKLE AND/OR FT | '01/01/2017 | 12/31/2999 |
| 29550 | 29550 - Strapping; toes | 29550 - STRAPPING TOES | 29550 - STRAPPING OF TOES | '01/01/2017 | 12/31/2999 |
| 29580 | 29580 - Strapping; Unna boot | 29580 - STRAPPING UNNA BOOT | 29580 - APPLICATION OF PASTE BOOT | '01/01/2017 | 12/31/2999 |
| 29581 | 29581 - Application of multi-layer compression system; leg (below knee) including ankle and foot | 29581 - APPL MLTLAYR COMPRES LEG BELOW KNEE W/ANKLE FOOT | 29581 - APPLY MULTLAY COMPRS LWR LEG | '01/01/2017 | 12/31/2999 |
| 29584 | 29584 - Application of multi-layer compression system; upper arm forearm hand and fingers | 29584 - APPL MLTLAYR COMPRES SYS UPARM LWARM HAND&FING | 29584 - APPL MULTLAY COMPRS ARM/HAND | '01/01/2017 | 12/31/2999 |
| 29700 | 29700 - Removal or bivalving; gauntlet boot or body cast | 29700 - REMOVAL/BIVALVING GAUNTLET BOOT/BODY CAST | 29700 - REMOVAL/REVISION OF CAST | '01/01/2017 | 12/31/2999 |
| 29705 | 29705 - Removal or bivalving; full arm or full leg cast | 29705 - REMOVAL/BIVALVING FULL ARM/FULL LEG CAST | 29705 - REMOVAL/REVISION OF CAST | '01/01/2017 | 12/31/2999 |
| 29710 | 29710 - Removal or bivalving; shoulder or hip spica Minerva or Risser jacket etc. | 29710 - RMVL/BIVALV SHO/HIP SPICA MINERVA/RISSER JACKET | 29710 - REMOVAL/REVISION OF CAST | '01/01/2017 | 12/31/2999 |
| 29720 | 29720 - Repair of spica body cast or jacket | 29720 - REPAIR SPICA BODY CAST/JACKET | 29720 - REPAIR OF BODY CAST | '01/01/2017 | 12/31/2999 |
| 29730 | 29730 - Windowing of cast | 29730 - WINDOWING CAST | 29730 - WINDOWING OF CAST | '01/01/2017 | 12/31/2999 |
| 29740 | 29740 - Wedging of cast (except clubfoot casts) | 29740 - WEDGING CAST EXCEPT CLUBFOOT CASTS | 29740 - WEDGING OF CAST | '01/01/2017 | 12/31/2999 |
| 29750 | 29750 - Wedging of clubfoot cast | 29750 - WEDGING CLUBFOOT CAST | 29750 - WEDGING OF CLUBFOOT CAST | '01/01/2017 | 12/31/2999 |
| 29799 | 29799 - Unlisted procedure casting or strapping | 29799 - UNLISTED PROCEDURE CASTING/STRAPPING | 29799 - UNLISTED PX CASTING/STRPG | '01/01/2023 | 12/31/2999 |
| 29800 | 29800 - Arthroscopy temporomandibular joint diagnostic with or without synovial biopsy (separate procedure) | 29800 - ARTHRS TEMPOROMANDIBULR JT DX W/WO SYNVAL BX SPX | 29800 - JAW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29804 | 29804 - Arthroscopy temporomandibular joint surgical | 29804 - ARTHROSCOPY TEMPOROMANDIBULAR JOINT SURGICAL | 29804 - JAW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29805 | 29805 - Arthroscopy shoulder diagnostic with or without synovial biopsy (separate procedure) | 29805 - DIAGNOSTIC ARTHROSCOPY SHOULDER +- SYNOVIAL BX | 29805 - SHO ARTHRS DX +- SYNOVIAL BX | '01/01/2021 | 12/31/2999 |
| 29806 | 29806 - Arthroscopy shoulder surgical; capsulorrhaphy | 29806 - SURGICAL ARTHROSCOPY SHOULDER CAPSULORRHAPHY | 29806 - SHO ARTHRS SRG CAPSULORRAPHY | '01/01/2022 | 12/31/2999 |
| 29807 | 29807 - Arthroscopy shoulder surgical; repair of SLAP lesion | 29807 - SURGICAL ARTHROSCOPY SHOULDER REPAIR SLAP LESION | 29807 - SHO ARTHRS SRG RPR SLAP LES | '01/01/2021 | 12/31/2999 |
| 29819 | 29819 - Arthroscopy shoulder surgical; with removal of loose body or foreign body | 29819 - SURGICAL ARTHROSCOPY SHOULDER REMOVAL LOOSE/FB | 29819 - SHO ARTHRS SRG RMVL LOOSE/FB | '01/01/2021 | 12/31/2999 |
| 29820 | 29820 - Arthroscopy shoulder surgical; synovectomy partial | 29820 - SURGICAL ARTHROSCOPY SHOULDER PRTL SYNOVECTOMY | 29820 - SHO ARTHRS SRG PRTL SYNVCT | '01/01/2021 | 12/31/2999 |
| 29821 | 29821 - Arthroscopy shoulder surgical; synovectomy complete | 29821 - SURGICAL ARTHROSCOPY SHOULDER COMPL SYNOVECTOMY | 29821 - SHO ARTHRS SRG COMPL SYNVCT | '01/01/2021 | 12/31/2999 |
| 29822 | 29822 - Arthroscopy shoulder surgical; debridement limited 1 or 2 discrete structures (eg humeral bone humeral articular cartilage glenoid bone glenoid articular cartilage biceps tendon biceps anchor complex labrum articular capsule articular side of the rotator cuff bursal side of the rotator cuff subacromial bursa foreign body[ies]) | 29822 - SURGICAL ARTHROSCOPY SHOULDER LMTD DBRDMT 1/2 | 29822 - SHO ARTHRS SRG LMTD DBRDMT | '01/01/2021 | 12/31/2999 |
| 29823 | 29823 - Arthroscopy shoulder surgical; debridement extensive 3 or more discrete structures (eg humeral bone humeral articular cartilage glenoid bone glenoid articular cartilage biceps tendon biceps anchor complex labrum articular capsule articular side of the rotator cuff bursal side of the rotator cuff subacromial bursa foreign body[ies]) | 29823 - SURGICAL ARTHROSCOPY SHOULDER XTNSV DBRDMT 3+ | 29823 - SHO ARTHRS SRG XTNSV DBRDMT | '01/01/2021 | 12/31/2999 |
| 29824 | 29824 - Arthroscopy shoulder surgical; distal claviculectomy including distal articular surface (Mumford procedure) | 29824 - SURGICAL ARTHROSCOPY SHOULDER DSTL CLAVICULC | 29824 - SHO ARTHRS SRG DSTL CLAVICLC | '01/01/2021 | 12/31/2999 |
| 29825 | 29825 - Arthroscopy shoulder surgical; with lysis and resection of adhesions with or without manipulation | 29825 - SURGICAL ARTHROSCOPY SHOULDER W/LSS&RESCJ ADS | 29825 - SHO ARTHRS SRG LSS&RESCJ ADS | '01/01/2021 | 12/31/2999 |
| 29826 | 29826 - Arthroscopy shoulder surgical; decompression of subacromial space with partial acromioplasty with coracoacromial ligament (ie arch) release when performed (List separately in addition to code for primary procedure) | 29826 - SURGICAL ARTHROSCOPY SHO W/CORACOACRM LIGM RLS | 29826 - SHO ARTHRS SRG DECOMPRESSION | '01/01/2021 | 12/31/2999 |
| 29827 | 29827 - Arthroscopy shoulder surgical; with rotator cuff repair | 29827 - SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR | 29827 - SHO ARTHRS SRG RT8TR CUF RPR | '01/01/2021 | 12/31/2999 |
| 29828 | 29828 - Arthroscopy shoulder surgical; biceps tenodesis | 29828 - SURGICAL ARTHROSCOPY SHOULDER BICEPS TENODESIS | 29828 - SHO ARTHRS SRG BICP TENODSIS | '01/01/2021 | 12/31/2999 |
| 29830 | 29830 - Arthroscopy elbow diagnostic with or without synovial biopsy (separate procedure) | 29830 - ARTHROSCOPY ELBOW DIAG W/WO SYNOVIAL BIOPSY SPX | 29830 - ELBOW ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 29834 | 29834 - Arthroscopy elbow surgical; with removal of loose body or foreign body | 29834 - ARTHROSCOPY ELBOW SURGICAL W/REMOVAL LOOSE/FB | 29834 - ELBOW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29835 | 29835 - Arthroscopy elbow surgical; synovectomy partial | 29835 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY PARTIAL | 29835 - ELBOW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29836 | 29836 - Arthroscopy elbow surgical; synovectomy complete | 29836 - ARTHROSCOPY ELBOW SURGICAL SYNOVECTOMY COMPLETE | 29836 - ELBOW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29837 | 29837 - Arthroscopy elbow surgical; debridement limited | 29837 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT LIMITED | 29837 - ELBOW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29838 | 29838 - Arthroscopy elbow surgical; debridement extensive | 29838 - ARTHROSCOPY ELBOW SURGICAL DEBRIDEMENT EXTENSIVE | 29838 - ELBOW ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29840 | 29840 - Arthroscopy wrist diagnostic with or without synovial biopsy (separate procedure) | 29840 - ARTHROSCOPY WRIST DIAG W/WO SYNOVIAL BIOPSY SPX | 29840 - WRIST ARTHROSCOPY | '01/01/2017 | 12/31/2999 |
| 29843 | 29843 - Arthroscopy wrist surgical; for infection lavage and drainage | 29843 - ARTHROSCOPY WRIST INFECTION LAVAGE&DRAINAGE | 29843 - WRIST ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29844 | 29844 - Arthroscopy wrist surgical; synovectomy partial | 29844 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY PARTIAL | 29844 - WRIST ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29845 | 29845 - Arthroscopy wrist surgical; synovectomy complete | 29845 - ARTHROSCOPY WRIST SURGICAL SYNOVECTOMY COMPLETE | 29845 - WRIST ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29846 | 29846 - Arthroscopy wrist surgical; excision and/or repair of triangular fibrocartilage and/or joint debridement | 29846 - ARTHRS WRST EXC&/RPR TRIANG FIBROCART&/JOINT | 29846 - WRIST ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29847 | 29847 - Arthroscopy wrist surgical; internal fixation for fracture or instability | 29847 - ARTHROSCOPY WRIST SURG INT FIXJ FX/INSTABILITY | 29847 - WRIST ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29848 | 29848 - Endoscopy wrist surgical with release of transverse carpal ligament | 29848 - NDSC WRST SURG W/RLS TRANSVRS CARPL LIGM | 29848 - WRIST ENDOSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29850 | 29850 - Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee with or without manipulation; without internal or external fixation (includes arthroscopy) | 29850 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/O FIXJ | 29850 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29851 | 29851 - Arthroscopically aided treatment of intercondylar spine(s) and/or tuberosity fracture(s) of the knee with or without manipulation; with internal or external fixation (includes arthroscopy) | 29851 - ARTHROSCOPY AID TX SPINE&/FX KNEE W/FIXJ | 29851 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29855 | 29855 - Arthroscopically aided treatment of tibial fracture proximal (plateau); unicondylar includes internal fixation when performed (includes arthroscopy) | 29855 - ARTHRS AID TIBIAL FRACTURE PROXIMAL UNICONDYLAR | 29855 - TIBIAL ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29856 | 29856 - Arthroscopically aided treatment of tibial fracture proximal (plateau); bicondylar includes internal fixation when performed (includes arthroscopy) | 29856 - ARTHRS AID TIBIAL FX PROX UNICONDYLAR BICONDYLAR | 29856 - TIBIAL ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29860 | 29860 - Arthroscopy hip diagnostic with or without synovial biopsy (separate procedure) | 29860 - ARTHROSCOPY HIP DIAGNOSTIC W/WO SYNOVIAL BYP SPX | 29860 - HIP ARTHROSCOPY DX | '01/01/2017 | 12/31/2999 |
| 29861 | 29861 - Arthroscopy hip surgical; with removal of loose body or foreign body | 29861 - ARTHROSCOPY HIP SURGICAL W/REMOVAL LOOSE/FB | 29861 - HIP ARTHRO W/FB REMOVAL | '01/01/2017 | 12/31/2999 |
| 29862 | 29862 - Arthroscopy hip surgical; with debridement/shaving of articular cartilage (chondroplasty) abrasion arthroplasty and/or resection of labrum | 29862 - ARTHRS HIP DEBRIDEMENT/SHAVING ARTICULAR CRTLG | 29862 - HIP ARTHR0 W/DEBRIDEMENT | '01/01/2017 | 12/31/2999 |
| 29863 | 29863 - Arthroscopy hip surgical; with synovectomy | 29863 - ARTHROSCOPY HIP SURGICAL W/SYNOVECTOMY | 29863 - HIP ARTHR0 W/SYNOVECTOMY | '01/01/2017 | 12/31/2999 |
| 29866 | 29866 - Arthroscopy knee surgical; osteochondral autograft(s) (eg mosaicplasty) (includes harvesting of the autograft[s]) | 29866 - ARTHROSCOPY KNEE OSTEOCHONDRAL AGRFT MOSAICPLAST | 29866 - AUTGRFT IMPLNT KNEE W/SCOPE | '01/01/2017 | 12/31/2999 |
| 29867 | 29867 - Arthroscopy knee surgical; osteochondral allograft (eg mosaicplasty) | 29867 - ARTHROSCOPY KNEE OSTEOCHONDRAL ALLOGRAFT | 29867 - ALLGRFT IMPLNT KNEE W/SCOPE | '01/01/2017 | 12/31/2999 |
| 29868 | 29868 - Arthroscopy knee surgical; meniscal transplantation (includes arthrotomy for meniscal insertion) medial or lateral | 29868 - ARTHROSCOPY KNEE MENISCAL TRNSPLJ MED/LAT | 29868 - MENISCAL TRNSPL KNEE W/SCPE | '01/01/2017 | 12/31/2999 |
| 29870 | 29870 - Arthroscopy knee diagnostic with or without synovial biopsy (separate procedure) | 29870 - ARTHROSCOPY KNEE DIAGNOSTIC W/WO SYNOVIAL BX SPX | 29870 - KNEE ARTHROSCOPY DX | '01/01/2017 | 12/31/2999 |
| 29871 | 29871 - Arthroscopy knee surgical; for infection lavage and drainage | 29871 - ARTHROSCOPY KNEE INFECTION LAVAGE & DRAINAGE | 29871 - KNEE ARTHROSCOPY/DRAINAGE | '01/01/2017 | 12/31/2999 |
| 29873 | 29873 - Arthroscopy knee surgical; with lateral release | 29873 - ARTHROSCOPY KNEE LATERAL RELEASE | 29873 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29874 | 29874 - Arthroscopy knee surgical; for removal of loose body or foreign body (eg osteochondritis dissecans fragmentation chondral fragmentation) | 29874 - ARTHROSCOPY KNEE REMOVAL LOOSE/FOREIGN BODY | 29874 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29875 | 29875 - Arthroscopy knee surgical; synovectomy limited (eg plica or shelf resection) (separate procedure) | 29875 - ARTHROSCOPY KNEE SYNOVECTOMY LIMITED SPX | 29875 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29876 | 29876 - Arthroscopy knee surgical; synovectomy major 2 or more compartments (eg medial or lateral) | 29876 - ARTHROSCOPY KNEE SYNOVECTOMY 2/>COMPARTMENTS | 29876 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29877 | 29877 - Arthroscopy knee surgical; debridement/shaving of articular cartilage (chondroplasty) | 29877 - ARTHRS KNEE DEBRIDEMENT/SHAVING ARTCLR CRTLG | 29877 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29879 | 29879 - Arthroscopy knee surgical; abrasion arthroplasty (includes chondroplasty where necessary) or multiple drilling or microfracture | 29879 - ARTHRS KNEE ABRASION ARTHRP/MLT DRLG/MICROFX | 29879 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29880 | 29880 - Arthroscopy knee surgical; with meniscectomy (medial AND lateral including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty) same or separate compartment(s) when performed | 29880 - ARTHRS KNEE W/MENISCECTOMY MED&LAT W/SHAVING | 29880 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29881 | 29881 - Arthroscopy knee surgical; with meniscectomy (medial OR lateral including any meniscal shaving) including debridement/shaving of articular cartilage (chondroplasty) same or separate compartment(s) when performed | 29881 - ARTHRS KNE SURG W/MENISCECTOMY MED/LAT W/SHVG | 29881 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29882 | 29882 - Arthroscopy knee surgical; with meniscus repair (medial OR lateral) | 29882 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL/LATERAL | 29882 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29883 | 29883 - Arthroscopy knee surgical; with meniscus repair (medial AND lateral) | 29883 - ARTHROSCOPY KNEE W/MENISCUS RPR MEDIAL&LATERAL | 29883 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29884 | 29884 - Arthroscopy knee surgical; with lysis of adhesions with or without manipulation (separate procedure) | 29884 - ARTHROSCOPY KNEE W/LYSIS ADHESIONS W/WO MANJ SPX | 29884 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29885 | 29885 - Arthroscopy knee surgical; drilling for osteochondritis dissecans with bone grafting with or without internal fixation (including debridement of base of lesion) | 29885 - ARTHRS KNEE DRILL OSTEOCHONDRITIS DISSECANS GRFG | 29885 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29886 | 29886 - Arthroscopy knee surgical; drilling for intact osteochondritis dissecans lesion | 29886 - ARTHRS KNEE DRILLING OSTEOCHOND DISSECANS LESION | 29886 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29887 | 29887 - Arthroscopy knee surgical; drilling for intact osteochondritis dissecans lesion with internal fixation | 29887 - ARTHRS KNEE DRLG OSTEOCHOND DISSECANS INT FIXJ | 29887 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29888 | 29888 - Arthroscopically aided anterior cruciate ligament repair/augmentation or reconstruction | 29888 - ARTHRS AIDED ANT CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | 29888 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29889 | 29889 - Arthroscopically aided posterior cruciate ligament repair/augmentation or reconstruction | 29889 - ARTHRS AIDED PST CRUCIATE LIGM RPR/AGMNTJ/RCNSTJ | 29889 - KNEE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29891 | 29891 - Arthroscopy ankle surgical excision of osteochondral defect of talus and/or tibia including drilling of the defect | 29891 - ARTHRS ANKLE EXC OSTCHNDRL DFCT W/DRLG DFCT | 29891 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29892 | 29892 - Arthroscopically aided repair of large osteochondritis dissecans lesion talar dome fracture or tibial plafond fracture with or without internal fixation (includes arthroscopy) | 29892 - ARTHRS AID RPR LES/TALAR DOME FX/TIBL PLAFOND FX | 29892 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29893 | 29893 - Endoscopic plantar fasciotomy | 29893 - ENDOSCOPIC PLANTAR FASCIOTOMY | 29893 - SCOPE PLANTAR FASCIOTOMY | '01/01/2017 | 12/31/2999 |
| 29894 | 29894 - Arthroscopy ankle (tibiotalar and fibulotalar joints) surgical; with removal of loose body or foreign body | 29894 - ARTHROSCOPY ANKLE W/REMOVAL LOOSE/FOREIGN BODY | 29894 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29895 | 29895 - Arthroscopy ankle (tibiotalar and fibulotalar joints) surgical; synovectomy partial | 29895 - ARTHROSCOPY ANKLE SURGICAL SYNOVECTOMY PARTIAL | 29895 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29897 | 29897 - Arthroscopy ankle (tibiotalar and fibulotalar joints) surgical; debridement limited | 29897 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT LIMITED | 29897 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29898 | 29898 - Arthroscopy ankle (tibiotalar and fibulotalar joints) surgical; debridement extensive | 29898 - ARTHROSCOPY ANKLE SURGICAL DEBRIDEMENT EXTENSIVE | 29898 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29899 | 29899 - Arthroscopy ankle (tibiotalar and fibulotalar joints) surgical; with ankle arthrodesis | 29899 - ARTHROSCOPY ANKLE SURGICAL W/ANKLE ARTHRODESIS | 29899 - ANKLE ARTHROSCOPY/SURGERY | '01/01/2017 | 12/31/2999 |
| 29900 | 29900 - Arthroscopy metacarpophalangeal joint diagnostic includes synovial biopsy | 29900 - ARTHROSCOPY METACARPOPHALANGEAL SYNOVIAL BIOPSY | 29900 - MCP JOINT ARTHROSCOPY DX | '01/01/2017 | 12/31/2999 |
| 29901 | 29901 - Arthroscopy metacarpophalangeal joint surgical; with debridement | 29901 - ARTHRS METACARPOPHALANGEAL JOINT DEBRIDEMENT | 29901 - MCP JOINT ARTHROSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 29902 | 29902 - Arthroscopy metacarpophalangeal joint surgical; with reduction of displaced ulnar collateral ligament (eg Stener lesion) | 29902 - ARTHRS MTCARPHLNGL JT W/RDCTJ UR COLTRL LIGM | 29902 - MCP JOINT ARTHROSCOPY SURG | '01/01/2018 | 12/31/2999 |
| 29904 | 29904 - Arthroscopy subtalar joint surgical; with removal of loose body or foreign body | 29904 - ARTHRS SUBTALAR JOINT REMOVE LOOSE/FOREIGN BODY | 29904 - SUBTALAR ARTHRO W/FB RMVL | '01/01/2017 | 12/31/2999 |
| 29905 | 29905 - Arthroscopy subtalar joint surgical; with synovectomy | 29905 - ARTHROSCOPY SUBTALAR JOINT WITH SYNOVECTOMY | 29905 - SUBTALAR ARTHRO W/EXC | '01/01/2017 | 12/31/2999 |
| 29906 | 29906 - Arthroscopy subtalar joint surgical; with debridement | 29906 - ARTHROSCOPY SUBTALAR JOINT WITH DEBRIDEMENT | 29906 - SUBTALAR ARTHRO W/DEB | '01/01/2017 | 12/31/2999 |
| 29907 | 29907 - Arthroscopy subtalar joint surgical; with subtalar arthrodesis | 29907 - ARTHROSCOPY SUBTALAR JOINT SUBTALAR ARTHRODESIS | 29907 - SUBTALAR ARTHRO W/FUSION | '01/01/2017 | 12/31/2999 |
| 29914 | 29914 - Arthroscopy hip surgical; with femoroplasty (ie treatment of cam lesion) | 29914 - ARTHROSCOPY HIP W/FEMOROPLASTY | 29914 - HIP ARTHRO W/FEMOROPLASTY | '01/01/2017 | 12/31/2999 |
| 29915 | 29915 - Arthroscopy hip surgical; with acetabuloplasty (ie treatment of pincer lesion) | 29915 - ARTHROSCOPY HIP W/ACETABULOPLASTY | 29915 - HIP ARTHRO ACETABULOPLASTY | '01/01/2017 | 12/31/2999 |
| 29916 | 29916 - Arthroscopy hip surgical; with labral repair | 29916 - ARTHROSCOPY HIP W/LABRAL REPAIR | 29916 - HIP ARTHRO W/LABRAL REPAIR | '01/01/2017 | 12/31/2999 |
| 29999 | 29999 - Unlisted procedure arthroscopy | 29999 - UNLISTED PROCEDURE ARTHROSCOPY | 29999 - UNLISTED PX ARTHROSCOPY | '01/01/2023 | 12/31/2999 |
| 30000 | 30000 - Drainage abscess or hematoma nasal internal approach | 30000 - DRAINAGE ABSCESS/HEMATOMA NASAL INT APPROACH | 30000 - DRAINAGE OF NOSE LESION | '01/01/2017 | 12/31/2999 |
| 30020 | 30020 - Drainage abscess or hematoma nasal septum | 30020 - DRAINAGE ABSCESS/HEMATOMA NASAL SEPTUM | 30020 - DRAINAGE OF NOSE LESION | '01/01/2017 | 12/31/2999 |
| 3006F | 3006F - Chest X-ray results documented and reviewed (CAP) | 3006F - CHEST X-RAY RESULTS DOCUMENTED & REVIEWED | 3006F - CXR DOC REV | '01/01/2017 | 12/31/2999 |
| 3008F | 3008F - Body Mass Index (BMI) documented (PV) | 3008F - BODY MASS INDEX DOCUMENTED | 3008F - BODY MASS INDEX DOCD | '01/01/2017 | 12/31/2999 |
| 30100 | 30100 - Biopsy intranasal | 30100 - BIOPSY INTRANASAL | 30100 - INTRANASAL BIOPSY | '01/01/2017 | 12/31/2999 |
| 30110 | 30110 - Excision nasal polyp(s) simple | 30110 - EXCISION NASAL POLYP SIMPLE | 30110 - REMOVAL OF NOSE POLYP(S) | '01/01/2017 | 12/31/2999 |
| 30115 | 30115 - Excision nasal polyp(s) extensive | 30115 - EXCISION NASAL POLYP EXTENSIVE | 30115 - REMOVAL OF NOSE POLYP(S) | '01/01/2017 | 12/31/2999 |
| 30117 | 30117 - Excision or destruction (eg laser) intranasal lesion; internal approach | 30117 - EXCISION/DESTRUCTION INTRANASAL LESION INT APPR | 30117 - REMOVAL OF INTRANASAL LESION | '01/01/2017 | 12/31/2999 |
| 30118 | 30118 - Excision or destruction (eg laser) intranasal lesion; external approach (lateral rhinotomy) | 30118 - EXCISION/DESTRUCTION INTRANASAL LESION XTRNL | 30118 - REMOVAL OF INTRANASAL LESION | '01/01/2017 | 12/31/2999 |
| 3011F | 3011F - Lipid panel results documented and reviewed (must include total cholesterol HDL-C triglycerides and calculated LDL-C) (CAD) | 3011F - LIPID PANEL RESULTS DOCUMENTED & REVIEWED | 3011F - LIPID PANEL DOC REV | '01/01/2017 | 12/31/2999 |
| 30120 | 30120 - Excision or surgical planing of skin of nose for rhinophyma | 30120 - EXCISION/SURGICAL PLANING SKIN NOSE RHINOPHYMA | 30120 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30124 | 30124 - Excision dermoid cyst nose; simple skin subcutaneous | 30124 - EXCISION DERMOID CYST NOSE SIMPLE SUBCUTANEOUS | 30124 - REMOVAL OF NOSE LESION | '01/01/2017 | 12/31/2999 |
| 30125 | 30125 - Excision dermoid cyst nose; complex under bone or cartilage | 30125 - EXC DERMOID CYST NOSE COMPLEX UNDER BONE/CRTLG | 30125 - REMOVAL OF NOSE LESION | '01/01/2017 | 12/31/2999 |
| 30130 | 30130 - Excision inferior turbinate partial or complete any method | 30130 - EXCISION INFERIOR TURBINATE PARTIAL/COMPLETE | 30130 - EXCISE INFERIOR TURBINATE | '01/01/2017 | 12/31/2999 |
| 30140 | 30140 - Submucous resection inferior turbinate partial or complete any method | 30140 - SUBMUCOUS RESCJ INFERIOR TURBINATE PRTL/COMPL | 30140 - RESECT INFERIOR TURBINATE | '01/01/2017 | 12/31/2999 |
| 3014F | 3014F - Screening mammography results documented and reviewed (PV) | 3014F - SCREENING MAMMOGRAPHY RESULTS DOC&REV | 3014F - SCREEN MAMMO DOC REV | '01/01/2017 | 12/31/2999 |
| 30150 | 30150 - Rhinectomy; partial | 30150 - RHINECTOMY PARTIAL | 30150 - PARTIAL REMOVAL OF NOSE | '01/01/2017 | 12/31/2999 |
| 3015F | 3015F - Cervical cancer screening results documented and reviewed (PV) | 3015F - CERVICAL CANCER SCREENING RESULTS DOCD & RVWD | 3015F - CERV CANCER SCREEN DOCD | '01/01/2017 | 12/31/2999 |
| 30160 | 30160 - Rhinectomy; total | 30160 - RHINECTOMY TOTAL | 30160 - REMOVAL OF NOSE | '01/01/2017 | 12/31/2999 |
| 3016F | 3016F - Patient screened for unhealthy alcohol use using a systematic screening method (PV) (DSP) | 3016F - PT SCRND UNHLTHY OH USE BY SYSTMTC SCRNG METHD | 3016F - PT SCRND UNHLTHY OH USE | '01/01/2017 | 12/31/2999 |
| 3017F | 3017F - Colorectal cancer screening results documented and reviewed (PV) | 3017F - COLORECTAL CANCER SCREENING RESULTS DOC&REV | 3017F - COLORECTAL CA SCREEN DOC REV | '01/01/2017 | 12/31/2999 |
| 3018F | 3018F - Pre-procedure risk assessment and depth of insertion and quality of the bowel prep and complete description of polyp(s) found including location of each polyp size number and gross morphology and recommendations for follow-up in final colonoscopy report documented (End/Polyp) | 3018F - PRE-PRX RISK ASSESS DEPTH&QUAL BOWEL PREP | 3018F - PRE-PRXD RSK ET AL DOCD | '01/01/2017 | 12/31/2999 |
| 3019F | 3019F - Left ventricular ejection fraction (LVEF) assessment planned post discharge (HF) | 3019F - LVEF ASSESSMENT PLANNED POST DISCHARGE | 3019F - LVEF ASSESS PLANPOST DSCHRGE | '01/01/2017 | 12/31/2999 |
| 30200 | 30200 - Injection into turbinate(s) therapeutic | 30200 - INJECTION TURBINATE THERAPEUTIC | 30200 - INJECTION TREATMENT OF NOSE | '01/01/2017 | 12/31/2999 |
| 3020F | 3020F - Left ventricular function (LVF) assessment (eg echocardiography nuclear test or ventriculography) documented in the medical record (Includes quantitative or qualitative assessment results) (NMA-No Measure Associated) | 3020F - LEFT VENTRICULAR FUNCTION ASSESSMENT DOCUMENTED | 3020F - LVF ASSESS | '01/01/2017 | 12/31/2999 |
| 30210 | 30210 - Displacement therapy (Proetz type) | 30210 - DISPLACEMENT THERAPY PROETZ TYPE | 30210 - NASAL SINUS THERAPY | '01/01/2017 | 12/31/2999 |
| 3021F | 3021F - Left ventricular ejection fraction (LVEF) less than 40% or documentation of moderately or severely depressed left ventricular systolic function (CAD HF) | 3021F - LEFT VENTRICULAR EJECTION FRACTION <40% | 3021F - LVEF MOD/SEVER DEPRS SYST | '01/01/2017 | 12/31/2999 |
| 30220 | 30220 - Insertion nasal septal prosthesis (button) | 30220 - INSERTION NASAL SEPTAL PROSTHESIS BUTTON | 30220 - INSERT NASAL SEPTAL BUTTON | '01/01/2017 | 12/31/2999 |
| 3022F | 3022F - Left ventricular ejection fraction (LVEF) greater than or equal to 40% or documentation as normal or mildly depressed left ventricular systolic function (CAD HF) | 3022F - LEFT VENTRICULAR EJECTION FRACTION >/EQUAL 40% | 3022F - LVEF >=40% SYSTOLIC | '01/01/2020 | 12/31/2999 |
| 3023F | 3023F - Spirometry results documented and reviewed (COPD) | 3023F - SPIROMETRY RESULTS DOCUMENTED AND REVIEWED | 3023F - SPIROM DOC REV | '01/01/2017 | 12/31/2999 |
| 3025F | 3025F - Spirometry test results demonstrate FEV1/FVC less than 70% with COPD symptoms (eg dyspnea cough/sputum wheezing) (CAP COPD) | 3025F - SPIROMETRY TEST RESULTS FEV/FVC <70% W/COPD | 3025F - SPIROM FEV/FVC <70% W/COPD | '01/01/2017 | 12/31/2999 |
| 3027F | 3027F - Spirometry test results demonstrate FEV1/FVC greater than or equal to 70% or patient does not have COPD symptoms (COPD) | 3027F - SPIROMETRY TEST RESULTS FEV/FVC >=70% W/O COPD | 3027F - SPIROM FEV/FVC>=70%/W/OCOPD | '01/01/2020 | 12/31/2999 |
| 3028F | 3028F - Oxygen saturation results documented and reviewed (includes assessment through pulse oximetry or arterial blood gas measurement) (CAP COPD) (EM) | 3028F - OXYGEN SATURATION RESULTS DOCUMENTED & REVIEWE | 3028F - O2 SATURATION DOC REV | '01/01/2017 | 12/31/2999 |
| 30300 | 30300 - Removal foreign body intranasal; office type procedure | 30300 - REMOVAL FOREIGN BODY INTRANASAL OFFICE PROCEDURE | 30300 - REMOVE NASAL FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 30310 | 30310 - Removal foreign body intranasal; requiring general anesthesia | 30310 - REMOVAL FOREIGN BODY INTRANASAL GENERAL ANES | 30310 - REMOVE NASAL FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 30320 | 30320 - Removal foreign body intranasal; by lateral rhinotomy | 30320 - RMVL FOREIGN BODY INTRANASAL LATERAL RHINOTOMY | 30320 - REMOVE NASAL FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 3035F | 3035F - Oxygen saturation less than or equal to 88% or a PaO2 less than or equal to 55 mm Hg (COPD) | 3035F - OXYGEN SATUR 3035F - O2 SATURATION<=88%/PAO<=55 | '01/01/2020 | 12/31/2999 | |
| 3037F | 3037F - Oxygen saturation greater than 88% or PaO2 greater than 55 mm Hg (COPD) | 3037F - OXYGEN SATURATION >88%/PAO2 >55 MM HG | 3037F - O2 SATURATION >88%/PAO>55 HG | '01/01/2017 | 12/31/2999 |
| 3038F | 3038F - Pulmonary function test performed within 12 months prior to surgery (Lung/Esop Cx) | 3038F - PULMONARY FUNC TEST WITHIN 12 MON PRIOR SURG | 3038F - PULM FX W/IN 12 MON B/4 SURG | '01/01/2017 | 12/31/2999 |
| 30400 | 30400 - Rhinoplasty primary; lateral and alar cartilages and/or elevation of nasal tip | 30400 - RHINP PRIM LAT&ALAR CRTLGS&/ELVTN NASAL TI | 30400 - RECONSTRUCTION OF NOSE | '01/01/2017 | 12/31/2999 |
| 3040F | 3040F - Functional expiratory volume (FEV1) less than 40% of predicted value (COPD) | 3040F - FUNCTIONAL EXPIRATORY VOLUME < 40% | 3040F - FEV <40% PREDICTED VALUE | '01/01/2017 | 12/31/2999 |
| 30410 | 30410 - Rhinoplasty primary; complete external parts including bony pyramid lateral and alar cartilages and/or elevation of nasal tip | 30410 - RHINP PRIM COMPLETE XTRNL PARTS | 30410 - RECONSTRUCTION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30420 | 30420 - Rhinoplasty primary; including major septal repair | 30420 - RHINOPLASTY PRIMARY W/MAJOR SEPTAL REPAIR | 30420 - RECONSTRUCTION OF NOSE | '01/01/2017 | 12/31/2999 |
| 3042F | 3042F - Functional expiratory volume (FEV1) greater than or equal to 40% of predicted value (COPD) | 3042F - FUNCTJL EXPIR VOLUME >/EQUAL 40% PREDICTED VALUE | 3042F - FEV >=40% PREDICTED VALUE | '01/01/2020 | 12/31/2999 |
| 30430 | 30430 - Rhinoplasty secondary; minor revision (small amount of nasal tip work) | 30430 - RHINOPLASTY SECONDARY MINOR REVISION | 30430 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30435 | 30435 - Rhinoplasty secondary; intermediate revision (bony work with osteotomies) | 30435 - RHINOPLASTY SECONDARY INTERMEDIATE REVISION | 30435 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 3044F | 3044F - Most recent hemoglobin A1c (HbA1c) level less than 7.0% (DM) | 3044F - MOST RECENT HEMOGLOBIN A1C LEVEL < 7.0% | 3044F - HG A1C LEVEL LT 7.0% | '01/01/2017 | 12/31/2999 |
| 30450 | 30450 - Rhinoplasty secondary; major revision (nasal tip work and osteotomies) | 30450 - RHINOPLASTY SECONDARY MAJOR REVISION | 30450 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30460 | 30460 - Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate including columellar lengthening; tip only | 30460 - RHINP DFRM W/COLUM LNGTH TIP ONLY | 30460 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30462 | 30462 - Rhinoplasty for nasal deformity secondary to congenital cleft lip and/or palate including columellar lengthening; tip septum osteotomies | 30462 - RHINP DFRM COLUM LNGTH TIP SEPTUM OSTEOT | 30462 - REVISION OF NOSE | '01/01/2017 | 12/31/2999 |
| 30465 | 30465 - Repair of nasal vestibular stenosis (eg spreader grafting lateral nasal wall reconstruction) | 30465 - REPAIR NASAL VESTIBULAR STENOSIS | 30465 - REPAIR NASAL STENOSIS | '01/01/2017 | 12/31/2999 |
| 30468 | 30468 - Repair of nasal valve collapse with subcutaneous/submucosal lateral wall implant(s) | 30468 - RPR NSL VLV COLLAPSE SUBQ/SBMCSL LAT WALL IMPLT | 30468 - RPR NSL VLV COLLAPSE W/IMPLT | '01/01/2021 | 12/31/2999 |
| 30469 | 30469 - Repair of nasal valve collapse with low energy temperature-controlled (ie radiofrequency) subcutaneous/submucosal remodeling | 30469 - RPR NSL VLV COLLAPSE LW NRG SUBQ/SBMCSL RMDLG | 30469 - RPR NSL VLV COLLAPSE W/RMDLG | '01/01/2023 | 12/31/2999 |
| 3046F | 3046F - Most recent hemoglobin A1c level greater than 9.0% (DM) | 3046F - MOST RECENT HEMOGLOBIN A1C LEVEL >9.0% | 3046F - HEMOGLOBIN A1C LEVEL >9.0% | '01/01/2017 | 12/31/2999 |
| 3048F | 3048F - Most recent LDL-C less than 100 mg/dL (CAD) (DM) | 3048F - MOST RECENT LDL-C <100 MG/DL | 3048F - LDL-C <100 MG/DL | '01/01/2017 | 12/31/2999 |
| 3049F | 3049F - Most recent LDL-C 100-129 mg/dL (CAD) (DM) | 3049F - MOST RECENT LDL-C 100-129 MG/DL | 3049F - LDL-C 100-129 MG/DL | '01/01/2017 | 12/31/2999 |
| 3050F | 3050F - Most recent LDL-C greater than or equal to 130 mg/dL (CAD) (DM) | 3050F - MOST RECENT LDL-C >/EQUAL 130 MG/DL | 3050F - LDL-C >= 130 MG/DL | '01/01/2020 | 12/31/2999 |
| 3051F | 3051F - Most recent hemoglobin A1c (HbA1c) level greater than or equal to 7.0% and less than 8.0% (DM) | 3051F - MOST RECENT HG A1C>EQUAL TO 7.0%&<8.0% | 3051F - HG A1C>EQUAL 7.0%<8.0% | '01/01/2021 | 12/31/2999 |
| 30520 | 30520 - Septoplasty or submucous resection with or without cartilage scoring contouring or replacement with graft | 30520 - SEPTOPLASTY/SUBMUCOUS RESECJ W/WO CARTILAGE GRF | 30520 - REPAIR OF NASAL SEPTUM | '01/01/2017 | 12/31/2999 |
| 3052F | 3052F - Most recent hemoglobin A1c (HbA1c) level greater than or equal to 8.0% and less than or equal to 9.0% (DM) | 3052F - MOST RECENT HG A1C>EQUAL TO 8.0%&| 12/31/2999 | | ||
| 30540 | 30540 - Repair choanal atresia; intranasal | 30540 - REPAIR CHOANAL ATRESIA INTRANASAL | 30540 - REPAIR NASAL DEFECT | '01/01/2017 | 12/31/2999 |
| 30545 | 30545 - Repair choanal atresia; transpalatine | 30545 - REPAIR CHOANAL ATRESIA TRANSPALATINE | 30545 - REPAIR NASAL DEFECT | '01/01/2017 | 12/31/2999 |
| 3055F | 3055F - Left ventricular ejection fraction (LVEF) less than or equal to 35% (HF) | 3055F - LVEF LESS THAN OR EQUAL TO 35% | 3055F - LVEF LESS THAN/EQUAL TO 35% | '01/01/2017 | 12/31/2999 |
| 30560 | 30560 - Lysis intranasal synechia | 30560 - LYSIS INTRANASAL SYNECHIA | 30560 - RELEASE OF NASAL ADHESIONS | '01/01/2017 | 12/31/2999 |
| 3056F | 3056F - Left ventricular ejection fraction (LVEF) greater than 35% or no LVEF result available (HF) | 3056F - LVEF GREATER THAN 35% | 3056F - LVEF GREATER THAN 35% | '01/01/2017 | 12/31/2999 |
| 30580 | 30580 - Repair fistula; oromaxillary (combine with 31030 if antrotomy is included) | 30580 - REPAIR FISTULA OROMAXILLARY | 30580 - REPAIR UPPER JAW FISTULA | '01/01/2017 | 12/31/2999 |
| 30600 | 30600 - Repair fistula; oronasal | 30600 - REPAIR FISTULA ORONASAL | 30600 - REPAIR MOUTH/NOSE FISTULA | '01/01/2017 | 12/31/2999 |
| 3060F | 3060F - Positive microalbuminuria test result documented and reviewed (DM) | 3060F - POSITIVE MICROALBUMINURIA TEST RESULT DOC&REV | 3060F - POS MICROALBUMINURIA REV | '01/01/2017 | 12/31/2999 |
| 3061F | 3061F - Negative microalbuminuria test result documented and reviewed (DM) | 3061F - NEGATIVE MICROALBUMINURIA TEST RESULT DOC&REV | 3061F - NEG MICROALBUMINURIA REV | '01/01/2017 | 12/31/2999 |
| 30620 | 30620 - Septal or other intranasal dermatoplasty (does not include obtaining graft) | 30620 - SEPTAL/OTHER INTRANASAL DERMATOPLASTY | 30620 - INTRANASAL RECONSTRUCTION | '01/01/2017 | 12/31/2999 |
| 3062F | 3062F - Positive macroalbuminuria test result documented and reviewed (DM) | 3062F - POSITIVE MACROALBUMINURIA TEST RESULT DOC&REV | 3062F - POS MACROALBUMINURIA REV | '01/01/2017 | 12/31/2999 |
| 30630 | 30630 - Repair nasal septal perforations | 30630 - REPAIR NASAL SEPTAL PERFORATIONS | 30630 - REPAIR NASAL SEPTUM DEFECT | '01/01/2017 | 12/31/2999 |
| 3066F | 3066F - Documentation of treatment for nephropathy (eg patient receiving dialysis patient being treated for ESRD CRF ARF or renal insufficiency any visit to a nephrologist) (DM) | 3066F - DOCUMENTATION OF TREATMENT FOR NEPHROPATHY | 3066F - NEPHROPATHY DOC TX | '01/01/2017 | 12/31/2999 |
| 3072F | 3072F - Low risk for retinopathy (no evidence of retinopathy in the prior year) (DM) | 3072F - LOW RISK FOR RETINOPATHY | 3072F - LOW RISK FOR RETINOPATHY | '01/01/2017 | 12/31/2999 |
| 3073F | 3073F - Pre-surgical (cataract) axial length corneal power measurement and method of intraocular lens power calculation documented within 12 months prior to surgery (EC) | 3073F - DOCUMENTED LENGTH CORNEAL POWER & LENS POWER | 3073F - PRE-SURG EYE MEASURES DOCD | '01/01/2017 | 12/31/2999 |
| 3074F | 3074F - Most recent systolic blood pressure less than 130 mm Hg (DM) (HTN CKD CAD) | 3074F - MOST RECENT SYSTOLIC BLOOD PRESSURE <130 MM HG | 3074F - SYST BP LT 130 MM HG | '01/01/2022 | 12/31/2999 |
| 3075F | 3075F - Most recent systolic blood pressure 130-139 mm Hg (DM) (HTN CKD CAD) | 3075F - MOST RECENT SYSTOLIC BLOOD PRESS 130-139MM HG | 3075F - SYST BP GE 130 - 139MM HG | '01/01/2022 | 12/31/2999 |
| 3077F | 3077F - Most recent systolic blood pressure greater than or equal to 140 mm Hg (HTN CKD CAD) (DM) | 3077F - MOST RECENT SYSTOLIC BLOOD PRES>/EQUAL 140 MM HG | 3077F - SYST BP >= 140 MM HG | '01/01/2020 | 12/31/2999 |
| 3078F | 3078F - Most recent diastolic blood pressure less than 80 mm Hg (HTN CKD CAD) (DM) | 3078F - MOST RECENT DIASTOLIC BLOOD PRESSURE < 80 MM HG | 3078F - DIAST BP <80 MM HG | '01/01/2017 | 12/31/2999 |
| 3079F | 3079F - Most recent diastolic blood pressure 80-89 mm Hg (HTN CKD CAD) (DM) | 3079F - MOST RECENT DIASTOLIC BLOOD PRESSURE 80-89 MM HG | 3079F - DIAST BP 80-89 MM HG | '01/01/2017 | 12/31/2999 |
| 30801 | 30801 - Ablation soft tissue of inferior turbinates unilateral or bilateral any method (eg electrocautery radiofrequency ablation or tissue volume reduction); superficial | 30801 - ABLTJ SOFT TIS INFERIOR TURBINATES UNI/BI SUPFC | 30801 - ABLATE INF TURBINATE SUPERF | '01/01/2017 | 12/31/2999 |
| 30802 | 30802 - Ablation soft tissue of inferior turbinates unilateral or bilateral any method (eg electrocautery radiofrequency ablation or tissue volume reduction); intramural (ie submucosal) | 30802 - ABLTJ SOF TISS INF TURBS UNI/BI SUPFC INTRAMURAL | 30802 - ABLATE INF TURBINATE SUBMUC | '01/01/2017 | 12/31/2999 |
| 3080F | 3080F - Most recent diastolic blood pressure greater than or equal to 90 mm Hg (HTN CKD CAD) (DM) | 3080F - MOST RECENT DIASTOL BLOOD PRES >/EQUAL 90 MM HG | 3080F - DIAST BP >= 90 MM HG | '01/01/2020 | 12/31/2999 |
| 3082F | 3082F - Kt/V less than 1.2 (Clearance of urea [Kt]/volume [V]) (ESRD P-ESRD) | 3082F - KT/V <1.2 (CLEARANCE OF UREA (KT)/VOLUME (V)) | 3082F - KT/V <1.2 | '01/01/2017 | 12/31/2999 |
| 3083F | 3083F - Kt/V equal to or greater than 1.2 and less than 1.7 (Clearance of urea [Kt]/volume [V]) (ESRD P-ESRD) | 3083F - KT/V EQUAL/>1.2 & <1.7 | 3083F - KT/V =/> 1.2 & <1.7 | '01/01/2017 | 12/31/2999 |
| 3084F | 3084F - Kt/V greater than or equal to 1.7 (Clearance of urea [Kt]/volume [V]) (ESRD P-ESRD) | 3084F - KT/V >= 1.7 | 3084F - KT/V >= 1.7 | '01/01/2020 | 12/31/2999 |
| 3085F | 3085F - Suicide risk assessed (MDD MDD ADOL) | 3085F - SUICIDE RISK ASSESSED | 3085F - SUICIDE RISK ASSESSED | '01/01/2017 | 12/31/2999 |
| 3088F | 3088F - Major depressive disorder mild (MDD) | 3088F - MAJOR DEPRESSIVE DISORDER MILD | 3088F - MDD MILD | '01/01/2017 | 12/31/2999 |
| 3089F | 3089F - Major depressive disorder moderate (MDD) | 3089F - MAJOR DEPRESSIVE DISORDER MODERATE | 3089F - MDD MODERATE | '01/01/2017 | 12/31/2999 |
| 30901 | 30901 - Control nasal hemorrhage anterior simple (limited cautery and/or packing) any method | 30901 - CONTROL NASAL HEMORRHAGE ANTERIOR SIMPLE | 30901 - CONTROL OF NOSEBLEED | '01/01/2017 | 12/31/2999 |
| 30903 | 30903 - Control nasal hemorrhage anterior complex (extensive cautery and/or packing) any method | 30903 - CONTROL NASAL HEMORRHAGE ANTERIOR COMPLEX | 30903 - CONTROL OF NOSEBLEED | '01/01/2017 | 12/31/2999 |
| 30905 | 30905 - Control nasal hemorrhage posterior with posterior nasal packs and/or cautery any method; initial | 30905 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY 1ST | 30905 - CONTROL OF NOSEBLEED | '01/01/2017 | 12/31/2999 |
| 30906 | 30906 - Control nasal hemorrhage posterior with posterior nasal packs and/or cautery any method; subsequent | 30906 - CTRL NSL HEMRRG PST NASAL PACKS&/CAUTERY SUBSQ | 30906 - REPEAT CONTROL OF NOSEBLEED | '01/01/2017 | 12/31/2999 |
| 3090F | 3090F - Major depressive disorder severe without psychotic features (MDD) | 3090F - MDD SEVERE WITHOUT PSYCHOTIC FEATURES | 3090F - MDD SEVERE W/O PSYCH | '01/01/2017 | 12/31/2999 |
| 30915 | 30915 - Ligation arteries; ethmoidal | 30915 - LIGATION ARTERIES ETHMOIDAL | 30915 - LIGATION NASAL SINUS ARTERY | '01/01/2017 | 12/31/2999 |
| 3091F | 3091F - Major depressive disorder severe with psychotic features (MDD) | 3091F - MAJOR DESPRESV DISORDER SEVERE W/PSYCHOT FEATURE | 3091F - MDD SEVERE W/PSYCH | '01/01/2017 | 12/31/2999 |
| 30920 | 30920 - Ligation arteries; internal maxillary artery transantral | 30920 - LIGATION ARTERIES INT MAXILLARY TRANSANTRAL | 30920 - LIGATION UPPER JAW ARTERY | '01/01/2017 | 12/31/2999 |
| 3092F | 3092F - Major depressive disorder in remission (MDD) | 3092F - MAJOR DEPRESSIVE DISORDER REMISSION | 3092F - MDD IN REMISSION | '01/01/2017 | 12/31/2999 |
| 30930 | 30930 - Fracture nasal inferior turbinate(s) therapeutic | 30930 - FRACTURE NASAL INFERIOR TURBINATE THERAPEUTIC | 30930 - THER FX NASAL INF TURBINATE | '01/01/2017 | 12/31/2999 |
| 3093F | 3093F - Documentation of new diagnosis of initial or recurrent episode of major depressive disorder (MDD) | 3093F - DOC NEW DIAG DX INIT/RECURRENT EPISODE OF MDD | 3093F - DOC NEW DIAG 1ST/ADDL MDD | '01/01/2017 | 12/31/2999 |
| 3095F | 3095F - Central dual-energy X-ray absorptiometry (DXA) results documented (OP)(IBD) | 3095F - CENTRAL DUAL ENERGY ABSORPTIOMETRY DOCD | 3095F - CENTRAL DEXA RESULTS DOCD | '01/01/2017 | 12/31/2999 |
| 3096F | 3096F - Central dual-energy X-ray absorptiometry (DXA) ordered (OP)(IBD) | 3096F - CENTRAL DUAL ENERGY ABSORPTIOMETRY ORDERED | 3096F - CENTRAL DEXA ORDERED | '01/01/2017 | 12/31/2999 |
| 30999 | 30999 - Unlisted procedure nose | 30999 - UNLISTED PROCEDURE NOSE | 30999 - UNLISTED PROCEDURE NOSE | '01/01/2023 | 12/31/2999 |
| 31000 | 31000 - Lavage by cannulation; maxillary sinus (antrum puncture or natural ostium) | 31000 - LAVAGE CANNULATION MAXILLARY SINUS | 31000 - IRRIGATION MAXILLARY SINUS | '01/01/2017 | 12/31/2999 |
| 31002 | 31002 - Lavage by cannulation; sphenoid sinus | 31002 - LAVAGE CANNULATION SPHENOID SINUS | 31002 - IRRIGATION SPHENOID SINUS | '01/01/2017 | 12/31/2999 |
| 3100F | 3100F - Carotid imaging study report (includes direct or indirect reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement) (STR RAD) | 3100F - CAROTID IMAGNG REPORT DIR/INDIR MEAS VESSEL DIAM | 3100F - IMAGE TEST REF CAROT DIAM | '01/01/2017 | 12/31/2999 |
| 31020 | 31020 - Sinusotomy maxillary (antrotomy); intranasal | 31020 - SINUSOTOMY MAXILLARY ANTROTOMY INTRANASAL | 31020 - EXPLORATION MAXILLARY SINUS | '01/01/2017 | 12/31/2999 |
| 31030 | 31030 - Sinusotomy maxillary (antrotomy); radical (Caldwell-Luc) without removal of antrochoanal polyps | 31030 - SINUSOTOMY MAXILLARY RAD W/O RMVL ANTROCH POLYPS | 31030 - EXPLORATION MAXILLARY SINUS | '01/01/2017 | 12/31/2999 |
| 31032 | 31032 - Sinusotomy maxillary (antrotomy); radical (Caldwell-Luc) with removal of antrochoanal polyps | 31032 - SINUSOT MAX ANTRT RAD W/RMVL ANTROCH POLYPS | 31032 - EXPLORE SINUS REMOVE POLYPS | '01/01/2017 | 12/31/2999 |
| 31040 | 31040 - Pterygomaxillary fossa surgery any approach | 31040 - PTERYGOMAXILLARY FOSSA SURGERY ANY APPROACH | 31040 - EXPLORATION BEHIND UPPER JAW | '01/01/2017 | 12/31/2999 |
| 31050 | 31050 - Sinusotomy sphenoid with or without biopsy; | 31050 - SINUSOTOMY SPHENOID W/WO BIOPSY | 31050 - EXPLORATION SPHENOID SINUS | '01/01/2017 | 12/31/2999 |
| 31051 | 31051 - Sinusotomy sphenoid with or without biopsy; with mucosal stripping or removal of polyp(s) | 31051 - SINUSOT SPHENOID W/MUCOSAL STRIPPING/RMVL POLYP | 31051 - SPHENOID SINUS SURGERY | '01/01/2017 | 12/31/2999 |
| 31070 | 31070 - Sinusotomy frontal; external simple (trephine operation) | 31070 - SINUSOTOMY FRONTAL EXTERNAL SIMPLE | 31070 - EXPLORATION OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31075 | 31075 - Sinusotomy frontal; transorbital unilateral (for mucocele or osteoma Lynch type) | 31075 - SINUSOTOMY FRONTAL TRANSORBITAL UNILATERAL | 31075 - EXPLORATION OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31080 | 31080 - Sinusotomy frontal; obliterative without osteoplastic flap brow incision (includes ablation) | 31080 - SINUSOTOMY FRNT OBLITERATIVE W/O FLAP BROW INC | 31080 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31081 | 31081 - Sinusotomy frontal; obliterative without osteoplastic flap coronal incision (includes ablation) | 31081 - SINUSOT FRNT OBLIT W/O OSTPL FLAP CORONAL INC | 31081 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31084 | 31084 - Sinusotomy frontal; obliterative with osteoplastic flap brow incision | 31084 - SINUSOT FRNT OBLIT W/OSTPL FLAP BROW INC | 31084 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31085 | 31085 - Sinusotomy frontal; obliterative with osteoplastic flap coronal incision | 31085 - SINUSOT FRNT OBLIT W/OSTPL FLAP CORONAL INC | 31085 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31086 | 31086 - Sinusotomy frontal; nonobliterative with osteoplastic flap brow incision | 31086 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP BROW INC | 31086 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31087 | 31087 - Sinusotomy frontal; nonobliterative with osteoplastic flap coronal incision | 31087 - SINUSOT FRNT NONOBLIT W/OSTPL FLAP CORONAL INC | 31087 - REMOVAL OF FRONTAL SINUS | '01/01/2017 | 12/31/2999 |
| 31090 | 31090 - Sinusotomy unilateral 3 or more paranasal sinuses (frontal maxillary ethmoid sphenoid) | 31090 - SINUSOT UNI 3/> PARANSL SINUSES | 31090 - EXPLORATION OF SINUSES | '01/01/2017 | 12/31/2999 |
| 3110F | 3110F - Documentation in final CT or MRI report of presence or absence of hemorrhage and mass lesion and acute infarction (STR) | 3110F - CT/MRI HMRHG/MASS LESION/ACUTE INFRC DOC | 3110F - PRES/ABSN HMRHG/LESION DOCD | '01/01/2017 | 12/31/2999 |
| 3111F | 3111F - CT or MRI of the brain performed in the hospital within 24 hours of arrival or performed in an outpatient imaging center to confirm initial diagnosis of stroke TIA or intracranial hemorrhage (STR) | 3111F - CT OR MRI BRAIN DONE W/IN 24 HRS HOSP ARRIVAL | 3111F - CT/MRI BRAIN DONE W/IN 24HRS | '01/01/2017 | 12/31/2999 |
| 3112F | 3112F - CT or MRI of the brain performed greater than 24 hours after arrival to the hospital or performed in an outpatient imaging center for purpose other than confirmation of initial diagnosis of stroke TIA or intracranial hemorrhage (STR) | 3112F - CT/MRI BRAIN DONE 24 HRS AFTER HOSP ARRIVAL | 3112F - CT/MRI BRAIN DONE 24 HRS | '01/01/2017 | 12/31/2999 |
| 3115F | 3115F - Quantitative results of an evaluation of current level of activity and clinical symptoms (HF) | 3115F - QUANT RESULTS EVAL CURR LEVEL ACTIVITY CLIN SYMP | 3115F - QUANT RESULTS ACTIVITY &SYMP | '01/01/2017 | 12/31/2999 |
| 3117F | 3117F - Heart failure disease specific structured assessment tool completed (HF) | 3117F - HF DISEASE SPECIFIC ASSESSMENT TOOL COMPLETED | 3117F - HF ASSESSMENT TOOL COMPLETED | '01/01/2017 | 12/31/2999 |
| 3118F | 3118F - New York Heart Association (NYHA) Class documented (HF) | 3118F - NEW YORK HEART ASSOCIATION (NYHA) CLASS DOCD | 3118F - NY HEART ASSOC CLASS DOCD | '01/01/2017 | 12/31/2999 |
| 3119F | 3119F - No evaluation of level of activity or clinical symptoms (HF) | 3119F - NO EVAL LEVEL OF ACTIVITY OR CLINICAL SYMPTOMS | 3119F - NO EVAL ACTIVITY CLIN SYMP | '01/01/2017 | 12/31/2999 |
| 31200 | 31200 - Ethmoidectomy; intranasal anterior | 31200 - ETHMOIDECTOMY INTRANASAL ANTERIOR | 31200 - REMOVAL OF ETHMOID SINUS | '01/01/2017 | 12/31/2999 |
| 31201 | 31201 - Ethmoidectomy; intranasal total | 31201 - ETHMOIDECTOMY INTRANASAL TOTAL | 31201 - REMOVAL OF ETHMOID SINUS | '01/01/2017 | 12/31/2999 |
| 31205 | 31205 - Ethmoidectomy; extranasal total | 31205 - ETHMOIDECTOMY EXTRANASAL TOTAL | 31205 - REMOVAL OF ETHMOID SINUS | '01/01/2017 | 12/31/2999 |
| 3120F | 3120F - 12-Lead ECG Performed (EM) | 3120F - 12-LEAD ECG PERFORMED | 3120F - 12-LEAD ECG PERFORMED | '01/01/2017 | 12/31/2999 |
| 31225 | 31225 - Maxillectomy; without orbital exenteration | 31225 - MAXILLECTOMY W/O ORBITAL EXENTERATION | 31225 - REMOVAL OF UPPER JAW | '01/01/2017 | 12/31/2999 |
| 31230 | 31230 - Maxillectomy; with orbital exenteration (en bloc) | 31230 - MAXILLECTOMY W/ORBITAL EXENTERATION | 31230 - REMOVAL OF UPPER JAW | '01/01/2017 | 12/31/2999 |
| 31231 | 31231 - Nasal endoscopy diagnostic unilateral or bilateral (separate procedure) | 31231 - NASAL ENDOSCOPY DIAGNOSTIC UNI/BI SPX | 31231 - NASAL ENDOSCOPY DX | '01/01/2017 | 12/31/2999 |
| 31233 | 31233 - Nasal/sinus endoscopy diagnostic; with maxillary sinusoscopy (via inferior meatus or canine fossa puncture) | 31233 - NASAL/SINUS ENDOSCOPY DX MAXILLARY SINUSOSCOPY | 31233 - NSL/SINS NDSC DX MAX SINUSC | '01/01/2020 | 12/31/2999 |
| 31235 | 31235 - Nasal/sinus endoscopy diagnostic; with sphenoid sinusoscopy (via puncture of sphenoidal face or cannulation of ostium) | 31235 - NASAL/SINUS ENDOSCOPY DX SPHENOID SINUSOSCOPY | 31235 - NSL/SINS NDSC DX SPHN SINUSC | '01/01/2020 | 12/31/2999 |
| 31237 | 31237 - Nasal/sinus endoscopy surgical; with biopsy polypectomy or debridement (separate procedure) | 31237 - NASAL/SINUS NDSC SURG W/BX POLYPECT/DBRDMT SPX | 31237 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31238 | 31238 - Nasal/sinus endoscopy surgical; with control of nasal hemorrhage | 31238 - NASAL/SINUS NDSC SURG W/CONTROL NASAL HEMRRG | 31238 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31239 | 31239 - Nasal/sinus endoscopy surgical; with dacryocystorhinostomy | 31239 - NASAL/SINUS NDSC SURG W/DACRYOCSTORHINOSTOMY | 31239 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31240 | 31240 - Nasal/sinus endoscopy surgical; with concha bullosa resection | 31240 - NASAL/SINUS NDSC SURG W/CONCHA BULLOSA RESECTION | 31240 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31241 | 31241 - Nasal/sinus endoscopy surgical; with ligation of sphenopalatine artery | 31241 - NASAL/SINUS NDSC W/LIG SPHENOPALATINE ARTERY | 31241 - NSL/SINS NDSC W/ARTERY LIG | '01/01/2018 | 12/31/2999 |
| 31253 | 31253 - Nasal/sinus endoscopy surgical with ethmoidectomy; total (anterior and posterior) including frontal sinus exploration with removal of tissue from frontal sinus when performed | 31253 - NASAL/SINUS NDSC TOT W/FRNT SINS EXPL TISS RMVL | 31253 - NSL/SINS NDSC TOTAL | '01/01/2018 | 12/31/2999 |
| 31254 | 31254 - Nasal/sinus endoscopy surgical with ethmoidectomy; partial (anterior) | 31254 - NASAL/SINUS NDSC W/PARTIAL ETHMOIDECTOMY | 31254 - NSL/SINS NDSC W/PRTL ETHMDCT | '01/01/2018 | 12/31/2999 |
| 31255 | 31255 - Nasal/sinus endoscopy surgical with ethmoidectomy; total (anterior and posterior) | 31255 - NASAL/SINUS NDSC W/TOTAL ETHOIDECTOMY | 31255 - NSL/SINS NDSC W/TOT ETHMDCT | '01/01/2018 | 12/31/2999 |
| 31256 | 31256 - Nasal/sinus endoscopy surgical with maxillary antrostomy; | 31256 - NASAL/SINUS ENDOSCOPY W/MAXILLARY ANTROSTOMY | 31256 - EXPLORATION MAXILLARY SINUS | '01/01/2017 | 12/31/2999 |
| 31257 | 31257 - Nasal/sinus endoscopy surgical with ethmoidectomy; total (anterior and posterior) including sphenoidotomy | 31257 - NASAL/SINUS NDSC TOTAL WITH SPHENOIDOTOMY | 31257 - NSL/SINS NDSC TOT W/SPHENDT | '01/01/2018 | 12/31/2999 |
| 31259 | 31259 - Nasal/sinus endoscopy surgical with ethmoidectomy; total (anterior and posterior) including sphenoidotomy with removal of tissue from the sphenoid sinus | 31259 - NASAL/SINUS NDSC TOT W/SPHENDT W/SPHEN TISS RMVL | 31259 - NSL/SINS NDSC SPHN TISS RMVL | '01/01/2018 | 12/31/2999 |
| 31267 | 31267 - Nasal/sinus endoscopy surgical with maxillary antrostomy; with removal of tissue from maxillary sinus | 31267 - NSL/SINUS NDSC MAX ANTROST W/RMVL TISS MAX SINUS | 31267 - ENDOSCOPY MAXILLARY SINUS | '01/01/2017 | 12/31/2999 |
| 3126F | 3126F - Esophageal biopsy report with a statement about dysplasia (present absent or indefinite and if present contains appropriate grading) (PATH) | 3126F - ESOPH BX RPRT W/DYSPLAS INFO AND APPROP GRADING | 3126F - ESOPH BX RPRT W/DYSPL INFO | '01/01/2017 | 12/31/2999 |
| 31276 | 31276 - Nasal/sinus endoscopy surgical with frontal sinus exploration including removal of tissue from frontal sinus when performed | 31276 - NASAL/SINUS NDSC W/RMVL TISS FROM FRONTAL SINUS | 31276 - NSL/SINS NDSC FRNT TISS RMVL | '01/01/2018 | 12/31/2999 |
| 31287 | 31287 - Nasal/sinus endoscopy surgical with sphenoidotomy; | 31287 - NASAL/SINUS ENDOSCOPY W/SPHENOIDOTOMY | 31287 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31288 | 31288 - Nasal/sinus endoscopy surgical with sphenoidotomy; with removal of tissue from the sphenoid sinus | 31288 - NSL/SINUS NDSC SPHENDT RMVL TISS SPHENOID SINUS | 31288 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31290 | 31290 - Nasal/sinus endoscopy surgical with repair of cerebrospinal fluid leak; ethmoid region | 31290 - NASAL/SINUS NDSC RPR CEREBRSP FLUID LEAK ETHMOID | 31290 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31291 | 31291 - Nasal/sinus endoscopy surgical with repair of cerebrospinal fluid leak; sphenoid region | 31291 - NASAL/SINUS NDSC RPR CEREBSP FLUID LEAK SPHENOID | 31291 - NASAL/SINUS ENDOSCOPY SURG | '01/01/2017 | 12/31/2999 |
| 31292 | 31292 - Nasal/sinus endoscopy surgical with orbital decompression; medial or inferior wall | 31292 - NASAL/SINUS NDSC SURG MEDIAL/INF ORB WALL DCMPRN | 31292 - NSL/SINS NDSC MED/INF DCMPRN | '01/01/2020 | 12/31/2999 |
| 31293 | 31293 - Nasal/sinus endoscopy surgical with orbital decompression; medial and inferior wall | 31293 - NASAL/SINUS NDSC SURG MEDIAL&INF ORB WALL DCMPRN | 31293 - NSL/SINS NDSC MED&INF DCMPRN | '01/01/2020 | 12/31/2999 |
| 31294 | 31294 - Nasal/sinus endoscopy surgical with optic nerve decompression | 31294 - NASAL/SINUS NDSC SURG W/OPTIC NERVE DCMPRN | 31294 - NSL/SINS NDSC SURG ON DCMPRN | '01/01/2020 | 12/31/2999 |
| 31295 | 31295 - Nasal/sinus endoscopy surgical with dilation (eg balloon dilation); maxillary sinus ostium transnasal or via canine fossa | 31295 - NASAL/SINUS NDSC SURG W/DILATION MAXILLARY SINUS | 31295 - NSL/SINS NDSC SURG MAX SINS | '01/01/2020 | 12/31/2999 |
| 31296 | 31296 - Nasal/sinus endoscopy surgical with dilation (eg balloon dilation); frontal sinus ostium | 31296 - NASAL/SINUS NDSC SURG W/DILATION FRONTAL SINUS | 31296 - NSL/SINS NDSC SURG FRNT SINS | '01/01/2020 | 12/31/2999 |
| 31297 | 31297 - Nasal/sinus endoscopy surgical with dilation (eg balloon dilation); sphenoid sinus ostium | 31297 - NASAL/SINUS NDSC SURG W/DILATION SPHENOID SINUS | 31297 - NSL/SINS NDSC SURG SPHN SINS | '01/01/2020 | 12/31/2999 |
| 31298 | 31298 - Nasal/sinus endoscopy surgical with dilation (eg balloon dilation); frontal and sphenoid sinus ostia | 31298 - NASAL/SINUS NDSC SURG W/DILATION FRNT&SPHN SINUS | 31298 - NSL/SINS NDSC SURG FRNT&SPHN | '01/01/2020 | 12/31/2999 |
| 31299 | 31299 - Unlisted procedure accessory sinuses | 31299 - UNLISTED PROCEDURE ACCESSORY SINUSES | 31299 - UNLISTED PX ACCESSORY SINUS | '01/01/2023 | 12/31/2999 |
| 31300 | 31300 - Laryngotomy (thyrotomy laryngofissure) with removal of tumor or laryngocele cordectomy | 31300 - LARYNGOTOMY W/RMVL TUMOR/LARYNGOCELE CORDECTOMY | 31300 - REMOVAL OF LARYNX LESION | '01/01/2018 | 12/31/2999 |
| 3130F | 3130F - Upper gastrointestinal endoscopy performed (GERD) | 3130F - UPPER GI ENDOSCOPY PERFORMED | 3130F - UPPER GI ENDOSCOPY PERFORMED | '01/01/2017 | 12/31/2999 |
| 3132F | 3132F - Documentation of referral for upper gastrointestinal endoscopy (GERD) | 3132F - DOC REFERAL FOR UPPER GI ENDOSCOPY | 3132F - DOC REF UPPER GI ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 31360 | 31360 - Laryngectomy; total without radical neck dissection | 31360 - LARYNGECTOMY TOTAL W/O RADICAL NECK DISSECTION | 31360 - REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31365 | 31365 - Laryngectomy; total with radical neck dissection | 31365 - LARYNGECTOMY TOTAL W/RADICAL NECK DISSECTION | 31365 - REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31367 | 31367 - Laryngectomy; subtotal supraglottic without radical neck dissection | 31367 - LARYNGECTOMY STOT SUPRAGLOTTIC W/O RAD NECK DSJ | 31367 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31368 | 31368 - Laryngectomy; subtotal supraglottic with radical neck dissection | 31368 - LARYNGECTOMY STOT SUPRAGLOTTIC W/RAD NCK DSJ | 31368 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31370 | 31370 - Partial laryngectomy (hemilaryngectomy); horizontal | 31370 - PARTIAL LARYNGECTOMY HEMILARYGECTOMY HORIZONTAL | 31370 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31375 | 31375 - Partial laryngectomy (hemilaryngectomy); laterovertical | 31375 - PARTIAL LARYNGECTOMY HEMILARYNG LATEROVERTICAL | 31375 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31380 | 31380 - Partial laryngectomy (hemilaryngectomy); anterovertical | 31380 - PARTIAL LARYNGECTOMY HEMILARYNG ANTEROVERTICAL | 31380 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31382 | 31382 - Partial laryngectomy (hemilaryngectomy); antero-latero-vertical | 31382 - PARTIAL LARYNG HEMILARYNG ANTERO-LATERO-VERTICAL | 31382 - PARTIAL REMOVAL OF LARYNX | '01/01/2017 | 12/31/2999 |
| 31390 | 31390 - Pharyngolaryngectomy with radical neck dissection; without reconstruction | 31390 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/O RCNSTJ | 31390 - REMOVAL OF LARYNX & PHARYNX | '01/01/2017 | 12/31/2999 |
| 31395 | 31395 - Pharyngolaryngectomy with radical neck dissection; with reconstruction | 31395 - PHARYNGOLARYNGECTOMY W/RAD NECK DSJ W/RCNSTJ | 31395 - RECONSTRUCT LARYNX & PHARYNX | '01/01/2017 | 12/31/2999 |
| 31400 | 31400 - Arytenoidectomy or arytenoidopexy external approach | 31400 - ARYTENOIDECTOMY/ARYTENOIDOPEXY XTRNL APPROACH | 31400 - REVISION OF LARYNX | '01/01/2017 | 12/31/2999 |
| 3140F | 3140F - Upper gastrointestinal endoscopy report indicates suspicion of Barrett's esophagus (GERD) | 3140F - UPPER GI ENDO REPORT SHOWS POSS BARRETT'S ESOPH | 3140F - UPPER GI ENDO SHOWS BARRTTS | '01/01/2017 | 12/31/2999 |
| 3141F | 3141F - Upper gastrointestinal endoscopy report indicates no suspicion of Barrett's esophagus (GERD) | 3141F - UPPER GI ENDO REPORT SHOW NO SUSPECT BARRETT'S | 3141F - UPPER GI ENDO NOT BARRTTS | '01/01/2017 | 12/31/2999 |
| 31420 | 31420 - Epiglottidectomy | 31420 - EPIGLOTTIDECTOMY | 31420 - REMOVAL OF EPIGLOTTIS | '01/01/2017 | 12/31/2999 |
| 3142F | 3142F - Barium swallow test ordered (GERD) | 3142F - BARIUM SWALLOW TEST ORDERED | 3142F - BARIUM SWALLOW TEST ORDERED | '01/01/2017 | 12/31/2999 |
| 31500 | 31500 - Intubation endotracheal emergency procedure | 31500 - INTUBATION ENDOTRACHEAL EMERGENCY PROCEDURE | 31500 - INSERT EMERGENCY AIRWAY | '01/01/2017 | 12/31/2999 |
| 31502 | 31502 - Tracheotomy tube change prior to establishment of fistula tract | 31502 - TRACHEOTOMY TUBE CHANGE PRIOR TO FISTULA TRACT | 31502 - CHANGE OF WINDPIPE AIRWAY | '01/01/2017 | 12/31/2999 |
| 31505 | 31505 - Laryngoscopy indirect; diagnostic (separate procedure) | 31505 - LARYNGOSCOPY INDIRECT DIAGNOSTIC SPX | 31505 - DIAGNOSTIC LARYNGOSCOPY | '01/01/2017 | 12/31/2999 |
| 3150F | 3150F - Forceps esophageal biopsy performed (GERD) | 3150F - FORCEPS ESOPHAGEAL BIOPSY PERFORMED | 3150F - FORCEPS ESOPH BIOPSY DONE | '01/01/2017 | 12/31/2999 |
| 31510 | 31510 - Laryngoscopy indirect; with biopsy | 31510 - LARYNGOSCOPY INDIRECT W/BIOPSY | 31510 - LARYNGOSCOPY WITH BIOPSY | '01/01/2017 | 12/31/2999 |
| 31511 | 31511 - Laryngoscopy indirect; with removal of foreign body | 31511 - LARYNGOSCOPY INDIRECT W/REMOVAL FOREIGN BODY | 31511 - REMOVE FOREIGN BODY LARYNX | '01/01/2017 | 12/31/2999 |
| 31512 | 31512 - Laryngoscopy indirect; with removal of lesion | 31512 - LARYNGOSCOPY INDIRECT W/REMOVAL LESION | 31512 - REMOVAL OF LARYNX LESION | '01/01/2017 | 12/31/2999 |
| 31513 | 31513 - Laryngoscopy indirect; with vocal cord injection | 31513 - LARYNGOSCOPY INDIRECT W/VOCAL CORD INJECTION | 31513 - INJECTION INTO VOCAL CORD | '01/01/2017 | 12/31/2999 |
| 31515 | 31515 - Laryngoscopy direct with or without tracheoscopy; for aspiration | 31515 - LARYNGOSCOPY W/WO TRACHEOSCOPY ASPIRATION | 31515 - LARYNGOSCOPY FOR ASPIRATION | '01/01/2017 | 12/31/2999 |
| 31520 | 31520 - Laryngoscopy direct with or without tracheoscopy; diagnostic newborn | 31520 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX NEWBORN | 31520 - DX LARYNGOSCOPY NEWBORN | '01/01/2017 | 12/31/2999 |
| 31525 | 31525 - Laryngoscopy direct with or without tracheoscopy; diagnostic except newborn | 31525 - LARYNGOSCOPY W/WO TRACHEOSCOPY DX EXCEPT NEWBORN | 31525 - DX LARYNGOSCOPY EXCL NB | '01/01/2017 | 12/31/2999 |
| 31526 | 31526 - Laryngoscopy direct with or without tracheoscopy; diagnostic with operating microscope or telescope | 31526 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/MICRO/TELESCOPE | 31526 - DX LARYNGOSCOPY W/OPER SCOPE | '01/01/2017 | 12/31/2999 |
| 31527 | 31527 - Laryngoscopy direct with or without tracheoscopy; with insertion of obturator | 31527 - LARYNGOSCOPY W/WO TRACHEOSCOPY INSERT OBTURATOR | 31527 - LARYNGOSCOPY FOR TREATMENT | '01/01/2017 | 12/31/2999 |
| 31528 | 31528 - Laryngoscopy direct with or without tracheoscopy; with dilation initial | 31528 - LARYNGOSCOPY W/WO TRACHEOSCOPY W/DILATION IN | 31528 - LARYNGOSCOPY AND DILATION | '01/01/2017 | 12/31/2999 |
| 31529 | 31529 - Laryngoscopy direct with or without tracheoscopy; with dilation subsequent | 31529 - LARYNGOSCOPY W/WO TRACHEOSCOPY DILATION SUBSQ | 31529 - LARYNGOSCOPY AND DILATION | '01/01/2017 | 12/31/2999 |
| 31530 | 31530 - Laryngoscopy direct operative with foreign body removal; | 31530 - LARYNGOSCOPY W/FOREIGN BODY REMOVAL | 31530 - LARYNGOSCOPY W/FB REMOVAL | '01/01/2017 | 12/31/2999 |
| 31531 | 31531 - Laryngoscopy direct operative with foreign body removal; with operating microscope or telescope | 31531 - LARYNGOSCOPY FOREIGN BODY RMVL MICRO/TELESCOPE | 31531 - LARYNGOSCOPY W/FB & OP SCOPE | '01/01/2017 | 12/31/2999 |
| 31535 | 31535 - Laryngoscopy direct operative with biopsy; | 31535 - LARYNGOSCOPY DIRECT OPERATIVE W/BIOPSY | 31535 - LARYNGOSCOPY W/BIOPSY | '01/01/2017 | 12/31/2999 |
| 31536 | 31536 - Laryngoscopy direct operative with biopsy; with operating microscope or telescope | 31536 - LARYNGOSCOPY W/BIOPSY MICROSCOPE/TELESCOPE | 31536 - LARYNGOSCOPY W/BX & OP SCOPE | '01/01/2017 | 12/31/2999 |
| 31540 | 31540 - Laryngoscopy direct operative with excision of tumor and/or stripping of vocal cords or epiglottis; | 31540 - LARYNGOSCOPY EXC TUM&/STRIPPING CORDS/EPIGLOTT | 31540 - LARYNGOSCOPY W/EXC OF TUMOR | '01/01/2017 | 12/31/2999 |
| 31541 | 31541 - Laryngoscopy direct operative with excision of tumor and/or stripping of vocal cords or epiglottis; with operating microscope or telescope | 31541 - LARGSC EXC TUM&/STRPG CORDS/EPIGL MCRSCP/TLSCP | 31541 - LARYNSCOP W/TUMR EXC + SCOPE | '01/01/2017 | 12/31/2999 |
| 31545 | 31545 - Laryngoscopy direct operative with operating microscope or telescope with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with local tissue flap(s) | 31545 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD FLAP | 31545 - REMOVE VC LESION W/SCOPE | '01/01/2017 | 12/31/2999 |
| 31546 | 31546 - Laryngoscopy direct operative with operating microscope or telescope with submucosal removal of non-neoplastic lesion(s) of vocal cord; reconstruction with graft(s) (includes obtaining autograft) | 31546 - LARGSC MICRO/TELESCOPE RMVL LES VOCAL CORD GRAFT | 31546 - REMOVE VC LESION SCOPE/GRAFT | '01/01/2017 | 12/31/2999 |
| 31551 | 31551 - Laryngoplasty; for laryngeal stenosis with graft without indwelling stent placement younger than 12 years of age | 31551 - LARYNGOPLASTY LARYNGEAL STEN W/O STENT < 12 YRS | 31551 - LARYNGOPLASTY LARYNGEAL STEN | '01/01/2017 | 12/31/2999 |
| 31552 | 31552 - Laryngoplasty; for laryngeal stenosis with graft without indwelling stent placement age 12 years or older | 31552 - LARYNGOPLASTY LARYNGEAL STEN W/O STENT 12 YRS > | 31552 - LARYNGOPLASTY LARYNGEAL STEN | '01/01/2017 | 12/31/2999 |
| 31553 | 31553 - Laryngoplasty; for laryngeal stenosis with graft with indwelling stent placement younger than 12 years of age | 31553 - LARYNGOPLASTY LARYNGEAL STEN W/STENT < 12 YRS | 31553 - LARYNGOPLASTY LARYNGEAL STEN | '01/01/2017 | 12/31/2999 |
| 31554 | 31554 - Laryngoplasty; for laryngeal stenosis with graft with indwelling stent placement age 12 years or older | 31554 - LARYNGOPLASTY LARYNGEAL STEN W/STENT 12 YRS > | 31554 - LARYNGOPLASTY LARYNGEAL STEN | '01/01/2017 | 12/31/2999 |
| 3155F | 3155F - Cytogenetic testing performed on bone marrow at time of diagnosis or prior to initiating treatment (HEM) | 3155F - CYTOGEN TEST DONE MARROW DIAG OR PRIOR TXMNT | 3155F - CYTOGEN TEST MARROW B/4 TX | '01/01/2017 | 12/31/2999 |
| 31560 | 31560 - Laryngoscopy direct operative with arytenoidectomy; | 31560 - LARYNGOSCOPY DIRECT OPERATIVE W/ARYTENOIDECTOMY | 31560 - LARYNGOSCOP W/ARYTENOIDECTOM | '01/01/2017 | 12/31/2999 |
| 31561 | 31561 - Laryngoscopy direct operative with arytenoidectomy; with operating microscope or telescope | 31561 - LARGSC ARYTENOIDECTOMY MICROSCOPE/TELESCOPE | 31561 - LARYNSCOP REMVE CART + SCOP | '01/01/2017 | 12/31/2999 |
| 31570 | 31570 - Laryngoscopy direct with injection into vocal cord(s) therapeutic; | 31570 - LARYNGOSCOPE INJECTION VOCAL CORD THERAPEUTIC | 31570 - LARYNGOSCOPE W/VC INJ | '01/01/2017 | 12/31/2999 |
| 31571 | 31571 - Laryngoscopy direct with injection into vocal cord(s) therapeutic; with operating microscope or telescope | 31571 - LARGSC W/NJX VOCAL CORD THER W/MICRO/TELESCOPE | 31571 - LARYNGOSCOP W/VC INJ + SCOPE | '01/01/2017 | 12/31/2999 |
| 31572 | 31572 - Laryngoscopy flexible; with ablation or destruction of lesion(s) with laser unilateral | 31572 - LARYNGOSCOPY FLEXIBLE ABLATJ DESTJ LESION(S) UNI | 31572 - LARGSC W/LASER DSTRJ LES | '01/01/2017 | 12/31/2999 |
| 31573 | 31573 - Laryngoscopy flexible; with therapeutic injection(s) (eg chemodenervation agent or corticosteroid injected percutaneous transoral or via endoscope channel) unilateral | 31573 - LARYNGOSCOPY FLEXIBLE THERAPEUTIC INJECTION UNI | 31573 - LARGSC W/THER INJECTION | '01/01/2017 | 12/31/2999 |
| 31574 | 31574 - Laryngoscopy flexible; with injection(s) for augmentation (eg percutaneous transoral) unilateral | 31574 - LARYNGOSCOPY FLEXIBLE W/INJECTION AGMNTJ UNI | 31574 - LARGSC W/NJX AUGMENTATION | '01/01/2017 | 12/31/2999 |
| 31575 | 31575 - Laryngoscopy flexible; diagnostic | 31575 - LARYNGOSCOPY FLEXIBLE DIAGNOSTIC | 31575 - DIAGNOSTIC LARYNGOSCOPY | '01/01/2017 | 12/31/2999 |
| 31576 | 31576 - Laryngoscopy flexible; with biopsy(ies) | 31576 - LARYNGOSCOPY FLEXIBLE W/BIOPSY(IES) | 31576 - LARYNGOSCOPY WITH BIOPSY | '01/01/2017 | 12/31/2999 |
| 31577 | 31577 - Laryngoscopy flexible; with removal of foreign body(s) | 31577 - LARYNGOSCOPY FLX RMVL FOREIGN BODY(S) | 31577 - LARGSC W/RMVL FOREIGN BDY(S) | '01/01/2017 | 12/31/2999 |
| 31578 | 31578 - Laryngoscopy flexible; with removal of lesion(s) non-laser | 31578 - LARYNGOSCOPY FLEXIBLE RMVL LESION(S) NON-LASER | 31578 - LARGSC W/REMOVAL LESION | '01/01/2017 | 12/31/2999 |
| 31579 | 31579 - Laryngoscopy flexible or rigid telescopic with stroboscopy | 31579 - LARYNGOSCOPY FLX/RGD TELESCOPIC W/STROBOSCOPY | 31579 - LARYNGOSCOPY TELESCOPIC | '01/01/2017 | 12/31/2999 |
| 31580 | 31580 - Laryngoplasty; for laryngeal web with indwelling keel or stent insertion | 31580 - LARYNGOPLASTY LARYN WEB W/KEEL STENT INSERTION | 31580 - LARYNGOPLASTY LARYNGEAL WEB | '01/01/2017 | 12/31/2999 |
| 31584 | 31584 - Laryngoplasty; with open reduction and fixation of (eg plating) fracture includes tracheostomy if performed | 31584 - LARYNGOPLASTY W/OPEN REDUCTION FRACTURE W/TRACHS | 31584 - LARYNGOPLASTY FX RDCTJ FIXJ | '01/01/2018 | 12/31/2999 |
| 31587 | 31587 - Laryngoplasty cricoid split without graft placement | 31587 - LARYNGOPLASTY CRICOID SPLIT W/O GRAFT PLACEMENT | 31587 - LARYNGOPLASTY CRICOID SPLIT | '01/01/2017 | 12/31/2999 |
| 31590 | 31590 - Laryngeal reinnervation by neuromuscular pedicle | 31590 - LARYNGEAL REINNERVATION NEUROMUSCULAR PEDICLE | 31590 - REINNERVATE LARYNX | '01/01/2017 | 12/31/2999 |
| 31591 | 31591 - Laryngoplasty medialization unilateral | 31591 - LARYNGOPLASTY MEDIALIZATION UNLIATERAL | 31591 - LARYNGOPLASTY MEDIALIZATION | '01/01/2017 | 12/31/2999 |
| 31592 | 31592 - Cricotracheal resection | 31592 - CRICOTRACHEAL RESECTION | 31592 - CRICOTRACHEAL RESECTION | '01/01/2017 | 12/31/2999 |
| 31599 | 31599 - Unlisted procedure larynx | 31599 - UNLISTED PROCEDURE LARYNX | 31599 - UNLISTED PROCEDURE LARYNX | '01/01/2023 | 12/31/2999 |
| 31600 | 31600 - Tracheostomy planned (separate procedure); | 31600 - TRACHEOSTOMY PLANNED SEPARATE PROCEDURE | 31600 - INCISION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31601 | 31601 - Tracheostomy planned (separate procedure); younger than 2 years | 31601 - TRACHEOSTOMY PLANNED UNDER 2 YEARS SPX | 31601 - INCISION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31603 | 31603 - Tracheostomy emergency procedure; transtracheal | 31603 - TRACHEOSTOMY EMERGENCY PROCEDURE TRANSTRACHEAL | 31603 - INCISION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31605 | 31605 - Tracheostomy emergency procedure; cricothyroid membrane | 31605 - TRACHEOSTOMY EMERGENCY CRICOTHYROID MEMBRANE | 31605 - INCISION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 3160F | 3160F - Documentation of iron stores prior to initiating erythropoietin therapy (HEM) | 3160F - DOC IRON STORES PRIOR START EPO THERAPY | 3160F - DOC FE+ STORES B/4 EPO THX | '01/01/2017 | 12/31/2999 |
| 31610 | 31610 - Tracheostomy fenestration procedure with skin flaps | 31610 - TRACHEOSTOMY FENESTRATION W/SKIN FLAPS | 31610 - INCISION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31611 | 31611 - Construction of tracheoesophageal fistula and subsequent insertion of an alaryngeal speech prosthesis (eg voice button Blom-Singer prosthesis) | 31611 - CONSTJ TRACHEOESOPHGL FSTL&INSJ SP PROSTH | 31611 - SURGERY/SPEECH PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 31612 | 31612 - Tracheal puncture percutaneous with transtracheal aspiration and/or injection | 31612 - TRACHEAL PNXR PRQ W/TRANSTRACHEAL ASPIR&/NJX | 31612 - PUNCTURE/CLEAR WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31613 | 31613 - Tracheostoma revision; simple without flap rotation | 31613 - TRACHEOSTOMA REVJ SMPL W/O FLAP ROTATION | 31613 - REPAIR WINDPIPE OPENING | '01/01/2017 | 12/31/2999 |
| 31614 | 31614 - Tracheostoma revision; complex with flap rotation | 31614 - TRACHEOSTOMA REVJ CPLX W/FLAP ROTATION | 31614 - REPAIR WINDPIPE OPENING | '01/01/2017 | 12/31/2999 |
| 31615 | 31615 - Tracheobronchoscopy through established tracheostomy incision | 31615 - TRACHEOBRNCHSC THRU EST TRACHS INC | 31615 - VISUALIZATION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31622 | 31622 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; diagnostic with cell washing when performed (separate procedure) | 31622 - BRNCHSC INCL FLUOR GDNCE DX W/CELL WASHG SPX | 31622 - DX BRONCHOSCOPE/WASH | '01/01/2017 | 12/31/2999 |
| 31623 | 31623 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with brushing or protected brushings | 31623 - BRNCHSC BRUSHING/PROTECTED BRUSHINGS | 31623 - DX BRONCHOSCOPE/BRUSH | '01/01/2017 | 12/31/2999 |
| 31624 | 31624 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with bronchial alveolar lavage | 31624 - BRNCHSC W/BRNCL ALVEOLAR LAVAGE | 31624 - DX BRONCHOSCOPE/LAVAGE | '01/01/2017 | 12/31/2999 |
| 31625 | 31625 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with bronchial or endobronchial biopsy(s) single or multiple sites | 31625 - BRONCHOSCOPY BRONCHIAL/ENDOBRNCL BX 1+ SITES | 31625 - BRONCHOSCOPY W/BIOPSY(S) | '01/01/2017 | 12/31/2999 |
| 31626 | 31626 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with placement of fiducial markers single or multiple | 31626 - BRONCHOSCOPY W/PLMT FIDUCIAL MARKERS SINGLE/MULT | 31626 - BRONCHOSCOPY W/MARKERS | '01/01/2017 | 12/31/2999 |
| 31627 | 31627 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with computer-assisted image-guided navigation (List separately in addition to code for primary procedure[s]) | 31627 - BRONCHOSCOPY W/CPTR-ASST IMAGE-GUIDED NAVIGATION | 31627 - NAVIGATIONAL BRONCHOSCOPY | '01/01/2017 | 12/31/2999 |
| 31628 | 31628 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with transbronchial lung biopsy(s) single lobe | 31628 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX 1 LOBE | 31628 - BRONCHOSCOPY/LUNG BX EACH | '01/01/2017 | 12/31/2999 |
| 31629 | 31629 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with transbronchial needle aspiration biopsy(s) trachea main stem and/or lobar bronchus(i) | 31629 - BRONCHOSCOPY NEEDLE BX TRACHEA MAIN STEM&/BRON | 31629 - BRONCHOSCOPY/NEEDLE BX EACH | '01/01/2017 | 12/31/2999 |
| 31630 | 31630 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with tracheal/bronchial dilation or closed reduction of fracture | 31630 - BRNCHSC W/TRACHEAL/BRONCHIAL DILAT/CLSD RDCTJ FX | 31630 - BRONCHOSCOPY DILATE/FX REPR | '01/01/2017 | 12/31/2999 |
| 31631 | 31631 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with placement of tracheal stent(s) (includes tracheal/bronchial dilation as required) | 31631 - BRONCHOSCOPY W/PLACEMENT TRACHEAL STENT | 31631 - BRONCHOSCOPY DILATE W/STENT | '01/01/2017 | 12/31/2999 |
| 31632 | 31632 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with transbronchial lung biopsy(s) each additional lobe (List separately in addition to code for primary procedure) | 31632 - BRONCHOSCOPY W/TRANSBRONCHIAL LUNG BX EACH LOBE | 31632 - BRONCHOSCOPY/LUNG BX ADDL | '01/01/2017 | 12/31/2999 |
| 31633 | 31633 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with transbronchial needle aspiration biopsy(s) each additional lobe (List separately in addition to code for primary procedure) | 31633 - BRONCHOSCOPY W/TRANSBRONCL NDL ASPIR BX EA LOBE | 31633 - BRONCHOSCOPY/NEEDLE BX ADDL | '01/01/2017 | 12/31/2999 |
| 31634 | 31634 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with balloon occlusion with assessment of air leak with administration of occlusive substance (eg fibrin glue) if performed | 31634 - BRONCHOSCOPY BALLOON OCCLUSION | 31634 - BRONCH W/BALLOON OCCLUSION | '01/01/2017 | 12/31/2999 |
| 31635 | 31635 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with removal of foreign body | 31635 - BRONCHOSCOPY W/REMOVAL FOREIGN BODY | 31635 - BRONCHOSCOPY W/FB REMOVAL | '01/01/2017 | 12/31/2999 |
| 31636 | 31636 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with placement of bronchial stent(s) (includes tracheal/bronchial dilation as required) initial bronchus | 31636 - BRNCHSC W/PLACEMENT BRNCL STENT 1ST BRONCHUS | 31636 - BRONCHOSCOPY BRONCH STENTS | '01/01/2017 | 12/31/2999 |
| 31637 | 31637 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; each additional major bronchus stented (List separately in addition to code for primary procedure) | 31637 - BRONCHOSCOPY EACH MAJOR BRONCHUS STENTED | 31637 - BRONCHOSCOPY STENT ADD-ON | '01/01/2017 | 12/31/2999 |
| 31638 | 31638 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with revision of tracheal or bronchial stent inserted at previous session (includes tracheal/bronchial dilation as required) | 31638 - BRNCHSC REVJ TRACHEAL/BRNCL STENT INS PREV SESS | 31638 - BRONCHOSCOPY REVISE STENT | '01/01/2017 | 12/31/2999 |
| 31640 | 31640 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with excision of tumor | 31640 - BRONCHOSCOPY W/EXCISION TUMOR | 31640 - BRONCHOSCOPY W/TUMOR EXCISE | '01/01/2017 | 12/31/2999 |
| 31641 | 31641 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with destruction of tumor or relief of stenosis by any method other than excision (eg laser therapy cryotherapy) | 31641 - BRNCHSC W/DSTRJ TUM RELIEF STENOSIS OTH/THN EXC | 31641 - BRONCHOSCOPY TREAT BLOCKAGE | '01/01/2017 | 12/31/2999 |
| 31643 | 31643 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with placement of catheter(s) for intracavitary radioelement application | 31643 - BRNCHSC W/PLMT CATH INTRCV RADIOELMNT APPL | 31643 - DIAG BRONCHOSCOPE/CATHETER | '01/01/2017 | 12/31/2999 |
| 31645 | 31645 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with therapeutic aspiration of tracheobronchial tree initial | 31645 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE 1ST | 31645 - BRNCHSC W/THER ASPIR 1ST | '01/01/2018 | 12/31/2999 |
| 31646 | 31646 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with therapeutic aspiration of tracheobronchial tree subsequent same hospital stay | 31646 - BRONCHOSCOPY W/THER ASPIR TRACHBRNCL TREE SBSQ | 31646 - BRNCHSC W/THER ASPIR SBSQ | '01/01/2018 | 12/31/2999 |
| 31647 | 31647 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with balloon occlusion when performed assessment of air leak airway sizing and insertion of bronchial valve(s) initial lobe | 31647 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE INIT LOBE | 31647 - BRONCHIAL VALVE INIT INSERT | '01/01/2017 | 12/31/2999 |
| 31648 | 31648 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with removal of bronchial valve(s) initial lobe | 31648 - BRNCHSC REMOVAL BRONCHIAL VALVE INITIAL | 31648 - BRONCHIAL VALVE REMOV INIT | '01/01/2017 | 12/31/2999 |
| 31649 | 31649 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with removal of bronchial valve(s) each additional lobe (List separately in addition to code for primary procedure) | 31649 - BRNCHSC REMOVAL BRONCHIAL VALVE EA ADDL | 31649 - BRONCHIAL VALVE REMOV ADDL | '01/01/2017 | 12/31/2999 |
| 31651 | 31651 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with balloon occlusion when performed assessment of air leak airway sizing and insertion of bronchial valve(s) each additional lobe (List separately in addition to code for primary procedure[s]) | 31651 - BRNCHSC OCCLUSION&INSERT BRONCH VALVE ADDL LOBE | 31651 - BRONCHIAL VALVE ADDL INSERT | '01/01/2017 | 12/31/2999 |
| 31652 | 31652 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg aspiration[s]/biopsy[ies]) one or two mediastinal and/or hilar lymph node stations or structures | 31652 - BRNCHSC EBUS GUIDED SAMPL 1/2 NODE STATION/STRUX | 31652 - BRONCH EBUS SAMPLNG 1/2 NODE | '01/01/2017 | 12/31/2999 |
| 31653 | 31653 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with endobronchial ultrasound (EBUS) guided transtracheal and/or transbronchial sampling (eg aspiration[s]/biopsy[ies]) 3 or more mediastinal and/or hilar lymph node stations or structures | 31653 - BRNCHSC EBUS GUIDED SAMPL 3/> NODE STATION/STRUX | 31653 - BRONCH EBUS SAMPLNG 3/> NODE | '01/01/2017 | 12/31/2999 |
| 31654 | 31654 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with transendoscopic endobronchial ultrasound (EBUS) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) (List separately in addition to code for primary procedure[s]) | 31654 - BRNSCHSC TNDSC EBUS DX/TX INTERVENTION PERPH LES | 31654 - BRONCH EBUS IVNTJ PERPH LES | '01/01/2017 | 12/31/2999 |
| 31660 | 31660 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with bronchial thermoplasty 1 lobe | 31660 - BRONCHOSCOPIC THERMOPLASTY ONE LOBE | 31660 - BRONCH THERMOPLSTY 1 LOBE | '01/01/2017 | 12/31/2999 |
| 31661 | 31661 - Bronchoscopy rigid or flexible including fluoroscopic guidance when performed; with bronchial thermoplasty 2 or more lobes | 31661 - BRONCHOSCOPIC THERMOPLASTY 2/> LOBES | 31661 - BRONCH THERMOPLSTY 2/> LOBES | '01/01/2017 | 12/31/2999 |
| 3170F | 3170F - Baseline flow cytometry studies performed at time of diagnosis or prior to initiating treatment (HEM) | 3170F - BASELINE FLOW CYTOMETRY W/DIAG/PRIOR INITG TX | 3170F - BASELIN FLO CYTOMETRY B/4 TX | '05/01/2020 | 12/31/2999 |
| 31717 | 31717 - Catheterization with bronchial brush biopsy | 31717 - CATHETERIZATION W/BRONCHIAL BRUSH BIOPSY | 31717 - BRONCHIAL BRUSH BIOPSY | '01/01/2017 | 12/31/2999 |
| 31720 | 31720 - Catheter aspiration (separate procedure); nasotracheal | 31720 - CATHETER ASPIRATION NASOTRACHEAL SPX | 31720 - CLEARANCE OF AIRWAYS | '01/01/2017 | 12/31/2999 |
| 31725 | 31725 - Catheter aspiration (separate procedure); tracheobronchial with fiberscope bedside | 31725 - CATH ASPIR TRACHEOBRNCL FIBERSCOPE BEDSIDE SPX | 31725 - CLEARANCE OF AIRWAYS | '01/01/2017 | 12/31/2999 |
| 31730 | 31730 - Transtracheal (percutaneous) introduction of needle wire dilator/stent or indwelling tube for oxygen therapy | 31730 - TTRACH INTRO NDL WIRE DIL/STENT/TUBE O2 THER | 31730 - INTRO WINDPIPE WIRE/TUBE | '01/01/2017 | 12/31/2999 |
| 31750 | 31750 - Tracheoplasty; cervical | 31750 - TRACHEOPLASTY CERVICAL | 31750 - REPAIR OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31755 | 31755 - Tracheoplasty; tracheopharyngeal fistulization each stage | 31755 - TRACHEOPLASTY TRACHEOPHARYNGEAL FSTLJ EA STG | 31755 - REPAIR OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31760 | 31760 - Tracheoplasty; intrathoracic | 31760 - TRACHEOPLASTY INTRATHORACIC | 31760 - REPAIR OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31766 | 31766 - Carinal reconstruction | 31766 - CARINAL RECONSTRUCTION | 31766 - RECONSTRUCTION OF WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31770 | 31770 - Bronchoplasty; graft repair | 31770 - BRONCHOPLASTY GRAFT REPAIR | 31770 - REPAIR/GRAFT OF BRONCHUS | '01/01/2017 | 12/31/2999 |
| 31775 | 31775 - Bronchoplasty; excision stenosis and anastomosis | 31775 - BRONCHOPLASTY EXCISION STENOSIS & ANASTOMOSIS | 31775 - RECONSTRUCT BRONCHUS | '01/01/2017 | 12/31/2999 |
| 31780 | 31780 - Excision tracheal stenosis and anastomosis; cervical | 31780 - EXCISION TRACHEAL STENOSIS&ANASTOMOSIS CERVICA | 31780 - RECONSTRUCT WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31781 | 31781 - Excision tracheal stenosis and anastomosis; cervicothoracic | 31781 - EXC TRACHEAL STENOSIS&ANAST CERVICOTHORACIC | 31781 - RECONSTRUCT WINDPIPE | '01/01/2017 | 12/31/2999 |
| 31785 | 31785 - Excision of tracheal tumor or carcinoma; cervical | 31785 - EXCISION TRACHEAL TUMOR/CARCINOMA CERVICAL | 31785 - REMOVE WINDPIPE LESION | '01/01/2017 | 12/31/2999 |
| 31786 | 31786 - Excision of tracheal tumor or carcinoma; thoracic | 31786 - EXCISION TRACHEAL TUMOR/CARCINOMA THORACIC | 31786 - REMOVE WINDPIPE LESION | '01/01/2017 | 12/31/2999 |
| 31800 | 31800 - Suture of tracheal wound or injury; cervical | 31800 - SUTURE TRACHEAL WOUND/INJURY CERVICAL | 31800 - REPAIR OF WINDPIPE INJURY | '01/01/2017 | 12/31/2999 |
| 31805 | 31805 - Suture of tracheal wound or injury; intrathoracic | 31805 - SUTURE TRACHEAL WOUND/INJURY INTRATHORACIC | 31805 - REPAIR OF WINDPIPE INJURY | '01/01/2017 | 12/31/2999 |
| 31820 | 31820 - Surgical closure tracheostomy or fistula; without plastic repair | 31820 - SURG CLSR TRACHEOSTOMY/FISTULA W/O PLASTIC RPR | 31820 - CLOSURE OF WINDPIPE LESION | '01/01/2017 | 12/31/2999 |
| 31825 | 31825 - Surgical closure tracheostomy or fistula; with plastic repair | 31825 - SURG CLSR TRACHEOSTOMY/FISTULA W/PLASTIC RPR | 31825 - REPAIR OF WINDPIPE DEFECT | '01/01/2017 | 12/31/2999 |
| 31830 | 31830 - Revision of tracheostomy scar | 31830 - REVISION TRACHEOSTOMY SCAR | 31830 - REVISE WINDPIPE SCAR | '01/01/2017 | 12/31/2999 |
| 31899 | 31899 - Unlisted procedure trachea bronchi | 31899 - UNLISTED PROCEDURE TRACHEA BRONCHI | 31899 - UNLISTED PX TRACHEA BRONCHI | '01/01/2023 | 12/31/2999 |
| 3200F | 3200F - Barium swallow test not ordered (GERD) | 3200F - BARIUM SWALLOW TEST NOT ORDERED | 3200F - BARIUM SWALLOW TEST NOT REQ | '01/01/2017 | 12/31/2999 |
| 32035 | 32035 - Thoracostomy; with rib resection for empyema | 32035 - THORACOSTOMY W/RIB RESECTION EMPYEMA | 32035 - THORACOSTOMY W/RIB RESECTION | '01/01/2017 | 12/31/2999 |
| 32036 | 32036 - Thoracostomy; with open flap drainage for empyema | 32036 - THORACOSTOMY OPEN FLAP DRAINAGE EMPYEMA | 32036 - THORACOSTOMY W/FLAP DRAINAGE | '01/01/2017 | 12/31/2999 |
| 32096 | 32096 - Thoracotomy with diagnostic biopsy(ies) of lung infiltrate(s) (eg wedge incisional) unilateral | 32096 - THORACTOMY W/DX BX LUNG INFILTRATE UNILATERAL | 32096 - OPEN WEDGE/BX LUNG INFILTR | '01/01/2017 | 12/31/2999 |
| 32097 | 32097 - Thoracotomy with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg wedge incisional) unilateral | 32097 - THORACTOMY W/DX BX LUNG NODULE/MASS UNILATERAL | 32097 - OPEN WEDGE/BX LUNG NODULE | '01/01/2017 | 12/31/2999 |
| 32098 | 32098 - Thoracotomy with biopsy(ies) of pleura | 32098 - THORACOTOMY W/BIOPSY OF PLEURA | 32098 - OPEN BIOPSY OF LUNG PLEURA | '01/01/2017 | 12/31/2999 |
| 32100 | 32100 - Thoracotomy; with exploration | 32100 - THORACOTOMY WITH EXPLORATION | 32100 - EXPLORATION OF CHEST | '01/01/2017 | 12/31/2999 |
| 3210F | 3210F - Group A Strep Test Performed (PHAR) | 3210F - GROUP A STREP TEST PERFORMED | 3210F - GRP A STREP TEST PERFORMED | '01/01/2017 | 12/31/2999 |
| 32110 | 32110 - Thoracotomy; with control of traumatic hemorrhage and/or repair of lung tear | 32110 - THORCOM CTRL TRAUMTC HEMRRG&/RPR LNG TEAR | 32110 - EXPLORE/REPAIR CHEST | '01/01/2017 | 12/31/2999 |
| 32120 | 32120 - Thoracotomy; for postoperative complications | 32120 - THORACOTOMY POSTOPERATIVE COMPLICATIONS | 32120 - RE-EXPLORATION OF CHEST | '01/01/2017 | 12/31/2999 |
| 32124 | 32124 - Thoracotomy; with open intrapleural pneumonolysis | 32124 - THORACOTOMY OPN INTRAPLEURAL PNEUMONOLYSIS | 32124 - EXPLORE CHEST FREE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 32140 | 32140 - Thoracotomy; with cyst(s) removal includes pleural procedure when performed | 32140 - THORCOM W/REMOVAL OF CYST | 32140 - REMOVAL OF LUNG LESION(S) | '01/01/2017 | 12/31/2999 |
| 32141 | 32141 - Thoracotomy; with resection-plication of bullae includes any pleural procedure when performed | 32141 - THORACOTOMY W/RESECTION BULLAE | 32141 - REMOVE/TREAT LUNG LESIONS | '01/01/2017 | 12/31/2999 |
| 32150 | 32150 - Thoracotomy; with removal of intrapleural foreign body or fibrin deposit | 32150 - THORCOM W/RMVL INTRAPLEURAL FB/FIBRIN DEP | 32150 - REMOVAL OF LUNG LESION(S) | '01/01/2017 | 12/31/2999 |
| 32151 | 32151 - Thoracotomy; with removal of intrapulmonary foreign body | 32151 - THORCOM W/RMVL IPUL FB | 32151 - REMOVE LUNG FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 3215F | 3215F - Patient has documented immunity to Hepatitis A (HEP-C) | 3215F - DOCUMENTED IMMUNITY HEPATITIS A | 3215F - PT IMMUNITY TO HEP A DOCD | '01/01/2017 | 12/31/2999 |
| 32160 | 32160 - Thoracotomy; with cardiac massage | 32160 - THORACOTOMY W/CARDIAC MASSAGE | 32160 - OPEN CHEST HEART MASSAGE | '01/01/2017 | 12/31/2999 |
| 3216F | 3216F - Patient has documented immunity to Hepatitis B (HEP-C)(IBD) | 3216F - DOCUMENTED IMMUNITY HEPATITIS B | 3216F - PT IMMUNITY TO HEP B DOCD | '01/01/2017 | 12/31/2999 |
| 3218F | 3218F - RNA testing for Hepatitis C documented as performed within 6 months prior to initiation of antiviral treatment for Hepatitis C (HEP-C) | 3218F - HEP C RNA TEST 6 MOS BEFORE ANTIVIRAL TX | 3218F - RNA TSTNG HEP C DOCD DONE | '01/01/2017 | 12/31/2999 |
| 32200 | 32200 - Pneumonostomy with open drainage of abscess or cyst | 32200 - PNEUMONOSTOMY W/OPEN DRAINAGE ABSCESS/CYST | 32200 - DRAIN OPEN LUNG LESION | '01/01/2017 | 12/31/2999 |
| 3220F | 3220F - Hepatitis C quantitative RNA testing documented as performed at 12 weeks from initiation of antiviral treatment (HEP-C) | 3220F - HEP C QUANT RNA TEST 12 WKS AFTER ANTIVIRAL TX | 3220F - HEP C QUANT RNA TSTNG DOCD | '01/01/2017 | 12/31/2999 |
| 32215 | 32215 - Pleural scarification for repeat pneumothorax | 32215 - PLEURAL SCARIFICATION REPEAT PNEUMOTHORAX | 32215 - TREAT CHEST LINING | '01/01/2017 | 12/31/2999 |
| 32220 | 32220 - Decortication pulmonary (separate procedure); total | 32220 - DECORTICATION PULMONARY TOTAL SEPARATE PROCEDURE | 32220 - RELEASE OF LUNG | '01/01/2017 | 12/31/2999 |
| 32225 | 32225 - Decortication pulmonary (separate procedure); partial | 32225 - DECORTICATION PULMONARY PARTIAL SEPARATE PROC | 32225 - PARTIAL RELEASE OF LUNG | '01/01/2017 | 12/31/2999 |
| 3230F | 3230F - Documentation that hearing test was performed within 6 months prior to tympanostomy tube insertion (OME) | 3230F - HEARING TEST 6 MOS PRIOR TO EAR TUBE INSERTION | 3230F - NOTE HRING TST W/IN 6 MON | '01/01/2017 | 12/31/2999 |
| 32310 | 32310 - Pleurectomy parietal (separate procedure) | 32310 - PLEURECTOMY PARIETAL SEPARATE PROCEDURE | 32310 - REMOVAL OF CHEST LINING | '01/01/2017 | 12/31/2999 |
| 32320 | 32320 - Decortication and parietal pleurectomy | 32320 - DECORTICATION & PARIETAL PLEURECTOMY | 32320 - FREE/REMOVE CHEST LINING | '01/01/2017 | 12/31/2999 |
| 32400 | 32400 - Biopsy pleura percutaneous needle | 32400 - BIOPSY PLEURA PERCUTANEOUS NEEDLE | 32400 - NEEDLE BIOPSY CHEST LINING | '01/01/2017 | 12/31/2999 |
| 32408 | 32408 - Core needle biopsy lung or mediastinum percutaneous including imaging guidance when performed | 32408 - CORE NEEDLE BX LUNG/MEDIASTINUM PERQ W/IMG | 32408 - CORE NDL BX LNG/MED PERQ | '01/01/2021 | 12/31/2999 |
| 32440 | 32440 - Removal of lung pneumonectomy; | 32440 - REMOVAL OF LUNG PNEUMONECTOMY | 32440 - REMOVE LUNG PNEUMONECTOMY | '01/01/2017 | 12/31/2999 |
| 32442 | 32442 - Removal of lung pneumonectomy; with resection of segment of trachea followed by broncho-tracheal anastomosis (sleeve pneumonectomy) | 32442 - REMOVAL LUNG PNEUMONECTOMY RESXN SGMNT TRACHEA | 32442 - SLEEVE PNEUMONECTOMY | '01/01/2017 | 12/31/2999 |
| 32445 | 32445 - Removal of lung pneumonectomy; extrapleural | 32445 - REMOVAL LUNG PNEUMONECTOMY EXTRAPLEURAL | 32445 - REMOVAL OF LUNG EXTRAPLEURAL | '01/01/2017 | 12/31/2999 |
| 32480 | 32480 - Removal of lung other than pneumonectomy; single lobe (lobectomy) | 32480 - RMVL LUNG OTHER THAN PNEUMONECTOMY 1 LOBE LOBECT | 32480 - PARTIAL REMOVAL OF LUNG | '01/01/2017 | 12/31/2999 |
| 32482 | 32482 - Removal of lung other than pneumonectomy; 2 lobes (bilobectomy) | 32482 - RMVL LUNG OTHER THAN PNEUMONECT 2 LOBES BILOBEC | 32482 - BILOBECTOMY | '01/01/2017 | 12/31/2999 |
| 32484 | 32484 - Removal of lung other than pneumonectomy; single segment (segmentectomy) | 32484 - RMVL LUNG OTHER THAN PNEUMONECT 1 SEGMENTECTOMY | 32484 - SEGMENTECTOMY | '01/01/2017 | 12/31/2999 |
| 32486 | 32486 - Removal of lung other than pneumonectomy; with circumferential resection of segment of bronchus followed by broncho-bronchial anastomosis (sleeve lobectomy) | 32486 - RMVL LUNG XCP TOT PNEUMONECTOMY SLEEVE LOBECTOMY | 32486 - SLEEVE LOBECTOMY | '01/01/2017 | 12/31/2999 |
| 32488 | 32488 - Removal of lung other than pneumonectomy; with all remaining lung following previous removal of a portion of lung (completion pneumonectomy) | 32488 - RMVL LUNG OTHER/THAN PNUMEC COMPLETION PNUMEC | 32488 - COMPLETION PNEUMONECTOMY | '01/01/2017 | 12/31/2999 |
| 32491 | 32491 - Removal of lung other than pneumonectomy; with resection-plication of emphysematous lung(s) (bullous or non-bullous) for lung volume reduction sternal split or transthoracic approach includes any pleural procedure when performed | 32491 - RMVL LUNG OTH/THN PNUMEC RESXN-PLCTJ EMPHY LUNG | 32491 - LUNG VOLUME REDUCTION | '01/01/2017 | 12/31/2999 |
| 32501 | 32501 - Resection and repair of portion of bronchus (bronchoplasty) when performed at time of lobectomy or segmentectomy (List separately in addition to code for primary procedure) | 32501 - RESCJ&BRONCHOPLASTY PFRMD TM LOBEC/SGMECTOMY | 32501 - REPAIR BRONCHUS ADD-ON | '01/01/2017 | 12/31/2999 |
| 32503 | 32503 - Resection of apical lung tumor (eg Pancoast tumor) including chest wall resection rib(s) resection(s) neurovascular dissection when performed; without chest wall reconstruction(s) | 32503 - RESCJ APICAL LUNG TUMOR W/O CHEST WALL RCNSTJ | 32503 - RESECT APICAL LUNG TUMOR | '01/01/2017 | 12/31/2999 |
| 32504 | 32504 - Resection of apical lung tumor (eg Pancoast tumor) including chest wall resection rib(s) resection(s) neurovascular dissection when performed; with chest wall reconstruction | 32504 - RESCJ APICAL LUNG TUMOR W/CHEST WALL RCNSTJ | 32504 - RESECT APICAL LUNG TUM/CHEST | '01/01/2017 | 12/31/2999 |
| 32505 | 32505 - Thoracotomy; with therapeutic wedge resection (eg mass nodule) initial | 32505 - THORACOTOMY W/THERAPEUTIC WEDGE RESEXN INITIAL | 32505 - WEDGE RESECT OF LUNG INITIAL | '01/01/2017 | 12/31/2999 |
| 32506 | 32506 - Thoracotomy; with therapeutic wedge resection (eg mass or nodule) each additional resection ipsilateral (List separately in addition to code for primary procedure) | 32506 - THORACOTOMY W/THERAP WEDGE RESEXN ADDL IPSILATRL | 32506 - WEDGE RESECT OF LUNG ADD-ON | '01/01/2017 | 12/31/2999 |
| 32507 | 32507 - Thoracotomy; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) | 32507 - THORACOTOMY W/DX WEDGE RESEXN & ANTOM LUNG RESE | 32507 - WEDGE RESECT OF LUNG DIAG | '01/01/2017 | 12/31/2999 |
| 3250F | 3250F - Specimen site other than anatomic location of primary tumor (PATH) | 3250F - NONPRIM ANATOMIC LOCATION OF SPECIMEN SITE | 3250F - NONPRIM LOC ANAT BX SITE TUM | '01/01/2017 | 12/31/2999 |
| 32540 | 32540 - Extrapleural enucleation of empyema (empyemectomy) | 32540 - EXTRAPLEURAL ENUCLEATION EMPYEMA EMPYEMECTOMY | 32540 - REMOVAL OF LUNG LESION | '01/01/2017 | 12/31/2999 |
| 32550 | 32550 - Insertion of indwelling tunneled pleural catheter with cuff | 32550 - INSERTION INDWELLING TUNNELED PLEURAL CATHETER | 32550 - INSERT PLEURAL CATH | '01/01/2017 | 12/31/2999 |
| 32551 | 32551 - Tube thoracostomy includes connection to drainage system (eg water seal) when performed open (separate procedure) | 32551 - TUBE THORACOSTOMY INCLUDES WATER SEAL | 32551 - INSERTION OF CHEST TUBE | '01/01/2017 | 12/31/2999 |
| 32552 | 32552 - Removal of indwelling tunneled pleural catheter with cuff | 32552 - RMVL NDWELLG TUNNELED PLEURAL CATHETER W/CUFF | 32552 - REMOVE LUNG CATHETER | '01/01/2017 | 12/31/2999 |
| 32553 | 32553 - Placement of interstitial device(s) for radiation therapy guidance (eg fiducial markers dosimeter) percutaneous intra-thoracic single or multiple | 32553 - PLMT NTRSTL DEV RADJ THX GID PRQ INTRATHRC 1/MLT | 32553 - INS MARK THOR FOR RT PERQ | '01/01/2017 | 12/31/2999 |
| 32554 | 32554 - Thoracentesis needle or catheter aspiration of the pleural space; without imaging guidance | 32554 - THORACENTESIS NEEDLE/CATH PLEURA W/O IMAGING | 32554 - ASPIRATE PLEURA W/O IMAGING | '01/01/2017 | 12/31/2999 |
| 32555 | 32555 - Thoracentesis needle or catheter aspiration of the pleural space; with imaging guidance | 32555 - THORACENTESIS NEEDLE/CATH PLEURA W/IMAGING | 32555 - ASPIRATE PLEURA W/ IMAGING | '01/01/2017 | 12/31/2999 |
| 32556 | 32556 - Pleural drainage percutaneous with insertion of indwelling catheter; without imaging guidance | 32556 - PERQ DRAINAGE PLEURA INSERT CATH W/O IMAGING | 32556 - INSERT CATH PLEURA W/O IMAGE | '01/01/2017 | 12/31/2999 |
| 32557 | 32557 - Pleural drainage percutaneous with insertion of indwelling catheter; with imaging guidance | 32557 - PERQ DRAINAGE PLEURA INSERT CATH W/IMAGING | 32557 - INSERT CATH PLEURA W/ IMAGE | '01/01/2017 | 12/31/2999 |
| 32560 | 32560 - Instillation via chest tube/catheter agent for pleurodesis (eg talc for recurrent or persistent pneumothorax) | 32560 - INSTLJ VIA CHEST TUBE/CATH AGENT FOR PLEURODESIS | 32560 - TREAT PLEURODESIS W/AGENT | '01/01/2017 | 12/31/2999 |
| 32561 | 32561 - Instillation(s) via chest tube/catheter agent for fibrinolysis (eg fibrinolytic agent for break up of multiloculated effusion); initial day | 32561 - INSTLJ VIA CH TUBE/CATH AGENT FBRNLYSIS 1ST DAY | 32561 - LYSE CHEST FIBRIN INIT DAY | '01/01/2017 | 12/31/2999 |
| 32562 | 32562 - Instillation(s) via chest tube/catheter agent for fibrinolysis (eg fibrinolytic agent for break up of multiloculated effusion); subsequent day | 32562 - INSTLJ CH TUBE/CATH AGENT FBRNLYSIS SBSQ DAY | 32562 - LYSE CHEST FIBRIN SUBQ DAY | '01/01/2017 | 12/31/2999 |
| 32601 | 32601 - Thoracoscopy diagnostic (separate procedure); lungs pericardial sac mediastinal or pleural space without biopsy | 32601 - THORSC DX LUNGS/PERICAR/MED/PLEURAL SPACE W/O BX | 32601 - THORACOSCOPY DIAGNOSTIC | '01/01/2017 | 12/31/2999 |
| 32604 | 32604 - Thoracoscopy diagnostic (separate procedure); pericardial sac with biopsy | 32604 - THORACOSCOPY DX PERICARDIAL SAC W/BIOPSY SPX | 32604 - THORACOSCOPY WBX SAC | '01/01/2017 | 12/31/2999 |
| 32606 | 32606 - Thoracoscopy diagnostic (separate procedure); mediastinal space with biopsy | 32606 - THORACOSCOPY DX MEDIASTINAL SPACE W/BIOPSY SPX | 32606 - THORACOSCOPY W/BX MED SPACE | '01/01/2017 | 12/31/2999 |
| 32607 | 32607 - Thoracoscopy; with diagnostic biopsy(ies) of lung infiltrate(s) (eg wedge incisional) unilateral | 32607 - THORACOSCOPY W/DX BX OF LUNG INFILTRATE UNILATRL | 32607 - THORACOSCOPY W/BX INFILTRATE | '01/01/2017 | 12/31/2999 |
| 32608 | 32608 - Thoracoscopy; with diagnostic biopsy(ies) of lung nodule(s) or mass(es) (eg wedge incisional) unilateral | 32608 - THORACOSCOPY W/DX BX OF LUNG NODULES UNILATRL | 32608 - THORACOSCOPY W/BX NODULE | '01/01/2017 | 12/31/2999 |
| 32609 | 32609 - Thoracoscopy; with biopsy(ies) of pleura | 32609 - THORACOSCOPY WITH BIOPSYIES OF PLEURA | 32609 - THORACOSCOPY W/BX PLEURA | '01/01/2017 | 12/31/2999 |
| 3260F | 3260F - pT category (primary tumor) pN category (regional lymph nodes) and histologic grade documented in pathology report (PATH) | 3260F - TUMOR/NODES/HISTO GRADE DOCUMENTED | 3260F - PT CAT/PN CAT/HIST GRD DOCD | '01/01/2017 | 12/31/2999 |
| 32650 | 32650 - Thoracoscopy surgical; with pleurodesis (eg mechanical or chemical) | 32650 - THORACOSCOPY W/PLEURODESIS | 32650 - THORACOSCOPY W/PLEURODESIS | '01/01/2017 | 12/31/2999 |
| 32651 | 32651 - Thoracoscopy surgical; with partial pulmonary decortication | 32651 - THORACOSCOPY W/PARTIAL PULMONARY DECORTICATION | 32651 - THORACOSCOPY REMOVE CORTEX | '01/01/2017 | 12/31/2999 |
| 32652 | 32652 - Thoracoscopy surgical; with total pulmonary decortication including intrapleural pneumonolysis | 32652 - THRSC TOT PULM DCRTCTJ INTRAPLEURAL PNEUMONOLSS | 32652 - THORACOSCOPY REM TOTL CORTEX | '01/01/2017 | 12/31/2999 |
| 32653 | 32653 - Thoracoscopy surgical; with removal of intrapleural foreign body or fibrin deposit | 32653 - THORACOSCOPY RMVL INTRAPLEURAL FB/FIBRIN DEPOSIT | 32653 - THORACOSCOPY REMOV FB/FIBRIN | '01/01/2017 | 12/31/2999 |
| 32654 | 32654 - Thoracoscopy surgical; with control of traumatic hemorrhage | 32654 - THORACOSCOPY CONTROL TRAUMATIC HEMORRHAGE | 32654 - THORACOSCOPY CONTRL BLEEDING | '01/01/2017 | 12/31/2999 |
| 32655 | 32655 - Thoracoscopy surgical; with resection-plication of bullae includes any pleural procedure when performed | 32655 - THORACOSCOPY W/RESECTION BULLAE W/WO PLEURAL PX | 32655 - THORACOSCOPY RESECT BULLAE | '01/01/2017 | 12/31/2999 |
| 32656 | 32656 - Thoracoscopy surgical; with parietal pleurectomy | 32656 - THORACOSCOPY W/PARIETAL PLEURECTOMY | 32656 - THORACOSCOPY W/PLEURECTOMY | '01/01/2017 | 12/31/2999 |
| 32658 | 32658 - Thoracoscopy surgical; with removal of clot or foreign body from pericardial sac | 32658 - THORACOSCOPY W/RMVL CLOT/FB FROM PERICARDIAL SAC | 32658 - THORACOSCOPY W/SAC FB REMOVE | '01/01/2017 | 12/31/2999 |
| 32659 | 32659 - Thoracoscopy surgical; with creation of pericardial window or partial resection of pericardial sac for drainage | 32659 - THRSC CRTJ PRCRD WINDOW/PRTL RESCJ PRCRD SAC | 32659 - THORACOSCOPY W/SAC DRAINAGE | '01/01/2017 | 12/31/2999 |
| 3265F | 3265F - Ribonucleic acid (RNA) testing for Hepatitis C viremia ordered or results documented (HEP C) | 3265F - RNA TESTING FOR HEP C VIREMIA ORDERED/DOCD | 3265F - RNA TSTNG HEPC VIR ORD/DOCD | '01/01/2017 | 12/31/2999 |
| 32661 | 32661 - Thoracoscopy surgical; with excision of pericardial cyst tumor or mass | 32661 - THORACOSCOPY W/EXC PERICARDIAL CYST TUMOR/MASS | 32661 - THORACOSCOPY W/PERICARD EXC | '01/01/2017 | 12/31/2999 |
| 32662 | 32662 - Thoracoscopy surgical; with excision of mediastinal cyst tumor or mass | 32662 - THORACOSCOPY W/EXC MEDIASTINAL CYST TUMOR/MASS | 32662 - THORACOSCOPY W/MEDIAST EXC | '01/01/2017 | 12/31/2999 |
| 32663 | 32663 - Thoracoscopy surgical; with lobectomy (single lobe) | 32663 - THORACOSCOPY W/LOBECTOMY SINGLE LOBE | 32663 - THORACOSCOPY W/LOBECTOMY | '01/01/2017 | 12/31/2999 |
| 32664 | 32664 - Thoracoscopy surgical; with thoracic sympathectomy | 32664 - THORACOSCOPY W/THORACIC SYMPATHECTOMY | 32664 - THORACOSCOPY W/ TH NRV EXC | '01/01/2017 | 12/31/2999 |
| 32665 | 32665 - Thoracoscopy surgical; with esophagomyotomy (Heller type) | 32665 - THORACOSCOPY W/ESOPHAGOMYOTOMY HELLER TYPE | 32665 - THORACOSCOP W/ESOPH MUSC EXC | '01/01/2017 | 12/31/2999 |
| 32666 | 32666 - Thoracoscopy surgical; with therapeutic wedge resection (eg mass nodule) initial unilateral | 32666 - THORACOSCOPY W/THERA WEDGE RESEXN INITIAL UNILAT | 32666 - THORACOSCOPY W/WEDGE RESECT | '01/01/2017 | 12/31/2999 |
| 32667 | 32667 - Thoracoscopy surgical; with therapeutic wedge resection (eg mass or nodule) each additional resection ipsilateral (List separately in addition to code for primary procedure) | 32667 - THORACOSCOPY W/THERA WEDGE RESEXN ADDL IPSILATRL | 32667 - THORACOSCOPY W/W RESECT ADDL | '01/01/2017 | 12/31/2999 |
| 32668 | 32668 - Thoracoscopy surgical; with diagnostic wedge resection followed by anatomic lung resection (List separately in addition to code for primary procedure) | 32668 - THORACOSCOPY W/DX WEDGE RESEXN ANATO LUNG RESEXN | 32668 - THORACOSCOPY W/W RESECT DIAG | '01/01/2017 | 12/31/2999 |
| 32669 | 32669 - Thoracoscopy surgical; with removal of a single lung segment (segmentectomy) | 32669 - THORACOSCOPY W/SEGMENTECTOMY | 32669 - THORACOSCOPY REMOVE SEGMENT | '01/01/2017 | 12/31/2999 |
| 3266F | 3266F - Hepatitis C genotype testing documented as performed prior to initiation of antiviral treatment for Hepatitis C (HEP C) | 3266F - HEPATITIS C GENOTYPE PRIOR ANTIVIRAL TREATMENT | 3266F - HEPC GN TSTNG DOCD B/4TXMNT | '01/01/2017 | 12/31/2999 |
| 32670 | 32670 - Thoracoscopy surgical; with removal of two lobes (bilobectomy) | 32670 - THORACOSCOPY W/BILOBECTOMY | 32670 - THORACOSCOPY BILOBECTOMY | '01/01/2017 | 12/31/2999 |
| 32671 | 32671 - Thoracoscopy surgical; with removal of lung (pneumonectomy) | 32671 - THORACOSCOPY W/PNEUMONECTOMY | 32671 - THORACOSCOPY PNEUMONECTOMY | '01/01/2017 | 12/31/2999 |
| 32672 | 32672 - Thoracoscopy surgical; with resection-plication for emphysematous lung (bullous or non-bullous) for lung volume reduction (LVRS) unilateral includes any pleural procedure when performed | 32672 - THORACOSCOPY W/RESEXN-PLICAJ EMPHYSEMA LUNG UNIL | 32672 - THORACOSCOPY FOR LVRS | '01/01/2017 | 12/31/2999 |
| 32673 | 32673 - Thoracoscopy surgical; with resection of thymus unilateral or bilateral | 32673 - THORACOSCOPY RESEXN THYMUS UNI/BILATERAL | 32673 - THORACOSCOPY W/THYMUS RESECT | '01/01/2017 | 12/31/2999 |
| 32674 | 32674 - Thoracoscopy surgical; with mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) | 32674 - THORCOSCPY W/MEDIASTINL & REGIONL LYMPHDENECTOMY | 32674 - THORACOSCOPY LYMPH NODE EXC | '01/01/2017 | 12/31/2999 |
| 3267F | 3267F - Pathology report includes pT category pN category Gleason score and statement about margin status (PATH) | 3267F - PATH RPRT INCLUDES PT & PN CAT GLEASON | 3267F - PATH RPRT W/ PT PN CAT ET AL | '01/01/2017 | 12/31/2999 |
| 3268F | 3268F - Prostate-specific antigen (PSA) and primary tumor (T) stage and Gleason score documented prior to initiation of treatment (PRCA) | 3268F - PSA & TUMOR STAGE&GLEASON SCORE PRIOR INIT | 3268F - PSA/T/GLSC DOCD B/4 TXMNT | '01/01/2017 | 12/31/2999 |
| 3269F | 3269F - Bone scan performed prior to initiation of treatment or at any time since diagnosis of prostate cancer (PRCA) | 3269F - BONE SCAN PRIOR INITIAT TX/DX PROSTATE CANCER | 3269F - BONE SCN B/4 TXMNT/AFTR DX | '01/01/2017 | 12/31/2999 |
| 32701 | 32701 - Thoracic target(s) delineation for stereotactic body radiation therapy (SRS/SBRT) (photon or particle beam) entire course of treatment | 32701 - THORAX STEREOTACTIC RADIATION TARGET W/TX COURSE | 32701 - THORAX STEREO RAD TARGETW/TX | '01/01/2017 | 12/31/2999 |
| 3270F | 3270F - Bone scan not performed prior to initiation of treatment nor at any time since diagnosis of prostate cancer (PRCA) | 3270F - BONE SCAN NOT PRIOR INITIAT TX/DX PROSTATE CA | 3270F - NO BONE SCN B/4 TXMNT/AFTRDX | '01/01/2017 | 12/31/2999 |
| 3271F | 3271F - Low risk of recurrence prostate cancer (PRCA) | 3271F - LOW RISK OF RECURRENCE PROSTATE CANCER | 3271F - LOW RISK PROSTATE CANCER | '01/01/2017 | 12/31/2999 |
| 3272F | 3272F - Intermediate risk of recurrence prostate cancer (PRCA) | 3272F - INTERMED RISK OF RECURRENCE PROSTATE CANCER | 3272F - MED RISK PROSTATE CANCER | '01/01/2017 | 12/31/2999 |
| 3273F | 3273F - High risk of recurrence prostate cancer (PRCA) | 3273F - HIGH RISK OF RECURRENCE PROSTATE CANCER | 3273F - HIGH RISK PROSTATE CANCER | '01/01/2017 | 12/31/2999 |
| 3274F | 3274F - Prostate cancer risk of recurrence not determined or neither low intermediate nor high (PRCA) | 3274F - PROST CANCER RSK RECUR NOT DETER/LOW/INTERMED/HI | 3274F - PROST CNCR RSK NOT LW/MD/HGH | '01/01/2017 | 12/31/2999 |
| 3278F | 3278F - Serum levels of calcium phosphorus intact Parathyroid Hormone (PTH) and lipid profile ordered (CKD) | 3278F - SERUM LEVELS CALCUM PHOSPH PARATHYR & LIPID PR | 3278F - SERUM LVLS CA/IPTH/LPD ORD | '01/01/2017 | 12/31/2999 |
| 3279F | 3279F - Hemoglobin level greater than or equal to 13 g/dL (CKD ESRD) | 3279F - HEMOGLOBIN LEVEL>/EQUAL 13 G/DL | 3279F - HGB LVL >= 13 G/DL | '01/01/2020 | 12/31/2999 |
| 32800 | 32800 - Repair lung hernia through chest wall | 32800 - REPAIR LUNG HERNIA THROUGH CHEST WALL | 32800 - REPAIR LUNG HERNIA | '01/01/2017 | 12/31/2999 |
| 3280F | 3280F - Hemoglobin level 11 g/dL to 12.9 g/dL (CKD ESRD) | 3280F - HEMOGLOBIN LEVEL 11 G/DL-12.9 G/DL | 3280F - HGB LVL 11-12.9 G/DL | '01/01/2017 | 12/31/2999 |
| 32810 | 32810 - Closure of chest wall following open flap drainage for empyema (Clagett type procedure) | 32810 - CLSR CH WALL FLWG OPN FLAP DRG EMPYEMA | 32810 - CLOSE CHEST AFTER DRAINAGE | '01/01/2017 | 12/31/2999 |
| 32815 | 32815 - Open closure of major bronchial fistula | 32815 - OPEN CLOSURE MAJOR BRONCHIAL FISTULA | 32815 - CLOSE BRONCHIAL FISTULA | '01/01/2017 | 12/31/2999 |
| 3281F | 3281F - Hemoglobin level less than 11 g/dL (CKD ESRD) | 3281F - HEMOGLOBIN LEVEL <11 G/DL | 3281F - HGB LVL <11 G/DL | '01/01/2017 | 12/31/2999 |
| 32820 | 32820 - Major reconstruction chest wall (posttraumatic) | 32820 - MAJOR RECONSTRUCTION CHEST WALL POSTTRAUMATIC | 32820 - RECONSTRUCT INJURED CHEST | '01/01/2017 | 12/31/2999 |
| 3284F | 3284F - Intraocular pressure (IOP) reduced by a value of greater than or equal to 15% from the pre-intervention level (EC) | 3284F - INTRAOCULAR PRESS REDUCED >/EQUAL 15% | 3284F - IOP DOWN >15% OF PRE-SVC LVL | '01/01/2017 | 12/31/2999 |
| 32850 | 32850 - Donor pneumonectomy(s) (including cold preservation) from cadaver donor | 32850 - DONOR PNEUMONECTOMY FROM CADAVER DONOR | 32850 - DONOR PNEUMONECTOMY | '01/01/2017 | 12/31/2999 |
| 32851 | 32851 - Lung transplant single; without cardiopulmonary bypass | 32851 - LUNG TRANSPLANT 1 W/O CARDIOPULMONARY BYPASS | 32851 - LUNG TRANSPLANT SINGLE | '01/01/2017 | 12/31/2999 |
| 32852 | 32852 - Lung transplant single; with cardiopulmonary bypass | 32852 - LUNG TRANSPLANT 1 W/CARDIOPULMONARY BYPASS | 32852 - LUNG TRANSPLANT WITH BYPASS | '01/01/2017 | 12/31/2999 |
| 32853 | 32853 - Lung transplant double (bilateral sequential or en bloc); without cardiopulmonary bypass | 32853 - LUNG TRANSPLANT 2 W/O CARDIOPULMONARY BYPASS | 32853 - LUNG TRANSPLANT DOUBLE | '01/01/2017 | 12/31/2999 |
| 32854 | 32854 - Lung transplant double (bilateral sequential or en bloc); with cardiopulmonary bypass | 32854 - LUNG TRANSPLANT 2 W/CARDIOPULMONARY BYPASS | 32854 - LUNG TRANSPLANT WITH BYPASS | '01/01/2017 | 12/31/2999 |
| 32855 | 32855 - Backbench standard preparation of cadaver donor lung allograft prior to transplantation including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff pulmonary artery and bronchus; unilateral | 32855 - BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT UNI | 32855 - PREPARE DONOR LUNG SINGLE | '01/01/2017 | 12/31/2999 |
| 32856 | 32856 - Backbench standard preparation of cadaver donor lung allograft prior to transplantation including dissection of allograft from surrounding soft tissues to prepare pulmonary venous/atrial cuff pulmonary artery and bronchus; bilateral | 32856 - BKBENCH PREPJ CADAVER DONOR LUNG ALLOGRAFT BI | 32856 - PREPARE DONOR LUNG DOUBLE | '01/01/2017 | 12/31/2999 |
| 3285F | 3285F - Intraocular pressure (IOP) reduced by a value less than 15% from the pre-intervention level (EC) | 3285F - IOP REDUCED <15% PRE-INTERVENTION LEVEL | 3285F - IOP DOWN <15% OF PRE-SVC LVL | '01/01/2017 | 12/31/2999 |
| 3288F | 3288F - Falls risk assessment documented (GER) | 3288F - FALLS RISK ASSESSMENT DOCUMENTED | 3288F - FALL RISK ASSESSMENT DOCD | '01/01/2017 | 12/31/2999 |
| 32900 | 32900 - Resection of ribs extrapleural all stages | 32900 - RESECTION RIBS EXTRAPLEURAL ALL STAGES | 32900 - REMOVAL OF RIB(S) | '01/01/2017 | 12/31/2999 |
| 32905 | 32905 - Thoracoplasty Schede type or extrapleural (all stages); | 32905 - THORACOPLASTY SCHEDE TYPE/EXTRAPLEURAL | 32905 - REVISE & REPAIR CHEST WALL | '01/01/2017 | 12/31/2999 |
| 32906 | 32906 - Thoracoplasty Schede type or extrapleural (all stages); with closure of bronchopleural fistula | 32906 - THORACOP SCHEDE TYP/XTRPLEURAL CLSR BRNCPLR FSTL | 32906 - REVISE & REPAIR CHEST WALL | '01/01/2017 | 12/31/2999 |
| 3290F | 3290F - Patient is D (Rh) negative and unsensitized (Pre-Cr) | 3290F - PATIENT IS D (RH) NEGATIVE AND UNSENSITIZED | 3290F - PT=D(RH)- AND UNSENSITIZED | '01/01/2017 | 12/31/2999 |
| 3291F | 3291F - Patient is D (Rh) positive or sensitized (Pre-Cr) | 3291F - PATIENT IS D (RH) POSITIVE OR SENSITIZED | 3291F - PT=D(RH)+ OR SENSITIZED | '01/01/2017 | 12/31/2999 |
| 3292F | 3292F - HIV testing ordered or documented and reviewed during the first or second prenatal visit (Pre-Cr) | 3292F - HIV TSTNG ASK/DOCD/RVWD AT 1ST/2ND PRENATAL VST | 3292F - HIV TSTNG ASKED/DOCD/REVWD | '01/01/2017 | 12/31/2999 |
| 3293F | 3293F - ABO and Rh blood typing documented as performed (Pre-Cr) | 3293F - ABO AND RH BLOOD TYPING DOCUMENTED AS PERFORMED | 3293F - ABO RH BLOOD TYPING DOCD | '01/01/2017 | 12/31/2999 |
| 32940 | 32940 - Pneumonolysis extraperiosteal including filling or packing procedures | 32940 - PNEUMONOLYSIS XTRPRIOSTEAL W/FILLING/PACKING PX | 32940 - REVISION OF LUNG | '01/01/2017 | 12/31/2999 |
| 3294F | 3294F - Group B Streptococcus (GBS) screening documented as performed during week 35-37 gestation (Pre-Cr) | 3294F - GBS SCRNING DOCD DONE DURING WK 35-37 GESTATION | 3294F - GRP B STREP SCREENING DOCD | '01/01/2017 | 12/31/2999 |
| 32960 | 32960 - Pneumothorax therapeutic intrapleural injection of air | 32960 - PNEUMOTHORAX THER INTRAPLEURAL INJECTION AIR | 32960 - THERAPEUTIC PNEUMOTHORAX | '01/01/2017 | 12/31/2999 |
| 32994 | 32994 - Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension percutaneous including imaging guidance when performed unilateral; cryoablation | 32994 - ABLATION THER 1+ PULM TUMORS PERQ CRYOABLATION | 32994 - ABLATE PULM TUMOR PERQ CRYBL | '01/01/2018 | 12/31/2999 |
| 32997 | 32997 - Total lung lavage (unilateral) | 32997 - TOTAL LUNG LAVAGE UNILATERAL | 32997 - TOTAL LUNG LAVAGE | '01/01/2017 | 12/31/2999 |
| 32998 | 32998 - Ablation therapy for reduction or eradication of 1 or more pulmonary tumor(s) including pleura or chest wall when involved by tumor extension percutaneous including imaging guidance when performed unilateral; radiofrequency | 32998 - ABLATION THER 1+ PULM TUMORS PERQ RADIOFREQUENCY | 32998 - ABLATE PULM TUMOR PERQ RF | '01/01/2018 | 12/31/2999 |
| 32999 | 32999 - Unlisted procedure lungs and pleura | 32999 - UNLISTED PROCEDURE LUNGS & PLEURA | 32999 - UNLISTED PX LUNGS & PLEURA | '01/01/2023 | 12/31/2999 |
| 3300F | 3300F - American Joint Committee on Cancer (AJCC) stage documented and reviewed (ONC) | 3300F - AJCC STAGE DOCUMENTED & REVIEWED | 3300F - AJCC STAGE DOCD B/4 THXPY | '01/01/2017 | 12/31/2999 |
| 33016 | 33016 - Pericardiocentesis including imaging guidance when performed | 33016 - PERICARDIOCENTESIS W/IMG GUIDANCE WHEN PERFORMED | 33016 - PERICARDIOCENTESIS W/IMAGING | '01/01/2020 | 12/31/2999 |
| 33017 | 33017 - Pericardial drainage with insertion of indwelling catheter percutaneous including fluoroscopy and/or ultrasound guidance when performed; 6 years and older without congenital cardiac anomaly | 33017 - PERQ PRCRD DRG 6YR+ W/O CONGENITAL CAR ANOMALY | 33017 - PRCRD DRG 6YR+ W/O CGEN CAR | '01/01/2020 | 12/31/2999 |
| 33018 | 33018 - Pericardial drainage with insertion of indwelling catheter percutaneous including fluoroscopy and/or ultrasound guidance when performed; birth through 5 years of age or any age with congenital cardiac anomaly | 33018 - PERQ PRCRD DRG 0-5YR/ANY AGE W/CGEN CAR ANOMALY | 33018 - PRCRD DRG 0-5YR OR W/ANOMLY | '01/01/2020 | 12/31/2999 |
| 33019 | 33019 - Pericardial drainage with insertion of indwelling catheter percutaneous including CT guidance | 33019 - PERQ PERICARDIAL DRG W/INSJ NDWELLG CATH W/CT | 33019 - PERQ PRCRD DRG INSJ CATH CT | '01/01/2020 | 12/31/2999 |
| 3301F | 3301F - Cancer stage documented in medical record as metastatic and reviewed (ONC) | 3301F - CANCER STAGE DOCD METASTATIC & REVIEWED | 3301F - CANCER STAGE DOCD METAST | '01/01/2017 | 12/31/2999 |
| 33020 | 33020 - Pericardiotomy for removal of clot or foreign body (primary procedure) | 33020 - PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY | 33020 - INCISION OF HEART SAC | '01/01/2017 | 12/31/2999 |
| 33025 | 33025 - Creation of pericardial window or partial resection for drainage | 33025 - CRTJ PERICARDIAL WINDOW/PRTL RESECJ W/DRG/BX | 33025 - INCISION OF HEART SAC | '01/01/2017 | 12/31/2999 |
| 33030 | 33030 - Pericardiectomy subtotal or complete; without cardiopulmonary bypass | 33030 - PRICARDIECTOMY STOT/COMPL W/O CARDPULM BYPASS | 33030 - PARTIAL REMOVAL OF HEART SAC | '01/01/2017 | 12/31/2999 |
| 33031 | 33031 - Pericardiectomy subtotal or complete; with cardiopulmonary bypass | 33031 - PRICARDIECTOMY STOT/COMPL W/CARDPULM BYPASS | 33031 - PARTIAL REMOVAL OF HEART SAC | '01/01/2017 | 12/31/2999 |
| 33050 | 33050 - Resection of pericardial cyst or tumor | 33050 - RESECTION PERICARDIAL CYST/TUMOR | 33050 - RESECT HEART SAC LESION | '01/01/2017 | 12/31/2999 |
| 33120 | 33120 - Excision of intracardiac tumor resection with cardiopulmonary bypass | 33120 - EXC INTRACARDIAC TUMOR RESCJ CARDIOPULMONARY BYP | 33120 - REMOVAL OF HEART LESION | '01/01/2017 | 12/31/2999 |
| 33130 | 33130 - Resection of external cardiac tumor | 33130 - RESECTION EXTERNAL CARDIAC TUMOR | 33130 - REMOVAL OF HEART LESION | '01/01/2017 | 12/31/2999 |
| 33140 | 33140 - Transmyocardial laser revascularization by thoracotomy; (separate procedure) | 33140 - TRANSMYOCARDIAL LASER REVASCULAR THORACOTOMY SPX | 33140 - HEART REVASCULARIZE (TMR) | '01/01/2017 | 12/31/2999 |
| 33141 | 33141 - Transmyocardial laser revascularization by thoracotomy; performed at the time of other open cardiac procedure(s) (List separately in addition to code for primary procedure) | 33141 - TRANSMYOCRD LASER REVSC PFRMD TM OTH OPN CAR PX | 33141 - HEART TMR W/OTHER PROCEDURE | '01/01/2017 | 12/31/2999 |
| 3315F | 3315F - Estrogen receptor (ER) or progesterone receptor (PR) positive breast cancer (ONC) | 3315F - ESTROGEN/PROGEST RECEPTOR POSITIVE BREAST CANCER | 3315F - ER+ OR PR+ BREAST CANCER | '01/01/2017 | 12/31/2999 |
| 3316F | 3316F - Estrogen receptor (ER) and progesterone receptor (PR) negative breast cancer (ONC) | 3316F - ESTROGEN/PROGEST RECEPTOR NEGATIVE BREAST CANCER | 3316F - ER- OR PR- BREAST CANCER | '01/01/2017 | 12/31/2999 |
| 3317F | 3317F - Pathology report confirming malignancy documented in the medical record and reviewed prior to the initiation of chemotherapy (ONC) | 3317F - PATH REPRT MALIGNANCY DOCD & RVWD INITIATE CHE | 3317F - PATH RPT MALIG CANCER DOCD | '01/01/2017 | 12/31/2999 |
| 3318F | 3318F - Pathology report confirming malignancy documented in the medical record and reviewed prior to the initiation of radiation therapy (ONC) | 3318F - PATH REPRT MALIGNANCY DOCD & RVWD INITIA RAD | 3318F - PATH RPT MALIG CANCER DOCD | '01/01/2017 | 12/31/2999 |
| 3319F | 3319F - 1 of the following diagnostic imaging studies ordered: chest x-ray CT Ultrasound MRI PET or nuclear medicine scans (ML) | 3319F - 1 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED | 3319F - X-RAY/CT/ULTRSND ET AL ORD | '01/01/2017 | 12/31/2999 |
| 33202 | 33202 - Insertion of epicardial electrode(s); open incision (eg thoracotomy median sternotomy subxiphoid approach) | 33202 - INSERTION EPICARDIAL ELECTRODE OPEN | 33202 - INSERT EPICARD ELTRD OPEN | '01/01/2017 | 12/31/2999 |
| 33203 | 33203 - Insertion of epicardial electrode(s); endoscopic approach (eg thoracoscopy pericardioscopy) | 33203 - INSERTION EPICARDIAL ELECTRODE ENDOSCOPIC | 33203 - INSERT EPICARD ELTRD ENDO | '01/01/2017 | 12/31/2999 |
| 33206 | 33206 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial | 33206 - INS NEW/RPLCMT PRM PACEMAKR W/TRANS ELTRD ATRIAL | 33206 - INSERT HEART PM ATRIAL | '01/01/2017 | 12/31/2999 |
| 33207 | 33207 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); ventricular | 33207 - INS NEW/RPLC PRM PACEMAKER W/TRANSV ELTRD VENTR | 33207 - INSERT HEART PM VENTRICULAR | '01/01/2017 | 12/31/2999 |
| 33208 | 33208 - Insertion of new or replacement of permanent pacemaker with transvenous electrode(s); atrial and ventricular | 33208 - INS NEW/RPLCMT PRM PM W/TRANSV ELTRD ATRIAL&VENT | 33208 - INSRT HEART PM ATRIAL & VENT | '01/01/2017 | 12/31/2999 |
| 3320F | 3320F - None of the following diagnostic imaging studies ordered: chest X-ray CT Ultrasound MRI PET or nuclear medicine scans (ML) | 3320F - '0 DX IMG ORDER CHEST XRAY CT US MRI PET/NUC MED | 3320F - NO XRAY/CT/ ET AL ORDD | '01/01/2017 | 12/31/2999 |
| 33210 | 33210 - Insertion or replacement of temporary transvenous single chamber cardiac electrode or pacemaker catheter (separate procedure) | 33210 - INSJ/RPLCMT TEMP TRANSVNS 1CHMBR ELTRD/PM CATH | 33210 - INSERT ELECTRD/PM CATH SNGL | '01/01/2017 | 12/31/2999 |
| 33211 | 33211 - Insertion or replacement of temporary transvenous dual chamber pacing electrodes (separate procedure) | 33211 - INSJ/RPLCMT TEMP TRANSVNS 2CHMBR PACG ELTRDS SPX | 33211 - INSERT CARD ELECTRODES DUAL | '01/01/2017 | 12/31/2999 |
| 33212 | 33212 - Insertion of pacemaker pulse generator only; with existing single lead | 33212 - INS PM PLS GEN W/EXIST SINGLE LEAD | 33212 - INSERT PULSE GEN SNGL LEAD | '01/01/2017 | 12/31/2999 |
| 33213 | 33213 - Insertion of pacemaker pulse generator only; with existing dual leads | 33213 - INS PACEMAKER PULSE GEN ONLY W/EXIST DUAL LEADS | 33213 - INSERT PULSE GEN DUAL LEADS | '01/01/2017 | 12/31/2999 |
| 33214 | 33214 - Upgrade of implanted pacemaker system conversion of single chamber system to dual chamber system (includes removal of previously placed pulse generator testing of existing lead insertion of new lead insertion of new pulse generator) | 33214 - UPG PACEMAKER SYS CONVERT 1CHMBR SYS 2CHMBR SYS | 33214 - UPGRADE OF PACEMAKER SYSTEM | '01/01/2017 | 12/31/2999 |
| 33215 | 33215 - Repositioning of previously implanted transvenous pacemaker or implantable defibrillator (right atrial or right ventricular) electrode | 33215 - RPSG PREV IMPLTED PM/DFB R ATR/R VENTR ELECTRODE | 33215 - REPOSITION PACING-DEFIB LEAD | '01/01/2017 | 12/31/2999 |
| 33216 | 33216 - Insertion of a single transvenous electrode permanent pacemaker or implantable defibrillator | 33216 - INSJ 1 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB | 33216 - INSERT 1 ELECTRODE PM-DEFIB | '01/01/2017 | 12/31/2999 |
| 33217 | 33217 - Insertion of 2 transvenous electrodes permanent pacemaker or implantable defibrillator | 33217 - INSJ 2 TRANSVNS ELTRD PERM PACEMAKER/IMPLTBL DFB | 33217 - INSERT 2 ELECTRODE PM-DEFIB | '01/01/2017 | 12/31/2999 |
| 33218 | 33218 - Repair of single transvenous electrode permanent pacemaker or implantable defibrillator | 33218 - RPR 1 TRANSVNS ELTRD PRM PM/PACING IMPLNTBL DFB | 33218 - REPAIR LEAD PACE-DEFIB ONE | '01/01/2017 | 12/31/2999 |
| 3321F | 3321F - AJCC Cancer Stage 0 or IA Melanoma documented (ML) | 3321F - AJCC CANCER STAGE 0 OR IA MELANOMA | 3321F - AJCC CNCR 0/IA MELAN DOCD | '01/01/2017 | 12/31/2999 |
| 33220 | 33220 - Repair of 2 transvenous electrodes for permanent pacemaker or implantable defibrillator | 33220 - RPR 2 TRANSVNS ELECTRODES PRM PM/IMPLANTABLE DFB | 33220 - REPAIR LEAD PACE-DEFIB DUAL | '01/01/2017 | 12/31/2999 |
| 33221 | 33221 - Insertion of pacemaker pulse generator only; with existing multiple leads | 33221 - INS PACEMAKER PULSE GEN ONLY W/EXIST MULT LEADS | 33221 - INSERT PULSE GEN MULT LEADS | '01/01/2017 | 12/31/2999 |
| 33222 | 33222 - Relocation of skin pocket for pacemaker | 33222 - RELOCATION OF SKIN POCKET FOR PACEMAKER | 33222 - RELOCATION POCKET PACEMAKER | '01/01/2017 | 12/31/2999 |
| 33223 | 33223 - Relocation of skin pocket for implantable defibrillator | 33223 - RELOCATE SKIN POCKET IMPLANTABLE DEFIBRILLATOR | 33223 - RELOCATE POCKET FOR DEFIB | '01/01/2017 | 12/31/2999 |
| 33224 | 33224 - Insertion of pacing electrode cardiac venous system for left ventricular pacing with attachment to previously placed pacemaker or implantable defibrillator pulse generator (including revision of pocket removal insertion and/or replacement of existing generator) | 33224 - INSJ ELTRD CAR VEN SYS ATTCH PREV PM/DFB PLS GEN | 33224 - INSERT PACING LEAD & CONNECT | '01/01/2017 | 12/31/2999 |
| 33225 | 33225 - Insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable defibrillator or pacemaker pulse generator (eg for upgrade to dual chamber system) (List separately in addition to code for primary procedure) | 33225 - INSJ ELTRD CAR VEN SYS TM INSJ DFB/PM PLS GEN | 33225 - L VENTRIC PACING LEAD ADD-ON | '01/01/2017 | 12/31/2999 |
| 33226 | 33226 - Repositioning of previously implanted cardiac venous system (left ventricular) electrode (including removal insertion and/or replacement of existing generator) | 33226 - RPSG PREV IMPLTED CAR VEN SYS L VENTR ELTRD | 33226 - REPOSITION L VENTRIC LEAD | '01/01/2017 | 12/31/2999 |
| 33227 | 33227 - Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; single lead system | 33227 - REMVL PERM PM PLSE GEN W/REPL PLSE GEN SNGL LEAD | 33227 - REMOVE&REPLACE PM GEN SINGL | '01/01/2017 | 12/31/2999 |
| 33228 | 33228 - Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; dual lead system | 33228 - REMVL PERM PM PLS GEN W/REPL PLSE GEN 2 LEAD SYS | 33228 - REMV&REPLC PM GEN DUAL LEAD | '01/01/2017 | 12/31/2999 |
| 33229 | 33229 - Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator; multiple lead system | 33229 - REMVL PERM PM PLS GEN W/REPL PLSE GEN MULT LEAD | 33229 - REMV&REPLC PM GEN MULT LEADS | '01/01/2017 | 12/31/2999 |
| 3322F | 3322F - Melanoma greater than AJCC Stage 0 or IA (ML) | 3322F - MELANOMA THAN AJCC STAGE 0 | 3322F - MELANOMAAJCC STAGE 0 OR IA | '01/01/2017 | 12/31/2999 |
| 33230 | 33230 - Insertion of implantable defibrillator pulse generator only; with existing dual leads | 33230 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST DUAL LEADS | 33230 - INSRT PULSE GEN W/DUAL LEADS | '01/01/2017 | 12/31/2999 |
| 33231 | 33231 - Insertion of implantable defibrillator pulse generator only; with existing multiple leads | 33231 - INSJ IMPLNTBL DEFIB PULSE GEN W/EXIST MULTILEADS | 33231 - INSRT PULSE GEN W/MULT LEADS | '01/01/2017 | 12/31/2999 |
| 33233 | 33233 - Removal of permanent pacemaker pulse generator only | 33233 - REMOVAL PERMANENT PACEMAKER PULSE GENERATOR ONLY | 33233 - REMOVAL OF PM GENERATOR | '01/01/2017 | 12/31/2999 |
| 33234 | 33234 - Removal of transvenous pacemaker electrode(s); single lead system atrial or ventricular | 33234 - RMVL TRANSVNS PM ELTRD 1 LEAD SYS ATR/VENTR | 33234 - REMOVAL OF PACEMAKER SYSTEM | '01/01/2017 | 12/31/2999 |
| 33235 | 33235 - Removal of transvenous pacemaker electrode(s); dual lead system | 33235 - RMVL TRANSVNS PM ELTRD DUAL LEAD SYS | 33235 - REMOVAL PACEMAKER ELECTRODE | '01/01/2017 | 12/31/2999 |
| 33236 | 33236 - Removal of permanent epicardial pacemaker and electrodes by thoracotomy; single lead system atrial or ventricular | 33236 - RMVL PRM EPICAR PM&ELTRDS THORCOM 1 LEAD SYS | 33236 - REMOVE ELECTRODE/THORACOTOMY | '01/01/2017 | 12/31/2999 |
| 33237 | 33237 - Removal of permanent epicardial pacemaker and electrodes by thoracotomy; dual lead system | 33237 - RMVL PRM EPICAR PM&ELTRDS THORCOM DUAL LEAD SY | 33237 - REMOVE ELECTRODE/THORACOTOMY | '01/01/2017 | 12/31/2999 |
| 33238 | 33238 - Removal of permanent transvenous electrode(s) by thoracotomy | 33238 - RMVL PRM TRANSVENOUS ELECTRODE THORACOTOMY | 33238 - REMOVE ELECTRODE/THORACOTOMY | '01/01/2017 | 12/31/2999 |
| 3323F | 3323F - Clinical tumor node and metastases (TNM) staging documented and reviewed prior to surgery (Lung/Esop Cx) | 3323F - CLIN TUMOR NODE METASTASES STAGE DOCD PRIOR SURG | 3323F - CLIN NODE STGNG DOCDB/4 SURG | '01/01/2017 | 12/31/2999 |
| 33240 | 33240 - Insertion of implantable defibrillator pulse generator only; with existing single lead | 33240 - INSJ IMPLNTBL DEFIB PULSE GEN W/1 EXISTING LD | 33240 - INSRT PULSE GEN W/SINGL LEAD | '01/01/2017 | 12/31/2999 |
| 33241 | 33241 - Removal of implantable defibrillator pulse generator only | 33241 - REMOVAL IMPLANTABLE DEFIB PULSE GENERATOR ONLY | 33241 - REMOVE PULSE GENERATOR | '01/01/2017 | 12/31/2999 |
| 33243 | 33243 - Removal of single or dual chamber implantable defibrillator electrode(s); by thoracotomy | 33243 - RMVL 1/DUAL CHAMBER DEFIB ELECTRODE BY THORACOM | 33243 - REMOVE ELTRD/THORACOTOMY | '01/01/2017 | 12/31/2999 |
| 33244 | 33244 - Removal of single or dual chamber implantable defibrillator electrode(s); by transvenous extraction | 33244 - RMVL1/DUAL CHMBR IMPLTBL DFB ELTRD TRANSVNS XTRJ | 33244 - REMOVE ELCTRD TRANSVENOUSLY | '01/01/2017 | 12/31/2999 |
| 33249 | 33249 - Insertion or replacement of permanent implantable defibrillator system with transvenous lead(s) single or dual chamber | 33249 - INSJ/RPLCMT PERM DFB W/TRNSVNS LDS 1/DUAL CHMBR | 33249 - INSJ/RPLCMT DEFIB W/LEAD(S) | '01/01/2017 | 12/31/2999 |
| 3324F | 3324F - MRI or CT scan ordered reviewed or requested (EPI) | 3324F - MRI CT SCAN ORDERED REVIEWED/REQUESTED | 3324F - MRI CT SCAN ORD RVWD RQSTD | '01/01/2017 | 12/31/2999 |
| 33250 | 33250 - Operative ablation of supraventricular arrhythmogenic focus or pathway (eg Wolff-Parkinson-White atrioventricular node re-entry) tract(s) and/or focus (foci); without cardiopulmonary bypass | 33250 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/O BYPASS | 33250 - ABLATE HEART DYSRHYTHM FOCUS | '01/01/2017 | 12/31/2999 |
| 33251 | 33251 - Operative ablation of supraventricular arrhythmogenic focus or pathway (eg Wolff-Parkinson-White atrioventricular node re-entry) tract(s) and/or focus (foci); with cardiopulmonary bypass | 33251 - ABLATION ARRHYTHMOGENIC FOCI/PATHWAY W/BYPASS | 33251 - ABLATE HEART DYSRHYTHM FOCUS | '01/01/2017 | 12/31/2999 |
| 33254 | 33254 - Operative tissue ablation and reconstruction of atria limited (eg modified maze procedure) | 33254 - ABLATION & RECONSTRUCTION ATRIA LIMITED | 33254 - ABLATE ATRIA LMTD | '01/01/2017 | 12/31/2999 |
| 33255 | 33255 - Operative tissue ablation and reconstruction of atria extensive (eg maze procedure); without cardiopulmonary bypass | 33255 - ABLATION & RCNSTJ ATRIA EXTNSV W/O BYPASS | 33255 - ABLATE ATRIA W/O BYPASS EXT | '01/01/2017 | 12/31/2999 |
| 33256 | 33256 - Operative tissue ablation and reconstruction of atria extensive (eg maze procedure); with cardiopulmonary bypass | 33256 - ABLATION & RCNSTJ ATRIA EXTNSV W/BYPASS | 33256 - ABLATE ATRIA W/BYPASS EXTEN | '01/01/2017 | 12/31/2999 |
| 33257 | 33257 - Operative tissue ablation and reconstruction of atria performed at the time of other cardiac procedure(s) limited (eg modified maze procedure) (List separately in addition to code for primary procedure) | 33257 - ATRIA ABLATE & RCNSTJ W/OTHER PROCEDURE LIMITE | 33257 - ABLATE ATRIA LMTD ADD-ON | '01/01/2017 | 12/31/2999 |
| 33258 | 33258 - Operative tissue ablation and reconstruction of atria performed at the time of other cardiac procedure(s) extensive (eg maze procedure) without cardiopulmonary bypass (List separately in addition to code for primary procedure) | 33258 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTENSIV W/O BYP | 33258 - ABLATE ATRIA X10SV ADD-ON | '01/01/2017 | 12/31/2999 |
| 33259 | 33259 - Operative tissue ablation and reconstruction of atria performed at the time of other cardiac procedure(s) extensive (eg maze procedure) with cardiopulmonary bypass (List separately in addition to code for primary procedure) | 33259 - ATRIA ABLTJ & RCNSTJ W/OTHER PX EXTEN W/BYPASS | 33259 - ABLATE ATRIA W/BYPASS ADD-ON | '01/01/2017 | 12/31/2999 |
| 3325F | 3325F - Preoperative assessment of functional or medical indication(s) for surgery prior to the cataract surgery with intraocular lens placement (must be performed within 12 months prior to cataract surgery) (EC) | 3325F - PREOP ASSES 12 MOS PRIOR CATARACT SURG W/IO LENS | 3325F - PREOP ASSES 4 CATARACT SURG | '01/01/2017 | 12/31/2999 |
| 33261 | 33261 - Operative ablation of ventricular arrhythmogenic focus with cardiopulmonary bypass | 33261 - OPRATIVE ABLTJ VENTR ARRHYTHMOGENIC FOC W/BYPASS | 33261 - ABLATE HEART DYSRHYTHM FOCUS | '01/01/2017 | 12/31/2999 |
| 33262 | 33262 - Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; single lead system | 33262 - RMVL IMPLTBL DFB PLSE GEN W/REPL PLSE GEN 1 LEAD | 33262 - RMVL& REPLC PULSE GEN 1 LEAD | '01/01/2017 | 12/31/2999 |
| 33263 | 33263 - Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; dual lead system | 33263 - RMVL IMPLTBL DFB PLSE GEN W/RPLCMT PLSE GEN 2 LD | 33263 - RMVL & RPLCMT DFB GEN 2 LEAD | '01/01/2017 | 12/31/2999 |
| 33264 | 33264 - Removal of implantable defibrillator pulse generator with replacement of implantable defibrillator pulse generator; multiple lead system | 33264 - RMVL IMPLTBL DFB PLS GEN W/RPLCMT PLS GEN MLT LD | 33264 - RMVL & RPLCMT DFB GEN MLT LD | '01/01/2017 | 12/31/2999 |
| 33265 | 33265 - Endoscopy surgical; operative tissue ablation and reconstruction of atria limited (eg modified maze procedure) without cardiopulmonary bypass | 33265 - NDSC ABLATION & RCNSTJ ATRIA LIMITED W/O BYPAS | 33265 - ABLATE ATRIA LMTD ENDO | '01/01/2017 | 12/31/2999 |
| 33266 | 33266 - Endoscopy surgical; operative tissue ablation and reconstruction of atria extensive (eg maze procedure) without cardiopulmonary bypass | 33266 - NDSC ABLATION & RCNSTJ ATRIA EXTEN W/O BYPASS | 33266 - ABLATE ATRIA X10SV ENDO | '01/01/2017 | 12/31/2999 |
| 33267 | 33267 - Exclusion of left atrial appendage open any method (eg excision isolation via stapling oversewing ligation plication clip) | 33267 - EXCLUSION LEFT ATRIAL APPENDAGE OPEN ANY METHOD | 33267 - EXCL LAA OPEN ANY METHOD | '01/01/2022 | 12/31/2999 |
| 33268 | 33268 - Exclusion of left atrial appendage open performed at the time of other sternotomy or thoracotomy procedure(s) any method (eg excision isolation via stapling oversewing ligation plication clip) (List separately in addition to code for primary procedure) | 33268 - EXCLUSION LAA OPEN TM STRNT/THRCM ANY METHOD | 33268 - EXCL LAA OPN OTH PX ANY METH | '01/01/2022 | 12/31/2999 |
| 33269 | 33269 - Exclusion of left atrial appendage thoracoscopic any method (eg excision isolation via stapling oversewing ligation plication clip) | 33269 - EXCLUSION L ATR APPENDAGE THORACOSCOPIC ANY METH | 33269 - EXCL LAA THRSCP ANY METHOD | '01/01/2022 | 12/31/2999 |
| 33270 | 33270 - Insertion or replacement of permanent subcutaneous implantable defibrillator system with subcutaneous electrode including defibrillation threshold evaluation induction of arrhythmia evaluation of sensing for arrhythmia termination and programming or reprogramming of sensing or therapeutic parameters when performed | 33270 - INS/RPLCMNT PERM SUBQ IMPLTBL DFB W/SUBQ ELTRD | 33270 - INS/REP SUBQ DEFIBRILLATOR | '01/01/2017 | 12/31/2999 |
| 33271 | 33271 - Insertion of subcutaneous implantable defibrillator electrode | 33271 - INSJ OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE | 33271 - INSJ SUBQ IMPLTBL DFB ELCTRD | '01/01/2017 | 12/31/2999 |
| 33272 | 33272 - Removal of subcutaneous implantable defibrillator electrode | 33272 - RMVL OF SUBQ IMPLANTABLE DEFIBRILLATOR ELECTRODE | 33272 - RMVL OF SUBQ DEFIBRILLATOR | '01/01/2017 | 12/31/2999 |
| 33273 | 33273 - Repositioning of previously implanted subcutaneous implantable defibrillator electrode | 33273 - REPOS PREVIOUSLY IMPLANTED SUBQ IMPLANTABLE DFB | 33273 - REPOS PREV IMPLTBL SUBQ DFB | '01/01/2017 | 12/31/2999 |
| 33274 | 33274 - Transcatheter insertion or replacement of permanent leadless pacemaker right ventricular including imaging guidance (eg fluoroscopy venous ultrasound ventriculography femoral venography) and device evaluation (eg interrogation or programming) when performed | 33274 - TCAT INSJ/RPL PERM LEADLESS PACEMAKER RV W/IMG | 33274 - TCAT INSJ/RPL PERM LDLS PM | '01/01/2019 | 12/31/2999 |
| 33275 | 33275 - Transcatheter removal of permanent leadless pacemaker right ventricular including imaging guidance (eg fluoroscopy venous ultrasound ventriculography femoral venography) when performed | 33275 - TCAT REMOVAL PERM LEADLESS PM RIGHT VENTR W/IMG | 33275 - TCAT RMVL PERM LDLS PM W/IMG | '01/01/2020 | 12/31/2999 |
| 33285 | 33285 - Insertion subcutaneous cardiac rhythm monitor including programming | 33285 - INSERTION SUBQ CARDIAC RHYTHM MONITOR W/PRGRMG | 33285 - INSJ SUBQ CAR RHYTHM MNTR | '01/01/2019 | 12/31/2999 |
| 33286 | 33286 - Removal subcutaneous cardiac rhythm monitor | 33286 - REMOVAL SUBCUTANEOUS CARDIAC RHYTHM MONITOR | 33286 - RMVL SUBQ CAR RHYTHM MNTR | '01/01/2019 | 12/31/2999 |
| 33289 | 33289 - Transcatheter implantation of wireless pulmonary artery pressure sensor for long-term hemodynamic monitoring including deployment and calibration of the sensor right heart catheterization selective pulmonary catheterization radiological supervision and interpretation and pulmonary artery angiography when performed | 33289 - TCAT IMPL WRLS P-ART PRS SNR L-T HEMODYN MNTR | 33289 - TCAT IMPL WRLS P-ART PRS SNR | '01/01/2019 | 12/31/2999 |
| 3328F | 3328F - Performance status documented and reviewed within 2 weeks prior to surgery (Lung/Esop Cx) | 3328F - PERFORMANCE STATUS DOCD RVWD 2 WKS PRIOR SURG | 3328F - PRFRMNC DOCD 2 WKS B/4 SURG | '01/01/2017 | 12/31/2999 |
| 33300 | 33300 - Repair of cardiac wound; without bypass | 33300 - REPAIR CARDIAC WOUND W/O BYPASS | 33300 - REPAIR OF HEART WOUND | '01/01/2017 | 12/31/2999 |
| 33305 | 33305 - Repair of cardiac wound; with cardiopulmonary bypass | 33305 - REPAIR CARDIAC WOUND W/CARDIOPULMONARY BYPASS | 33305 - REPAIR OF HEART WOUND | '01/01/2017 | 12/31/2999 |
| 3330F | 3330F - Imaging study ordered (BkP) | 3330F - IMAGING STUDY ORDERED | 3330F - IMAGING STUDY ORDERED (BKP) | '01/01/2017 | 12/31/2999 |
| 33310 | 33310 - Cardiotomy exploratory (includes removal of foreign body atrial or ventricular thrombus); without bypass | 33310 - CARDIOT EXPL W/RMVL FB ATR/VENTR THRMB W/O BYP | 33310 - EXPLORATORY HEART SURGERY | '01/01/2017 | 12/31/2999 |
| 33315 | 33315 - Cardiotomy exploratory (includes removal of foreign body atrial or ventricular thrombus); with cardiopulmonary bypass | 33315 - CARDIOT EXPL RMVL FB ATR/VENTR THRMB CARD BYP | 33315 - EXPLORATORY HEART SURGERY | '01/01/2017 | 12/31/2999 |
| 3331F | 3331F - Imaging study not ordered (BkP) | 3331F - IMAGING STUDY NOT ORDERED | 3331F - BK IMAGING TST NOT ORDERED | '01/01/2017 | 12/31/2999 |
| 33320 | 33320 - Suture repair of aorta or great vessels; without shunt or cardiopulmonary bypass | 33320 - SUTR RPR AORTA/GRT VSL W/O SHUNT/CARD BYP | 33320 - REPAIR MAJOR BLOOD VESSEL(S) | '01/01/2017 | 12/31/2999 |
| 33321 | 33321 - Suture repair of aorta or great vessels; with shunt bypass | 33321 - SUTR RPR AORTA/GREAT VESSEL W/SHUNT BYPASS | 33321 - REPAIR MAJOR VESSEL | '01/01/2017 | 12/31/2999 |
| 33322 | 33322 - Suture repair of aorta or great vessels; with cardiopulmonary bypass | 33322 - SUTURE REPAIR AORTA/GREAT VESSEL W/BYPASS | 33322 - REPAIR MAJOR BLOOD VESSEL(S) | '01/01/2017 | 12/31/2999 |
| 33330 | 33330 - Insertion of graft aorta or great vessels; without shunt or cardiopulmonary bypass | 33330 - INSJ GRAFT AORTA/GREAT VESSEL W/O SHUNT/BYPASS | 33330 - INSERT MAJOR VESSEL GRAFT | '01/01/2017 | 12/31/2999 |
| 33335 | 33335 - Insertion of graft aorta or great vessels; with cardiopulmonary bypass | 33335 - INSJ GRAFT AORTA/GREAT VESSEL W/BYPASS | 33335 - INSERT MAJOR VESSEL GRAFT | '01/01/2017 | 12/31/2999 |
| 33340 | 33340 - Percutaneous transcatheter closure of the left atrial appendage with endocardial implant including fluoroscopy transseptal puncture catheter placement(s) left atrial angiography left atrial appendage angiography when performed and radiological supervision and interpretation | 33340 - PERQ CLSR TCAT L ATR APNDGE W/ENDOCARDIAL IMPLNT | 33340 - PERQ CLSR TCAT L ATR APNDGE | '01/01/2017 | 12/31/2999 |
| 33361 | 33361 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; percutaneous femoral artery approach | 33361 - REPLACE AORTIC VALVE PERQ FEMORAL ARTRY APPROACH | 33361 - REPLACE AORTIC VALVE PERQ | '01/01/2017 | 12/31/2999 |
| 33362 | 33362 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open femoral artery approach | 33362 - REPLACE AORTIC VALVE OPENFEMORAL ARTERY APPROACH | 33362 - REPLACE AORTIC VALVE OPEN | '01/01/2017 | 12/31/2999 |
| 33363 | 33363 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open axillary artery approach | 33363 - REPLACE AORTIC VALVE OPEN AXILLRY ARTRY APPROACH | 33363 - REPLACE AORTIC VALVE OPEN | '01/01/2017 | 12/31/2999 |
| 33364 | 33364 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; open iliac artery approach | 33364 - REPLACE AORTIC VALVE OPEN ILIAC ARTERY APPROACH | 33364 - REPLACE AORTIC VALVE OPEN | '01/01/2017 | 12/31/2999 |
| 33365 | 33365 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transaortic approach (eg median sternotomy mediastinotomy) | 33365 - REPLACE AORTIC VALVE OPEN TRANSAORTIC APPROACH | 33365 - REPLACE AORTIC VALVE OPEN | '01/01/2017 | 12/31/2999 |
| 33366 | 33366 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; transapical exposure (eg left thoracotomy) | 33366 - TRANSCATHETER TRANSAPICAL REPLACEMT AORTIC VALVE | 33366 - TRCATH REPLACE AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33367 | 33367 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with percutaneous peripheral arterial and venous cannulation (eg femoral vessels) (List separately in addition to code for primary procedure) | 33367 - REPLACE AORTIC VALVE W/BYP PRQ ART/VENOUS APPRCH | 33367 - REPLACE AORTIC VALVE W/BYP | '01/01/2017 | 12/31/2999 |
| 33368 | 33368 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with open peripheral arterial and venous cannulation (eg femoral iliac axillary vessels) (List separately in addition to code for primary procedure) | 33368 - REPLACE AORTIC VALVE W/BYP OPEN ART/VENOUS APRCH | 33368 - REPLACE AORTIC VALVE W/BYP | '01/01/2017 | 12/31/2999 |
| 33369 | 33369 - Transcatheter aortic valve replacement (TAVR/TAVI) with prosthetic valve; cardiopulmonary bypass support with central arterial and venous cannulation (eg aorta right atrium pulmonary artery) (List separately in addition to code for primary procedure) | 33369 - REPLACE AORTA VALVE W/BYP CNTRL ART/VENOUS APRCH | 33369 - REPLACE AORTIC VALVE W/BYP | '01/01/2017 | 12/31/2999 |
| 33370 | 33370 - Transcatheter placement and subsequent removal of cerebral embolic protection device(s) including arterial access catheterization imaging and radiological supervision and interpretation percutaneous (List separately in addition to code for primary procedure) | 33370 - TRANSCATHETER PLACEMENT&SBSQ REMOVAL CEPD PERQ | 33370 - TCAT PLMT&RMVL CEPD PERQ | '01/01/2022 | 12/31/2999 |
| 33390 | 33390 - Valvuloplasty aortic valve open with cardiopulmonary bypass; simple (ie valvotomy debridement debulking and/or simple commissural resuspension) | 33390 - VALVULOPLASTY AORTIC VALVE OPEN CARD BYP SIMPLE | 33390 - VALVULOPLASTY AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33391 | 33391 - Valvuloplasty aortic valve open with cardiopulmonary bypass; complex (eg leaflet extension leaflet resection leaflet reconstruction or annuloplasty) | 33391 - VALVULOPLASTY AORTIC VALVE OPEN CARD BYP COMPLEX | 33391 - VALVULOPLASTY AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33404 | 33404 - Construction of apical-aortic conduit | 33404 - CONSTRUCTION APICAL-AORTIC CONDUIT | 33404 - PREPARE HEART-AORTA CONDUIT | '01/01/2017 | 12/31/2999 |
| 33405 | 33405 - Replacement aortic valve open with cardiopulmonary bypass; with prosthetic valve other than homograft or stentless valve | 33405 - RPLCMT PROST AORTIC VALVE OPEN XCP HOMOGRF/STENT | 33405 - REPLACEMENT AORTIC VALVE OPN | '01/01/2017 | 12/31/2999 |
| 33406 | 33406 - Replacement aortic valve open with cardiopulmonary bypass; with allograft valve (freehand) | 33406 - RPLCMT AORTIC VALVE OPN ALLOGRAFT VALVE FREEHAND | 33406 - REPLACEMENT AORTIC VALVE OPN | '01/01/2017 | 12/31/2999 |
| 3340F | 3340F - Mammogram assessment category of incomplete: need additional imaging evaluation documented (RAD) | 3340F - MAMMO ASSESSMENT CAT INCOMP ADDTNL IMAGE DOCD | 3340F - MAMMO ASSESS INC XRAY DOCD | '01/01/2021 | 12/31/2999 |
| 33410 | 33410 - Replacement aortic valve open with cardiopulmonary bypass; with stentless tissue valve | 33410 - RPLCMT AORTIC VALVE OPN W/STENTLESS TISSUE VALVE | 33410 - REPLACEMENT AORTIC VALVE OPN | '01/01/2017 | 12/31/2999 |
| 33411 | 33411 - Replacement aortic valve; with aortic annulus enlargement noncoronary sinus | 33411 - RPLCMT AORTIC VALVE ANNULUS ENLGMENT NONC SINUS | 33411 - REPLACEMENT OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33412 | 33412 - Replacement aortic valve; with transventricular aortic annulus enlargement (Konno procedure) | 33412 - REPLACEMENT AORTIC VALVE KONNO PROCEDURE | 33412 - REPLACEMENT OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33413 | 33413 - Replacement aortic valve; by translocation of autologous pulmonary valve with allograft replacement of pulmonary valve (Ross procedure) | 33413 - REPLACEMENT AORTIC&PULMON VALVES ROSS PROCEDUR | 33413 - REPLACEMENT OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33414 | 33414 - Repair of left ventricular outflow tract obstruction by patch enlargement of the outflow tract | 33414 - RPR VENTR O/F TRC OBSTRCJ PATCH ENLGMENT O/F TRC | 33414 - REPAIR OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33415 | 33415 - Resection or incision of subvalvular tissue for discrete subvalvular aortic stenosis | 33415 - RESECTION/INCISION SUBVALVULAR TISSUE | 33415 - REVISION SUBVALVULAR TISSUE | '01/01/2017 | 12/31/2999 |
| 33416 | 33416 - Ventriculomyotomy (-myectomy) for idiopathic hypertrophic subaortic stenosis (eg asymmetric septal hypertrophy) | 33416 - VENTRICULOMYOTOMY-MYECTOMY | 33416 - REVISE VENTRICLE MUSCLE | '01/01/2017 | 12/31/2999 |
| 33417 | 33417 - Aortoplasty (gusset) for supravalvular stenosis | 33417 - AORTOPLASTY SUPRAVALVULAR STENOSIS | 33417 - REPAIR OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 33418 | 33418 - Transcatheter mitral valve repair percutaneous approach including transseptal puncture when performed; initial prosthesis | 33418 - TCAT MITRAL VALVE REPAIR INITIAL PROSTHESIS | 33418 - REPAIR TCAT MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 33419 | 33419 - Transcatheter mitral valve repair percutaneous approach including transseptal puncture when performed; additional prosthesis(es) during same session (List separately in addition to code for primary procedure) | 33419 - TCAT MITRAL VALVE REPAIR ADDL PROSTHESIS | 33419 - REPAIR TCAT MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 3341F | 3341F - Mammogram assessment category of negative documented (RAD) | 3341F - MAMMO ASSESSMENT CAT NEGATIVE DOCD | 3341F - MAMMO ASSESS NEGATIVE DOCD | '01/01/2021 | 12/31/2999 |
| 33420 | 33420 - Valvotomy mitral valve; closed heart | 33420 - VALVOTOMY MITRAL VALVE CLOSED HEART | 33420 - REVISION OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 33422 | 33422 - Valvotomy mitral valve; open heart with cardiopulmonary bypass | 33422 - VALVOTOMY MITRAL VALVE OPEN HEART W/BYPASS | 33422 - REVISION OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 33425 | 33425 - Valvuloplasty mitral valve with cardiopulmonary bypass; | 33425 - VALVULOPLASTY MITRAL VALVE W/CARDIAC BYPASS | 33425 - REPAIR OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 33426 | 33426 - Valvuloplasty mitral valve with cardiopulmonary bypass; with prosthetic ring | 33426 - VLVP MITRAL VALVE W/CARD BYP W/PROSTC RING | 33426 - REPAIR OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 33427 | 33427 - Valvuloplasty mitral valve with cardiopulmonary bypass; radical reconstruction with or without ring | 33427 - VLVP MITRAL VALVE W/BYPASS RAD RCNSTJ W/WO RING | 33427 - REPAIR OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 3342F | 3342F - Mammogram assessment category of benign documented (RAD) | 3342F - MAMMO ASSESSMENT CAT BENIGN DOCD | 3342F - MAMMO ASSESS BENGN DOCD | '01/01/2021 | 12/31/2999 |
| 33430 | 33430 - Replacement mitral valve with cardiopulmonary bypass | 33430 - REPLACEMENT MITRAL VALVE W/CARDIOPULMONARY BYP | 33430 - REPLACEMENT OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 3343F | 3343F - Mammogram assessment category of probably benign documented (RAD) | 3343F - MAMMO ASSESSMENT CAT PROB BENIGN DOCD | 3343F - MAMMO PROBABLY BENGN DOCD | '01/01/2021 | 12/31/2999 |
| 33440 | 33440 - Replacement aortic valve; by translocation of autologous pulmonary valve and transventricular aortic annulus enlargement of the left ventricular outflow tract with valved conduit replacement of pulmonary valve (Ross-Konno procedure) | 33440 - RPLCMT AORTIC VALVE BY TLCJ AUTOL PULM VALVE | 33440 - RPLCMT A-VALVE TLCJ AUTOL PV | '01/01/2019 | 12/31/2999 |
| 3344F | 3344F - Mammogram assessment category of suspicious documented (RAD) | 3344F - MAMMO ASSESSMENT CAT SUSPICIOUS DOCD | 3344F - MAMMO ASSESS SUSP DOCD | '01/01/2021 | 12/31/2999 |
| 3345F | 3345F - Mammogram assessment category of highly suggestive of malignancy documented (RAD) | 3345F - MAMMO ASSESSMENT CAT HIGH CHANCE MALIG DOCD | 3345F - MAMMO ASSESS HGHLYMALIG DOC | '01/01/2021 | 12/31/2999 |
| 33460 | 33460 - Valvectomy tricuspid valve with cardiopulmonary bypass | 33460 - VALVECTOMY TRICUSPID VALVE W/CARDIOPULMONARY BYP | 33460 - REVISION OF TRICUSPID VALVE | '01/01/2017 | 12/31/2999 |
| 33463 | 33463 - Valvuloplasty tricuspid valve; without ring insertion | 33463 - VALVULOPLASTY TRICUSPID VALVE W/O RING INSERTION | 33463 - VALVULOPLASTY TRICUSPID | '01/01/2017 | 12/31/2999 |
| 33464 | 33464 - Valvuloplasty tricuspid valve; with ring insertion | 33464 - VALVULOPLASTY TRICUSPID VALVE W/RING INSERTION | 33464 - VALVULOPLASTY TRICUSPID | '01/01/2017 | 12/31/2999 |
| 33465 | 33465 - Replacement tricuspid valve with cardiopulmonary bypass | 33465 - REPLACEMENT TRICUSPID VALVE W/CARD BYPASS | 33465 - REPLACE TRICUSPID VALVE | '01/01/2017 | 12/31/2999 |
| 33468 | 33468 - Tricuspid valve repositioning and plication for Ebstein anomaly | 33468 - TRICUSPID VALVE RPSG&PLCTJ EBSTEIN ANOMALY | 33468 - REVISION OF TRICUSPID VALVE | '01/01/2017 | 12/31/2999 |
| 33471 | 33471 - Valvotomy pulmonary valve closed heart via pulmonary artery | 33471 - VALVOTOMY PULM VALVE CLSD HEART VIA PULM ARTERY | 33471 - VLVT PV CLSD HRT VIA P-ART | '01/01/2022 | 12/31/2999 |
| 33474 | 33474 - Valvotomy pulmonary valve open heart with cardiopulmonary bypass | 33474 - VALVOTOMY PULMONARY VALVE OPEN HEART W/BYPASS | 33474 - REVISION OF PULMONARY VALVE | '01/01/2017 | 12/31/2999 |
| 33475 | 33475 - Replacement pulmonary valve | 33475 - REPLACEMENT PULMONARY VALVE | 33475 - REPLACEMENT PULMONARY VALVE | '01/01/2017 | 12/31/2999 |
| 33476 | 33476 - Right ventricular resection for infundibular stenosis with or without commissurotomy | 33476 - R VENTRIC RESCJ INFUND STEN W/WO COMMISSUROTOMY | 33476 - REVISION OF HEART CHAMBER | '01/01/2017 | 12/31/2999 |
| 33477 | 33477 - Transcatheter pulmonary valve implantation percutaneous approach including pre-stenting of the valve delivery site when performed | 33477 - TCAT PULMONARY VALVE IMPLANTATION PRQ APPROACH | 33477 - IMPLANT TCAT PULM VLV PERQ | '01/01/2017 | 12/31/2999 |
| 33478 | 33478 - Outflow tract augmentation (gusset) with or without commissurotomy or infundibular resection | 33478 - OUTFLOW TRACT AGMNTJ W/WO COMMISSUR/INFUND RESCJ | 33478 - REVISION OF HEART CHAMBER | '01/01/2017 | 12/31/2999 |
| 33496 | 33496 - Repair of non-structural prosthetic valve dysfunction with cardiopulmonary bypass (separate procedure) | 33496 - RPR NON-STRUCT PROSTC VALVE DYSFUNCTION W/BYPASS | 33496 - REPAIR PROSTH VALVE CLOT | '01/01/2017 | 12/31/2999 |
| 33500 | 33500 - Repair of coronary arteriovenous or arteriocardiac chamber fistula; with cardiopulmonary bypass | 33500 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/BYPASS | 33500 - REPAIR HEART VESSEL FISTULA | '01/01/2017 | 12/31/2999 |
| 33501 | 33501 - Repair of coronary arteriovenous or arteriocardiac chamber fistula; without cardiopulmonary bypass | 33501 - RPR CORONARY AV/ARTERIOCAR CHMBR FSTL W/O BYPASS | 33501 - REPAIR HEART VESSEL FISTULA | '01/01/2017 | 12/31/2999 |
| 33502 | 33502 - Repair of anomalous coronary artery from pulmonary artery origin; by ligation | 33502 - RPR ANOM CORONARY ART PULM ART ORIGIN LIGATION | 33502 - CORONARY ARTERY CORRECTION | '01/01/2017 | 12/31/2999 |
| 33503 | 33503 - Repair of anomalous coronary artery from pulmonary artery origin; by graft without cardiopulmonary bypass | 33503 - RPR ANOM CORONARY ARTERY PULM ART ORIGIN GRAFT | 33503 - CORONARY ARTERY GRAFT | '01/01/2017 | 12/31/2999 |
| 33504 | 33504 - Repair of anomalous coronary artery from pulmonary artery origin; by graft with cardiopulmonary bypass | 33504 - RPR ANOM CORONARY ART PULM ART ORIGIN GRF W/BYP | 33504 - CORONARY ARTERY GRAFT | '01/01/2017 | 12/31/2999 |
| 33505 | 33505 - Repair of anomalous coronary artery from pulmonary artery origin; with construction of intrapulmonary artery tunnel (Takeuchi procedure) | 33505 - RPR ANOM CORON ART W/CONSTJ INTRAPULM ART TUNNEL | 33505 - REPAIR ARTERY W/TUNNEL | '01/01/2017 | 12/31/2999 |
| 33506 | 33506 - Repair of anomalous coronary artery from pulmonary artery origin; by translocation from pulmonary artery to aorta | 33506 - RPR ANOM CORONARY ART FROM PULM ART TO AORTA | 33506 - REPAIR ARTERY TRANSLOCATION | '01/01/2017 | 12/31/2999 |
| 33507 | 33507 - Repair of anomalous (eg intramural) aortic origin of coronary artery by unroofing or translocation | 33507 - RPR ANOM AORTIC ORIGIN CORONARY ART UNROOF/TLCJ | 33507 - REPAIR ART INTRAMURAL | '01/01/2017 | 12/31/2999 |
| 33508 | 33508 - Endoscopy surgical including video-assisted harvest of vein(s) for coronary artery bypass procedure (List separately in addition to code for primary procedure) | 33508 - NDSC SURG W/VIDEO-ASSISTED HARVEST VEIN CABG | 33508 - ENDOSCOPIC VEIN HARVEST | '01/01/2017 | 12/31/2999 |
| 33509 | 33509 - Harvest of upper extremity artery 1 segment for coronary artery bypass procedure endoscopic | 33509 - ENDOSCOPIC HARVEST UXTR ARTERY 1 SEGMENT CAB PX | 33509 - NDSC HRV UXTR ART 1 SGM CAB | '01/01/2022 | 12/31/2999 |
| 3350F | 3350F - Mammogram assessment category of known biopsy proven malignancy documented (RAD) | 3350F - MAMMO ASSESSMENT CAT BIOPSY PROVEN MALIG DOCD | 3350F - MAMMO BX PROVEN MALIG DOCD | '01/01/2021 | 12/31/2999 |
| 33510 | 33510 - Coronary artery bypass vein only; single coronary venous graft | 33510 - CORONARY ARTERY BYPASS 1 CORONARY VENOUS GRAFT | 33510 - CABG VEIN SINGLE | '01/01/2017 | 12/31/2999 |
| 33511 | 33511 - Coronary artery bypass vein only; 2 coronary venous grafts | 33511 - CORONARY ARTERY BYPASS 2 CORONARY VENOUS GRAFTS | 33511 - CABG VEIN TWO | '01/01/2017 | 12/31/2999 |
| 33512 | 33512 - Coronary artery bypass vein only; 3 coronary venous grafts | 33512 - CORONARY ARTERY BYPASS 3 CORONARY VENOUS GRAFTS | 33512 - CABG VEIN THREE | '01/01/2017 | 12/31/2999 |
| 33513 | 33513 - Coronary artery bypass vein only; 4 coronary venous grafts | 33513 - CORONARY ARTERY BYPASS 4 CORONARY VENOUS GRAFTS | 33513 - CABG VEIN FOUR | '01/01/2017 | 12/31/2999 |
| 33514 | 33514 - Coronary artery bypass vein only; 5 coronary venous grafts | 33514 - CORONARY ARTERY BYPASS 5 CORONARY VENOUS GRAFTS | 33514 - CABG VEIN FIVE | '01/01/2017 | 12/31/2999 |
| 33516 | 33516 - Coronary artery bypass vein only; 6 or more coronary venous grafts | 33516 - CORONARY ARTERY BYPASS 6/+ CORONARY VENOUS GRAFT | 33516 - CABG VEIN SIX OR MORE | '01/01/2017 | 12/31/2999 |
| 33517 | 33517 - Coronary artery bypass using venous graft(s) and arterial graft(s); single vein graft (List separately in addition to code for primary procedure) | 33517 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 1 VEIN | 33517 - CABG ARTERY-VEIN SINGLE | '01/01/2017 | 12/31/2999 |
| 33518 | 33518 - Coronary artery bypass using venous graft(s) and arterial graft(s); 2 venous grafts (List separately in addition to code for primary procedure) | 33518 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 2 VEIN | 33518 - CABG ARTERY-VEIN TWO | '01/01/2017 | 12/31/2999 |
| 33519 | 33519 - Coronary artery bypass using venous graft(s) and arterial graft(s); 3 venous grafts (List separately in addition to code for primary procedure) | 33519 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 3 VEIN | 33519 - CABG ARTERY-VEIN THREE | '01/01/2017 | 12/31/2999 |
| 3351F | 3351F - Negative screen for depressive symptoms as categorized by using a standardized depression screening/assessment tool (MDD) | 3351F - NEG DEP SYMP CAT USING STAND DEP ASSESS TOOL | 3351F - NEG SCRN DEP SYMP BY DEPTOOL | '01/01/2017 | 12/31/2999 |
| 33521 | 33521 - Coronary artery bypass using venous graft(s) and arterial graft(s); 4 venous grafts (List separately in addition to code for primary procedure) | 33521 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 4 VEIN | 33521 - CABG ARTERY-VEIN FOUR | '01/01/2017 | 12/31/2999 |
| 33522 | 33522 - Coronary artery bypass using venous graft(s) and arterial graft(s); 5 venous grafts (List separately in addition to code for primary procedure) | 33522 - CORONARY ARTERY BYP W/VEIN & ARTERY GRAFT 5 VEIN | 33522 - CABG ARTERY-VEIN FIVE | '01/01/2017 | 12/31/2999 |
| 33523 | 33523 - Coronary artery bypass using venous graft(s) and arterial graft(s); 6 or more venous grafts (List separately in addition to code for primary procedure) | 33523 - CORONARY ARTERY BYP W/VEIN &ARTERY GRAFT 6 VEIN | 33523 - CABG ART-VEIN SIX OR MORE | '01/01/2017 | 12/31/2999 |
| 3352F | 3352F - No significant depressive symptoms as categorized by using a standardized depression assessment tool (MDD) | 3352F - NO SIGNIF DEP SYMP CAT BY STAND DEP ASSESS TOOL | 3352F - NO SIG DEP SYMP BY DEP TOOL | '01/01/2017 | 12/31/2999 |
| 33530 | 33530 - Reoperation coronary artery bypass procedure or valve procedure more than 1 month after original operation (List separately in addition to code for primary procedure) | 33530 - ROPRTJ CAB/VALVE PX > 1 MO AFTER ORIGINAL OPERJ | 33530 - CORONARY ARTERY BYPASS/REOP | '01/01/2017 | 12/31/2999 |
| 33533 | 33533 - Coronary artery bypass using arterial graft(s); single arterial graft | 33533 - CABG W/ARTERIAL GRAFT SINGLE ARTERIAL GRAFT | 33533 - CABG ARTERIAL SINGLE | '01/01/2017 | 12/31/2999 |
| 33534 | 33534 - Coronary artery bypass using arterial graft(s); 2 coronary arterial grafts | 33534 - CABG W/ARTERIAL GRAFT TWO ARTERIAL GRAFTS | 33534 - CABG ARTERIAL TWO | '01/01/2017 | 12/31/2999 |
| 33535 | 33535 - Coronary artery bypass using arterial graft(s); 3 coronary arterial grafts | 33535 - CABG W/ARTERIAL GRAFT THREE ARTERIAL GRAFTS | 33535 - CABG ARTERIAL THREE | '01/01/2017 | 12/31/2999 |
| 33536 | 33536 - Coronary artery bypass using arterial graft(s); 4 or more coronary arterial grafts | 33536 - CABG W/ARTERIAL GRAFT FOUR/>ARTERIAL GRAFTS | 33536 - CABG ARTERIAL FOUR OR MORE | '01/01/2017 | 12/31/2999 |
| 3353F | 3353F - Mild to moderate depressive symptoms as categorized by using a standardized depression screening/assessment tool (MDD) | 3353F - MILD TO MOD DEP SYMP BY STAND DEP ASSESS TOOL | 3353F - MILD-MOD DEP SYMP BY DEPTOOL | '01/01/2017 | 12/31/2999 |
| 33542 | 33542 - Myocardial resection (eg ventricular aneurysmectomy) | 33542 - MYOCARDIAL RESECTION | 33542 - REMOVAL OF HEART LESION | '01/01/2017 | 12/31/2999 |
| 33545 | 33545 - Repair of postinfarction ventricular septal defect with or without myocardial resection | 33545 - RPR POSTINFRCJ VENTRICULAR SEPTAL DEFECT | 33545 - REPAIR OF HEART DAMAGE | '01/01/2017 | 12/31/2999 |
| 33548 | 33548 - Surgical ventricular restoration procedure includes prosthetic patch when performed (eg ventricular remodeling SVR SAVER Dor procedures) | 33548 - SURG VENTRICULAR RSTRJ PX W/PROSTC PATCH PFRMD | 33548 - RESTORE/REMODEL VENTRICLE | '01/01/2017 | 12/31/2999 |
| 3354F | 3354F - Clinically significant depressive symptoms as categorized by using a standardized depression screening/assessment tool (MDD) | 3354F - CLIN SIGN DEP SYMP BY STAND DEP ASSESS TOOL | 3354F - CLIN SIG DEP SYM BY DEP TOOL | '01/01/2017 | 12/31/2999 |
| 33572 | 33572 - Coronary endarterectomy open any method of left anterior descending circumflex or right coronary artery performed in conjunction with coronary artery bypass graft procedure each vessel (List separately in addition to primary procedure) | 33572 - CORONARY ENDARTERCOMY OPEN ANY METHOD | 33572 - OPEN CORONARY ENDARTERECTOMY | '01/01/2017 | 12/31/2999 |
| 33600 | 33600 - Closure of atrioventricular valve (mitral or tricuspid) by suture or patch | 33600 - CLOSURE ATRIOVENTRICULAR VALVE SUTURE/PATCH | 33600 - CLOSURE OF VALVE | '01/01/2017 | 12/31/2999 |
| 33602 | 33602 - Closure of semilunar valve (aortic or pulmonary) by suture or patch | 33602 - CLOSURE SEMILUNAR VALVE AORTIC/PULM SUTURE/PATCH | 33602 - CLOSURE OF VALVE | '01/01/2017 | 12/31/2999 |
| 33606 | 33606 - Anastomosis of pulmonary artery to aorta (Damus-Kaye-Stansel procedure) | 33606 - ANAST PULMONARY ART AORTA DAMUS-KAYE-STANSEL PX | 33606 - ANASTOMOSIS/ARTERY-AORTA | '01/01/2017 | 12/31/2999 |
| 33608 | 33608 - Repair of complex cardiac anomaly other than pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33608 - RPR CAR ANOMAL XCP PULM ATRESIA VENTR SEPTL DFCT | 33608 - REPAIR ANOMALY W/CONDUIT | '01/01/2017 | 12/31/2999 |
| 33610 | 33610 - Repair of complex cardiac anomalies (eg single ventricle with subaortic obstruction) by surgical enlargement of ventricular septal defect | 33610 - RPR CAR ANOMAL SURG ENLGMENT VENTR SEPTL DFCT | 33610 - REPAIR BY ENLARGEMENT | '01/01/2017 | 12/31/2999 |
| 33611 | 33611 - Repair of double outlet right ventricle with intraventricular tunnel repair; | 33611 - RPR 2 OUTLET R VNTRC W/INTRAVENTR TUNNEL RPR | 33611 - REPAIR DOUBLE VENTRICLE | '01/01/2017 | 12/31/2999 |
| 33612 | 33612 - Repair of double outlet right ventricle with intraventricular tunnel repair; with repair of right ventricular outflow tract obstruction | 33612 - RPR 2 OUTLET R VNTRC RPR R VENTR O/F TRC OBSTRCJ | 33612 - REPAIR DOUBLE VENTRICLE | '01/01/2017 | 12/31/2999 |
| 33615 | 33615 - Repair of complex cardiac anomalies (eg tricuspid atresia) by closure of atrial septal defect and anastomosis of atria or vena cava to pulmonary artery (simple Fontan procedure) | 33615 - RPR CAR ANOMAL CLSR SEPTL DFCT SMPL FONTAN PX | 33615 - REPAIR MODIFIED FONTAN | '01/01/2017 | 12/31/2999 |
| 33617 | 33617 - Repair of complex cardiac anomalies (eg single ventricle) by modified Fontan procedure | 33617 - RPR COMPLEX CARDIAC ANOMALY MODIFIED FONTAN PX | 33617 - REPAIR SINGLE VENTRICLE | '01/01/2017 | 12/31/2999 |
| 33619 | 33619 - Repair of single ventricle with aortic outflow obstruction and aortic arch hypoplasia (hypoplastic left heart syndrome) (eg Norwood procedure) | 33619 - RPR 1 VNTRC W/O/F OBSTRCJ&AORTIC ARCH HYPOPLAS | 33619 - REPAIR SINGLE VENTRICLE | '01/01/2017 | 12/31/2999 |
| 33620 | 33620 - Application of right and left pulmonary artery bands (eg hybrid approach stage 1) | 33620 - APPLICATION RIGHT & LEFT PULMONARY ARTERY BAND | 33620 - APPLY R&L PULM ART BANDS | '01/01/2017 | 12/31/2999 |
| 33621 | 33621 - Transthoracic insertion of catheter for stent placement with catheter removal and closure (eg hybrid approach stage 1) | 33621 - TRANSTHORACIC CATHETER INSERTION FOR STENT PLMT | 33621 - TRANSTHOR CATH FOR STENT | '01/01/2017 | 12/31/2999 |
| 33622 | 33622 - Reconstruction of complex cardiac anomaly (eg single ventricle or hypoplastic left heart) with palliation of single ventricle with aortic outflow obstruction and aortic arch hypoplasia creation of cavopulmonary anastomosis and removal of right and left pulmonary bands (eg hybrid approach stage 2 Norwood bidirectional Glenn pulmonary artery debanding) | 33622 - RECONSTRUCTION COMPLEX CARDIAC ANOMALY | 33622 - REDO COMPL CARDIAC ANOMALY | '01/01/2017 | 12/31/2999 |
| 33641 | 33641 - Repair atrial septal defect secundum with cardiopulmonary bypass with or without patch | 33641 - RPR ATRIAL SEPTAL DFCT SECUNDUM W/BYP W/WO PATCH | 33641 - REPAIR HEART SEPTUM DEFECT | '01/01/2017 | 12/31/2999 |
| 33645 | 33645 - Direct or patch closure sinus venosus with or without anomalous pulmonary venous drainage | 33645 - DIR/PTCH CLS SINUS VENOSUS W/WO ANOM PUL VEN DRG | 33645 - REVISION OF HEART VEINS | '01/01/2017 | 12/31/2999 |
| 33647 | 33647 - Repair of atrial septal defect and ventricular septal defect with direct or patch closure | 33647 - RPR ATRIAL & VENTRIC SEPTAL DFCT DIR/PATCH CLS | 33647 - REPAIR HEART SEPTUM DEFECTS | '01/01/2017 | 12/31/2999 |
| 33660 | 33660 - Repair of incomplete or partial atrioventricular canal (ostium primum atrial septal defect) with or without atrioventricular valve repair | 33660 - RPR INCPLT/PRTL AV CANAL W/WO AV VALVE RPR | 33660 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33665 | 33665 - Repair of intermediate or transitional atrioventricular canal with or without atrioventricular valve repair | 33665 - RPR INTRM/TRANSJ AV CANAL W/WO AV VALVE RPR | 33665 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33670 | 33670 - Repair of complete atrioventricular canal with or without prosthetic valve | 33670 - RPR COMPL AV CANAL W/WO PROSTC VALVE | 33670 - REPAIR OF HEART CHAMBERS | '01/01/2017 | 12/31/2999 |
| 33675 | 33675 - Closure of multiple ventricular septal defects; | 33675 - CLOSURE MULTIPLE VENTRICULAR SEPTAL DEFECTS | 33675 - CLOSE MULT VSD | '01/01/2017 | 12/31/2999 |
| 33676 | 33676 - Closure of multiple ventricular septal defects; with pulmonary valvotomy or infundibular resection (acyanotic) | 33676 - CLOSURE MULTIPLE VSD W/RESECTION | 33676 - CLOSE MULT VSD W/RESECTION | '01/01/2017 | 12/31/2999 |
| 33677 | 33677 - Closure of multiple ventricular septal defects; with removal of pulmonary artery band with or without gusset | 33677 - CLOSURE MULTIPLE VSD W/REMOVAL ARTERY BAND | 33677 - CL MULT VSD W/REM PUL BAND | '01/01/2017 | 12/31/2999 |
| 33681 | 33681 - Closure of single ventricular septal defect with or without patch; | 33681 - CLSR 1 VENTRICULAR SEPTAL DEFECT W/WO PATCH | 33681 - REPAIR HEART SEPTUM DEFECT | '01/01/2017 | 12/31/2999 |
| 33684 | 33684 - Closure of single ventricular septal defect with or without patch; with pulmonary valvotomy or infundibular resection (acyanotic) | 33684 - CLSR V-SEPTL DFCT W/PULM VLVT/INFUND RESCJ | 33684 - REPAIR HEART SEPTUM DEFECT | '01/01/2017 | 12/31/2999 |
| 33688 | 33688 - Closure of single ventricular septal defect with or without patch; with removal of pulmonary artery band with or without gusset | 33688 - CLSR V-SEPTAL DFCT W/RMVL P-ART BAND W/WO GUSSET | 33688 - REPAIR HEART SEPTUM DEFECT | '01/01/2017 | 12/31/2999 |
| 33690 | 33690 - Banding of pulmonary artery | 33690 - BANDING PULMONARY ARTERY | 33690 - REINFORCE PULMONARY ARTERY | '01/01/2017 | 12/31/2999 |
| 33692 | 33692 - Complete repair tetralogy of Fallot without pulmonary atresia; | 33692 - COMPL RPR TETRALOGY FALLOT W/O PULM ATRESIA | 33692 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33694 | 33694 - Complete repair tetralogy of Fallot without pulmonary atresia; with transannular patch | 33694 - COMPL RPR T-FALLOT W/O PULM ATRESIA TANULR PATCH | 33694 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33697 | 33697 - Complete repair tetralogy of Fallot with pulmonary atresia including construction of conduit from right ventricle to pulmonary artery and closure of ventricular septal defect | 33697 - COMPL RPR T-FALLOT W/PULM ATRESIA | 33697 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33702 | 33702 - Repair sinus of Valsalva fistula with cardiopulmonary bypass; | 33702 - RPR SINUS VALSALVA FISTULA | 33702 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 3370F | 3370F - AJCC Breast Cancer Stage 0 documented (ONC) | 3370F - AJCC BREAST CANCER STAGE 0 DOCUMENTED | 3370F - AJCC BRST CNCR STAGE 0 DOCD | '01/01/2017 | 12/31/2999 |
| 33710 | 33710 - Repair sinus of Valsalva fistula with cardiopulmonary bypass; with repair of ventricular septal defect | 33710 - RPR SINUS VALSALVA FISTULA W/RPR V-SEPTAL DEFECT | 33710 - REPAIR OF HEART DEFECTS | '01/01/2017 | 12/31/2999 |
| 33720 | 33720 - Repair sinus of Valsalva aneurysm with cardiopulmonary bypass | 33720 - RPR SINUS VALSALVA ANEURYSM | 33720 - REPAIR OF HEART DEFECT | '01/01/2017 | 12/31/2999 |
| 33724 | 33724 - Repair of isolated partial anomalous pulmonary venous return (eg Scimitar Syndrome) | 33724 - REPAIR ISOLATED PARTIAL PULM VENOUS RETURN | 33724 - REPAIR VENOUS ANOMALY | '01/01/2017 | 12/31/2999 |
| 33726 | 33726 - Repair of pulmonary venous stenosis | 33726 - REPAIR PULMONARY VENOUS STENOSIS | 33726 - REPAIR PUL VENOUS STENOSIS | '01/01/2017 | 12/31/2999 |
| 3372F | 3372F - AJCC Breast Cancer Stage I: T1mic T1a or T1b (tumor size <= 1 cm) documented (ONC) | 3372F - AJCC BREAST CANCER STAGE I T1MIC T1A/T1B | 3372F - AJCC BRST CNCR STAGE 1 DOCD | '01/01/2021 | 12/31/2999 |
| 33730 | 33730 - Complete repair of anomalous pulmonary venous return (supracardiac intracardiac or infracardiac types) | 33730 - COMPLETE RPR ANOMALOUS PULMONARY VENOUS RETURN | 33730 - REPAIR HEART-VEIN DEFECT(S) | '01/01/2017 | 12/31/2999 |
| 33732 | 33732 - Repair of cor triatriatum or supravalvular mitral ring by resection of left atrial membrane | 33732 - RPR COR TRIATM/SUPVALVR RING RESCJ L ATRIAL MEMB | 33732 - REPAIR HEART-VEIN DEFECT | '01/01/2017 | 12/31/2999 |
| 33735 | 33735 - Atrial septectomy or septostomy; closed heart (Blalock-Hanlon type operation) | 33735 - ATRIAL SEPTECTOMY/SEPTOSTOMY CLOSED HEART | 33735 - REVISION OF HEART CHAMBER | '01/01/2017 | 12/31/2999 |
| 33736 | 33736 - Atrial septectomy or septostomy; open heart with cardiopulmonary bypass | 33736 - ATRIAL SEPTECTOMY/SEPTOSTOMY OPEN HEART W/BYPASS | 33736 - REVISION OF HEART CHAMBER | '01/01/2017 | 12/31/2999 |
| 33737 | 33737 - Atrial septectomy or septostomy; open heart with inflow occlusion | 33737 - ATRIAL SEPTECT/SEPTOST OPN HRT W/INFL OCCLUSION | 33737 - REVISION OF HEART CHAMBER | '01/01/2017 | 12/31/2999 |
| 33741 | 33741 - Transcatheter atrial septostomy (TAS) for congenital cardiac anomalies to create effective atrial flow including all imaging guidance by the proceduralist when performed any method (eg Rashkind Sang-Park balloon cutting balloon blade) | 33741 - TAS CONGENITAL CARDIAC ANOMALIES ANY METHOD | 33741 - TAS CONGENITAL CAR ANOMAL | '01/01/2021 | 12/31/2999 |
| 33745 | 33745 - Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow including all imaging guidance by the proceduralist when performed left and right heart diagnostic cardiac catheterization for congenital cardiac anomalies and target zone angioplasty when performed (eg atrial septum Fontan fenestration right ventricular outflow tract Mustard/Senning/Warden baffles); initial intracardiac shunt | 33745 - TIS CRTJ ST CONGENITAL CARDIAC ANOMAL 1ST SHUNT | 33745 - TIS CGEN CAR ANOMAL 1ST SHNT | '01/01/2022 | 12/31/2999 |
| 33746 | 33746 - Transcatheter intracardiac shunt (TIS) creation by stent placement for congenital cardiac anomalies to establish effective intracardiac flow including all imaging guidance by the proceduralist when performed left and right heart diagnostic cardiac catheterization for congenital cardiac anomalies and target zone angioplasty when performed (eg atrial septum Fontan fenestration right ventricular outflow tract Mustard/Senning/Warden baffles); each additional intracardiac shunt location (List separately in addition to code for primary procedure) | 33746 - TIS CRTJ ST CONGENITAL CARDIAC ANOMAL EA ADDL | 33746 - TIS CGEN CAR ANOMAL EA ADDL | '01/01/2022 | 12/31/2999 |
| 3374F | 3374F - AJCC Breast Cancer Stage I: T1c (tumor size > 1 cm to 2 cm) documented (ONC) | 3374F - AJCC BREAST CANCER STAGE I T1C | 3374F - AJCC BRST CNCR STAGE 1 DOCD | '01/01/2017 | 12/31/2999 |
| 33750 | 33750 - Shunt; subclavian to pulmonary artery (Blalock-Taussig type operation) | 33750 - SHUNT SUBCLAVIAN PULMONARY ARTERY | 33750 - MAJOR VESSEL SHUNT | '01/01/2017 | 12/31/2999 |
| 33755 | 33755 - Shunt; ascending aorta to pulmonary artery (Waterston type operation) | 33755 - SHUNT ASCENDING AORTA PULMONARY ARTERY | 33755 - MAJOR VESSEL SHUNT | '01/01/2017 | 12/31/2999 |
| 33762 | 33762 - Shunt; descending aorta to pulmonary artery (Potts-Smith type operation) | 33762 - SHUNT DESCENDING AORTA PULMONARY ARTERY | 33762 - MAJOR VESSEL SHUNT | '01/01/2017 | 12/31/2999 |
| 33764 | 33764 - Shunt; central with prosthetic graft | 33764 - SHUNT CENTRAL W/PROSTHETIC GRAFT | 33764 - MAJOR VESSEL SHUNT & GRAFT | '01/01/2017 | 12/31/2999 |
| 33766 | 33766 - Shunt; superior vena cava to pulmonary artery for flow to 1 lung (classical Glenn procedure) | 33766 - SHUNT SUPERIOR VENA CAVA PULMONARY ART 1 LUNG | 33766 - MAJOR VESSEL SHUNT | '01/01/2017 | 12/31/2999 |
| 33767 | 33767 - Shunt; superior vena cava to pulmonary artery for flow to both lungs (bidirectional Glenn procedure) | 33767 - SHUNT SUPERIOR VENA CAVA PULM ARTERY BOTH LUNGS | 33767 - MAJOR VESSEL SHUNT | '01/01/2017 | 12/31/2999 |
| 33768 | 33768 - Anastomosis cavopulmonary second superior vena cava (List separately in addition to primary procedure) | 33768 - ANASTOMOSIS CAVOPULMARY 2ND SUPRIOR VENA CAVA | 33768 - CAVOPULMONARY SHUNTING | '01/01/2017 | 12/31/2999 |
| 3376F | 3376F - AJCC Breast Cancer Stage II documented (ONC) | 3376F - AJCC BREAST CANCER STAGE II | 3376F - AJCC BRSTCNCR STAGE 2 DOCD | '01/01/2017 | 12/31/2999 |
| 33770 | 33770 - Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; without surgical enlargement of ventricular septal defect | 33770 - RPR TRPOS GREAT VSLS W/O ENLGMNT V-SEPTL DFCT | 33770 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33771 | 33771 - Repair of transposition of the great arteries with ventricular septal defect and subpulmonary stenosis; with surgical enlargement of ventricular septal defect | 33771 - RPR TRPOS GREAT VSLS W/ENLGMNT V-SEPTL DFCT | 33771 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33774 | 33774 - Repair of transposition of the great arteries atrial baffle procedure (eg Mustard or Senning type) with cardiopulmonary bypass; | 33774 - RPR TRPOS GREAT VSLS ATRIAL BAFFLE PX W/BYPASS | 33774 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33775 | 33775 - Repair of transposition of the great arteries atrial baffle procedure (eg Mustard or Senning type) with cardiopulmonary bypass; with removal of pulmonary band | 33775 - RPR TRPOS GREAT VSLS ATR BAFFLE W/RMVL PULM BAND | 33775 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33776 | 33776 - Repair of transposition of the great arteries atrial baffle procedure (eg Mustard or Senning type) with cardiopulmonary bypass; with closure of ventricular septal defect | 33776 - RPR TRPOS GRT VSL ATR BAFFLE W/CLSR V-SEPTL DFCT | 33776 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33777 | 33777 - Repair of transposition of the great arteries atrial baffle procedure (eg Mustard or Senning type) with cardiopulmonary bypass; with repair of subpulmonic obstruction | 33777 - RPR TRPOS GRT VSL ATR BAFFLE W/BYP SBPULM OBSTRC | 33777 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33778 | 33778 - Repair of transposition of the great arteries aortic pulmonary artery reconstruction (eg Jatene type); | 33778 - RPR TRPOS GRT VESSEL AORTIC PULMONARY ART RCNSTJ | 33778 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33779 | 33779 - Repair of transposition of the great arteries aortic pulmonary artery reconstruction (eg Jatene type); with removal of pulmonary band | 33779 - RPR TGV AORTIC PULM ART RCNSTJ W/RMVL PULM BAND | 33779 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33780 | 33780 - Repair of transposition of the great arteries aortic pulmonary artery reconstruction (eg Jatene type); with closure of ventricular septal defect | 33780 - RPR TGV AORTIC P-ART RCNSTJ W/CLSR V-SEPTL DFCT | 33780 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33781 | 33781 - Repair of transposition of the great arteries aortic pulmonary artery reconstruction (eg Jatene type); with repair of subpulmonic obstruction | 33781 - RPR TGV AORTIC P-ART RCNSTJ RPR SBPULMC OBSTRCJ | 33781 - REPAIR GREAT VESSELS DEFECT | '01/01/2017 | 12/31/2999 |
| 33782 | 33782 - Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie Nikaidoh procedure); without coronary ostium reimplantation | 33782 - A-ROOT TLCJ VSD PULM STNS RPR W/O C OST RIMPLTJ | 33782 - NIKAIDOH PROC | '01/01/2017 | 12/31/2999 |
| 33783 | 33783 - Aortic root translocation with ventricular septal defect and pulmonary stenosis repair (ie Nikaidoh procedure); with reimplantation of 1 or both coronary ostia | 33783 - A-ROOT TLCJ VSD PULM STNS RPR W/RIMPLTJ C OSTIA | 33783 - NIKAIDOH PROC W/OSTIA IMPLT | '01/01/2017 | 12/31/2999 |
| 33786 | 33786 - Total repair truncus arteriosus (Rastelli type operation) | 33786 - TOTAL REPAIR TRUNCUS ARTERIOSUS | 33786 - REPAIR ARTERIAL TRUNK | '01/01/2017 | 12/31/2999 |
| 33788 | 33788 - Reimplantation of an anomalous pulmonary artery | 33788 - REIMPLANTATION ANOMALOUS PULMONARY ARTERY | 33788 - REVISION OF PULMONARY ARTERY | '01/01/2017 | 12/31/2999 |
| 3378F | 3378F - AJCC Breast Cancer Stage III documented (ONC) | 3378F - AJCC BREAST CANCER STAGE III | 3378F - AJCC BRSTCNCR STAGE 3 DOCD | '01/01/2017 | 12/31/2999 |
| 33800 | 33800 - Aortic suspension (aortopexy) for tracheal decompression (eg for tracheomalacia) (separate procedure) | 33800 - AORTIC SUSPENSION TRACHEAL DECOMPRESSION SPX | 33800 - AORTIC SUSPENSION | '01/01/2017 | 12/31/2999 |
| 33802 | 33802 - Division of aberrant vessel (vascular ring); | 33802 - DIVISION ABERRANT VESSEL VASCULAR RING | 33802 - REPAIR VESSEL DEFECT | '01/01/2017 | 12/31/2999 |
| 33803 | 33803 - Division of aberrant vessel (vascular ring); with reanastomosis | 33803 - DIVISION ABERRANT VESSEL W/REANASTOMOSIS | 33803 - REPAIR VESSEL DEFECT | '01/01/2017 | 12/31/2999 |
| 3380F | 3380F - AJCC Breast Cancer Stage IV documented (ONC) | 3380F - AJCC BREAST CANCER STAGE IV | 3380F - AJCC BRSTCNCR STAGE 4 DOCD | '01/01/2017 | 12/31/2999 |
| 33813 | 33813 - Obliteration of aortopulmonary septal defect; without cardiopulmonary bypass | 33813 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/O BYPASS | 33813 - REPAIR SEPTAL DEFECT | '01/01/2017 | 12/31/2999 |
| 33814 | 33814 - Obliteration of aortopulmonary septal defect; with cardiopulmonary bypass | 33814 - OBLTRJ AORTOPULMONARY SEPTAL DEFECT W/BYPASS | 33814 - REPAIR SEPTAL DEFECT | '01/01/2017 | 12/31/2999 |
| 33820 | 33820 - Repair of patent ductus arteriosus; by ligation | 33820 - REPAIR PATENT DUCTUS ARTERIOSUS LIGATION | 33820 - REVISE MAJOR VESSEL | '01/01/2017 | 12/31/2999 |
| 33822 | 33822 - Repair of patent ductus arteriosus; by division younger than 18 years | 33822 - RPR PATENT DUXUS ARTERIOSUS DIV UNDER 18 YR | 33822 - REVISE MAJOR VESSEL | '01/01/2017 | 12/31/2999 |
| 33824 | 33824 - Repair of patent ductus arteriosus; by division 18 years and older | 33824 - RPR PATENT DUXUS ARTERIOSUS DIV 18 YR & OLDER | 33824 - REVISE MAJOR VESSEL | '01/01/2017 | 12/31/2999 |
| 3382F | 3382F - AJCC colon cancer Stage 0 documented (ONC) | 3382F - AJCC COLON CANCER STAGE 0 | 3382F - AJCC CLN CNCR STAGE 0 DOCD | '01/01/2017 | 12/31/2999 |
| 33840 | 33840 - Excision of coarctation of aorta with or without associated patent ductus arteriosus; with direct anastomosis | 33840 - EXC COARCJ AORTA W/WO PDA W/DIRECT ANASTOMOSIS | 33840 - REMOVE AORTA CONSTRICTION | '01/01/2017 | 12/31/2999 |
| 33845 | 33845 - Excision of coarctation of aorta with or without associated patent ductus arteriosus; with graft | 33845 - EXCISION COARCTATION AORTA W/WO PDA W/GRAFT | 33845 - REMOVE AORTA CONSTRICTION | '01/01/2017 | 12/31/2999 |
| 3384F | 3384F - AJCC colon cancer Stage I documented (ONC) | 3384F - AJCC COLON CANCER STAGE I | 3384F - AJCC CLN CNCR STAGE 1 DOCD | '01/01/2017 | 12/31/2999 |
| 33851 | 33851 - Excision of coarctation of aorta with or without associated patent ductus arteriosus; repair using either left subclavian artery or prosthetic material as gusset for enlargement | 33851 - EXC COARCJ AORTA W/L SUBCLAV ART/PROSTC GUSSET | 33851 - REMOVE AORTA CONSTRICTION | '01/01/2017 | 12/31/2999 |
| 33852 | 33852 - Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; without cardiopulmonary bypass | 33852 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/O BYPASS | 33852 - REPAIR SEPTAL DEFECT | '01/01/2017 | 12/31/2999 |
| 33853 | 33853 - Repair of hypoplastic or interrupted aortic arch using autogenous or prosthetic material; with cardiopulmonary bypass | 33853 - RPR HYPOPLSTC A-ARCH W/AGRFT/PROSTC W/BYPASS | 33853 - REPAIR SEPTAL DEFECT | '01/01/2017 | 12/31/2999 |
| 33858 | 33858 - Ascending aorta graft with cardiopulmonary bypass includes valve suspension when performed; for aortic dissection | 33858 - AS-AORT GRF W/CARD BYP F/AORTIC DISSECTION | 33858 - AS-AORT GRF F/AORTIC DSJ | '01/01/2020 | 12/31/2999 |
| 33859 | 33859 - Ascending aorta graft with cardiopulmonary bypass includes valve suspension when performed; for aortic disease other than dissection (eg aneurysm) | 33859 - AS-AORT GRF W/CARD BYP F/AORTIC DS OTH/THN DSJ | 33859 - AS-AORT GRF F/DS OTH/THN DSJ | '01/01/2020 | 12/31/2999 |
| 33863 | 33863 - Ascending aorta graft with cardiopulmonary bypass with aortic root replacement using valved conduit and coronary reconstruction (eg Bentall) | 33863 - AS-AORT GRF W/CARD BYP & AORTIC ROOT RPLCMT | 33863 - ASCENDING AORTIC GRAFT | '01/01/2017 | 12/31/2999 |
| 33864 | 33864 - Ascending aorta graft with cardiopulmonary bypass with valve suspension with coronary reconstruction and valve-sparing aortic root remodeling (eg David Procedure Yacoub Procedure) | 33864 - ASCENDING AORTA GRF VALVE SPARE ROOT REMODEL | 33864 - ASCENDING AORTIC GRAFT | '01/01/2017 | 12/31/2999 |
| 33866 | 33866 - Aortic hemiarch graft including isolation and control of the arch vessels beveled open distal aortic anastomosis extending under one or more of the arch vessels and total circulatory arrest or isolated cerebral perfusion (List separately in addition to code for primary procedure) | 33866 - AORTIC HEMIARCH GRAFT W/ISOL & CTRL ARCH VESSELS | 33866 - AORTIC HEMIARCH GRAFT | '01/01/2019 | 12/31/2999 |
| 3386F | 3386F - AJCC colon cancer Stage II documented (ONC) | 3386F - AJCC COLON CANCER STAGE II | 3386F - AJCC CLN CNCR STAGE 2 DOCD | '01/01/2017 | 12/31/2999 |
| 33871 | 33871 - Transverse aortic arch graft with cardiopulmonary bypass with profound hypothermia total circulatory arrest and isolated cerebral perfusion with reimplantation of arch vessel(s) (eg island pedicle or individual arch vessel reimplantation) | 33871 - TRANSVRS A-ARCH GRF W/CARD BYP PRFD HYPOTHERMIA | 33871 - TRANSVRS A-ARCH GRF HYPTHRM | '01/01/2020 | 12/31/2999 |
| 33875 | 33875 - Descending thoracic aorta graft with or without bypass | 33875 - DESCENDING THORACIC AORTA GRAFT W/WO BYPASS | 33875 - THORACIC AORTIC GRAFT | '01/01/2017 | 12/31/2999 |
| 33877 | 33877 - Repair of thoracoabdominal aortic aneurysm with graft with or without cardiopulmonary bypass | 33877 - RPR THORACOABDOMINAL AORTIC ANEURYS W/WO BYPASS | 33877 - THORACOABDOMINAL GRAFT | '01/01/2017 | 12/31/2999 |
| 33880 | 33880 - Endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); involving coverage of left subclavian artery origin initial endoprosthesis plus descending thoracic aortic extension(s) if required to level of celiac artery origin | 33880 - EVASC RPR DTA COVERAGE ART ORIGIN 1ST ENDOPROSTH | 33880 - ENDOVASC TAA REPR INCL SUBCL | '01/01/2017 | 12/31/2999 |
| 33881 | 33881 - Endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); not involving coverage of left subclavian artery origin initial endoprosthesis plus descending thoracic aortic extension(s) if required to level of celiac artery origin | 33881 - EVASC RPR DTA EXP COVERAGE W/O ART ORIGIN | 33881 - ENDOVASC TAA REPR W/O SUBCL | '01/01/2017 | 12/31/2999 |
| 33883 | 33883 - Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); initial extension | 33883 - PLMT PROX XTN PROSTH EVASC RPR DTA 1ST XTN | 33883 - INSERT ENDOVASC PROSTH TAA | '01/01/2017 | 12/31/2999 |
| 33884 | 33884 - Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); each additional proximal extension (List separately in addition to code for primary procedure) | 33884 - PLMT PROX XTN PROSTH EVASC RPR DTA EA PROX XTN | 33884 - ENDOVASC PROSTH TAA ADD-ON | '01/01/2017 | 12/31/2999 |
| 33886 | 33886 - Placement of distal extension prosthesis(s) delayed after endovascular repair of descending thoracic aorta | 33886 - PLMT DSTL XTN PROSTH DLYD AFTER EVASC RPR DTA | 33886 - ENDOVASC PROSTH DELAYED | '01/01/2017 | 12/31/2999 |
| 33889 | 33889 - Open subclavian to carotid artery transposition performed in conjunction with endovascular repair of descending thoracic aorta by neck incision unilateral | 33889 - OPN SUBCLA CRTD ART TRPOS NCK INC ULAT | 33889 - ARTERY TRANSPOSE/ENDOVAS TAA | '01/01/2017 | 12/31/2999 |
| 3388F | 3388F - AJCC colon cancer Stage III documented (ONC) | 3388F - AJCC COLON CANCER STAGE III DOCD | 3388F - AJCC CLN CNCR STAGE 3 DOCD | '01/01/2017 | 12/31/2999 |
| 33891 | 33891 - Bypass graft with other than vein transcervical retropharyngeal carotid-carotid performed in conjunction with endovascular repair of descending thoracic aorta by neck incision | 33891 - BYP GRF W/DESCENDING THORACIC AORTA RPR NECK INC | 33891 - CAR-CAR BP GRFT/ENDOVAS TAA | '01/01/2017 | 12/31/2999 |
| 33894 | 33894 - Endovascular stent repair of coarctation of the ascending transverse or descending thoracic or abdominal aorta involving stent placement; across major side branches | 33894 - EVASC ST RPR COARCJ THRC/AA ACRS MAJ SIDE BRNCH | 33894 - EVASC ST RPR THRC/AA ACRS BR | '01/01/2022 | 12/31/2999 |
| 33895 | 33895 - Endovascular stent repair of coarctation of the ascending transverse or descending thoracic or abdominal aorta involving stent placement; not crossing major side branches | 33895 - EVASC ST RPR COARCJ THRC/AA XCRSG MAJ SIDE BRNCH | 33895 - EVASC ST RPR THRC/AA X CRSG | '01/01/2022 | 12/31/2999 |
| 33897 | 33897 - Percutaneous transluminal angioplasty of native or recurrent coarctation of the aorta | 33897 - PERQ TRANSLUMINAL ANGIOPLASTY NATIVE/RECR COA | 33897 - PERQ TRLUML ANGP NT/RECR COA | '01/01/2022 | 12/31/2999 |
| 33900 | 33900 - Percutaneous pulmonary artery revascularization by stent placement initial; normal native connections unilateral | 33900 - PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ UNI | 33900 - PERQ P-ART REVSC 1 NM NT UNI | '01/01/2023 | 12/31/2999 |
| 33901 | 33901 - Percutaneous pulmonary artery revascularization by stent placement initial; normal native connections bilateral | 33901 - PERQ P-ART REVSC ST 1ST NML NATIVE CONNJ BI | 33901 - PERQ P-ART REVSC 1 NM NT BI | '01/01/2023 | 12/31/2999 |
| 33902 | 33902 - Percutaneous pulmonary artery revascularization by stent placement initial; abnormal connections unilateral | 33902 - PERQ P-ART REVSC ST 1ST ABNOR CONNJ UNILATERAL | 33902 - PERQ P-ART REVSC 1 ABNOR UNI | '01/01/2023 | 12/31/2999 |
| 33903 | 33903 - Percutaneous pulmonary artery revascularization by stent placement initial; abnormal connections bilateral | 33903 - PERQ P-ART REVSC ST 1ST ABNORMAL CONNJ BILATERAL | 33903 - PERQ P-ART REVSC 1 ABNOR BI | '01/01/2023 | 12/31/2999 |
| 33904 | 33904 - Percutaneous pulmonary artery revascularization by stent placement each additional vessel or separate lesion normal or abnormal connections (List separately in addition to code for primary procedure) | 33904 - PERQ P-ART REVSC ST EA ADDL VSL/SEP LES NM/ABNL | 33904 - PERQ P-ART REVSC EACH ADDL | '01/01/2023 | 12/31/2999 |
| 3390F | 3390F - AJCC colon cancer Stage IV documented (ONC) | 3390F - AJCC COLON CANCER STAGE IV DOCD | 3390F - AJCC CLN CNCR STAGE 4 DOCD | '01/01/2017 | 12/31/2999 |
| 33910 | 33910 - Pulmonary artery embolectomy; with cardiopulmonary bypass | 33910 - PULMONARY ARTERY EMBOLECTOMY W/CARD BYPASS | 33910 - REMOVE LUNG ARTERY EMBOLI | '01/01/2017 | 12/31/2999 |
| 33915 | 33915 - Pulmonary artery embolectomy; without cardiopulmonary bypass | 33915 - PULMONARY ARTERY EMBOLECTOMY W/O CARD BYPASS | 33915 - REMOVE LUNG ARTERY EMBOLI | '01/01/2017 | 12/31/2999 |
| 33916 | 33916 - Pulmonary endarterectomy with or without embolectomy with cardiopulmonary bypass | 33916 - PULMONARY ENDARTERCOMY W/WO EMBOLECTOMY W/BYPASS | 33916 - SURGERY OF GREAT VESSEL | '01/01/2017 | 12/31/2999 |
| 33917 | 33917 - Repair of pulmonary artery stenosis by reconstruction with patch or graft | 33917 - RPR PULMONARY ART STENOSIS RCNSTJ W/PATCH/GRAFT | 33917 - REPAIR PULMONARY ARTERY | '01/01/2017 | 12/31/2999 |
| 33920 | 33920 - Repair of pulmonary atresia with ventricular septal defect by construction or replacement of conduit from right or left ventricle to pulmonary artery | 33920 - RPR PULMONARY ATRESIA W/CONSTJ/RPLCMT CONDUIT | 33920 - REPAIR PULMONARY ATRESIA | '01/01/2017 | 12/31/2999 |
| 33922 | 33922 - Transection of pulmonary artery with cardiopulmonary bypass | 33922 - TRANSECTION PULMONARY ARTERY W/CARD BYPASS | 33922 - TRANSECT PULMONARY ARTERY | '01/01/2017 | 12/31/2999 |
| 33924 | 33924 - Ligation and takedown of a systemic-to-pulmonary artery shunt performed in conjunction with a congenital heart procedure (List separately in addition to code for primary procedure) | 33924 - LIG&TKDN SYSIC-TO-PULM ART SHUNT W/CGEN HEART | 33924 - REMOVE PULMONARY SHUNT | '01/01/2017 | 12/31/2999 |
| 33925 | 33925 - Repair of pulmonary artery arborization anomalies by unifocalization; without cardiopulmonary bypass | 33925 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/O BYPASS | 33925 - RPR PUL ART UNIFOCAL W/O CPB | '01/01/2017 | 12/31/2999 |
| 33926 | 33926 - Repair of pulmonary artery arborization anomalies by unifocalization; with cardiopulmonary bypass | 33926 - RPR P-ART ARBORIZJ ANOMAL UNIFCLIZJ W/BYPASS | 33926 - REPR PUL ART UNIFOCAL W/CPB | '01/01/2017 | 12/31/2999 |
| 33927 | 33927 - Implantation of a total replacement heart system (artificial heart) with recipient cardiectomy | 33927 - IMPLTJ TOTAL RPLCMT HEART SYS W/RCP CARDIECTOMY | 33927 - IMPLTJ TOT RPLCMT HRT SYS | '01/01/2018 | 12/31/2999 |
| 33928 | 33928 - Removal and replacement of total replacement heart system (artificial heart) | 33928 - REMOVAL & RPLCMT TOTAL RPLCMT HEART SYS | 33928 - RMVL & RPLCMT TOT HRT SYS | '01/01/2018 | 12/31/2999 |
| 33929 | 33929 - Removal of a total replacement heart system (artificial heart) for heart transplantation (List separately in addition to code for primary procedure) | 33929 - REMOVAL TOTAL RPLCMT HEART SYS FOR HEART TRNSPL | 33929 - RMVL RPLCMT HRT SYS F/TRNSPL | '01/01/2018 | 12/31/2999 |
| 33930 | 33930 - Donor cardiectomy-pneumonectomy (including cold preservation) | 33930 - DONOR CARDIECTOMY-PNEUMONECTOMY | 33930 - REMOVAL OF DONOR HEART/LUNG | '01/01/2017 | 12/31/2999 |
| 33933 | 33933 - Backbench standard preparation of cadaver donor heart/lung allograft prior to transplantation including dissection of allograft from surrounding soft tissues to prepare aorta superior vena cava inferior vena cava and trachea for implantation | 33933 - BKBENCH PREPJ CADAVER DONOR HEART/LUNG ALLOGRAFT | 33933 - PREPARE DONOR HEART/LUNG | '01/01/2017 | 12/31/2999 |
| 33935 | 33935 - Heart-lung transplant with recipient cardiectomy-pneumonectomy | 33935 - HEART-LUNG TRNSPL W/RECIPIENT CARDIECTOMY-PNUMEC | 33935 - TRANSPLANTATION HEART/LUNG | '01/01/2017 | 12/31/2999 |
| 33940 | 33940 - Donor cardiectomy (including cold preservation) | 33940 - DONOR CARDIECTOMY | 33940 - REMOVAL OF DONOR HEART | '01/01/2017 | 12/31/2999 |
| 33944 | 33944 - Backbench standard preparation of cadaver donor heart allograft prior to transplantation including dissection of allograft from surrounding soft tissues to prepare aorta superior vena cava inferior vena cava pulmonary artery and left atrium for implantation | 33944 - BKBENCH PREPJ CADAVER DONOR HEART ALLOGRAFT | 33944 - PREPARE DONOR HEART | '01/01/2017 | 12/31/2999 |
| 33945 | 33945 - Heart transplant with or without recipient cardiectomy | 33945 - HEART TRANSPLANT W/WO RECIPIENT CARDIECTOMY | 33945 - TRANSPLANTATION OF HEART | '01/01/2017 | 12/31/2999 |
| 33946 | 33946 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation veno-venous | 33946 - ECMO/ECLS INITIATION VENO-VENOUS | 33946 - ECMO/ECLS INITIATION VENOUS | '01/01/2017 | 12/31/2999 |
| 33947 | 33947 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; initiation veno-arterial | 33947 - ECMO/ECLS INITIATION VENO-ARTERIAL | 33947 - ECMO/ECLS INITIATION ARTERY | '01/01/2017 | 12/31/2999 |
| 33948 | 33948 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management each day veno-venous | 33948 - ECMO/ECLS DAILY MANAGEMENT EACH DAY VENO-VENOUS | 33948 - ECMO/ECLS DAILY MGMT-VENOUS | '01/01/2017 | 12/31/2999 |
| 33949 | 33949 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; daily management each day veno-arterial | 33949 - ECMO/ECLS DAILY MANAGEMENT EA DAY VENO-ARTERIAL | 33949 - ECMO/ECLS DAILY MGMT ARTERY | '01/01/2017 | 12/31/2999 |
| 3394F | 3394F - Quantitative HER2 immunohistochemistry (IHC) evaluation of breast cancer consistent with the scoring system defined in the ASCO/CAP guidelines (PATH) | 3394F - QUANT HER2 IHC EVAL OF BRST CANCER ASCO/CAP | 3394F - QUANT HER2 IHC EVAL BRST CX | '01/01/2017 | 12/31/2999 |
| 33951 | 33951 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e) percutaneous birth through 5 years of age (includes fluoroscopic guidance when performed) | 33951 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS PERQ | 33951 - ECMO/ECLS INSJ PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33952 | 33952 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e) percutaneous 6 years and older (includes fluoroscopic guidance when performed) | 33952 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER PERQ | 33952 - ECMO/ECLS INSJ PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33953 | 33953 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e) open birth through 5 years of age | 33953 - ECMO/ECLS INSJ OF PRPH CANNULA BIRTH-5 YRS OPEN | 33953 - ECMO/ECLS INSJ PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33954 | 33954 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of peripheral (arterial and/or venous) cannula(e) open 6 years and older | 33954 - ECMO/ECLS INSJ OF PRPH CANNULA 6 YRS&OLDER OPEN | 33954 - ECMO/ECLS INSJ PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33955 | 33955 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy birth through 5 years of age | 33955 - ECMO/ECLS INSJ OF CENTRAL CANNULA BIRTH-5 YRS | 33955 - ECMO/ECLS INSJ CTR CANNULA | '01/01/2017 | 12/31/2999 |
| 33956 | 33956 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; insertion of central cannula(e) by sternotomy or thoracotomy 6 years and older | 33956 - ECMO/ECLS INSJ OF CENTRAL CANNULA 6 YRS & OLDER | 33956 - ECMO/ECLS INSJ CTR CANNULA | '01/01/2017 | 12/31/2999 |
| 33957 | 33957 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e) percutaneous birth through 5 years of age (includes fluoroscopic guidance when performed) | 33957 - ECMO/ECLS REPOS PERIPH CANNULA PERQ BIRTH-5 YRS | 33957 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 33958 | 33958 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e) percutaneous 6 years and older (includes fluoroscopic guidance when performed) | 33958 - ECMO/ECLS REPOS PERPH CANNULA PRQ 6 YRS & OLDER | 33958 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 33959 | 33959 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e) open birth through 5 years of age (includes fluoroscopic guidance when performed) | 33959 - ECMO/ECLS REPOS PERPH CANNULA OPEN BIRTH-5 YRS | 33959 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 3395F | 3395F - Quantitative non-HER2 immunohistochemistry (IHC) evaluation of breast cancer (eg testing for estrogen or progesterone receptors [ER/PR]) performed (PATH) | 3395F - QUANT NON-HER2 IHC EVAL OF BRST CANCER PERFORMED | 3395F - QUANT NONHER2 IHC BRST CX | '01/01/2017 | 12/31/2999 |
| 33962 | 33962 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition peripheral (arterial and/or venous) cannula(e) open 6 years and older (includes fluoroscopic guidance when performed) | 33962 - ECMO/ECLS REPOS PERPH CANNULA OPEN 6 YRS & OLDER | 33962 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 33963 | 33963 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition of central cannula(e) by sternotomy or thoracotomy birth through 5 years of age (includes fluoroscopic guidance when performed) | 33963 - ECMO/ECLS REPOS CENTRAL PERPH CANNULA BIRTH-5YRS | 33963 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 33964 | 33964 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; reposition central cannula(e) by sternotomy or thoracotomy 6 years and older (includes fluoroscopic guidance when performed) | 33964 - ECMO/ECLS ECLS REPOS CENTRAL CNULA 6YRS & OLDER | 33964 - ECMO/ECLS REPOS PERPH CNULA | '01/01/2017 | 12/31/2999 |
| 33965 | 33965 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e) percutaneous birth through 5 years of age | 33965 - ECMO/ECLS RMVL OF PERPH CANNULA PERQ BIRTH-5 YRS | 33965 - ECMO/ECLS RMVL PERPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33966 | 33966 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e) percutaneous 6 years and older | 33966 - ECMO/ECLS RMVL OF PRPH CANNULA PRQ 6 YRS & OLDER | 33966 - ECMO/ECLS RMVL PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33967 | 33967 - Insertion of intra-aortic balloon assist device percutaneous | 33967 - INSERTION INTRA-AORTIC BALLOON ASSIST DEV PERQ | 33967 - INSERT I-AORT PERCUT DEVICE | '01/01/2017 | 12/31/2999 |
| 33968 | 33968 - Removal of intra-aortic balloon assist device percutaneous | 33968 - REMOVAL INTRA-AORTIC BALLOON ASSIST DEVICE PRQ | 33968 - REMOVE AORTIC ASSIST DEVICE | '01/01/2017 | 12/31/2999 |
| 33969 | 33969 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e) open birth through 5 years of age | 33969 - ECMO/ECLS RMVL OF PERPH CANNULA OPEN BIRTH-5 YRS | 33969 - ECMO/ECLS RMVL PERPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33970 | 33970 - Insertion of intra-aortic balloon assist device through the femoral artery open approach | 33970 - INSJ INTRA-AORT BALO ASSIST DEV VIA FEM ART OPEN | 33970 - AORTIC CIRCULATION ASSIST | '01/01/2017 | 12/31/2999 |
| 33971 | 33971 - Removal of intra-aortic balloon assist device including repair of femoral artery with or without graft | 33971 - RMVL I-AORT BALO ASST DEV W/RPR FEM ART W/WO GRF | 33971 - AORTIC CIRCULATION ASSIST | '01/01/2017 | 12/31/2999 |
| 33973 | 33973 - Insertion of intra-aortic balloon assist device through the ascending aorta | 33973 - INSJ I-AORT BALO ASSIST DEV VIA ASCENDING AORTA | 33973 - INSERT BALLOON DEVICE | '01/01/2017 | 12/31/2999 |
| 33974 | 33974 - Removal of intra-aortic balloon assist device from the ascending aorta including repair of the ascending aorta with or without graft | 33974 - RMVL ASCENDING-AORTA BALO DEV W/RPR ASCEND-AORTA | 33974 - REMOVE INTRA-AORTIC BALLOON | '01/01/2017 | 12/31/2999 |
| 33975 | 33975 - Insertion of ventricular assist device; extracorporeal single ventricle | 33975 - INSJ VENTRIC ASSIST DEV XTRCORP SINGLE VENTRICLE | 33975 - IMPLANT VENTRICULAR DEVICE | '01/01/2017 | 12/31/2999 |
| 33976 | 33976 - Insertion of ventricular assist device; extracorporeal biventricular | 33976 - INSJ VENTRIC ASSIST DEV XTRCORP BIVENTRICULAR | 33976 - IMPLANT VENTRICULAR DEVICE | '01/01/2017 | 12/31/2999 |
| 33977 | 33977 - Removal of ventricular assist device; extracorporeal single ventricle | 33977 - REMOVAL VENTR ASSIST DEVICE XTRCORP 1 VENTRICLE | 33977 - REMOVE VENTRICULAR DEVICE | '01/01/2017 | 12/31/2999 |
| 33978 | 33978 - Removal of ventricular assist device; extracorporeal biventricular | 33978 - REMOVAL VENTR ASSIST DEVICE XTRCORP BIVENTR | 33978 - REMOVE VENTRICULAR DEVICE | '01/01/2017 | 12/31/2999 |
| 33979 | 33979 - Insertion of ventricular assist device implantable intracorporeal single ventricle | 33979 - INSJ VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC | 33979 - INSERT INTRACORPOREAL DEVICE | '01/01/2017 | 12/31/2999 |
| 33980 | 33980 - Removal of ventricular assist device implantable intracorporeal single ventricle | 33980 - RMVL VENTR ASSIST DEV IMPLTABLE ICORP 1 VNTRC | 33980 - REMOVE INTRACORPOREAL DEVICE | '01/01/2017 | 12/31/2999 |
| 33981 | 33981 - Replacement of extracorporeal ventricular assist device single or biventricular pump(s) single or each pump | 33981 - RPLCMT XTRCORP VAD 1/BIVENTR PUMP 1/EA PUMP | 33981 - REPLACE VAD PUMP EXT | '01/01/2017 | 12/31/2999 |
| 33982 | 33982 - Replacement of ventricular assist device pump(s); implantable intracorporeal single ventricle without cardiopulmonary bypass | 33982 - PLCMT VAD PMP IMPLTBL ICORP 1 VENTR W/O BYPASS | 33982 - REPLACE VAD INTRA W/O BP | '01/01/2017 | 12/31/2999 |
| 33983 | 33983 - Replacement of ventricular assist device pump(s); implantable intracorporeal single ventricle with cardiopulmonary bypass | 33983 - RPLCMT VAD PMP IMPLTBL ICORP 1 VNTR W/BYPASS | 33983 - REPLACE VAD INTRA W/BP | '01/01/2017 | 12/31/2999 |
| 33984 | 33984 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of peripheral (arterial and/or venous) cannula(e) open 6 years and older | 33984 - ECMO/ECLS RMVL PRPH CANNULA OPEN 6 YRS & OLDER | 33984 - ECMO/ECLS RMVL PRPH CANNULA | '01/01/2017 | 12/31/2999 |
| 33985 | 33985 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy birth through 5 years of age | 33985 - ECMO/ECLS REMOVAL OF CENTRAL CANNULA BIRTH-5 YRS | 33985 - ECMO/ECLS RMVL CTR CANNULA | '01/01/2017 | 12/31/2999 |
| 33986 | 33986 - Extracorporeal membrane oxygenation (ECMO)/extracorporeal life support (ECLS) provided by physician; removal of central cannula(e) by sternotomy or thoracotomy 6 years and older | 33986 - ECMO/ECLS RMVL OF CENTRAL CANNULA 6 YRS & OLDER | 33986 - ECMO/ECLS RMVL CTR CANNULA | '01/01/2017 | 12/31/2999 |
| 33987 | 33987 - Arterial exposure with creation of graft conduit (eg chimney graft) to facilitate arterial perfusion for ECMO/ECLS (List separately in addition to code for primary procedure) | 33987 - ARTERY EXPOS/GRAFT ARTERY PERFUSION ECMO/ECLS | 33987 - ARTERY EXPOS/GRAFT ARTERY | '01/01/2017 | 12/31/2999 |
| 33988 | 33988 - Insertion of left heart vent by thoracic incision (eg sternotomy thoracotomy) for ECMO/ECLS | 33988 - INSERT LEFT HEART VENT BY THORACIC INC ECMO/ECLS | 33988 - INSERTION OF LEFT HEART VENT | '01/01/2017 | 12/31/2999 |
| 33989 | 33989 - Removal of left heart vent by thoracic incision (eg sternotomy thoracotomy) for ECMO/ECLS | 33989 - RMVL LEFT HEART VENT BY THORACIC INCIS ECMO/ECLS | 33989 - REMOVAL OF LEFT HEART VENT | '01/01/2017 | 12/31/2999 |
| 33990 | 33990 - Insertion of ventricular assist device percutaneous including radiological supervision and interpretation; left heart arterial access only | 33990 - INSJ PERQ VAD W/RS&I L HRT ARTERIAL ACCESS ONLY | 33990 - INSJ PERQ VAD L HRT ARTERIAL | '01/01/2021 | 12/31/2999 |
| 33991 | 33991 - Insertion of ventricular assist device percutaneous including radiological supervision and interpretation; left heart both arterial and venous access with transseptal puncture | 33991 - INSJ PERQ VAD W/RS&I L HRT ARTERIAL&VEN ACCESS | 33991 - INSJ PERQ VAD L HRT ARTL&VEN | '01/01/2021 | 12/31/2999 |
| 33992 | 33992 - Removal of percutaneous left heart ventricular assist device arterial or arterial and venous cannula(s) at separate and distinct session from insertion | 33992 - REMOVAL PERQ LEFT HRT VAD ARTL/ARTL&VEN SEP INSJ | 33992 - RMVL PERQ LEFT HEART VAD | '01/01/2021 | 12/31/2999 |
| 33993 | 33993 - Repositioning of percutaneous right or left heart ventricular assist device with imaging guidance at separate and distinct session from insertion | 33993 - REPOSITIONING PERQ R/L VAD W/IMG GDN SEP INSJ | 33993 - REPOSG PERQ R/L HRT VAD | '01/01/2021 | 12/31/2999 |
| 33995 | 33995 - Insertion of ventricular assist device percutaneous including radiological supervision and interpretation; right heart venous access only | 33995 - INSJ PERQ VAD W/RS&I R HEART VENOUS ACCESS ONLY | 33995 - INSJ PERQ VAD R HRT VENOUS | '01/01/2021 | 12/31/2999 |
| 33997 | 33997 - Removal of percutaneous right heart ventricular assist device venous cannula at separate and distinct session from insertion | 33997 - REMOVAL PERQ R HEART VAD VENOUS CANNULA SEP INSJ | 33997 - RMVL PERQ RIGHT HEART VAD | '01/01/2021 | 12/31/2999 |
| 33999 | 33999 - Unlisted procedure cardiac surgery | 33999 - UNLISTED PROCEDURE CARDIAC SURGERY | 33999 - UNLISTED PX CARDIAC SURGERY | '01/01/2023 | 12/31/2999 |
| 34001 | 34001 - Embolectomy or thrombectomy with or without catheter; carotid subclavian or innominate artery by neck incision | 34001 - EMBLC/THRMBC CATH CRTD SUBCLA/INNOMINATE ART | 34001 - REMOVAL OF ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34051 | 34051 - Embolectomy or thrombectomy with or without catheter; innominate subclavian artery by thoracic incision | 34051 - EMBLC/THRMBC INNOMINATE SUBCLAVIAN ARTERY | 34051 - REMOVAL OF ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34101 | 34101 - Embolectomy or thrombectomy with or without catheter; axillary brachial innominate subclavian artery by arm incision | 34101 - EMBLC/THRMBC AX BRACH INNOMINATE SUBCLA ART | 34101 - REMOVAL OF ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34111 | 34111 - Embolectomy or thrombectomy with or without catheter; radial or ulnar artery by arm incision | 34111 - EMBLC/THRMBC W/WO CATH RADIAL/ULNAR ART ARM INC | 34111 - REMOVAL OF ARM ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34151 | 34151 - Embolectomy or thrombectomy with or without catheter; renal celiac mesentery aortoiliac artery by abdominal incision | 34151 - EMBLC/THRMBC RNL CELIAC MESENTRY AORTO-ILIAC ART | 34151 - REMOVAL OF ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34201 | 34201 - Embolectomy or thrombectomy with or without catheter; femoropopliteal aortoiliac artery by leg incision | 34201 - EMBLC/THRMBC FEMORAL POPLITEAL AORTO-ILIAC ART | 34201 - REMOVAL OF ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34203 | 34203 - Embolectomy or thrombectomy with or without catheter; popliteal-tibio-peroneal artery by leg incision | 34203 - EMBLC/THRMBC POPLITEAL-TIBIO-PRONEAL ART LEG INC | 34203 - REMOVAL OF LEG ARTERY CLOT | '01/01/2017 | 12/31/2999 |
| 34401 | 34401 - Thrombectomy direct or with catheter; vena cava iliac vein by abdominal incision | 34401 - THRMBC DIR/W/CATH VENA CAVA ILIAC VEIN ABDL INC | 34401 - REMOVAL OF VEIN CLOT | '01/01/2017 | 12/31/2999 |
| 34421 | 34421 - Thrombectomy direct or with catheter; vena cava iliac femoropopliteal vein by leg incision | 34421 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN LEG INC | 34421 - REMOVAL OF VEIN CLOT | '01/01/2017 | 12/31/2999 |
| 34451 | 34451 - Thrombectomy direct or with catheter; vena cava iliac femoropopliteal vein by abdominal and leg incision | 34451 - THRMBC DIR/W/CATH V/C ILIAC FEMPOP VEIN ABDL&LEG | 34451 - REMOVAL OF VEIN CLOT | '01/01/2017 | 12/31/2999 |
| 34471 | 34471 - Thrombectomy direct or with catheter; subclavian vein by neck incision | 34471 - THRMBC DIR/W/CATH SUBCLAVIAN VEIN NECK INC | 34471 - REMOVAL OF VEIN CLOT | '01/01/2017 | 12/31/2999 |
| 34490 | 34490 - Thrombectomy direct or with catheter; axillary and subclavian vein by arm incision | 34490 - THRMBC DIR/W/CATH AXILL&SUBCLAVIAN VEIN ARM IN | 34490 - REMOVAL OF VEIN CLOT | '01/01/2017 | 12/31/2999 |
| 34501 | 34501 - Valvuloplasty femoral vein | 34501 - VALVULOPLASTY FEMORAL VEIN | 34501 - REPAIR VALVE FEMORAL VEIN | '01/01/2017 | 12/31/2999 |
| 34502 | 34502 - Reconstruction of vena cava any method | 34502 - RECONSTRUCTION VENA CAVA ANY METHOD | 34502 - RECONSTRUCT VENA CAVA | '01/01/2017 | 12/31/2999 |
| 3450F | 3450F - Dyspnea screened no dyspnea or mild dyspnea (Pall Cr) | 3450F - DYSPNEA SCRND NO-MILD DYSPNEA | 3450F - DYSPNEA SCRND NO-MILD DYSP | '01/01/2017 | 12/31/2999 |
| 34510 | 34510 - Venous valve transposition any vein donor | 34510 - VENOUS VALVE TRANSPOSITION ANY VEIN DONOR | 34510 - TRANSPOSITION OF VEIN VALVE | '01/01/2017 | 12/31/2999 |
| 3451F | 3451F - Dyspnea screened moderate or severe dyspnea (Pall Cr) | 3451F - DYSPNEA SCRND MOD-SEVERE DYSPNEA | 3451F - DYSPNEA SCRND MOD-HIGH DYSP | '01/01/2017 | 12/31/2999 |
| 34520 | 34520 - Cross-over vein graft to venous system | 34520 - CROSS-OVER VEIN GRAFT VENOUS SYSTEM | 34520 - CROSS-OVER VEIN GRAFT | '01/01/2017 | 12/31/2999 |
| 3452F | 3452F - Dyspnea not screened (Pall Cr) | 3452F - DYSPNEA NOT SCREENED | 3452F - DYSPNEA NOT SCREENED | '01/01/2017 | 12/31/2999 |
| 34530 | 34530 - Saphenopopliteal vein anastomosis | 34530 - SAPHENOPOPLITEAL VEIN ANASTOMOSIS | 34530 - LEG VEIN FUSION | '01/01/2017 | 12/31/2999 |
| 3455F | 3455F - TB screening performed and results interpreted within six months prior to initiation of first-time biologic disease modifying anti-rheumatic drug therapy for RA (RA) | 3455F - TB SCRNG DONE INTRPD 3455F - TB SCRNG DONE-INTERPD 6MON | '01/01/2017 | 12/31/2999 | |
| 34701 | 34701 - Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for other than rupture (eg for aneurysm pseudoaneurysm dissection penetrating ulcer) | 34701 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT | 34701 - EVASC RPR A-AO NDGFT | '01/01/2018 | 12/31/2999 |
| 34702 | 34702 - Endovascular repair of infrarenal aorta by deployment of an aorto-aortic tube endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the aortic bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the aortic bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg for aneurysm pseudoaneurysm dissection penetrating ulcer traumatic disruption) | 34702 - EVASC RPR DPLMNT AORTO-AORTIC NDGFT RPT | 34702 - EVASC RPR A-AO NDGFT RPT | '01/01/2018 | 12/31/2999 |
| 34703 | 34703 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg for aneurysm pseudoaneurysm dissection penetrating ulcer) | 34703 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT | 34703 - EVASC RPR A-UNILAC NDGFT | '01/01/2018 | 12/31/2999 |
| 34704 | 34704 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-uni-iliac endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg for aneurysm pseudoaneurysm dissection penetrating ulcer traumatic disruption) | 34704 - EVASC RPR DPLMNT AORTO-UN-ILIAC NDGFT RPT | 34704 - EVASC RPR A-UNILAC NDGFT RPT | '01/01/2018 | 12/31/2999 |
| 34705 | 34705 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for other than rupture (eg for aneurysm pseudoaneurysm dissection penetrating ulcer) | 34705 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT | 34705 - EVAC RPR A-BIILIAC NDGFT | '01/01/2018 | 12/31/2999 |
| 34706 | 34706 - Endovascular repair of infrarenal aorta and/or iliac artery(ies) by deployment of an aorto-bi-iliac endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation all endograft extension(s) placed in the aorta from the level of the renal arteries to the iliac bifurcation and all angioplasty/stenting performed from the level of the renal arteries to the iliac bifurcation; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg for aneurysm pseudoaneurysm dissection penetrating ulcer traumatic disruption) | 34706 - EVASC RPR DPLMNT AORTO-BI-ILIAC NDGFT RPT | 34706 - EVASC RPR A-BIILIAC RPT | '01/01/2018 | 12/31/2999 |
| 34707 | 34707 - Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation and treatment zone angioplasty/stenting when performed unilateral; for other than rupture (eg for aneurysm pseudoaneurysm dissection arteriovenous malformation) | 34707 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT | 34707 - EVASC RPR ILIO-ILIAC NDGFT | '01/01/2018 | 12/31/2999 |
| 34708 | 34708 - Endovascular repair of iliac artery by deployment of an ilio-iliac tube endograft including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation and all endograft extension(s) proximally to the aortic bifurcation and distally to the iliac bifurcation and treatment zone angioplasty/stenting when performed unilateral; for rupture including temporary aortic and/or iliac balloon occlusion when performed (eg for aneurysm pseudoaneurysm dissection arteriovenous malformation traumatic disruption) | 34708 - EVASC RPR DPLMNT ILIO-ILIAC NDGFT RPT | 34708 - EVASC RPR ILIO-ILIAC RPT | '01/01/2018 | 12/31/2999 |
| 34709 | 34709 - Placement of extension prosthesis(es) distal to the common iliac artery(ies) or proximal to the renal artery(ies) for endovascular repair of infrarenal abdominal aortic or iliac aneurysm false aneurysm dissection penetrating ulcer including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation and treatment zone angioplasty/stenting when performed per vessel treated (List separately in addition to code for primary procedure) | 34709 - PLACEMENT XTN PROSTH FOR ENDOVASCULAR RPR | 34709 - PLMT XTN PROSTH EVASC RPR | '01/01/2018 | 12/31/2999 |
| 3470F | 3470F - Rheumatoid arthritis (RA) disease activity low (RA) | 3470F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY LOW | 3470F - RA DISEASE ACTIVITY LOW | '01/01/2017 | 12/31/2999 |
| 34710 | 34710 - Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm false aneurysm dissection endoleak or endograft migration including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation and treatment zone angioplasty/stenting when performed; initial vessel treated | 34710 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR 1ST VSL | 34710 - DLYD PLMT XTN PROSTH 1ST VSL | '01/01/2018 | 12/31/2999 |
| 34711 | 34711 - Delayed placement of distal or proximal extension prosthesis for endovascular repair of infrarenal abdominal aortic or iliac aneurysm false aneurysm dissection endoleak or endograft migration including pre-procedure sizing and device selection all nonselective catheterization(s) all associated radiological supervision and interpretation and treatment zone angioplasty/stenting when performed; each additional vessel treated (List separately in addition to code for primary procedure) | 34711 - DLYD PLACEMENT XTN PROSTH FOR EVASC RPR EA ADDL | 34711 - DLYD PLMT XTN PROSTH EA ADDL | '01/01/2018 | 12/31/2999 |
| 34712 | 34712 - Transcatheter delivery of enhanced fixation device(s) to the endograft (eg anchor screw tack) and all associated radiological supervision and interpretation | 34712 - TRANSCATHETER DLVR ENHNCD FIXATION DEVICES RS&I | 34712 - TCAT DLVR ENHNCD FIXJ DEV | '01/01/2018 | 12/31/2999 |
| 34713 | 34713 - Percutaneous access and closure of femoral artery for delivery of endograft through a large sheath (12 French or larger) including ultrasound guidance when performed unilateral (List separately in addition to code for primary procedure) | 34713 - PERQ ACCESS & CLOSURE FEM ART FOR DELIVERY NDGFT | 34713 - PERQ ACCESS & CLSR FEM ART | '01/01/2018 | 12/31/2999 |
| 34714 | 34714 - Open femoral artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass by groin incision unilateral (List separately in addition to code for primary procedure) | 34714 - OPN FEM ART EXPOS W/CNDT CRTJ DLVR EVASC PROSTH | 34714 - OPN FEM ART EXPOS CNDT CRTJ | '01/01/2018 | 12/31/2999 |
| 34715 | 34715 - Open axillary/subclavian artery exposure for delivery of endovascular prosthesis by infraclavicular or supraclavicular incision unilateral (List separately in addition to code for primary procedure) | 34715 - OPN AX/SUBCLA ART EXPOS DLVR EVASC PROSTH UNI | 34715 - OPN AX/SUBCLA ART EXPOS | '01/01/2018 | 12/31/2999 |
| 34716 | 34716 - Open axillary/subclavian artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass by infraclavicular or supraclavicular incision unilateral (List separately in addition to code for primary procedure) | 34716 - OPN AXILLARY/SUBCLAVIAN ART EXPOS W/CNDT CRTJ | 34716 - OPN AX/SUBCLA ART EXPOS CNDT | '01/01/2018 | 12/31/2999 |
| 34717 | 34717 - Endovascular repair of iliac artery at the time of aorto-iliac artery endograft placement by deployment of an iliac branched endograft including pre-procedure sizing and device selection all ipsilateral selective iliac artery catheterization(s) all associated radiological supervision and interpretation and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac external iliac and common femoral artery(ies) and treatment zone angioplasty/stenting when performed for rupture or other than rupture (eg for aneurysm pseudoaneurysm dissection arteriovenous malformation penetrating ulcer traumatic disruption) unilateral (List separately in addition to code for primary procedure) | 34717 - EVASC RPR ILIAC ART TM OF A-ILIAC ART NDGFT UNI | 34717 - EVASC RPR A-ILIAC NDGFT | '01/01/2020 | 12/31/2999 |
| 34718 | 34718 - Endovascular repair of iliac artery not associated with placement of an aorto-iliac artery endograft at the same session by deployment of an iliac branched endograft including pre-procedure sizing and device selection all ipsilateral selective iliac artery catheterization(s) all associated radiological supervision and interpretation and all endograft extension(s) proximally to the aortic bifurcation and distally in the internal iliac external iliac and common femoral artery(ies) and treatment zone angioplasty/stenting when performed for other than rupture (eg for aneurysm pseudoaneurysm dissection arteriovenous malformation penetrating ulcer) unilateral | 34718 - EVASC RPR ILIAC ART N/A A-ILIAC ART NDGFT UNI | 34718 - EVASC RPR N/A A-ILIAC NDGFT | '01/01/2020 | 12/31/2999 |
| 3471F | 3471F - Rheumatoid arthritis (RA) disease activity moderate (RA) | 3471F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY MOD | 3471F - RA DISEASE ACTIVITY MOD | '01/01/2017 | 12/31/2999 |
| 3472F | 3472F - Rheumatoid arthritis (RA) disease activity high (RA) | 3472F - RHEUMATOID ARTHRITIS (RA) DISEASE ACTIVITY HIGH | 3472F - RA DISEASE ACTIVITY HIGH | '01/01/2017 | 12/31/2999 |
| 3475F | 3475F - Disease prognosis for rheumatoid arthritis assessed poor prognosis documented (RA) | 3475F - DISEASE PROGNOSIS RA ASSESSED POOR PROG DOCD | 3475F - DISEASE PROGN RA POOR DOCD | '01/01/2017 | 12/31/2999 |
| 3476F | 3476F - Disease prognosis for rheumatoid arthritis assessed good prognosis documented (RA) | 3476F - DISEASE PROGNOSIS RA ASSESSED GOOD PROG DOCD | 3476F - DISEASE PROGN RA GOOD DOCD | '01/01/2017 | 12/31/2999 |
| 34808 | 34808 - Endovascular placement of iliac artery occlusion device (List separately in addition to code for primary procedure) | 34808 - EVASC PLACEMENT ILIAC ARTERY OCCLUSION DEVICE | 34808 - ENDOVAS ILIAC A DEVICE ADDON | '01/01/2017 | 12/31/2999 |
| 34812 | 34812 - Open femoral artery exposure for delivery of endovascular prosthesis by groin incision unilateral (List separately in addition to code for primary procedure) | 34812 - OPN FEM ART EXPOS DLVR EVASC PROSTH UNI | 34812 - OPN FEM ART EXPOS | '01/01/2018 | 12/31/2999 |
| 34813 | 34813 - Placement of femoral-femoral prosthetic graft during endovascular aortic aneurysm repair (List separately in addition to code for primary procedure) | 34813 - PLMT FEM-FEM PROSTC GRF EVASC AORTIC ARYSM RPR | 34813 - FEMORAL ENDOVAS GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 34820 | 34820 - Open iliac artery exposure for delivery of endovascular prosthesis or iliac occlusion during endovascular therapy by abdominal or retroperitoneal incision unilateral (List separately in addition to code for primary procedure) | 34820 - OPN ILIAC ART EXPOS PROSTH/ILIAC OCCLS EVASC UNI | 34820 - OPN ILIAC ART EXPOS | '01/01/2018 | 12/31/2999 |
| 34830 | 34830 - Open repair of infrarenal aortic aneurysm or dissection plus repair of associated arterial trauma following unsuccessful endovascular repair; tube prosthesis | 34830 - OPN RPR ARYSM RPR ARTL TRAUMA TUBE PROSTH | 34830 - OPEN AORTIC TUBE PROSTH REPR | '01/01/2017 | 12/31/2999 |
| 34831 | 34831 - Open repair of infrarenal aortic aneurysm or dissection plus repair of associated arterial trauma following unsuccessful endovascular repair; aorto-bi-iliac prosthesis | 34831 - OPN RPR ARYSM RPR ARTL TRMA AORTOBIILIAC PROSTH | 34831 - OPEN AORTOILIAC PROSTH REPR | '01/01/2017 | 12/31/2999 |
| 34832 | 34832 - Open repair of infrarenal aortic aneurysm or dissection plus repair of associated arterial trauma following unsuccessful endovascular repair; aorto-bifemoral prosthesis | 34832 - OPN RPR ARYSM RPR ARTL TRMA AORTO-BIFEM PROSTH | 34832 - OPEN AORTOFEMOR PROSTH REPR | '01/01/2017 | 12/31/2999 |
| 34833 | 34833 - Open iliac artery exposure with creation of conduit for delivery of endovascular prosthesis or for establishment of cardiopulmonary bypass by abdominal or retroperitoneal incision unilateral (List separately in addition to code for primary procedure) | 34833 - OPN ILIAC ART EXPOS CRTJ PROSTH EST CARD BYP | 34833 - OPN ILAC ART EXPOS CNDT CRTJ | '01/01/2018 | 12/31/2999 |
| 34834 | 34834 - Open brachial artery exposure for delivery of endovascular prosthesis unilateral (List separately in addition to code for primary procedure) | 34834 - OPN BRACHIAL ARTERY EXPOS DLVR EVASC PROSTH UNI | 34834 - OPN BRACH ART EXPOS | '01/01/2018 | 12/31/2999 |
| 34839 | 34839 - Physician planning of a patient-specific fenestrated visceral aortic endograft requiring a minimum of 90 minutes of physician time | 34839 - PLNNING PT SPEC FENEST VISCERAL AORTIC GRAFT | 34839 - PLNNING PT SPEC FENEST GRAFT | '01/01/2017 | 12/31/2999 |
| 34841 | 34841 - Endovascular repair of visceral aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including one visceral artery endoprosthesis (superior mesenteric celiac or renal artery) | 34841 - ENDOVASC VISCER AORTA REPAIR FENEST 1 ENDOGRAFT | 34841 - ENDOVASC VISC AORTA 1 GRAFT | '01/01/2017 | 12/31/2999 |
| 34842 | 34842 - Endovascular repair of visceral aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including two visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34842 - ENDOVASC VISCER AORTA REPAIR FENEST 2 ENDOGRAFT | 34842 - ENDOVASC VISC AORTA 2 GRAFT | '01/01/2017 | 12/31/2999 |
| 34843 | 34843 - Endovascular repair of visceral aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including three visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34843 - ENDOVASC VISCER AORTA REPAIR FENEST 3 ENDOGRAFT | 34843 - ENDOVASC VISC AORTA 3 GRAFT | '01/01/2017 | 12/31/2999 |
| 34844 | 34844 - Endovascular repair of visceral aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) by deployment of a fenestrated visceral aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including four or more visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34844 - ENDOVASC VISCER AORTA REPR FENEST 4+ ENDOGRAFT | 34844 - ENDOVASC VISC AORTA 4 GRAFT | '01/01/2017 | 12/31/2999 |
| 34845 | 34845 - Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including one visceral artery endoprosthesis (superior mesenteric celiac or renal artery) | 34845 - VISCER AND INFRARENAL ABDOM AORTA 1 PROSTHESIS | 34845 - VISC & INFRAREN ABD 1 PROSTH | '01/01/2017 | 12/31/2999 |
| 34846 | 34846 - Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including two visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34846 - VISCER AND INFRARENAL ABDOM AORTA 2 PROSTHESIS | 34846 - VISC & INFRAREN ABD 2 PROSTH | '01/01/2017 | 12/31/2999 |
| 34847 | 34847 - Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including three visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34847 - VISCER AND INFRARENAL ABDOM AORTA 3 PROSTHESIS | 34847 - VISC & INFRAREN ABD 3 PROSTH | '01/01/2017 | 12/31/2999 |
| 34848 | 34848 - Endovascular repair of visceral aorta and infrarenal abdominal aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) with a fenestrated visceral aortic endograft and concomitant unibody or modular infrarenal aortic endograft and all associated radiological supervision and interpretation including target zone angioplasty when performed; including four or more visceral artery endoprostheses (superior mesenteric celiac and/or renal artery[s]) | 34848 - VISCER AND INFRARENAL ABDOM AORTA 4+ PROSTHESIS | 34848 - VISC & INFRAREN ABD 4+ PROST | '01/01/2017 | 12/31/2999 |
| 3490F | 3490F - History of AIDS-defining condition (HIV) | 3490F - HISTORY OF AIDS-DEFINING CONDITION | 3490F - HISTORY AIDS-DEFINING COND | '01/01/2017 | 12/31/2999 |
| 3491F | 3491F - HIV indeterminate (infants of undetermined HIV status born of HIV-infected mothers) (HIV) | 3491F - HIV INDETERMINATE INFANTS BORN OF HIV MOTHERS | 3491F - HIV UNSURE BABY OF HIV+MOMS | '01/01/2017 | 12/31/2999 |
| 3492F | 3492F - History of nadir CD4+ cell count <350 cells/mm3 (HIV) | 3492F - HISTORY OF NADIR CD4+ CELL COUNT <350 CELLS/MM3 | 3492F - HISTORY CD4+ CELL COUNT <350 | '01/01/2017 | 12/31/2999 |
| 3493F | 3493F - No history of nadir CD4+ cell count <350 cells/mm3 and no history of AIDS-defining condition (HIV) | 3493F - NO HIST NADIR CD4+ CELL CNT <350&AIDS CONDITION | 3493F - NO HIST CD4+ CELL COUNT <350 | '01/01/2017 | 12/31/2999 |
| 3494F | 3494F - CD4+ cell count <200 cells/mm3 (HIV) | 3494F - CD4+ CELL COUNT <200 CELLS/MM | 3494F - CD4+CELL COUNT <200CELLS/MM3 | '01/01/2017 | 12/31/2999 |
| 3495F | 3495F - CD4+ cell count 200 - 499 cells/mm3 (HIV) | 3495F - CD4+ CELL COUNT 200-499 CELLS/MM (HIV) | 3495F - CD4+CELL CNT 200-499 CELLS | '01/01/2017 | 12/31/2999 |
| 3496F | 3496F - CD4+ cell count >=500 cells/mm3 (HIV) | 3496F - CD4+ CELL COUNT >= 500 CELLS/MM | 3496F - CD4+ CELL COUNT >= 500 CELLS | '01/01/2021 | 12/31/2999 |
| 3497F | 3497F - CD4+ cell percentage <15% (HIV) | 3497F - CD4+ CELL PERCENTAGE <15% HIV | 3497F - CD4+ CELL PERCENTAGE <15% | '01/01/2017 | 12/31/2999 |
| 3498F | 3498F - CD4+ cell percentage >=15% (HIV) | 3498F - CD4+ CELL PERCENTAGE >= 15% HIV | 3498F - CD4+ CELL >=15% (HIV) | '01/01/2021 | 12/31/2999 |
| 35001 | 35001 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm and associated occlusive disease carotid subclavian artery by neck incision | 35001 - DIR RPR ANEURYSM CAROTID-SUBCLAVIAN ARTERY | 35001 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35002 | 35002 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm carotid subclavian artery by neck incision | 35002 - DIR RPR RUPTD ANEURYSM CAROTID-SUBCLAVIAN ARTERY | 35002 - REPAIR ARTERY RUPTURE NECK | '01/01/2017 | 12/31/2999 |
| 35005 | 35005 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease vertebral artery | 35005 - DIR RPR ANEURYSM VERTEBRAL ARTERY | 35005 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 3500F | 3500F - CD4+ cell count or CD4+ cell percentage documented as performed (HIV) | 3500F - CD4+CELL CNT/CD4+CELL % DOCD AS DONE | 3500F - CD4+CELL CNT/% DOCD AS DONE | '01/01/2017 | 12/31/2999 |
| 35011 | 35011 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm and associated occlusive disease axillary-brachial artery by arm incision | 35011 - DIR RPR ANEURYSM AXIL-BRACHIAL ARM INCISION | 35011 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35013 | 35013 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm axillary-brachial artery by arm incision | 35013 - DIR RPR RUPTD ANEURYSM AXIL-BRACHIAL ARM INCIS | 35013 - REPAIR ARTERY RUPTURE ARM | '01/01/2017 | 12/31/2999 |
| 35021 | 35021 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease innominate subclavian artery by thoracic incision | 35021 - DIR RPR ANEURYSM INNOMINATE/SUBCLAVIAN ARTERY | 35021 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35022 | 35022 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm innominate subclavian artery by thoracic incision | 35022 - DIR RPR RUPTD ANEURYSM INNOMINATE/SUBCLAVIAN | 35022 - REPAIR ARTERY RUPTURE CHEST | '01/01/2017 | 12/31/2999 |
| 3502F | 3502F - HIV RNA viral load below limits of quantification (HIV) | 3502F - HIV RNA VIRAL LOAD | 12/31/2999 | | ||
| 3503F | 3503F - HIV RNA viral load not below limits of quantification (HIV) | 3503F - HIV RNA VIRAL LOAD NOT | 12/31/2999 | | ||
| 35045 | 35045 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease radial or ulnar artery | 35045 - DIR RPR RUPTD ANEURYSM RADIAL/ULNAR ARTERY | 35045 - REPAIR DEFECT OF ARM ARTERY | '01/01/2017 | 12/31/2999 |
| 35081 | 35081 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease abdominal aorta | 35081 - DIR RPR ANEURYSM ABDOMINAL AORTA | 35081 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35082 | 35082 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm abdominal aorta | 35082 - DIR RPR RUPTD ANEURYSM ABDOMINAL AORTA | 35082 - REPAIR ARTERY RUPTURE AORTA | '01/01/2017 | 12/31/2999 |
| 35091 | 35091 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease abdominal aorta involving visceral vessels (mesenteric celiac renal) | 35091 - DIR RPR ANEURYSM ABDOM AORTA W/VISCERAL VESSELS | 35091 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35092 | 35092 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm abdominal aorta involving visceral vessels (mesenteric celiac renal) | 35092 - DIR RPR RUPTD ANEURSM ABDOM AORTA W/VISCERA VSLS | 35092 - REPAIR ARTERY RUPTURE AORTA | '01/01/2017 | 12/31/2999 |
| 35102 | 35102 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease abdominal aorta involving iliac vessels (common hypogastric external) | 35102 - DIR RPR ANEURYSM ABDOM AORTA W/ILIAC VESSELS | 35102 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35103 | 35103 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm abdominal aorta involving iliac vessels (common hypogastric external) | 35103 - DIR RPR RUPTD ANEURYSM ABDOM AORTA W/ILIAC VSLS | 35103 - REPAIR ARTERY RUPTURE AORTA | '01/01/2017 | 12/31/2999 |
| 3510F | 3510F - Documentation that tuberculosis (TB) screening test performed and results interpreted (HIV) (IBD) | 3510F - DOCJ TB SCREEN PERFORMED & RESULTS INTERPRET | 3510F - DOC TB SCRNG-RSLTS INTERPD | '01/01/2017 | 12/31/2999 |
| 35111 | 35111 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease splenic artery | 35111 - DIR RPR ANEURYSM SPLENIC ARTERY | 35111 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35112 | 35112 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm splenic artery | 35112 - DIR RPR RUPTD ANEURYSM SPLENIC ARTERY | 35112 - REPAIR ARTERY RUPTURE SPLEEN | '01/01/2017 | 12/31/2999 |
| 3511F | 3511F - Chlamydia and gonorrhea screenings documented as performed (HIV) | 3511F - CHLAMYDIA/GONORRHEA TSTS DOCD AS DONE | 3511F - CHLMYD/GONRH TSTS DOCD DONE | '01/01/2017 | 12/31/2999 |
| 35121 | 35121 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease hepatic celiac renal or mesenteric artery | 35121 - DIR RPR ANEURYSM HEPATIC/CELIAC/RENAL/MESENTERIC | 35121 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35122 | 35122 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm hepatic celiac renal or mesenteric artery | 35122 - DIR RPR RUPTD ANEURSM HEPATIC/CELIAC/RENAL/MESEN | 35122 - REPAIR ARTERY RUPTURE BELLY | '01/01/2017 | 12/31/2999 |
| 3512F | 3512F - Syphilis screening documented as performed (HIV) | 3512F - SYPHILIS SCREENING DOCUMENTED AS DONE | 3512F - SYPH SCRNG DOCD AS DONE | '01/01/2017 | 12/31/2999 |
| 35131 | 35131 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease iliac artery (common hypogastric external) | 35131 - DIR RPR ANEURYSM & GRAFT ILIAC ARTERY | 35131 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35132 | 35132 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm iliac artery (common hypogastric external) | 35132 - DIR RPR RUPTD ANEURYSM & GRAFT ILIAC ARTERY | 35132 - REPAIR ARTERY RUPTURE GROIN | '01/01/2017 | 12/31/2999 |
| 3513F | 3513F - Hepatitis B screening documented as performed (HIV) | 3513F - HEPATITIS B SCREENING DOCUMENTED AS PERFORMED | 3513F - HEP B SCRNG DOCD AS DONE | '01/01/2017 | 12/31/2999 |
| 35141 | 35141 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease common femoral artery (profunda femoris superficial femoral) | 35141 - DIR RPR ANEURYSM & GRAFT COMMON FEMORAL ARTERY | 35141 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35142 | 35142 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm common femoral artery (profunda femoris superficial femoral) | 35142 - DIR RPR RUPTD ANEURYSM & GRF COMMON FEMORAL ART | 35142 - REPAIR ARTERY RUPTURE THIGH | '01/01/2017 | 12/31/2999 |
| 3514F | 3514F - Hepatitis C screening documented as performed (HIV) | 3514F - HEPATITIS C SCREENING DOCUMENTED AS PERFORMED | 3514F - HEP C SCRNG DOCD AS DONE | '01/01/2017 | 12/31/2999 |
| 35151 | 35151 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for aneurysm pseudoaneurysm and associated occlusive disease popliteal artery | 35151 - DIR RPR ANEURYSM & GRAFT POPLITEAL ARTERY | 35151 - REPAIR DEFECT OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35152 | 35152 - Direct repair of aneurysm pseudoaneurysm or excision (partial or total) and graft insertion with or without patch graft; for ruptured aneurysm popliteal artery | 35152 - DIR RPR RUPTD ANEURYSM & GRF POPLITEAL ARTERY | 35152 - REPAIR RUPTD POPLITEAL ART | '01/01/2017 | 12/31/2999 |
| 3515F | 3515F - Patient has documented immunity to Hepatitis C (HIV) | 3515F - PATIENT HAS DOCUMENTED IMMUNITY TO HEPATITIS C | 3515F - PT HAS DOCD IMMUN TO HEP C | '01/01/2017 | 12/31/2999 |
| 3517F | 3517F - Hepatitis B Virus (HBV) status assessed and results interpreted within one year prior to receiving a first course of anti-TNF (tumor necrosis factor) therapy (IBD) | 3517F - HBV STATUS ASSESSED W/ RESULTS IN 1 YR | 3517F - HBV ASSESS&RESULTS INTRP 1YR | '01/01/2017 | 12/31/2999 |
| 35180 | 35180 - Repair congenital arteriovenous fistula; head and neck | 35180 - REPAIR CONGENITAL AV FISTULA HEAD & NECK | 35180 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35182 | 35182 - Repair congenital arteriovenous fistula; thorax and abdomen | 35182 - RPR CONGENITAL AV FISTULA THORAX & ABDOMEN | 35182 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35184 | 35184 - Repair congenital arteriovenous fistula; extremities | 35184 - RPR CONGENITAL AV FISTULA EXTREMITIES | 35184 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35188 | 35188 - Repair acquired or traumatic arteriovenous fistula; head and neck | 35188 - RPR/TRAUMATIC AV FISTULA HEAD & NECK | 35188 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35189 | 35189 - Repair acquired or traumatic arteriovenous fistula; thorax and abdomen | 35189 - RPR/TRAUMATIC AV FISTULA THORAX & ABDOMEN | 35189 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35190 | 35190 - Repair acquired or traumatic arteriovenous fistula; extremities | 35190 - RPR/TRAUMATIC AV FISTULA EXTREMITIES | 35190 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35201 | 35201 - Repair blood vessel direct; neck | 35201 - REPAIR BLOOD VESSEL DIRECT NECK | 35201 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35206 | 35206 - Repair blood vessel direct; upper extremity | 35206 - REPAIR BLOOD VESSEL DIRECT UPPER EXTREMITY | 35206 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35207 | 35207 - Repair blood vessel direct; hand finger | 35207 - REPAIR BLOOD VESSEL DIRECT HAND FINGER | 35207 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 3520F | 3520F - Clostridium difficile testing performed (IBD) | 3520F - CLOSTRIDIUM DIFFICILE TESTING PERFORMED | 3520F - CDIFFICILE TESTING PERFORMED | '01/01/2017 | 12/31/2999 |
| 35211 | 35211 - Repair blood vessel direct; intrathoracic with bypass | 35211 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/BYPASS | 35211 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35216 | 35216 - Repair blood vessel direct; intrathoracic without bypass | 35216 - RPR BLOOD VESSEL DIRECT INTRATHORACIC W/O BYPASS | 35216 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35221 | 35221 - Repair blood vessel direct; intra-abdominal | 35221 - RPR BLOOD VESSEL DIRECT INTRA-ABDOMINAL | 35221 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35226 | 35226 - Repair blood vessel direct; lower extremity | 35226 - RPR BLOOD VESSEL DIRECT LOWER EXTREMITY | 35226 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35231 | 35231 - Repair blood vessel with vein graft; neck | 35231 - REPAIR BLOOD VESSEL W/VEIN GRAFT NECK | 35231 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35236 | 35236 - Repair blood vessel with vein graft; upper extremity | 35236 - REPAIR BLOOD VESSEL W/VEIN GRAFT UPPER EXTREMITY | 35236 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35241 | 35241 - Repair blood vessel with vein graft; intrathoracic with bypass | 35241 - RPR BLOOD VESSEL VEIN GRAFT INTRATHORACIC W/BYP | 35241 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35246 | 35246 - Repair blood vessel with vein graft; intrathoracic without bypass | 35246 - RPR BLOOD VESSEL VEIN GRF INTRATHORACIC W/O BYP | 35246 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35251 | 35251 - Repair blood vessel with vein graft; intra-abdominal | 35251 - REPAIR BLOOD VESSEL VEIN GRAFT INTRA-ABDOMINAL | 35251 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35256 | 35256 - Repair blood vessel with vein graft; lower extremity | 35256 - REPAIR BLOOD VESSEL VEIN GRAFT LOWER EXTREMITY | 35256 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35261 | 35261 - Repair blood vessel with graft other than vein; neck | 35261 - REPAIR BLOOD VESSEL W/GRAFT OTHER/THAN VEIN NECK | 35261 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35266 | 35266 - Repair blood vessel with graft other than vein; upper extremity | 35266 - RPR BLOOD VSL GRF OTH/THN VEIN UPPER EXTREMITY | 35266 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35271 | 35271 - Repair blood vessel with graft other than vein; intrathoracic with bypass | 35271 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/BYP | 35271 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35276 | 35276 - Repair blood vessel with graft other than vein; intrathoracic without bypass | 35276 - RPR BLOOD VSL GRF OTH/THN VEIN INTRATHRC W/O BYP | 35276 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35281 | 35281 - Repair blood vessel with graft other than vein; intra-abdominal | 35281 - RPR BLVSL W/GRFT OTHER/THAN VEIN INTRA-ABDOMINAL | 35281 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35286 | 35286 - Repair blood vessel with graft other than vein; lower extremity | 35286 - RPR BLVSL W/GRF OTHER/THAN VEIN LOWER EXTREMITY | 35286 - REPAIR BLOOD VESSEL LESION | '01/01/2017 | 12/31/2999 |
| 35301 | 35301 - Thromboendarterectomy including patch graft if performed; carotid vertebral subclavian by neck incision | 35301 - TEAEC W/PATCH GRF CAROTID VERTB SUBCLAV NECK INC | 35301 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35302 | 35302 - Thromboendarterectomy including patch graft if performed; superficial femoral artery | 35302 - TEAEC W/GRAFT SUPERFICIAL FEMORAL ARTERY | 35302 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35303 | 35303 - Thromboendarterectomy including patch graft if performed; popliteal artery | 35303 - TEAEC W/GRAFT POPLITEAL ARTERY | 35303 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35304 | 35304 - Thromboendarterectomy including patch graft if performed; tibioperoneal trunk artery | 35304 - TEAEC W/GRAFT TIBIOPERONEAL TRUNK ARTERY | 35304 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35305 | 35305 - Thromboendarterectomy including patch graft if performed; tibial or peroneal artery initial vessel | 35305 - TEAEC W/GRAFT TIBIAL/PERONEAL ART 1ST VESSEL | 35305 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35306 | 35306 - Thromboendarterectomy including patch graft if performed; each additional tibial or peroneal artery (List separately in addition to code for primary procedure) | 35306 - TEAEC W/GRAFT EA ADDL TIBIAL/PERONEAL ART | 35306 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35311 | 35311 - Thromboendarterectomy including patch graft if performed; subclavian innominate by thoracic incision | 35311 - TEAEC W/WO PATCH GRF SUBCLAV INNOM THORACIC INC | 35311 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35321 | 35321 - Thromboendarterectomy including patch graft if performed; axillary-brachial | 35321 - TEAEC W/WO PATCH GRF AXILLARY-BRACHIAL | 35321 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35331 | 35331 - Thromboendarterectomy including patch graft if performed; abdominal aorta | 35331 - TEAEC W/WO PATCH GRAFT ABDOMINAL AORTA | 35331 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35341 | 35341 - Thromboendarterectomy including patch graft if performed; mesenteric celiac or renal | 35341 - TEAEC W/WO PATCH GRAFT MESENTERIC CELIAC/RENAL | 35341 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35351 | 35351 - Thromboendarterectomy including patch graft if performed; iliac | 35351 - TEAEC W/WO PATCH GRAFT ILIAC | 35351 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35355 | 35355 - Thromboendarterectomy including patch graft if performed; iliofemoral | 35355 - TEAEC W/WO PATCH GRAFT ILIOFEMORAL | 35355 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35361 | 35361 - Thromboendarterectomy including patch graft if performed; combined aortoiliac | 35361 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIAC | 35361 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35363 | 35363 - Thromboendarterectomy including patch graft if performed; combined aortoiliofemoral | 35363 - TEAEC W/WO PATCH GRAFT COMBINED AORTOILIOFEMORAL | 35363 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35371 | 35371 - Thromboendarterectomy including patch graft if performed; common femoral | 35371 - TEAEC W/WO PATCH GRAFT COMMON FEMORAL | 35371 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35372 | 35372 - Thromboendarterectomy including patch graft if performed; deep (profunda) femoral | 35372 - TEAEC W/WO PATCH GRAFT DEEP PROFUNDA FEMORAL | 35372 - RECHANNELING OF ARTERY | '01/01/2017 | 12/31/2999 |
| 35390 | 35390 - Reoperation carotid thromboendarterectomy more than 1 month after original operation (List separately in addition to code for primary procedure) | 35390 - ROPRTJ CRTD TEAEC > 1 MO AFTER ORIGINAL OPRATIO | 35390 - REOPERATION CAROTID ADD-ON | '01/01/2017 | 12/31/2999 |
| 35400 | 35400 - Angioscopy (noncoronary vessels or grafts) during therapeutic intervention (List separately in addition to code for primary procedure) | 35400 - ANGIOSCOPY NON-CORONARY VESSEL/GRAFTS THER IVNTJ | 35400 - ANGIOSCOPY | '01/01/2017 | 12/31/2999 |
| 35500 | 35500 - Harvest of upper extremity vein 1 segment for lower extremity or coronary artery bypass procedure (List separately in addition to code for primary procedure) | 35500 - HARVEST UXTR VEIN 1 SGM LOWER EXTREMITY/CABG PX | 35500 - HARVEST VEIN FOR BYPASS | '01/01/2017 | 12/31/2999 |
| 35501 | 35501 - Bypass graft with vein; common carotid-ipsilateral internal carotid | 35501 - BYPASS W/VEIN COMMON-IPSILATERAL CAROTID | 35501 - ART BYP GRFT IPSILAT CAROTID | '01/01/2017 | 12/31/2999 |
| 35506 | 35506 - Bypass graft with vein; carotid-subclavian or subclavian-carotid | 35506 - BYPASS W/VEIN CAROTID-SUBCLV/SUBCLAVIAN CAROTID | 35506 - ART BYP GRFT SUBCLAV-CAROTID | '01/01/2017 | 12/31/2999 |
| 35508 | 35508 - Bypass graft with vein; carotid-vertebral | 35508 - BYPASS W/VEIN CAROTID-VERTEBRAL | 35508 - ART BYP GRFT CAROTID-VERTBRL | '01/01/2017 | 12/31/2999 |
| 35509 | 35509 - Bypass graft with vein; carotid-contralateral carotid | 35509 - BYPASS W/VEIN CAROTID-CONTRALATERAL CAROTID | 35509 - ART BYP GRFT CONTRAL CAROTID | '01/01/2017 | 12/31/2999 |
| 3550F | 3550F - Low risk for thromboembolism (AFIB) | 3550F - LOW RISK FOR THROMBOEMBOLISM | 3550F - LOW RSK THROMBOEMBOLISM | '01/01/2017 | 12/31/2999 |
| 35510 | 35510 - Bypass graft with vein; carotid-brachial | 35510 - BYPASS W/VEIN CAROTID-BRACHIAL | 35510 - ART BYP GRFT CAROTID-BRCHIAL | '01/01/2017 | 12/31/2999 |
| 35511 | 35511 - Bypass graft with vein; subclavian-subclavian | 35511 - BYPASS W/VEIN SUBCLAVIAN-SUBCLAVIAN | 35511 - ART BYP GRFT SUBCLAV-SUBCLAV | '01/01/2017 | 12/31/2999 |
| 35512 | 35512 - Bypass graft with vein; subclavian-brachial | 35512 - BYPASS W/VEIN SUBCLAVIAN-BRACHIAL | 35512 - ART BYP GRFT SUBCLAV-BRCHIAL | '01/01/2017 | 12/31/2999 |
| 35515 | 35515 - Bypass graft with vein; subclavian-vertebral | 35515 - BYPASS W/VEIN SUBCLAVIAN-VERTEBRAL | 35515 - ART BYP GRFT SUBCLAV-VERTBRL | '01/01/2017 | 12/31/2999 |
| 35516 | 35516 - Bypass graft with vein; subclavian-axillary | 35516 - BYPASS W/VEIN SUBCLAVIAN-AXILLARY | 35516 - ART BYP GRFT SUBCLAV-AXILARY | '01/01/2017 | 12/31/2999 |
| 35518 | 35518 - Bypass graft with vein; axillary-axillary | 35518 - BYPASS W/VEIN AXILLARY-AXILLARY | 35518 - ART BYP GRFT AXILLARY-AXILRY | '01/01/2017 | 12/31/2999 |
| 3551F | 3551F - Intermediate risk for thromboembolism (AFIB) | 3551F - INTERMEDIATE RISK FOR THROMBOEMBOLISM | 3551F - INTRMED RSK THROMBOEMBOLISM | '01/01/2017 | 12/31/2999 |
| 35521 | 35521 - Bypass graft with vein; axillary-femoral | 35521 - BYPASS W/VEIN AXILLARY-FEMORAL | 35521 - ART BYP GRFT AXILL-FEMORAL | '01/01/2017 | 12/31/2999 |
| 35522 | 35522 - Bypass graft with vein; axillary-brachial | 35522 - BYPASS W/VEIN AXILLARY-BRACHIAL | 35522 - ART BYP GRFT AXILL-BRACHIAL | '01/01/2017 | 12/31/2999 |
| 35523 | 35523 - Bypass graft with vein; brachial-ulnar or -radial | 35523 - BYPASS W/VEIN BRACHIAL-ULNAR/-RADIAL | 35523 - ART BYP GRFT BRCHL-ULNR-RDL | '01/01/2017 | 12/31/2999 |
| 35525 | 35525 - Bypass graft with vein; brachial-brachial | 35525 - BYPASS W/VEIN BRACHIAL-BRACHIAL | 35525 - ART BYP GRFT BRACHIAL-BRCHL | '01/01/2017 | 12/31/2999 |
| 35526 | 35526 - Bypass graft with vein; aortosubclavian aortoinnominate or aortocarotid | 35526 - BYPASS W/VEIN AORTOSUBCLAV/CAROTID/INNOMINATE | 35526 - ART BYP GRFT AOR/CAROT/INNOM | '01/01/2017 | 12/31/2999 |
| 3552F | 3552F - High risk for thromboembolism (AFIB) | 3552F - HIGH RISK FOR THROMBOEMBOLISM | 3552F - HGH RISK FOR THROMBOEMBOLISM | '01/01/2017 | 12/31/2999 |
| 35531 | 35531 - Bypass graft with vein; aortoceliac or aortomesenteric | 35531 - BYPASS W/VEIN AORTOCELIAC/AORTOMESENTERIC | 35531 - ART BYP GRFT AORCEL/AORMESEN | '01/01/2017 | 12/31/2999 |
| 35533 | 35533 - Bypass graft with vein; axillary-femoral-femoral | 35533 - BYPASS W/VEIN AXILLARY-FEMORAL-FEMORAL | 35533 - ART BYP GRFT AXILL/FEM/FEM | '01/01/2017 | 12/31/2999 |
| 35535 | 35535 - Bypass graft with vein; hepatorenal | 35535 - BYPASS W/VEIN HEPATORENAL | 35535 - ART BYP GRFT HEPATORENAL | '01/01/2017 | 12/31/2999 |
| 35536 | 35536 - Bypass graft with vein; splenorenal | 35536 - BYPASS W/VEIN SPLENORENAL | 35536 - ART BYP GRFT SPLENORENAL | '01/01/2017 | 12/31/2999 |
| 35537 | 35537 - Bypass graft with vein; aortoiliac | 35537 - BYPASS W/VEIN AORTOILIAC | 35537 - ART BYP GRFT AORTOILIAC | '01/01/2017 | 12/31/2999 |
| 35538 | 35538 - Bypass graft with vein; aortobi-iliac | 35538 - BYPASS W/VEIN AORTOBI-ILIAC | 35538 - ART BYP GRFT AORTOBI-ILIAC | '01/01/2017 | 12/31/2999 |
| 35539 | 35539 - Bypass graft with vein; aortofemoral | 35539 - BYPASS W/VEIN AORTOFEMORAL | 35539 - ART BYP GRFT AORTOFEMORAL | '01/01/2017 | 12/31/2999 |
| 35540 | 35540 - Bypass graft with vein; aortobifemoral | 35540 - BYPASS W/VEIN AORTOBIFEMORAL | 35540 - ART BYP GRFT AORTBIFEMORAL | '01/01/2017 | 12/31/2999 |
| 35556 | 35556 - Bypass graft with vein; femoral-popliteal | 35556 - BYPASS W/VEIN FEMORAL-POPLITEAL | 35556 - ART BYP GRFT FEM-POPLITEAL | '01/01/2017 | 12/31/2999 |
| 35558 | 35558 - Bypass graft with vein; femoral-femoral | 35558 - BYPASS W/VEIN FEMORAL-FEMORAL | 35558 - ART BYP GRFT FEM-FEMORAL | '01/01/2017 | 12/31/2999 |
| 3555F | 3555F - Patient had International Normalized Ratio (INR) measurement performed (AFIB) | 3555F - PT HAD INR MEASUREMENT PERFORMED | 3555F - PT INR MEASUREMENT PERFORMED | '01/01/2017 | 12/31/2999 |
| 35560 | 35560 - Bypass graft with vein; aortorenal | 35560 - BYPASS W/VEIN AORTORENAL | 35560 - ART BYP GRFT AORTORENAL | '01/01/2017 | 12/31/2999 |
| 35563 | 35563 - Bypass graft with vein; ilioiliac | 35563 - BYPASS W/VEIN ILIOILIAC | 35563 - ART BYP GRFT ILIOILIAC | '01/01/2017 | 12/31/2999 |
| 35565 | 35565 - Bypass graft with vein; iliofemoral | 35565 - BYPASS W/VEIN ILIOFEMORAL | 35565 - ART BYP GRFT ILIOFEMORAL | '01/01/2017 | 12/31/2999 |
| 35566 | 35566 - Bypass graft with vein; femoral-anterior tibial posterior tibial peroneal artery or other distal vessels | 35566 - BYP FEM-ANT TIBL PST TIBL PRONEAL ART/OTH DSTL | 35566 - ART BYP FEM-ANT-POST TIB/PRL | '01/01/2017 | 12/31/2999 |
| 35570 | 35570 - Bypass graft with vein; tibial-tibial peroneal-tibial or tibial/peroneal trunk-tibial | 35570 - BYP TIBL-TIBL/PRONEAL-TIBL/TIBL/PRONEAL TRK-TIBL | 35570 - ART BYP TIBIAL-TIB/PERONEAL | '01/01/2017 | 12/31/2999 |
| 35571 | 35571 - Bypass graft with vein; popliteal-tibial -peroneal artery or other distal vessels | 35571 - BYP W/VEIN POP-TIBL-PRONEAL ART/OTH DSTL VSL | 35571 - ART BYP POP-TIBL-PRL-OTHER | '01/01/2017 | 12/31/2999 |
| 35572 | 35572 - Harvest of femoropopliteal vein 1 segment for vascular reconstruction procedure (eg aortic vena caval coronary peripheral artery) (List separately in addition to code for primary procedure) | 35572 - HARVEST FEMPOP VEIN 1 SGM VASC RCNSTJ PX | 35572 - HARVEST FEMOROPOPLITEAL VEIN | '01/01/2017 | 12/31/2999 |
| 35583 | 35583 - In-situ vein bypass; femoral-popliteal | 35583 - IN-SITU VEIN BYPASS FEMORAL-POPLITEAL | 35583 - VEIN BYP GRFT FEM-POPLITEAL | '01/01/2017 | 12/31/2999 |
| 35585 | 35585 - In-situ vein bypass; femoral-anterior tibial posterior tibial or peroneal artery | 35585 - IN-SITU FEM-ANT TIBL PST TIBL/PRONEAL ART | 35585 - VEIN BYP FEM-TIBIAL PERONEAL | '01/01/2017 | 12/31/2999 |
| 35587 | 35587 - In-situ vein bypass; popliteal-tibial peroneal | 35587 - IN-SITU VEIN BYP POP-TIBL PRONEAL | 35587 - VEIN BYP POP-TIBL PERONEAL | '01/01/2017 | 12/31/2999 |
| 35600 | 35600 - Harvest of upper extremity artery 1 segment for coronary artery bypass procedure open | 35600 - OPEN HARVEST UPPER EXTREMITY ART 1 SEGMENT CAB | 35600 - OPEN HRV UXTR ART 1 SGM CAB | '01/01/2022 | 12/31/2999 |
| 35601 | 35601 - Bypass graft with other than vein; common carotid-ipsilateral internal carotid | 35601 - BYP OTH/THN VEIN COMMON-IPSILATERAL CAROTID | 35601 - ART BYP COMMON IPSI CAROTID | '01/01/2017 | 12/31/2999 |
| 35606 | 35606 - Bypass graft with other than vein; carotid-subclavian | 35606 - BYP OTH/THN VEIN CAROTID-SUBCLAVIAN | 35606 - ART BYP CAROTID-SUBCLAVIAN | '01/01/2017 | 12/31/2999 |
| 35612 | 35612 - Bypass graft with other than vein; subclavian-subclavian | 35612 - BYP OTH/THN VEIN SUBCLAVIAN-SUBCLAVIAN | 35612 - ART BYP SUBCLAV-SUBCLAVIAN | '01/01/2017 | 12/31/2999 |
| 35616 | 35616 - Bypass graft with other than vein; subclavian-axillary | 35616 - BYP OTH/THN VEIN SUBCLAVIAN-AXILLARY | 35616 - ART BYP SUBCLAV-AXILLARY | '01/01/2017 | 12/31/2999 |
| 35621 | 35621 - Bypass graft with other than vein; axillary-femoral | 35621 - BYP OTH/THN VEIN AXILLARY-FEMORAL | 35621 - ART BYP AXILLARY-FEMORAL | '01/01/2017 | 12/31/2999 |
| 35623 | 35623 - Bypass graft with other than vein; axillary-popliteal or -tibial | 35623 - BYP OTH/THN VEIN AXILLARY-POPLITEAL/-TIBIAL | 35623 - ART BYP AXILLARY-POP-TIBIAL | '01/01/2017 | 12/31/2999 |
| 35626 | 35626 - Bypass graft with other than vein; aortosubclavian aortoinnominate or aortocarotid | 35626 - BYPASS NOT VEIN AORTOSUBCLA/CAROTID/INNOMINATE | 35626 - ART BYP AORSUBCL/CAROT/INNOM | '01/01/2017 | 12/31/2999 |
| 35631 | 35631 - Bypass graft with other than vein; aortoceliac aortomesenteric aortorenal | 35631 - BYP OTH/THN VEIN AORTOCELIAC AORTOMSN AORTORNL | 35631 - ART BYP AOR-CELIAC-MSN-RENAL | '01/01/2017 | 12/31/2999 |
| 35632 | 35632 - Bypass graft with other than vein; ilio-celiac | 35632 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-CELIAC | 35632 - ART BYP ILIO-CELIAC | '01/01/2017 | 12/31/2999 |
| 35633 | 35633 - Bypass graft with other than vein; ilio-mesenteric | 35633 - BYPASS GRAFT W/OTHER THAN VEIN ILIO-MESENTERIC | 35633 - ART BYP ILIO-MESENTERIC | '01/01/2017 | 12/31/2999 |
| 35634 | 35634 - Bypass graft with other than vein; iliorenal | 35634 - BYPASS GRAFT W/OTHER THAN VEIN ILIORENAL | 35634 - ART BYP ILIORENAL | '01/01/2017 | 12/31/2999 |
| 35636 | 35636 - Bypass graft with other than vein; splenorenal (splenic to renal arterial anastomosis) | 35636 - BYP OTH/THN VEIN SPLENORENAL | 35636 - ART BYP SPENORENAL | '01/01/2017 | 12/31/2999 |
| 35637 | 35637 - Bypass graft with other than vein; aortoiliac | 35637 - BYP OTH/THN VEIN AORTOILIAC | 35637 - ART BYP AORTOILIAC | '01/01/2017 | 12/31/2999 |
| 35638 | 35638 - Bypass graft with other than vein; aortobi-iliac | 35638 - BYP OTH/THN VEIN AORTOBI-ILIAC | 35638 - ART BYP AORTOBI-ILIAC | '01/01/2017 | 12/31/2999 |
| 35642 | 35642 - Bypass graft with other than vein; carotid-vertebral | 35642 - BYP OTH/THN VEIN CAROTID-VERTEBRAL | 35642 - ART BYP CAROTID-VERTEBRAL | '01/01/2017 | 12/31/2999 |
| 35645 | 35645 - Bypass graft with other than vein; subclavian-vertebral | 35645 - BYP OTH/THN VEIN SUBCLAVIAN-VERTEBRAL | 35645 - ART BYP SUBCLAV-VERTEBRL | '01/01/2017 | 12/31/2999 |
| 35646 | 35646 - Bypass graft with other than vein; aortobifemoral | 35646 - BYP OTH/THN VEIN AORTOBIFEMORAL | 35646 - ART BYP AORTOBIFEMORAL | '01/01/2017 | 12/31/2999 |
| 35647 | 35647 - Bypass graft with other than vein; aortofemoral | 35647 - BYP OTH/THN VEIN AORTOFEMORAL | 35647 - ART BYP AORTOFEMORAL | '01/01/2017 | 12/31/2999 |
| 35650 | 35650 - Bypass graft with other than vein; axillary-axillary | 35650 - BYP OTH/THN VEIN AXILLARY-AXILLARY | 35650 - ART BYP AXILLARY-AXILLARY | '01/01/2017 | 12/31/2999 |
| 35654 | 35654 - Bypass graft with other than vein; axillary-femoral-femoral | 35654 - BYP OTH/THN VEIN AXILLARY-FEMORAL-FEMORAL | 35654 - ART BYP AXILL-FEM-FEMORAL | '01/01/2017 | 12/31/2999 |
| 35656 | 35656 - Bypass graft with other than vein; femoral-popliteal | 35656 - BYP OTH/THN VEIN FEMORAL-POPLITEAL | 35656 - ART BYP FEMORAL-POPLITEAL | '01/01/2017 | 12/31/2999 |
| 35661 | 35661 - Bypass graft with other than vein; femoral-femoral | 35661 - BYP OTH/THN VEIN FEMORAL-FEMORAL | 35661 - ART BYP FEMORAL-FEMORAL | '01/01/2017 | 12/31/2999 |
| 35663 | 35663 - Bypass graft with other than vein; ilioiliac | 35663 - BYP OTH/THN VEIN ILIOILIAC | 35663 - ART BYP ILIOILIAC | '01/01/2017 | 12/31/2999 |
| 35665 | 35665 - Bypass graft with other than vein; iliofemoral | 35665 - BYP OTH/THN VEIN ILIOFEMORAL | 35665 - ART BYP ILIOFEMORAL | '01/01/2017 | 12/31/2999 |
| 35666 | 35666 - Bypass graft with other than vein; femoral-anterior tibial posterior tibial or peroneal artery | 35666 - BYP OTH/THN VEIN FEM-ANT TIBL PST TIBL/PRONEAL | 35666 - ART BYP FEM-ANT-POST TIB/PRL | '01/01/2017 | 12/31/2999 |
| 35671 | 35671 - Bypass graft with other than vein; popliteal-tibial or -peroneal artery | 35671 - BYP OTH/THN VEIN POPLITEAL-TIBIAL/-PERONEAL ART | 35671 - ART BYP POP-TIBL-PRL-OTHER | '01/01/2017 | 12/31/2999 |
| 35681 | 35681 - Bypass graft; composite prosthetic and vein (List separately in addition to code for primary procedure) | 35681 - BYPASS COMPOSITE GRAFT PROSTHETIC & VEIN | 35681 - COMPOSITE BYP GRFT PROS&VEIN | '01/01/2017 | 12/31/2999 |
| 35682 | 35682 - Bypass graft; autogenous composite 2 segments of veins from 2 locations (List separately in addition to code for primary procedure) | 35682 - BYP AUTOG COMPOSIT 2 SEG VEINS FROM 2 LOCATIONS | 35682 - COMPOSITE BYP GRFT 2 VEINS | '01/01/2017 | 12/31/2999 |
| 35683 | 35683 - Bypass graft; autogenous composite 3 or more segments of vein from 2 or more locations (List separately in addition to code for primary procedure) | 35683 - BYP AUTOG COMPOSIT 3/> SEG FROM 2/> LOCATION | 35683 - COMPOSITE BYP GRFT 3/> SEGMT | '01/01/2017 | 12/31/2999 |
| 35685 | 35685 - Placement of vein patch or cuff at distal anastomosis of bypass graft synthetic conduit (List separately in addition to code for primary procedure) | 35685 - PLMT VEIN PATCH/CUFF DSTL ANAST BYP CONDUIT | 35685 - BYPASS GRAFT PATENCY/PATCH | '01/01/2017 | 12/31/2999 |
| 35686 | 35686 - Creation of distal arteriovenous fistula during lower extremity bypass surgery (non-hemodialysis) (List separately in addition to code for primary procedure) | 35686 - CRTJ DSTL ARVEN FSTL LXTR BYP SURG NON-HEMO | 35686 - BYPASS GRAFT/AV FIST PATENCY | '01/01/2017 | 12/31/2999 |
| 35691 | 35691 - Transposition and/or reimplantation; vertebral to carotid artery | 35691 - TRPOS&/RIMPLTJ VERTEBRAL CAROTID ART | 35691 - ART TRNSPOSJ VERTBRL CAROTID | '01/01/2017 | 12/31/2999 |
| 35693 | 35693 - Transposition and/or reimplantation; vertebral to subclavian artery | 35693 - TRPOS&/RIMPLTJ VERTEBRAL SUBCLAVIAN ART | 35693 - ART TRNSPOSJ SUBCLAVIAN | '01/01/2017 | 12/31/2999 |
| 35694 | 35694 - Transposition and/or reimplantation; subclavian to carotid artery | 35694 - TRPOS&/RIMPLTJ SUBCLAVIAN CAROTID ART | 35694 - ART TRNSPOSJ SUBCLAV CAROTID | '01/01/2017 | 12/31/2999 |
| 35695 | 35695 - Transposition and/or reimplantation; carotid to subclavian artery | 35695 - TRPOS&/RIMPLTJ CAROTID SUBCLAVIAN ART | 35695 - ART TRNSPOSJ CAROTID SUBCLAV | '01/01/2017 | 12/31/2999 |
| 35697 | 35697 - Reimplantation visceral artery to infrarenal aortic prosthesis each artery (List separately in addition to code for primary procedure) | 35697 - RIMPLTJ VISC ART INFRARNL AORTIC PROSTH EA ART | 35697 - REIMPLANT ARTERY EACH | '01/01/2017 | 12/31/2999 |
| 35700 | 35700 - Reoperation femoral-popliteal or femoral (popliteal)-anterior tibial posterior tibial peroneal artery or other distal vessels more than 1 month after original operation (List separately in addition to code for primary procedure) | 35700 - ROPRTJ > 1 MO AFTER ORIGINAL OPRATION | 35700 - REOPERATION BYPASS GRAFT | '01/01/2017 | 12/31/2999 |
| 35701 | 35701 - Exploration not followed by surgical repair artery; neck (eg carotid subclavian) | 35701 - EXPLORATION N/FLWD SURG NECK ARTERY | 35701 - EXPL N/FLWD SURG NECK ART | '01/01/2020 | 12/31/2999 |
| 35702 | 35702 - Exploration not followed by surgical repair artery; upper extremity (eg axillary brachial radial ulnar) | 35702 - EXPLORATION N/FLWD SURG UPPER EXTREMITY ARTERY | 35702 - EXPL N/FLWD SURG UXTR ART | '01/01/2020 | 12/31/2999 |
| 35703 | 35703 - Exploration not followed by surgical repair artery; lower extremity (eg common femoral deep femoral superficial femoral popliteal tibial peroneal) | 35703 - EXPLORATION N/FLWD SURG LOWER EXTREMITY ARTERY | 35703 - EXPL N/FLWD SURG LXTR ART | '01/01/2020 | 12/31/2999 |
| 3570F | 3570F - Final report for bone scintigraphy study includes correlation with existing relevant imaging studies (eg X ray MRI CT) corresponding to the same anatomical region in question (NUC_MED) | 3570F - REPORT BONE SCINTIGRAPHY W/X-RAY SAME REGION | 3570F - RPRT BONE SCINT XREF W XRAY | '01/01/2017 | 12/31/2999 |
| 3572F | 3572F - Patient considered to be potentially at risk for fracture in a weight-bearing site (NUC_MED) | 3572F - PT POTENTIAL RISK FRACTURE WEIGHT-BEARING SITE | 3572F - PT CONSID POSS RISK FX | '01/01/2017 | 12/31/2999 |
| 3573F | 3573F - Patient not considered to be potentially at risk for fracture in a weight-bearing site (NUC_MED) | 3573F - PT NOT POTENT RISK FRACTURE WEIGHT-BEARING SITE | 3573F - PT NOT CONSID POSS RISK FX | '01/01/2017 | 12/31/2999 |
| 35800 | 35800 - Exploration for postoperative hemorrhage thrombosis or infection; neck | 35800 - EXPL PO HEMRRG THROMBOSIS/INFCTJ NCK | 35800 - EXPLORE NECK VESSELS | '01/01/2017 | 12/31/2999 |
| 35820 | 35820 - Exploration for postoperative hemorrhage thrombosis or infection; chest | 35820 - EXPL PO HEMRRG THROMBOSIS/INFCTJ CH | 35820 - EXPLORE CHEST VESSELS | '01/01/2017 | 12/31/2999 |
| 35840 | 35840 - Exploration for postoperative hemorrhage thrombosis or infection; abdomen | 35840 - EXPL PO HEMRRG THROMBOSIS/INFCTJ ABD | 35840 - EXPLORE ABDOMINAL VESSELS | '01/01/2017 | 12/31/2999 |
| 35860 | 35860 - Exploration for postoperative hemorrhage thrombosis or infection; extremity | 35860 - EXPL PO HEMRRG THROMBOSIS/INFCTJ XTR | 35860 - EXPLORE LIMB VESSELS | '01/01/2017 | 12/31/2999 |
| 35870 | 35870 - Repair of graft-enteric fistula | 35870 - RPR GRF-ENTERIC FSTL | 35870 - REPAIR VESSEL GRAFT DEFECT | '01/01/2017 | 12/31/2999 |
| 35875 | 35875 - Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); | 35875 - THRMBC ARTL/VEN GRF OTH/THN HEMO GRF/FSTL | 35875 - REMOVAL OF CLOT IN GRAFT | '01/01/2017 | 12/31/2999 |
| 35876 | 35876 - Thrombectomy of arterial or venous graft (other than hemodialysis graft or fistula); with revision of arterial or venous graft | 35876 - THRMBC ARTL/VEN GRF XCP HEMO GRF/FSTL W/REVJ GRF | 35876 - REMOVAL OF CLOT IN GRAFT | '01/01/2017 | 12/31/2999 |
| 35879 | 35879 - Revision lower extremity arterial bypass without thrombectomy open; with vein patch angioplasty | 35879 - REVJ LXTR ARTL BYP OPN VEIN PATCH ANGIOP | 35879 - REVISE GRAFT W/VEIN | '01/01/2017 | 12/31/2999 |
| 35881 | 35881 - Revision lower extremity arterial bypass without thrombectomy open; with segmental vein interposition | 35881 - REVJ LXTR ARTL BYP OPN W/SGMTL VEIN INTERPOS | 35881 - REVISE GRAFT W/VEIN | '01/01/2017 | 12/31/2999 |
| 35883 | 35883 - Revision femoral anastomosis of synthetic arterial bypass graft in groin open; with nonautogenous patch graft (eg polyester ePTFE bovine pericardium) | 35883 - REVJ FEM ANAST BPG GRN OPN W/NONAUTOG PATCH GRF | 35883 - REVJ FEM ANAST NONAUTOG GRF | '01/01/2023 | 12/31/2999 |
| 35884 | 35884 - Revision femoral anastomosis of synthetic arterial bypass graft in groin open; with autogenous vein patch graft | 35884 - REVJ FEM ANAST BPG GRN OPN W/AUTOG VN PATCH GRF | 35884 - REVJ FEM ANAST AUTOG VN GRF | '01/01/2023 | 12/31/2999 |
| 35901 | 35901 - Excision of infected graft; neck | 35901 - EXCISION INFECTED NECK GRAFT | 35901 - EXCISION GRAFT NECK | '01/01/2017 | 12/31/2999 |
| 35903 | 35903 - Excision of infected graft; extremity | 35903 - EXCISION INFECTED GRAFT EXTREMITY | 35903 - EXCISION GRAFT EXTREMITY | '01/01/2017 | 12/31/2999 |
| 35905 | 35905 - Excision of infected graft; thorax | 35905 - EXCISION INFECTED GRAFT THORAX | 35905 - EXCISION GRAFT THORAX | '01/01/2017 | 12/31/2999 |
| 35907 | 35907 - Excision of infected graft; abdomen | 35907 - EXCISION INFECTED GRAFT ABDOMEN | 35907 - EXCISION GRAFT ABDOMEN | '01/01/2017 | 12/31/2999 |
| 36000 | 36000 - Introduction of needle or intracatheter vein | 36000 - INTRODUCTION NEEDLE/INTRACATHETER VEIN | 36000 - PLACE NEEDLE IN VEIN | '01/01/2017 | 12/31/2999 |
| 36002 | 36002 - Injection procedures (eg thrombin) for percutaneous treatment of extremity pseudoaneurysm | 36002 - INJECTION PX PRQ TX EXTREMITY PSEUDOANEURYSM | 36002 - PSEUDOANEURYSM INJECTION TRT | '01/01/2017 | 12/31/2999 |
| 36005 | 36005 - Injection procedure for extremity venography (including introduction of needle or intracatheter) | 36005 - NJX PX XTR VNGRPH W/INTRO NDL/INTRACATH | 36005 - INJECTION EXT VENOGRAPHY | '01/01/2017 | 12/31/2999 |
| 36010 | 36010 - Introduction of catheter superior or inferior vena cava | 36010 - INTRO CATHETER SUPERIOR/INFERIOR VENA CAVA | 36010 - PLACE CATHETER IN VEIN | '01/01/2017 | 12/31/2999 |
| 36011 | 36011 - Selective catheter placement venous system; first order branch (eg renal vein jugular vein) | 36011 - SLCTV CATH PLMT VEN SYS 1ST ORDER BRANCH | 36011 - PLACE CATHETER IN VEIN | '01/01/2017 | 12/31/2999 |
| 36012 | 36012 - Selective catheter placement venous system; second order or more selective branch (eg left adrenal vein petrosal sinus) | 36012 - SLCTV CATH PLMT VEN SYS 2ND ORDER/> SLCTV BRANC | 36012 - PLACE CATHETER IN VEIN | '01/01/2017 | 12/31/2999 |
| 36013 | 36013 - Introduction of catheter right heart or main pulmonary artery | 36013 - INTRO CATHETER RIGHT HEART/MAIN PULMONARY ARTERY | 36013 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36014 | 36014 - Selective catheter placement left or right pulmonary artery | 36014 - SLCTV CATHETER PLMT LEFT/RIGHT PULMONARY ARTERY | 36014 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36015 | 36015 - Selective catheter placement segmental or subsegmental pulmonary artery | 36015 - SLCTV CATH PLMT SEGMENTAL/SUBSEGMENTAL PULM ART | 36015 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36100 | 36100 - Introduction of needle or intracatheter carotid or vertebral artery | 36100 - INTRO NEEDLE/INTRACATH CAROTID/VERTEBRAL ARTERY | 36100 - ESTABLISH ACCESS TO ARTERY | '01/01/2017 | 12/31/2999 |
| 36140 | 36140 - Introduction of needle or intracatheter upper or lower extremity artery | 36140 - INTRO OF NEEDLE OR INTRACATHETER UPR/LXTR ARTERY | 36140 - INTRO NDL ICATH UPR/LXTR ART | '01/01/2018 | 12/31/2999 |
| 36160 | 36160 - Introduction of needle or intracatheter aortic translumbar | 36160 - INTRO NEEDLE/INTRACATH AORTIC TRANSLUMBAR | 36160 - ESTABLISH ACCESS TO AORTA | '01/01/2017 | 12/31/2999 |
| 36200 | 36200 - Introduction of catheter aorta | 36200 - INTRODUCTION CATHETER AORTA | 36200 - PLACE CATHETER IN AORTA | '01/01/2017 | 12/31/2999 |
| 36215 | 36215 - Selective catheter placement arterial system; each first order thoracic or brachiocephalic branch within a vascular family | 36215 - SLCTV CATHJ EA 1ST ORD THRC/BRCH/CPHLC BRNCH | 36215 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36216 | 36216 - Selective catheter placement arterial system; initial second order thoracic or brachiocephalic branch within a vascular family | 36216 - SLCTV CATHJ 1ST 2ND ORD THRC/BRCH/CPHLC BRNCH | 36216 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36217 | 36217 - Selective catheter placement arterial system; initial third order or more selective thoracic or brachiocephalic branch within a vascular family | 36217 - SLCTV CATHJ 3RD+ ORD SLCTV THRC/BRCH/CPHLC BRNCH | 36217 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36218 | 36218 - Selective catheter placement arterial system; additional second order third order and beyond thoracic or brachiocephalic branch within a vascular family (List in addition to code for initial second or third order vessel as appropriate) | 36218 - SLCTV CATHJ EA 2ND+ ORD THRC/BRCH/CPHLC BRNCH | 36218 - PLACE CATHETER IN ARTERY | '01/01/2017 | 12/31/2999 |
| 36221 | 36221 - Non-selective catheter placement thoracic aorta with angiography of the extracranial carotid vertebral and/or intracranial vessels unilateral or bilateral and all associated radiological supervision and interpretation includes angiography of the cervicocerebral arch when performed | 36221 - NONSLCTV CATH THOR AORTA ANGIO INTR/XTRCRANL ART | 36221 - PLACE CATH THORACIC AORTA | '01/01/2017 | 12/31/2999 |
| 36222 | 36222 - Selective catheter placement common carotid or innominate artery unilateral any approach with angiography of the ipsilateral extracranial carotid circulation and all associated radiological supervision and interpretation includes angiography of the cervicocerebral arch when performed | 36222 - SLCTV CATH CAROTID/INNOM ART ANGIO XTRCRANL ART | 36222 - PLACE CATH CAROTID/INOM ART | '01/01/2017 | 12/31/2999 |
| 36223 | 36223 - Selective catheter placement common carotid or innominate artery unilateral any approach with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation includes angiography of the extracranial carotid and cervicocerebral arch when performed | 36223 - SLCTV CATH CAROTID/INNOM ART ANGIO INTRCRANL ART | 36223 - PLACE CATH CAROTID/INOM ART | '01/01/2017 | 12/31/2999 |
| 36224 | 36224 - Selective catheter placement internal carotid artery unilateral with angiography of the ipsilateral intracranial carotid circulation and all associated radiological supervision and interpretation includes angiography of the extracranial carotid and cervicocerebral arch when performed | 36224 - SLCTV CATH INTRNL CAROTID ART ANGIO INTRCRNL ART | 36224 - PLACE CATH CAROTD ART | '01/01/2017 | 12/31/2999 |
| 36225 | 36225 - Selective catheter placement subclavian or innominate artery unilateral with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation includes angiography of the cervicocerebral arch when performed | 36225 - SLCTV CATH SUBCLAVIAN ART ANGIO VERTEBRAL ARTERY | 36225 - PLACE CATH SUBCLAVIAN ART | '01/01/2017 | 12/31/2999 |
| 36226 | 36226 - Selective catheter placement vertebral artery unilateral with angiography of the ipsilateral vertebral circulation and all associated radiological supervision and interpretation includes angiography of the cervicocerebral arch when performed | 36226 - SLCTV CATH VERTEBRAL ART ANGIO VERTEBRAL ARTERY | 36226 - PLACE CATH VERTEBRAL ART | '01/01/2017 | 12/31/2999 |
| 36227 | 36227 - Selective catheter placement external carotid artery unilateral with angiography of the ipsilateral external carotid circulation and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure) | 36227 - SLCTV CATH XTRNL CAROTID ANGIO XTRNL CAROTD CIRC | 36227 - PLACE CATH XTRNL CAROTID | '01/01/2017 | 12/31/2999 |
| 36228 | 36228 - Selective catheter placement each intracranial branch of the internal carotid or vertebral arteries unilateral with angiography of the selected vessel circulation and all associated radiological supervision and interpretation (eg middle cerebral artery posterior inferior cerebellar artery) (List separately in addition to code for primary procedure) | 36228 - SLCTV CATH INTRCRNL BRNCH ANGIO INTRL CAROT/VERT | 36228 - PLACE CATH INTRACRANIAL ART | '01/01/2017 | 12/31/2999 |
| 36245 | 36245 - Selective catheter placement arterial system; each first order abdominal pelvic or lower extremity artery branch within a vascular family | 36245 - SLCTV CATHJ EA 1ST ORD ABDL PEL/LXTR ART BRNCH | 36245 - INS CATH ABD/L-EXT ART 1ST | '01/01/2017 | 12/31/2999 |
| 36246 | 36246 - Selective catheter placement arterial system; initial second order abdominal pelvic or lower extremity artery branch within a vascular family | 36246 - SLCTV CATHJ 2ND ORDER ABDL PEL/LXTR ART BRNCH | 36246 - INS CATH ABD/L-EXT ART 2ND | '01/01/2017 | 12/31/2999 |
| 36247 | 36247 - Selective catheter placement arterial system; initial third order or more selective abdominal pelvic or lower extremity artery branch within a vascular family | 36247 - SLCTV CATHJ 3RD+ ORD SLCTV ABDL PEL/LXTR BRNCH | 36247 - INS CATH ABD/L-EXT ART 3RD | '01/01/2017 | 12/31/2999 |
| 36248 | 36248 - Selective catheter placement arterial system; additional second order third order and beyond abdominal pelvic or lower extremity artery branch within a vascular family (List in addition to code for initial second or third order vessel as appropriate) | 36248 - SLCTV CATHJ EA 2ND+ ORD ABDL PEL/LXTR ART BRNCH | 36248 - INS CATH ABD/L-EXT ART ADDL | '01/01/2017 | 12/31/2999 |
| 36251 | 36251 - Selective catheter placement (first-order) main renal artery and any accessory renal artery(s) for renal angiography including arterial puncture and catheter placement(s) fluoroscopy contrast injection(s) image postprocessing permanent recording of images and radiological supervision and interpretation including pressure gradient measurements when performed and flush aortogram when performed; unilateral | 36251 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUORO/S&I UN | 36251 - INS CATH REN ART 1ST UNILAT | '01/01/2017 | 12/31/2999 |
| 36252 | 36252 - Selective catheter placement (first-order) main renal artery and any accessory renal artery(s) for renal angiography including arterial puncture and catheter placement(s) fluoroscopy contrast injection(s) image postprocessing permanent recording of images and radiological supervision and interpretation including pressure gradient measurements when performed and flush aortogram when performed; bilateral | 36252 - SLCTV CATH 1STORD W/WO ART PUNCT/FLUOR/S&I BIL | 36252 - INS CATH REN ART 1ST BILAT | '01/01/2017 | 12/31/2999 |
| 36253 | 36253 - Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography including arterial puncture catheterization fluoroscopy contrast injection(s) image postprocessing permanent recording of images and radiological supervision and interpretation including pressure gradient measurements when performed and flush aortogram when performed; unilateral | 36253 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I | 36253 - INS CATH REN ART 2ND+ UNILAT | '01/01/2017 | 12/31/2999 |
| 36254 | 36254 - Superselective catheter placement (one or more second order or higher renal artery branches) renal artery and any accessory renal artery(s) for renal angiography including arterial puncture catheterization fluoroscopy contrast injection(s) image postprocessing permanent recording of images and radiological supervision and interpretation including pressure gradient measurements when performed and flush aortogram when performed; bilateral | 36254 - SUPSLCTV CATH 2ND+ORD RENAL&ACCESSORY ARTERY/S&I | 36254 - INS CATH REN ART 2ND+ BILAT | '01/01/2017 | 12/31/2999 |
| 36260 | 36260 - Insertion of implantable intra-arterial infusion pump (eg for chemotherapy of liver) | 36260 - INSJ IMPLANTABLE INTRA-ARTERIAL INFUSION PUM | 36260 - INSERTION OF INFUSION PUMP | '01/01/2017 | 12/31/2999 |
| 36261 | 36261 - Revision of implanted intra-arterial infusion pump | 36261 - REVJ IMPLANTED INTRA-ARTERIAL INFUSION PUMP | 36261 - REVISION OF INFUSION PUMP | '01/01/2017 | 12/31/2999 |
| 36262 | 36262 - Removal of implanted intra-arterial infusion pump | 36262 - REMOVAL IMPLANTED INTRA-ARTERIAL INFUSION PUMP | 36262 - REMOVAL OF INFUSION PUMP | '01/01/2017 | 12/31/2999 |
| 36299 | 36299 - Unlisted procedure vascular injection | 36299 - UNLISTED PROCEDURE VASCULAR INJECTION | 36299 - UNLISTED PX VASCULAR NJX | '01/01/2023 | 12/31/2999 |
| 36400 | 36400 - Venipuncture younger than age 3 years necessitating the skill of a physician or other qualified health care professional not to be used for routine venipuncture; femoral or jugular vein | 36400 - VNPNXR <3 YEARS PHY/QHP SKILL FEMRAL/JUGLAR VEIN | 36400 - BL DRAW < 3 YRS FEM/JUGULAR | '01/01/2017 | 12/31/2999 |
| 36405 | 36405 - Venipuncture younger than age 3 years necessitating the skill of a physician or other qualified health care professional not to be used for routine venipuncture; scalp vein | 36405 - VNPNXR <3 YEARS PHYS/QHP SKILL SCALP VEIN | 36405 - BL DRAW <3 YRS SCALP VEIN | '01/01/2017 | 12/31/2999 |
| 36406 | 36406 - Venipuncture younger than age 3 years necessitating the skill of a physician or other qualified health care professional not to be used for routine venipuncture; other vein | 36406 - VNPNXR <3 YEARS PHYS/QHP SKILL OTHER VEIN | 36406 - BL DRAW <3 YRS OTHER VEIN | '01/01/2017 | 12/31/2999 |
| 36410 | 36410 - Venipuncture age 3 years or older necessitating the skill of a physician or other qualified health care professional (separate procedure) for diagnostic or therapeutic purposes (not to be used for routine venipuncture) | 36410 - VNPNXR 3 YEARS/> PHYS/QHP SKILL | 36410 - NON-ROUTINE BL DRAW 3/> YRS | '01/01/2017 | 12/31/2999 |
| 36415 | 36415 - Collection of venous blood by venipuncture | 36415 - COLLECTION VENOUS BLOOD VENIPUNCTURE | 36415 - ROUTINE VENIPUNCTURE | '01/01/2017 | 12/31/2999 |
| 36416 | 36416 - Collection of capillary blood specimen (eg finger heel ear stick) | 36416 - COLLECTION CAPILLARY BLOOD SPECIMEN | 36416 - CAPILLARY BLOOD DRAW | '01/01/2017 | 12/31/2999 |
| 36420 | 36420 - Venipuncture cutdown; younger than age 1 year | 36420 - VENIPUNCTURE CUTDOWN UNDER AGE 1 YR | 36420 - VEIN ACCESS CUTDOWN < 1 YR | '01/01/2017 | 12/31/2999 |
| 36425 | 36425 - Venipuncture cutdown; age 1 or over | 36425 - VENIPUNCTURE CUTDOWN AGE 1 YR/> | 36425 - VEIN ACCESS CUTDOWN > 1 YR | '01/01/2017 | 12/31/2999 |
| 36430 | 36430 - Transfusion blood or blood components | 36430 - TRANSFUSION BLOOD/BLOOD COMPONENTS | 36430 - BLOOD TRANSFUSION SERVICE | '01/01/2017 | 12/31/2999 |
| 36440 | 36440 - Push transfusion blood 2 years or younger | 36440 - PUSH TRANSFUSION BLOOD 2 YR/UNDER | 36440 - BL PUSH TRANSFUSE 2 YR/< | '01/01/2017 | 12/31/2999 |
| 36450 | 36450 - Exchange transfusion blood; newborn | 36450 - EXCHNG TRANSFUSION BLOOD NEWBORN | 36450 - BL EXCHANGE/TRANSFUSE NB | '01/01/2017 | 12/31/2999 |
| 36455 | 36455 - Exchange transfusion blood; other than newborn | 36455 - EXCHNG TRANSFUSION BLOOD OTHER/THAN NEW BORN | 36455 - BL EXCHANGE/TRANSFUSE NON-NB | '01/01/2017 | 12/31/2999 |
| 36456 | 36456 - Partial exchange transfusion blood plasma or crystalloid necessitating the skill of a physician or other qualified health care professional newborn | 36456 - PRTL EXCHANGE TRANSFUSE BLOOD/PLSM/CRYST NEWBORN | 36456 - PRTL EXCHANGE TRANSFUSE NB | '01/01/2017 | 12/31/2999 |
| 36460 | 36460 - Transfusion intrauterine fetal | 36460 - TRANSFUSION INTRAUTERINE FETAL | 36460 - TRANSFUSION SERVICE FETAL | '01/01/2017 | 12/31/2999 |
| 36465 | 36465 - Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate inclusive of all imaging guidance and monitoring; single incompetent extremity truncal vein (eg great saphenous vein accessory saphenous vein) | 36465 - NJX NONCMPND SCLEROSANT SINGLE INCMPTNT VEIN | 36465 - NJX NONCMPND SCLRSNT 1 VEIN | '01/01/2018 | 12/31/2999 |
| 36466 | 36466 - Injection of non-compounded foam sclerosant with ultrasound compression maneuvers to guide dispersion of the injectate inclusive of all imaging guidance and monitoring; multiple incompetent truncal veins (eg great saphenous vein accessory saphenous vein) same leg | 36466 - NJX NONCMPND SCLEROSANT MULTIPLE INCMPTNT VEINS | 36466 - NJX NONCMPND SCLRSNT MLT VN | '01/01/2018 | 12/31/2999 |
| 36468 | 36468 - Injection(s) of sclerosant for spider veins (telangiectasia) limb or trunk | 36468 - INJECTIONS SCLEROSANT FOR SPIDER VEINS LIM/TRNK | 36468 - NJX SCLRSNT SPIDER VEINS | '01/01/2018 | 12/31/2999 |
| 36470 | 36470 - Injection of sclerosant; single incompetent vein (other than telangiectasia) | 36470 - INJECTION SCLEROSANT SINGLE INCMPTNT VEIN | 36470 - NJX SCLRSNT 1 INCMPTNT VEIN | '01/01/2018 | 12/31/2999 |
| 36471 | 36471 - Injection of sclerosant; multiple incompetent veins (other than telangiectasia) same leg | 36471 - INJECTION SCLEROSANT MULTIPLE INCMPTNT VEINS | 36471 - NJX SCLRSNT MLT INCMPTNT VN | '01/01/2018 | 12/31/2999 |
| 36473 | 36473 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous mechanochemical; first vein treated | 36473 - ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM 1ST VEIN | 36473 - ENDOVENOUS MCHNCHEM 1ST VEIN | '01/01/2017 | 12/31/2999 |
| 36474 | 36474 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous mechanochemical; subsequent vein(s) treated in a single extremity each through separate access sites (List separately in addition to code for primary procedure) | 36474 - ENDOVEN ABLTJ INCMPTNT VEIN MCHNCHEM SBSQ VEINS | 36474 - ENDOVENOUS MCHNCHEM ADD-ON | '01/01/2017 | 12/31/2999 |
| 36475 | 36475 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous radiofrequency; first vein treated | 36475 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 1ST VEIN | 36475 - ENDOVENOUS RF 1ST VEIN | '01/01/2017 | 12/31/2999 |
| 36476 | 36476 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous radiofrequency; subsequent vein(s) treated in a single extremity each through separate access sites (List separately in addition to code for primary procedure) | 36476 - ENDOVEN ABLTJ INCMPTNT VEIN XTR RF 2ND+ VEINS | 36476 - ENDOVENOUS RF VEIN ADD-ON | '01/01/2017 | 12/31/2999 |
| 36478 | 36478 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous laser; first vein treated | 36478 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 1ST VEIN | 36478 - ENDOVENOUS LASER 1ST VEIN | '01/01/2017 | 12/31/2999 |
| 36479 | 36479 - Endovenous ablation therapy of incompetent vein extremity inclusive of all imaging guidance and monitoring percutaneous laser; subsequent vein(s) treated in a single extremity each through separate access sites (List separately in addition to code for primary procedure) | 36479 - ENDOVEN ABLTJ INCMPTNT VEIN XTR LASER 2ND+ VEINS | 36479 - ENDOVENOUS LASER VEIN ADDON | '01/01/2017 | 12/31/2999 |
| 36481 | 36481 - Percutaneous portal vein catheterization by any method | 36481 - PRQ PORTAL VEIN CATHETERIZATION ANY METHOD | 36481 - INSERTION OF CATHETER VEIN | '01/01/2017 | 12/31/2999 |
| 36482 | 36482 - Endovenous ablation therapy of incompetent vein extremity by transcatheter delivery of a chemical adhesive (eg cyanoacrylate) remote from the access site inclusive of all imaging guidance and monitoring percutaneous; first vein treated | 36482 - ENDOVEN ABLTI THER CHEM ADHESIVE 1ST VEIN | 36482 - ENDOVEN THER CHEM ADHES 1ST | '01/01/2018 | 12/31/2999 |
| 36483 | 36483 - Endovenous ablation therapy of incompetent vein extremity by transcatheter delivery of a chemical adhesive (eg cyanoacrylate) remote from the access site inclusive of all imaging guidance and monitoring percutaneous; subsequent vein(s) treated in a single extremity each through separate access sites (List separately in addition to code for primary procedure) | 36483 - ENDOVEN ABLTI THER CHEM ADHESIVE SBSQ VEIN | 36483 - ENDOVEN THER CHEM ADHES SBSQ | '01/01/2018 | 12/31/2999 |
| 36500 | 36500 - Venous catheterization for selective organ blood sampling | 36500 - VEN CATHJ SLCTV ORGAN BLD SAMPLING | 36500 - INSERTION OF CATHETER VEIN | '01/01/2017 | 12/31/2999 |
| 3650F | 3650F - Electroencephalogram (EEG) ordered reviewed or requested (EPI) | 3650F - ELECTROENCEPHALOGRAM ORDERED RVWD OR REQ | 3650F - EEG ORDERED RVWD REQSTD | '01/01/2017 | 12/31/2999 |
| 36510 | 36510 - Catheterization of umbilical vein for diagnosis or therapy newborn | 36510 - CATHJ UMBILICAL VEIN DX/THER NB | 36510 - INSERTION OF CATHETER VEIN | '01/01/2017 | 12/31/2999 |
| 36511 | 36511 - Therapeutic apheresis; for white blood cells | 36511 - THERAPEUTIC APHERESIS WHITE BLOOD CELLS | 36511 - APHERESIS WBC | '01/01/2017 | 12/31/2999 |
| 36512 | 36512 - Therapeutic apheresis; for red blood cells | 36512 - THERAPEUTIC APHERESIS RED BLOOD CELLS | 36512 - APHERESIS RBC | '01/01/2017 | 12/31/2999 |
| 36513 | 36513 - Therapeutic apheresis; for platelets | 36513 - THERAPEUTIC APHERESIS PLATELETS | 36513 - APHERESIS PLATELETS | '01/01/2017 | 12/31/2999 |
| 36514 | 36514 - Therapeutic apheresis; for plasma pheresis | 36514 - THERAPEUTIC APHERESIS PLASMA PHERESIS | 36514 - APHERESIS PLASMA | '01/01/2017 | 12/31/2999 |
| 36516 | 36516 - Therapeutic apheresis; with extracorporeal immunoadsorption selective adsorption or selective filtration and plasma reinfusion | 36516 - THER APHERESIS W/EXTRACORPOREAL IMMUNOADSORPTION | 36516 - APHERESIS IMMUNOADS SLCTV | '01/01/2018 | 12/31/2999 |
| 36522 | 36522 - Photopheresis extracorporeal | 36522 - PHOTOPHERESIS EXTRACORPOREAL | 36522 - PHOTOPHERESIS | '01/01/2017 | 12/31/2999 |
| 36555 | 36555 - Insertion of non-tunneled centrally inserted central venous catheter; younger than 5 years of age | 36555 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE < 5 Y | 36555 - INSERT NON-TUNNEL CV CATH | '01/01/2017 | 12/31/2999 |
| 36556 | 36556 - Insertion of non-tunneled centrally inserted central venous catheter; age 5 years or older | 36556 - INSJ NON-TUNNELED CENTRAL VENOUS CATH AGE 5 YR/> | 36556 - INSERT NON-TUNNEL CV CATH | '01/01/2017 | 12/31/2999 |
| 36557 | 36557 - Insertion of tunneled centrally inserted central venous catheter without subcutaneous port or pump; younger than 5 years of age | 36557 - INSERT TUNNELED CVC W/O SUBQ PORT/PMP AGE <5 YR | 36557 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36558 | 36558 - Insertion of tunneled centrally inserted central venous catheter without subcutaneous port or pump; age 5 years or older | 36558 - INSJ TUNNELED CVC W/O SUBQ PORT/PMP AGE 5 YR/> | 36558 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36560 | 36560 - Insertion of tunneled centrally inserted central venous access device with subcutaneous port; younger than 5 years of age | 36560 - INSJ TUNNELED CTR VAD W/SUBQ PORT UNDER 5 YR | 36560 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36561 | 36561 - Insertion of tunneled centrally inserted central venous access device with subcutaneous port; age 5 years or older | 36561 - INSJ TUNNELED CTR VAD W/SUBQ PORT AGE 5 YR/> | 36561 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36563 | 36563 - Insertion of tunneled centrally inserted central venous access device with subcutaneous pump | 36563 - INSJ TUNNELED CTR VAD W/SUBQ PUMP | 36563 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36565 | 36565 - Insertion of tunneled centrally inserted central venous access device requiring 2 catheters via 2 separate venous access sites; without subcutaneous port or pump (eg Tesio type catheter) | 36565 - INSJ TUN VAD REQ 2 CATH 2 SITS W/O SUBQ PORT/PMP | 36565 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36566 | 36566 - Insertion of tunneled centrally inserted central venous access device requiring 2 catheters via 2 separate venous access sites; with subcutaneous port(s) | 36566 - INSJ TUN VAD REQ 2 CATH 2 SITS W/SUBQ PORT | 36566 - INSERT TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36568 | 36568 - Insertion of peripherally inserted central venous catheter (PICC) without subcutaneous port or pump without imaging guidance; younger than 5 years of age | 36568 - INSERTION PICC W/O IMG GDN < 5 YR | 36568 - INSJ PICC <5 YR W/O IMAGING | '01/01/2019 | 12/31/2999 |
| 36569 | 36569 - Insertion of peripherally inserted central venous catheter (PICC) without subcutaneous port or pump without imaging guidance; age 5 years or older | 36569 - INSERTION PICC W/O IMG GDN 5 YR/> | 36569 - INSJ PICC 5 YR+ W/O IMAGING | '01/01/2019 | 12/31/2999 |
| 36570 | 36570 - Insertion of peripherally inserted central venous access device with subcutaneous port; younger than 5 years of age | 36570 - INSJ PRPH CTR VAD W/SUBQ PORT UNDER 5 YR | 36570 - INSERT PICVAD CATH | '01/01/2017 | 12/31/2999 |
| 36571 | 36571 - Insertion of peripherally inserted central venous access device with subcutaneous port; age 5 years or older | 36571 - INSJ PRPH CTR VAD W/SUBQ PORT AGE 5 YR/> | 36571 - INSERT PICVAD CATH | '01/01/2017 | 12/31/2999 |
| 36572 | 36572 - Insertion of peripherally inserted central venous catheter (PICC) without subcutaneous port or pump including all imaging guidance image documentation and all associated radiological supervision and interpretation required to perform the insertion; younger than 5 years of age | 36572 - INSERTION PICC W/RS&I < 5 YR | 36572 - INSJ PICC RS&I <5 YR | '01/01/2019 | 12/31/2999 |
| 36573 | 36573 - Insertion of peripherally inserted central venous catheter (PICC) without subcutaneous port or pump including all imaging guidance image documentation and all associated radiological supervision and interpretation required to perform the insertion; age 5 years or older | 36573 - INSERTION PICC W/RS&I 5 YR/> | 36573 - INSJ PICC RS&I 5 YR+ | '01/01/2019 | 12/31/2999 |
| 36575 | 36575 - Repair of tunneled or non-tunneled central venous access catheter without subcutaneous port or pump central or peripheral insertion site | 36575 - RPR TUN/NON-TUN CTR VAD CATH W/O SUBQ PORT/PMP | 36575 - REPAIR TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36576 | 36576 - Repair of central venous access device with subcutaneous port or pump central or peripheral insertion site | 36576 - RPR CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ SIT | 36576 - REPAIR TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36578 | 36578 - Replacement catheter only of central venous access device with subcutaneous port or pump central or peripheral insertion site | 36578 - RPLCMT CATH CTR VAD SUBQ PORT/PMP | 36578 - REPLACE TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36580 | 36580 - Replacement complete of a non-tunneled centrally inserted central venous catheter without subcutaneous port or pump through same venous access | 36580 - RPLCMT COMPL NON-TUN CVC W/O SUBQ PORT/PMP | 36580 - REPLACE CVAD CATH | '01/01/2017 | 12/31/2999 |
| 36581 | 36581 - Replacement complete of a tunneled centrally inserted central venous catheter without subcutaneous port or pump through same venous access | 36581 - RPLCMT COMPL TUN CVC W/O SUBQ PORT/PMP | 36581 - REPLACE TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36582 | 36582 - Replacement complete of a tunneled centrally inserted central venous access device with subcutaneous port through same venous access | 36582 - RPLCMT COMPL TUN CTR VAD W/SUBQ PORT | 36582 - REPLACE TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36583 | 36583 - Replacement complete of a tunneled centrally inserted central venous access device with subcutaneous pump through same venous access | 36583 - RPLCMT COMPL TUN CTR VAD W/SUBQ PMP | 36583 - REPLACE TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36584 | 36584 - Replacement complete of a peripherally inserted central venous catheter (PICC) without subcutaneous port or pump through same venous access including all imaging guidance image documentation and all associated radiological supervision and interpretation required to perform the replacement | 36584 - COMPLETE REPLACEMENT PICC RS&I | 36584 - COMPL RPLCMT PICC RS&I | '01/01/2019 | 12/31/2999 |
| 36585 | 36585 - Replacement complete of a peripherally inserted central venous access device with subcutaneous port through same venous access | 36585 - RPLCMT COMPL PRPH CTR VAD W/SUBQ PORT | 36585 - REPLACE PICVAD CATH | '01/01/2017 | 12/31/2999 |
| 36589 | 36589 - Removal of tunneled central venous catheter without subcutaneous port or pump | 36589 - RMVL TUN CVC W/O SUBQ PORT/PMP | 36589 - REMOVAL TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36590 | 36590 - Removal of tunneled central venous access device with subcutaneous port or pump central or peripheral insertion | 36590 - RMVL TUN CTR VAD W/SUBQ PORT/PMP CTR/PRPH INSJ | 36590 - REMOVAL TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36591 | 36591 - Collection of blood specimen from a completely implantable venous access device | 36591 - COLLECT BLOOD FROM IMPLANT VENOUS ACCESS DEVICE | 36591 - DRAW BLOOD OFF VENOUS DEVICE | '01/01/2017 | 12/31/2999 |
| 36592 | 36592 - Collection of blood specimen using established central or peripheral catheter venous not otherwise specified | 36592 - COLLECT BLOOD FROM CATHETER VENOUS NOS | 36592 - COLLECT BLOOD FROM PICC | '01/01/2017 | 12/31/2999 |
| 36593 | 36593 - Declotting by thrombolytic agent of implanted vascular access device or catheter | 36593 - DECLOT BY THROMBOLYTIC AGENT IMPLANT DEVICE/CATH | 36593 - DECLOT VASCULAR DEVICE | '01/01/2017 | 12/31/2999 |
| 36595 | 36595 - Mechanical removal of pericatheter obstructive material (eg fibrin sheath) from central venous device via separate venous access | 36595 - MCHNL RMVL PRICATH OBSTR CV DEV VIA VEN ACCESS | 36595 - MECH REMOV TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36596 | 36596 - Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen | 36596 - MCHNL RMVL INTRAL OBSTR CV DEV THRU DEV LUMEN | 36596 - MECH REMOV TUNNELED CV CATH | '01/01/2017 | 12/31/2999 |
| 36597 | 36597 - Repositioning of previously placed central venous catheter under fluoroscopic guidance | 36597 - RPSG PREVIOUSLY PLACED CVC UNDER FLUOR GDNCE | 36597 - REPOSITION VENOUS CATHETER | '01/01/2017 | 12/31/2999 |
| 36598 | 36598 - Contrast injection(s) for radiologic evaluation of existing central venous access device including fluoroscopy image documentation and report | 36598 - CNTRST NJX RAD EVAL CTR VAD FLUOR IMG&REPRT | 36598 - INJ W/FLUOR EVAL CV DEVICE | '01/01/2017 | 12/31/2999 |
| 36600 | 36600 - Arterial puncture withdrawal of blood for diagnosis | 36600 - ARTERIAL PUNCTURE WITHDRAWAL BLOOD DX | 36600 - WITHDRAWAL OF ARTERIAL BLOOD | '01/01/2017 | 12/31/2999 |
| 36620 | 36620 - Arterial catheterization or cannulation for sampling monitoring or transfusion (separate procedure); percutaneous | 36620 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX PRQ | 36620 - INSERTION CATHETER ARTERY | '01/01/2017 | 12/31/2999 |
| 36625 | 36625 - Arterial catheterization or cannulation for sampling monitoring or transfusion (separate procedure); cutdown | 36625 - ARTL CATHJ/CANNULJ MNTR/TRANSFUSION SPX CUTDOWN | 36625 - INSERTION CATHETER ARTERY | '01/01/2017 | 12/31/2999 |
| 36640 | 36640 - Arterial catheterization for prolonged infusion therapy (chemotherapy) cutdown | 36640 - ARTL CATHJ PROLNG NFS THER CHEMOTX CUTDOWN | 36640 - INSERTION CATHETER ARTERY | '01/01/2017 | 12/31/2999 |
| 36660 | 36660 - Catheterization umbilical artery newborn for diagnosis or therapy | 36660 - CATHETERIZATION UMBILICAL NEWBORN ART DX/THERAPY | 36660 - INSERTION CATHETER ARTERY | '01/01/2017 | 12/31/2999 |
| 36680 | 36680 - Placement of needle for intraosseous infusion | 36680 - PLACEMENT NEEDLE INTRAOSSEOUS INFUSION | 36680 - INSERT NEEDLE BONE CAVITY | '01/01/2017 | 12/31/2999 |
| 36800 | 36800 - Insertion of cannula for hemodialysis other purpose (separate procedure); vein to vein | 36800 - INSJ CANNULA HEMO OTH PURPOSE SPX VEIN VEIN | 36800 - INSERTION OF CANNULA | '01/01/2017 | 12/31/2999 |
| 36810 | 36810 - Insertion of cannula for hemodialysis other purpose (separate procedure); arteriovenous external (Scribner type) | 36810 - INSJ CANNULA HEMO OTH PURPOSE SPX ARVEN XTRNL | 36810 - INSERTION OF CANNULA | '01/01/2017 | 12/31/2999 |
| 36815 | 36815 - Insertion of cannula for hemodialysis other purpose (separate procedure); arteriovenous external revision or closure | 36815 - INSJ CANNULA HEMO OTH SPX ARVEN XTRNL REVJ/CLSR | 36815 - INSERTION OF CANNULA | '01/01/2017 | 12/31/2999 |
| 36818 | 36818 - Arteriovenous anastomosis open; by upper arm cephalic vein transposition | 36818 - ARVEN ANAST OPN UPR ARM CEPHALIC VEIN TRPOS | 36818 - AV FUSE UPPR ARM CEPHALIC | '01/01/2017 | 12/31/2999 |
| 36819 | 36819 - Arteriovenous anastomosis open; by upper arm basilic vein transposition | 36819 - ARVEN ANAST OPN UPR ARM BASILIC VEIN TRPOS | 36819 - AV FUSE UPPR ARM BASILIC | '01/01/2017 | 12/31/2999 |
| 36820 | 36820 - Arteriovenous anastomosis open; by forearm vein transposition | 36820 - ARVEN ANAST OPN F/ARM VEIN TRPOS | 36820 - AV FUSION/FOREARM VEIN | '01/01/2017 | 12/31/2999 |
| 36821 | 36821 - Arteriovenous anastomosis open; direct any site (eg Cimino type) (separate procedure) | 36821 - ARTERIOVENOUS ANASTOMOSIS OPEN DIRECT | 36821 - AV FUSION DIRECT ANY SITE | '01/01/2017 | 12/31/2999 |
| 36823 | 36823 - Insertion of arterial and venous cannula(s) for isolated extracorporeal circulation including regional chemotherapy perfusion to an extremity with or without hyperthermia with removal of cannula(s) and repair of arteriotomy and venotomy sites | 36823 - INSJ CNULA ISLTD XC-CIRCJ REG CHEMOTX XTR RMVL | 36823 - INSERTION OF CANNULA(S) | '01/01/2017 | 12/31/2999 |
| 36825 | 36825 - Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); autogenous graft | 36825 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST AUTOG GRF | 36825 - ARTERY-VEIN AUTOGRAFT | '01/01/2017 | 12/31/2999 |
| 36830 | 36830 - Creation of arteriovenous fistula by other than direct arteriovenous anastomosis (separate procedure); nonautogenous graft (eg biological collagen thermoplastic graft) | 36830 - CRTJ ARVEN FSTL XCP DIR ARVEN ANAST NONAUTOG GRF | 36830 - ARTERY-VEIN NONAUTOGRAFT | '01/01/2017 | 12/31/2999 |
| 36831 | 36831 - Thrombectomy open arteriovenous fistula without revision autogenous or nonautogenous dialysis graft (separate procedure) | 36831 - THRMBC OPN ARVEN FSTL W/O REVJ DIAL GRF | 36831 - OPEN THROMBECT AV FISTULA | '01/01/2017 | 12/31/2999 |
| 36832 | 36832 - Revision open arteriovenous fistula; without thrombectomy autogenous or nonautogenous dialysis graft (separate procedure) | 36832 - REVJ OPN ARVEN FSTL W/O THRMBC DIAL GRF | 36832 - AV FISTULA REVISION OPEN | '01/01/2017 | 12/31/2999 |
| 36833 | 36833 - Revision open arteriovenous fistula; with thrombectomy autogenous or nonautogenous dialysis graft (separate procedure) | 36833 - REVJ OPN ARVEN FSTL W/THRMBC DIAL GRF | 36833 - AV FISTULA REVISION | '01/01/2017 | 12/31/2999 |
| 36835 | 36835 - Insertion of Thomas shunt (separate procedure) | 36835 - INSERTION THOMAS SHUNT SEPARATE PROCEDURE | 36835 - ARTERY TO VEIN SHUNT | '01/01/2017 | 12/31/2999 |
| 36836 | 36836 - Percutaneous arteriovenous fistula creation upper extremity single access of both the peripheral artery and peripheral vein including fistula maturation procedures (eg transluminal balloon angioplasty coil embolization) when performed including all vascular access imaging guidance and radiologic supervision and interpretation | 36836 - PERQ AV FISTULA CREATION UXTR SINGLE ACCESS | 36836 - PRQ AV FSTL CRTJ UXTR 1 ACS | '01/01/2023 | 12/31/2999 |
| 36837 | 36837 - Percutaneous arteriovenous fistula creation upper extremity separate access sites of the peripheral artery and peripheral vein including fistula maturation procedures (eg transluminal balloon angioplasty coil embolization) when performed including all vascular access imaging guidance and radiologic supervision and interpretation | 36837 - PERQ AV FISTULA CREATION UXTR SEP ACCESS SITES | 36837 - PRQ AV FSTL CRT UXTR SEP ACS | '01/01/2023 | 12/31/2999 |
| 36838 | 36838 - Distal revascularization and interval ligation (DRIL) upper extremity hemodialysis access (steal syndrome) | 36838 - DSTL REVSC&INTERVAL LIG UXTR HEMO ACCESS | 36838 - DIST REVAS LIGATION HEMO | '01/01/2017 | 12/31/2999 |
| 36860 | 36860 - External cannula declotting (separate procedure); without balloon catheter | 36860 - XTRNL CANNULA DECLTNG SPX W/O BALO CATH | 36860 - EXTERNAL CANNULA DECLOTTING | '01/01/2017 | 12/31/2999 |
| 36861 | 36861 - External cannula declotting (separate procedure); with balloon catheter | 36861 - XTRNL CANNULA DECLTNG SPX W/BALO CATH | 36861 - CANNULA DECLOTTING | '01/01/2017 | 12/31/2999 |
| 36901 | 36901 - Introduction of needle(s) and/or catheter(s) dialysis circuit with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance radiological supervision and interpretation and image documentation and report; | 36901 - INTRO CATH DIALYSIS CIRCUIT DX ANGRPH FLUOR S&I | 36901 - INTRO CATH DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36902 | 36902 - Introduction of needle(s) and/or catheter(s) dialysis circuit with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance radiological supervision and interpretation and image documentation and report; with transluminal balloon angioplasty peripheral dialysis segment including all imaging and radiological supervision and interpretation necessary to perform the angioplasty | 36902 - INTRO CATH DIALYSIS CIRCUIT W/TRLUML BALO ANGIOP | 36902 - INTRO CATH DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36903 | 36903 - Introduction of needle(s) and/or catheter(s) dialysis circuit with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance radiological supervision and interpretation and image documentation and report; with transcatheter placement of intravascular stent(s) peripheral dialysis segment including all imaging and radiological supervision and interpretation necessary to perform the stenting and all angioplasty within the peripheral dialysis segment | 36903 - INTRO CATH DIALYSIS CIRCUIT W/TCAT PLMT IV STENT | 36903 - INTRO CATH DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36904 | 36904 - Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis dialysis circuit any method including all imaging and radiological supervision and interpretation diagnostic angiography fluoroscopic guidance catheter placement(s) and intraprocedural pharmacological thrombolytic injection(s); | 36904 - PERQ THRMBC/NFS DIALYSIS CIRCUIT IMG DX ANGRPH | 36904 - THRMBC/NFS DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36905 | 36905 - Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis dialysis circuit any method including all imaging and radiological supervision and interpretation diagnostic angiography fluoroscopic guidance catheter placement(s) and intraprocedural pharmacological thrombolytic injection(s); with transluminal balloon angioplasty peripheral dialysis segment including all imaging and radiological supervision and interpretation necessary to perform the angioplasty | 36905 - PERQ THRMBC/NFS DIAL CIRCUIT TRLUML BALO ANGIOP | 36905 - THRMBC/NFS DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36906 | 36906 - Percutaneous transluminal mechanical thrombectomy and/or infusion for thrombolysis dialysis circuit any method including all imaging and radiological supervision and interpretation diagnostic angiography fluoroscopic guidance catheter placement(s) and intraprocedural pharmacological thrombolytic injection(s); with transcatheter placement of intravascular stent(s) peripheral dialysis segment including all imaging and radiological supervision and interpretation necessary to perform the stenting and all angioplasty within the peripheral dialysis circuit | 36906 - PERQ THRMBC/NFS DIAL CIRCUIT TCAT PLMT IV STENT | 36906 - THRMBC/NFS DIALYSIS CIRCUIT | '01/01/2017 | 12/31/2999 |
| 36907 | 36907 - Transluminal balloon angioplasty central dialysis segment performed through dialysis circuit including all imaging and radiological supervision and interpretation required to perform the angioplasty (List separately in addition to code for primary procedure) | 36907 - TRLUML BALO ANGIOP CTR DIALYSIS SEG W/IMG S&I | 36907 - BALO ANGIOP CTR DIALYSIS SEG | '01/01/2017 | 12/31/2999 |
| 36908 | 36908 - Transcatheter placement of intravascular stent(s) central dialysis segment performed through dialysis circuit including all imaging and radiological supervision and interpretation required to perform the stenting and all angioplasty in the central dialysis segment (List separately in addition to code for primary procedure) | 36908 - STENT PLMT CENTRAL DIAYLSIS SEG PFRMD DIAL CIR | 36908 - STENT PLMT CTR DIALYSIS SEG | '01/01/2018 | 12/31/2999 |
| 36909 | 36909 - Dialysis circuit permanent vascular embolization or occlusion (including main circuit or any accessory veins) endovascular including all imaging and radiological supervision and interpretation necessary to complete the intervention (List separately in addition to code for primary procedure) | 36909 - DIALYIS CIRCUIT VASC EMBOLI OCCLS EVASC IMG S&I | 36909 - DIALYSIS CIRCUIT EMBOLJ | '01/01/2017 | 12/31/2999 |
| 3700F | 3700F - Psychiatric disorders or disturbances assessed (Prkns) | 3700F - PSYCHIATRIC DISORDERS/DISTURBANCES ASSESSED | 3700F - PSYCH DISORDERS ASSESSED | '01/01/2017 | 12/31/2999 |
| 37140 | 37140 - Venous anastomosis open; portocaval | 37140 - VENOUS ANASTOMOSIS OPEN PORTOCAVAL | 37140 - REVISION OF CIRCULATION | '01/01/2017 | 12/31/2999 |
| 37145 | 37145 - Venous anastomosis open; renoportal | 37145 - VENOUS ANASTOMOSIS OPEN RENOPORTAL | 37145 - REVISION OF CIRCULATION | '01/01/2017 | 12/31/2999 |
| 37160 | 37160 - Venous anastomosis open; caval-mesenteric | 37160 - VENOUS ANASTOMOSIS OPEN CAVAL-MESENTERIC | 37160 - REVISION OF CIRCULATION | '01/01/2017 | 12/31/2999 |
| 37180 | 37180 - Venous anastomosis open; splenorenal proximal | 37180 - VENOUS ANASTOMOSIS OPEN SPLENORENAL PROXIMAL | 37180 - REVISION OF CIRCULATION | '01/01/2017 | 12/31/2999 |
| 37181 | 37181 - Venous anastomosis open; splenorenal distal (selective decompression of esophagogastric varices any technique) | 37181 - VENOUS ANASTOMOSIS OPEN SPLENORENAL DISTAL | 37181 - SPLICE SPLEEN/KIDNEY VEINS | '01/01/2017 | 12/31/2999 |
| 37182 | 37182 - Insertion of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access hepatic and portal vein catheterization portography with hemodynamic evaluation intrahepatic tract formation/dilatation stent placement and all associated imaging guidance and documentation) | 37182 - INSJ TRANSVNS INTRAHEPATC PORTOSYSIC SHUNT | 37182 - INSERT HEPATIC SHUNT (TIPS) | '01/01/2017 | 12/31/2999 |
| 37183 | 37183 - Revision of transvenous intrahepatic portosystemic shunt(s) (TIPS) (includes venous access hepatic and portal vein catheterization portography with hemodynamic evaluation intrahepatic tract recannulization/dilatation stent placement and all associated imaging guidance and documentation) | 37183 - REVJ TRANSVNS INTRHPTC PORTOSYSTEMIC SHNT (TIPS) | 37183 - REVISION TIPS | '01/01/2023 | 12/31/2999 |
| 37184 | 37184 - Primary percutaneous transluminal mechanical thrombectomy noncoronary non-intracranial arterial or arterial bypass graft including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); initial vessel | 37184 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA 1ST | 37184 - PRIM ART M-THRMBC 1ST VSL | '01/01/2017 | 12/31/2999 |
| 37185 | 37185 - Primary percutaneous transluminal mechanical thrombectomy noncoronary non-intracranial arterial or arterial bypass graft including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injection(s); second and all subsequent vessel(s) within the same vascular family (List separately in addition to code for primary mechanical thrombectomy procedure) | 37185 - PRIM PRQ TRLUML MCHNL THRMBC N-COR N-ICRA SBSQ | 37185 - PRIM ART M-THRMBC SBSQ VSL | '01/01/2017 | 12/31/2999 |
| 37186 | 37186 - Secondary percutaneous transluminal thrombectomy (eg nonprimary mechanical snare basket suction technique) noncoronary non-intracranial arterial or arterial bypass graft including fluoroscopic guidance and intraprocedural pharmacological thrombolytic injections provided in conjunction with another percutaneous intervention other than primary mechanical thrombectomy (List separately in addition to code for primary procedure) | 37186 - SEC PRQ TRLUML THRMBC N-CORONARY N-INTRACRANIAL | 37186 - SEC ART THROMBECTOMY ADD-ON | '01/01/2017 | 12/31/2999 |
| 37187 | 37187 - Percutaneous transluminal mechanical thrombectomy vein(s) including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance | 37187 - PRQ TRANSLUMINAL MECHANICAL THROMBECTOMY VEIN | 37187 - VENOUS MECH THROMBECTOMY | '01/01/2017 | 12/31/2999 |
| 37188 | 37188 - Percutaneous transluminal mechanical thrombectomy vein(s) including intraprocedural pharmacological thrombolytic injections and fluoroscopic guidance repeat treatment on subsequent day during course of thrombolytic therapy | 37188 - PRQ TRLUML MCHNL THRMBC VEIN REPEAT TX | 37188 - VEN MECHNL THRMBC REPEAT TX | '01/01/2019 | 12/31/2999 |
| 37191 | 37191 - Insertion of intravascular vena cava filter endovascular approach including vascular access vessel selection and radiological supervision and interpretation intraprocedural roadmapping and imaging guidance (ultrasound and fluoroscopy) when performed | 37191 - INS INTRVAS VC FILTR W/WO VAS ACS VSL SELXN RS&I | 37191 - INS ENDOVAS VENA CAVA FILTR | '01/01/2017 | 12/31/2999 |
| 37192 | 37192 - Repositioning of intravascular vena cava filter endovascular approach including vascular access vessel selection and radiological supervision and interpretation intraprocedural roadmapping and imaging guidance (ultrasound and fluoroscopy) when performed | 37192 - REPSNG INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I | 37192 - REDO ENDOVAS VENA CAVA FILTR | '01/01/2017 | 12/31/2999 |
| 37193 | 37193 - Retrieval (removal) of intravascular vena cava filter endovascular approach including vascular access vessel selection and radiological supervision and interpretation intraprocedural roadmapping and imaging guidance (ultrasound and fluoroscopy) when performed | 37193 - RTRVL INTRVAS VC FILTR W/WO ACS VSL SELXN RS&I | 37193 - REM ENDOVAS VENA CAVA FILTER | '01/01/2017 | 12/31/2999 |
| 37195 | 37195 - Thrombolysis cerebral by intravenous infusion | 37195 - THROMBOLYSIS CEREBRAL IV INFUSION | 37195 - THROMBOLYTIC THERAPY STROKE | '01/01/2017 | 12/31/2999 |
| 37197 | 37197 - Transcatheter retrieval percutaneous of intravascular foreign body (eg fractured venous or arterial catheter) includes radiological supervision and interpretation and imaging guidance (ultrasound or fluoroscopy) when performed | 37197 - PRQ TRANSCATHETER RTRVL INTRVAS FB WITH IMAGING | 37197 - REMOVE INTRVAS FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 37200 | 37200 - Transcatheter biopsy | 37200 - TRANSCATHETER BIOPSY | 37200 - TRANSCATHETER BIOPSY | '01/01/2017 | 12/31/2999 |
| 3720F | 3720F - Cognitive impairment or dysfunction assessed (Prkns) | 3720F - COGNITIVE IMPAIRMENT/DYSFUNCTION ASSESSED | 3720F - COGNIT IMPAIRMENT ASSESSED | '01/01/2017 | 12/31/2999 |
| 37211 | 37211 - Transcatheter therapy arterial infusion for thrombolysis other than coronary or intracranial any method including radiological supervision and interpretation initial treatment day | 37211 - THROMBOLYSIS ARTERIAL INFUSION ICRA RS&I INIT TX | 37211 - THROMBOLYTIC ART THERAPY | '01/01/2017 | 12/31/2999 |
| 37212 | 37212 - Transcatheter therapy venous infusion for thrombolysis any method including radiological supervision and interpretation initial treatment day | 37212 - THROMBOLYSIS VENOUS INFUSION W/IMAGING INIT TX | 37212 - THROMBOLYTIC VENOUS THERAPY | '01/01/2017 | 12/31/2999 |
| 37213 | 37213 - Transcatheter therapy arterial or venous infusion for thrombolysis other than coronary any method including radiological supervision and interpretation continued treatment on subsequent day during course of thrombolytic therapy including follow-up catheter contrast injection position change or exchange when performed; | 37213 - THROMBOLYSIS ART/VENOUS INFSN W/IMAGE SUBSQ TX | 37213 - THROMBLYTIC ART/VEN THERAPY | '01/01/2017 | 12/31/2999 |
| 37214 | 37214 - Transcatheter therapy arterial or venous infusion for thrombolysis other than coronary any method including radiological supervision and interpretation continued treatment on subsequent day during course of thrombolytic therapy including follow-up catheter contrast injection position change or exchange when performed; cessation of thrombolysis including removal of catheter and vessel closure by any method | 37214 - CESSATION THROMBOLYTIC THER W/CATHETER REMOVAL | 37214 - CESSJ THERAPY CATH REMOVAL | '01/01/2017 | 12/31/2999 |
| 37215 | 37215 - Transcatheter placement of intravascular stent(s) cervical carotid artery open or percutaneous including angioplasty when performed and radiological supervision and interpretation; with distal embolic protection | 37215 - TCAT IV STENT CRV CRTD ART EMBOLIC PROTECJ | 37215 - TRANSCATH STENT CCA W/EPS | '01/01/2017 | 12/31/2999 |
| 37216 | 37216 - Transcatheter placement of intravascular stent(s) cervical carotid artery open or percutaneous including angioplasty when performed and radiological supervision and interpretation; without distal embolic protection | 37216 - TCAT IV STENT CRV CRTD ART W/O EMBOLIC PROTECJ | 37216 - TRANSCATH STENT CCA W/O EPS | '01/01/2017 | 12/31/2999 |
| 37217 | 37217 - Transcatheter placement of intravascular stent(s) intrathoracic common carotid artery or innominate artery by retrograde treatment open ipsilateral cervical carotid artery exposure including angioplasty when performed and radiological supervision and interpretation | 37217 - TCATH STENT PLACEMT RETROGRAD CAROTID/INNOMINATE | 37217 - STENT PLACEMT RETRO CAROTID | '01/01/2017 | 12/31/2999 |
| 37218 | 37218 - Transcatheter placement of intravascular stent(s) intrathoracic common carotid artery or innominate artery open or percutaneous antegrade approach including angioplasty when performed and radiological supervision and interpretation | 37218 - TCATH STENT PLACEMT ANTEGRADE CAROTID/INNOMINATE | 37218 - STENT PLACEMT ANTE CAROTID | '01/01/2017 | 12/31/2999 |
| 37220 | 37220 - Revascularization endovascular open or percutaneous iliac artery unilateral initial vessel; with transluminal angioplasty | 37220 - REVASCULARIZATION ILIAC ARTERY ANGIOP 1ST VSL | 37220 - ILIAC REVASC | '01/01/2017 | 12/31/2999 |
| 37221 | 37221 - Revascularization endovascular open or percutaneous iliac artery unilateral initial vessel; with transluminal stent placement(s) includes angioplasty within the same vessel when performed | 37221 - REVSC OPN/PRQ ILIAC ART W/STNT PLMT & ANGIOPLSTY | 37221 - ILIAC REVASC W/STENT | '01/01/2017 | 12/31/2999 |
| 37222 | 37222 - Revascularization endovascular open or percutaneous iliac artery each additional ipsilateral iliac vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) | 37222 - REVASCULARIZATION ILIAC ART ANGIOP EA IPSI VSL | 37222 - ILIAC REVASC ADD-ON | '01/01/2017 | 12/31/2999 |
| 37223 | 37223 - Revascularization endovascular open or percutaneous iliac artery each additional ipsilateral iliac vessel; with transluminal stent placement(s) includes angioplasty within the same vessel when performed (List separately in addition to code for primary procedure) | 37223 - REVSC OPN/PRQ ILIAC ART W/STNT & ANGIOP IPSILATL | 37223 - ILIAC REVASC W/STENT ADD-ON | '01/01/2017 | 12/31/2999 |
| 37224 | 37224 - Revascularization endovascular open or percutaneous femoral popliteal artery(s) unilateral; with transluminal angioplasty | 37224 - REVSC OPN/PRG FEM/POP W/ANGIOPLASTY UNI | 37224 - FEM/POPL REVAS W/TLA | '01/01/2017 | 12/31/2999 |
| 37225 | 37225 - Revascularization endovascular open or percutaneous femoral popliteal artery(s) unilateral; with atherectomy includes angioplasty within the same vessel when performed | 37225 - REVSC OPN/PRQ FEM/POP W/ATHRC/ANGIOP SM VSL | 37225 - FEM/POPL REVAS W/ATHER | '01/01/2017 | 12/31/2999 |
| 37226 | 37226 - Revascularization endovascular open or percutaneous femoral popliteal artery(s) unilateral; with transluminal stent placement(s) includes angioplasty within the same vessel when performed | 37226 - REVSC OPN/PRQ FEM/POP W/STNT/ANGIOP SM VSL | 37226 - FEM/POPL REVASC W/STENT | '01/01/2017 | 12/31/2999 |
| 37227 | 37227 - Revascularization endovascular open or percutaneous femoral popliteal artery(s) unilateral; with transluminal stent placement(s) and atherectomy includes angioplasty within the same vessel when performed | 37227 - REVSC OPN/PRQ FEM/POP W/STNT/ATHRC/ANGIOP SM VSL | 37227 - FEM/POPL REVASC STNT & ATHER | '01/01/2017 | 12/31/2999 |
| 37228 | 37228 - Revascularization endovascular open or percutaneous tibial peroneal artery unilateral initial vessel; with transluminal angioplasty | 37228 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI | 37228 - TIB/PER REVASC W/TLA | '01/01/2017 | 12/31/2999 |
| 37229 | 37229 - Revascularization endovascular open or percutaneous tibial peroneal artery unilateral initial vessel; with atherectomy includes angioplasty within the same vessel when performed | 37229 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP SM VSL | 37229 - TIB/PER REVASC W/ATHER | '01/01/2017 | 12/31/2999 |
| 37230 | 37230 - Revascularization endovascular open or percutaneous tibial peroneal artery unilateral initial vessel; with transluminal stent placement(s) includes angioplasty within the same vessel when performed | 37230 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP SM VSL | 37230 - TIB/PER REVASC W/STENT | '01/01/2017 | 12/31/2999 |
| 37231 | 37231 - Revascularization endovascular open or percutaneous tibial peroneal artery unilateral initial vessel; with transluminal stent placement(s) and atherectomy includes angioplasty within the same vessel when performed | 37231 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP SM VSL | 37231 - TIB/PER REVASC STENT & ATHER | '01/01/2017 | 12/31/2999 |
| 37232 | 37232 - Revascularization endovascular open or percutaneous tibial/peroneal artery unilateral each additional vessel; with transluminal angioplasty (List separately in addition to code for primary procedure) | 37232 - REVSC OPN/PRQ TIB/PERO W/ANGIOPLASTY UNI EA VSL | 37232 - TIB/PER REVASC ADD-ON | '01/01/2017 | 12/31/2999 |
| 37233 | 37233 - Revascularization endovascular open or percutaneous tibial/peroneal artery unilateral each additional vessel; with atherectomy includes angioplasty within the same vessel when performed (List separately in addition to code for primary procedure) | 37233 - REVSC OPN/PRQ TIB/PERO W/ATHRC/ANGIOP UNI EA VSL | 37233 - TIBPER REVASC W/ATHER ADD-ON | '01/01/2017 | 12/31/2999 |
| 37234 | 37234 - Revascularization endovascular open or percutaneous tibial/peroneal artery unilateral each additional vessel; with transluminal stent placement(s) includes angioplasty within the same vessel when performed (List separately in addition to code for primary procedure) | 37234 - REVSC OPN/PRQ TIB/PERO W/STNT/ANGIOP UNI EA VSL | 37234 - REVSC OPN/PRQ TIB/PERO STENT | '01/01/2017 | 12/31/2999 |
| 37235 | 37235 - Revascularization endovascular open or percutaneous tibial/peroneal artery unilateral each additional vessel; with transluminal stent placement(s) and atherectomy includes angioplasty within the same vessel when performed (List separately in addition to code for primary procedure) | 37235 - REVSC OPN/PRQ TIB/PERO W/STNT/ATHR/ANGIOP EA VSL | 37235 - TIB/PER REVASC STNT & ATHER | '01/01/2017 | 12/31/2999 |
| 37236 | 37236 - Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease cervical carotid extracranial vertebral or intrathoracic carotid intracranial or coronary) open or percutaneous including radiological supervision and interpretation and including all angioplasty within the same vessel when performed; initial artery | 37236 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT INITIAL | 37236 - OPEN/PERQ PLACE STENT 1ST | '01/01/2017 | 12/31/2999 |
| 37237 | 37237 - Transcatheter placement of an intravascular stent(s) (except lower extremity artery(s) for occlusive disease cervical carotid extracranial vertebral or intrathoracic carotid intracranial or coronary) open or percutaneous including radiological supervision and interpretation and including all angioplasty within the same vessel when performed; each additional artery (List separately in addition to code for primary procedure) | 37237 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT EA ADDL | 37237 - OPEN/PERQ PLACE STENT EA ADD | '01/01/2017 | 12/31/2999 |
| 37238 | 37238 - Transcatheter placement of an intravascular stent(s) open or percutaneous including radiological supervision and interpretation and including angioplasty within the same vessel when performed; initial vein | 37238 - OPEN/PERQ PLACEMENT INTRAVASCULAR STENT SAME 1ST | 37238 - OPEN/PERQ PLACE STENT SAME | '01/01/2017 | 12/31/2999 |
| 37239 | 37239 - Transcatheter placement of an intravascular stent(s) open or percutaneous including radiological supervision and interpretation and including angioplasty within the same vessel when performed; each additional vein (List separately in addition to code for primary procedure) | 37239 - OPEN/PERQ PLACEMENT INTRAVASC STENT SAME EA ADDL | 37239 - OPEN/PERQ PLACE STENT EA ADD | '01/01/2017 | 12/31/2999 |
| 37241 | 37241 - Vascular embolization or occlusion inclusive of all radiological supervision and interpretation intraprocedural roadmapping and imaging guidance necessary to complete the intervention; venous other than hemorrhage (eg congenital or acquired venous malformations venous and capillary hemangiomas varices varicoceles) | 37241 - VASCULAR EMBOLIZATION OR OCCLUSION VENOUS RS&I | 37241 - VASC EMBOLIZE/OCCLUDE VENOUS | '01/01/2017 | 12/31/2999 |
| 37242 | 37242 - Vascular embolization or occlusion inclusive of all radiological supervision and interpretation intraprocedural roadmapping and imaging guidance necessary to complete the intervention; arterial other than hemorrhage or tumor (eg congenital or acquired arterial malformations arteriovenous malformations arteriovenous fistulas aneurysms pseudoaneurysms) | 37242 - VASCULAR EMBOLIZATION OR OCCLUSION ARTERIAL RS&I | 37242 - VASC EMBOLIZE/OCCLUDE ARTERY | '01/01/2017 | 12/31/2999 |
| 37243 | 37243 - Vascular embolization or occlusion inclusive of all radiological supervision and interpretation intraprocedural roadmapping and imaging guidance necessary to complete the intervention; for tumors organ ischemia or infarction | 37243 - VASCULAR EMBOLIZE/OCCLUDE ORGAN TUMOR INFARCT | 37243 - VASC EMBOLIZE/OCCLUDE ORGAN | '01/01/2017 | 12/31/2999 |
| 37244 | 37244 - Vascular embolization or occlusion inclusive of all radiological supervision and interpretation intraprocedural roadmapping and imaging guidance necessary to complete the intervention; for arterial or venous hemorrhage or lymphatic extravasation | 37244 - VASCULAR EMBOLIZATION OR OCCLUSION HEMORRHAGE | 37244 - VASC EMBOLIZE/OCCLUDE BLEED | '01/01/2017 | 12/31/2999 |
| 37246 | 37246 - Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease intracranial coronary pulmonary or dialysis circuit) open or percutaneous including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; initial artery | 37246 - TRLML BALO ANGIOP OPEN/PERQ IMG S&I 1ST ART | 37246 - TRLUML BALO ANGIOP 1ST ART | '01/01/2017 | 12/31/2999 |
| 37247 | 37247 - Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease intracranial coronary pulmonary or dialysis circuit) open or percutaneous including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery; each additional artery (List separately in addition to code for primary procedure) | 37247 - TRLML BALO ANGIOP OPEN/PERQ IMG S&I EA ADDL ART | 37247 - TRLUML BALO ANGIOP ADDL ART | '01/01/2017 | 12/31/2999 |
| 37248 | 37248 - Transluminal balloon angioplasty (except dialysis circuit) open or percutaneous including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; initial vein | 37248 - TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I 1ST VEIN | 37248 - TRLUML BALO ANGIOP 1ST VEIN | '01/01/2017 | 12/31/2999 |
| 37249 | 37249 - Transluminal balloon angioplasty (except dialysis circuit) open or percutaneous including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same vein; each additional vein (List separately in addition to code for primary procedure) | 37249 - TRLML BALO ANGIOP OPEN/PERQ W/IMG S&I ADDL VEIN | 37249 - TRLUML BALO ANGIOP ADDL VEIN | '01/01/2017 | 12/31/2999 |
| 37252 | 37252 - Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation; initial noncoronary vessel (List separately in addition to code for primary procedure) | 37252 - INTRAVASCULAR US NONCORONARY RS&I INTIAL VESSEL | 37252 - INTRVASC US NONCORONARY 1ST | '01/01/2017 | 12/31/2999 |
| 37253 | 37253 - Intravascular ultrasound (noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation; each additional noncoronary vessel (List separately in addition to code for primary procedure) | 37253 - INTRAVASCULAR US NONCORONARY RS&I ADDL VESSEL | 37253 - INTRVASC US NONCORONARY ADDL | '01/01/2017 | 12/31/2999 |
| 3725F | 3725F - Screening for depression performed (DEM) | 3725F - SCREENING FOR DEPRESSION PERFORMED | 3725F - SCREEN DEPRESSION PERFORMED | '01/01/2017 | 12/31/2999 |
| 37500 | 37500 - Vascular endoscopy surgical with ligation of perforator veins subfascial (SEPS) | 37500 - VASC ENDOSCOPY SURG W/LIG PERFORATOR VEINS SPX | 37500 - ENDOSCOPY LIGATE PERF VEINS | '01/01/2017 | 12/31/2999 |
| 37501 | 37501 - Unlisted vascular endoscopy procedure | 37501 - UNLISTED VASCULAR ENDOSCOPY PROCEDURE | 37501 - UNLISTED VASC ENDOSCOPY PX | '01/01/2023 | 12/31/2999 |
| 3750F | 3750F - Patient not receiving dose of corticosteroids greater than or equal to 10 mg/day for 60 or greater consecutive days (IBD) | 3750F - PT NOT RCVNG CORTICOSTERIDS>=10MG/DAY 60/> DAYS | 3750F - PTNOTRCVNGSTEROID>=10MG/DAY | '01/01/2023 | 12/31/2999 |
| 3751F | 3751F - Electrodiagnostic studies for distal symmetric polyneuropathy conducted (or requested) documented and reviewed within 6 months of initial evaluation for condition (DSP) | 3751F - ELECTRODIAG STUDIES DSP DOCD RVWD W/IN 6 MONTHS | 3751F - ELECTRODIAG POLYNEURO 6 MN | '01/01/2017 | 12/31/2999 |
| 3752F | 3752F - Electrodiagnostic studies for distal symmetric polyneuropathy not conducted (or requested) documented or reviewed within 6 months of initial evaluation for condition (DSP) | 3752F - ELECTRODIAG STUDIES DSP NOT DOCD RVWD W/IN 6 MON | 3752F - NO ELECTRODIAG POLYNEURO 6MN | '01/01/2017 | 12/31/2999 |
| 3753F | 3753F - Patient has clear clinical symptoms and signs that are highly suggestive of neuropathy AND cannot be attributed to another condition AND has an obvious cause for the neuropathy (DSP) | 3753F - PT HAS CLINICAL SYMP&SIGNS NEUROPATHY W/CAUSE | 3753F - PT HAS SYMP&SIGNS NEUROPATHY | '01/01/2017 | 12/31/2999 |
| 3754F | 3754F - Screening tests for diabetes mellitus reviewed requested or ordered (DSP) | 3754F - SCREENING TSTS DIABETES MELLITUS RVWD RQSTD ORD | 3754F - SCREENING TESTS DM DONE | '01/01/2017 | 12/31/2999 |
| 3755F | 3755F - Cognitive and behavioral impairment screening performed (ALS) | 3755F - COGNITIVE&BEHAVIORAL IMPAIRMENT SCRNG PERFORMED | 3755F - COG&BEHAV IMPRMNT SCRNG DONE | '01/01/2017 | 12/31/2999 |
| 37565 | 37565 - Ligation internal jugular vein | 37565 - LIGATION INTERNAL JUGULAR VEIN | 37565 - LIGATION OF NECK VEIN | '01/01/2017 | 12/31/2999 |
| 3756F | 3756F - Patient has pseudobulbar affect sialorrhea or ALS-related symptoms (ALS) | 3756F - PT HAS PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP | 3756F - PT W/PSEUDOBULB AFFECT/ALS | '01/01/2017 | 12/31/2999 |
| 3757F | 3757F - Patient does not have pseudobulbar affect sialorrhea or ALS-related symptoms (ALS) | 3757F - NO PSEUDOBULBAR AFFECT/SIALORRHEA/ALS SYMP | 3757F - PT W/O PSEUDOBULBAFFECT/ALS | '01/01/2017 | 12/31/2999 |
| 3758F | 3758F - Patient referred for pulmonary function testing or peak cough expiratory flow (ALS) | 3758F - PULM FUNC TESTING/PEAK COUGH EXPIRATORY FLOW | 3758F - PT REF PULM FX TEST/PEAKFLOW | '01/01/2017 | 12/31/2999 |
| 3759F | 3759F - Patient screened for dysphagia weight loss and impaired nutrition and results documented (ALS) | 3759F - PT SCRND DYSPHAGIA WT LOSS IMPAIRED NUTRITION | 3759F - PT SCRN DYSPHAG/WT LOSS/NUTR | '01/01/2017 | 12/31/2999 |
| 37600 | 37600 - Ligation; external carotid artery | 37600 - LIGATION EXTERNAL CAROTID ARTERY | 37600 - LIGATION OF NECK ARTERY | '01/01/2017 | 12/31/2999 |
| 37605 | 37605 - Ligation; internal or common carotid artery | 37605 - LIGATION INTERNAL/COMMON CAROTID ARTERY | 37605 - LIGATION OF NECK ARTERY | '01/01/2017 | 12/31/2999 |
| 37606 | 37606 - Ligation; internal or common carotid artery with gradual occlusion as with Selverstone or Crutchfield clamp | 37606 - LIG INT/COMMON CAROTID ART W/GRADUAL OCCLUSION | 37606 - LIGATION OF NECK ARTERY | '01/01/2017 | 12/31/2999 |
| 37607 | 37607 - Ligation or banding of angioaccess arteriovenous fistula | 37607 - LIG/BANDING ANGIOACCESS ARTERIOVENOUS FISTULA | 37607 - LIGATION OF A-V FISTULA | '01/01/2017 | 12/31/2999 |
| 37609 | 37609 - Ligation or biopsy temporal artery | 37609 - LIGATION/BIOPSY TEMPORAL ARTERY | 37609 - TEMPORAL ARTERY PROCEDURE | '01/01/2017 | 12/31/2999 |
| 3760F | 3760F - Patient exhibits dysphagia weight loss or impaired nutrition (ALS) | 3760F - PT W/DYSPHAG/WT LOSS/IMPAIRED NUTRITION | 3760F - PT W/DYSPHAG/WT LOSS/NUTR | '01/01/2017 | 12/31/2999 |
| 37615 | 37615 - Ligation major artery (eg post-traumatic rupture); neck | 37615 - LIGATION MAJOR ARTERY NECK | 37615 - LIGATION OF NECK ARTERY | '01/01/2017 | 12/31/2999 |
| 37616 | 37616 - Ligation major artery (eg post-traumatic rupture); chest | 37616 - LIGATION MAJOR ARTERY CHEST | 37616 - LIGATION OF CHEST ARTERY | '01/01/2017 | 12/31/2999 |
| 37617 | 37617 - Ligation major artery (eg post-traumatic rupture); abdomen | 37617 - LIGATION MAJOR ARTERY ABDOMEN | 37617 - LIGATION OF ABDOMEN ARTERY | '01/01/2017 | 12/31/2999 |
| 37618 | 37618 - Ligation major artery (eg post-traumatic rupture); extremity | 37618 - LIGATION MAJOR ARTERY EXTREMITY | 37618 - LIGATION OF EXTREMITY ARTERY | '01/01/2017 | 12/31/2999 |
| 37619 | 37619 - Ligation of inferior vena cava | 37619 - LIGATION OF INFERIOR VENA CAVA | 37619 - LIGATION OF INF VENA CAVA | '01/01/2021 | 12/31/2999 |
| 3761F | 3761F - Patient does not exhibit dysphagia weight loss or impaired nutrition (ALS) | 3761F - PT WO/DYSPHAG/WT LOSS/IMPAIRED NUTRITION | 3761F - PT W/O DYSPHAG/WT LOSS/NUTR | '01/01/2017 | 12/31/2999 |
| 3762F | 3762F - Patient is dysarthric (ALS) | 3762F - PATIENT IS DYSARTHRIC | 3762F - PATIENT IS DYSARTHRIC | '01/01/2017 | 12/31/2999 |
| 3763F | 3763F - Patient is not dysarthric (ALS) | 3763F - PATIENT IS NOT DYSARTHRIC | 3763F - PATIENT IS NOT DYSARTHRIC | '01/01/2017 | 12/31/2999 |
| 37650 | 37650 - Ligation of femoral vein | 37650 - LIGATION OF FEMORAL VEIN | 37650 - REVISION OF MAJOR VEIN | '01/01/2017 | 12/31/2999 |
| 37660 | 37660 - Ligation of common iliac vein | 37660 - LIGATION OF COMMON ILIAC VEIN | 37660 - REVISION OF MAJOR VEIN | '01/01/2017 | 12/31/2999 |
| 37700 | 37700 - Ligation and division of long saphenous vein at saphenofemoral junction or distal interruptions | 37700 - LIG&DIV LONG SAPH VEIN SAPHFEM JUNCT/INTERRUPJ | 37700 - REVISE LEG VEIN | '01/01/2017 | 12/31/2999 |
| 37718 | 37718 - Ligation division and stripping short saphenous vein | 37718 - LIGJ DIVJ & STRIPPING SHORT SAPHENOUS VEIN | 37718 - LIGATE/STRIP SHORT LEG VEIN | '01/01/2017 | 12/31/2999 |
| 37722 | 37722 - Ligation division and stripping long (greater) saphenous veins from saphenofemoral junction to knee or below | 37722 - LIGJ DIVJ&STRIP LONG SAPH SAPHFEM JUNCT KNE/BELW | 37722 - LIGATE/STRIP LONG LEG VEIN | '01/01/2017 | 12/31/2999 |
| 37735 | 37735 - Ligation and division and complete stripping of long or short saphenous veins with radical excision of ulcer and skin graft and/or interruption of communicating veins of lower leg with excision of deep fascia | 37735 - LIGJ & DIVJ RADICAL STRIP LONG/SHORT SAPHENOUS | 37735 - REMOVAL OF LEG VEINS/LESION | '01/01/2017 | 12/31/2999 |
| 3775F | 3775F - Adenoma(s) or other neoplasm detected during screening colonoscopy (SCADR) | 3775F - ADENOMA(S)/NEOPLASM DETECTED SCRNG CLNSCPY | 3775F - ADENOMA DETECTED SCREENING | '01/01/2017 | 12/31/2999 |
| 37760 | 37760 - Ligation of perforator veins subfascial radical (Linton type) including skin graft when performed open 1 leg | 37760 - LIG PRFRATR VEIN SUBFSCAL RAD INCL SKN GRF 1 LEG | 37760 - LIGATE LEG VEINS RADICAL | '01/01/2017 | 12/31/2999 |
| 37761 | 37761 - Ligation of perforator vein(s) subfascial open including ultrasound guidance when performed 1 leg | 37761 - LIG PRFRATR VEIN SUBFSCAL OPEN INCL US GID 1 LEG | 37761 - LIGATE LEG VEINS OPEN | '01/01/2017 | 12/31/2999 |
| 37765 | 37765 - Stab phlebectomy of varicose veins 1 extremity; 10-20 stab incisions | 37765 - STAB PHLEBT VARICOSE VEINS 1 XTR 10-20 STAB INCS | 37765 - STAB PHLEB VEINS XTR 10-20 | '01/01/2017 | 12/31/2999 |
| 37766 | 37766 - Stab phlebectomy of varicose veins 1 extremity; more than 20 incisions | 37766 - STAB PHLEBT VARICOSE VEINS 1 XTR > 20 INCS | 37766 - PHLEB VEINS - EXTREM 20+ | '01/01/2017 | 12/31/2999 |
| 3776F | 3776F - Adenoma(s) or other neoplasm not detected during screening colonoscopy (SCADR) | 3776F - ADENOMA(S)/NEOPLASM NOT DETECTED SCRNG CLNSCPY | 3776F - ADENOMA NOT DETECT SCREENING | '01/01/2017 | 12/31/2999 |
| 37780 | 37780 - Ligation and division of short saphenous vein at saphenopopliteal junction (separate procedure) | 37780 - LIGJ & DIV SHORT SAPH VEIN SAPHENOPOP JUNCT SPX | 37780 - REVISION OF LEG VEIN | '01/01/2017 | 12/31/2999 |
| 37785 | 37785 - Ligation division and/or excision of varicose vein cluster(s) 1 leg | 37785 - LIGJ DIVJ &/EXCJ VARICOSE VEIN CLUSTER 1 LEG | 37785 - LIGATE/DIVIDE/EXCISE VEIN | '01/01/2017 | 12/31/2999 |
| 37788 | 37788 - Penile revascularization artery with or without vein graft | 37788 - PENILE REVASCULARIZATION ARTERY W/WO VEIN GRAFT | 37788 - REVASCULARIZATION PENIS | '01/01/2017 | 12/31/2999 |
| 37790 | 37790 - Penile venous occlusive procedure | 37790 - PENILE VENOUS OCCLUSIVE PROCEDURE | 37790 - PENILE VENOUS OCCLUSION | '01/01/2017 | 12/31/2999 |
| 37799 | 37799 - Unlisted procedure vascular surgery | 37799 - UNLISTED PROCEDURE VASCULAR SURGERY | 37799 - UNLISTED PX VASCULAR SURGERY | '01/01/2023 | 12/31/2999 |
| 38100 | 38100 - Splenectomy; total (separate procedure) | 38100 - SPLENECTOMY TOTAL SEPARATE PROCEDURE | 38100 - REMOVAL OF SPLEEN TOTAL | '01/01/2017 | 12/31/2999 |
| 38101 | 38101 - Splenectomy; partial (separate procedure) | 38101 - SPLENECTOMY PARTIAL SEPARATE PROCEDURE | 38101 - REMOVAL OF SPLEEN PARTIAL | '01/01/2023 | 12/31/2999 |
| 38102 | 38102 - Splenectomy; total en bloc for extensive disease in conjunction with other procedure (List in addition to code for primary procedure) | 38102 - SPLENC TOT EN BLOC EXTNSV DS CONJUNCT W/OTH PX | 38102 - REMOVAL OF SPLEEN TOTAL | '01/01/2017 | 12/31/2999 |
| 38115 | 38115 - Repair of ruptured spleen (splenorrhaphy) with or without partial splenectomy | 38115 - RPR RPTD SPLEEN SPLENORRHAPHY W/WO PRTL SPLENECT | 38115 - REPAIR OF RUPTURED SPLEEN | '01/01/2017 | 12/31/2999 |
| 38120 | 38120 - Laparoscopy surgical splenectomy | 38120 - LAPAROSCOPIC SURGICAL SPLENECTOMY | 38120 - LAPAROSCOPY SPLENECTOMY | '01/01/2017 | 12/31/2999 |
| 38129 | 38129 - Unlisted laparoscopy procedure spleen | 38129 - UNLISTED LAPAROSCOPY PROCEDURE SPLEEN | 38129 - UNLISTED LAPS PX SPLEEN | '01/01/2023 | 12/31/2999 |
| 38200 | 38200 - Injection procedure for splenoportography | 38200 - INJECTION PROCEDURE SPLENOPORTOGRAPY | 38200 - INJECTION FOR SPLEEN X-RAY | '01/01/2017 | 12/31/2999 |
| 38204 | 38204 - Management of recipient hematopoietic progenitor cell donor search and cell acquisition | 38204 - MGMT RCP HEMATOP PROGENITOR CELL DONOR &ACQUISJ | 38204 - BL DONOR SEARCH MANAGEMENT | '01/01/2017 | 12/31/2999 |
| 38205 | 38205 - Blood-derived hematopoietic progenitor cell harvesting for transplantation per collection; allogeneic | 38205 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ ALGNC | 38205 - HARVEST ALLOGENEIC STEM CELL | '01/01/2017 | 12/31/2999 |
| 38206 | 38206 - Blood-derived hematopoietic progenitor cell harvesting for transplantation per collection; autologous | 38206 - BLD-DRV HEMATOP PROGEN CELL HRVG TRNSPLJ AUTOL | 38206 - HARVEST AUTO STEM CELLS | '01/01/2017 | 12/31/2999 |
| 38207 | 38207 - Transplant preparation of hematopoietic progenitor cells; cryopreservation and storage | 38207 - TRNSPL PREPJ HEMATOP PROGEN CELLS CRYOPRSRV STOR | 38207 - CRYOPRESERVE STEM CELLS | '01/01/2017 | 12/31/2999 |
| 38208 | 38208 - Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest without washing per donor | 38208 - TRNSPL PREP HEMATOP PROGEN THAW PREV HRV PER DNR | 38208 - THAW PRESERVED STEM CELLS | '01/01/2017 | 12/31/2999 |
| 38209 | 38209 - Transplant preparation of hematopoietic progenitor cells; thawing of previously frozen harvest with washing per donor | 38209 - TRNSP PREP HMATOP PROG THAW PREV HRV WSH PER DNR | 38209 - WASH HARVEST STEM CELLS | '01/01/2017 | 12/31/2999 |
| 38210 | 38210 - Transplant preparation of hematopoietic progenitor cells; specific cell depletion within harvest T-cell depletion | 38210 - TRNSPL PREPJ HEMATOP PROGEN DEPLJ IN HRV T-CELL | 38210 - T-CELL DEPLETION OF HARVEST | '01/01/2017 | 12/31/2999 |
| 38211 | 38211 - Transplant preparation of hematopoietic progenitor cells; tumor cell depletion | 38211 - TRNSPL PREPJ HEMATOP PROGEN TUM CELL DEPLJ | 38211 - TUMOR CELL DEPLETE OF HARVST | '01/01/2017 | 12/31/2999 |
| 38212 | 38212 - Transplant preparation of hematopoietic progenitor cells; red blood cell removal | 38212 - TRNSPL PREPJ HEMATOP PROGEN RED BLD CELL RMVL | 38212 - RBC DEPLETION OF HARVEST | '01/01/2017 | 12/31/2999 |
| 38213 | 38213 - Transplant preparation of hematopoietic progenitor cells; platelet depletion | 38213 - TRNSPL PREPJ HEMATOP PROGEN PLTLT DEPLJ | 38213 - PLATELET DEPLETE OF HARVEST | '01/01/2017 | 12/31/2999 |
| 38214 | 38214 - Transplant preparation of hematopoietic progenitor cells; plasma (volume) depletion | 38214 - TRNSPL PREPJ HEMATOP PROGEN PLSM VOL DEPLJ | 38214 - VOLUME DEPLETE OF HARVEST | '01/01/2017 | 12/31/2999 |
| 38215 | 38215 - Transplant preparation of hematopoietic progenitor cells; cell concentration in plasma mononuclear or buffy coat layer | 38215 - TRNSPL PREPJ HEMATOP PROGEN CONCENTRATION PLSM | 38215 - HARVEST STEM CELL CONCENTRTE | '01/01/2017 | 12/31/2999 |
| 38220 | 38220 - Diagnostic bone marrow; aspiration(s) | 38220 - DIAGNOSTIC BONE MARROW ASPIRATIONS | 38220 - DX BONE MARROW ASPIRATIONS | '01/01/2018 | 12/31/2999 |
| 38221 | 38221 - Diagnostic bone marrow; biopsy(ies) | 38221 - DIAGNOSTIC BONE MARROW BIOPSIES | 38221 - DX BONE MARROW BIOPSIES | '01/01/2018 | 12/31/2999 |
| 38222 | 38222 - Diagnostic bone marrow; biopsy(ies) and aspiration(s) | 38222 - DIAGNOSTIC BONE MARROW BIOPSIES & ASPIRATIONS | 38222 - DX BONE MARROW BX & ASPIR | '01/01/2018 | 12/31/2999 |
| 38230 | 38230 - Bone marrow harvesting for transplantation; allogeneic | 38230 - BONE MARROW HARVEST TRANSPLANTATION ALLOGENEIC | 38230 - BONE MARROW HARVEST ALLOGEN | '01/01/2017 | 12/31/2999 |
| 38232 | 38232 - Bone marrow harvesting for transplantation; autologous | 38232 - BONE MARROW HARVEST TRANSPLANTATION AUTOLOGOUS | 38232 - BONE MARROW HARVEST AUTOLOG | '01/01/2017 | 12/31/2999 |
| 38240 | 38240 - Hematopoietic progenitor cell (HPC); allogeneic transplantation per donor | 38240 - TRNSPLJ ALLOGENEIC HEMATOPOIETIC CELLS PER DONOR | 38240 - TRANSPLT ALLO HCT/DONOR | '01/01/2017 | 12/31/2999 |
| 38241 | 38241 - Hematopoietic progenitor cell (HPC); autologous transplantation | 38241 - TRNSPLJ AUTOLOGOUS HEMATOPOIETIC CELLS PER DONOR | 38241 - TRANSPLT AUTOL HCT/DONOR | '01/01/2017 | 12/31/2999 |
| 38242 | 38242 - Allogeneic lymphocyte infusions | 38242 - ALLOGENEIC LYMPHOCYTE INFUSIONS | 38242 - TRANSPLT ALLO LYMPHOCYTES | '01/01/2017 | 12/31/2999 |
| 38243 | 38243 - Hematopoietic progenitor cell (HPC); HPC boost | 38243 - TRNSPLJ HEMATOPOIETIC CELL BOOST | 38243 - TRANSPLJ HEMATOPOIETIC BOOST | '01/01/2017 | 12/31/2999 |
| 38300 | 38300 - Drainage of lymph node abscess or lymphadenitis; simple | 38300 - DRG LYMPH NODE ABSC/LYMPHADENITIS SMPL | 38300 - DRAINAGE LYMPH NODE LESION | '01/01/2017 | 12/31/2999 |
| 38305 | 38305 - Drainage of lymph node abscess or lymphadenitis; extensive | 38305 - DRG LYMPH NODE ABSC/LYMPHADENITIS EXTNSV | 38305 - DRAINAGE LYMPH NODE LESION | '01/01/2017 | 12/31/2999 |
| 38308 | 38308 - Lymphangiotomy or other operations on lymphatic channels | 38308 - LYMPHANGIOTOMY/OTH OPRATIONS LYMPHATIC CHANNELS | 38308 - INCISION OF LYMPH CHANNELS | '01/01/2017 | 12/31/2999 |
| 38380 | 38380 - Suture and/or ligation of thoracic duct; cervical approach | 38380 - SUTR&/LIG THORACIC DUCT CERVICAL APPROACH | 38380 - THORACIC DUCT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 38381 | 38381 - Suture and/or ligation of thoracic duct; thoracic approach | 38381 - SUTR&/LIG THORACIC DUCT THORACIC APPROACH | 38381 - THORACIC DUCT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 38382 | 38382 - Suture and/or ligation of thoracic duct; abdominal approach | 38382 - SUTR&/LIG THORACIC DUCT ABDOMINAL APPROACH | 38382 - THORACIC DUCT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 38500 | 38500 - Biopsy or excision of lymph node(s); open superficial | 38500 - BX/EXC LYMPH NODE OPEN SUPERFICIAL | 38500 - BIOPSY/REMOVAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38505 | 38505 - Biopsy or excision of lymph node(s); by needle superficial (eg cervical inguinal axillary) | 38505 - BX/EXC LYMPH NODE NEEDLE SUPERFICIAL | 38505 - NEEDLE BIOPSY LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38510 | 38510 - Biopsy or excision of lymph node(s); open deep cervical node(s) | 38510 - BX/EXC LYMPH NODE OPEN DEEP CERVICAL NODE | 38510 - BIOPSY/REMOVAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38520 | 38520 - Biopsy or excision of lymph node(s); open deep cervical node(s) with excision scalene fat pad | 38520 - BX/EXC LYMPH NODE OPN DP CRV NODE W/EXC FAT PAD | 38520 - BIOPSY/REMOVAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38525 | 38525 - Biopsy or excision of lymph node(s); open deep axillary node(s) | 38525 - BX/EXC LYMPH NODE OPEN DEEP AXILLARY NODE | 38525 - BIOPSY/REMOVAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38530 | 38530 - Biopsy or excision of lymph node(s); open internal mammary node(s) | 38530 - BX/EXC LYMPH NODE OPEN INT MAMMARY NODE | 38530 - BIOPSY/REMOVAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38531 | 38531 - Biopsy or excision of lymph node(s); open inguinofemoral node(s) | 38531 - OPEN BIOPSY/EXCISION INGUINOFEMORAL NODES | 38531 - OPEN BX/EXC INGUINOFEM NODES | '01/01/2019 | 12/31/2999 |
| 38542 | 38542 - Dissection deep jugular node(s) | 38542 - DISSECTION DEEP JUGULAR NODE | 38542 - EXPLORE DEEP NODE(S) NECK | '01/01/2017 | 12/31/2999 |
| 38550 | 38550 - Excision of cystic hygroma axillary or cervical; without deep neurovascular dissection | 38550 - EXC CSTIC HYGROMA AX/CRV W/O DP NEUROVASC DSJ | 38550 - REMOVAL NECK/ARMPIT LESION | '01/01/2017 | 12/31/2999 |
| 38555 | 38555 - Excision of cystic hygroma axillary or cervical; with deep neurovascular dissection | 38555 - EXC CSTIC HYGROMA AX/CRV W/DP NEUROVASC DSJ | 38555 - REMOVAL NECK/ARMPIT LESION | '01/01/2017 | 12/31/2999 |
| 38562 | 38562 - Limited lymphadenectomy for staging (separate procedure); pelvic and para-aortic | 38562 - LMTD LMPHADEC STAGING SPX PEL&PARA-AORTIC | 38562 - REMOVAL PELVIC LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38564 | 38564 - Limited lymphadenectomy for staging (separate procedure); retroperitoneal (aortic and/or splenic) | 38564 - LMTD LMPHADEC STAGING SPX RPR AORTIC&/SPLENIC | 38564 - REMOVAL ABDOMEN LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38570 | 38570 - Laparoscopy surgical; with retroperitoneal lymph node sampling (biopsy) single or multiple | 38570 - LAPS SURG RETROPERITONEAL LYMPH NODE BX 1/MLT | 38570 - LAPAROSCOPY LYMPH NODE BIOP | '01/01/2017 | 12/31/2999 |
| 38571 | 38571 - Laparoscopy surgical; with bilateral total pelvic lymphadenectomy | 38571 - LAPS SURG BILATERAL TOTAL PELVIC LMPHADECTOMY | 38571 - LAPAROSCOPY LYMPHADENECTOMY | '01/01/2017 | 12/31/2999 |
| 38572 | 38572 - Laparoscopy surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling (biopsy) single or multiple | 38572 - LAPS BI TOT PEL LMPHADEC & PRI-AORTIC LYMPH BX 1 | 38572 - LAPAROSCOPY LYMPHADENECTOMY | '01/01/2017 | 12/31/2999 |
| 38573 | 38573 - Laparoscopy surgical; with bilateral total pelvic lymphadenectomy and peri-aortic lymph node sampling peritoneal washings peritoneal biopsy(ies) omentectomy and diaphragmatic washings including diaphragmatic and other serosal biopsy(ies) when performed | 38573 - LAPS W/BI TOT PEL LMPHADEC & OMNTC LYMPH BX | 38573 - LAPS PELVIC LYMPHADEC | '01/01/2018 | 12/31/2999 |
| 38589 | 38589 - Unlisted laparoscopy procedure lymphatic system | 38589 - UNLISTED LAPAROSCOPY PX LYMPHATIC SYSTEM | 38589 - UNLISTED LAPS PX LYMPHTC SYS | '01/01/2023 | 12/31/2999 |
| 38700 | 38700 - Suprahyoid lymphadenectomy | 38700 - SUPRAHYOID LYMPHADENECTOMY | 38700 - REMOVAL OF LYMPH NODES NECK | '01/01/2017 | 12/31/2999 |
| 38720 | 38720 - Cervical lymphadenectomy (complete) | 38720 - CERVICAL LYMPHADENECTOMY | 38720 - REMOVAL OF LYMPH NODES NECK | '01/01/2017 | 12/31/2999 |
| 38724 | 38724 - Cervical lymphadenectomy (modified radical neck dissection) | 38724 - CERVICAL LYMPHADEC MODIFIED RADICAL NECK DSJ | 38724 - REMOVAL OF LYMPH NODES NECK | '01/01/2017 | 12/31/2999 |
| 38740 | 38740 - Axillary lymphadenectomy; superficial | 38740 - AXILLARY LYMPHADENECTOMY SUPERFICIAL | 38740 - REMOVE ARMPIT LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38745 | 38745 - Axillary lymphadenectomy; complete | 38745 - AXILLARY LYMPHADENECTOMY COMPLETE | 38745 - REMOVE ARMPIT LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38746 | 38746 - Thoracic lymphadenectomy by thoracotomy mediastinal and regional lymphadenectomy (List separately in addition to code for primary procedure) | 38746 - THORCOM THRC W/MEDSTNL & REGIONAL LMPHADEC | 38746 - REMOVE THORACIC LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38747 | 38747 - Abdominal lymphadenectomy regional including celiac gastric portal peripancreatic with or without para-aortic and vena caval nodes (List separately in addition to code for primary procedure) | 38747 - ABDL LMPHADEC REG CELIAC GSTR PORTAL PRIPNCRTC | 38747 - REMOVE ABDOMINAL LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38760 | 38760 - Inguinofemoral lymphadenectomy superficial including Cloquet's node (separate procedure) | 38760 - INGUINOFEM LMPHADEC SUPFC W/CLOQUETS NODE SPX | 38760 - REMOVE GROIN LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38765 | 38765 - Inguinofemoral lymphadenectomy superficial in continuity with pelvic lymphadenectomy including external iliac hypogastric and obturator nodes (separate procedure) | 38765 - INGUINOFEM LMPHADEC SUPFC W/PEL LMPHADEC | 38765 - REMOVE GROIN LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38770 | 38770 - Pelvic lymphadenectomy including external iliac hypogastric and obturator nodes (separate procedure) | 38770 - PEL LMPHADEC W/XTRNL ILIAC HYPOGSTR&OBTURATOR | 38770 - REMOVE PELVIS LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38780 | 38780 - Retroperitoneal transabdominal lymphadenectomy extensive including pelvic aortic and renal nodes (separate procedure) | 38780 - RPR TABDL LMPHADEC EXTNSV W/PEL AORTIC&RNL | 38780 - REMOVE ABDOMEN LYMPH NODES | '01/01/2017 | 12/31/2999 |
| 38790 | 38790 - Injection procedure; lymphangiography | 38790 - INJECTION PROCEDURE LYMPHANGIOGRAPHY | 38790 - INJECT FOR LYMPHATIC X-RAY | '01/01/2017 | 12/31/2999 |
| 38792 | 38792 - Injection procedure; radioactive tracer for identification of sentinel node | 38792 - INJ RADIOACTIVE TRACER FOR ID OF SENTINEL NODE | 38792 - RA TRACER ID OF SENTINL NODE | '01/01/2017 | 12/31/2999 |
| 38794 | 38794 - Cannulation thoracic duct | 38794 - CANNULATION THORACIC DUCT | 38794 - ACCESS THORACIC LYMPH DUCT | '01/01/2017 | 12/31/2999 |
| 38900 | 38900 - Intraoperative identification (eg mapping) of sentinel lymph node(s) includes injection of non-radioactive dye when performed (List separately in addition to code for primary procedure) | 38900 - INTRAOP SENTINEL LYMPH NODE ID W/DYE INJECTION | 38900 - IO MAP OF SENT LYMPH NODE | '01/01/2017 | 12/31/2999 |
| 38999 | 38999 - Unlisted procedure hemic or lymphatic system | 38999 - UNLISTED PROCEDURE HEMIC OR LYMPHATIC SYSTEM | 38999 - UNLISTD PX HEMIC/LYMPHTC SYS | '01/01/2023 | 12/31/2999 |
| 39000 | 39000 - Mediastinotomy with exploration drainage removal of foreign body or biopsy; cervical approach | 39000 - MEDIAST W/EXPL DRG RMVL FB/BX CRV APPR | 39000 - EXPLORATION OF CHEST | '01/01/2017 | 12/31/2999 |
| 39010 | 39010 - Mediastinotomy with exploration drainage removal of foreign body or biopsy; transthoracic approach including either transthoracic or median sternotomy | 39010 - MEDIAST W/EXPL DRG RMVL FB/BX TTHRC APPR | 39010 - EXPLORATION OF CHEST | '01/01/2017 | 12/31/2999 |
| 39200 | 39200 - Resection of mediastinal cyst | 39200 - RESECTION OF MEDIASTINAL CYST | 39200 - RESECT MEDIASTINAL CYST | '01/01/2017 | 12/31/2999 |
| 39220 | 39220 - Resection of mediastinal tumor | 39220 - RESECTION MEDIASTINAL TUMOR | 39220 - RESECT MEDIASTINAL TUMOR | '01/01/2017 | 12/31/2999 |
| 39401 | 39401 - Mediastinoscopy; includes biopsy(ies) of mediastinal mass (eg lymphoma) when performed | 39401 - MEDIASTINOSCOPY INCLUDES MEDIASTINAL MASS BIOPSY | 39401 - MEDIASTINOSCPY W/MEDSTNL BX | '01/01/2017 | 12/31/2999 |
| 39402 | 39402 - Mediastinoscopy; with lymph node biopsy(ies) (eg lung cancer staging) | 39402 - MEDIASTINOSCOPY WITH LYMPH NODE BIOPSY/IES | 39402 - MEDIASTINOSCPY W/LMPH NOD BX | '01/01/2017 | 12/31/2999 |
| 39499 | 39499 - Unlisted procedure mediastinum | 39499 - UNLISTED PROCEDURE MEDIASTINUM | 39499 - UNLISTED PX MEDIASTINUM | '01/01/2023 | 12/31/2999 |
| 39501 | 39501 - Repair laceration of diaphragm any approach | 39501 - REPAIR LACERATION DIAPHRAGM ANY APPROACH | 39501 - REPAIR DIAPHRAGM LACERATION | '01/01/2017 | 12/31/2999 |
| 39503 | 39503 - Repair neonatal diaphragmatic hernia with or without chest tube insertion and with or without creation of ventral hernia | 39503 - RPR NEONATAL DIPHRG HERNIA W/WO CHEST TUBE INSJ | 39503 - REPAIR OF DIAPHRAGM HERNIA | '01/01/2017 | 12/31/2999 |
| 39540 | 39540 - Repair diaphragmatic hernia (other than neonatal) traumatic; acute | 39540 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC AQT | 39540 - REPAIR OF DIAPHRAGM HERNIA | '01/01/2017 | 12/31/2999 |
| 39541 | 39541 - Repair diaphragmatic hernia (other than neonatal) traumatic; chronic | 39541 - RPR DIPHRG HRNA OTH/THN NEONATAL TRAUMTC CHRNC | 39541 - REPAIR OF DIAPHRAGM HERNIA | '01/01/2017 | 12/31/2999 |
| 39545 | 39545 - Imbrication of diaphragm for eventration transthoracic or transabdominal paralytic or nonparalytic | 39545 - IMBRICATION DIAPHRAGM EVENTRATION | 39545 - REVISION OF DIAPHRAGM | '01/01/2017 | 12/31/2999 |
| 39560 | 39560 - Resection diaphragm; with simple repair (eg primary suture) | 39560 - RESCJ DIAPHRAGM W/SIMPLE REPAIR | 39560 - RESECT DIAPHRAGM SIMPLE | '01/01/2017 | 12/31/2999 |
| 39561 | 39561 - Resection diaphragm; with complex repair (eg prosthetic material local muscle flap) | 39561 - RESCJ DIAPHRAGM W/COMPLEX REPAIR | 39561 - RESECT DIAPHRAGM COMPLEX | '01/01/2017 | 12/31/2999 |
| 39599 | 39599 - Unlisted procedure diaphragm | 39599 - UNLISTED PROCEDURE DIAPHRAGM | 39599 - UNLISTED PX DIAPHRAGM | '01/01/2023 | 12/31/2999 |
| 4000F | 4000F - Tobacco use cessation intervention counseling (COPD CAP CAD Asthma) (DM) (PV) | 4000F - TOBACCO USE CESSATION IVNTJ COUNSELING | 4000F - TOBACCO USE TXMNT COUNSELING | '01/01/2017 | 12/31/2999 |
| 4001F | 4001F - Tobacco use cessation intervention pharmacologic therapy (COPD CAD CAP PV Asthma) (DM) (PV) | 4001F - TOBACCO USE CESSATION IVNTJ PHARMACOLOGIC THER | 4001F - TOBACCO USE TXMNT PHARMACOL | '01/01/2017 | 12/31/2999 |
| 4003F | 4003F - Patient education written/oral appropriate for patients with heart failure performed (NMA-No Measure Associated) | 4003F - PT EDUCATION WRTTN/ORAL HRT FAILURE PTS PFRMD | 4003F - PT ED WRITE/ORAL PTS W/ HF | '01/01/2017 | 12/31/2999 |
| 4004F | 4004F - Patient screened for tobacco use and received tobacco cessation intervention (counseling pharmacotherapy or both) if identified as a tobacco user (PV CAD) | 4004F - PT SCRND TOBACCO USE RCVD TOBACCO CESSATION TALK | 4004F - PT TOBACCO SCREEN RCVD TLK | '01/01/2017 | 12/31/2999 |
| 4005F | 4005F - Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed (OP) (IBD) | 4005F - PHARMACOLOGIC OSTEOPOROSIS THERAPY PRESCRIBED | 4005F - PHARM THX FOR OP RXD | '01/01/2017 | 12/31/2999 |
| 4008F | 4008F - Beta-blocker therapy prescribed or currently being taken (CAD HF) | 4008F - BETA BLOCKER THERAPY RXD/CURRENTLY BEING TAKEN | 4008F - BETA-BLOCKER THERAPY RXD/TKN | '01/01/2017 | 12/31/2999 |
| 4010F | 4010F - Angiotensin Converting Enzyme (ACE) Inhibitor or Angiotensin Receptor Blocker (ARB) therapy prescribed or currently being taken (CAD CKD HF) (DM) | 4010F - ACE INHIBITOR/ARB THERAPY RXD/CURRENTLY TAKEN | 4010F - ACE/ARB THERAPY RXD/TAKEN | '01/01/2017 | 12/31/2999 |
| 4011F | 4011F - Oral antiplatelet therapy prescribed (CAD) | 4011F - ORAL ANTIPLATELET THERAPY PRESCRIBED | 4011F - ORAL ANTIPLATELET THERAPY RX | '01/01/2017 | 12/31/2999 |
| 4012F | 4012F - Warfarin therapy prescribed (NMA-No Measure Associated) | 4012F - WARFARIN THERAPY PRESCRIBED | 4012F - WARFARIN THERAPY RX | '01/01/2017 | 12/31/2999 |
| 4013F | 4013F - Statin therapy prescribed or currently being taken (CAD) | 4013F - STATIN THERAPY RXD/CURRENTLY TAKEN | 4013F - STATIN THERAPY/CURRENTLY TKN | '01/01/2017 | 12/31/2999 |
| 4014F | 4014F - Written discharge instructions provided to heart failure patients discharged home (Instructions include all of the following components: activity level diet discharge medications follow-up appointment weight monitoring what to do if symptoms worsen) (NMA-No Measure Associated) | 4014F - DSCHRG INSTRUCTIONS HRT FAILURE XCP PTS 18 YR | 4014F - WRITTEN DISCHARGE INSTR PRVD | '01/01/2017 | 12/31/2999 |
| 4015F | 4015F - Persistent asthma preferred long term control medication or an acceptable alternative treatment prescribed (NMA-No Measure Associated) | 4015F - PRSISTENT ASTHMA LONG TERM CTRL MED PRESCRIBED | 4015F - PERSIST ASTHMA MEDICINE CTRL | '01/01/2017 | 12/31/2999 |
| 4016F | 4016F - Anti-inflammatory/analgesic agent prescribed (OA) (Use for prescribed or continued medication[s] including over-the-counter medication[s]) | 4016F - ANTI-INFLAMMATORY/ANALGESIC AGT PRESCRIBED | 4016F - ANTI-INFLM/ANLGSC AGENT RX | '01/01/2017 | 12/31/2999 |
| 4017F | 4017F - Gastrointestinal prophylaxis for NSAID use prescribed (OA) | 4017F - GI PROPHYLAXIS NSAID USE PRESCRIBED | 4017F - GI PROPHYLAXIS FOR NSAID RX | '01/01/2017 | 12/31/2999 |
| 4018F | 4018F - Therapeutic exercise for the involved joint(s) instructed or physical or occupational therapy prescribed (OA) | 4018F - THERAPEUTIC EXERCISE INVOLVED JTS INST/PRESCRIBE | 4018F - THERAPY EXERCISE JOINT RX | '01/01/2017 | 12/31/2999 |
| 4019F | 4019F - Documentation of receipt of counseling on exercise and either both calcium and vitamin D use or counseling regarding both calcium and vitamin D use (OP) | 4019F - DOCUMENT COUNSELING EXERCISE CALCIUM & VITAMIN | 4019F - DOC RECPT COUNSL VIT D/CALC+ | '01/01/2017 | 12/31/2999 |
| 4025F | 4025F - Inhaled bronchodilator prescribed (COPD) | 4025F - INHALED BRONCHODILATOR PRESCRIBED | 4025F - INHALED BRONCHODILATOR RX | '01/01/2017 | 12/31/2999 |
| 4030F | 4030F - Long-term oxygen therapy prescribed (more than 15 hours per day) (COPD) | 4030F - LONG-TERM OXYGEN THERAPY PRESCRIBED | 4030F - OXYGEN THERAPY RX | '01/01/2017 | 12/31/2999 |
| 4033F | 4033F - Pulmonary rehabilitation exercise training recommended (COPD) | 4033F - PULMONARY REHABILITATION RECOMMENDED | 4033F - PULMONARY REHAB REC | '01/01/2017 | 12/31/2999 |
| 4035F | 4035F - Influenza immunization recommended (COPD) (IBD) | 4035F - INFLUENZA IMMUNIZATION RECOMMENDED | 4035F - INFLUENZA IMM REC | '01/01/2017 | 12/31/2999 |
| 4037F | 4037F - Influenza immunization ordered or administered (COPD PV CKD ESRD)(IBD) | 4037F - INFLUENZA IMMUNIZATION ORDERED OR ADMINISTERED | 4037F - INFLUENZA IMM ORDER/ADMIN | '01/01/2017 | 12/31/2999 |
| 4040F | 4040F - Pneumococcal vaccine administered or previously received (COPD) (PV) (IBD) | 4040F - PNEUMOCOCCAL VACCINE ADMIN RCVD PRIOR | 4040F - PNEUMOC VAC/ADMIN/RCVD | '01/01/2022 | 12/31/2999 |
| 4041F | 4041F - Documentation of order for cefazolin OR cefuroxime for antimicrobial prophylaxis (PERI 2) | 4041F - DOC ORDER CEFAZOLIN/CEFUROXIME ANTIMICRB PROPHYL | 4041F - DOC ORDER CEFAZOLIN/CEFUROX | '01/01/2017 | 12/31/2999 |
| 4042F | 4042F - Documentation that prophylactic antibiotics were neither given within 4 hours prior to surgical incision nor given intraoperatively (PERI 2) | 4042F - DOC PROPHY ANTIBIO NOT GIVEN W/IN 4 HR PRIOR SUR | 4042F - DOC ANTIBIO NOT GIVEN | '01/01/2017 | 12/31/2999 |
| 4043F | 4043F - Documentation that an order was given to discontinue prophylactic antibiotics within 48 hours of surgical end time cardiac procedures (PERI 2) | 4043F - DOC ORDER DISCONT ANTIBIO W/IN 48 HOURS OF SURG | 4043F - DOC ORDER GIVEN STOP ANTIBIO | '01/01/2017 | 12/31/2999 |
| 4044F | 4044F - Documentation that an order was given for venous thromboembolism (VTE) prophylaxis to be given within 24 hours prior to incision time or 24 hours after surgery end time (PERI 2) | 4044F - DOC ORDER VTE PROPHYL W/IN 24 HRS PRIOR SURG | 4044F - DOC ORDER GIVEN VTE PROPHYLX | '01/01/2017 | 12/31/2999 |
| 4045F | 4045F - Appropriate empiric antibiotic prescribed (CAP) (EM) | 4045F - APPROPRIATE EMPIRIC ANTIBIOTIC PRESCRIBED | 4045F - EMPIRIC ANTIBIOTIC RX | '01/01/2017 | 12/31/2999 |
| 4046F | 4046F - Documentation that prophylactic antibiotics were given within 4 hours prior to surgical incision or given intraoperatively (PERI 2) | 4046F - DOCD ANTIBIO W/IN 4 HRS PRIOR/INTRAOP SURG INCIS | 4046F - DOC ANTIBIO GIVEN B/4 SURG | '01/01/2017 | 12/31/2999 |
| 4047F | 4047F - Documentation of order for prophylactic parenteral antibiotics to be given within 1 hour (if fluoroquinolone or vancomycin 2 hours) prior to surgical incision (or start of procedure when no incision is required) (PERI 2) | 4047F - DOC ORDER ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INC | 4047F - DOC ANTIBIO GIVEN B/4 SURG | '01/01/2017 | 12/31/2999 |
| 4048F | 4048F - Documentation that administration of prophylactic parenteral antibiotic was initiated within 1 hour (if fluoroquinolone or vancomycin 2 hours) prior to surgical incision (or start of procedure when no incision is required) as ordered (PERI 2) | 4048F - DOC ANTIBIO GIVEN W/IN 1 HR PRIOR SURG/INCIS | 4048F - DOC ANTIBIO GIVEN B/4 SURG | '01/01/2017 | 12/31/2999 |
| 40490 | 40490 - Biopsy of lip | 40490 - BIOPSY OF LIP | 40490 - BIOPSY OF LIP | '01/01/2017 | 12/31/2999 |
| 4049F | 4049F - Documentation that order was given to discontinue prophylactic antibiotics within 24 hours of surgical end time non-cardiac procedure (PERI 2) | 4049F - DOC ORDER GIVEN TO STOP ANTIBIO W/IN 24 HRS SURG | 4049F - DOC ORDER GIVEN STOP ANTIBIO | '01/01/2017 | 12/31/2999 |
| 40500 | 40500 - Vermilionectomy (lip shave) with mucosal advancement | 40500 - VERMILIONECTOMY LIP SHV W/MUCOSAL ADVMNT | 40500 - PARTIAL EXCISION OF LIP | '01/01/2017 | 12/31/2999 |
| 4050F | 4050F - Hypertension plan of care documented as appropriate (NMA-No Measure Associated) | 4050F - HYPERTENSION PLAN OF CARE DOCUMENTED | 4050F - HT CARE PLAN DOC | '01/01/2017 | 12/31/2999 |
| 40510 | 40510 - Excision of lip; transverse wedge excision with primary closure | 40510 - EXC LIP TRANSVRS WEDGE EXC W/PRIM CLSR | 40510 - PARTIAL EXCISION OF LIP | '01/01/2017 | 12/31/2999 |
| 4051F | 4051F - Referred for an arteriovenous (AV) fistula (ESRD CKD) | 4051F - REFERRED FOR AN ARTERIO-VENOUS (AV) FISTULA | 4051F - REFERRED FOR AN AV FISTULA | '01/01/2017 | 12/31/2999 |
| 40520 | 40520 - Excision of lip; V-excision with primary direct linear closure | 40520 - EXC LIP V-EXC W/PRIM DIR LINR CLSR | 40520 - PARTIAL EXCISION OF LIP | '01/01/2017 | 12/31/2999 |
| 40525 | 40525 - Excision of lip; full thickness reconstruction with local flap (eg Estlander or fan) | 40525 - EXC LIP FULL THKNS RCNSTJ W/LOCAL FLAP | 40525 - RECONSTRUCT LIP WITH FLAP | '01/01/2017 | 12/31/2999 |
| 40527 | 40527 - Excision of lip; full thickness reconstruction with cross lip flap (Abbe-Estlander) | 40527 - EXC LIP FULL THKNS RCNSTJ W/CROSS LIP FLAP | 40527 - RECONSTRUCT LIP WITH FLAP | '01/01/2017 | 12/31/2999 |
| 4052F | 4052F - Hemodialysis via functioning arteriovenous (AV) fistula (ESRD) | 4052F - HEMODIAL VIA FUNCTIONG AV FISTULA | 4052F - HEMODIALYSIS VIA AV FISTULA | '01/01/2017 | 12/31/2999 |
| 40530 | 40530 - Resection of lip more than one-fourth without reconstruction | 40530 - RESCJ LIP > ONE-FOURTH W/O RCNSTJ | 40530 - PARTIAL REMOVAL OF LIP | '01/01/2017 | 12/31/2999 |
| 4053F | 4053F - Hemodialysis via functioning arteriovenous (AV) graft (ESRD) | 4053F - HEMODIALYSIS VIA FUNCTIONING AVGRAFT | 4053F - HEMODIALYSIS VIA AV GRAFT | '01/01/2017 | 12/31/2999 |
| 4054F | 4054F - Hemodialysis via catheter (ESRD) | 4054F - HEMODIALYSIS VIA CATHETER | 4054F - HEMODIALYSIS VIA CATHETER | '01/01/2017 | 12/31/2999 |
| 4055F | 4055F - Patient receiving peritoneal dialysis (ESRD) | 4055F - PATIENT RECEIVING PERITONEAL DIALYSIS | 4055F - PT RCVNG PERITON DIALYSIS | '01/01/2017 | 12/31/2999 |
| 4056F | 4056F - Appropriate oral rehydration solution recommended (PAG) | 4056F - APPROPRIATE ORAL REHYD SOLUTION RECOMMENDED | 4056F - APPROP ORAL REHYD RECOMMD | '01/01/2017 | 12/31/2999 |
| 4058F | 4058F - Pediatric gastroenteritis education provided to caregiver (PAG) | 4058F - PAG PROVIDED TO CAREGIVER | 4058F - PED GASTRO ED GIVEN CAREGVR | '01/01/2017 | 12/31/2999 |
| 4060F | 4060F - Psychotherapy services provided (MDD MDD ADOL) | 4060F - PSYCHOTHERAPY SERVICES PROVIDED | 4060F - PSYCH SVCS PROVIDED | '01/01/2017 | 12/31/2999 |
| 4062F | 4062F - Patient referral for psychotherapy documented (MDD MDD ADOL) | 4062F - PATIENT REFERRAL FOR PSYCHOTHERAPY DOCUMENTED | 4062F - PT REFERRAL PSYCH DOCD | '01/01/2017 | 12/31/2999 |
| 4063F | 4063F - Antidepressant pharmacotherapy considered and not prescribed (MDD ADOL) | 4063F - ANTIDEPRESSANT RXTHXY CONSIDER & NOT PRESCRIBE | 4063F - ANTIDEPRES RXTHXPY NOT RXD | '01/01/2017 | 12/31/2999 |
| 4064F | 4064F - Antidepressant pharmacotherapy prescribed (MDD MDD ADOL) | 4064F - ANTIDEPRESSANT PHARMACOTHERAPY PRESCRIBED | 4064F - ANTIDEPRESSANT RX | '01/01/2017 | 12/31/2999 |
| 40650 | 40650 - Repair lip full thickness; vermilion only | 40650 - RPR LIP FULL THICKNESS VERMILION ONLY | 40650 - REPAIR LIP | '01/01/2017 | 12/31/2999 |
| 40652 | 40652 - Repair lip full thickness; up to half vertical height | 40652 - RPR LIP FULL THICKNESS HALF/< VERTICAL HEIGHT | 40652 - REPAIR LIP | '01/01/2017 | 12/31/2999 |
| 40654 | 40654 - Repair lip full thickness; over one-half vertical height or complex | 40654 - RPR LIP FULL THKNS >ONE-HALF VERT HEIGHT/COMPLE | 40654 - REPAIR LIP | '01/01/2017 | 12/31/2999 |
| 4065F | 4065F - Antipsychotic pharmacotherapy prescribed (MDD) | 4065F - ANTIPSYCHOTIC PHARMACOTHERAPY PRESCRIBED | 4065F - ANTIPSYCHOTIC RX | '01/01/2017 | 12/31/2999 |
| 4066F | 4066F - Electroconvulsive therapy (ECT) provided (MDD) | 4066F - ELECTROCONVULSIVE THERAPY (ECT) PROVIDED | 4066F - ECT PROVIDED | '01/01/2017 | 12/31/2999 |
| 4067F | 4067F - Patient referral for electroconvulsive therapy (ECT) documented (MDD) | 4067F - PT REFERRAL ELECTROCONVULSIVE THXPY (ECT) DOCD | 4067F - PT REFERRAL FOR ECT DOCD | '01/01/2017 | 12/31/2999 |
| 4069F | 4069F - Venous thromboembolism (VTE) prophylaxis received (IBD) | 4069F - VENOUS THROMBOEMBOLISM (VTE) PROPHYLAXIS RCVD | 4069F - VTE PROPHYLAXIS RCVD | '01/01/2017 | 12/31/2999 |
| 40700 | 40700 - Plastic repair of cleft lip/nasal deformity; primary partial or complete unilateral | 40700 - PLSTC RPR CL LIP/NSL DFRM PRIM PRTL/COMPL UNI | 40700 - REPAIR CLEFT LIP/NASAL | '01/01/2017 | 12/31/2999 |
| 40701 | 40701 - Plastic repair of cleft lip/nasal deformity; primary bilateral 1-stage procedure | 40701 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 STG PX | 40701 - REPAIR CLEFT LIP/NASAL | '01/01/2017 | 12/31/2999 |
| 40702 | 40702 - Plastic repair of cleft lip/nasal deformity; primary bilateral 1 of 2 stages | 40702 - PLSTC RPR CL LIP/NSL DFRM PRIM BI 1 2 STGS | 40702 - REPAIR CLEFT LIP/NASAL | '01/01/2017 | 12/31/2999 |
| 4070F | 4070F - Deep vein thrombosis (DVT) prophylaxis received by end of hospital day 2 (STR) | 4070F - DEEP VEIN THROMB PROPHYL RECVD BY HOSP DAY 2 | 4070F - DVT PROPHYLX RECVD DAY 2 | '01/01/2017 | 12/31/2999 |
| 40720 | 40720 - Plastic repair of cleft lip/nasal deformity; secondary by recreation of defect and reclosure | 40720 - PLSTC RPR CL LIP/NSL DFRM SEC RECRTJ DFCT & RECL | 40720 - REPAIR CLEFT LIP/NASAL | '01/01/2017 | 12/31/2999 |
| 4073F | 4073F - Oral antiplatelet therapy prescribed at discharge (STR) | 4073F - ORAL ANTIPLATELET THERAPY PRESCRBED AT DISCHARGE | 4073F - ORAL ANTIPLAT THX RX DISCHRG | '01/01/2017 | 12/31/2999 |
| 4075F | 4075F - Anticoagulant therapy prescribed at discharge (STR) | 4075F - ANTICOAGULANT THERAPY PRESCRIBED AT DISCHARGE | 4075F - ANTICOAG THX RX AT DISCHRG | '01/01/2017 | 12/31/2999 |
| 40761 | 40761 - Plastic repair of cleft lip/nasal deformity; with cross lip pedicle flap (Abbe-Estlander type) including sectioning and inserting of pedicle | 40761 - PLSTC RPR CL LIP/NSL DFRM W/CROSS LIP PEDCL FLAP | 40761 - REPAIR CLEFT LIP/NASAL | '01/01/2017 | 12/31/2999 |
| 4077F | 4077F - Documentation that tissue plasminogen activator (t-PA) administration was considered (STR) | 4077F - DOC T-PA ADMINISTRATION WAS CONSIDERED | 4077F - DOC T-PA ADMIN CONSIDERED | '01/01/2017 | 12/31/2999 |
| 40799 | 40799 - Unlisted procedure lips | 40799 - UNLISTED PROCEDURE LIPS | 40799 - UNLISTED PROCEDURE LIPS | '01/01/2023 | 12/31/2999 |
| 4079F | 4079F - Documentation that rehabilitation services were considered (STR) | 4079F - DOC REHAB SERVICES WERE CONSIDERED | 4079F - DOC REHAB SVCS CONSIDERED | '01/01/2017 | 12/31/2999 |
| 40800 | 40800 - Drainage of abscess cyst hematoma vestibule of mouth; simple | 40800 - DRG ABSC CST HMTMA VESTIBULE MOUTH SMPL | 40800 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40801 | 40801 - Drainage of abscess cyst hematoma vestibule of mouth; complicated | 40801 - DRG ABSC CST HMTMA VESTIBULE MOUTH COMP | 40801 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40804 | 40804 - Removal of embedded foreign body vestibule of mouth; simple | 40804 - RMVL EMBEDDED FB VESTIBULE MOUTH SMPL | 40804 - REMOVAL FOREIGN BODY MOUTH | '01/01/2017 | 12/31/2999 |
| 40805 | 40805 - Removal of embedded foreign body vestibule of mouth; complicated | 40805 - RMVL EMBEDDED FB VESTIBULE MOUTH COMP | 40805 - REMOVAL FOREIGN BODY MOUTH | '01/01/2017 | 12/31/2999 |
| 40806 | 40806 - Incision of labial frenum (frenotomy) | 40806 - INCISION LABIAL FRENUM FRENOTOMY | 40806 - INCISION OF LIP FOLD | '01/01/2017 | 12/31/2999 |
| 40808 | 40808 - Biopsy vestibule of mouth | 40808 - BIOPSY VESTIBULE MOUTH | 40808 - BIOPSY OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40810 | 40810 - Excision of lesion of mucosa and submucosa vestibule of mouth; without repair | 40810 - EXC LES MUCOSA & SBMCSL VESTIBULE MOUTH W/O RPR | 40810 - EXCISION OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40812 | 40812 - Excision of lesion of mucosa and submucosa vestibule of mouth; with simple repair | 40812 - EXC LESION MUCOSA & SBMCSL VESTIBULE SMPL RPR | 40812 - EXCISE/REPAIR MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40814 | 40814 - Excision of lesion of mucosa and submucosa vestibule of mouth; with complex repair | 40814 - EXC LESION MUCOSA & SBMCSL VESTIBULE CPLX RPR | 40814 - EXCISE/REPAIR MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40816 | 40816 - Excision of lesion of mucosa and submucosa vestibule of mouth; complex with excision of underlying muscle | 40816 - EXC LESION MUCOSA&SBMCSL VESTIBULE CPLX EXC MUSC | 40816 - EXCISION OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40818 | 40818 - Excision of mucosa of vestibule of mouth as donor graft | 40818 - EXC MUCOSA VESTIBULE MOUTH AS DON GRF | 40818 - EXCISE ORAL MUCOSA FOR GRAFT | '01/01/2017 | 12/31/2999 |
| 40819 | 40819 - Excision of frenum labial or buccal (frenumectomy frenulectomy frenectomy) | 40819 - EXC FRENUM LABIAL/BUCCAL | 40819 - EXCISE LIP OR CHEEK FOLD | '01/01/2017 | 12/31/2999 |
| 40820 | 40820 - Destruction of lesion or scar of vestibule of mouth by physical methods (eg laser thermal cryo chemical) | 40820 - DSTRJ LES/SCAR VESTIBULE MOUTH PHYSICAL METHS | 40820 - TREATMENT OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 40830 | 40830 - Closure of laceration vestibule of mouth; 2.5 cm or less | 40830 - CLOSURE LACERATION VESTIBULE MOUTH 2.5 CM/< | 40830 - REPAIR MOUTH LACERATION | '01/01/2017 | 12/31/2999 |
| 40831 | 40831 - Closure of laceration vestibule of mouth; over 2.5 cm or complex | 40831 - CLOSURE LACERATION VESTIBULE MOUTH > 2.5 CM/CPL | 40831 - REPAIR MOUTH LACERATION | '01/01/2017 | 12/31/2999 |
| 40840 | 40840 - Vestibuloplasty; anterior | 40840 - VESTIBULOPLASTY ANTERIOR | 40840 - RECONSTRUCTION OF MOUTH | '01/01/2017 | 12/31/2999 |
| 40842 | 40842 - Vestibuloplasty; posterior unilateral | 40842 - VESTIBULOPLASTY POSTERIOR UNILATERAL | 40842 - RECONSTRUCTION OF MOUTH | '01/01/2017 | 12/31/2999 |
| 40843 | 40843 - Vestibuloplasty; posterior bilateral | 40843 - VESTIBULOPLASTY POSTERIOR BILATERAL | 40843 - RECONSTRUCTION OF MOUTH | '01/01/2017 | 12/31/2999 |
| 40844 | 40844 - Vestibuloplasty; entire arch | 40844 - VESTIBULOPLASTY ENTIRE ARCH | 40844 - RECONSTRUCTION OF MOUTH | '01/01/2017 | 12/31/2999 |
| 40845 | 40845 - Vestibuloplasty; complex (including ridge extension muscle repositioning) | 40845 - VESTIBULOPLASTY CPLX W/RIDGE XTN MUSC RPSG | 40845 - RECONSTRUCTION OF MOUTH | '01/01/2017 | 12/31/2999 |
| 4084F | 4084F - Aspirin received within 24 hours before emergency department arrival or during emergency department stay (EM) | 4084F - ASPIRIN RECVD W/IN 24 HRS PRIOR ED ARRIVAL/STAY | 4084F - ASPIRIN RECVD W/IN 24 HRS | '01/01/2017 | 12/31/2999 |
| 4086F | 4086F - Aspirin or clopidogrel prescribed or currently being taken (CAD) | 4086F - ASPIRIN OR CLOPIDOGREL PRESCRIBED | 4086F - ASPIRIN/CLOPIDOGREL RXD | '01/01/2017 | 12/31/2999 |
| 40899 | 40899 - Unlisted procedure vestibule of mouth | 40899 - UNLISTED PROCEDURE VESTIBULE MOUTH | 40899 - UNLISTED PX VESTIBULE MOUTH | '01/01/2023 | 12/31/2999 |
| 4090F | 4090F - Patient receiving erythropoietin therapy (HEM) | 4090F - PATIENT RECEIVING ERYTHROPOIETIN THERAPY | 4090F - PT RCVNG EPO THXPY | '01/01/2017 | 12/31/2999 |
| 4095F | 4095F - Patient not receiving erythropoietin therapy (HEM) | 4095F - PATIENT NOT RECEIVING ERYTHORPOIETIN THERAPY | 4095F - PT NOT RCVNG EPO THXPY | '01/01/2017 | 12/31/2999 |
| 41000 | 41000 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; lingual | 41000 - INTRAORAL I&D TONGUE/FLOOR LINGUAL | 41000 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41005 | 41005 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; sublingual superficial | 41005 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL SUPFC | 41005 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41006 | 41006 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; sublingual deep supramylohyoid | 41006 - INTRAORAL I&D TONGUE/FLOOR SUBLNGL DP SPRMLHYD | 41006 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41007 | 41007 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; submental space | 41007 - INTRAORAL I&D TONGUE/FLOOR SUBMENTAL SPACE | 41007 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41008 | 41008 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; submandibular space | 41008 - INTRAORAL I&D TONGUE/FLOOR SUBMNDBLR SPACE | 41008 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41009 | 41009 - Intraoral incision and drainage of abscess cyst or hematoma of tongue or floor of mouth; masticator space | 41009 - INTRAORAL I&D TONGUE/FLOOR MASTICATOR SPACE | 41009 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 4100F | 4100F - Bisphosphonate therapy intravenous ordered or received (HEM) | 4100F - BISPHOS THXPY VENOUS ORDERED OR RECEIVED | 4100F - BIPHOS THXPY VEIN ORD/RECVD | '01/01/2017 | 12/31/2999 |
| 41010 | 41010 - Incision of lingual frenum (frenotomy) | 41010 - INCISION LINGUAL FRENUM FRENOTOMY | 41010 - INCISION OF TONGUE FOLD | '01/01/2017 | 12/31/2999 |
| 41015 | 41015 - Extraoral incision and drainage of abscess cyst or hematoma of floor of mouth; sublingual | 41015 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBLNGL | 41015 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41016 | 41016 - Extraoral incision and drainage of abscess cyst or hematoma of floor of mouth; submental | 41016 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMENT | 41016 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41017 | 41017 - Extraoral incision and drainage of abscess cyst or hematoma of floor of mouth; submandibular | 41017 - XTRORAL I&D ABSC CST/HMTMA FLOOR MOUTH SUBMNDB | 41017 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41018 | 41018 - Extraoral incision and drainage of abscess cyst or hematoma of floor of mouth; masticator space | 41018 - XTRORAL I&D FLOOR MASTICATOR SPACE | 41018 - DRAINAGE OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41019 | 41019 - Placement of needles catheters or other device(s) into the head and/or neck region (percutaneous transoral or transnasal) for subsequent interstitial radioelement application | 41019 - PLACEMENT NEEDLE HEAD/NECK RADIOELEMENT APPLICAT | 41019 - PLACE NEEDLES H&N FOR RT | '01/01/2017 | 12/31/2999 |
| 41100 | 41100 - Biopsy of tongue; anterior two-thirds | 41100 - BIOPSY TONGUE ANTERIOR TWO-THIRDS | 41100 - BIOPSY OF TONGUE | '01/01/2017 | 12/31/2999 |
| 41105 | 41105 - Biopsy of tongue; posterior one-third | 41105 - BIOPSY TONGUE POSTERIOR ONE-THIRD | 41105 - BIOPSY OF TONGUE | '01/01/2017 | 12/31/2999 |
| 41108 | 41108 - Biopsy of floor of mouth | 41108 - BIOPSY FLOOR MOUTH | 41108 - BIOPSY OF FLOOR OF MOUTH | '01/01/2017 | 12/31/2999 |
| 4110F | 4110F - Internal mammary artery graft performed for primary isolated coronary artery bypass graft procedure (CABG) | 4110F - LIMA GRAFT USED IN 1ST ISOLATED CABG PXD | 4110F - INT MAM ART USED FOR CABG | '01/01/2017 | 12/31/2999 |
| 41110 | 41110 - Excision of lesion of tongue without closure | 41110 - EXCISION LESION TONGUE W/O CLOSURE | 41110 - EXCISION OF TONGUE LESION | '01/01/2017 | 12/31/2999 |
| 41112 | 41112 - Excision of lesion of tongue with closure; anterior two-thirds | 41112 - EXC LESION TONGUE W/CLSR ANTERIOR TWO-THIRDS | 41112 - EXCISION OF TONGUE LESION | '01/01/2017 | 12/31/2999 |
| 41113 | 41113 - Excision of lesion of tongue with closure; posterior one-third | 41113 - EXC LESION TONGUE W/CLSR POSTERIOR ONE-THIRD | 41113 - EXCISION OF TONGUE LESION | '01/01/2017 | 12/31/2999 |
| 41114 | 41114 - Excision of lesion of tongue with closure; with local tongue flap | 41114 - EXC LESION TONGUE W/CLSR W/LOCAL TONGUE FLAP | 41114 - EXCISION OF TONGUE LESION | '01/01/2017 | 12/31/2999 |
| 41115 | 41115 - Excision of lingual frenum (frenectomy) | 41115 - EXCISION LINGUAL FRENUM FRENECTOMY | 41115 - EXCISION OF TONGUE FOLD | '01/01/2017 | 12/31/2999 |
| 41116 | 41116 - Excision lesion of floor of mouth | 41116 - EXCISION LESION FLOOR MOUTH | 41116 - EXCISION OF MOUTH LESION | '01/01/2017 | 12/31/2999 |
| 41120 | 41120 - Glossectomy; less than one-half tongue | 41120 - GLOSSECTOMY | '01/01/2017 | 12/31/2999 | | |
| 41130 | 41130 - Glossectomy; hemiglossectomy | 41130 - GLOSSECTOMY HEMIGLOSSECTOMY | 41130 - PARTIAL REMOVAL OF TONGUE | '01/01/2017 | 12/31/2999 |
| 41135 | 41135 - Glossectomy; partial with unilateral radical neck dissection | 41135 - GLOSSECTOMY PRTL W/UNI RADICAL NECK DSJ | 41135 - TONGUE AND NECK SURGERY | '01/01/2017 | 12/31/2999 |
| 41140 | 41140 - Glossectomy; complete or total with or without tracheostomy without radical neck dissection | 41140 - GLSSC COMPL/TOT W/WOTRACHS W/O RAD NECK DSJ | 41140 - REMOVAL OF TONGUE | '01/01/2017 | 12/31/2999 |
| 41145 | 41145 - Glossectomy; complete or total with or without tracheostomy with unilateral radical neck dissection | 41145 - GLSSC COMPL/TOT W/WO TRACHS W/UNI RAD NECK DSJ | 41145 - TONGUE REMOVAL NECK SURGERY | '01/01/2017 | 12/31/2999 |
| 41150 | 41150 - Glossectomy; composite procedure with resection floor of mouth and mandibular resection without radical neck dissection | 41150 - GLSSC COMPOSIT W/RESCJ FLOOR & MANDIBULAR RESCJ | 41150 - TONGUE MOUTH JAW SURGERY | '01/01/2017 | 12/31/2999 |
| 41153 | 41153 - Glossectomy; composite procedure with resection floor of mouth with suprahyoid neck dissection | 41153 - GLSSC COMPOSIT RESCJ FLOOR SUPRAHYOID NCK DSJ | 41153 - TONGUE MOUTH NECK SURGERY | '01/01/2017 | 12/31/2999 |
| 41155 | 41155 - Glossectomy; composite procedure with resection floor of mouth mandibular resection and radical neck dissection (Commando type) | 41155 - GLSSC COMPOSIT RESCJ FLR MNDBLR RESCJ & RAD NECK | 41155 - TONGUE JAW & NECK SURGERY | '01/01/2017 | 12/31/2999 |
| 4115F | 4115F - Beta blocker administered within 24 hours prior to surgical incision (CABG) | 4115F - BETA BLOCKER GIVEN W/IN 24 HRS PRIOR SURG INC | 4115F - BETA BLCKR ADMIN W/IN 24 HRS | '01/01/2017 | 12/31/2999 |
| 4120F | 4120F - Antibiotic prescribed or dispensed (URI PHAR) (A-BRONCH) | 4120F - ANTIBIOTIC PRESCRIBED OR DISPENSED | 4120F - ANTIBIOT RXD/GIVEN | '01/01/2017 | 12/31/2999 |
| 4124F | 4124F - Antibiotic neither prescribed nor dispensed (URI PHAR) (A-BRONCH) | 4124F - ANTIBIOTIC NEITHER PRESCRIBED NOR DISPENSED | 4124F - ANTIBIOT NOT RXD/GIVEN | '01/01/2017 | 12/31/2999 |
| 41250 | 41250 - Repair of laceration 2.5 cm or less; floor of mouth and/or anterior two-thirds of tongue | 41250 - RPR LAC 2.5 CM/< MOUTH&/ANT TWO-THIRDS TONG | 41250 - REPAIR TONGUE LACERATION | '01/01/2017 | 12/31/2999 |
| 41251 | 41251 - Repair of laceration 2.5 cm or less; posterior one-third of tongue | 41251 - RPR LAC 2.5 CM/< PST ONE-THIRD TONGUE | 41251 - REPAIR TONGUE LACERATION | '01/01/2017 | 12/31/2999 |
| 41252 | 41252 - Repair of laceration of tongue floor of mouth over 2.6 cm or complex | 41252 - RPR LAC TONGUE FLOOR MOUTH > 2.6 CM/CPLX | 41252 - REPAIR TONGUE LACERATION | '01/01/2017 | 12/31/2999 |
| 4130F | 4130F - Topical preparations (including OTC) prescribed for acute otitis externa (AOE) | 4130F - ACUTE OTITIS EXTERNA TOPICAL PREPS PRESCRIBED | 4130F - TOPICAL PREP RX AOE | '01/01/2017 | 12/31/2999 |
| 4131F | 4131F - Systemic antimicrobial therapy prescribed (AOE) | 4131F - SYSTEMIC ANTIMICROBIAL TX PRESCRIBED | 4131F - SYST ANTIMICROBIAL THX RX | '01/01/2017 | 12/31/2999 |
| 4132F | 4132F - Systemic antimicrobial therapy not prescribed (AOE) | 4132F - SYSTEMIC ANTIMICROBIAL TX NOT PRESCRIBED | 4132F - NO SYST ANTIMICROBIAL THX RX | '01/01/2017 | 12/31/2999 |
| 4133F | 4133F - Antihistamines or decongestants prescribed or recommended (OME) | 4133F - ANTIHISTAMINE/DECONGESTANT PRESCRIBED | 4133F - ANTIHIST/DECONG RX/RECOM | '01/01/2017 | 12/31/2999 |
| 4134F | 4134F - Antihistamines or decongestants neither prescribed nor recommended (OME) | 4134F - ANTIHISTAMINE/DECONGESTANT NOT PRESCRIBED | 4134F - NO ANTIHIST/DECONG RX/RECOM | '01/01/2017 | 12/31/2999 |
| 4135F | 4135F - Systemic corticosteroids prescribed (OME) | 4135F - SYSTEMIC CORTICOSTEROIDS PRESCRIBED | 4135F - SYSTEMIC CORTICOSTEROIDS RX | '01/01/2017 | 12/31/2999 |
| 4136F | 4136F - Systemic corticosteroids not prescribed (OME) | 4136F - SYSTEMIC CORTICOSTEROIDS NOT PRESCRIBED | 4136F - SYST CORTICOSTEROIDS NOT RX | '01/01/2017 | 12/31/2999 |
| 4140F | 4140F - Inhaled corticosteroids prescribed (Asthma) | 4140F - INHALED CORTICOSTEROIDS PRESCRIBED | 4140F - INHALED CORTICOSTEROIDS RXD | '01/01/2017 | 12/31/2999 |
| 4142F | 4142F - Corticosteroid sparing therapy prescribed (IBD) | 4142F - CORTICOSTEROID SPARING THERAPY PRESCRIBED | 4142F - CORTICOSTER SPARNG THRPY RXD | '01/01/2017 | 12/31/2999 |
| 4144F | 4144F - Alternative long-term control medication prescribed (Asthma) | 4144F - ALTERNATIVE LONG-TERM CONTROL MEDICATION RXD | 4144F - ALT LONG-TERM CNTRL MED RXD | '01/01/2017 | 12/31/2999 |
| 4145F | 4145F - Two or more anti-hypertensive agents prescribed or currently being taken (CAD HTN) | 4145F - 2+ ANTI-HYPERTENSIVE AGENTS RXD OR TAKEN | 4145F - 2+ ANTI-HYPRTNSV AGENTS TKN | '01/01/2017 | 12/31/2999 |
| 4148F | 4148F - Hepatitis A vaccine injection administered or previously received (HEP-C) | 4148F - HEPATITIS A VACCINE ADMIN OR PREVIOSLY RECVD | 4148F - HEP A VAC INJXN ADMIN/RECVD | '01/01/2017 | 12/31/2999 |
| 4149F | 4149F - Hepatitis B vaccine injection administered or previously received (HEP-C HIV) (IBD) | 4149F - HEPATITIS B VACCCINE ADMIN OR PREVIOSLY RECVD | 4149F - HEP B VAC INJXN ADMIN/RECVD | '01/01/2017 | 12/31/2999 |
| 4150F | 4150F - Patient receiving antiviral treatment for Hepatitis C (HEP-C) | 4150F - CURRENT HEPATITIS C ANTIVIRAL TREATMENT | 4150F - PT RECVNG ANTIVIR TXMNT HEPC | '01/01/2017 | 12/31/2999 |
| 41510 | 41510 - Suture of tongue to lip for micrognathia (Douglas type procedure) | 41510 - SUTURE TONGUE LIP MICROGNATHIA | 41510 - TONGUE TO LIP SURGERY | '01/01/2017 | 12/31/2999 |
| 41512 | 41512 - Tongue base suspension permanent suture technique | 41512 - TONGUE BASE SUSPENSION PERMANENT SUTURE TQ | 41512 - TONGUE SUSPENSION | '01/01/2017 | 12/31/2999 |
| 4151F | 4151F - Patient did not start or is not receiving antiviral treatment for Hepatitis C during the measurement period (HEP-C) | 4151F - NO CURRENT HEPATITIS C ANTIVIRAL TREATMENT | 4151F - PT NOT RECVNG ANTIV HEP C | '01/01/2017 | 12/31/2999 |
| 41520 | 41520 - Frenoplasty (surgical revision of frenum eg with Z-plasty) | 41520 - FRENOPLASTY SURG REVJ FRENUM EG W/Z-PLASTY | 41520 - RECONSTRUCTION TONGUE FOLD | '01/01/2017 | 12/31/2999 |
| 41530 | 41530 - Submucosal ablation of the tongue base radiofrequency 1 or more sites per session | 41530 - SUBMUCOSAL ABLTJ TONGUE RF 1/> SITES PR SESSION | 41530 - TONGUE BASE VOL REDUCTION | '01/01/2017 | 12/31/2999 |
| 4153F | 4153F - Combination peginterferon and ribavirin therapy prescribed (HEP-C) | 4153F - COMB PEGINTERF/RIBAVIRIN TX PRESCRIBED | 4153F - COMBO PEGINTF/RIB RX | '01/01/2017 | 12/31/2999 |
| 4155F | 4155F - Hepatitis A vaccine series previously received (HEP-C) | 4155F - HEPATITIS A VACCINE SERIES PREVIOUSLY RECEIVED | 4155F - HEP A VAC SERIES PREV RECVD | '01/01/2017 | 12/31/2999 |
| 4157F | 4157F - Hepatitis B vaccine series previously received (HEP-C) | 4157F - HEPATITIS B VACCINE SERIES PREVIOUSLY RECEIVED | 4157F - HEP B VAC SERIES PREV RECVD | '01/01/2017 | 12/31/2999 |
| 4158F | 4158F - Patient counseled about risks of alcohol use (HEP-C) | 4158F - PATIENT COUNSELED ABOUT RISKS ALCOHOL USE | 4158F - PT EDU RE ALCOH DRNKNG DONE | '01/01/2017 | 12/31/2999 |
| 41599 | 41599 - Unlisted procedure tongue floor of mouth | 41599 - UNLISTED PROCEDURE TONGUE FLOOR MOUTH | 41599 - UNLISTED PX TONGUE FLR MOUTH | '01/01/2023 | 12/31/2999 |
| 4159F | 4159F - Counseling regarding contraception received prior to initiation of antiviral treatment (HEP-C) | 4159F - CONTRACEPTION COUNSEL BEFORE ANTIVIRAL TX | 4159F - CONTRCP TALK B/4 ANTIV TXMNT | '01/01/2017 | 12/31/2999 |
| 4163F | 4163F - Patient counseling at a minimum on all of the following treatment options for clinically localized prostate cancer: active surveillance and interstitial prostate brachytherapy and external beam radiotherapy and radical prostatectomy provided prior to initiation of treatment (PRCA) | 4163F - PT COUNSELING TREATMENT OPTIONS PROSTATE CANCER | 4163F - PT COUNS 4 TXMNT OPT PROST | '01/01/2017 | 12/31/2999 |
| 4164F | 4164F - Adjuvant (ie in combination with external beam radiotherapy to the prostate for prostate cancer) hormonal therapy (gonadotropin-releasing hormone [GnRH] agonist or antagonist) prescribed/administered (PRCA) | 4164F - ADJUVANT HORMONAL THXPY RX/ADMIN | 4164F - ADJV HRMNL THXPY RXD | '01/01/2017 | 12/31/2999 |
| 4165F | 4165F - 3-dimensional conformal radiotherapy (3D-CRT) or intensity modulated radiation therapy (IMRT) received (PRCA) | 4165F - 3D-CRT OR INTENSITY MODUL RAD THXPY RECVD | 4165F - 3D-CRT/IMRT RECEIVED | '01/01/2017 | 12/31/2999 |
| 4167F | 4167F - Head of bed elevation (30-45 degrees) on first ventilator day ordered (CRIT) | 4167F - HEAD-BED ELEV 30-45 DEG 1ST VENT DAY ORDERED | 4167F - HD BED TILTED 1ST DAY VENT | '01/01/2017 | 12/31/2999 |
| 4168F | 4168F - Patient receiving care in the intensive care unit (ICU) and receiving mechanical ventilation 24 hours or less (CRIT) | 4168F - PT RCVG CARE ICU & RCVNG MECH VENT 24 HRS/< | 4168F - PT CARE ICU&VENT W/IN 24HRS | '01/01/2017 | 12/31/2999 |
| 4169F | 4169F - Patient either not receiving care in the intensive care unit (ICU) OR not receiving mechanical ventilation OR receiving mechanical ventilation greater than 24 hours (CRIT) | 4169F - PT NOT RCVG CARE IN ICU/NOT RCVG MECHL VENT | 4169F - NO PT CARE ICU/VENT IN 24HRS | '01/01/2017 | 12/31/2999 |
| 4171F | 4171F - Patient receiving erythropoiesis-stimulating agents (ESA) therapy (CKD) | 4171F - PATIENT RECEIVING (ESA) THERAPY | 4171F - PT RCVNG ESA THXPY | '01/01/2017 | 12/31/2999 |
| 4172F | 4172F - Patient not receiving erythropoiesis-stimulating agents (ESA) therapy (CKD) | 4172F - PATIENT NOT RECEIVING (ESA) THERAPY | 4172F - PT NOT RCVNG ESA THXPY | '01/01/2017 | 12/31/2999 |
| 4174F | 4174F - Counseling about the potential impact of glaucoma on visual functioning and quality of life and importance of treatment adherence provided to patient and/or caregiver(s) (EC) | 4174F - TLK VIS FXN & QUAL LIFE/TRXMNT FOR PT/CRGVR | 4174F - COUNS POTENT GLAUC IMPCT | '01/01/2017 | 12/31/2999 |
| 4175F | 4175F - Best-corrected visual acuity of 20/40 or better (distance or near) achieved within the 90 days following cataract surgery (EC) | 4175F - CORRECT VISUAL ACUIT 20/40/> W/IN 90 DAYS SURG | 4175F - VIS 20/40/> W/IN 90 DAYS | '01/01/2017 | 12/31/2999 |
| 4176F | 4176F - Counseling about value of protection from UV light and lack of proven efficacy of nutritional supplements in prevention or progression of cataract development provided to patient and/or caregiver(s) (NMA-No Measure Associated) | 4176F - COUNSEL UV LITE PROTEC PREV/PROG CATARACT DEVEL | 4176F - TALK RE UV LIGHT PT/CRGVR | '01/01/2017 | 12/31/2999 |
| 4177F | 4177F - Counseling about the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for preventing progression of age-related macular degeneration (AMD) provided to patient and/or caregiver(s) (EC) | 4177F - COUNSEL BENEF/RISK AREDS PREV AGE RELATED AMD | 4177F - TALK PT/CRGVR RE AREDS PREV | '01/01/2017 | 12/31/2999 |
| 4178F | 4178F - Anti-D immune globulin received between 26 and 30 weeks gestation (Pre-Cr) | 4178F - ANTI-D IMMUNE GLOBULIN RCVD 26-30 WKS GESTATION | 4178F - ANTID GLBLN RCVD W/IN 26WKS | '01/01/2017 | 12/31/2999 |
| 4179F | 4179F - Tamoxifen or aromatase inhibitor (AI) prescribed (ONC) | 4179F - TAMOXIFEN OR AROMATASE INHIBITOR (AI) RXD | 4179F - TAMOXIFEN/AI PRESCRIBED | '01/01/2017 | 12/31/2999 |
| 41800 | 41800 - Drainage of abscess cyst hematoma from dentoalveolar structures | 41800 - DRG ABSC CST HMTMA FROM DENTOALVEOLAR STRUXS | 41800 - DRAINAGE OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41805 | 41805 - Removal of embedded foreign body from dentoalveolar structures; soft tissues | 41805 - RMVL EMBEDDED FB FROM DENTALVLR STRUXS SOFT TISS | 41805 - REMOVAL FOREIGN BODY GUM | '01/01/2017 | 12/31/2999 |
| 41806 | 41806 - Removal of embedded foreign body from dentoalveolar structures; bone | 41806 - RMVL EMBEDDED FB FROM DENTOALVEOLAR STRUXS BONE | 41806 - REMOVAL FOREIGN BODY JAWBONE | '01/01/2017 | 12/31/2999 |
| 4180F | 4180F - Adjuvant chemotherapy referred prescribed or previously received for Stage III colon cancer (ONC) | 4180F - ADJVNT CHEMO RFRRD RXD/RCVD STAGE III COLON CA | 4180F - ADJV THXPYRXD/RCVD COLON CA | '01/01/2017 | 12/31/2999 |
| 4181F | 4181F - Conformal radiation therapy received (NMA-No Measure Associated) | 4181F - CONFORMAL RADIATION THERAPY RECEIVED | 4181F - CONFORMAL RADN THXPY RCVD | '01/01/2017 | 12/31/2999 |
| 41820 | 41820 - Gingivectomy excision gingiva each quadrant | 41820 - GINGIVECTOMY EXC GINGIVA EACH QUADRANT | 41820 - EXCISION GUM EACH QUADRANT | '01/01/2017 | 12/31/2999 |
| 41821 | 41821 - Operculectomy excision pericoronal tissues | 41821 - OPRCULECTOMY EXC PRICORONAL TISSUE | 41821 - EXCISION OF GUM FLAP | '01/01/2017 | 12/31/2999 |
| 41822 | 41822 - Excision of fibrous tuberosities dentoalveolar structures | 41822 - EXC FIBROUS TUBEROSITIES DENTOALVEOLAR STRUXS | 41822 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41823 | 41823 - Excision of osseous tuberosities dentoalveolar structures | 41823 - EXC OSS TUBEROSITIES DENTOALVEOLAR STRUXS | 41823 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41825 | 41825 - Excision of lesion or tumor (except listed above) dentoalveolar structures; without repair | 41825 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/O RPR | 41825 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41826 | 41826 - Excision of lesion or tumor (except listed above) dentoalveolar structures; with simple repair | 41826 - EXC LESION/TUMOR DENTOALVEOLAR STRUX W/SMPL RPR | 41826 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41827 | 41827 - Excision of lesion or tumor (except listed above) dentoalveolar structures; with complex repair | 41827 - EXC LESION/TUMOR DENTALVEOLAR STRUX W/CMPLX RPR | 41827 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 41828 | 41828 - Excision of hyperplastic alveolar mucosa each quadrant (specify) | 41828 - EXC HYPRPLSTC ALVEOLAR MUCOSA EA QUADRANT SPEC | 41828 - EXCISION OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 4182F | 4182F - Conformal radiation therapy not received (NMA-No Measure Associated) | 4182F - CONFORMAL RADIATION THERAPY NOT RECEIVED | 4182F - NO CONFORMAL RADN THXPY | '01/01/2017 | 12/31/2999 |
| 41830 | 41830 - Alveolectomy including curettage of osteitis or sequestrectomy | 41830 - ALVEOLECTOMY W/CURTG OSTEITIS/SEQUESTRECTOMY | 41830 - REMOVAL OF GUM TISSUE | '01/01/2017 | 12/31/2999 |
| 41850 | 41850 - Destruction of lesion (except excision) dentoalveolar structures | 41850 - DESTRUCTION LESION DENTOALVEOLAR STRUCTURES | 41850 - TREATMENT OF GUM LESION | '01/01/2017 | 12/31/2999 |
| 4185F | 4185F - Continuous (12-months) therapy with proton pump inhibitor (PPI) or histamine H2 receptor antagonist (H2RA) received (GERD) | 4185F - NONSTOP 12MON THXPY W/PPI OR H2 H2RA RCVD | 4185F - CONTINUOUS PPI OR H2RA RCVD | '01/01/2017 | 12/31/2999 |
| 4186F | 4186F - No continuous (12-months) therapy with either proton pump inhibitor (PPI) or histamine H2 receptor antagonist (H2RA) received (GERD) | 4186F - NO CONTIN 12MON THXPY W/PPI OR H2 H2RA RCVD | 4186F - NO CONT PPI OR H2RA RCVD | '01/01/2017 | 12/31/2999 |
| 41870 | 41870 - Periodontal mucosal grafting | 41870 - PERIODONTAL MUCOSAL GRAFTING | 41870 - GUM GRAFT | '01/01/2017 | 12/31/2999 |
| 41872 | 41872 - Gingivoplasty each quadrant (specify) | 41872 - GINGIVOPLASTY EACH QUADRANT SPECIFY | 41872 - REPAIR GUM | '01/01/2017 | 12/31/2999 |
| 41874 | 41874 - Alveoloplasty each quadrant (specify) | 41874 - ALVEOLOPLASTY EACH QUADRANT SPECIFY | 41874 - REPAIR TOOTH SOCKET | '01/01/2017 | 12/31/2999 |
| 4187F | 4187F - Disease modifying anti-rheumatic drug therapy prescribed or dispensed (RA) | 4187F - DIS MODFY ANTI-RHEU DRUG THXPY RX/GVN | 4187F - ANTI RHEUM DRUGTHXPYRXD/GVN | '01/01/2017 | 12/31/2999 |
| 4188F | 4188F - Appropriate angiotensin converting enzyme (ACE)/angiotensin receptor blockers (ARB) therapeutic monitoring test ordered or performed (AM) | 4188F - APPROP ACE/ARB THXP MONIT TEST ORDRD/DONE | 4188F - APPROP ACE/ARB TSTNG DONE | '01/01/2017 | 12/31/2999 |
| 41899 | 41899 - Unlisted procedure dentoalveolar structures | 41899 - UNLISTED PROCEDURE DENTOALVEOLAR STRUCTURES | 41899 - UNLISTED PX DENTALVLR STRUX | '01/01/2023 | 12/31/2999 |
| 4189F | 4189F - Appropriate digoxin therapeutic monitoring test ordered or performed (AM) | 4189F - APPROP DIGOXIN THXP MONIT TST ORDRD/DONE | 4189F - APPROP DIGOXIN TSTNG DONE | '01/01/2017 | 12/31/2999 |
| 4190F | 4190F - Appropriate diuretic therapeutic monitoring test ordered or performed (AM) | 4190F - APPROP DIURETIC THXP MONIT TST ORDRD/DONE | 4190F - APPROP DIURETIC TSTNG DONE | '01/01/2017 | 12/31/2999 |
| 4191F | 4191F - Appropriate anticonvulsant therapeutic monitoring test ordered or performed (AM) | 4191F - APPROP ANTICONVUL THXP MONIT TST ORDRD/DONE | 4191F - APPROP ANTICONVULS TSTNG | '01/01/2017 | 12/31/2999 |
| 4192F | 4192F - Patient not receiving glucocorticoid therapy (RA) | 4192F - PATIENT NOT RECEIVING GLUCOCORTICOID | 4192F - PT NOT RCVNG GLUCOCO THXPY | '01/01/2017 | 12/31/2999 |
| 4193F | 4193F - Patient receiving <10 mg daily prednisone (or equivalent) or RA activity is worsening or glucocorticoid use is for less than 6 months (RA) | 4193F - PATIENT RCVNG <10 MG DAILY PREDNISONE | 4193F - PT RCV <10MG DAILY PREDNISO | '01/01/2017 | 12/31/2999 |
| 4194F | 4194F - Patient receiving >=10 mg daily prednisone (or equivalent) for longer than 6 months and improvement or no change in disease activity (RA) | 4194F - PATIENT RCVNG >= 10 MG DAILY PREDNISONE | 4194F - PT RCV >=10MG DAILY PREDNISO | '01/01/2021 | 12/31/2999 |
| 4195F | 4195F - Patient receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis (RA) | 4195F - PT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXRPY FOR RA | 4195F - PT RCVNG ANTI-RHEUM THXPY RA | '01/01/2017 | 12/31/2999 |
| 4196F | 4196F - Patient not receiving first-time biologic disease modifying anti-rheumatic drug therapy for rheumatoid arthritis (RA) | 4196F - PT NOT RCVNG 1ST BIOL ANTI-RHEUM DRUG THXPY RA | 4196F - PTNOT RCVNG ANTI-RHM THXPYRA | '01/01/2017 | 12/31/2999 |
| 42000 | 42000 - Drainage of abscess of palate uvula | 42000 - DRAINAGE ABSCESS PALATE UVULA | 42000 - DRAINAGE MOUTH ROOF LESION | '01/01/2017 | 12/31/2999 |
| 4200F | 4200F - External beam radiotherapy as primary therapy to prostate with or without nodal irradiation (PRCA) | 4200F - EXTRNL BM RADIOTHXPY TO PROST W/WO NODAL IRRAD | 4200F - EXTERNAL BEAM TO PROST ONLY | '01/01/2017 | 12/31/2999 |
| 4201F | 4201F - External beam radiotherapy with or without nodal irradiation as adjuvant or salvage therapy for prostate cancer patient (PRCA) | 4201F - EXTRNL BM RADIOTHXPY W/WO NODAL IRRAD AS ADJV | 4201F - EXTRNL BEAM OTHER THAN PROST | '01/01/2017 | 12/31/2999 |
| 42100 | 42100 - Biopsy of palate uvula | 42100 - BIOPSY PALATE UVULA | 42100 - BIOPSY ROOF OF MOUTH | '01/01/2017 | 12/31/2999 |
| 42104 | 42104 - Excision lesion of palate uvula; without closure | 42104 - EXC LESION PALATE UVULA W/O CLOSURE | 42104 - EXCISION LESION MOUTH ROOF | '01/01/2017 | 12/31/2999 |
| 42106 | 42106 - Excision lesion of palate uvula; with simple primary closure | 42106 - EXC LESION PALATE UVULA W/SMPL PRIM CLOSURE | 42106 - EXCISION LESION MOUTH ROOF | '01/01/2017 | 12/31/2999 |
| 42107 | 42107 - Excision lesion of palate uvula; with local flap closure | 42107 - EXC LESION PALATE UVULA W/LOCAL FLAP CLOSURE | 42107 - EXCISION LESION MOUTH ROOF | '01/01/2017 | 12/31/2999 |
| 4210F | 4210F - Angiotensin converting enzyme (ACE) or angiotensin receptor blockers (ARB) medication therapy for 6 months or more (MM) | 4210F - ACE/ARB MEDICATION THERAPY 6 MONTHS/> | 4210F - ACE/ARB THXPY FOR MOS/> | '01/01/2017 | 12/31/2999 |
| 42120 | 42120 - Resection of palate or extensive resection of lesion | 42120 - RESCJ PALATE/EXTENSIVE RESCJ LESION | 42120 - REMOVE PALATE/LESION | '01/01/2017 | 12/31/2999 |
| 42140 | 42140 - Uvulectomy excision of uvula | 42140 - UVULECTOMY EXCISION UVULA | 42140 - EXCISION OF UVULA | '01/01/2017 | 12/31/2999 |
| 42145 | 42145 - Palatopharyngoplasty (eg uvulopalatopharyngoplasty uvulopharyngoplasty) | 42145 - PALATOPHARYNGOPLASTY | 42145 - REPAIR PALATE PHARYNX/UVULA | '01/01/2017 | 12/31/2999 |
| 42160 | 42160 - Destruction of lesion palate or uvula (thermal cryo or chemical) | 42160 - DSTRJ LESION PALATE/UVULA THERMAL CRYO/CHEM | 42160 - TREATMENT MOUTH ROOF LESION | '01/01/2017 | 12/31/2999 |
| 42180 | 42180 - Repair laceration of palate; up to 2 cm | 42180 - REPAIR LACERATION PALATE 42180 - REPAIR PALATE | '01/01/2017 | 12/31/2999 | |
| 42182 | 42182 - Repair laceration of palate; over 2 cm or complex | 42182 - REPAIR LACERATION PALATE >2 CM/COMPLEX | 42182 - REPAIR PALATE | '01/01/2017 | 12/31/2999 |
| 42200 | 42200 - Palatoplasty for cleft palate soft and/or hard palate only | 42200 - PALATOP CL PALATE SOFT&/HARD PALATE ONLY | 42200 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 42205 | 42205 - Palatoplasty for cleft palate with closure of alveolar ridge; soft tissue only | 42205 - PALATOPLASTY W/CLSR ALVEOLAR RIDGE SOFT TISSUE | 42205 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 4220F | 4220F - Digoxin medication therapy for 6 months or more (MM) | 4220F - DIGOXIN MEDICATION THERAPY 6 MONTHS/> | 4220F - DIGOXIN THXPY FOR 6 MOS/> | '01/01/2017 | 12/31/2999 |
| 42210 | 42210 - Palatoplasty for cleft palate with closure of alveolar ridge; with bone graft to alveolar ridge (includes obtaining graft) | 42210 - PALATOP CLSR ALVEOLAR RIDGE GRF ALVEOLAR RIDGE | 42210 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 42215 | 42215 - Palatoplasty for cleft palate; major revision | 42215 - PALATOPLASTY CLEFT PALATE MAJOR REVJ | 42215 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 4221F | 4221F - Diuretic medication therapy for 6 months or more (MM) | 4221F - DIURETIC MEDICATION THERAPY 6 MOS/> | 4221F - DIURETIC THXPY FOR 6 MOS/> | '01/01/2017 | 12/31/2999 |
| 42220 | 42220 - Palatoplasty for cleft palate; secondary lengthening procedure | 42220 - PALATOPLASTY CLEFT PALATE SEC LNGTH PX | 42220 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 42225 | 42225 - Palatoplasty for cleft palate; attachment pharyngeal flap | 42225 - PALATOP CL PALATE ATTACHMENT PHARYNGEAL FLAP | 42225 - RECONSTRUCT CLEFT PALATE | '01/01/2017 | 12/31/2999 |
| 42226 | 42226 - Lengthening of palate and pharyngeal flap | 42226 - LENGTHENING PALATE & PHARYNGEAL FLAP | 42226 - LENGTHENING OF PALATE | '01/01/2017 | 12/31/2999 |
| 42227 | 42227 - Lengthening of palate with island flap | 42227 - LENGTHENING PALATE W/ISLAND FLAP | 42227 - LENGTHENING OF PALATE | '01/01/2017 | 12/31/2999 |
| 42235 | 42235 - Repair of anterior palate including vomer flap | 42235 - REPAIR ANTERIOR PALATE W/VOMER FLAP | 42235 - REPAIR PALATE | '01/01/2017 | 12/31/2999 |
| 42260 | 42260 - Repair of nasolabial fistula | 42260 - REPAIR NASOLABIAL FISTULA | 42260 - REPAIR NOSE TO LIP FISTULA | '01/01/2017 | 12/31/2999 |
| 42280 | 42280 - Maxillary impression for palatal prosthesis | 42280 - MAXILLARY IMPRESJ PALATAL PROSTHESIS | 42280 - PREPARATION PALATE MOLD | '01/01/2017 | 12/31/2999 |
| 42281 | 42281 - Insertion of pin-retained palatal prosthesis | 42281 - INSJ PIN-RETAINED PALATAL PROSTHESIS | 42281 - INSERTION PALATE PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 42299 | 42299 - Unlisted procedure palate uvula | 42299 - UNLISTED PROCEDURE PALATE UVULA | 42299 - UNLISTED PX PALATE UVULA | '01/01/2023 | 12/31/2999 |
| 42300 | 42300 - Drainage of abscess; parotid simple | 42300 - DRAINAGE ABSCESS PAROTID SIMPLE | 42300 - DRAINAGE OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 42305 | 42305 - Drainage of abscess; parotid complicated | 42305 - DRAINAGE ABSCESS PAROTID COMPLICATED | 42305 - DRAINAGE OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 4230F | 4230F - Anticonvulsant medication therapy for 6 months or more (MM) | 4230F - ANTICONVUL MED THERAPY 6 MOS/> | 4230F - ANTICONV THXPY FOR 6 MOS/> | '01/01/2017 | 12/31/2999 |
| 42310 | 42310 - Drainage of abscess; submaxillary or sublingual intraoral | 42310 - DRG ABSC SUBMAXILLARY/SUBLINGUAL INTRAORAL | 42310 - DRAINAGE OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 42320 | 42320 - Drainage of abscess; submaxillary external | 42320 - DRAINAGE ABSCESS SUBMAXILLARY INTRAORAL | 42320 - DRAINAGE OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 42330 | 42330 - Sialolithotomy; submandibular (submaxillary) sublingual or parotid uncomplicated intraoral | 42330 - SIALOT SUBMNDBLR SUBLNGL/PRTD UNCOMP INTRAORAL | 42330 - REMOVAL OF SALIVARY STONE | '01/01/2017 | 12/31/2999 |
| 42335 | 42335 - Sialolithotomy; submandibular (submaxillary) complicated intraoral | 42335 - SIALOLITHOTOMY SUBMNDBLR SUBMAX COMP INTRAORAL | 42335 - REMOVAL OF SALIVARY STONE | '01/01/2017 | 12/31/2999 |
| 42340 | 42340 - Sialolithotomy; parotid extraoral or complicated intraoral | 42340 - SIALOLITHOTOMY PRTD XTRORAL/COMP INTRAORAL | 42340 - REMOVAL OF SALIVARY STONE | '01/01/2017 | 12/31/2999 |
| 42400 | 42400 - Biopsy of salivary gland; needle | 42400 - BIOPSY SALIVARY GLAND NEEDLE | 42400 - BIOPSY OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 42405 | 42405 - Biopsy of salivary gland; incisional | 42405 - BIOPSY SALIVARY GLAND INCISIONAL | 42405 - BIOPSY OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 42408 | 42408 - Excision of sublingual salivary cyst (ranula) | 42408 - EXC SUBLINGUAL SALIVARY CYST RANULA | 42408 - EXCISION OF SALIVARY CYST | '01/01/2017 | 12/31/2999 |
| 42409 | 42409 - Marsupialization of sublingual salivary cyst (ranula) | 42409 - MARSUPIALIZATION SUBLNGL SALIVARY CST RANULA | 42409 - DRAINAGE OF SALIVARY CYST | '01/01/2017 | 12/31/2999 |
| 4240F | 4240F - Instruction in therapeutic exercise with follow-up provided to patients during episode of back pain lasting longer than 12 weeks (BkP) | 4240F - INSTR THER XRCS-DR FLLWUP PT EPSD BACK PN >12 WK | 4240F - INSTR XRCZ BACK PAIN 12 WKS | '01/01/2017 | 12/31/2999 |
| 42410 | 42410 - Excision of parotid tumor or parotid gland; lateral lobe without nerve dissection | 42410 - EXC PRTD TUM/PRTD GLND LAT LOBE W/O NRV DSJ | 42410 - EXCISE PAROTID GLAND/LESION | '01/01/2017 | 12/31/2999 |
| 42415 | 42415 - Excision of parotid tumor or parotid gland; lateral lobe with dissection and preservation of facial nerve | 42415 - EXC PRTD TUM/PRTD GLND LAT DSJ&PRSRV FACIAL NR | 42415 - EXCISE PAROTID GLAND/LESION | '01/01/2017 | 12/31/2999 |
| 42420 | 42420 - Excision of parotid tumor or parotid gland; total with dissection and preservation of facial nerve | 42420 - EXC PRTD TUM/PRTD GLND TOT DSJ&PRSRV FACIAL NR | 42420 - EXCISE PAROTID GLAND/LESION | '01/01/2017 | 12/31/2999 |
| 42425 | 42425 - Excision of parotid tumor or parotid gland; total en bloc removal with sacrifice of facial nerve | 42425 - EXCISION PAROTID TUMOR/GLAND TOTAL EN BLOC RMVL | 42425 - EXCISE PAROTID GLAND/LESION | '01/01/2017 | 12/31/2999 |
| 42426 | 42426 - Excision of parotid tumor or parotid gland; total with unilateral radical neck dissection | 42426 - EXC PRTD TUM/PRTD GLND TOT W/UNI RAD NCK DSJ | 42426 - EXCISE PAROTID GLAND/LESION | '01/01/2017 | 12/31/2999 |
| 4242F | 4242F - Counseling for supervised exercise program provided to patients during episode of back pain lasting longer than 12 weeks (BkP) | 4242F - TLK RE SPRVSD XRCS PROG TO PTS BACK PN >12WKS | 4242F - SPRVSD XRCZ BACK PN >12 WKS | '01/01/2017 | 12/31/2999 |
| 42440 | 42440 - Excision of submandibular (submaxillary) gland | 42440 - EXCISION SUBMANDIBULAR SUBMAXILLARY GLAND | 42440 - EXCISE SUBMAXILLARY GLAND | '01/01/2017 | 12/31/2999 |
| 42450 | 42450 - Excision of sublingual gland | 42450 - EXISION OF SUBLINGUAL GLAND | 42450 - EXCISE SUBLINGUAL GLAND | '01/01/2017 | 12/31/2999 |
| 4245F | 4245F - Patient counseled during the initial visit to maintain or resume normal activities (BkP) | 4245F - PT TLK 1ST VST TO KEEP/RESUME NORMAL ACTIVITIES | 4245F - PT INSTR NRML ACTIVITIES | '01/01/2017 | 12/31/2999 |
| 4248F | 4248F - Patient counseled during the initial visit for an episode of back pain against bed rest lasting 4 days or longer (BkP) | 4248F - COUNSEL INIT BACK PAIN AGNST BED REST 4 DAYS/> | 4248F - PT INSTR NO BD REST 4 DAYS/> | '01/01/2017 | 12/31/2999 |
| 42500 | 42500 - Plastic repair of salivary duct sialodochoplasty; primary or simple | 42500 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY PRIM | 42500 - REPAIR SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 42505 | 42505 - Plastic repair of salivary duct sialodochoplasty; secondary or complicated | 42505 - PLSTC RPR SALIVARY DUX SIALODOCHOPLASTY SEC/COMP | 42505 - REPAIR SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 42507 | 42507 - Parotid duct diversion bilateral (Wilke type procedure); | 42507 - PAROTID DUCT DIVERSION BILATERAL WILKE PX | 42507 - PAROTID DUCT DIVERSION | '01/01/2017 | 12/31/2999 |
| 42509 | 42509 - Parotid duct diversion bilateral (Wilke type procedure); with excision of both submandibular glands | 42509 - PAROTID DUCT DVRJ BI W/EXC BOTH SUBMNDBLR GLANDS | 42509 - PAROTID DUCT DIVERSION | '01/01/2017 | 12/31/2999 |
| 4250F | 4250F - Active warming used intraoperatively for the purpose of maintaining normothermia or at least 1 body temperature equal to or greater than 36 degrees Centigrade (or 96.8 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time (CRIT) | 4250F - ACTV WRMNG INTRAOP FOR NORMOTHERMIA | 4250F - WRMNG 4 SURG NORMOTHERMIA | '01/01/2017 | 12/31/2999 |
| 42510 | 42510 - Parotid duct diversion bilateral (Wilke type procedure); with ligation of both submandibular (Wharton's) ducts | 42510 - PAROTID DUCT DVRJ BILATERAL WITH LIG BOTH DUCTS | 42510 - PAROTID DUCT DIVERSION | '01/01/2017 | 12/31/2999 |
| 42550 | 42550 - Injection procedure for sialography | 42550 - INJECTION PROCEDURE SIALOGRAPHY | 42550 - INJECTION FOR SALIVARY X-RAY | '01/01/2017 | 12/31/2999 |
| 4255F | 4255F - Duration of general or neuraxial anesthesia 60 minutes or longer as documented in the anesthesia record (CRIT) (Peri2) | 4255F - DURATION GEN NEUR ANESTH 60 MINS/> DOC RECORD | 4255F - ANESTH 60 MIN/> AS DOCD | '01/01/2017 | 12/31/2999 |
| 4256F | 4256F - Duration of general or neuraxial anesthesia less than 60 minutes as documented in the anesthesia record (CRIT) (Peri2) | 4256F - DURATION GEN NEUR ANESTH <60 MIN DOCD RECORD | 4256F - ANESTHE <60 MIN AS DOCD | '01/01/2017 | 12/31/2999 |
| 42600 | 42600 - Closure salivary fistula | 42600 - CLOSURE SALIVARY FISTULA | 42600 - CLOSURE OF SALIVARY FISTULA | '01/01/2017 | 12/31/2999 |
| 4260F | 4260F - Wound surface culture technique used (CWC) | 4260F - WOUND SURFACE CULTURE TECHNIQUE USED | 4260F - WOUND SRFC CULTURETECH USED | '01/01/2017 | 12/31/2999 |
| 4261F | 4261F - Technique other than surface culture of the wound exudate used (eg Levine/deep swab technique semi-quantitative or quantitative swab technique) or wound surface culture technique not used (CWC) | 4261F - TECH OTHER THAN SURFACE CULTURE WOUND EXUD USED | 4261F - TECH OTHER THAN SURFC CULTR | '01/01/2017 | 12/31/2999 |
| 42650 | 42650 - Dilation salivary duct | 42650 - DILATION SALIVARY DUCT | 42650 - DILATION OF SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 4265F | 4265F - Use of wet to dry dressings prescribed or recommended (CWC) | 4265F - USE OF WET TO DRY DRESSINGS PRESCRIBED RECMD | 4265F - WET-DRY DRESSINGS RX RECMD | '01/01/2017 | 12/31/2999 |
| 42660 | 42660 - Dilation and catheterization of salivary duct with or without injection | 42660 - DILAT&CATHJ SALIVARY DUCT W/WO INJECTION | 42660 - DILATION OF SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 42665 | 42665 - Ligation salivary duct intraoral | 42665 - LIGATION SALIVARY DUCT INTRAORAL | 42665 - LIGATION OF SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 4266F | 4266F - Use of wet to dry dressings neither prescribed nor recommended (CWC) | 4266F - USE WET TO DRY DRESSINGS NEITHER RXD NOR RECMD | 4266F - NO WET-DRY DRSSINGS RX RECMD | '01/01/2017 | 12/31/2999 |
| 4267F | 4267F - Compression therapy prescribed (CWC) | 4267F - COMPRESSION THERAPY PRESCRIBED | 4267F - COMPRSSION THXPY PRESCRIBED | '01/01/2017 | 12/31/2999 |
| 4268F | 4268F - Patient education regarding the need for long term compression therapy including interval replacement of compression stockings received (CWC) | 4268F - PT ED RE NEED LONG TERM COMPRESS THXPY RCVD | 4268F - PT ED RE COMP THXPY RCVD | '01/01/2017 | 12/31/2999 |
| 42699 | 42699 - Unlisted procedure salivary glands or ducts | 42699 - UNLISTED PX SALIVARY GLANDS/DUCTS | 42699 - UNLISTED PX SALIVRY GLND/DUX | '01/01/2023 | 12/31/2999 |
| 4269F | 4269F - Appropriate method of offloading (pressure relief) prescribed (CWC) | 4269F - APPROP METHOD OFFLOADING PRESCRIBED | 4269F - APPROPOS MTHD OFFLOADING RXD | '01/01/2017 | 12/31/2999 |
| 42700 | 42700 - Incision and drainage abscess; peritonsillar | 42700 - I&D ABSCESS PERITONSILLAR | 42700 - DRAINAGE OF TONSIL ABSCESS | '01/01/2017 | 12/31/2999 |
| 4270F | 4270F - Patient receiving potent antiretroviral therapy for 6 months or longer (HIV) | 4270F - PT RCVNG POTENT ANTI R-VIRAL THX 6 MON OR MORE | 4270F - PT RCVNG ANTI R-VIRAL THXPY | '01/01/2017 | 12/31/2999 |
| 4271F | 4271F - Patient receiving potent antiretroviral therapy for less than 6 months or not receiving potent antiretroviral therapy (HIV) | 4271F - PT RCVNG POT ANTI R-VIRAL THX <6 MON/NOT RCVN | 4271F - PT RCVNG ANTI R-VIRAL THXPY | '01/01/2017 | 12/31/2999 |
| 42720 | 42720 - Incision and drainage abscess; retropharyngeal or parapharyngeal intraoral approach | 42720 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL INTRAORAL | 42720 - DRAINAGE OF THROAT ABSCESS | '01/01/2017 | 12/31/2999 |
| 42725 | 42725 - Incision and drainage abscess; retropharyngeal or parapharyngeal external approach | 42725 - I&D ABSC RTRPHRNGL/PARAPHARYNGEAL XTRNL APPR | 42725 - DRAINAGE OF THROAT ABSCESS | '01/01/2017 | 12/31/2999 |
| 4274F | 4274F - Influenza immunization administered or previously received (HIV) (P-ESRD) | 4274F - FLU IMMUNO ADMIND/PREVIOUSLY RCVD | 4274F - FLU IMMUNO ADMIND RCVD | '01/01/2017 | 12/31/2999 |
| 4276F | 4276F - Potent antiretroviral therapy prescribed (HIV) | 4276F - POTENT ANTIRETROVIRAL THERAPY PRESCRIBED | 4276F - POTENT ANTIVIR THXPY RXD | '01/01/2017 | 12/31/2999 |
| 4279F | 4279F - Pneumocystis jiroveci pneumonia prophylaxis prescribed (HIV) | 4279F - PNEUMOCYSTIS JIROVECI PNEUMONIA PROPHYLAXIS RXD | 4279F - PCP PROPHYLAXIS RXD | '01/01/2017 | 12/31/2999 |
| 42800 | 42800 - Biopsy; oropharynx | 42800 - BIOPSY OROPHARYNX | 42800 - BIOPSY OF THROAT | '01/01/2017 | 12/31/2999 |
| 42804 | 42804 - Biopsy; nasopharynx visible lesion simple | 42804 - BIOPSY NASOPHARYNX VISIBLE LESION SIMPLE | 42804 - BIOPSY OF UPPER NOSE/THROAT | '01/01/2017 | 12/31/2999 |
| 42806 | 42806 - Biopsy; nasopharynx survey for unknown primary lesion | 42806 - BX NASOPHARYNX SURVEY UNKNOWN PRIMARY LESION | 42806 - BIOPSY OF UPPER NOSE/THROAT | '01/01/2017 | 12/31/2999 |
| 42808 | 42808 - Excision or destruction of lesion of pharynx any method | 42808 - EXCISION/DESTRUCTION LESION PHARYNX ANY METHOD | 42808 - EXCISE PHARYNX LESION | '01/01/2017 | 12/31/2999 |
| 42809 | 42809 - Removal of foreign body from pharynx | 42809 - REMOVAL FOREIGN BODY PHARYNX | 42809 - REMOVE PHARYNX FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 4280F | 4280F - Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low CD4+ cell count or percentage (HIV) | 4280F - PNEUMOCYS JIROVECI PNEUMO PRPHYLXS PRSCRBD 3 MON | 4280F - PCP PROPHYLAX RXD 3MON LOW % | '01/01/2017 | 12/31/2999 |
| 42810 | 42810 - Excision branchial cleft cyst or vestige confined to skin and subcutaneous tissues | 42810 - EXC BRANCHIAL CLEFT CYST CONFINED SKN&SUBQ TIS | 42810 - EXCISION OF NECK CYST | '01/01/2017 | 12/31/2999 |
| 42815 | 42815 - Excision branchial cleft cyst vestige or fistula extending beneath subcutaneous tissues and/or into pharynx | 42815 - EXC BRANCHIAL CLEFT CYST BELOW SUBQ TISS&/PHRYNX | 42815 - EXCISION OF NECK CYST | '01/01/2017 | 12/31/2999 |
| 42820 | 42820 - Tonsillectomy and adenoidectomy; younger than age 12 | 42820 - TONSILLECTOMY & ADENOIDECTOMY | '01/01/2017 | 12/31/2999 | | |
| 42821 | 42821 - Tonsillectomy and adenoidectomy; age 12 or over | 42821 - TONSILLECTOMY & ADENOIDECTOMY AGE 12/> | 42821 - REMOVE TONSILS AND ADENOIDS | '01/01/2017 | 12/31/2999 |
| 42825 | 42825 - Tonsillectomy primary or secondary; younger than age 12 | 42825 - TONSILLECTOMY PRIMARY/SECONDARY | '01/01/2017 | 12/31/2999 | | |
| 42826 | 42826 - Tonsillectomy primary or secondary; age 12 or over | 42826 - TONSILLECTOMY PRIMARY/SECONDARY AGE 12/> | 42826 - REMOVAL OF TONSILS | '01/01/2017 | 12/31/2999 |
| 42830 | 42830 - Adenoidectomy primary; younger than age 12 | 42830 - ADENOIDECTOMY PRIMARY | '01/01/2017 | 12/31/2999 | | |
| 42831 | 42831 - Adenoidectomy primary; age 12 or over | 42831 - ADENOIDECTOMY PRIMARY AGE 12/> | 42831 - REMOVAL OF ADENOIDS | '01/01/2017 | 12/31/2999 |
| 42835 | 42835 - Adenoidectomy secondary; younger than age 12 | 42835 - ADENOIDECTOMY SECONDARY| '01/01/2017 | 12/31/2999 | | |
| 42836 | 42836 - Adenoidectomy secondary; age 12 or over | 42836 - ADENOIDECTOMY SECONDARY AGE 12/> | 42836 - REMOVAL OF ADENOIDS | '01/01/2017 | 12/31/2999 |
| 42842 | 42842 - Radical resection of tonsil tonsillar pillars and/or retromolar trigone; without closure | 42842 - RADICAL RESECTION TONSIL W/O CLOSURE | 42842 - EXTENSIVE SURGERY OF THROAT | '01/01/2017 | 12/31/2999 |
| 42844 | 42844 - Radical resection of tonsil tonsillar pillars and/or retromolar trigone; closure with local flap (eg tongue buccal) | 42844 - RADICAL RESCJ TONSIL CLOSURE W/LOCAL FLAP | 42844 - EXTENSIVE SURGERY OF THROAT | '01/01/2017 | 12/31/2999 |
| 42845 | 42845 - Radical resection of tonsil tonsillar pillars and/or retromolar trigone; closure with other flap | 42845 - RADICAL RESCJ TONSIL CLOSURE W/OTHER FLAP | 42845 - EXTENSIVE SURGERY OF THROAT | '01/01/2017 | 12/31/2999 |
| 42860 | 42860 - Excision of tonsil tags | 42860 - EXCISION TONSIL TAGS | 42860 - EXCISION OF TONSIL TAGS | '01/01/2017 | 12/31/2999 |
| 42870 | 42870 - Excision or destruction lingual tonsil any method (separate procedure) | 42870 - EXC/DSTRJ LINGUAL TONSIL ANY METHOD SPX | 42870 - EXCISION OF LINGUAL TONSIL | '01/01/2017 | 12/31/2999 |
| 42890 | 42890 - Limited pharyngectomy | 42890 - LIMITED PHARYNGECTOMY | 42890 - PARTIAL REMOVAL OF PHARYNX | '01/01/2017 | 12/31/2999 |
| 42892 | 42892 - Resection of lateral pharyngeal wall or pyriform sinus direct closure by advancement of lateral and posterior pharyngeal walls | 42892 - RESCJ LAT PHRNGL WALL/PYRIFORM SINUS DIR CLSR | 42892 - REVISION OF PHARYNGEAL WALLS | '01/01/2017 | 12/31/2999 |
| 42894 | 42894 - Resection of pharyngeal wall requiring closure with myocutaneous or fasciocutaneous flap or free muscle skin or fascial flap with microvascular anastomosis | 42894 - RESCJ PHRNGL WALL CLSR W/FLP OR FLP W/MVASC ANAS | 42894 - REVISION OF PHARYNGEAL WALLS | '01/01/2017 | 12/31/2999 |
| 42900 | 42900 - Suture pharynx for wound or injury | 42900 - SUTURE PHARYNX WOUND/INJURY | 42900 - REPAIR THROAT WOUND | '01/01/2017 | 12/31/2999 |
| 4290F | 4290F - Patient screened for injection drug use (HIV) | 4290F - PATIENT SCREENED FOR INJECTION DRUG USE | 4290F - PT SCRNED FOR INJ DRUG USE | '01/01/2017 | 12/31/2999 |
| 4293F | 4293F - Patient screened for high-risk sexual behavior (HIV) | 4293F - PT SCRND HGH-RSK SEXUAL BEHAVIOR | 4293F - PT SCRND HGH-RISK SEX BEHAV | '01/01/2017 | 12/31/2999 |
| 42950 | 42950 - Pharyngoplasty (plastic or reconstructive operation on pharynx) | 42950 - PHARYNGOPLASTY PLSTC/RCNSTV OPRATION PHARYNX | 42950 - RECONSTRUCTION OF THROAT | '01/01/2017 | 12/31/2999 |
| 42953 | 42953 - Pharyngoesophageal repair | 42953 - PHARYNGOESOPHAGEAL REPAIR | 42953 - REPAIR THROAT ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 42955 | 42955 - Pharyngostomy (fistulization of pharynx external for feeding) | 42955 - PHARYNGOSTOMY FSTLJ PHARYNX XTRNL FEEDING | 42955 - SURGICAL OPENING OF THROAT | '01/01/2017 | 12/31/2999 |
| 42960 | 42960 - Control oropharyngeal hemorrhage primary or secondary (eg post-tonsillectomy); simple | 42960 - CONTROL OROPHARYNGEAL HEMORRHAGE SIMPLE | 42960 - CONTROL THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42961 | 42961 - Control oropharyngeal hemorrhage primary or secondary (eg post-tonsillectomy); complicated requiring hospitalization | 42961 - CTRL OROPHARYNGEAL HEMORRHAGE COMP REQ HOSPITJ | 42961 - CONTROL THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42962 | 42962 - Control oropharyngeal hemorrhage primary or secondary (eg post-tonsillectomy); with secondary surgical intervention | 42962 - CTRL OROPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ | 42962 - CONTROL THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42970 | 42970 - Control of nasopharyngeal hemorrhage primary or secondary (eg postadenoidectomy); simple with posterior nasal packs with or without anterior packs and/or cautery | 42970 - CTRL NASOPHARYNGEAL HEMRRG SMPL W/PST NSL PACKS | 42970 - CONTROL NOSE/THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42971 | 42971 - Control of nasopharyngeal hemorrhage primary or secondary (eg postadenoidectomy); complicated requiring hospitalization | 42971 - CTRL NASOPHARYNGEAL HEMRRG COMP REQ HOSPIZATION | 42971 - CONTROL NOSE/THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42972 | 42972 - Control of nasopharyngeal hemorrhage primary or secondary (eg postadenoidectomy); with secondary surgical intervention | 42972 - CTRL NASOPHARYNGEAL HEMORRHAGE W/SEC SURG IVNTJ | 42972 - CONTROL NOSE/THROAT BLEEDING | '01/01/2017 | 12/31/2999 |
| 42975 | 42975 - Drug-induced sleep endoscopy with dynamic evaluation of velum pharynx tongue base and larynx for evaluation of sleep-disordered breathing flexible diagnostic | 42975 - DISE DYN EVAL SLEEP DISORDERED BREATHING FLX DX | 42975 - DISE EVAL SLP DO BRTH FLX DX | '01/01/2022 | 12/31/2999 |
| 42999 | 42999 - Unlisted procedure pharynx adenoids or tonsils | 42999 - UNLISTED PROCEDURE PHARYNX ADENOIDS/TONSILS | 42999 - UNLISTED PX PHRNX ADND/TNSL | '01/01/2023 | 12/31/2999 |
| 4300F | 4300F - Patient receiving warfarin therapy for nonvalvular atrial fibrillation or atrial flutter (AFIB) | 4300F - PT RCVNG WARFARIN THXPY NONVALV AFIB OR AFLUT | 4300F - PT RCVNG WARF THXPY | '01/01/2017 | 12/31/2999 |
| 4301F | 4301F - Patient not receiving warfarin therapy for nonvalvular atrial fibrillation or atrial flutter (AFIB) | 4301F - PT NOT RCVNG WARFARIN THXPY NONVALV AFIB/AFLUT | 4301F - PT NOT RCVNG WARF THXPY | '01/01/2017 | 12/31/2999 |
| 43020 | 43020 - Esophagotomy cervical approach with removal of foreign body | 43020 - ESOPHAGOTOMY CERVICAL APPR W/RMVL FB | 43020 - INCISION OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43030 | 43030 - Cricopharyngeal myotomy | 43030 - CRICOPHARYNGEAL MYOTOMY | 43030 - THROAT MUSCLE SURGERY | '01/01/2017 | 12/31/2999 |
| 43045 | 43045 - Esophagotomy thoracic approach with removal of foreign body | 43045 - ESOPHAGOTOMY THORACIC APPR W/RMVL FB | 43045 - INCISION OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 4305F | 4305F - Patient education regarding appropriate foot care and daily inspection of the feet received (CWC) | 4305F - PT EDUC FOOT CARE & DAILY INSPCTN FEET RCVD | 4305F - PT ED RE FT CARE INSPCT RCVD | '01/01/2017 | 12/31/2999 |
| 4306F | 4306F - Patient counseled regarding psychosocial and pharmacologic treatment options for opioid addiction (SUD) | 4306F - PT COUNSEL PSYCHOSOC&PHARM TX OPIOID ADDICTION | 4306F - PT TLK PSYCH & RX OPD ADDIC | '01/01/2017 | 12/31/2999 |
| 43100 | 43100 - Excision of lesion esophagus with primary repair; cervical approach | 43100 - EXC LESION ESOPHOGUS W/PRIM RPR CERVICAL APPR | 43100 - EXCISION OF ESOPHAGUS LESION | '01/01/2017 | 12/31/2999 |
| 43101 | 43101 - Excision of lesion esophagus with primary repair; thoracic or abdominal approach | 43101 - EXC LESION ESOPHAGUS W/PRIM RPR THRC/ABDL APPR | 43101 - EXCISION OF ESOPHAGUS LESION | '01/01/2017 | 12/31/2999 |
| 43107 | 43107 - Total or near total esophagectomy without thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy with or without pyloroplasty (transhiatal) | 43107 - TOT ESOPHAGECTOMY W/O THORCOM W/WO PYLOROPLASTY | 43107 - REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43108 | 43108 - Total or near total esophagectomy without thoracotomy; with colon interposition or small intestine reconstruction including intestine mobilization preparation and anastomosis(es) | 43108 - TOT ESOPHG W/O THORCOM COLON NTRPSTJ/INT RCNSTJ | 43108 - REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43112 | 43112 - Total or near total esophagectomy with thoracotomy; with pharyngogastrostomy or cervical esophagogastrostomy with or without pyloroplasty (ie McKeown esophagectomy or tri-incisional esophagectomy) | 43112 - TOTAL ESOPHAGECTOMY W/THORCOM W/WO PYLORPLASTY | 43112 - ESPHG TOT W/THRCM | '01/01/2018 | 12/31/2999 |
| 43113 | 43113 - Total or near total esophagectomy with thoracotomy; with colon interposition or small intestine reconstruction including intestine mobilization preparation and anastomosis(es) | 43113 - TOT ESOPHG W/THORCOM W/COLON NTRPSTJ/INT RCNSTJ | 43113 - REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43116 | 43116 - Partial esophagectomy cervical with free intestinal graft including microvascular anastomosis obtaining the graft and intestinal reconstruction | 43116 - PRTL ESOPHAGECTOMY CERVICAL W/FREE INTSTINAL GRF | 43116 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43117 | 43117 - Partial esophagectomy distal two-thirds with thoracotomy and separate abdominal incision with or without proximal gastrectomy; with thoracic esophagogastrostomy with or without pyloroplasty (Ivor Lewis) | 43117 - PRTL ESOPHECT DSTL W/WO PROX GASTRECT/PYLORPLSTY | 43117 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43118 | 43118 - Partial esophagectomy distal two-thirds with thoracotomy and separate abdominal incision with or without proximal gastrectomy; with colon interposition or small intestine reconstruction including intestine mobilization preparation and anastomosis(es) | 43118 - PRTL ESOPH DSTL W/WO PROX GASTRC W/COLON NTRPSTJ | 43118 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43121 | 43121 - Partial esophagectomy distal two-thirds with thoracotomy only with or without proximal gastrectomy with thoracic esophagogastrostomy with or without pyloroplasty | 43121 - PRTL ESOPHAGEC W/WO PROX GASTREC/PYLOROPLASTY | 43121 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43122 | 43122 - Partial esophagectomy thoracoabdominal or abdominal approach with or without proximal gastrectomy; with esophagogastrostomy with or without pyloroplasty | 43122 - PRTL ESOPHG THORACOABD W/WO PROXGASTREC/PYLOROPL | 43122 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43123 | 43123 - Partial esophagectomy thoracoabdominal or abdominal approach with or without proximal gastrectomy; with colon interposition or small intestine reconstruction including intestine mobilization preparation and anastomosis(es) | 43123 - PRTL ESPHG THORACOABDL/ABDL APPR NTRPSTJ/RCNSTJ | 43123 - PARTIAL REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43124 | 43124 - Total or partial esophagectomy without reconstruction (any approach) with cervical esophagostomy | 43124 - TOT/PRTL ESPHG W/O RCNSTJ W/CRV ESOPHAGOSTOMY | 43124 - REMOVAL OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43130 | 43130 - Diverticulectomy of hypopharynx or esophagus with or without myotomy; cervical approach | 43130 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH CRV APPR | 43130 - REMOVAL OF ESOPHAGUS POUCH | '01/01/2017 | 12/31/2999 |
| 43135 | 43135 - Diverticulectomy of hypopharynx or esophagus with or without myotomy; thoracic approach | 43135 - DIVERTICULECTOMY HYPOPHARYNX/ESOPH THRC APPR | 43135 - REMOVAL OF ESOPHAGUS POUCH | '01/01/2017 | 12/31/2999 |
| 43180 | 43180 - Esophagoscopy rigid transoral with diverticulectomy of hypopharynx or cervical esophagus (eg Zenker's diverticulum) with cricopharyngeal myotomy includes use of telescope or operating microscope and repair when performed | 43180 - ESOPHAGOSCP RIG TRANSORAL HYPOPHARYNX CRV ESOPH | 43180 - ESOPHAGOSCOPY RIGID TRNSO | '01/01/2017 | 12/31/2999 |
| 43191 | 43191 - Esophagoscopy rigid transoral; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 43191 - ESOPHAGOSCOPY RIGID TRANSORAL DIAGNOSTIC BRUSH | 43191 - ESOPHAGOSCOPY RIGID TRNSO DX | '01/01/2017 | 12/31/2999 |
| 43192 | 43192 - Esophagoscopy rigid transoral; with directed submucosal injection(s) any substance | 43192 - ESOPHAGOSCOPY RIGID TRANSORAL INJ SUBMUCOSAL | 43192 - ESOPHAGOSCP RIG TRNSO INJECT | '01/01/2017 | 12/31/2999 |
| 43193 | 43193 - Esophagoscopy rigid transoral; with biopsy single or multiple | 43193 - ESOPHAGOSCOPY RIGID TRANSORAL WITH BIOPSY | 43193 - ESOPHAGOSCP RIG TRNSO BIOPSY | '01/01/2017 | 12/31/2999 |
| 43194 | 43194 - Esophagoscopy rigid transoral; with removal of foreign body(s) | 43194 - ESOPHAGOSCOPY RIG TRANSORAL REMOVAL FOREIGN BODY | 43194 - ESOPHAGOSCP RIG TRNSO REM FB | '01/01/2017 | 12/31/2999 |
| 43195 | 43195 - Esophagoscopy rigid transoral; with balloon dilation (less than 30 mm diameter) | 43195 - ESOPHAGOSCOPY RIGID TRANSORAL BALLOON DILATION | 43195 - ESOPHAGOSCOPY RIGID BALLOON | '01/01/2017 | 12/31/2999 |
| 43196 | 43196 - Esophagoscopy rigid transoral; with insertion of guide wire followed by dilation over guide wire | 43196 - ESOPHAGOSCOPY RIG TRANSORAL GUIDE WIRE DILATION | 43196 - ESOPHAGOSCP GUIDE WIRE DILAT | '01/01/2017 | 12/31/2999 |
| 43197 | 43197 - Esophagoscopy flexible transnasal; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 43197 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL DIAGNOSTIC | 43197 - ESOPHAGOSCOPY FLEX DX BRUSH | '01/01/2017 | 12/31/2999 |
| 43198 | 43198 - Esophagoscopy flexible transnasal; with biopsy single or multiple | 43198 - ESOPHAGOSCOPY FLEXIBLE TRANSNASAL WITH BIOPSY | 43198 - ESOPHAGOSC FLEX TRNSN BIOPSY | '01/01/2017 | 12/31/2999 |
| 43200 | 43200 - Esophagoscopy flexible transoral; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 43200 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL DIAGNOSTIC | 43200 - ESOPHAGOSCOPY FLEXIBLE BRUSH | '01/01/2017 | 12/31/2999 |
| 43201 | 43201 - Esophagoscopy flexible transoral; with directed submucosal injection(s) any substance | 43201 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL W SUBMUCOUS INJ | 43201 - ESOPH SCOPE W/SUBMUCOUS INJ | '01/01/2017 | 12/31/2999 |
| 43202 | 43202 - Esophagoscopy flexible transoral; with biopsy single or multiple | 43202 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL WITH BIOPSY | 43202 - ESOPHAGOSCOPY FLEX BIOPSY | '01/01/2017 | 12/31/2999 |
| 43204 | 43204 - Esophagoscopy flexible transoral; with injection sclerosis of esophageal varices | 43204 - ESOPHAGOSCOPY FLEX TRANSORAL INJECTION VARICES | 43204 - ESOPH SCOPE W/SCLEROSIS INJ | '01/01/2017 | 12/31/2999 |
| 43205 | 43205 - Esophagoscopy flexible transoral; with band ligation of esophageal varices | 43205 - ESPHGOSCOPY FLEX W/BAND LIGATION ESOPHGL VARICES | 43205 - ESOPHAGUS ENDOSCOPY/LIGATION | '01/01/2017 | 12/31/2999 |
| 43206 | 43206 - Esophagoscopy flexible transoral; with optical endomicroscopy | 43206 - ESOPHAGOSCOPY TRANSORAL W/OPTICAL ENDOMICROSCOPY | 43206 - ESOPH OPTICAL ENDOMICROSCOPY | '01/01/2017 | 12/31/2999 |
| 4320F | 4320F - Patient counseled regarding psychosocial and pharmacologic treatment options for alcohol dependence (SUD) | 4320F - PT COUNSEL PSYCHSOC & PHARM TX ALCOHOL DEPEND | 4320F - PT TALK PSYCHSOC&RX OH DPND | '01/01/2017 | 12/31/2999 |
| 43210 | 43210 - Esophagogastroduodenoscopy flexible transoral; with esophagogastric fundoplasty partial or complete includes duodenoscopy when performed | 43210 - EGD PARTIAL/COMPL ESOPHAGOGASTRIC FUNDOPLASTY | 43210 - EGD ESOPHAGOGASTRC FNDOPLSTY | '01/01/2017 | 12/31/2999 |
| 43211 | 43211 - Esophagoscopy flexible transoral; with endoscopic mucosal resection | 43211 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL MUCOSAL RESEXN | 43211 - ESOPHAGOSCOP MUCOSAL RESECT | '01/01/2017 | 12/31/2999 |
| 43212 | 43212 - Esophagoscopy flexible transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage when performed) | 43212 - ESOPHAGOSCOPY TRANSORAL STENT PLACEMENT | 43212 - ESOPHAGOSCOP STENT PLACEMENT | '01/01/2017 | 12/31/2999 |
| 43213 | 43213 - Esophagoscopy flexible transoral; with dilation of esophagus by balloon or dilator retrograde (includes fluoroscopic guidance when performed) | 43213 - ESOPHAGOSCOPY RETROGRADE DILATE BALLOON/OTHER | 43213 - ESOPHAGOSCOPY RETRO BALLOON | '01/01/2017 | 12/31/2999 |
| 43214 | 43214 - Esophagoscopy flexible transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance when performed) | 43214 - ESOPHAGOSCOPY DILATE ESOPHAGUS BALLOON 30 MM | 43214 - ESOPHAGOSC DILATE BALLOON 30 | '01/01/2017 | 12/31/2999 |
| 43215 | 43215 - Esophagoscopy flexible transoral; with removal of foreign body(s) | 43215 - ESOPHAGOSCOPY FLEXIBLE REMOVAL FOREIGN BODY | 43215 - ESOPHAGOSCOPY FLEX REMOVE FB | '01/01/2017 | 12/31/2999 |
| 43216 | 43216 - Esophagoscopy flexible transoral; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps | 43216 - ESPHAGOSCOPY FLEX LESION REMOVAL HOT BX FORCEPS | 43216 - ESOPHAGOSCOPY LESION REMOVAL | '01/01/2017 | 12/31/2999 |
| 43217 | 43217 - Esophagoscopy flexible transoral; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 43217 - ESOPHAGOSCOPY FLEXIB LESION REMOVAL TUMOR SNARE | 43217 - ESOPHAGOSCOPY SNARE LES REMV | '01/01/2017 | 12/31/2999 |
| 43220 | 43220 - Esophagoscopy flexible transoral; with transendoscopic balloon dilation (less than 30 mm diameter) | 43220 - ESOPHAGOSCOPY FLEX BALLOON DILAT <30 MM DIAM | 43220 - ESOPHAGOSCOPY BALLOON <30MM | '01/01/2017 | 12/31/2999 |
| 43226 | 43226 - Esophagoscopy flexible transoral; with insertion of guide wire followed by passage of dilator(s) over guide wire | 43226 - ESOPHAGOSCOPY FLEXIBLE GUIDE WIRE DILATION | 43226 - ESOPH ENDOSCOPY DILATION | '01/01/2017 | 12/31/2999 |
| 43227 | 43227 - Esophagoscopy flexible transoral; with control of bleeding any method | 43227 - ESOPHAGOSCOPY FLEXIBLE W/BLEEDING CONTROL | 43227 - ESOPHAGOSCOPY CONTROL BLEED | '01/01/2017 | 12/31/2999 |
| 43229 | 43229 - Esophagoscopy flexible transoral; with ablation of tumor(s) polyp(s) or other lesion(s) (includes pre- and post-dilation and guide wire passage when performed) | 43229 - ESOPHAGOSCOPY FLEX TRANSORAL LESION ABLATION | 43229 - ESOPHAGOSCOPY LESION ABLATE | '01/01/2017 | 12/31/2999 |
| 4322F | 4322F - Caregiver provided with education and referred to additional resources for support (DEM) | 4322F - CRGVR PROVIDED W/ED REFERRED ADDL RESOURCES | 4322F - CRGVR PROV W/ ED ADDL RSRCS | '01/01/2017 | 12/31/2999 |
| 43231 | 43231 - Esophagoscopy flexible transoral; with endoscopic ultrasound examination | 43231 - ESOPHAGOSCOPY FLEXIBLE TRANSORAL ULTRASOUND EXAM | 43231 - ESOPHAGOSCOP ULTRASOUND EXAM | '01/01/2017 | 12/31/2999 |
| 43232 | 43232 - Esophagoscopy flexible transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) | 43232 - ESOPHAGOSCOPY INTRA/TRANSMURAL NEEDLE ASPIRAT/BX | 43232 - ESOPHAGOSCOPY W/US NEEDLE BX | '01/01/2017 | 12/31/2999 |
| 43233 | 43233 - Esophagogastroduodenoscopy flexible transoral; with dilation of esophagus with balloon (30 mm diameter or larger) (includes fluoroscopic guidance when performed) | 43233 - EGD ESOPHAGUS BALLOON DILATION 30 MM OR LARGER | 43233 - EGD BALLOON DIL ESOPH30 MM/> | '01/01/2017 | 12/31/2999 |
| 43235 | 43235 - Esophagogastroduodenoscopy flexible transoral; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 43235 - ESOPHAGOGASTRODUODENOSCOPY TRANSORAL DIAGNOSTIC | 43235 - EGD DIAGNOSTIC BRUSH WASH | '01/01/2017 | 12/31/2999 |
| 43236 | 43236 - Esophagogastroduodenoscopy flexible transoral; with directed submucosal injection(s) any substance | 43236 - ESOPHAGOGASTRODUODENOSCOPY SUBMUCOSAL INJECTION | 43236 - UPPR GI SCOPE W/SUBMUC INJ | '01/01/2017 | 12/31/2999 |
| 43237 | 43237 - Esophagogastroduodenoscopy flexible transoral; with endoscopic ultrasound examination limited to the esophagus stomach or duodenum and adjacent structures | 43237 - ESOPHAGOGASTRODUODENOSCOPY US SCOPE W/ADJ STRXRS | 43237 - ENDOSCOPIC US EXAM ESOPH | '01/01/2017 | 12/31/2999 |
| 43238 | 43238 - Esophagogastroduodenoscopy flexible transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination limited to the esophagus stomach or duodenum and adjacent structures) | 43238 - EGD INTRMURAL US NEEDLE ASPIRATE/BIOPSY ESOPHAGS | 43238 - EGD US FINE NEEDLE BX/ASPIR | '01/01/2017 | 12/31/2999 |
| 43239 | 43239 - Esophagogastroduodenoscopy flexible transoral; with biopsy single or multiple | 43239 - EGD TRANSORAL BIOPSY SINGLE/MULTIPLE | 43239 - EGD BIOPSY SINGLE/MULTIPLE | '01/01/2017 | 12/31/2999 |
| 43240 | 43240 - Esophagogastroduodenoscopy flexible transoral; with transmural drainage of pseudocyst (includes placement of transmural drainage catheter[s]/stent[s] when performed and endoscopic ultrasound when performed) | 43240 - EGD TRANSORAL TRANSMURAL DRAINAGE PSEUDOCYST | 43240 - EGD W/TRANSMURAL DRAIN CYST | '01/01/2017 | 12/31/2999 |
| 43241 | 43241 - Esophagogastroduodenoscopy flexible transoral; with insertion of intraluminal tube or catheter | 43241 - EGD INTRALUMINAL TUBE/CATHETER INSERTION | 43241 - EGD TUBE/CATH INSERTION | '01/01/2017 | 12/31/2999 |
| 43242 | 43242 - Esophagogastroduodenoscopy flexible transoral; with transendoscopic ultrasound-guided intramural or transmural fine needle aspiration/biopsy(s) (includes endoscopic ultrasound examination of the esophagus stomach and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis) | 43242 - EGD INTRMURAL NEEDLE ASPIR/BIOP ALTERED ANATOMY | 43242 - EGD US FINE NEEDLE BX/ASPIR | '01/01/2017 | 12/31/2999 |
| 43243 | 43243 - Esophagogastroduodenoscopy flexible transoral; with injection sclerosis of esophageal/gastric varices | 43243 - EGD INJECTION SCLEROSIS ESOPHGL/GASTRIC VARICES | 43243 - EGD INJECTION VARICES | '01/01/2017 | 12/31/2999 |
| 43244 | 43244 - Esophagogastroduodenoscopy flexible transoral; with band ligation of esophageal/gastric varices | 43244 - EGD BAND LIGATION ESOPHGEAL/GASTRIC VARICES | 43244 - EGD VARICES LIGATION | '01/01/2017 | 12/31/2999 |
| 43245 | 43245 - Esophagogastroduodenoscopy flexible transoral; with dilation of gastric/duodenal stricture(s) (eg balloon bougie) | 43245 - EGD DILATION GASTRIC/DUODENAL STRICTURE | 43245 - EGD DILATE STRICTURE | '01/01/2017 | 12/31/2999 |
| 43246 | 43246 - Esophagogastroduodenoscopy flexible transoral; with directed placement of percutaneous gastrostomy tube | 43246 - EGD PERCUTANEOUS PLACEMENT GASTROSTOMY TUBE | 43246 - EGD PLACE GASTROSTOMY TUBE | '01/01/2017 | 12/31/2999 |
| 43247 | 43247 - Esophagogastroduodenoscopy flexible transoral; with removal of foreign body(s) | 43247 - EGD FLEXIBLE FOREIGN BODY REMOVAL | 43247 - EGD REMOVE FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 43248 | 43248 - Esophagogastroduodenoscopy flexible transoral; with insertion of guide wire followed by passage of dilator(s) through esophagus over guide wire | 43248 - EGD INSERT GUIDE WIRE DILATOR PASSAGE ESOPHAGUS | 43248 - EGD GUIDE WIRE INSERTION | '01/01/2017 | 12/31/2999 |
| 43249 | 43249 - Esophagogastroduodenoscopy flexible transoral; with transendoscopic balloon dilation of esophagus (less than 30 mm diameter) | 43249 - EGD BALLOON DILATION ESOPHAGUS <30 MM DIAM | 43249 - ESOPH EGD DILATION <30 MM | '01/01/2017 | 12/31/2999 |
| 4324F | 4324F - Patient (or caregiver) queried about Parkinson's disease medication related motor complications (Prkns) | 4324F - PT QUERIED PARKINSONS MED-RELATED COMPLICATION | 4324F - PT QUERIED PRKNS COMPLIC | '01/01/2017 | 12/31/2999 |
| 43250 | 43250 - Esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps | 43250 - EGD FLEX REMOVAL LESION(S) BY HOT BIOPSY FORCEPS | 43250 - EGD CAUTERY TUMOR POLYP | '01/01/2017 | 12/31/2999 |
| 43251 | 43251 - Esophagogastroduodenoscopy flexible transoral; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 43251 - EGD REMOVAL TUMOR POLYP/OTHER LESION SNARE TECH | 43251 - EGD REMOVE LESION SNARE | '01/01/2017 | 12/31/2999 |
| 43252 | 43252 - Esophagogastroduodenoscopy flexible transoral; with optical endomicroscopy | 43252 - EGD FLEX TRANSORAL W/OPTICAL ENDOMICROSCOPY | 43252 - EGD OPTICAL ENDOMICROSCOPY | '01/01/2017 | 12/31/2999 |
| 43253 | 43253 - Esophagogastroduodenoscopy flexible transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg anesthetic neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus stomach and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis) | 43253 - EGD US GUIDED TRANSMURAL INJXN/FIDUCIAL MARKER | 43253 - EGD US TRANSMURAL INJXN/MARK | '01/01/2017 | 12/31/2999 |
| 43254 | 43254 - Esophagogastroduodenoscopy flexible transoral; with endoscopic mucosal resection | 43254 - EGD TRANSORAL ENDOSCOPIC MUCOSAL RESECTION | 43254 - EGD ENDO MUCOSAL RESECTION | '01/01/2017 | 12/31/2999 |
| 43255 | 43255 - Esophagogastroduodenoscopy flexible transoral; with control of bleeding any method | 43255 - EGD TRANSORAL CONTROL BLEEDING ANY METHOD | 43255 - EGD CONTROL BLEEDING ANY | '01/01/2017 | 12/31/2999 |
| 43257 | 43257 - Esophagogastroduodenoscopy flexible transoral; with delivery of thermal energy to the muscle of lower esophageal sphincter and/or gastric cardia for treatment of gastroesophageal reflux disease | 43257 - EGD DELIVER THERMAL ENERGY SPHNCTR/CARDIA GERD | 43257 - EGD W/THRML TXMNT GERD | '01/01/2017 | 12/31/2999 |
| 43259 | 43259 - Esophagogastroduodenoscopy flexible transoral; with endoscopic ultrasound examination including the esophagus stomach and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis | 43259 - EDG US EXAM SURGICAL ALTER STOM DUODENUM/JEJUNUM | 43259 - EGD US EXAM DUODENUM/JEJUNUM | '01/01/2017 | 12/31/2999 |
| 4325F | 4325F - Medical and surgical treatment options reviewed with patient (or caregiver) (Prkns) | 4325F - MEDICAL & SURGICAL TREATMENT OPTION REVIEW W/P | 4325F - MED TXMNT OPTIONS RVWD W/PT | '01/01/2017 | 12/31/2999 |
| 43260 | 43260 - Endoscopic retrograde cholangiopancreatography (ERCP); diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 43260 - ERCP DX COLLECTION SPECIMEN BRUSHING/WASHING | 43260 - ERCP W/SPECIMEN COLLECTION | '01/01/2017 | 12/31/2999 |
| 43261 | 43261 - Endoscopic retrograde cholangiopancreatography (ERCP); with biopsy single or multiple | 43261 - ERCP W/BIOPSY SINGLE/MULTIPLE | 43261 - ENDO CHOLANGIOPANCREATOGRAPH | '01/01/2017 | 12/31/2999 |
| 43262 | 43262 - Endoscopic retrograde cholangiopancreatography (ERCP); with sphincterotomy/papillotomy | 43262 - ERCP W/SPHINCTEROTOMY/PAPILLOTOMY | 43262 - ENDO CHOLANGIOPANCREATOGRAPH | '01/01/2017 | 12/31/2999 |
| 43263 | 43263 - Endoscopic retrograde cholangiopancreatography (ERCP); with pressure measurement of sphincter of Oddi | 43263 - ERCP W/PRESSURE MEASUREMENT SPHINCTER OF ODDI | 43263 - ERCP SPHINCTER PRESSURE MEAS | '01/01/2017 | 12/31/2999 |
| 43264 | 43264 - Endoscopic retrograde cholangiopancreatography (ERCP); with removal of calculi/debris from biliary/pancreatic duct(s) | 43264 - ERCP REMOVE CALCULI/DEBRIS BILIARY/PANCREAS DUCT | 43264 - ERCP REMOVE DUCT CALCULI | '01/01/2017 | 12/31/2999 |
| 43265 | 43265 - Endoscopic retrograde cholangiopancreatography (ERCP); with destruction of calculi any method (eg mechanical electrohydraulic lithotripsy) | 43265 - ERCP DESTRUCTION/LITHOTRIPSY CALCULI ANY METHOD | 43265 - ERCP LITHOTRIPSY CALCULI | '01/01/2017 | 12/31/2999 |
| 43266 | 43266 - Esophagogastroduodenoscopy flexible transoral; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage when performed) | 43266 - EGD ENDOSCOPIC STENT PLACEMENT W/WIRE& DILATION | 43266 - EGD ENDOSCOPIC STENT PLACE | '01/01/2017 | 12/31/2999 |
| 4326F | 4326F - Patient (or caregiver) queried about symptoms of autonomic dysfunction (Prkns) | 4326F - PT/CAREGIVER QUERIED AUTONOMIC DYSFUNCJ SYMPTOMS | 4326F - PT ASKED RE SYMP AUTO DYSFXN | '01/01/2017 | 12/31/2999 |
| 43270 | 43270 - Esophagogastroduodenoscopy flexible transoral; with ablation of tumor(s) polyp(s) or other lesion(s) (includes pre- and post-dilation and guide wire passage when performed) | 43270 - EGD ABLATE TUMOR POLYP/LESION W/DILATION& WIRE | 43270 - EGD LESION ABLATION | '01/01/2017 | 12/31/2999 |
| 43273 | 43273 - Endoscopic cannulation of papilla with direct visualization of pancreatic/common bile duct(s) (List separately in addition to code(s) for primary procedure) | 43273 - ENDOSCOPIC PAPILLA CANNULATION BILE/PANCREATIC | 43273 - ENDOSCOPIC PANCREATOSCOPY | '01/01/2017 | 12/31/2999 |
| 43274 | 43274 - Endoscopic retrograde cholangiopancreatography (ERCP); with placement of endoscopic stent into biliary or pancreatic duct including pre- and post-dilation and guide wire passage when performed including sphincterotomy when performed each stent | 43274 - ERCP STENT PLACEMENT BILIARY/PANCREATIC DUCT | 43274 - ERCP DUCT STENT PLACEMENT | '01/01/2017 | 12/31/2999 |
| 43275 | 43275 - Endoscopic retrograde cholangiopancreatography (ERCP); with removal of foreign body(s) or stent(s) from biliary/pancreatic duct(s) | 43275 - ERCP REMOVE FOREIGN BODY/STENT BILIARY/PANC DUCT | 43275 - ERCP REMOVE FORGN BODY DUCT | '01/01/2017 | 12/31/2999 |
| 43276 | 43276 - Endoscopic retrograde cholangiopancreatography (ERCP); with removal and exchange of stent(s) biliary or pancreatic duct including pre- and post-dilation and guide wire passage when performed including sphincterotomy when performed each stent exchanged | 43276 - ERCP BILIARY/PANC DUCT STENT EXCHANGE W/DIL&WIRE | 43276 - ERCP STENT EXCHANGE W/DILATE | '01/01/2017 | 12/31/2999 |
| 43277 | 43277 - Endoscopic retrograde cholangiopancreatography (ERCP); with trans-endoscopic balloon dilation of biliary/pancreatic duct(s) or of ampulla (sphincteroplasty) including sphincterotomy when performed each duct | 43277 - ERCP BALLOON DILATE BILIARY/PANC DUCT/AMPULLA EA | 43277 - ERCP EA DUCT/AMPULLA DILATE | '01/01/2017 | 12/31/2999 |
| 43278 | 43278 - Endoscopic retrograde cholangiopancreatography (ERCP); with ablation of tumor(s) polyp(s) or other lesion(s) including pre- and post-dilation and guide wire passage when performed | 43278 - ERCP TUMOR/POLYP/LESION ABLATION W/DILATION&WIRE | 43278 - ERCP LESION ABLATE W/DILATE | '01/01/2017 | 12/31/2999 |
| 43279 | 43279 - Laparoscopy surgical esophagomyotomy (Heller type) with fundoplasty when performed | 43279 - LAPS ESOPHAGOMYOTOMY W/FUNDOPLASTY IF PERFORMED | 43279 - LAP MYOTOMY HELLER | '01/01/2017 | 12/31/2999 |
| 43280 | 43280 - Laparoscopy surgical esophagogastric fundoplasty (eg Nissen Toupet procedures) | 43280 - LAPS SURG ESOPG/GSTR FUNDOPLASTY | 43280 - LAPAROSCOPY FUNDOPLASTY | '01/01/2017 | 12/31/2999 |
| 43281 | 43281 - Laparoscopy surgical repair of paraesophageal hernia includes fundoplasty when performed; without implantation of mesh | 43281 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/O MESH | 43281 - LAP PARAESOPHAG HERN REPAIR | '01/01/2017 | 12/31/2999 |
| 43282 | 43282 - Laparoscopy surgical repair of paraesophageal hernia includes fundoplasty when performed; with implantation of mesh | 43282 - LAPS RPR PARAESPHGL HRNA INCL FUNDPLSTY W/MESH | 43282 - LAP PARAESOPH HER RPR W/MESH | '01/01/2017 | 12/31/2999 |
| 43283 | 43283 - Laparoscopy surgical esophageal lengthening procedure (eg Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) | 43283 - LAPS ESOPHAGEAL LENGTHENING ADDL | 43283 - LAP ESOPH LENGTHENING | '01/01/2017 | 12/31/2999 |
| 43284 | 43284 - Laparoscopy surgical esophageal sphincter augmentation procedure placement of sphincter augmentation device (ie magnetic band) including cruroplasty when performed | 43284 - LAPS ESOPHGL SPHNCTR AGMNTJ PLMT DEV CRRPL | 43284 - LAPS ESOPHGL SPHNCTR AGMNTJ | '01/01/2017 | 12/31/2999 |
| 43285 | 43285 - Removal of esophageal sphincter augmentation device | 43285 - REMOVAL ESOPHAGEAL SPHINCTER AGMNTJ DEVICE | 43285 - RMVL ESOPHGL SPHNCTR DEV | '01/01/2017 | 12/31/2999 |
| 43286 | 43286 - Esophagectomy total or near total with laparoscopic mobilization of the abdominal and mediastinal esophagus and proximal gastrectomy with laparoscopic pyloric drainage procedure if performed with open cervical pharyngogastrostomy or esophagogastrostomy (ie laparoscopic transhiatal esophagectomy) | 43286 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/LAPS MOBLJ | 43286 - ESPHG TOT W/LAPS MOBLJ | '01/01/2018 | 12/31/2999 |
| 43287 | 43287 - Esophagectomy distal two-thirds with laparoscopic mobilization of the abdominal and lower mediastinal esophagus and proximal gastrectomy with laparoscopic pyloric drainage procedure if performed with separate thoracoscopic mobilization of the middle and upper mediastinal esophagus and thoracic esophagogastrostomy (ie laparoscopic thoracoscopic esophagectomy Ivor Lewis esophagectomy) | 43287 - ESOPHAGECTOMY DISTAL 2/3 W/LAPAROSCOPIC MOBLJ | 43287 - ESPHG DSTL 2/3 W/LAPS MOBLJ | '01/01/2018 | 12/31/2999 |
| 43288 | 43288 - Esophagectomy total or near total with thoracoscopic mobilization of the upper middle and lower mediastinal esophagus with separate laparoscopic proximal gastrectomy with laparoscopic pyloric drainage procedure if performed with open cervical pharyngogastrostomy or esophagogastrostomy (ie thoracoscopic laparoscopic and cervical incision esophagectomy McKeown esophagectomy tri-incisional esophagectomy) | 43288 - ESOPHAGECTOMY TOTAL NEAR TOTAL W/THRSC MOBLJ | 43288 - ESPHG THRSC MOBLJ | '01/01/2018 | 12/31/2999 |
| 43289 | 43289 - Unlisted laparoscopy procedure esophagus | 43289 - UNLISTED LAPAROSCOPY PROCEDURE ESOPHAGUS | 43289 - UNLISTED LAPS PX ESOPH | '01/01/2023 | 12/31/2999 |
| 4328F | 4328F - Patient (or caregiver) queried about sleep disturbances (Prkns) | 4328F - PT/CAREGIVER QUERIED SLEEP DISTURBANCES | 4328F - PT ASKED RE SLEEP DISTURB | '01/01/2017 | 12/31/2999 |
| 43290 | 43290 - Esophagogastroduodenoscopy flexible transoral; with deployment of intragastric bariatric balloon | 43290 - EGD FLX TRNSORL W/DPLMNT NTRGSTR BARIATRIC BALO | 43290 - EGD FLX TRNSORL DPLMNT BALO | '01/01/2023 | 12/31/2999 |
| 43291 | 43291 - Esophagogastroduodenoscopy flexible transoral; with removal of intragastric bariatric balloon(s) | 43291 - EGD FLX TRNSORL W/RMVL NTRGSTR BARIATRIC BALO | 43291 - EGD FLX TRNSORL RMVL BALO | '01/01/2023 | 12/31/2999 |
| 43300 | 43300 - Esophagoplasty (plastic repair or reconstruction) cervical approach; without repair of tracheoesophageal fistula | 43300 - ESPHGP CRV APPR W/O RPR TRACHEOESOPHGL FSTL | 43300 - REPAIR OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43305 | 43305 - Esophagoplasty (plastic repair or reconstruction) cervical approach; with repair of tracheoesophageal fistula | 43305 - ESPHGP CRV APPR W/RPR TRACHEOESOPHGL FSTL | 43305 - REPAIR ESOPHAGUS AND FISTULA | '01/01/2017 | 12/31/2999 |
| 4330F | 4330F - Counseling about epilepsy specific safety issues provided to patient (or caregiver(s)) (EPI) | 4330F - EPILEPSY SPECIFIC SAFETY COUNSELING TO PATIENT | 4330F - CNSLNG EPI SPEC SFTY ISSUES | '01/01/2017 | 12/31/2999 |
| 43310 | 43310 - Esophagoplasty (plastic repair or reconstruction) thoracic approach; without repair of tracheoesophageal fistula | 43310 - ESPHGP THRC APPR W/O RPR TRACHEOESOPHGL FSTL | 43310 - REPAIR OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43312 | 43312 - Esophagoplasty (plastic repair or reconstruction) thoracic approach; with repair of tracheoesophageal fistula | 43312 - ESPHGP THRC APPR W/RPR TRACHEOESOPHGL FSTL | 43312 - REPAIR ESOPHAGUS AND FISTULA | '01/01/2017 | 12/31/2999 |
| 43313 | 43313 - Esophagoplasty for congenital defect (plastic repair or reconstruction) thoracic approach; without repair of congenital tracheoesophageal fistula | 43313 - ESPHGP CGEN DFCT THRC APPR W/O RPR FSTL | 43313 - ESOPHAGOPLASTY CONGENITAL | '01/01/2017 | 12/31/2999 |
| 43314 | 43314 - Esophagoplasty for congenital defect (plastic repair or reconstruction) thoracic approach; with repair of congenital tracheoesophageal fistula | 43314 - ESPHGP CGEN DFCT THRC APPR W/RPR FSTL | 43314 - TRACHEO-ESOPHAGOPLASTY CONG | '01/01/2017 | 12/31/2999 |
| 43320 | 43320 - Esophagogastrostomy (cardioplasty) with or without vagotomy and pyloroplasty transabdominal or transthoracic approach | 43320 - EGST W/WO VAGOTOMY&PYLOROPLASTY TABDL/TTHRC AP | 43320 - FUSE ESOPHAGUS & STOMACH | '01/01/2017 | 12/31/2999 |
| 43325 | 43325 - Esophagogastric fundoplasty with fundic patch (Thal-Nissen procedure) | 43325 - ESOPG/GSTR FUNDOPLASTY W/FUNDIC PATCH | 43325 - REVISE ESOPHAGUS & STOMACH | '01/01/2017 | 12/31/2999 |
| 43327 | 43327 - Esophagogastric fundoplasty partial or complete; laparotomy | 43327 - ESOPG/GSTR FUNDOPLASTY W/LAPAROTOMY | 43327 - ESOPH FUNDOPLASTY LAP | '01/01/2017 | 12/31/2999 |
| 43328 | 43328 - Esophagogastric fundoplasty partial or complete; thoracotomy | 43328 - ESOPG/GSTR FUNDOPLASTY W/THORACOTOMY | 43328 - ESOPH FUNDOPLASTY THOR | '01/01/2017 | 12/31/2999 |
| 43330 | 43330 - Esophagomyotomy (Heller type); abdominal approach | 43330 - ESOPHAGOMYOTOMY HELLER TYPE ABDOMINAL APPROACH | 43330 - ESOPHAGOMYOTOMY ABDOMINAL | '01/01/2017 | 12/31/2999 |
| 43331 | 43331 - Esophagomyotomy (Heller type); thoracic approach | 43331 - ESOPHAGOMYOTOMY HELLER TYPE THORACIC APPROACH | 43331 - ESOPHAGOMYOTOMY THORACIC | '01/01/2017 | 12/31/2999 |
| 43332 | 43332 - Repair paraesophageal hiatal hernia (including fundoplication) via laparotomy except neonatal; without implantation of mesh or other prosthesis | 43332 - RPR PARAESOPH HIATAL HERNIA W/LAPT W/O MESH | 43332 - TRANSAB ESOPH HIAT HERN RPR | '01/01/2017 | 12/31/2999 |
| 43333 | 43333 - Repair paraesophageal hiatal hernia (including fundoplication) via laparotomy except neonatal; with implantation of mesh or other prosthesis | 43333 - LAPT RPR PARAESOPH HIATAL HERNIA W/MESH | 43333 - TRANSAB ESOPH HIAT HERN RPR | '01/01/2017 | 12/31/2999 |
| 43334 | 43334 - Repair paraesophageal hiatal hernia (including fundoplication) via thoracotomy except neonatal; without implantation of mesh or other prosthesis | 43334 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/O MESH | 43334 - TRANSTHOR DIAPHRAG HERN RPR | '01/01/2017 | 12/31/2999 |
| 43335 | 43335 - Repair paraesophageal hiatal hernia (including fundoplication) via thoracotomy except neonatal; with implantation of mesh or other prosthesis | 43335 - RPR PARAESOPH HIATAL HERNIA W/THORCOM W/MESH | 43335 - TRANSTHOR DIAPHRAG HERN RPR | '01/01/2017 | 12/31/2999 |
| 43336 | 43336 - Repair paraesophageal hiatal hernia (including fundoplication) via thoracoabdominal incision except neonatal; without implantation of mesh or other prosthesis | 43336 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/O MESH | 43336 - THORABD DIAPHR HERN REPAIR | '01/01/2017 | 12/31/2999 |
| 43337 | 43337 - Repair paraesophageal hiatal hernia (including fundoplication) via thoracoabdominal incision except neonatal; with implantation of mesh or other prosthesis | 43337 - RPR PARAESOPH HIATAL HERNIA THORCOABDOM W/MESH | 43337 - THORABD DIAPHR HERN REPAIR | '01/01/2017 | 12/31/2999 |
| 43338 | 43338 - Esophageal lengthening procedure (eg Collis gastroplasty or wedge gastroplasty) (List separately in addition to code for primary procedure) | 43338 - ESOPHAGUS LENGTHENING | 43338 - ESOPH LENGTHENING | '01/01/2017 | 12/31/2999 |
| 43340 | 43340 - Esophagojejunostomy (without total gastrectomy); abdominal approach | 43340 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT ABDL APPR | 43340 - FUSE ESOPHAGUS & INTESTINE | '01/01/2017 | 12/31/2999 |
| 43341 | 43341 - Esophagojejunostomy (without total gastrectomy); thoracic approach | 43341 - ESOPHAGOJEJUNOSTOMY W/O TOT GSTRCT THRC APPR | 43341 - FUSE ESOPHAGUS & INTESTINE | '01/01/2017 | 12/31/2999 |
| 43351 | 43351 - Esophagostomy fistulization of esophagus external; thoracic approach | 43351 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL THRC APPR | 43351 - SURGICAL OPENING ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43352 | 43352 - Esophagostomy fistulization of esophagus external; cervical approach | 43352 - ESOPHAGOSTOMY FSTLJ ESOPH XTRNL CRV APPR | 43352 - SURGICAL OPENING ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43360 | 43360 - Gastrointestinal reconstruction for previous esophagectomy for obstructing esophageal lesion or fistula or for previous esophageal exclusion; with stomach with or without pyloroplasty | 43360 - GI RCNSTJ PREV ESPHG/EXCLUSION W/STOMACH | 43360 - GASTROINTESTINAL REPAIR | '01/01/2017 | 12/31/2999 |
| 43361 | 43361 - Gastrointestinal reconstruction for previous esophagectomy for obstructing esophageal lesion or fistula or for previous esophageal exclusion; with colon interposition or small intestine reconstruction including intestine mobilization preparation and anastomosis(es) | 43361 - GI RCNSTJ PREV ESPHG/EXCLUSION W/COLON SM INT | 43361 - GASTROINTESTINAL REPAIR | '01/01/2017 | 12/31/2999 |
| 43400 | 43400 - Ligation direct esophageal varices | 43400 - LIGATION DIRECT ESOPHAGEAL VARICES | 43400 - LIGATE ESOPHAGUS VEINS | '01/01/2017 | 12/31/2999 |
| 43405 | 43405 - Ligation or stapling at gastroesophageal junction for pre-existing esophageal perforation | 43405 - LIG/STAPLING G-ESOP JUNCT PRE-ESOPHGL PRF8J | 43405 - LIGATE/STAPLE ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 4340F | 4340F - Counseling for women of childbearing potential with epilepsy (EPI) | 4340F - COUNSEL WOMEN CHILDBEARING POTENTIAL W/EPILEPSY | 4340F - CNSLNG CHLDBRNG WOMEN EPI | '01/01/2017 | 12/31/2999 |
| 43410 | 43410 - Suture of esophageal wound or injury; cervical approach | 43410 - SUTR ESOPHGL WND/INJ CRV APPR | 43410 - REPAIR ESOPHAGUS WOUND | '01/01/2017 | 12/31/2999 |
| 43415 | 43415 - Suture of esophageal wound or injury; transthoracic or transabdominal approach | 43415 - SUTR ESOPHGL WND/INJ TTHRC/TABDL APPR | 43415 - REPAIR ESOPHAGUS WOUND | '01/01/2017 | 12/31/2999 |
| 43420 | 43420 - Closure of esophagostomy or fistula; cervical approach | 43420 - CLSR ESOPHAGOSTOMY/FSTL CRV APPR | 43420 - REPAIR ESOPHAGUS OPENING | '01/01/2017 | 12/31/2999 |
| 43425 | 43425 - Closure of esophagostomy or fistula; transthoracic or transabdominal approach | 43425 - CLSR ESOPHAGOSTOMY/FSTL TTHRC/TABDL APPR | 43425 - REPAIR ESOPHAGUS OPENING | '01/01/2017 | 12/31/2999 |
| 43450 | 43450 - Dilation of esophagus by unguided sound or bougie single or multiple passes | 43450 - DILATION ESOPH UNGUIDED SOUND/BOUGIE 1/MULT PASS | 43450 - DILATE ESOPHAGUS 1/MULT PASS | '01/01/2017 | 12/31/2999 |
| 43453 | 43453 - Dilation of esophagus over guide wire | 43453 - DILATION ESOPHAGUS GUIDE WIRE | 43453 - DILATE ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43460 | 43460 - Esophagogastric tamponade with balloon (Sengstaken type) | 43460 - ESOPG/GSTR TAMPONADE W/BALO SENGSTAKEN TYPE | 43460 - PRESSURE TREATMENT ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 43496 | 43496 - Free jejunum transfer with microvascular anastomosis | 43496 - FREE JEJUNUM TRSF W/MICROVASC ANASTOMOSIS | 43496 - FREE JEJUNUM FLAP MICROVASC | '01/01/2017 | 12/31/2999 |
| 43497 | 43497 - Lower esophageal myotomy transoral (ie peroral endoscopic myotomy [POEM]) | 43497 - TRANSORAL LOWER ESOPHAGEAL MYOTOMY | 43497 - TRANSORL LWR ESOPHGL MYOTOMY | '01/01/2022 | 12/31/2999 |
| 43499 | 43499 - Unlisted procedure esophagus | 43499 - UNLISTED PROCEDURE ESOPHAGUS | 43499 - UNLISTED PROCEDURE ESOPHAGUS | '01/01/2023 | 12/31/2999 |
| 43500 | 43500 - Gastrotomy; with exploration or foreign body removal | 43500 - GASTROTOMY W/EXPLORATION/FOREIGN BODY REMOVAL | 43500 - SURGICAL OPENING OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43501 | 43501 - Gastrotomy; with suture repair of bleeding ulcer | 43501 - GASTROTOMY W/SUTURE REPAIR BLEEDING ULCER | 43501 - SURGICAL REPAIR OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43502 | 43502 - Gastrotomy; with suture repair of pre-existing esophagogastric laceration (eg Mallory-Weiss) | 43502 - GASTROTOMY W/SUTR RPR PRE-ESOPG/GASTRIC LAC | 43502 - SURGICAL REPAIR OF STOMACH | '01/01/2017 | 12/31/2999 |
| 4350F | 4350F - Counseling provided on symptom management end of life decisions and palliation (DEM) | 4350F - COUNSELING PROVIDED SYMP MNGMNT PALLIATION | 4350F - CNSLNG PROVIDED SYMP MNGMNT | '01/01/2017 | 12/31/2999 |
| 43510 | 43510 - Gastrotomy; with esophageal dilation and insertion of permanent intraluminal tube (eg Celestin or Mousseaux-Barbin) | 43510 - GSTRT W/ESOPHGL DILAT&INSJ PRM INTRAL TUBE | 43510 - SURGICAL OPENING OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43520 | 43520 - Pyloromyotomy cutting of pyloric muscle (Fredet-Ramstedt type operation) | 43520 - PYLOROMYOTOMY CUTTING PYLORIC MUSC | 43520 - INCISION OF PYLORIC MUSCLE | '01/01/2017 | 12/31/2999 |
| 43605 | 43605 - Biopsy of stomach by laparotomy | 43605 - BIOPSY STOMACH LAPAROTOMY | 43605 - BIOPSY OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43610 | 43610 - Excision local; ulcer or benign tumor of stomach | 43610 - EXC LOCAL ULCER/BENIGN TUMOR STOMACH | 43610 - EXCISION OF STOMACH LESION | '01/01/2017 | 12/31/2999 |
| 43611 | 43611 - Excision local; malignant tumor of stomach | 43611 - EXC LOCAL MALIGNANT TUMOR STOMACH | 43611 - EXCISION OF STOMACH LESION | '01/01/2017 | 12/31/2999 |
| 43620 | 43620 - Gastrectomy total; with esophagoenterostomy | 43620 - GSTRCT TOT W/ESOPHAGOENTEROSTOMY | 43620 - REMOVAL OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43621 | 43621 - Gastrectomy total; with Roux-en-Y reconstruction | 43621 - GSTRCT TOT W/ROUX-EN-Y RCNSTJ | 43621 - REMOVAL OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43622 | 43622 - Gastrectomy total; with formation of intestinal pouch any type | 43622 - GSTRCT TOT W/FRMJ INTSTINAL POUCH ANY TYPE | 43622 - REMOVAL OF STOMACH | '01/01/2017 | 12/31/2999 |
| 43631 | 43631 - Gastrectomy partial distal; with gastroduodenostomy | 43631 - GSTRCT PRTL DSTL W/GASTRODUODENOSTOMY | 43631 - REMOVAL OF STOMACH PARTIAL | '01/01/2017 | 12/31/2999 |
| 43632 | 43632 - Gastrectomy partial distal; with gastrojejunostomy | 43632 - GSTRCT PRTL DSTL W/GASTROJEJUNOSTOMY | 43632 - REMOVAL OF STOMACH PARTIAL | '01/01/2017 | 12/31/2999 |
| 43633 | 43633 - Gastrectomy partial distal; with Roux-en-Y reconstruction | 43633 - GSTRCT PRTL DSTL W/ROUX-EN-Y RCNSTJ | 43633 - REMOVAL OF STOMACH PARTIAL | '01/01/2017 | 12/31/2999 |
| 43634 | 43634 - Gastrectomy partial distal; with formation of intestinal pouch | 43634 - GSTRCT PRTL DSTL W/FRMJ INTSTINAL POUCH | 43634 - REMOVAL OF STOMACH PARTIAL | '01/01/2017 | 12/31/2999 |
| 43635 | 43635 - Vagotomy when performed with partial distal gastrectomy (List separately in addition to code[s] for primary procedure) | 43635 - VAGOTOMY PFRMD W/PRTL DSTL GSTRCT | 43635 - REMOVAL OF STOMACH PARTIAL | '01/01/2017 | 12/31/2999 |
| 43640 | 43640 - Vagotomy including pyloroplasty with or without gastrostomy; truncal or selective | 43640 - VGTMY W/PYLORPLSTY W/WO GASTROST TRUNCAL/SLCTV | 43640 - VAGOTOMY & PYLORUS REPAIR | '01/01/2017 | 12/31/2999 |
| 43641 | 43641 - Vagotomy including pyloroplasty with or without gastrostomy; parietal cell (highly selective) | 43641 - VGTMY W/PYLOROPLASTY W/WO GASTROST PARIETAL CELL | 43641 - VAGOTOMY & PYLORUS REPAIR | '01/01/2017 | 12/31/2999 |
| 43644 | 43644 - Laparoscopy surgical gastric restrictive procedure; with gastric bypass and Roux-en-Y gastroenterostomy (roux limb 150 cm or less) | 43644 - LAPS GSTR RSTCV PX W/BYP ROUX-EN-Y LIMB <150 CM | 43644 - LAP GASTRIC BYPASS/ROUX-EN-Y | '01/01/2017 | 12/31/2999 |
| 43645 | 43645 - Laparoscopy surgical gastric restrictive procedure; with gastric bypass and small intestine reconstruction to limit absorption | 43645 - LAPS GSTR RSTCV PX W/BYP&SM INT RCNSTJ | 43645 - LAP GASTR BYPASS INCL SMLL I | '01/01/2017 | 12/31/2999 |
| 43647 | 43647 - Laparoscopy surgical; implantation or replacement of gastric neurostimulator electrodes antrum | 43647 - LAPS IMPLTJ/RPLCMT GASTRIC NSTIM ELTRD ANTRUM | 43647 - LAP IMPL ELECTRODE ANTRUM | '01/01/2017 | 12/31/2999 |
| 43648 | 43648 - Laparoscopy surgical; revision or removal of gastric neurostimulator electrodes antrum | 43648 - LAPS REVISION/RMVL GASTRIC NSTIM ELTRD ANTRUM | 43648 - LAP REVISE/REMV ELTRD ANTRUM | '01/01/2017 | 12/31/2999 |
| 43651 | 43651 - Laparoscopy surgical; transection of vagus nerves truncal | 43651 - LAPS SURG TRNSXJ VAGUS NRV TRUNCAL | 43651 - LAPAROSCOPY VAGUS NERVE | '01/01/2017 | 12/31/2999 |
| 43652 | 43652 - Laparoscopy surgical; transection of vagus nerves selective or highly selective | 43652 - LAPS SURG TRNSXJ VAGUS NRV SLCTV/HILY SLCTV | 43652 - LAPAROSCOPY VAGUS NERVE | '01/01/2017 | 12/31/2999 |
| 43653 | 43653 - Laparoscopy surgical; gastrostomy without construction of gastric tube (eg Stamm procedure) (separate procedure) | 43653 - LAPS SURG GASTROSTOMY W/O CONSTJ GSTR TUBE SPX | 43653 - LAPAROSCOPY GASTROSTOMY | '01/01/2017 | 12/31/2999 |
| 43659 | 43659 - Unlisted laparoscopy procedure stomach | 43659 - UNLISTED LAPAROSCOPY PROCEDURE STOMACH | 43659 - UNLISTED LAPS PX STOMACH | '01/01/2023 | 12/31/2999 |
| 43752 | 43752 - Naso- or oro-gastric tube placement requiring physician's skill and fluoroscopic guidance (includes fluoroscopy image documentation and report) | 43752 - NASO/ORO-GASTRIC TUBE PLMT REQ PHYS&FLUOR GDNCE | 43752 - NASAL/OROGASTRIC W/TUBE PLMT | '01/01/2017 | 12/31/2999 |
| 43753 | 43753 - Gastric intubation and aspiration(s) therapeutic necessitating physician's skill (eg for gastrointestinal hemorrhage) including lavage if performed | 43753 - GASTRIC INTUBATJ & ASPIRAJ W/PHYS SKILL/LAVAGE | 43753 - TX GASTRO INTUB W/ASP | '01/01/2017 | 12/31/2999 |
| 43754 | 43754 - Gastric intubation and aspiration diagnostic; single specimen (eg acid analysis) | 43754 - GASTRIC INTUBAT DX W/ASPIRATION SINGLE SPECIMEN | 43754 - DX GASTR INTUB W/ASP SPEC | '01/01/2017 | 12/31/2999 |
| 43755 | 43755 - Gastric intubation and aspiration diagnostic; collection of multiple fractional specimens with gastric stimulation single or double lumen tube (gastric secretory study) (eg histamine insulin pentagastrin calcium secretin) includes drug administration | 43755 - GASTRIC INTUBATION DX & ASPIRATJ MULTIPLE SPEC | 43755 - DX GASTR INTUB W/ASP SPECS | '01/01/2017 | 12/31/2999 |
| 43756 | 43756 - Duodenal intubation and aspiration diagnostic includes image guidance; single specimen (eg bile study for crystals or afferent loop culture) | 43756 - DUODENAL INTUBAT W/IMAG GUIDED SINGLE SPECIMEN | 43756 - DX DUOD INTUB W/ASP SPEC | '01/01/2017 | 12/31/2999 |
| 43757 | 43757 - Duodenal intubation and aspiration diagnostic includes image guidance; collection of multiple fractional specimens with pancreatic or gallbladder stimulation single or double lumen tube includes drug administration | 43757 - DUODENAL INTUBAT W/IMAG GUIDED MULTIPLE SPECIMEN | 43757 - DX DUOD INTUB W/ASP SPECS | '01/01/2017 | 12/31/2999 |
| 43761 | 43761 - Repositioning of a naso- or oro-gastric feeding tube through the duodenum for enteric nutrition | 43761 - REPOS NASO/ORO GASTRIC FEEDING TUBE THRU DUO | 43761 - REPOSITION GASTROSTOMY TUBE | '01/01/2017 | 12/31/2999 |
| 43762 | 43762 - Replacement of gastrostomy tube percutaneous includes removal when performed without imaging or endoscopic guidance; not requiring revision of gastrostomy tract | 43762 - PERQ REPLACEMENT GTUBE NOT REQ REVJ GSTRST TRC | 43762 - RPLC GTUBE NO REVJ TRC | '01/01/2019 | 12/31/2999 |
| 43763 | 43763 - Replacement of gastrostomy tube percutaneous includes removal when performed without imaging or endoscopic guidance; requiring revision of gastrostomy tract | 43763 - PERQ REPLACEMENT GTUBE REQ REVJ GSTRST TRC | 43763 - RPLC GTUBE REVJ GSTRST TRC | '01/01/2019 | 12/31/2999 |
| 43770 | 43770 - Laparoscopy surgical gastric restrictive procedure; placement of adjustable gastric restrictive device (eg gastric band and subcutaneous port components) | 43770 - LAPS GASTRIC RESTRICTIVE PROCEDURE PLACE DEVICE | 43770 - LAP PLACE GASTR ADJ DEVICE | '01/01/2017 | 12/31/2999 |
| 43771 | 43771 - Laparoscopy surgical gastric restrictive procedure; revision of adjustable gastric restrictive device component only | 43771 - LAPS GASTRIC RESTRICTIVE PX REVISION DEVICE | 43771 - LAP REVISE GASTR ADJ DEVICE | '01/01/2017 | 12/31/2999 |
| 43772 | 43772 - Laparoscopy surgical gastric restrictive procedure; removal of adjustable gastric restrictive device component only | 43772 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE | 43772 - LAP RMVL GASTR ADJ DEVICE | '01/01/2017 | 12/31/2999 |
| 43773 | 43773 - Laparoscopy surgical gastric restrictive procedure; removal and replacement of adjustable gastric restrictive device component only | 43773 - LAPS GASTRIC RESTRICTIVE PX REMOVE&RPLCMT DEVICE | 43773 - LAP REPLACE GASTR ADJ DEVICE | '01/01/2017 | 12/31/2999 |
| 43774 | 43774 - Laparoscopy surgical gastric restrictive procedure; removal of adjustable gastric restrictive device and subcutaneous port components | 43774 - LAPS GASTRIC RESTRICTIVE PX REMOVE DEVICE & PORT | 43774 - LAP RMVL GASTR ADJ ALL PARTS | '01/01/2017 | 12/31/2999 |
| 43775 | 43775 - Laparoscopy surgical gastric restrictive procedure; longitudinal gastrectomy (ie sleeve gastrectomy) | 43775 - LAPS GSTRC RSTRICTIV PX LONGITUDINAL GASTRECTOMY | 43775 - LAP SLEEVE GASTRECTOMY | '01/01/2017 | 12/31/2999 |
| 43800 | 43800 - Pyloroplasty | 43800 - PYLOROPLASTY | 43800 - RECONSTRUCTION OF PYLORUS | '01/01/2017 | 12/31/2999 |
| 43810 | 43810 - Gastroduodenostomy | 43810 - GASTRODUODENOSTOMY | 43810 - FUSION OF STOMACH AND BOWEL | '01/01/2017 | 12/31/2999 |
| 43820 | 43820 - Gastrojejunostomy; without vagotomy | 43820 - GASTROJEJUNOSTOMY W/O VAGOTOMY | 43820 - FUSION OF STOMACH AND BOWEL | '01/01/2017 | 12/31/2999 |
| 43825 | 43825 - Gastrojejunostomy; with vagotomy any type | 43825 - GASTROJEJUNOSTOMY W/VAGOTOMY ANY TYPE | 43825 - FUSION OF STOMACH AND BOWEL | '01/01/2017 | 12/31/2999 |
| 43830 | 43830 - Gastrostomy open; without construction of gastric tube (eg Stamm procedure) (separate procedure) | 43830 - GASTROSTOMY OPN W/O CONSTJ GSTR TUBE SPX | 43830 - PLACE GASTROSTOMY TUBE | '01/01/2017 | 12/31/2999 |
| 43831 | 43831 - Gastrostomy open; neonatal for feeding | 43831 - GASTROSTOMY OPN NEONATAL FEEDING | 43831 - PLACE GASTROSTOMY TUBE | '01/01/2017 | 12/31/2999 |
| 43832 | 43832 - Gastrostomy open; with construction of gastric tube (eg Janeway procedure) | 43832 - GASTROSTOMY OPN W/CONSTJ GSTR TUBE | 43832 - PLACE GASTROSTOMY TUBE | '01/01/2017 | 12/31/2999 |
| 43840 | 43840 - Gastrorrhaphy suture of perforated duodenal or gastric ulcer wound or injury | 43840 - GASTRORRHAPHY SUTR PRF8 DUOL/GSTR ULCER WND/INJ | 43840 - REPAIR OF STOMACH LESION | '01/01/2017 | 12/31/2999 |
| 43842 | 43842 - Gastric restrictive procedure without gastric bypass for morbid obesity; vertical-banded gastroplasty | 43842 - GASTRIC RSTCV W/O BYP VERTICAL-BANDED GASTROPLY | 43842 - V-BAND GASTROPLASTY | '01/01/2017 | 12/31/2999 |
| 43843 | 43843 - Gastric restrictive procedure without gastric bypass for morbid obesity; other than vertical-banded gastroplasty | 43843 - GSTR RSTCV W/O BYP OTH/THN VER-BANDED GSTP | 43843 - GASTROPLASTY W/O V-BAND | '01/01/2017 | 12/31/2999 |
| 43845 | 43845 - Gastric restrictive procedure with partial gastrectomy pylorus-preserving duodenoileostomy and ileoileostomy (50 to 100 cm common channel) to limit absorption (biliopancreatic diversion with duodenal switch) | 43845 - GASTRIC RSTCV W/PRTL GASTRECTOMY 50-100 CM | 43845 - GASTROPLASTY DUODENAL SWITCH | '01/01/2017 | 12/31/2999 |
| 43846 | 43846 - Gastric restrictive procedure with gastric bypass for morbid obesity; with short limb (150 cm or less) Roux-en-Y gastroenterostomy | 43846 - GASTRIC RSTCV W/BYP W/SHORT LIMB 150 CM/< | 43846 - GASTRIC BYPASS FOR OBESITY | '01/01/2017 | 12/31/2999 |
| 43847 | 43847 - Gastric restrictive procedure with gastric bypass for morbid obesity; with small intestine reconstruction to limit absorption | 43847 - GASTRIC RSTCV W/BYP W/SM INT RCNSTJ LIMIT ABSRPJ | 43847 - GASTRIC BYPASS INCL SMALL I | '01/01/2017 | 12/31/2999 |
| 43848 | 43848 - Revision open of gastric restrictive procedure for morbid obesity other than adjustable gastric restrictive device (separate procedure) | 43848 - REVISION OPEN GASTRIC RESTRICTIVE PX NOT DEVICE | 43848 - REVISION GASTROPLASTY | '01/01/2017 | 12/31/2999 |
| 43860 | 43860 - Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction with or without partial gastrectomy or intestine resection; without vagotomy | 43860 - REVJ GSTR/JJ ANAST W/RCNSTJ W/O VGTMY | 43860 - REVISE STOMACH-BOWEL FUSION | '01/01/2017 | 12/31/2999 |
| 43865 | 43865 - Revision of gastrojejunal anastomosis (gastrojejunostomy) with reconstruction with or without partial gastrectomy or intestine resection; with vagotomy | 43865 - REVJ GSTR/JJ ANAST W/RCNSTJ W/VGTMY | 43865 - REVISE STOMACH-BOWEL FUSION | '01/01/2017 | 12/31/2999 |
| 43870 | 43870 - Closure of gastrostomy surgical | 43870 - CLOSURE GASTROSTOMY SURG | 43870 - REPAIR STOMACH OPENING | '01/01/2017 | 12/31/2999 |
| 43880 | 43880 - Closure of gastrocolic fistula | 43880 - CLOSURE GASTROCOLIC FISTULA | 43880 - REPAIR STOMACH-BOWEL FISTULA | '01/01/2017 | 12/31/2999 |
| 43881 | 43881 - Implantation or replacement of gastric neurostimulator electrodes antrum open | 43881 - IMPLTJ/RPLCMT GASTRIC NSTIM ELTRDE ANTRUM OPEN | 43881 - IMPL/REDO ELECTRD ANTRUM | '01/01/2017 | 12/31/2999 |
| 43882 | 43882 - Revision or removal of gastric neurostimulator electrodes antrum open | 43882 - REVISION/RMVL GASTRIC NSTIM ELTRDE ANTRUM OPEN | 43882 - REVISE/REMOVE ELECTRD ANTRUM | '01/01/2017 | 12/31/2999 |
| 43886 | 43886 - Gastric restrictive procedure open; revision of subcutaneous port component only | 43886 - GSTR RSTCV PX OPN REVJ SUBQ PORT COMPONENT ONLY | 43886 - REVISE GASTRIC PORT OPEN | '01/01/2017 | 12/31/2999 |
| 43887 | 43887 - Gastric restrictive procedure open; removal of subcutaneous port component only | 43887 - GSTR RSTCV PX OPN RMVL SUBQ PORT COMPONENT ONLY | 43887 - REMOVE GASTRIC PORT OPEN | '01/01/2017 | 12/31/2999 |
| 43888 | 43888 - Gastric restrictive procedure open; removal and replacement of subcutaneous port component only | 43888 - GSTR RSTCV OPN RMVL & RPLCMT SUBQ PORT | 43888 - CHANGE GASTRIC PORT OPEN | '01/01/2017 | 12/31/2999 |
| 43999 | 43999 - Unlisted procedure stomach | 43999 - UNLISTED PROCEDURE STOMACH | 43999 - UNLISTED PROCEDURE STOMACH | '01/01/2023 | 12/31/2999 |
| 44005 | 44005 - Enterolysis (freeing of intestinal adhesion) (separate procedure) | 44005 - ENTEROLSS FRING INTSTINAL ADHESION SPX | 44005 - FREEING OF BOWEL ADHESION | '01/01/2017 | 12/31/2999 |
| 4400F | 4400F - Rehabilitative therapy options discussed with patient (or caregiver) (Prkns) | 4400F - REHAB THERAPY OPTIONS DISCUSSED W/PATIENT | 4400F - REHAB THXPY OPTIONS W/PT | '01/01/2017 | 12/31/2999 |
| 44010 | 44010 - Duodenotomy for exploration biopsy(s) or foreign body removal | 44010 - DUODENOTOMY EXPLORATION/BX/FOREIGN BODY REMOVAL | 44010 - INCISION OF SMALL BOWEL | '01/01/2017 | 12/31/2999 |
| 44015 | 44015 - Tube or needle catheter jejunostomy for enteral alimentation intraoperative any method (List separately in addition to primary procedure) | 44015 - TUBE/NEEDLE CATH JEJUNOSTOMY ANY METHOD | 44015 - INSERT NEEDLE CATH BOWEL | '01/01/2017 | 12/31/2999 |
| 44020 | 44020 - Enterotomy small intestine other than duodenum; for exploration biopsy(s) or foreign body removal | 44020 - ENTEROTOMY SM INT OTH/THN DUO EXPL BX/FB RMVL | 44020 - EXPLORE SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44021 | 44021 - Enterotomy small intestine other than duodenum; for decompression (eg Baker tube) | 44021 - ENTEROTOMY SM INT OTH/THN DUO DCMPRN | 44021 - DECOMPRESS SMALL BOWEL | '01/01/2017 | 12/31/2999 |
| 44025 | 44025 - Colotomy for exploration biopsy(s) or foreign body removal | 44025 - COLOTOMY EXPLORATION/BIOPSY/FOREIGN BODY REMOVAL | 44025 - INCISION OF LARGE BOWEL | '01/01/2017 | 12/31/2999 |
| 44050 | 44050 - Reduction of volvulus intussusception internal hernia by laparotomy | 44050 - RDCTJ VOLVULUS INTUSSUSCEPTION INT HRNA LAPT | 44050 - REDUCE BOWEL OBSTRUCTION | '01/01/2017 | 12/31/2999 |
| 44055 | 44055 - Correction of malrotation by lysis of duodenal bands and/or reduction of midgut volvulus (eg Ladd procedure) | 44055 - CORRJ MALROTATION BANDS&/RDCTJ VOLVULUS | 44055 - CORRECT MALROTATION OF BOWEL | '01/01/2017 | 12/31/2999 |
| 44100 | 44100 - Biopsy of intestine by capsule tube peroral (1 or more specimens) | 44100 - BX INTESTINE CAPSULE TUBE PRORAL 1/> SPECIMENS | 44100 - BIOPSY OF BOWEL | '01/01/2017 | 12/31/2999 |
| 44110 | 44110 - Excision of 1 or more lesions of small or large intestine not requiring anastomosis exteriorization or fistulization; single enterotomy | 44110 - EXC 1/> SMALL/LARGE LESIONS INTESTINE ENTEROTOM | 44110 - EXCISE INTESTINE LESION(S) | '01/01/2017 | 12/31/2999 |
| 44111 | 44111 - Excision of 1 or more lesions of small or large intestine not requiring anastomosis exteriorization or fistulization; multiple enterotomies | 44111 - EXC 1/> SM/LG LESIONS INTESTNE MULT ENTEROTOMIE | 44111 - EXCISION OF BOWEL LESION(S) | '01/01/2017 | 12/31/2999 |
| 44120 | 44120 - Enterectomy resection of small intestine; single resection and anastomosis | 44120 - ENTRC RESCJ SMALL INTESTINE 1 RESCJ & ANAST | 44120 - REMOVAL OF SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44121 | 44121 - Enterectomy resection of small intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) | 44121 - ENTERECTOMY RESCJ SMALL INTESTINE EA RESCJ & ANA | 44121 - REMOVAL OF SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44125 | 44125 - Enterectomy resection of small intestine; with enterostomy | 44125 - ENTERECTOMY RESCJ SMALL INTESTINE W/ENTEROSTOMY | 44125 - REMOVAL OF SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44126 | 44126 - Enterectomy resection of small intestine for congenital atresia single resection and anastomosis of proximal segment of intestine; without tapering | 44126 - ENTRC RESCJ ATRESIA RESCJ & ANAST W/O TAPRING | 44126 - ENTERECTOMY W/O TAPER CONG | '01/01/2017 | 12/31/2999 |
| 44127 | 44127 - Enterectomy resection of small intestine for congenital atresia single resection and anastomosis of proximal segment of intestine; with tapering | 44127 - ENTRC RESCJ ATRESIA RESCJ & ANAST SGM W/TAPRING | 44127 - ENTERECTOMY W/TAPER CONG | '01/01/2017 | 12/31/2999 |
| 44128 | 44128 - Enterectomy resection of small intestine for congenital atresia single resection and anastomosis of proximal segment of intestine; each additional resection and anastomosis (List separately in addition to code for primary procedure) | 44128 - ENTRC RESCJ ATRESIA EA RESCJ & ANASTOMOSIS | 44128 - ENTERECTOMY CONG ADD-ON | '01/01/2017 | 12/31/2999 |
| 44130 | 44130 - Enteroenterostomy anastomosis of intestine with or without cutaneous enterostomy (separate procedure) | 44130 - ENTEROENTEROST ANAST INT W/WO CUTAN NTRSTM SPX | 44130 - BOWEL TO BOWEL FUSION | '01/01/2017 | 12/31/2999 |
| 44132 | 44132 - Donor enterectomy (including cold preservation) open; from cadaver donor | 44132 - DONOR ENTERECTOMY OPEN CADAVER DONOR | 44132 - ENTERECTOMY CADAVER DONOR | '01/01/2017 | 12/31/2999 |
| 44133 | 44133 - Donor enterectomy (including cold preservation) open; partial from living donor | 44133 - DONOR ENTERECTOMY OPEN LIVING DONOR | 44133 - ENTERECTOMY LIVE DONOR | '01/01/2017 | 12/31/2999 |
| 44135 | 44135 - Intestinal allotransplantation; from cadaver donor | 44135 - INTESTINAL ALLOTRANSPLANTATION CADAVER DONOR | 44135 - INTESTINE TRANSPLNT CADAVER | '01/01/2017 | 12/31/2999 |
| 44136 | 44136 - Intestinal allotransplantation; from living donor | 44136 - INTESTINAL ALLOTRANSPLANTATION LIVING DONOR | 44136 - INTESTINE TRANSPLANT LIVE | '01/01/2017 | 12/31/2999 |
| 44137 | 44137 - Removal of transplanted intestinal allograft complete | 44137 - RMVL TRNSPLED INTESTINAL ALLOGRAFT COMPL | 44137 - REMOVE INTESTINAL ALLOGRAFT | '01/01/2017 | 12/31/2999 |
| 44139 | 44139 - Mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) | 44139 - MOBLJ SPLENIC FLXR PFRMD CONJUNCT W/PRTL COLCT | 44139 - MOBILIZATION OF COLON | '01/01/2017 | 12/31/2999 |
| 44140 | 44140 - Colectomy partial; with anastomosis | 44140 - COLECTOMY PARTIAL W/ANASTOMOSIS | 44140 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44141 | 44141 - Colectomy partial; with skin level cecostomy or colostomy | 44141 - COLECTOMY PRTL W/SKIN LEVEL CECOST/COLOSTOMY | 44141 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44143 | 44143 - Colectomy partial; with end colostomy and closure of distal segment (Hartmann type procedure) | 44143 - COLECTOMY PRTL W/END COLOSTOMY & CLSR DSTL SGMT | 44143 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44144 | 44144 - Colectomy partial; with resection with colostomy or ileostomy and creation of mucofistula | 44144 - COLECTOMY PRTL W/COLOST/ILEOST & MUCOFISTULA | 44144 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44145 | 44145 - Colectomy partial; with coloproctostomy (low pelvic anastomosis) | 44145 - COLECTOMY PRTL W/COLOPROCTOSTOMY | 44145 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44146 | 44146 - Colectomy partial; with coloproctostomy (low pelvic anastomosis) with colostomy | 44146 - COLECTOMY PRTL W/COLOPROCTOSTOMY & COLOSTOMY | 44146 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44147 | 44147 - Colectomy partial; abdominal and transanal approach | 44147 - COLECTOMY PRTL ABDOMINAL & TRANSANAL APPROACH | 44147 - PARTIAL REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44150 | 44150 - Colectomy total abdominal without proctectomy; with ileostomy or ileoproctostomy | 44150 - COLCT TOT ABDL W/O PRCTECT W/ILEOST/ILEOPXTS | 44150 - REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44151 | 44151 - Colectomy total abdominal without proctectomy; with continent ileostomy | 44151 - COLCT TOT ABDL W/O PRCTECT W/CONTINENT ILEOST | 44151 - REMOVAL OF COLON/ILEOSTOMY | '01/01/2017 | 12/31/2999 |
| 44155 | 44155 - Colectomy total abdominal with proctectomy; with ileostomy | 44155 - COLECTOMY TOT ABDL W/PROCTECTOMY W/ILEOSTOMY | 44155 - REMOVAL OF COLON/ILEOSTOMY | '01/01/2017 | 12/31/2999 |
| 44156 | 44156 - Colectomy total abdominal with proctectomy; with continent ileostomy | 44156 - COLECTOMY TOT ABDL W/PROCTECTOMY W/CONTNT ILEOST | 44156 - REMOVAL OF COLON/ILEOSTOMY | '01/01/2017 | 12/31/2999 |
| 44157 | 44157 - Colectomy total abdominal with proctectomy; with ileoanal anastomosis includes loop ileostomy and rectal mucosectomy when performed | 44157 - COLECTOMY TOT ABD W/PROCTECTOMY ILEOANAL ANAST | 44157 - COLECTOMY W/ILEOANAL ANAST | '01/01/2017 | 12/31/2999 |
| 44158 | 44158 - Colectomy total abdominal with proctectomy; with ileoanal anastomosis creation of ileal reservoir (S or J) includes loop ileostomy and rectal mucosectomy when performed | 44158 - COLCT TTL ABD W/PRCTECT ILEOANAL ANAST & RSVR | 44158 - COLECTOMY W/NEO-RECTUM POUCH | '01/01/2017 | 12/31/2999 |
| 44160 | 44160 - Colectomy partial with removal of terminal ileum with ileocolostomy | 44160 - COLECTOMY PRTL W/RMVL TERMINAL ILEUM & ILEOCOLOS | 44160 - REMOVAL OF COLON | '01/01/2017 | 12/31/2999 |
| 44180 | 44180 - Laparoscopy surgical enterolysis (freeing of intestinal adhesion) (separate procedure) | 44180 - LAPAROSCOPY ENTEROLYSIS SEPARATE PROCEDURE | 44180 - LAP ENTEROLYSIS | '01/01/2017 | 12/31/2999 |
| 44186 | 44186 - Laparoscopy surgical; jejunostomy (eg for decompression or feeding) | 44186 - LAPAROSCOPY SURGICAL JEJUNOSTOMY | 44186 - LAP JEJUNOSTOMY | '01/01/2017 | 12/31/2999 |
| 44187 | 44187 - Laparoscopy surgical; ileostomy or jejunostomy non-tube | 44187 - LAPAROSCOPY SURG ILEOSTOMY/JEJUNOSTOMY NON-TUBE | 44187 - LAP ILEO/JEJUNO-STOMY | '01/01/2017 | 12/31/2999 |
| 44188 | 44188 - Laparoscopy surgical colostomy or skin level cecostomy | 44188 - LAPAROSCOPY SURG COLOSTOMY/SKN LVL CECOSTOMY | 44188 - LAP COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 44202 | 44202 - Laparoscopy surgical; enterectomy resection of small intestine single resection and anastomosis | 44202 - LAPS ENTERECT RESCJ 1 SMALL INTEST RESCJ & ANA | 44202 - LAP ENTERECTOMY | '01/01/2017 | 12/31/2999 |
| 44203 | 44203 - Laparoscopy surgical; each additional small intestine resection and anastomosis (List separately in addition to code for primary procedure) | 44203 - LAPAROSCOPY SMALL INTESTINE RESCJ & ANASTOMOSIS | 44203 - LAP RESECT S/INTESTINE ADDL | '01/01/2017 | 12/31/2999 |
| 44204 | 44204 - Laparoscopy surgical; colectomy partial with anastomosis | 44204 - LAPAROSCOPY COLECTOMY PARTIAL W/ANASTOMOSIS | 44204 - LAPARO PARTIAL COLECTOMY | '01/01/2017 | 12/31/2999 |
| 44205 | 44205 - Laparoscopy surgical; colectomy partial with removal of terminal ileum with ileocolostomy | 44205 - LAPS COLECTOMY PRTL W/RMVL TERMINAL ILEUM | 44205 - LAP COLECTOMY PART W/ILEUM | '01/01/2017 | 12/31/2999 |
| 44206 | 44206 - Laparoscopy surgical; colectomy partial with end colostomy and closure of distal segment (Hartmann type procedure) | 44206 - LAPS COLECTOMY PRTL W/END CLST & CLSR DSTL SGM | 44206 - LAP PART COLECTOMY W/STOMA | '01/01/2017 | 12/31/2999 |
| 44207 | 44207 - Laparoscopy surgical; colectomy partial with anastomosis with coloproctostomy (low pelvic anastomosis) | 44207 - LAPS COLECTOMY PRTL W/COLOPXTSTMY LW ANAST | 44207 - L COLECTOMY/COLOPROCTOSTOMY | '01/01/2017 | 12/31/2999 |
| 44208 | 44208 - Laparoscopy surgical; colectomy partial with anastomosis with coloproctostomy (low pelvic anastomosis) with colostomy | 44208 - LAPS COLECTMY PRTL W/COLOPXTSTMY LW ANAST W/CLST | 44208 - L COLECTOMY/COLOPROCTOSTOMY | '01/01/2017 | 12/31/2999 |
| 44210 | 44210 - Laparoscopy surgical; colectomy total abdominal without proctectomy with ileostomy or ileoproctostomy | 44210 - LAPS COLECTOMY TOT W/O PRCTECT W/ILEOST/ILEOPXTS | 44210 - LAPARO TOTAL PROCTOCOLECTOMY | '01/01/2017 | 12/31/2999 |
| 44211 | 44211 - Laparoscopy surgical; colectomy total abdominal with proctectomy with ileoanal anastomosis creation of ileal reservoir (S or J) with loop ileostomy includes rectal mucosectomy when performed | 44211 - LAPS COLCT TTL ABD W/PRCTECT ILEOANAL ANASTOMSIS | 44211 - LAP COLECTOMY W/PROCTECTOMY | '01/01/2017 | 12/31/2999 |
| 44212 | 44212 - Laparoscopy surgical; colectomy total abdominal with proctectomy with ileostomy | 44212 - LAPS COLECTOMY ABDL W/PROCTECTOMY W/ILEOSTOMY | 44212 - LAPARO TOTAL PROCTOCOLECTOMY | '01/01/2017 | 12/31/2999 |
| 44213 | 44213 - Laparoscopy surgical mobilization (take-down) of splenic flexure performed in conjunction with partial colectomy (List separately in addition to primary procedure) | 44213 - LAPS MOBLJ SPLENIC FLXR PFRMD W/PRTL COLECTOMY | 44213 - LAP MOBIL SPLENIC FL ADD-ON | '01/01/2017 | 12/31/2999 |
| 44227 | 44227 - Laparoscopy surgical closure of enterostomy large or small intestine with resection and anastomosis | 44227 - LAPS CLSR NTRSTM LG/SM INT W/RESCJ & ANASTOMOSIS | 44227 - LAP CLOSE ENTEROSTOMY | '01/01/2017 | 12/31/2999 |
| 44238 | 44238 - Unlisted laparoscopy procedure intestine (except rectum) | 44238 - UNLISTED LAPAROSCOPY PX INTESTINE XCP RECTUM | 44238 - UNLISTED LAPS PX INTESTINE | '01/01/2023 | 12/31/2999 |
| 44300 | 44300 - Placement enterostomy or cecostomy tube open (eg for feeding or decompression) (separate procedure) | 44300 - PLACEMENT ENTEROSTOMY/CECOSTOMY TUBE OPEN | 44300 - OPEN BOWEL TO SKIN | '01/01/2017 | 12/31/2999 |
| 44310 | 44310 - Ileostomy or jejunostomy non-tube | 44310 - ILEOSTOMY/JEJUNOSTOMY NON-TUBE | 44310 - ILEOSTOMY/JEJUNOSTOMY | '01/01/2017 | 12/31/2999 |
| 44312 | 44312 - Revision of ileostomy; simple (release of superficial scar) (separate procedure) | 44312 - REVJ ILEOSTOMY SIMPLE RLS SUPERFICIAL SCAR SPX | 44312 - REVISION OF ILEOSTOMY | '01/01/2017 | 12/31/2999 |
| 44314 | 44314 - Revision of ileostomy; complicated (reconstruction in-depth) (separate procedure) | 44314 - REVJ ILEOSTOMY COMPLIC RCNSTJ IN-DEPTH SPX | 44314 - REVISION OF ILEOSTOMY | '01/01/2017 | 12/31/2999 |
| 44316 | 44316 - Continent ileostomy (Kock procedure) (separate procedure) | 44316 - CONTINENT ILEOSTOMY KOCK PROCEDURE SPX | 44316 - DEVISE BOWEL POUCH | '01/01/2017 | 12/31/2999 |
| 44320 | 44320 - Colostomy or skin level cecostomy; | 44320 - COLOSTOMY/SKIN LEVEL CECOSTOMY | 44320 - COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 44322 | 44322 - Colostomy or skin level cecostomy; with multiple biopsies (eg for congenital megacolon) (separate procedure) | 44322 - COLOSTOMY/SKN LVL CECOSTOMY W/MULT BXS SPX | 44322 - COLOSTOMY WITH BIOPSIES | '01/01/2017 | 12/31/2999 |
| 44340 | 44340 - Revision of colostomy; simple (release of superficial scar) (separate procedure) | 44340 - REVJ COLOSTOMY SMPL RLS SUPFC SCAR SPX | 44340 - REVISION OF COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 44345 | 44345 - Revision of colostomy; complicated (reconstruction in-depth) (separate procedure) | 44345 - REVJ COLOSTOMY COMP RCNSTJ IN-DEPTH SPX | 44345 - REVISION OF COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 44346 | 44346 - Revision of colostomy; with repair of paracolostomy hernia (separate procedure) | 44346 - REVJ COLOSTOMY W/RPR PARACLST HERNIA SPX | 44346 - REVISION OF COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 44360 | 44360 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 44360 - ENDOSCOPY UPPER SMALL INTESTINE | 44360 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44361 | 44361 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with biopsy single or multiple | 44361 - ENDOSCOPY UPPER SMALL INTESTINE W/BIOPSY | 44361 - SMALL BOWEL ENDOSCOPY/BIOPSY | '01/01/2017 | 12/31/2999 |
| 44363 | 44363 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with removal of foreign body(s) | 44363 - ENTEROSCOPY > 2ND PRTN W/RMVL FOREIGN BODY | 44363 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44364 | 44364 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 44364 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION SNARE | 44364 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44365 | 44365 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps or bipolar cautery | 44365 - ENTEROSCOPY > 2ND PRTN W/RMVL LESION CAUTERY | 44365 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44366 | 44366 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with control of bleeding (eg injection bipolar cautery unipolar cautery laser heater probe stapler plasma coagulator) | 44366 - ENTEROSCOPY > 2ND PRTN W/CONTROL BLEEDING | 44366 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44369 | 44369 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with ablation of tumor(s) polyp(s) or other lesion(s) not amenable to removal by hot biopsy forceps bipolar cautery or snare technique | 44369 - ENTEROSCOPY > 2ND PRTN ABLTJ LESION | 44369 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44370 | 44370 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with transendoscopic stent placement (includes predilation) | 44370 - ENTEROSCOPY > 2ND PRTN TNDSC STENT PLMT | 44370 - SMALL BOWEL ENDOSCOPY/STENT | '01/01/2017 | 12/31/2999 |
| 44372 | 44372 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with placement of percutaneous jejunostomy tube | 44372 - ENTEROSCOPY > 2ND PRTN W/PLMT PRQ TUBE | 44372 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44373 | 44373 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum not including ileum; with conversion of percutaneous gastrostomy tube to percutaneous jejunostomy tube | 44373 - ENTEROSCOPY > 2ND PRTN CONV GSTRST TUBE | 44373 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44376 | 44376 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum including ileum; diagnostic with or without collection of specimen(s) by brushing or washing (separate procedure) | 44376 - ENTEROSC >2ND PRTN W/ILEUM W/WO COLLJ SPEC SPX | 44376 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44377 | 44377 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum including ileum; with biopsy single or multiple | 44377 - ENTEROSC >2ND PRTN W/ILEUM W/BX SINGLE/MULTIPLE | 44377 - SMALL BOWEL ENDOSCOPY/BIOPSY | '01/01/2017 | 12/31/2999 |
| 44378 | 44378 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum including ileum; with control of bleeding (eg injection bipolar cautery unipolar cautery laser heater probe stapler plasma coagulator) | 44378 - ENTEROSCOPY > 2ND PRTN ILEUM CONTROL BLEEDING | 44378 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44379 | 44379 - Small intestinal endoscopy enteroscopy beyond second portion of duodenum including ileum; with transendoscopic stent placement (includes predilation) | 44379 - ENTEROSCOPY > 2ND PRTN W/ILEUM W/STENT PLMT | 44379 - S BOWEL ENDOSCOPE W/STENT | '01/01/2017 | 12/31/2999 |
| 44380 | 44380 - Ileoscopy through stoma; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 44380 - ILEOSCOPY THRU STOMA DX W/COLLJ SPEC WHEN PRFMD | 44380 - SMALL BOWEL ENDOSCOPY BR/WA | '01/01/2017 | 12/31/2999 |
| 44381 | 44381 - Ileoscopy through stoma; with transendoscopic balloon dilation | 44381 - ILEOSCOPY STOMA W/BALLOON DILATION | 44381 - SMALL BOWEL ENDOSCOPY BR/WA | '01/01/2017 | 12/31/2999 |
| 44382 | 44382 - Ileoscopy through stoma; with biopsy single or multiple | 44382 - ILEOSCOPY STOMA W/BX SINGLE/MULTIPLE | 44382 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44384 | 44384 - Ileoscopy through stoma; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage when performed) | 44384 - ILEOSCOPY STOMA W/PLMT OF ENDOSCOPIC STENT | 44384 - SMALL BOWEL ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 44385 | 44385 - Endoscopic evaluation of small intestinal pouch (eg Kock pouch ileal reservoir [S or J]); diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 44385 - NDSC EVAL INTSTINAL POUCH DX W/COLLJ SPEC SPX | 44385 - ENDOSCOPY OF BOWEL POUCH | '01/01/2017 | 12/31/2999 |
| 44386 | 44386 - Endoscopic evaluation of small intestinal pouch (eg Kock pouch ileal reservoir [S or J]); with biopsy single or multiple | 44386 - NDSC EVAL INTSTINAL POUCH W/BX SINGLE/MULTIPLE | 44386 - ENDOSCOPY BOWEL POUCH/BIOP | '01/01/2017 | 12/31/2999 |
| 44388 | 44388 - Colonoscopy through stoma; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 44388 - COLONOSCOPY STOMA DX INCLUDING COLLJ SPEC SPX | 44388 - COLONOSCOPY THRU STOMA SPX | '01/01/2017 | 12/31/2999 |
| 44389 | 44389 - Colonoscopy through stoma; with biopsy single or multiple | 44389 - COLONOSCOPY STOMA W/BIOPSY SINGLE/MULTIPLE | 44389 - COLONOSCOPY WITH BIOPSY | '01/01/2017 | 12/31/2999 |
| 44390 | 44390 - Colonoscopy through stoma; with removal of foreign body(s) | 44390 - COLONOSCOPY STOMA W/RMVL FOREIGN BODY | 44390 - COLONOSCOPY FOR FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 44391 | 44391 - Colonoscopy through stoma; with control of bleeding any method | 44391 - COLONOSCOPY STOMA CONTROL BLEEDING | 44391 - COLONOSCOPY FOR BLEEDING | '01/01/2017 | 12/31/2999 |
| 44392 | 44392 - Colonoscopy through stoma; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps | 44392 - COLONOSCOPY STOMA RMVL LES BY HOT BIOPSY FORCEPS | 44392 - COLONOSCOPY & POLYPECTOMY | '01/01/2017 | 12/31/2999 |
| 44394 | 44394 - Colonoscopy through stoma; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 44394 - COLONOSCOPY STOMA W/RMVL TUM POLYP/OTH LES SNARE | 44394 - COLONOSCOPY W/SNARE | '01/01/2017 | 12/31/2999 |
| 44401 | 44401 - Colonoscopy through stoma; with ablation of tumor(s) polyp(s) or other lesion(s) (includes pre-and post-dilation and guide wire passage when performed) | 44401 - COLONOSCOPY STOMA ABLATION LESION | 44401 - COLONOSCOPY WITH ABLATION | '01/01/2017 | 12/31/2999 |
| 44402 | 44402 - Colonoscopy through stoma; with endoscopic stent placement (including pre- and post-dilation and guide wire passage when performed) | 44402 - COLONOSCOPY STOMA W/ENDOSCOPIC STENT PLCMT | 44402 - COLONOSCOPY W/STENT PLCMT | '01/01/2017 | 12/31/2999 |
| 44403 | 44403 - Colonoscopy through stoma; with endoscopic mucosal resection | 44403 - COLONOSCOPY STOMA W/ENDOSCOPIC MUCOSAL RESCJ | 44403 - COLONOSCOPY W/RESECTION | '01/01/2017 | 12/31/2999 |
| 44404 | 44404 - Colonoscopy through stoma; with directed submucosal injection(s) any substance | 44404 - COLONOSCOPY STOMA W/SUBMUCOSAL INJECTION | 44404 - COLONOSCOPY W/INJECTION | '01/01/2017 | 12/31/2999 |
| 44405 | 44405 - Colonoscopy through stoma; with transendoscopic balloon dilation | 44405 - COLONOSCOPY STOMA W/BALLOON DILATION | 44405 - COLONOSCOPY W/DILATION | '01/01/2017 | 12/31/2999 |
| 44406 | 44406 - Colonoscopy through stoma; with endoscopic ultrasound examination limited to the sigmoid descending transverse or ascending colon and cecum and adjacent structures | 44406 - COLONOSCOPY STOMA W/ENDOSCOPIC ULTRASOUND EXAM | 44406 - COLONOSCOPY W/ULTRASOUND | '01/01/2017 | 12/31/2999 |
| 44407 | 44407 - Colonoscopy through stoma; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) includes endoscopic ultrasound examination limited to the sigmoid descending transverse or ascending colon and cecum and adjacent structures | 44407 - COLONOSCOPY STOMA W/US GID NDL ASPIR/BX | 44407 - COLONOSCOPY W/NDL ASPIR/BX | '01/01/2017 | 12/31/2999 |
| 44408 | 44408 - Colonoscopy through stoma; with decompression (for pathologic distention) (eg volvulus megacolon) including placement of decompression tube when performed | 44408 - COLONOSCOPY THROUGH STOMA WITH DECOMPRESSION | 44408 - COLONOSCOPY W/DECOMPRESSION | '01/01/2017 | 12/31/2999 |
| 44500 | 44500 - Introduction of long gastrointestinal tube (eg Miller-Abbott) (separate procedure) | 44500 - INTRODUCTION LONG GI TUBE SEPARATE PROCEDURE | 44500 - INTRO GASTROINTESTINAL TUBE | '01/01/2017 | 12/31/2999 |
| 4450F | 4450F - Self-care education provided to patient (HF) | 4450F - SELF-CARE EDUCATION PROVIDED TO PATIENT | 4450F - SELF-CARE ED PROVIDED TO PT | '01/01/2017 | 12/31/2999 |
| 44602 | 44602 - Suture of small intestine (enterorrhaphy) for perforated ulcer diverticulum wound injury or rupture; single perforation | 44602 - ENTERORRHAPHY SINGLE PERFORATION | 44602 - SUTURE SMALL INTESTINE | '01/01/2020 | 12/31/2999 |
| 44603 | 44603 - Suture of small intestine (enterorrhaphy) for perforated ulcer diverticulum wound injury or rupture; multiple perforations | 44603 - ENTERORRHAPHY MULTIPLE PERFORATIONS | 44603 - SUTURE SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44604 | 44604 - Suture of large intestine (colorrhaphy) for perforated ulcer diverticulum wound injury or rupture (single or multiple perforations); without colostomy | 44604 - SUTR LG INTESTINE 1/MULT PERFORAT W/O COLOSTOMY | 44604 - SUTURE LARGE INTESTINE | '01/01/2017 | 12/31/2999 |
| 44605 | 44605 - Suture of large intestine (colorrhaphy) for perforated ulcer diverticulum wound injury or rupture (single or multiple perforations); with colostomy | 44605 - SUTR LG INTESTINE 1/MULT PERFORAT W/COLOSTOMY | 44605 - REPAIR OF BOWEL LESION | '01/01/2017 | 12/31/2999 |
| 44615 | 44615 - Intestinal stricturoplasty (enterotomy and enterorrhaphy) with or without dilation for intestinal obstruction | 44615 - INTSTINAL STRICTUROPLASTY W/WO DILAT OBSTRCJ | 44615 - INTESTINAL STRICTUROPLASTY | '01/01/2017 | 12/31/2999 |
| 44620 | 44620 - Closure of enterostomy large or small intestine; | 44620 - CLOSURE ENTEROSTOMY LG/SMALL INTESTINE | 44620 - REPAIR BOWEL OPENING | '01/01/2017 | 12/31/2999 |
| 44625 | 44625 - Closure of enterostomy large or small intestine; with resection and anastomosis other than colorectal | 44625 - CLSR NTRSTM LG/SM RESCJ & ANAST OTH/THN CLRCT | 44625 - REPAIR BOWEL OPENING | '01/01/2017 | 12/31/2999 |
| 44626 | 44626 - Closure of enterostomy large or small intestine; with resection and colorectal anastomosis (eg closure of Hartmann type procedure) | 44626 - CLSR NTRSTM LG/SM RESCJ & COLORECTAL ANASTOMOSIS | 44626 - REPAIR BOWEL OPENING | '01/01/2017 | 12/31/2999 |
| 44640 | 44640 - Closure of intestinal cutaneous fistula | 44640 - CLOSURE INTESTINAL CUTANEOUS FISTULA | 44640 - REPAIR BOWEL-SKIN FISTULA | '01/01/2017 | 12/31/2999 |
| 44650 | 44650 - Closure of enteroenteric or enterocolic fistula | 44650 - CLSR ENTEROENTERIC/ENTEROCOLIC FSTL | 44650 - REPAIR BOWEL FISTULA | '01/01/2017 | 12/31/2999 |
| 44660 | 44660 - Closure of enterovesical fistula; without intestinal or bladder resection | 44660 - CLSR ENTEROVES FSTL W/O INTSTINAL/BLADDER RESCJ | 44660 - REPAIR BOWEL-BLADDER FISTULA | '01/01/2017 | 12/31/2999 |
| 44661 | 44661 - Closure of enterovesical fistula; with intestine and/or bladder resection | 44661 - CLSR ENTEROVES FSTL W/INTESTINE&/BLADDER RESCJ | 44661 - REPAIR BOWEL-BLADDER FISTULA | '01/01/2017 | 12/31/2999 |
| 44680 | 44680 - Intestinal plication (separate procedure) | 44680 - INTESTINAL PLICATION SEPARATE PROCEDURE | 44680 - SURGICAL REVISION INTESTINE | '01/01/2017 | 12/31/2999 |
| 44700 | 44700 - Exclusion of small intestine from pelvis by mesh or other prosthesis or native tissue (eg bladder or omentum) | 44700 - EXCLUSION SM INT FROM PELVIS MESH/PROSTH/TISS | 44700 - SUSPEND BOWEL W/PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 44701 | 44701 - Intraoperative colonic lavage (List separately in addition to code for primary procedure) | 44701 - INTRAOPERATIVE COLONIC LAVAGE | 44701 - INTRAOP COLON LAVAGE ADD-ON | '01/01/2017 | 12/31/2999 |
| 44705 | 44705 - Preparation of fecal microbiota for instillation including assessment of donor specimen | 44705 - PREPARE FECAL MICROBIOTA FOR INSTILLATION | 44705 - PREPARE FECAL MICROBIOTA | '01/01/2017 | 12/31/2999 |
| 4470F | 4470F - Implantable cardioverter-defibrillator (ICD) counseling provided (HF) | 4470F - IMPLANT CARDIOVERT-DEFIB (ICD) COUNSELING PROV | 4470F - ICD COUNSELING PROVIDED | '01/01/2017 | 12/31/2999 |
| 44715 | 44715 - Backbench standard preparation of cadaver or living donor intestine allograft prior to transplantation including mobilization and fashioning of the superior mesenteric artery and vein | 44715 - BKBENCH PREP CADAVER/LIVING DONOR INTESTINE | 44715 - PREPARE DONOR INTESTINE | '01/01/2017 | 12/31/2999 |
| 44720 | 44720 - Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; venous anastomosis each | 44720 - BKBENCH RCNSTJ INT ALGRFT VEN ANAST EA | 44720 - PREP DONOR INTESTINE/VENOUS | '01/01/2017 | 12/31/2999 |
| 44721 | 44721 - Backbench reconstruction of cadaver or living donor intestine allograft prior to transplantation; arterial anastomosis each | 44721 - BKBENCH RCNSTJ INT ALGRFT ARTL ANAST EA | 44721 - PREP DONOR INTESTINE/ARTERY | '01/01/2017 | 12/31/2999 |
| 44799 | 44799 - Unlisted procedure small intestine | 44799 - UNLISTED PROCEDURE SMALL INTESTINE | 44799 - UNLISTED PX SMALL INTESTINE | '01/01/2017 | 12/31/2999 |
| 44800 | 44800 - Excision of Meckel's diverticulum (diverticulectomy) or omphalomesenteric duct | 44800 - EXC MECKEL'S DIVERTICULUM/OMPHALOMESENTERIC DUCT | 44800 - EXCISION OF BOWEL POUCH | '01/01/2017 | 12/31/2999 |
| 4480F | 4480F - Patient receiving ACE inhibitor/ARB therapy and beta-blocker therapy for 3 months or longer (HF) | 4480F - PT RCVNG ACE/ARB BETA BLOCKER TX 3 MONS/LONGER | 4480F - PT RCVNG ACE/ARB B-BLOCKERTX | '01/01/2017 | 12/31/2999 |
| 4481F | 4481F - Patient receiving ACE inhibitor/ARB therapy and beta-blocker therapy for less than 3 months or patient not receiving ACE inhibitor/ARB therapy and beta-blocker therapy (HF) | 4481F - PT RCVNG ACE/ARB AND BETA BLOCKER < 3 MONTHS | 4481F - PT RCVNG ACE/ARB BLKER <3MOS | '01/01/2017 | 12/31/2999 |
| 44820 | 44820 - Excision of lesion of mesentery (separate procedure) | 44820 - EXCISION LESION MESENTERY SEPARATE PROCEDURE | 44820 - EXCISION OF MESENTERY LESION | '01/01/2017 | 12/31/2999 |
| 44850 | 44850 - Suture of mesentery (separate procedure) | 44850 - SUTURE MESENTERY SEPARATE PROCEDURE | 44850 - REPAIR OF MESENTERY | '01/01/2017 | 12/31/2999 |
| 44899 | 44899 - Unlisted procedure Meckel's diverticulum and the mesentery | 44899 - UNLISTED PX MECKEL'S DIVERTICULUM & MESENTERY | 44899 - UNLISTED PX MECKEL'S DVRTCLM | '01/01/2023 | 12/31/2999 |
| 44900 | 44900 - Incision and drainage of appendiceal abscess open | 44900 - INCISION AND DRAINAGE APPENDICEAL ABSCESS OPEN | 44900 - DRAIN APPENDIX ABSCESS OPEN | '01/01/2017 | 12/31/2999 |
| 44950 | 44950 - Appendectomy; | 44950 - APPENDECTOMY | 44950 - APPENDECTOMY | '01/01/2017 | 12/31/2999 |
| 44955 | 44955 - Appendectomy; when done for indicated purpose at time of other major procedure (not as separate procedure) (List separately in addition to code for primary procedure) | 44955 - APPENDEC INDICATED PURPOSE OTH MAJOR PX NOT SPX | 44955 - APPENDECTOMY ADD-ON | '01/01/2017 | 12/31/2999 |
| 44960 | 44960 - Appendectomy; for ruptured appendix with abscess or generalized peritonitis | 44960 - APPENDEC RPTD APPENDIX ABSC/PRITONITIS | 44960 - APPENDECTOMY | '01/01/2017 | 12/31/2999 |
| 44970 | 44970 - Laparoscopy surgical appendectomy | 44970 - LAPAROSCOPIC APPENDECTOMY | 44970 - LAPAROSCOPY APPENDECTOMY | '01/01/2017 | 12/31/2999 |
| 44979 | 44979 - Unlisted laparoscopy procedure appendix | 44979 - UNLISTED LAPAROSCOPY PROCEDURE APPENDIX | 44979 - UNLISTED LAPS PX APPENDIX | '01/01/2023 | 12/31/2999 |
| 45000 | 45000 - Transrectal drainage of pelvic abscess | 45000 - TRANSRECTAL DRAINAGE OF PELVIC ABSCESS | 45000 - DRAINAGE OF PELVIC ABSCESS | '01/01/2017 | 12/31/2999 |
| 45005 | 45005 - Incision and drainage of submucosal abscess rectum | 45005 - I&D SUBMUCOSAL ABSCESS RECTUM | 45005 - DRAINAGE OF RECTAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 4500F | 4500F - Referred to an outpatient cardiac rehabilitation program (CAD) | 4500F - REFERRED TO OUTPT CARD REHABILITATION PROGRAM | 4500F - REF TO OUTPT CARD REHAB PROG | '01/01/2017 | 12/31/2999 |
| 45020 | 45020 - Incision and drainage of deep supralevator pelvirectal or retrorectal abscess | 45020 - I&D DP SUPRALEVATOR PELVIRCT/RETRORCT ABSC | 45020 - DRAINAGE OF RECTAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 45100 | 45100 - Biopsy of anorectal wall anal approach (eg congenital megacolon) | 45100 - BX ANORECTAL WALL ANAL APPROACH | 45100 - BIOPSY OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45108 | 45108 - Anorectal myomectomy | 45108 - ANORECTAL MYOMECTOMY | 45108 - REMOVAL OF ANORECTAL LESION | '01/01/2017 | 12/31/2999 |
| 4510F | 4510F - Previous cardiac rehabilitation for qualifying cardiac event completed (CAD) | 4510F - PREVIOUS CARDIAC REHAB FOR QUAL CARD EVENT DONE | 4510F - PREV CARDREHAB QUALCARDEVENT | '01/01/2017 | 12/31/2999 |
| 45110 | 45110 - Proctectomy; complete combined abdominoperineal with colostomy | 45110 - PRCTECT COMPL CMBN ABDOMINOPRNL W/CLST | 45110 - REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45111 | 45111 - Proctectomy; partial resection of rectum transabdominal approach | 45111 - PRCTECT PRTL RESCJ RECTUM TABDL APPR | 45111 - PARTIAL REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45112 | 45112 - Proctectomy combined abdominoperineal pull-through procedure (eg colo-anal anastomosis) | 45112 - PRCTECT CMBN ABDOMINOPRNL PULL-THRU PX | 45112 - REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45113 | 45113 - Proctectomy partial with rectal mucosectomy ileoanal anastomosis creation of ileal reservoir (S or J) with or without loop ileostomy | 45113 - PRCTECT PRTL W/MUCOSEC ILEOANAL ANAST RSVR | 45113 - PARTIAL PROCTECTOMY | '01/01/2017 | 12/31/2999 |
| 45114 | 45114 - Proctectomy partial with anastomosis; abdominal and transsacral approach | 45114 - PRCTECT PRTL W/ANAST ABDL & TRANSSAC APPROACH | 45114 - PARTIAL REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45116 | 45116 - Proctectomy partial with anastomosis; transsacral approach only (Kraske type) | 45116 - PRCTECT PRTL W/ANAST TRANSSAC APPR ONLY | 45116 - PARTIAL REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45119 | 45119 - Proctectomy combined abdominoperineal pull-through procedure (eg colo-anal anastomosis) with creation of colonic reservoir (eg J-pouch) with diverting enterostomy when performed | 45119 - PRCTECT CMBN PULL-THRU W/RSVR W/NTRSTM | 45119 - REMOVE RECTUM W/RESERVOIR | '01/01/2017 | 12/31/2999 |
| 45120 | 45120 - Proctectomy complete (for congenital megacolon) abdominal and perineal approach; with pull-through procedure and anastomosis (eg Swenson Duhamel or Soave type operation) | 45120 - PRCTECT COMPL W/PULL-THRU PX & ANASTOMOSIS | 45120 - REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45121 | 45121 - Proctectomy complete (for congenital megacolon) abdominal and perineal approach; with subtotal or total colectomy with multiple biopsies | 45121 - PRCTECT COMPL W/STOT/TOT COLCT W/MLT BXS | 45121 - REMOVAL OF RECTUM AND COLON | '01/01/2017 | 12/31/2999 |
| 45123 | 45123 - Proctectomy partial without anastomosis perineal approach | 45123 - PRCTECT PRTL W/O ANAST PRNL APPR | 45123 - PARTIAL PROCTECTOMY | '01/01/2017 | 12/31/2999 |
| 45126 | 45126 - Pelvic exenteration for colorectal malignancy with proctectomy (with or without colostomy) with removal of bladder and ureteral transplantations and/or hysterectomy or cervicectomy with or without removal of tube(s) with or without removal of ovary(s) or any combination thereof | 45126 - PELVIC EXENTERATION COLORECTAL MALIGNANCY | 45126 - PELVIC EXENTERATION | '01/01/2017 | 12/31/2999 |
| 45130 | 45130 - Excision of rectal procidentia with anastomosis; perineal approach | 45130 - EXC RCT PROCIDENTIA W/ANAST PERINEAL APPROACH | 45130 - EXCISION OF RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 45135 | 45135 - Excision of rectal procidentia with anastomosis; abdominal and perineal approach | 45135 - EXC RCT PROCIDENTIA W/ANAST ABDL & PRNL APPROACH | 45135 - EXCISION OF RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 45136 | 45136 - Excision of ileoanal reservoir with ileostomy | 45136 - EXC ILEOANAL RSVR W/ILEOSTOMY | 45136 - EXCISE ILEOANAL RESERVIOR | '01/01/2017 | 12/31/2999 |
| 45150 | 45150 - Division of stricture of rectum | 45150 - DIVISION STRICTURE RECTUM | 45150 - EXCISION OF RECTAL STRICTURE | '01/01/2017 | 12/31/2999 |
| 45160 | 45160 - Excision of rectal tumor by proctotomy transsacral or transcoccygeal approach | 45160 - EXC RCT TUM PROCTOTOMY TRANSSAC/TRANSCOCCYGEAL | 45160 - EXCISION OF RECTAL LESION | '01/01/2017 | 12/31/2999 |
| 45171 | 45171 - Excision of rectal tumor transanal approach; not including muscularis propria (ie partial thickness) | 45171 - EXC RCT TUM NOT INCL MUSCULARIS PROPRIA | 45171 - EXC RECT TUM TRANSANAL PART | '01/01/2017 | 12/31/2999 |
| 45172 | 45172 - Excision of rectal tumor transanal approach; including muscularis propria (ie full thickness) | 45172 - EXC RCT TUM INCL MUSCULARIS PROPRIA | 45172 - EXC RECT TUM TRANSANAL FULL | '01/01/2017 | 12/31/2999 |
| 45190 | 45190 - Destruction of rectal tumor (eg electrodesiccation electrosurgery laser ablation laser resection cryosurgery) transanal approach | 45190 - DESTRUCTION RECTAL TUMOR TRANSANAL APPROACH | 45190 - DESTRUCTION RECTAL TUMOR | '01/01/2017 | 12/31/2999 |
| 4525F | 4525F - Neuropsychiatric intervention ordered (DEM) | 4525F - NEUROPSYCHIATRIC INTERVENTION ORDERED | 4525F - NEUROPSYCHIA INTERVEN ORDER | '01/01/2017 | 12/31/2999 |
| 4526F | 4526F - Neuropsychiatric intervention received (DEM) | 4526F - NEUROPSYCHIATRIC INTERVENTION RECEIVED | 4526F - NEUROPSYCHIA INTERVEN RCVD | '01/01/2017 | 12/31/2999 |
| 45300 | 45300 - Proctosigmoidoscopy rigid; diagnostic with or without collection of specimen(s) by brushing or washing (separate procedure) | 45300 - PROCTOSGMDSC RGD DX W/WO COLLJ SPEC BR/WA SPX | 45300 - PROCTOSIGMOIDOSCOPY DX | '01/01/2017 | 12/31/2999 |
| 45303 | 45303 - Proctosigmoidoscopy rigid; with dilation (eg balloon guide wire bougie) | 45303 - PROCTOSGMDSC RIGID W/DILATION | 45303 - PROCTOSIGMOIDOSCOPY DILATE | '01/01/2017 | 12/31/2999 |
| 45305 | 45305 - Proctosigmoidoscopy rigid; with biopsy single or multiple | 45305 - PROCTOSGMDSC RIGID W/BX SINGLE/MULTIPLE | 45305 - PROCTOSIGMOIDOSCOPY W/BX | '01/01/2017 | 12/31/2999 |
| 45307 | 45307 - Proctosigmoidoscopy rigid; with removal of foreign body | 45307 - PROCTOSGMDSC RIGID W/RMVL FOREIGN BODY | 45307 - PROCTOSIGMOIDOSCOPY FB | '01/01/2017 | 12/31/2999 |
| 45308 | 45308 - Proctosigmoidoscopy rigid; with removal of single tumor polyp or other lesion by hot biopsy forceps or bipolar cautery | 45308 - PROCTOSGMDSC RIGID RMVL 1 LESION CAUTERY | 45308 - PROCTOSIGMOIDOSCOPY REMOVAL | '01/01/2017 | 12/31/2999 |
| 45309 | 45309 - Proctosigmoidoscopy rigid; with removal of single tumor polyp or other lesion by snare technique | 45309 - PROCTOSGMDSC RIGID RMVL 1 LESION SNARE TQ | 45309 - PROCTOSIGMOIDOSCOPY REMOVAL | '01/01/2017 | 12/31/2999 |
| 45315 | 45315 - Proctosigmoidoscopy rigid; with removal of multiple tumors polyps or other lesions by hot biopsy forceps bipolar cautery or snare technique | 45315 - PROCTOSGMDSC RIGID RMVL MULT TUMOR CAUTERY/SNARE | 45315 - PROCTOSIGMOIDOSCOPY REMOVAL | '01/01/2017 | 12/31/2999 |
| 45317 | 45317 - Proctosigmoidoscopy rigid; with control of bleeding (eg injection bipolar cautery unipolar cautery laser heater probe stapler plasma coagulator) | 45317 - PROCTOSGMDSC RIGID CONTROL BLEEDING | 45317 - PROCTOSIGMOIDOSCOPY BLEED | '01/01/2017 | 12/31/2999 |
| 45320 | 45320 - Proctosigmoidoscopy rigid; with ablation of tumor(s) polyp(s) or other lesion(s) not amenable to removal by hot biopsy forceps bipolar cautery or snare technique (eg laser) | 45320 - PROCTOSGMDSC RIGID ABLATION LESION | 45320 - PROCTOSIGMOIDOSCOPY ABLATE | '01/01/2017 | 12/31/2999 |
| 45321 | 45321 - Proctosigmoidoscopy rigid; with decompression of volvulus | 45321 - PROCTOSGMDSC RIGID DCMPRN VOLVULUS | 45321 - PROCTOSIGMOIDOSCOPY VOLVUL | '01/01/2017 | 12/31/2999 |
| 45327 | 45327 - Proctosigmoidoscopy rigid; with transendoscopic stent placement (includes predilation) | 45327 - PROCTOSGMDSC RIGID TNDSC STENT PLMT | 45327 - PROCTOSIGMOIDOSCOPY W/STENT | '01/01/2017 | 12/31/2999 |
| 45330 | 45330 - Sigmoidoscopy flexible; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 45330 - SIGMOIDOSCOPY FLX DX W/COLLJ SPEC BR/WA IF PFRMD | 45330 - DIAGNOSTIC SIGMOIDOSCOPY | '01/01/2017 | 12/31/2999 |
| 45331 | 45331 - Sigmoidoscopy flexible; with biopsy single or multiple | 45331 - SIGMOIDOSCOPY FLX W/BIOPSY SINGLE/MULTIPLE | 45331 - SIGMOIDOSCOPY AND BIOPSY | '01/01/2017 | 12/31/2999 |
| 45332 | 45332 - Sigmoidoscopy flexible; with removal of foreign body(s) | 45332 - SIGMOIDOSCOPY FLX W/RMVL FOREIGN BODY | 45332 - SIGMOIDOSCOPY W/FB REMOVAL | '01/01/2017 | 12/31/2999 |
| 45333 | 45333 - Sigmoidoscopy flexible; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps | 45333 - SIGMOIDOSCOPY FLX W/RMVL TUMOR BY HOT BX FORCEPS | 45333 - SIGMOIDOSCOPY & POLYPECTOMY | '01/01/2017 | 12/31/2999 |
| 45334 | 45334 - Sigmoidoscopy flexible; with control of bleeding any method | 45334 - SIGMOIDOSCOPY FLX CONTROL BLEEDING | 45334 - SIGMOIDOSCOPY FOR BLEEDING | '01/01/2017 | 12/31/2999 |
| 45335 | 45335 - Sigmoidoscopy flexible; with directed submucosal injection(s) any substance | 45335 - SGMDSC FLX DIRED SBMCSL NJX ANY SBST | 45335 - SIGMOIDOSCOPY W/SUBMUC INJ | '01/01/2017 | 12/31/2999 |
| 45337 | 45337 - Sigmoidoscopy flexible; with decompression (for pathologic distention) (eg volvulus megacolon) including placement of decompression tube when performed | 45337 - SGMDSC FLX W/DCMPRN W/PLMT DCMPRN TUBE | 45337 - SIGMOIDOSCOPY & DECOMPRESS | '01/01/2017 | 12/31/2999 |
| 45338 | 45338 - Sigmoidoscopy flexible; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 45338 - SGMDSC FLX RMVL TUM POLYP/OTH LES SNARE TQ | 45338 - SIGMOIDOSCOPY W/TUMR REMOVE | '01/01/2017 | 12/31/2999 |
| 45340 | 45340 - Sigmoidoscopy flexible; with transendoscopic balloon dilation | 45340 - SIGMOIDOSCOPY FLX TNDSC BALO DILAT | 45340 - SIG W/TNDSC BALLOON DILATION | '01/01/2017 | 12/31/2999 |
| 45341 | 45341 - Sigmoidoscopy flexible; with endoscopic ultrasound examination | 45341 - SIGMOIDOSCOPY FLX NDSC US XM | 45341 - SIGMOIDOSCOPY W/ULTRASOUND | '01/01/2017 | 12/31/2999 |
| 45342 | 45342 - Sigmoidoscopy flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) | 45342 - SIGMOIDOSCOPY FLX TNDSC US GID NDL ASPIR/BX | 45342 - SIGMOIDOSCOPY W/US GUIDE BX | '01/01/2017 | 12/31/2999 |
| 45346 | 45346 - Sigmoidoscopy flexible; with ablation of tumor(s) polyp(s) or other lesion(s) (includes pre- and post-dilation and guide wire passage when performed) | 45346 - SIGMOIDOSCOPY FLX ABLATION TUMOR POLYP/OTH LES | 45346 - SIGMOIDOSCOPY W/ABLATION | '01/01/2017 | 12/31/2999 |
| 45347 | 45347 - Sigmoidoscopy flexible; with placement of endoscopic stent (includes pre- and post-dilation and guide wire passage when performed) | 45347 - SIGMOIDOSCOPY FLX PLACEMENT OF ENDOSCOPIC STENT | 45347 - SIGMOIDOSCOPY W/PLCMT STENT | '01/01/2017 | 12/31/2999 |
| 45349 | 45349 - Sigmoidoscopy flexible; with endoscopic mucosal resection | 45349 - SGMDSC FLX WITH ENDOSCOPIC MUCOSAL RESECTION | 45349 - SIGMOIDOSCOPY W/RESECTION | '01/01/2017 | 12/31/2999 |
| 45350 | 45350 - Sigmoidoscopy flexible; with band ligation(s) (eg hemorrhoids) | 45350 - SIGMOIDOSCOPY FLX WITH WITH BAND LIGATION(S) | 45350 - SGMDSC W/BAND LIGATION | '01/01/2017 | 12/31/2999 |
| 45378 | 45378 - Colonoscopy flexible; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 45378 - COLONOSCOPY FLX DX W/COLLJ SPEC WHEN PFRMD | 45378 - DIAGNOSTIC COLONOSCOPY | '01/01/2017 | 12/31/2999 |
| 45379 | 45379 - Colonoscopy flexible; with removal of foreign body(s) | 45379 - COLONOSCOPY FLX W/REMOVAL OF FOREIGN BODY(S) | 45379 - COLONOSCOPY W/FB REMOVAL | '01/01/2017 | 12/31/2999 |
| 45380 | 45380 - Colonoscopy flexible; with biopsy single or multiple | 45380 - COLONOSCOPY W/BIOPSY SINGLE/MULTIPLE | 45380 - COLONOSCOPY AND BIOPSY | '01/01/2017 | 12/31/2999 |
| 45381 | 45381 - Colonoscopy flexible; with directed submucosal injection(s) any substance | 45381 - COLSC FLX WITH DIRECTED SUBMUCOSAL NJX ANY SBST | 45381 - COLONOSCOPY SUBMUCOUS NJX | '01/01/2017 | 12/31/2999 |
| 45382 | 45382 - Colonoscopy flexible; with control of bleeding any method | 45382 - COLSC FLEXIBLE W/CONTROL BLEEDING ANY METHOD | 45382 - COLONOSCOPY W/CONTROL BLEED | '01/01/2017 | 12/31/2999 |
| 45384 | 45384 - Colonoscopy flexible; with removal of tumor(s) polyp(s) or other lesion(s) by hot biopsy forceps | 45384 - COLSC FLX W/REMOVAL LESION BY HOT BX FORCEPS | 45384 - COLONOSCOPY W/LESION REMOVAL | '01/01/2017 | 12/31/2999 |
| 45385 | 45385 - Colonoscopy flexible; with removal of tumor(s) polyp(s) or other lesion(s) by snare technique | 45385 - COLSC FLX W/RMVL OF TUMOR POLYP LESION SNARE TQ | 45385 - COLONOSCOPY W/LESION REMOVAL | '01/01/2017 | 12/31/2999 |
| 45386 | 45386 - Colonoscopy flexible; with transendoscopic balloon dilation | 45386 - COLSC FLEXIBLE W/TRANSENDOSCOPIC BALLOON DILAT | 45386 - COLONOSCOPY W/BALLOON DILAT | '01/01/2017 | 12/31/2999 |
| 45388 | 45388 - Colonoscopy flexible; with ablation of tumor(s) polyp(s) or other lesion(s) (includes pre- and post-dilation and guide wire passage when performed) | 45388 - COLONOSCOPY FLX ABLATION TUMOR POLYP/OTHER LES | 45388 - COLONOSCOPY W/ABLATION | '01/01/2017 | 12/31/2999 |
| 45389 | 45389 - Colonoscopy flexible; with endoscopic stent placement (includes pre- and post-dilation and guide wire passage when performed) | 45389 - COLONOSCOPY FLX WITH ENDOSCOPIC STENT PLACEMENT | 45389 - COLONOSCOPY W/STENT PLCMT | '01/01/2017 | 12/31/2999 |
| 45390 | 45390 - Colonoscopy flexible; with endoscopic mucosal resection | 45390 - COLONOSCOPY FLX W/ENDOSCOPIC MUCOSAL RESECTION | 45390 - COLONOSCOPY W/RESECTION | '01/01/2017 | 12/31/2999 |
| 45391 | 45391 - Colonoscopy flexible; with endoscopic ultrasound examination limited to the rectum sigmoid descending transverse or ascending colon and cecum and adjacent structures | 45391 - COLSC FLX W/NDSC US XM RCTM ET AL LMTD&ADJ STRUX | 45391 - COLONOSCOPY W/ENDOSCOPE US | '01/01/2017 | 12/31/2999 |
| 45392 | 45392 - Colonoscopy flexible; with transendoscopic ultrasound guided intramural or transmural fine needle aspiration/biopsy(s) includes endoscopic ultrasound examination limited to the rectum sigmoid descending transverse or ascending colon and cecum and adjacent structures | 45392 - COLSC FLX W/US GUID NDL ASPIR/BX W/US RCTM ET AL | 45392 - COLONOSCOPY W/ENDOSCOPIC FNB | '01/01/2017 | 12/31/2999 |
| 45393 | 45393 - Colonoscopy flexible; with decompression (for pathologic distention) (eg volvulus megacolon) including placement of decompression tube when performed | 45393 - COLONOSCOPY FLEXIBLE WITH DECOMPRESSION | 45393 - COLONOSCOPY W/DECOMPRESSION | '01/01/2017 | 12/31/2999 |
| 45395 | 45395 - Laparoscopy surgical; proctectomy complete combined abdominoperineal with colostomy | 45395 - LAPS PROCTECTOMY ABDOMINOPERINEAL W/COLOSTOMY | 45395 - LAP REMOVAL OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45397 | 45397 - Laparoscopy surgical; proctectomy combined abdominoperineal pull-through procedure (eg colo-anal anastomosis) with creation of colonic reservoir (eg J-pouch) with diverting enterostomy when performed | 45397 - LAPS PROCTECTOMY COMBINED PULL-THRU W/RESERVOIR | 45397 - LAP REMOVE RECTUM W/POUCH | '01/01/2017 | 12/31/2999 |
| 45398 | 45398 - Colonoscopy flexible; with band ligation(s) (eg hemorrhoids) | 45398 - COLONOSCOPY FLEXIBLE WITH BAND LIGATION(S) | 45398 - COLONOSCOPY W/BAND LIGATION | '01/01/2017 | 12/31/2999 |
| 45399 | 45399 - Unlisted procedure colon | 45399 - UNLISTED PROCEDURE COLON | 45399 - UNLISTED PROCEDURE COLON | '01/01/2017 | 12/31/2999 |
| 45400 | 45400 - Laparoscopy surgical; proctopexy (for prolapse) | 45400 - LAPAROSCOPY PROCTOPEXY PROLAPSE | 45400 - LAPAROSCOPIC PROC | '01/01/2017 | 12/31/2999 |
| 45402 | 45402 - Laparoscopy surgical; proctopexy (for prolapse) with sigmoid resection | 45402 - LAPAROSCOPY PROCTOPEXY PROLAPSE SIGMOID RESCJ | 45402 - LAP PROCTOPEXY W/SIG RESECT | '01/01/2017 | 12/31/2999 |
| 4540F | 4540F - Disease modifying pharmacotherapy discussed (ALS) | 4540F - DISEASE MODIFYING PHARMACOTHERAPY DISCUSSED | 4540F - DISEASE MODIF PHARMACOTHXPY | '01/01/2017 | 12/31/2999 |
| 4541F | 4541F - Patient offered treatment for pseudobulbar affect sialorrhea or ALS-related symptoms (ALS) | 4541F - TX PSEUDOBULBAR AFFECT SIALORRHEA/ALS SYMP | 4541F - PT OFFERED TX FOR PSEUDOBULB | '01/01/2017 | 12/31/2999 |
| 45499 | 45499 - Unlisted laparoscopy procedure rectum | 45499 - UNLISTED LAPAROSCOPY PROCEDURE RECTUM | 45499 - LAPAROSCOPE PROC RECTUM | '01/01/2017 | 12/31/2999 |
| 45500 | 45500 - Proctoplasty; for stenosis | 45500 - PROCTOPLASTY STENOSIS | 45500 - REPAIR OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45505 | 45505 - Proctoplasty; for prolapse of mucous membrane | 45505 - PROCTOPLASTY PROLAPSE MUCOUS MEMBRANE | 45505 - REPAIR OF RECTUM | '01/01/2017 | 12/31/2999 |
| 4550F | 4550F - Options for noninvasive respiratory support discussed with patient (ALS) | 4550F - OPTIONS NONINVASIVE RESP SUPPORT DISCUSSED W/PT | 4550F - NONINVAS RESP SUPPORT TALK | '01/01/2017 | 12/31/2999 |
| 4551F | 4551F - Nutritional support offered (ALS) | 4551F - NUTRITIONAL SUPPORT OFFERED | 4551F - NUTRITIONAL SUPPORT OFFERED | '01/01/2017 | 12/31/2999 |
| 45520 | 45520 - Perirectal injection of sclerosing solution for prolapse | 45520 - PERIRECTAL INJ SCLEROSING SOLUTION PROLAPSE | 45520 - TREATMENT OF RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 4552F | 4552F - Patient offered referral to a speech language pathologist (ALS) | 4552F - PT OFFERED REFERRAL SPEECH LANGUAGE PATHOLOGIST | 4552F - PT REF FOR SPEECH LANG PATH | '01/01/2017 | 12/31/2999 |
| 4553F | 4553F - Patient offered assistance in planning for end of life issues (ALS) | 4553F - PT OFFERED ASSISTANCE PLANNING END LIFE ISSUES | 4553F - PT ASST RE END LIFE ISSUES | '01/01/2017 | 12/31/2999 |
| 45540 | 45540 - Proctopexy (eg for prolapse); abdominal approach | 45540 - PROCTOPEXY ABDOMINAL APPROACH | 45540 - CORRECT RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 45541 | 45541 - Proctopexy (eg for prolapse); perineal approach | 45541 - PROCTOPEXY PERINEAL APPROACH | 45541 - CORRECT RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 4554F | 4554F - Patient received inhalational anesthetic agent (Peri2) | 4554F - PT RECEIVED INHALATIONAL ANESTHETIC AGENT | 4554F - PT RECVD INHAL ANESTHETIC | '01/01/2017 | 12/31/2999 |
| 45550 | 45550 - Proctopexy (eg for prolapse); with sigmoid resection abdominal approach | 45550 - PROCTOPEXY W/SIGMOID RESCJ ABDL APPR | 45550 - REPAIR RECTUM/REMOVE SIGMOID | '01/01/2017 | 12/31/2999 |
| 4555F | 4555F - Patient did not receive inhalational anesthetic agent (Peri2) | 4555F - PT DID NOT RECEIVE INHALATIONAL ANESTHETIC AGENT | 4555F - PT RECVD NO INHAL ANESTHIC | '01/01/2017 | 12/31/2999 |
| 45560 | 45560 - Repair of rectocele (separate procedure) | 45560 - REPAIR RECTOCELE SEPARATE PROCEDURE | 45560 - REPAIR OF RECTOCELE | '01/01/2017 | 12/31/2999 |
| 45562 | 45562 - Exploration repair and presacral drainage for rectal injury; | 45562 - EXPL RPR & PRESACRAL DRG RECTAL INJURY | 45562 - EXPLORATION/REPAIR OF RECTUM | '01/01/2017 | 12/31/2999 |
| 45563 | 45563 - Exploration repair and presacral drainage for rectal injury; with colostomy | 45563 - EXPL RPR & PRESACRAL DRG RECTAL INJ W/COLOSTOMY | 45563 - EXPLORATION/REPAIR OF RECTUM | '01/01/2017 | 12/31/2999 |
| 4556F | 4556F - Patient exhibits 3 or more risk factors for post-operative nausea and vomiting (Peri2) | 4556F - PT SHOWS 3+RISK FACTORS POST-OP NAUSEA&VOMITING | 4556F - PT W/3+ POST-OP NAUSEA&VOM | '01/01/2017 | 12/31/2999 |
| 4557F | 4557F - Patient does not exhibit 3 or more risk factors for post-operative nausea and vomiting (Peri2) | 4557F - PT NO EXHIBIT 3+ RISK FACTORS POST-OP NAUSEA/VOM | 4557F - PT W/O 3+ POST-OPNAUSEA&VOM | '01/01/2017 | 12/31/2999 |
| 4558F | 4558F - Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and intraoperatively (Peri2) | 4558F - PT RCEVD 2 PROPHYLACTIC RX AGENTS PRE&INTRA-OP | 4558F - PT RECVD 2 RX ANTI-EMET AGT | '01/01/2017 | 12/31/2999 |
| 4559F | 4559F - At least 1 body temperature measurement equal to or greater than 35.5 degrees Celsius (or 95.9 degrees Fahrenheit) recorded within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time (Peri2) | 4559F - 1BODY TEMP MEAS>=35.5C IN 30-15 MINS POST ANESTH | 4559F - 1 BODYTEMP >=35.5CW/IN 30MIN | '01/01/2017 | 12/31/2999 |
| 4560F | 4560F - Anesthesia technique did not involve general or neuraxial anesthesia (Peri2) | 4560F - ANESTH DID NOT INVOLVE GENERAL/NEURAXIAL ANESTH | 4560F - ANESTH W/O GEN/NEURAX ANESTH | '01/01/2017 | 12/31/2999 |
| 4561F | 4561F - Patient has a coronary artery stent (Peri2) | 4561F - PATIENT HAS A CORONARY ARTERY STENT | 4561F - PT W/ CORONARY ARTERY STENT | '01/01/2017 | 12/31/2999 |
| 4562F | 4562F - Patient does not have a coronary artery stent (Peri2) | 4562F - PATIENT DOES NOT HAVE A CORONARY ARTERY STENT | 4562F - PT W/O CORONARY ARTERY STENT | '01/01/2017 | 12/31/2999 |
| 4563F | 4563F - Patient received aspirin within 24 hours prior to anesthesia start time (Peri2) | 4563F - PT RECVD ASPIRIN W/IN 24 HRS PRIOR ANESTH START | 4563F - PT RECVD ASPIRIN W/IN 24 HRS | '01/01/2017 | 12/31/2999 |
| 45800 | 45800 - Closure of rectovesical fistula; | 45800 - CLOSURE RECTOVESICAL FISTULA | 45800 - REPAIR RECT/BLADDER FISTULA | '01/01/2017 | 12/31/2999 |
| 45805 | 45805 - Closure of rectovesical fistula; with colostomy | 45805 - CLSR RECTOVESICAL FISTULA W/COLOSTOMY | 45805 - REPAIR FISTULA W/COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 45820 | 45820 - Closure of rectourethral fistula; | 45820 - CLOSURE RECTOURETHRAL FISTULA | 45820 - REPAIR RECTOURETHRAL FISTULA | '01/01/2017 | 12/31/2999 |
| 45825 | 45825 - Closure of rectourethral fistula; with colostomy | 45825 - CLOSURE RECTOURETHRAL FISTULA W/COLOSTOMY | 45825 - REPAIR FISTULA W/COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 45900 | 45900 - Reduction of procidentia (separate procedure) under anesthesia | 45900 - RDCTJ PROCIDENTIA UNDER ANES SEPARATE PROCEDURE | 45900 - REDUCTION OF RECTAL PROLAPSE | '01/01/2017 | 12/31/2999 |
| 45905 | 45905 - Dilation of anal sphincter (separate procedure) under anesthesia other than local | 45905 - DILAT ANAL SPHNCTR SPX UNDER ANES OTH/THN LOCAL | 45905 - DILATION OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 45910 | 45910 - Dilation of rectal stricture (separate procedure) under anesthesia other than local | 45910 - DILAT RCT STRIX SPX UNDER ANES OTH/THN LOCAL | 45910 - DILATION OF RECTAL NARROWING | '01/01/2017 | 12/31/2999 |
| 45915 | 45915 - Removal of fecal impaction or foreign body (separate procedure) under anesthesia | 45915 - RMVL FECAL IMPACTION/FB SPX UNDER ANES | 45915 - REMOVE RECTAL OBSTRUCTION | '01/01/2017 | 12/31/2999 |
| 45990 | 45990 - Anorectal exam surgical requiring anesthesia (general spinal or epidural) diagnostic | 45990 - ANRCT XM SURG REQ ANES GENERAL SPI/EDRL DX | 45990 - SURG DX EXAM ANORECTAL | '01/01/2017 | 12/31/2999 |
| 45999 | 45999 - Unlisted procedure rectum | 45999 - UNLISTED PROCEDURE RECTUM | 45999 - UNLISTED PROCEDURE RECTUM | '01/01/2023 | 12/31/2999 |
| 46020 | 46020 - Placement of seton | 46020 - PLACEMENT SETON | 46020 - PLACEMENT OF SETON | '01/01/2017 | 12/31/2999 |
| 46030 | 46030 - Removal of anal seton other marker | 46030 - REMOVAL ANAL SETON OTHER MARKER | 46030 - REMOVAL OF RECTAL MARKER | '01/01/2017 | 12/31/2999 |
| 46040 | 46040 - Incision and drainage of ischiorectal and/or perirectal abscess (separate procedure) | 46040 - I&D ISCHIORECTAL&/PERIRECTAL ABSCESS SPX | 46040 - INCISION OF RECTAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 46045 | 46045 - Incision and drainage of intramural intramuscular or submucosal abscess transanal under anesthesia | 46045 - I&D INTRAMURAL IM/ABSC TRANSANAL ANES | 46045 - INCISION OF RECTAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 46050 | 46050 - Incision and drainage perianal abscess superficial | 46050 - I&D PERIANAL ABSCESS SUPERFICIAL | 46050 - INCISION OF ANAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 46060 | 46060 - Incision and drainage of ischiorectal or intramural abscess with fistulectomy or fistulotomy submuscular with or without placement of seton | 46060 - I&D ISCHIORCT/INTRAMURAL ABSC W/WO SETON | 46060 - INCISION OF RECTAL ABSCESS | '01/01/2017 | 12/31/2999 |
| 46070 | 46070 - Incision anal septum (infant) | 46070 - INCISION ANAL SEPTUM INFANT | 46070 - INCISION OF ANAL SEPTUM | '01/01/2017 | 12/31/2999 |
| 46080 | 46080 - Sphincterotomy anal division of sphincter (separate procedure) | 46080 - SPHINCTEROTOMY ANAL DIVISION SPHINCTER SPX | 46080 - INCISION OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 46083 | 46083 - Incision of thrombosed hemorrhoid external | 46083 - INCISION THROMBOSED HEMORRHOID EXTERNAL | 46083 - INCISE EXTERNAL HEMORRHOID | '01/01/2017 | 12/31/2999 |
| 46200 | 46200 - Fissurectomy including sphincterotomy when performed | 46200 - FISSURECTOMY INCL SPHINCTEROTOMY WHEN PERFORMED | 46200 - REMOVAL OF ANAL FISSURE | '01/01/2017 | 12/31/2999 |
| 46220 | 46220 - Excision of single external papilla or tag anus | 46220 - EXCISION SINGLE EXTERNAL PAPILLA OR TAG ANUS | 46220 - EXCISE ANAL EXT TAG/PAPILLA | '01/01/2017 | 12/31/2999 |
| 46221 | 46221 - Hemorrhoidectomy internal by rubber band ligation(s) | 46221 - HEMORRHOIDECTOMY INTERNAL RUBBER BAND LIGATIONS | 46221 - LIGATION OF HEMORRHOID(S) | '01/01/2017 | 12/31/2999 |
| 46230 | 46230 - Excision of multiple external papillae or tags anus | 46230 - EXCISION MULTIPLE EXTERNAL PAPILLAE/TAGS ANUS | 46230 - REMOVAL OF ANAL TAGS | '01/01/2017 | 12/31/2999 |
| 46250 | 46250 - Hemorrhoidectomy external 2 or more columns/groups | 46250 - HEMORRHOIDECTOMY XTRNL 2/> COLUMN/GROUP | 46250 - REMOVE EXT HEM GROUPS 2+ | '01/01/2017 | 12/31/2999 |
| 46255 | 46255 - Hemorrhoidectomy internal and external single column/group; | 46255 - HEMORRHOIDECTOMY NTRNL & XTRNL 1 COLUMN/GROUP | 46255 - REMOVE INT/EXT HEM 1 GROUP | '01/01/2017 | 12/31/2999 |
| 46257 | 46257 - Hemorrhoidectomy internal and external single column/group; with fissurectomy | 46257 - HEMORRHOID NTRNL & XTRNL 1 COLUMN W/FISSURECTO | 46257 - REMOVE IN/EX HEM GRP & FISS | '01/01/2017 | 12/31/2999 |
| 46258 | 46258 - Hemorrhoidectomy internal and external single column/group; with fistulectomy including fissurectomy when performed | 46258 - HRHC 1 COL/GRP W/FSTULECTMY INCL FSSRECTOMY | 46258 - REMOVE IN/EX HEM GRP W/FISTU | '01/01/2017 | 12/31/2999 |
| 46260 | 46260 - Hemorrhoidectomy internal and external 2 or more columns/groups; | 46260 - HEMORRHOIDECTOMY INT & XTRNL 2/> COLUMN/GRO | 46260 - REMOVE IN/EX HEM GROUPS 2+ | '01/01/2017 | 12/31/2999 |
| 46261 | 46261 - Hemorrhoidectomy internal and external 2 or more columns/groups; with fissurectomy | 46261 - HRHC NTRNL & XTRNL 2/> COLUMN/GROUP W/FISSU | 46261 - REMOVE IN/EX HEM GRPS & FISS | '01/01/2017 | 12/31/2999 |
| 46262 | 46262 - Hemorrhoidectomy internal and external 2 or more columns/groups; with fistulectomy including fissurectomy when performed | 46262 - HRHC 2/> COL/GRP W/FSTULECTMY INCL FSSRECTMY | 46262 - REMOVE IN/EX HEM GRPS W/FIST | '01/01/2017 | 12/31/2999 |
| 46270 | 46270 - Surgical treatment of anal fistula (fistulectomy/fistulotomy); subcutaneous | 46270 - SURG TX ANAL FISTULA SUBQ | 46270 - REMOVE ANAL FIST SUBQ | '01/01/2017 | 12/31/2999 |
| 46275 | 46275 - Surgical treatment of anal fistula (fistulectomy/fistulotomy); intersphincteric | 46275 - SURG TX ANAL FISTULA INTERSPHINCTERIC | 46275 - REMOVE ANAL FIST INTER | '01/01/2017 | 12/31/2999 |
| 46280 | 46280 - Surgical treatment of anal fistula (fistulectomy/fistulotomy); transsphincteric suprasphincteric extrasphincteric or multiple including placement of seton when performed | 46280 - TX ANAL FSTL TRANS/SUPRA/XTRASPHNCTRC INCL SETON | 46280 - REMOVE ANAL FIST COMPLEX | '01/01/2017 | 12/31/2999 |
| 46285 | 46285 - Surgical treatment of anal fistula (fistulectomy/fistulotomy); second stage | 46285 - SURG TX ANAL FISTULA 2ND STAGE | 46285 - REMOVE ANAL FIST 2 STAGE | '01/01/2017 | 12/31/2999 |
| 46288 | 46288 - Closure of anal fistula with rectal advancement flap | 46288 - CLSR ANAL FSTL W/RCT ADVMNT FLAP | 46288 - REPAIR ANAL FISTULA | '01/01/2017 | 12/31/2999 |
| 46320 | 46320 - Excision of thrombosed hemorrhoid external | 46320 - EXC THROMBOSED HEMORRHOID XTRNL | 46320 - REMOVAL OF HEMORRHOID CLOT | '01/01/2017 | 12/31/2999 |
| 46500 | 46500 - Injection of sclerosing solution hemorrhoids | 46500 - INJECTION SCLEROSING SOLUTION HEMORRHOIDS | 46500 - INJECTION INTO HEMORRHOID(S) | '01/01/2017 | 12/31/2999 |
| 46505 | 46505 - Chemodenervation of internal anal sphincter | 46505 - CHEMODENERVATION INTERNAL ANAL SPHINCTER | 46505 - CHEMODENERVATION ANAL MUSC | '01/01/2017 | 12/31/2999 |
| 46600 | 46600 - Anoscopy; diagnostic including collection of specimen(s) by brushing or washing when performed (separate procedure) | 46600 - ANOSCOPY DX W/COLLJ SPEC BR/WA SPX WHEN PRFRMD | 46600 - DIAGNOSTIC ANOSCOPY SPX | '01/01/2017 | 12/31/2999 |
| 46601 | 46601 - Anoscopy; diagnostic with high-resolution magnification (HRA) (eg colposcope operating microscope) and chemical agent enhancement including collection of specimen(s) by brushing or washing when performed | 46601 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT | 46601 - DIAGNOSTIC ANOSCOPY | '01/01/2017 | 12/31/2999 |
| 46604 | 46604 - Anoscopy; with dilation (eg balloon guide wire bougie) | 46604 - ANOSCOPY W/DILATION | 46604 - ANOSCOPY AND DILATION | '01/01/2017 | 12/31/2999 |
| 46606 | 46606 - Anoscopy; with biopsy single or multiple | 46606 - ANOSCOPY W/BX SINGLE/MULTIPLE | 46606 - ANOSCOPY AND BIOPSY | '01/01/2017 | 12/31/2999 |
| 46607 | 46607 - Anoscopy; with high-resolution magnification (HRA) (eg colposcope operating microscope) and chemical agent enhancement with biopsy single or multiple | 46607 - ANOSCOPY DX W/HRA &CHEM AGNTS ENHANCEMENT W/BX | 46607 - DIAGNOSTIC ANOSCOPY & BIOPSY | '01/01/2017 | 12/31/2999 |
| 46608 | 46608 - Anoscopy; with removal of foreign body | 46608 - ANOSCOPY W/RMVL FOREIGN BODY | 46608 - ANOSCOPY REMOVE FOR BODY | '01/01/2017 | 12/31/2999 |
| 46610 | 46610 - Anoscopy; with removal of single tumor polyp or other lesion by hot biopsy forceps or bipolar cautery | 46610 - ANOSCOPY W/RMVL LESION CAUTERY | 46610 - ANOSCOPY REMOVE LESION | '01/01/2017 | 12/31/2999 |
| 46611 | 46611 - Anoscopy; with removal of single tumor polyp or other lesion by snare technique | 46611 - ANOSC RMVL 1 TUM POLYP/OTH LES SNARE TQ | 46611 - ANOSCOPY | '01/01/2017 | 12/31/2999 |
| 46612 | 46612 - Anoscopy; with removal of multiple tumors polyps or other lesions by hot biopsy forceps bipolar cautery or snare technique | 46612 - ANOSC RMVL MULT TUMORS CAUTERY/SNARE | 46612 - ANOSCOPY REMOVE LESIONS | '01/01/2017 | 12/31/2999 |
| 46614 | 46614 - Anoscopy; with control of bleeding (eg injection bipolar cautery unipolar cautery laser heater probe stapler plasma coagulator) | 46614 - ANOSCOPY CONTROL BLEEDING | 46614 - ANOSCOPY CONTROL BLEEDING | '01/01/2017 | 12/31/2999 |
| 46615 | 46615 - Anoscopy; with ablation of tumor(s) polyp(s) or other lesion(s) not amenable to removal by hot biopsy forceps bipolar cautery or snare technique | 46615 - ANOSCOPY ABLATION LESION | 46615 - ANOSCOPY | '01/01/2017 | 12/31/2999 |
| 46700 | 46700 - Anoplasty plastic operation for stricture; adult | 46700 - ANOPLASTY PLASTIC OPERATION STRICTURE ADULT | 46700 - REPAIR OF ANAL STRICTURE | '01/01/2017 | 12/31/2999 |
| 46705 | 46705 - Anoplasty plastic operation for stricture; infant | 46705 - ANOPLASTY PLASTIC OPERATION STRICTURE INFANT | 46705 - REPAIR OF ANAL STRICTURE | '01/01/2017 | 12/31/2999 |
| 46706 | 46706 - Repair of anal fistula with fibrin glue | 46706 - REPAIR ANAL FISTULA W/FIBRIN GLUE | 46706 - REPR OF ANAL FISTULA W/GLUE | '01/01/2017 | 12/31/2999 |
| 46707 | 46707 - Repair of anorectal fistula with plug (eg porcine small intestine submucosa [SIS]) | 46707 - REPAIR ANORECTAL FISTULA PLUG | 46707 - REPAIR ANORECTAL FIST W/PLUG | '01/01/2017 | 12/31/2999 |
| 46710 | 46710 - Repair of ileoanal pouch fistula/sinus (eg perineal or vaginal) pouch advancement; transperineal approach | 46710 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT TPRNL APPR | 46710 - REPR PER/VAG POUCH SNGL PROC | '01/01/2017 | 12/31/2999 |
| 46712 | 46712 - Repair of ileoanal pouch fistula/sinus (eg perineal or vaginal) pouch advancement; combined transperineal and transabdominal approach | 46712 - RPR ILEOANAL POUCH FSTL/POUCH ADVMNT CMBN APPR | 46712 - REPR PER/VAG POUCH DBL PROC | '01/01/2017 | 12/31/2999 |
| 46715 | 46715 - Repair of low imperforate anus; with anoperineal fistula (cut-back procedure) | 46715 - RPR LW IMPERFORATE ANUS W/ANOPRNL FSTL CUT-BK | 46715 - REP PERF ANOPER FISTU | '01/01/2017 | 12/31/2999 |
| 46716 | 46716 - Repair of low imperforate anus; with transposition of anoperineal or anovestibular fistula | 46716 - RPR LW IMPERFORATE ANUS W/TRPOS FISTULA | 46716 - REP PERF ANOPER/VESTIB FISTU | '01/01/2017 | 12/31/2999 |
| 46730 | 46730 - Repair of high imperforate anus without fistula; perineal or sacroperineal approach | 46730 - RPR HI IMPRF ANUS W/O FSTL PRNL/SACROPRNL APPR | 46730 - CONSTRUCTION OF ABSENT ANUS | '01/01/2017 | 12/31/2999 |
| 46735 | 46735 - Repair of high imperforate anus without fistula; combined transabdominal and sacroperineal approaches | 46735 - RPR HI IMPRF ANUS W/O FISTULA CMBN APPR | 46735 - CONSTRUCTION OF ABSENT ANUS | '01/01/2017 | 12/31/2999 |
| 46740 | 46740 - Repair of high imperforate anus with rectourethral or rectovaginal fistula; perineal or sacroperineal approach | 46740 - RPR HI IMPRF ANUS W/FSTL PRNL/SACROPRNL APPR | 46740 - CONSTRUCTION OF ABSENT ANUS | '01/01/2017 | 12/31/2999 |
| 46742 | 46742 - Repair of high imperforate anus with rectourethral or rectovaginal fistula; combined transabdominal and sacroperineal approaches | 46742 - RPR HI IMPRF ANUS W/FSTL TABDL & SACROPRNL | 46742 - REPAIR OF IMPERFORATED ANUS | '01/01/2017 | 12/31/2999 |
| 46744 | 46744 - Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty sacroperineal approach | 46744 - RPR CLOACAL ANOMALY SACROPERINEAL | 46744 - REPAIR OF CLOACAL ANOMALY | '01/01/2017 | 12/31/2999 |
| 46746 | 46746 - Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty combined abdominal and sacroperineal approach; | 46746 - RPR CLOACAL ANOMALY CMBN ABDL&SACROPRNL | 46746 - REPAIR OF CLOACAL ANOMALY | '01/01/2017 | 12/31/2999 |
| 46748 | 46748 - Repair of cloacal anomaly by anorectovaginoplasty and urethroplasty combined abdominal and sacroperineal approach; with vaginal lengthening by intestinal graft or pedicle flaps | 46748 - RPR CLOACAL ANOMALY CMBN ABDL & SACROPRNL W/GRF | 46748 - REPAIR OF CLOACAL ANOMALY | '01/01/2017 | 12/31/2999 |
| 46750 | 46750 - Sphincteroplasty anal for incontinence or prolapse; adult | 46750 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE ADULT | 46750 - REPAIR OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 46751 | 46751 - Sphincteroplasty anal for incontinence or prolapse; child | 46751 - SPHNCTROP ANAL INCONTINENCE/PROLAPSE CHLD | 46751 - REPAIR OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 46753 | 46753 - Graft (Thiersch operation) for rectal incontinence and/or prolapse | 46753 - GRAFT THIERSCH RCT INCONTINENCE &/PROLAPSE | 46753 - RECONSTRUCTION OF ANUS | '01/01/2017 | 12/31/2999 |
| 46754 | 46754 - Removal of Thiersch wire or suture anal canal | 46754 - RMVL THIERSCH WIRE/SUTURE ANAL CANAL | 46754 - REMOVAL OF SUTURE FROM ANUS | '01/01/2017 | 12/31/2999 |
| 46760 | 46760 - Sphincteroplasty anal for incontinence adult; muscle transplant | 46760 - SPHINCTEROPLASTY ANAL MUSCLE TRANSPLANT | 46760 - REPAIR OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 46761 | 46761 - Sphincteroplasty anal for incontinence adult; levator muscle imbrication (Park posterior anal repair) | 46761 - SPHNCTROP ANAL LEVATOR MUSC IMBRCJ | 46761 - REPAIR OF ANAL SPHINCTER | '01/01/2017 | 12/31/2999 |
| 46900 | 46900 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; chemical | 46900 - DSTRJ LESION ANUS SIMPLE CHEMICAL | 46900 - DESTRUCTION ANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 46910 | 46910 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; electrodesiccation | 46910 - DSTRJ LESION ANUS SMPL ELTRDSICCATION | 46910 - DESTRUCTION ANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 46916 | 46916 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; cryosurgery | 46916 - DSTRJ LESION ANUS SIMPLE CRYOSURGERY | 46916 - CRYOSURGERY ANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 46917 | 46917 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; laser surgery | 46917 - DSTRJ LESION ANUS SIMPLE LASER SURG | 46917 - LASER SURGERY ANAL LESIONS | '01/01/2017 | 12/31/2999 |
| 46922 | 46922 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; surgical excision | 46922 - DSTRJ LESION ANUS SIMPLE SURG EXCISION | 46922 - EXCISION OF ANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 46924 | 46924 - Destruction of lesion(s) anus (eg condyloma papilloma molluscum contagiosum herpetic vesicle) extensive (eg laser surgery electrosurgery cryosurgery chemosurgery) | 46924 - DSTRJ LESION ANUS EXTENSIVE | 46924 - DESTRUCTION ANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 46930 | 46930 - Destruction of internal hemorrhoid(s) by thermal energy (eg infrared coagulation cautery radiofrequency) | 46930 - DESTRUCTION INTERNAL HEMORRHOID THERMAL ENERGY | 46930 - DESTROY INTERNAL HEMORRHOIDS | '01/01/2017 | 12/31/2999 |
| 46940 | 46940 - Curettage or cautery of anal fissure including dilation of anal sphincter (separate procedure); initial | 46940 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX 1ST | 46940 - TREATMENT OF ANAL FISSURE | '01/01/2017 | 12/31/2999 |
| 46942 | 46942 - Curettage or cautery of anal fissure including dilation of anal sphincter (separate procedure); subsequent | 46942 - CURTG/CAUT ANAL FISSURE W/DILAT SPHNCTR SPX SBSQ | 46942 - TREATMENT OF ANAL FISSURE | '01/01/2017 | 12/31/2999 |
| 46945 | 46945 - Hemorrhoidectomy internal by ligation other than rubber band; single hemorrhoid column/group without imaging guidance | 46945 - INT HRHC BY LIGATION SINGLE HROID W/O IMG GDN | 46945 - INT HRHC LIG 1 HROID W/O IMG | '01/01/2020 | 12/31/2999 |
| 46946 | 46946 - Hemorrhoidectomy internal by ligation other than rubber band; 2 or more hemorrhoid columns/groups without imaging guidance | 46946 - INT HRHC BY LIGATION 2+ HROID W/O IMG GDN | 46946 - INT HRHC LIG 2+HROID W/O IMG | '01/01/2020 | 12/31/2999 |
| 46947 | 46947 - Hemorrhoidopexy (eg for prolapsing internal hemorrhoids) by stapling | 46947 - HEMORRHOIDOPEXY STAPLING | 46947 - HEMORRHOIDOPEXY BY STAPLING | '01/01/2017 | 12/31/2999 |
| 46948 | 46948 - Hemorrhoidectomy internal by transanal hemorrhoidal dearterialization 2 or more hemorrhoid columns/groups including ultrasound guidance with mucopexy when performed | 46948 - INT HRHC TRANSANAL HROID DARTLZJ 2+ W/US GDN | 46948 - INT HRHC TRANAL DARTLZJ 2+ | '01/01/2020 | 12/31/2999 |
| 46999 | 46999 - Unlisted procedure anus | 46999 - UNLISTED PROCEDURE ANUS | 46999 - UNLISTED PROCEDURE ANUS | '01/01/2023 | 12/31/2999 |
| 47000 | 47000 - Biopsy of liver needle; percutaneous | 47000 - BIOPSY LIVER NEEDLE PERCUTANEOUS | 47000 - NEEDLE BIOPSY OF LIVER | '01/01/2017 | 12/31/2999 |
| 47001 | 47001 - Biopsy of liver needle; when done for indicated purpose at time of other major procedure (List separately in addition to code for primary procedure) | 47001 - BX LVR NDL DONE PURPOSE TM OTH MAJOR PX | 47001 - NEEDLE BIOPSY LIVER ADD-ON | '01/01/2017 | 12/31/2999 |
| 47010 | 47010 - Hepatotomy for open drainage of abscess or cyst 1 or 2 stages | 47010 - HEPATOTOMY OPEN DRAINAGE ABSCESS/CYST 1/2 STAGES | 47010 - OPEN DRAINAGE LIVER LESION | '01/01/2017 | 12/31/2999 |
| 47015 | 47015 - Laparotomy with aspiration and/or injection of hepatic parasitic (eg amoebic or echinococcal) cyst(s) or abscess(es) | 47015 - LAPT W/ASPIR &/NJX HEPATC PARASITIC CYST/ABSCESS | 47015 - INJECT/ASPIRATE LIVER CYST | '01/01/2017 | 12/31/2999 |
| 47100 | 47100 - Biopsy of liver wedge | 47100 - BIOPSY LIVER WEDGE | 47100 - WEDGE BIOPSY OF LIVER | '01/01/2017 | 12/31/2999 |
| 47120 | 47120 - Hepatectomy resection of liver; partial lobectomy | 47120 - HEPATECTOMY RESCJ PARTIAL LOBECTOMY | 47120 - PARTIAL REMOVAL OF LIVER | '01/01/2017 | 12/31/2999 |
| 47122 | 47122 - Hepatectomy resection of liver; trisegmentectomy | 47122 - HEPATECTOMY RESCJ TRISEGMENTECTOMY | 47122 - EXTENSIVE REMOVAL OF LIVER | '01/01/2017 | 12/31/2999 |
| 47125 | 47125 - Hepatectomy resection of liver; total left lobectomy | 47125 - HEPATECTOMY RESCJ TOTAL LEFT LOBECTOMY | 47125 - PARTIAL REMOVAL OF LIVER | '01/01/2017 | 12/31/2999 |
| 47130 | 47130 - Hepatectomy resection of liver; total right lobectomy | 47130 - HEPATECTOMY RESCJ TOTAL RIGHT LOBECTOMY | 47130 - PARTIAL REMOVAL OF LIVER | '01/01/2017 | 12/31/2999 |
| 47133 | 47133 - Donor hepatectomy (including cold preservation) from cadaver donor | 47133 - DONOR HEPATECTOMY CADAVER DONOR | 47133 - REMOVAL OF DONOR LIVER | '01/01/2017 | 12/31/2999 |
| 47135 | 47135 - Liver allotransplantation orthotopic partial or whole from cadaver or living donor any age | 47135 - LVR ALTRNSPLJ ORTHOTOPIC PRTL/WHL DON ANY AGE | 47135 - TRANSPLANTATION OF LIVER | '01/01/2017 | 12/31/2999 |
| 47140 | 47140 - Donor hepatectomy (including cold preservation) from living donor; left lateral segment only (segments II and III) | 47140 - DONOR HEPATECTOMY LIVING DONOR SEG II & III | 47140 - PARTIAL REMOVAL DONOR LIVER | '01/01/2017 | 12/31/2999 |
| 47141 | 47141 - Donor hepatectomy (including cold preservation) from living donor; total left lobectomy (segments II III and IV) | 47141 - DONOR HEPATECTOMY LIVING DONOR SEG II III & IV | 47141 - PARTIAL REMOVAL DONOR LIVER | '01/01/2017 | 12/31/2999 |
| 47142 | 47142 - Donor hepatectomy (including cold preservation) from living donor; total right lobectomy (segments V VI VII and VIII) | 47142 - DONOR HEPATECTOMY LIVING DONOR SEG V VI VII &VI | 47142 - PARTIAL REMOVAL DONOR LIVER | '01/01/2017 | 12/31/2999 |
| 47143 | 47143 - Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation including cholecystectomy if necessary and dissection and removal of surrounding soft tissues to prepare the vena cava portal vein hepatic artery and common bile duct for implantation; without trisegment or lobe split | 47143 - BKBENCH PREP CADAVER DONOR | 47143 - PREP DONOR LIVER WHOLE | '01/01/2017 | 12/31/2999 |
| 47144 | 47144 - Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation including cholecystectomy if necessary and dissection and removal of surrounding soft tissues to prepare the vena cava portal vein hepatic artery and common bile duct for implantation; with trisegment split of whole liver graft into 2 partial liver grafts (ie left lateral segment [segments II and III] and right trisegment [segments I and IV through VIII]) | 47144 - BKBENCH PREPJ CADAVER WHOLE LIVER GRF I&IV VII | 47144 - PREP DONOR LIVER 3-SEGMENT | '01/01/2017 | 12/31/2999 |
| 47145 | 47145 - Backbench standard preparation of cadaver donor whole liver graft prior to allotransplantation including cholecystectomy if necessary and dissection and removal of surrounding soft tissues to prepare the vena cava portal vein hepatic artery and common bile duct for implantation; with lobe split of whole liver graft into 2 partial liver grafts (ie left lobe [segments II III and IV] and right lobe [segments I and V through VIII]) | 47145 - BKBENCH PREPJ CADAVER DONOR WHL LVR GRF I&V VI | 47145 - PREP DONOR LIVER LOBE SPLIT | '01/01/2017 | 12/31/2999 |
| 47146 | 47146 - Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; venous anastomosis each | 47146 - BKBENCH RCNSTJ LVR GRF VENOUS ANAST EA | 47146 - PREP DONOR LIVER/VENOUS | '01/01/2017 | 12/31/2999 |
| 47147 | 47147 - Backbench reconstruction of cadaver or living donor liver graft prior to allotransplantation; arterial anastomosis each | 47147 - BKBENCH RCNSTJ LVR GRF ARTL ANAST EA | 47147 - PREP DONOR LIVER/ARTERIAL | '01/01/2017 | 12/31/2999 |
| 47300 | 47300 - Marsupialization of cyst or abscess of liver | 47300 - MARSUPIALIZATION CST/ABSC LVR | 47300 - SURGERY FOR LIVER LESION | '01/01/2017 | 12/31/2999 |
| 47350 | 47350 - Management of liver hemorrhage; simple suture of liver wound or injury | 47350 - MGMT LVR HEMRRG SMPL SUTR LVR WND/INJ | 47350 - REPAIR LIVER WOUND | '01/01/2017 | 12/31/2999 |
| 47360 | 47360 - Management of liver hemorrhage; complex suture of liver wound or injury with or without hepatic artery ligation | 47360 - MGMT LVR HEMRRG CPLX SUTR WND/INJ | 47360 - REPAIR LIVER WOUND | '01/01/2017 | 12/31/2999 |
| 47361 | 47361 - Management of liver hemorrhage; exploration of hepatic wound extensive debridement coagulation and/or suture with or without packing of liver | 47361 - MGMT LVR HEMRRG EXPL WND DBRDMT COAGJ/SUTR | 47361 - REPAIR LIVER WOUND | '01/01/2017 | 12/31/2999 |
| 47362 | 47362 - Management of liver hemorrhage; re-exploration of hepatic wound for removal of packing | 47362 - MGMT LVR HEMRRG RE-EXPL WND RMVL PACKING | 47362 - REPAIR LIVER WOUND | '01/01/2017 | 12/31/2999 |
| 47370 | 47370 - Laparoscopy surgical ablation of 1 or more liver tumor(s); radiofrequency | 47370 - LAPS SURG ABLTJ 1/> LVR TUM RF | 47370 - LAPARO ABLATE LIVER TUMOR RF | '01/01/2017 | 12/31/2999 |
| 47371 | 47371 - Laparoscopy surgical ablation of 1 or more liver tumor(s); cryosurgical | 47371 - LAPS SURG ABLTJ 1 > LVR TUM CRYOSURG | 47371 - LAPARO ABLATE LIVER CRYOSURG | '01/01/2017 | 12/31/2999 |
| 47379 | 47379 - Unlisted laparoscopic procedure liver | 47379 - UNLISTED LAPAROSCOPIC PROCEDURE LIVER | 47379 - UNLISTED LAPS PX LIVER | '01/01/2023 | 12/31/2999 |
| 47380 | 47380 - Ablation open of 1 or more liver tumor(s); radiofrequency | 47380 - ABLTJ OPN 1/> LVR TUM RF | 47380 - OPEN ABLATE LIVER TUMOR RF | '01/01/2017 | 12/31/2999 |
| 47381 | 47381 - Ablation open of 1 or more liver tumor(s); cryosurgical | 47381 - ABLTJ OPN 1/> LVR TUM CRYOSURG | 47381 - OPEN ABLATE LIVER TUMOR CRYO | '01/01/2017 | 12/31/2999 |
| 47382 | 47382 - Ablation 1 or more liver tumor(s) percutaneous radiofrequency | 47382 - ABLTJ 1/> LVR TUM PRQ RF | 47382 - PERCUT ABLATE LIVER RF | '01/01/2017 | 12/31/2999 |
| 47383 | 47383 - Ablation 1 or more liver tumor(s) percutaneous cryoablation | 47383 - ABLATION 1/> LIVER TUMOR PERQ CRYOABLATION | 47383 - PERQ ABLTJ LVR CRYOABLATION | '01/01/2017 | 12/31/2999 |
| 47399 | 47399 - Unlisted procedure liver | 47399 - UNLISTED PROCEDURE LIVER | 47399 - UNLISTED PROCEDURE LIVER | '01/01/2023 | 12/31/2999 |
| 47400 | 47400 - Hepaticotomy or hepaticostomy with exploration drainage or removal of calculus | 47400 - HEPATCOTOMY/HEPATCOSTOMY W/EXPL DRG/RMVL ST1 | 47400 - INCISION OF LIVER DUCT | '01/01/2017 | 12/31/2999 |
| 47420 | 47420 - Choledochotomy or choledochostomy with exploration drainage or removal of calculus with or without cholecystotomy; without transduodenal sphincterotomy or sphincteroplasty | 47420 - CHOLEDOCHOT/OST W/O SPHNCTROTOMY/SPHNCTROP | 47420 - INCISION OF BILE DUCT | '01/01/2017 | 12/31/2999 |
| 47425 | 47425 - Choledochotomy or choledochostomy with exploration drainage or removal of calculus with or without cholecystotomy; with transduodenal sphincterotomy or sphincteroplasty | 47425 - CHOLEDOCHOT/OST W/SPHNCTROTOMY/SPHNCTROP | 47425 - INCISION OF BILE DUCT | '01/01/2017 | 12/31/2999 |
| 47460 | 47460 - Transduodenal sphincterotomy or sphincteroplasty with or without transduodenal extraction of calculus (separate procedure) | 47460 - TRANSDUOL SPHINCTEROT/PLASTY W/WO RMVL CALCULUS | 47460 - INCISE BILE DUCT SPHINCTER | '01/01/2017 | 12/31/2999 |
| 47480 | 47480 - Cholecystotomy or cholecystostomy open with exploration drainage or removal of calculus (separate procedure) | 47480 - CHOLECSTOT/CHOLECSTOST W/EXPL DRG/RMVL ST1 SPX | 47480 - INCISION OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47490 | 47490 - Cholecystostomy percutaneous complete procedure including imaging guidance catheter placement cholecystogram when performed and radiological supervision and interpretation | 47490 - CHOLECYSTOSTOMY PRQ W/IMAGING & CATHETER PLMT | 47490 - INCISION OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47531 | 47531 - Injection procedure for cholangiography percutaneous complete diagnostic procedure including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; existing access | 47531 - NJX CHOLANGIO PRQ W/IMG GID RS&I EXISTING ACCESS | 47531 - INJECTION FOR CHOLANGIOGRAM | '01/01/2017 | 12/31/2999 |
| 47532 | 47532 - Injection procedure for cholangiography percutaneous complete diagnostic procedure including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access (eg percutaneous transhepatic cholangiogram) | 47532 - NJX CHOLANGIO PRQ W/IMG GID RS&I NEW ACCESS | 47532 - INJECTION FOR CHOLANGIOGRAM | '01/01/2017 | 12/31/2999 |
| 47533 | 47533 - Placement of biliary drainage catheter percutaneous including diagnostic cholangiography when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; external | 47533 - PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I EXTERNL | 47533 - PLMT BILIARY DRAINAGE CATH | '01/01/2017 | 12/31/2999 |
| 47534 | 47534 - Placement of biliary drainage catheter percutaneous including diagnostic cholangiography when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; internal-external | 47534 - PRQ PLMT BILIARY DRG CATH W/IMG GID RS&I INT-EXT | 47534 - PLMT BILIARY DRAINAGE CATH | '01/01/2017 | 12/31/2999 |
| 47535 | 47535 - Conversion of external biliary drainage catheter to internal-external biliary drainage catheter percutaneous including diagnostic cholangiography when performed imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation | 47535 - CONV EXT BIL DRG CATH TO INT-EXT BIL DRG CATH | 47535 - CONVERSION EXT BIL DRG CATH | '01/01/2017 | 12/31/2999 |
| 47536 | 47536 - Exchange of biliary drainage catheter (eg external internal-external or conversion of internal-external to external only) percutaneous including diagnostic cholangiography when performed imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation | 47536 - EXCHANGE BILIARY DRG CATHETER PRQ W/IMG GID RS&I | 47536 - EXCHANGE BILIARY DRG CATH | '01/01/2017 | 12/31/2999 |
| 47537 | 47537 - Removal of biliary drainage catheter percutaneous requiring fluoroscopic guidance (eg with concurrent indwelling biliary stents) including diagnostic cholangiography when performed imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation | 47537 - REMOVAL BILIARY DRG CATHETER REQ FLUOR GID RS&I | 47537 - REMOVAL BILIARY DRG CATH | '01/01/2017 | 12/31/2999 |
| 47538 | 47538 - Placement of stent(s) into a bile duct percutaneous including diagnostic cholangiography imaging guidance (eg fluoroscopy and/or ultrasound) balloon dilation catheter exchange(s) and catheter removal(s) when performed and all associated radiological supervision and interpretation; existing access | 47538 - PLMT BILE DUCT STENT PRQ EXISTING ACCESS | 47538 - PERQ PLMT BILE DUCT STENT | '01/01/2017 | 12/31/2999 |
| 47539 | 47539 - Placement of stent(s) into a bile duct percutaneous including diagnostic cholangiography imaging guidance (eg fluoroscopy and/or ultrasound) balloon dilation catheter exchange(s) and catheter removal(s) when performed and all associated radiological supervision and interpretation; new access without placement of separate biliary drainage catheter | 47539 - PLMT BILE DUCT STENT PRQ NEW ACCESS W/O SEP CATH | 47539 - PERQ PLMT BILE DUCT STENT | '01/01/2017 | 12/31/2999 |
| 47540 | 47540 - Placement of stent(s) into a bile duct percutaneous including diagnostic cholangiography imaging guidance (eg fluoroscopy and/or ultrasound) balloon dilation catheter exchange(s) and catheter removal(s) when performed and all associated radiological supervision and interpretation; new access with placement of separate biliary drainage catheter (eg external or internal-external) | 47540 - PLMT BILE DUCT STENT PRQ NEW ACCESS W/SEP CATH | 47540 - PERQ PLMT BILE DUCT STENT | '01/01/2017 | 12/31/2999 |
| 47541 | 47541 - Placement of access through the biliary tree and into small bowel to assist with an endoscopic biliary procedure (eg rendezvous procedure) percutaneous including diagnostic cholangiography when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation new access | 47541 - PLMT ACCESS THRU BILIARY TREE INTO SMALL BWL NEW | 47541 - PLMT ACCESS BIL TREE SM BWL | '01/01/2017 | 12/31/2999 |
| 47542 | 47542 - Balloon dilation of biliary duct(s) or of ampulla (sphincteroplasty) percutaneous including imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation each duct (List separately in addition to code for primary procedure) | 47542 - BALLOON DILAT BILIARY DUCT/AMPULLA PRQ EACH DUCT | 47542 - DILATE BILIARY DUCT/AMPULLA | '01/01/2017 | 12/31/2999 |
| 47543 | 47543 - Endoluminal biopsy(ies) of biliary tree percutaneous any method(s) (eg brush forceps and/or needle) including imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation single or multiple (List separately in addition to code for primary procedure) | 47543 - ENDOLUMINAL BX BILIARY TREE PRQ ANY METH 1/MLT | 47543 - ENDOLUMINAL BX BILIARY TREE | '01/01/2017 | 12/31/2999 |
| 47544 | 47544 - Removal of calculi/debris from biliary duct(s) and/or gallbladder percutaneous including destruction of calculi by any method (eg mechanical electrohydraulic lithotripsy) when performed imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure) | 47544 - REMOVAL BILIARY DUCT &/GLBLDR CALCULI PERQ RS&I | 47544 - REMOVAL DUCT GLBLDR CALCULI | '01/01/2017 | 12/31/2999 |
| 47550 | 47550 - Biliary endoscopy intraoperative (choledochoscopy) (List separately in addition to code for primary procedure) | 47550 - BILIARY NDSC INTRAOPERATIVE | 47550 - BILE DUCT ENDOSCOPY ADD-ON | '01/01/2017 | 12/31/2999 |
| 47552 | 47552 - Biliary endoscopy percutaneous via T-tube or other tract; diagnostic with collection of specimen(s) by brushing and/or washing when performed (separate procedure) | 47552 - BILIARY ENDO PRQ T-TUBE DX W/COLLECT SPEC BRUSH | 47552 - BILIARY ENDO PERQ DX W/SPECI | '01/01/2017 | 12/31/2999 |
| 47553 | 47553 - Biliary endoscopy percutaneous via T-tube or other tract; with biopsy single or multiple | 47553 - BILIARY NDSC PRQ T-TUBE W/BX SINGLE/MULTIPLE | 47553 - BILIARY ENDOSCOPY THRU SKIN | '01/01/2017 | 12/31/2999 |
| 47554 | 47554 - Biliary endoscopy percutaneous via T-tube or other tract; with removal of calculus/calculi | 47554 - BILIARY ENDOSCOPY PRQ VIA T-TUBE W/RMVL CALCULUS | 47554 - BILIARY ENDOSCOPY THRU SKIN | '01/01/2017 | 12/31/2999 |
| 47555 | 47555 - Biliary endoscopy percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) without stent | 47555 - BILIARY NDSC PRQ T-TUBE W/DIL DUCT W/O STENT | 47555 - BILIARY ENDOSCOPY THRU SKIN | '01/01/2017 | 12/31/2999 |
| 47556 | 47556 - Biliary endoscopy percutaneous via T-tube or other tract; with dilation of biliary duct stricture(s) with stent | 47556 - BILIARY NDSC PRQ T-TUBE DILAT STRIX W/STENT | 47556 - BILIARY ENDOSCOPY THRU SKIN | '01/01/2017 | 12/31/2999 |
| 47562 | 47562 - Laparoscopy surgical; cholecystectomy | 47562 - LAPAROSCOPY SURG CHOLECYSTECTOMY | 47562 - LAPAROSCOPIC CHOLECYSTECTOMY | '01/01/2017 | 12/31/2999 |
| 47563 | 47563 - Laparoscopy surgical; cholecystectomy with cholangiography | 47563 - LAPS SURG CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | 47563 - LAPARO CHOLECYSTECTOMY/GRAPH | '01/01/2017 | 12/31/2999 |
| 47564 | 47564 - Laparoscopy surgical; cholecystectomy with exploration of common duct | 47564 - LAPS SURG CHOLECSTC W/EXPL COMMON DUCT | 47564 - LAPARO CHOLECYSTECTOMY/EXPLR | '01/01/2017 | 12/31/2999 |
| 47570 | 47570 - Laparoscopy surgical; cholecystoenterostomy | 47570 - LAPAROSCOPY SURG CHOLECYSTOENETEROSTOMY | 47570 - LAPARO CHOLECYSTOENTEROSTOMY | '01/01/2017 | 12/31/2999 |
| 47579 | 47579 - Unlisted laparoscopy procedure biliary tract | 47579 - UNLISTED LAPAROSCOPY PROCEDURE BILIARY TRACT | 47579 - UNLISTED LAPS PX BILIARY TRC | '01/01/2023 | 12/31/2999 |
| 47600 | 47600 - Cholecystectomy; | 47600 - CHOLECYSTECTOMY | 47600 - REMOVAL OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47605 | 47605 - Cholecystectomy; with cholangiography | 47605 - CHOLECYSTECTOMY W/CHOLANGIOGRAPHY | 47605 - REMOVAL OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47610 | 47610 - Cholecystectomy with exploration of common duct; | 47610 - CHOLECYSTECTOMY W/EXPLORATION COMMON DUCT | 47610 - REMOVAL OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47612 | 47612 - Cholecystectomy with exploration of common duct; with choledochoenterostomy | 47612 - CHOLECYSTECTOMY EXPL DUCT CHOLEDOCHOENTEROSTOMY | 47612 - REMOVAL OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47620 | 47620 - Cholecystectomy with exploration of common duct; with transduodenal sphincterotomy or sphincteroplasty with or without cholangiography | 47620 - CHOLECSTC EXPL DUX SPHNCTROTOMY/SPHNCTROP | 47620 - REMOVAL OF GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 47700 | 47700 - Exploration for congenital atresia of bile ducts without repair with or without liver biopsy with or without cholangiography | 47700 - EXPL CONGENITAL ATRESIA BILE DUCTS | 47700 - EXPLORATION OF BILE DUCTS | '01/01/2017 | 12/31/2999 |
| 47701 | 47701 - Portoenterostomy (eg Kasai procedure) | 47701 - PORTOENETEROSTOMY | 47701 - BILE DUCT REVISION | '01/01/2017 | 12/31/2999 |
| 47711 | 47711 - Excision of bile duct tumor with or without primary repair of bile duct; extrahepatic | 47711 - EXC BILE DUX TUM W/WO PRIM RPR XTRHEPATC | 47711 - EXCISION OF BILE DUCT TUMOR | '01/01/2017 | 12/31/2999 |
| 47712 | 47712 - Excision of bile duct tumor with or without primary repair of bile duct; intrahepatic | 47712 - EXC BILE DUX TUM W/WO PRIM RPR INTRAHEPATC | 47712 - EXCISION OF BILE DUCT TUMOR | '01/01/2017 | 12/31/2999 |
| 47715 | 47715 - Excision of choledochal cyst | 47715 - EXCISION CHOLEDOCHAL CYST | 47715 - EXCISION OF BILE DUCT CYST | '01/01/2017 | 12/31/2999 |
| 47720 | 47720 - Cholecystoenterostomy; direct | 47720 - CHOLECYSTOENTEROSTOMY DIRECT | 47720 - FUSE GALLBLADDER & BOWEL | '01/01/2017 | 12/31/2999 |
| 47721 | 47721 - Cholecystoenterostomy; with gastroenterostomy | 47721 - CHOLECYSTOENTEROSTOMY W/GASTROENTEROSTOMY | 47721 - FUSE UPPER GI STRUCTURES | '01/01/2017 | 12/31/2999 |
| 47740 | 47740 - Cholecystoenterostomy; Roux-en-Y | 47740 - CHOLECYSTOENTEROSTOMY ROUX-EN-Y | 47740 - FUSE GALLBLADDER & BOWEL | '01/01/2017 | 12/31/2999 |
| 47741 | 47741 - Cholecystoenterostomy; Roux-en-Y with gastroenterostomy | 47741 - CHOLECSTONTRSTM ROUX-EN-Y W/GASTRONTRSTM | 47741 - FUSE GALLBLADDER & BOWEL | '01/01/2017 | 12/31/2999 |
| 47760 | 47760 - Anastomosis of extrahepatic biliary ducts and gastrointestinal tract | 47760 - ANAST XTRHEPATC BILIARY DUCTS & GI TRACT | 47760 - FUSE BILE DUCTS AND BOWEL | '01/01/2017 | 12/31/2999 |
| 47765 | 47765 - Anastomosis of intrahepatic ducts and gastrointestinal tract | 47765 - ANAST INTRAHEPATC DUCTS & GI TRACT | 47765 - FUSE LIVER DUCTS & BOWEL | '01/01/2017 | 12/31/2999 |
| 47780 | 47780 - Anastomosis Roux-en-Y of extrahepatic biliary ducts and gastrointestinal tract | 47780 - ANAST ROUX-EN-Y XTRHEPATC BILIARY DUCTS & GI | 47780 - FUSE BILE DUCTS AND BOWEL | '01/01/2017 | 12/31/2999 |
| 47785 | 47785 - Anastomosis Roux-en-Y of intrahepatic biliary ducts and gastrointestinal tract | 47785 - ANAST ROUX-EN-Y INTRAHEPATC BILIARY DUCTS & GI | 47785 - FUSE BILE DUCTS AND BOWEL | '01/01/2017 | 12/31/2999 |
| 47800 | 47800 - Reconstruction plastic of extrahepatic biliary ducts with end-to-end anastomosis | 47800 - RCNSTJ PLSTC BILIARY DUCTS W/END-TO-END ANAST | 47800 - RECONSTRUCTION OF BILE DUCTS | '01/01/2017 | 12/31/2999 |
| 47801 | 47801 - Placement of choledochal stent | 47801 - PLACEMENT CHOLEDOCHAL STENT | 47801 - PLACEMENT BILE DUCT SUPPORT | '01/01/2017 | 12/31/2999 |
| 47802 | 47802 - U-tube hepaticoenterostomy | 47802 - U-TUBE HEPATICOENTEROSTOMY | 47802 - FUSE LIVER DUCT & INTESTINE | '01/01/2017 | 12/31/2999 |
| 47900 | 47900 - Suture of extrahepatic biliary duct for pre-existing injury (separate procedure) | 47900 - SUTURE EXTRAHEPATIC BILE DUCT PRE-EXIST INJURY | 47900 - SUTURE BILE DUCT INJURY | '01/01/2017 | 12/31/2999 |
| 47999 | 47999 - Unlisted procedure biliary tract | 47999 - UNLISTED PROCEDURE BILIARY TRACT | 47999 - UNLISTED PX BILIARY TRACT | '01/01/2023 | 12/31/2999 |
| 48000 | 48000 - Placement of drains peripancreatic for acute pancreatitis; | 48000 - PLACE DRAIN PERIPANCREATIC ACUTE PANCREATITIS | 48000 - DRAINAGE OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 48001 | 48001 - Placement of drains peripancreatic for acute pancreatitis; with cholecystostomy gastrostomy and jejunostomy | 48001 - PLACE DRAIN PERIPANCREATIC W/CHOLECYSTOSTOMY | 48001 - PLACEMENT OF DRAIN PANCREAS | '01/01/2017 | 12/31/2999 |
| 48020 | 48020 - Removal of pancreatic calculus | 48020 - REMOVAL PANCREATIC CALCULUS | 48020 - REMOVAL OF PANCREATIC STONE | '01/01/2017 | 12/31/2999 |
| 48100 | 48100 - Biopsy of pancreas open (eg fine needle aspiration needle core biopsy wedge biopsy) | 48100 - BIOPSY PANCREAS OPEN | 48100 - BIOPSY OF PANCREAS OPEN | '01/01/2017 | 12/31/2999 |
| 48102 | 48102 - Biopsy of pancreas percutaneous needle | 48102 - BIOPSY PANCREA PERCUTANEOUS NEEDLE | 48102 - NEEDLE BIOPSY PANCREAS | '01/01/2017 | 12/31/2999 |
| 48105 | 48105 - Resection or debridement of pancreas and peripancreatic tissue for acute necrotizing pancreatitis | 48105 - RESECJ/DBRDMT PANCREAS NECROTIZING PANCREATITIS | 48105 - RESECT/DEBRIDE PANCREAS | '01/01/2017 | 12/31/2999 |
| 48120 | 48120 - Excision of lesion of pancreas (eg cyst adenoma) | 48120 - EXCISION LESION PANCREAS | 48120 - REMOVAL OF PANCREAS LESION | '01/01/2017 | 12/31/2999 |
| 48140 | 48140 - Pancreatectomy distal subtotal with or without splenectomy; without pancreaticojejunostomy | 48140 - PNCRTECT DSTL STOT W/O PNCRTCOJEJUNOSTOMY | 48140 - PARTIAL REMOVAL OF PANCREAS | '01/01/2017 | 12/31/2999 |
| 48145 | 48145 - Pancreatectomy distal subtotal with or without splenectomy; with pancreaticojejunostomy | 48145 - PNCRTECT DSTL STOT W/PNCRTCOJEJUNOSTOMY | 48145 - PARTIAL REMOVAL OF PANCREAS | '01/01/2017 | 12/31/2999 |
| 48146 | 48146 - Pancreatectomy distal near-total with preservation of duodenum (Child-type procedure) | 48146 - PNCRTECT DSTL NR-TOT W/PRSRV DUO CHLD-TYP PX | 48146 - PANCREATECTOMY | '01/01/2017 | 12/31/2999 |
| 48148 | 48148 - Excision of ampulla of Vater | 48148 - EXCISION AMPULLA VATER | 48148 - REMOVAL OF PANCREATIC DUCT | '01/01/2017 | 12/31/2999 |
| 48150 | 48150 - Pancreatectomy proximal subtotal with total duodenectomy partial gastrectomy choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); with pancreatojejunostomy | 48150 - PNCRTECT PROX STOT W/PANCREATOJEJUNOSTOMY | 48150 - PARTIAL REMOVAL OF PANCREAS | '01/01/2017 | 12/31/2999 |
| 48152 | 48152 - Pancreatectomy proximal subtotal with total duodenectomy partial gastrectomy choledochoenterostomy and gastrojejunostomy (Whipple-type procedure); without pancreatojejunostomy | 48152 - PNCRTECT WHIPPLE W/O PANCREATOJEJUNOSTOMY | 48152 - PANCREATECTOMY | '01/01/2017 | 12/31/2999 |
| 48153 | 48153 - Pancreatectomy proximal subtotal with near-total duodenectomy choledochoenterostomy and duodenojejunostomy (pylorus-sparing Whipple-type procedure); with pancreatojejunostomy | 48153 - PNCRTECT W/PANCREATOJEJUNOSTOMY | 48153 - PANCREATECTOMY | '01/01/2017 | 12/31/2999 |
| 48154 | 48154 - Pancreatectomy proximal subtotal with near-total duodenectomy choledochoenterostomy and duodenojejunostomy (pylorus-sparing Whipple-type procedure); without pancreatojejunostomy | 48154 - PNCRTECT PROX STOT W/O PANCREATOJEJUNOSTOMY | 48154 - PANCREATECTOMY | '01/01/2017 | 12/31/2999 |
| 48155 | 48155 - Pancreatectomy total | 48155 - PANCREATECTOMY TOTAL | 48155 - REMOVAL OF PANCREAS | '01/01/2017 | 12/31/2999 |
| 48160 | 48160 - Pancreatectomy total or subtotal with autologous transplantation of pancreas or pancreatic islet cells | 48160 - PANCREATECTOMY W/TRNSPLJ PANCREAS/ISLET CELLS | 48160 - PANCREAS REMOVAL/TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 48400 | 48400 - Injection procedure for intraoperative pancreatography (List separately in addition to code for primary procedure) | 48400 - INJECTION INTRAOPERATIVE PANCREATOGRAPHY | 48400 - INJECTION INTRAOP ADD-ON | '01/01/2017 | 12/31/2999 |
| 48500 | 48500 - Marsupialization of pancreatic cyst | 48500 - MARSUPIALIZATION PANCREATIC CYST | 48500 - SURGERY OF PANCREATIC CYST | '01/01/2017 | 12/31/2999 |
| 48510 | 48510 - External drainage pseudocyst of pancreas open | 48510 - EXTERNAL DRAINAGE PSEUDOCYST OF PANCREAS OPEN | 48510 - DRAIN PANCREATIC PSEUDOCYST | '01/01/2017 | 12/31/2999 |
| 48520 | 48520 - Internal anastomosis of pancreatic cyst to gastrointestinal tract; direct | 48520 - INT ANAST PANCREATIC CYST GI TRACT DIRECT | 48520 - FUSE PANCREAS CYST AND BOWEL | '01/01/2017 | 12/31/2999 |
| 48540 | 48540 - Internal anastomosis of pancreatic cyst to gastrointestinal tract; Roux-en-Y | 48540 - INT ANAST PANCREATIC CYST GI TRACT ROUX-EN-Y | 48540 - FUSE PANCREAS CYST AND BOWEL | '01/01/2017 | 12/31/2999 |
| 48545 | 48545 - Pancreatorrhaphy for injury | 48545 - PANCREATORRHAPHY INJURY | 48545 - PANCREATORRHAPHY | '01/01/2017 | 12/31/2999 |
| 48547 | 48547 - Duodenal exclusion with gastrojejunostomy for pancreatic injury | 48547 - DUOL EXCLUSION W/GASTROJEJUNOSTOMY PNCRTC INJ | 48547 - DUODENAL EXCLUSION | '01/01/2017 | 12/31/2999 |
| 48548 | 48548 - Pancreaticojejunostomy side-to-side anastomosis (Puestow-type operation) | 48548 - PANCREATICOJEJUNOSTOMY SIDE-TO-SIDE ANAST | 48548 - FUSE PANCREAS AND BOWEL | '01/01/2017 | 12/31/2999 |
| 48550 | 48550 - Donor pancreatectomy (including cold preservation) with or without duodenal segment for transplantation | 48550 - DONOR PANCREATECTOMY DUODENAL SGM TRANSPLANT | 48550 - DONOR PANCREATECTOMY | '01/01/2017 | 12/31/2999 |
| 48551 | 48551 - Backbench standard preparation of cadaver donor pancreas allograft prior to transplantation including dissection of allograft from surrounding soft tissues splenectomy duodenotomy ligation of bile duct ligation of mesenteric vessels and Y-graft arterial anastomoses from iliac artery to superior mesenteric artery and to splenic artery | 48551 - BKBENCH PREPJ CADAVER DONOR PANCREAS ALLOGRAFT | 48551 - PREP DONOR PANCREAS | '01/01/2017 | 12/31/2999 |
| 48552 | 48552 - Backbench reconstruction of cadaver donor pancreas allograft prior to transplantation venous anastomosis each | 48552 - BKBENCH RCNSTJ CDVR PNCRS ALGRFT VEN ANAST EA | 48552 - PREP DONOR PANCREAS/VENOUS | '01/01/2017 | 12/31/2999 |
| 48554 | 48554 - Transplantation of pancreatic allograft | 48554 - TRANSPLANTATION PANCREATIC ALLOGRAFT | 48554 - TRANSPL ALLOGRAFT PANCREAS | '01/01/2017 | 12/31/2999 |
| 48556 | 48556 - Removal of transplanted pancreatic allograft | 48556 - RMVL TRANSPLANTED PANCREATIC ALLOGRAFT | 48556 - REMOVAL ALLOGRAFT PANCREAS | '01/01/2017 | 12/31/2999 |
| 48999 | 48999 - Unlisted procedure pancreas | 48999 - UNLISTED PROCEDURE PANCREAS | 48999 - UNLISTED PROCEDURE PANCREAS | '01/01/2023 | 12/31/2999 |
| 49000 | 49000 - Exploratory laparotomy exploratory celiotomy with or without biopsy(s) (separate procedure) | 49000 - EXPLORATORY LAPAROTOMY CELIOTOMY W/WO BIOPSY SPX | 49000 - EXPLORATION OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 49002 | 49002 - Reopening of recent laparotomy | 49002 - REOPENING RECENT LAPAROTOMY | 49002 - REOPENING OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 49010 | 49010 - Exploration retroperitoneal area with or without biopsy(s) (separate procedure) | 49010 - EXPL RETROPERITONEUM W/WO BX SPX | 49010 - EXPLORATION BEHIND ABDOMEN | '01/01/2017 | 12/31/2999 |
| 49013 | 49013 - Preperitoneal pelvic packing for hemorrhage associated with pelvic trauma including local exploration | 49013 - PREPERITONEAL PEL PACK F/HEMRRG ASSOC PEL TRMA | 49013 - PRPERTL PEL PACK HEMRRG TRMA | '01/01/2020 | 12/31/2999 |
| 49014 | 49014 - Re-exploration of pelvic wound with removal of preperitoneal pelvic packing including repacking when performed | 49014 - REEXPL PEL WND W/RMVL PREPERITONEAL PEL PACKING | 49014 - REEXPLORATION PELVIC WOUND | '01/01/2020 | 12/31/2999 |
| 49020 | 49020 - Drainage of peritoneal abscess or localized peritonitis exclusive of appendiceal abscess open | 49020 - DRAINAGE PERITON ABSCESS/LOCAL PERITONITIS OPEN | 49020 - DRAINAGE ABDOM ABSCESS OPEN | '01/01/2017 | 12/31/2999 |
| 49040 | 49040 - Drainage of subdiaphragmatic or subphrenic abscess open | 49040 - DRAINAGE SUBDIAPHRAGMATIC/SUBPHREN ABSCESS OPEN | 49040 - DRAIN OPEN ABDOM ABSCESS | '01/01/2017 | 12/31/2999 |
| 49060 | 49060 - Drainage of retroperitoneal abscess open | 49060 - DRAINAGE OF RETROPERITONEAL ABSCESS OPEN | 49060 - DRAIN OPEN RETROPERI ABSCESS | '01/01/2017 | 12/31/2999 |
| 49062 | 49062 - Drainage of extraperitoneal lymphocele to peritoneal cavity open | 49062 - DRG XTRAPERITONEAL LYMPHOCELE PERITON CAVITY OPN | 49062 - DRAIN TO PERITONEAL CAVITY | '01/01/2017 | 12/31/2999 |
| 49082 | 49082 - Abdominal paracentesis (diagnostic or therapeutic); without imaging guidance | 49082 - ABDOM PARACENTESIS DX/THER W/O IMAGING GUIDANCE | 49082 - ABD PARACENTESIS | '01/01/2017 | 12/31/2999 |
| 49083 | 49083 - Abdominal paracentesis (diagnostic or therapeutic); with imaging guidance | 49083 - ABDOM PARACENTESIS DX/THER W/IMAGING GUIDANCE | 49083 - ABD PARACENTESIS W/IMAGING | '01/01/2017 | 12/31/2999 |
| 49084 | 49084 - Peritoneal lavage including imaging guidance when performed | 49084 - PERITONEAL LAVAGE W/WO IMAGING GUIDANCE | 49084 - PERITONEAL LAVAGE | '01/01/2017 | 12/31/2999 |
| 49180 | 49180 - Biopsy abdominal or retroperitoneal mass percutaneous needle | 49180 - BX ABDL/RETROPERITONEAL MASS PRQ NEEDLE | 49180 - BIOPSY ABDOMINAL MASS | '01/01/2017 | 12/31/2999 |
| 49185 | 49185 - Sclerotherapy of a fluid collection (eg lymphocele cyst or seroma) percutaneous including contrast injection(s) sclerosant injection(s) diagnostic study imaging guidance (eg ultrasound fluoroscopy) and radiological supervision and interpretation when performed | 49185 - SCLEROTHERAPY FLUID COLLECTION PRQ W/IMG GID | 49185 - SCLEROTX FLUID COLLECTION | '01/01/2017 | 12/31/2999 |
| 49203 | 49203 - Excision or destruction open intra-abdominal tumors cysts or endometriomas 1 or more peritoneal mesenteric or retroperitoneal primary or secondary tumors; largest tumor 5 cm diameter or less | 49203 - EXCISION/DESTRUCTION OPEN ABDOMINAL TUMOR 5 CM/< | 49203 - EXC ABD TUM 5 CM OR LESS | '01/01/2017 | 12/31/2999 |
| 49204 | 49204 - Excision or destruction open intra-abdominal tumors cysts or endometriomas 1 or more peritoneal mesenteric or retroperitoneal primary or secondary tumors; largest tumor 5.1-10.0 cm diameter | 49204 - EXC/DESTRUCTION OPEN ABDMNL TUMORS 5.1-10.0 CM | 49204 - EXC ABD TUM OVER 5 CM | '01/01/2017 | 12/31/2999 |
| 49205 | 49205 - Excision or destruction open intra-abdominal tumors cysts or endometriomas 1 or more peritoneal mesenteric or retroperitoneal primary or secondary tumors; largest tumor greater than 10.0 cm diameter | 49205 - EXC/DESTRUCTION OPEN ABDOMINAL TUMORS >10.0 CM | 49205 - EXC ABD TUM OVER 10 CM | '01/01/2017 | 12/31/2999 |
| 49215 | 49215 - Excision of presacral or sacrococcygeal tumor | 49215 - EXC PRESAC/SACROCOCCYGEAL TUMOR | 49215 - EXCISE SACRAL SPINE TUMOR | '01/01/2017 | 12/31/2999 |
| 49250 | 49250 - Umbilectomy omphalectomy excision of umbilicus (separate procedure) | 49250 - UMBILECTOMY OMPHALECTOMY EXC UMBILICUS SPX | 49250 - EXCISION OF UMBILICUS | '01/01/2017 | 12/31/2999 |
| 49255 | 49255 - Omentectomy epiploectomy resection of omentum (separate procedure) | 49255 - OMNTC EPIPLOECTOMY RESCJ OMENTUM SPX | 49255 - REMOVAL OF OMENTUM | '01/01/2017 | 12/31/2999 |
| 49320 | 49320 - Laparoscopy abdomen peritoneum and omentum diagnostic with or without collection of specimen(s) by brushing or washing (separate procedure) | 49320 - LAPS ABD PRTM&OMENTUM DX W/WO SPEC BR/WA SPX | 49320 - DIAG LAPARO SEPARATE PROC | '01/01/2017 | 12/31/2999 |
| 49321 | 49321 - Laparoscopy surgical; with biopsy (single or multiple) | 49321 - LAPAROSCOPY SURG W/BX SINGLE/MULTIPLE | 49321 - LAPAROSCOPY BIOPSY | '01/01/2017 | 12/31/2999 |
| 49322 | 49322 - Laparoscopy surgical; with aspiration of cavity or cyst (eg ovarian cyst) (single or multiple) | 49322 - LAPS SURG W/ASPIR CAVITY/CYST SINGLE/MULTIPLE | 49322 - LAPAROSCOPY ASPIRATION | '01/01/2017 | 12/31/2999 |
| 49323 | 49323 - Laparoscopy surgical; with drainage of lymphocele to peritoneal cavity | 49323 - LAPS SURG W/DRG LYMPHOCELE PRTL CAVITY | 49323 - LAPARO DRAIN LYMPHOCELE | '01/01/2017 | 12/31/2999 |
| 49324 | 49324 - Laparoscopy surgical; with insertion of tunneled intraperitoneal catheter | 49324 - LAPS INSERTION TUNNELED INTRAPERITONEAL CATHETER | 49324 - LAP INSERT TUNNEL IP CATH | '01/01/2017 | 12/31/2999 |
| 49325 | 49325 - Laparoscopy surgical; with revision of previously placed intraperitoneal cannula or catheter with removal of intraluminal obstructive material if performed | 49325 - LAPS W/REVISION INTRAPERITONEAL CATHETER | 49325 - LAP REVISION PERM IP CATH | '01/01/2017 | 12/31/2999 |
| 49326 | 49326 - Laparoscopy surgical; with omentopexy (omental tacking procedure) (List separately in addition to code for primary procedure) | 49326 - LAPAROSCOPY W/OMENTOPEXY | 49326 - LAP W/OMENTOPEXY ADD-ON | '01/01/2017 | 12/31/2999 |
| 49327 | 49327 - Laparoscopy surgical; with placement of interstitial device(s) for radiation therapy guidance (eg fiducial markers dosimeter) intra-abdominal intrapelvic and/or retroperitoneum including imaging guidance if performed single or multiple (List separately in addition to code for primary procedure) | 49327 - LAPS W/INSERTION NTRSTL DEV W/IMG GUID 1/MLT | 49327 - LAP INS DEVICE FOR RT | '01/01/2017 | 12/31/2999 |
| 49329 | 49329 - Unlisted laparoscopy procedure abdomen peritoneum and omentum | 49329 - UNLISTED LAPAROSCOPY PX ABD PERTONEUM & OMENTUM | 49329 - UNLSTD LAPS PX ABD PERTM&OMN | '01/01/2023 | 12/31/2999 |
| 49400 | 49400 - Injection of air or contrast into peritoneal cavity (separate procedure) | 49400 - INJECTION AIR/CONTRAST PERITONEAL CAVITY SPX | 49400 - AIR INJECTION INTO ABDOMEN | '01/01/2017 | 12/31/2999 |
| 49402 | 49402 - Removal of peritoneal foreign body from peritoneal cavity | 49402 - REMOVAL PERITONEAL FOREIGN BODY FROM CAVITY | 49402 - REMOVE FOREIGN BODY ADBOMEN | '01/01/2017 | 12/31/2999 |
| 49405 | 49405 - Image-guided fluid collection drainage by catheter (eg abscess hematoma seroma lymphocele cyst); visceral (eg kidney liver spleen lung/mediastinum) percutaneous | 49405 - IMAGE-GUIDE FLUID COLLXN DRAINAGE CATH VISC PERQ | 49405 - IMAGE CATH FLUID COLXN VISC | '01/01/2017 | 12/31/2999 |
| 49406 | 49406 - Image-guided fluid collection drainage by catheter (eg abscess hematoma seroma lymphocele cyst); peritoneal or retroperitoneal percutaneous | 49406 - IMG-GUIDE FLUID COLLXN DRAINAG CATH PERITON PERQ | 49406 - IMAGE CATH FLUID PERI/RETRO | '01/01/2017 | 12/31/2999 |
| 49407 | 49407 - Image-guided fluid collection drainage by catheter (eg abscess hematoma seroma lymphocele cyst); peritoneal or retroperitoneal transvaginal or transrectal | 49407 - IMAGE FLUID COLLXN DRAINAG CATH TRANSREC/VAGINAL | 49407 - IMAGE CATH FLUID TRNS/VGNL | '01/01/2017 | 12/31/2999 |
| 49411 | 49411 - Placement of interstitial device(s) for radiation therapy guidance (eg fiducial markers dosimeter) percutaneous intra-abdominal intra-pelvic (except prostate) and/or retroperitoneum single or multiple | 49411 - INTERSTITIAL DEV PLMT RADIATION THERAPY 1/MLT | 49411 - INS MARK ABD/PEL FOR RT PERQ | '01/01/2017 | 12/31/2999 |
| 49412 | 49412 - Placement of interstitial device(s) for radiation therapy guidance (eg fiducial markers dosimeter) open intra-abdominal intrapelvic and/or retroperitoneum including image guidance if performed single or multiple (List separately in addition to code for primary procedure) | 49412 - PLACEMENT INTRSTL DEV OPN W/IMG GUID 1/MLT | 49412 - INS DEVICE FOR RT GUIDE OPEN | '01/01/2017 | 12/31/2999 |
| 49418 | 49418 - Insertion of tunneled intraperitoneal catheter (eg dialysis intraperitoneal chemotherapy instillation management of ascites) complete procedure including imaging guidance catheter placement contrast injection when performed and radiological supervision and interpretation percutaneous | 49418 - INSJ INTRAPERITONEAL CATHETER W/IMG GUID | 49418 - INSERT TUN IP CATH PERC | '01/01/2017 | 12/31/2999 |
| 49419 | 49419 - Insertion of tunneled intraperitoneal catheter with subcutaneous port (ie totally implantable) | 49419 - INSERTION TUNNEL INTRAPERITONEAL CATH SUBQ PORT | 49419 - INSERT TUN IP CATH W/PORT | '01/01/2017 | 12/31/2999 |
| 49421 | 49421 - Insertion of tunneled intraperitoneal catheter for dialysis open | 49421 - INSERTION TUNNEL INTRAPERITONEAL CATH DIAL OPEN | 49421 - INS TUN IP CATH FOR DIAL OPN | '01/01/2017 | 12/31/2999 |
| 49422 | 49422 - Removal of tunneled intraperitoneal catheter | 49422 - REMOVAL TUNNELED INTRAPERITONEAL CATHETER | 49422 - REMOVE TUNNELED IP CATH | '01/01/2017 | 12/31/2999 |
| 49423 | 49423 - Exchange of previously placed abscess or cyst drainage catheter under radiological guidance (separate procedure) | 49423 - EXCHNG ABSC/CST DRG CATH RAD GID SPX | 49423 - EXCHANGE DRAINAGE CATHETER | '01/01/2017 | 12/31/2999 |
| 49424 | 49424 - Contrast injection for assessment of abscess or cyst via previously placed drainage catheter or tube (separate procedure) | 49424 - CNTRST NJX ASSMT ABSC/CST VIA DRG CATH/TUBE SPX | 49424 - ASSESS CYST CONTRAST INJECT | '01/01/2017 | 12/31/2999 |
| 49425 | 49425 - Insertion of peritoneal-venous shunt | 49425 - INSERTION PERITONEAL-VENOUS SHUNT | 49425 - INSERT ABDOMEN-VENOUS DRAIN | '01/01/2017 | 12/31/2999 |
| 49426 | 49426 - Revision of peritoneal-venous shunt | 49426 - REVIS PERITONEAL-VENOUS SHUNT | 49426 - REVISE ABDOMEN-VENOUS SHUNT | '01/01/2017 | 12/31/2999 |
| 49427 | 49427 - Injection procedure (eg contrast media) for evaluation of previously placed peritoneal-venous shunt | 49427 - INJECT EVALUATE PREVIOUS PERITONEAL-VENOUS SHUNT | 49427 - INJECTION ABDOMINAL SHUNT | '01/01/2017 | 12/31/2999 |
| 49428 | 49428 - Ligation of peritoneal-venous shunt | 49428 - LIGATION PERITONEAL-VENOUS SHUNT | 49428 - LIGATION OF SHUNT | '01/01/2017 | 12/31/2999 |
| 49429 | 49429 - Removal of peritoneal-venous shunt | 49429 - RMVL PERITONEAL-VENOUS SHUNT | 49429 - REMOVAL OF SHUNT | '01/01/2017 | 12/31/2999 |
| 49435 | 49435 - Insertion of subcutaneous extension to intraperitoneal cannula or catheter with remote chest exit site (List separately in addition to code for primary procedure) | 49435 - INSJ SUBQ EXTENSION INTRAPERITONEAL CATHETER | 49435 - INSERT SUBQ EXTEN TO IP CATH | '01/01/2017 | 12/31/2999 |
| 49436 | 49436 - Delayed creation of exit site from embedded subcutaneous segment of intraperitoneal cannula or catheter | 49436 - DELAYED CREATION EXIT SITE EMBEDDED CATHETER | 49436 - EMBEDDED IP CATH EXIT-SITE | '01/01/2017 | 12/31/2999 |
| 49440 | 49440 - Insertion of gastrostomy tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49440 - INSERT GASTROSTOMY TUBE PERCUTANEOUS | 49440 - PLACE GASTROSTOMY TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49441 | 49441 - Insertion of duodenostomy or jejunostomy tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49441 - INSERT DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ | 49441 - PLACE DUOD/JEJ TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49442 | 49442 - Insertion of cecostomy or other colonic tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49442 - INSERT CECOSTOMY/OTHER COLONIC TUBE PERCUTANEOUS | 49442 - PLACE CECOSTOMY TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49446 | 49446 - Conversion of gastrostomy tube to gastro-jejunostomy tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49446 - CONVERT GASTROSTOMY-GASTRO-JEJUNOSTOMY TUBE PERQ | 49446 - CHANGE G-TUBE TO G-J PERC | '01/01/2017 | 12/31/2999 |
| 49450 | 49450 - Replacement of gastrostomy or cecostomy (or other colonic) tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49450 - REPLACE GASTROSTOMY/CECOSTOMY TUBE PERCUTANEOUS | 49450 - REPLACE G/C TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49451 | 49451 - Replacement of duodenostomy or jejunostomy tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49451 - REPLACE DUODENOSTOMY/JEJUNOSTOMY TUBE PERQ | 49451 - REPLACE DUOD/JEJ TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49452 | 49452 - Replacement of gastro-jejunostomy tube percutaneous under fluoroscopic guidance including contrast injection(s) image documentation and report | 49452 - REPLACEMENT GASTRO-JEJUNOSTOMY TUBE PERCUTANEOUS | 49452 - REPLACE G-J TUBE PERC | '01/01/2017 | 12/31/2999 |
| 49460 | 49460 - Mechanical removal of obstructive material from gastrostomy duodenostomy jejunostomy gastro-jejunostomy or cecostomy (or other colonic) tube any method under fluoroscopic guidance including contrast injection(s) if performed image documentation and report | 49460 - OBSTRUCTIVE MATERIAL REMOVAL FROM GI TUBE | 49460 - FIX G/COLON TUBE W/DEVICE | '01/01/2017 | 12/31/2999 |
| 49465 | 49465 - Contrast injection(s) for radiological evaluation of existing gastrostomy duodenostomy jejunostomy gastro-jejunostomy or cecostomy (or other colonic) tube from a percutaneous approach including image documentation and report | 49465 - CONTRAST INJECTION PERQ RADIOLOGIC EVAL GI TUBE | 49465 - FLUORO EXAM OF G/COLON TUBE | '01/01/2017 | 12/31/2999 |
| 49491 | 49491 - Repair initial inguinal hernia preterm infant (younger than 37 weeks gestation at birth) performed from birth up to 50 weeks postconception age with or without hydrocelectomy; reducible | 49491 - RPR 1ST INGUN HRNA PRETERM INFT RDC | 49491 - RPR HERN PREEMIE REDUC | '01/01/2017 | 12/31/2999 |
| 49492 | 49492 - Repair initial inguinal hernia preterm infant (younger than 37 weeks gestation at birth) performed from birth up to 50 weeks postconception age with or without hydrocelectomy; incarcerated or strangulated | 49492 - RPR 1ST INGUN HRNA PRETERM INFT INCARCERATED | 49492 - RPR ING HERN PREMIE BLOCKED | '01/01/2017 | 12/31/2999 |
| 49495 | 49495 - Repair initial inguinal hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery with or without hydrocelectomy; reducible | 49495 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO RDC | 49495 - RPR ING HERNIA BABY REDUC | '01/01/2017 | 12/31/2999 |
| 49496 | 49496 - Repair initial inguinal hernia full term infant younger than age 6 months or preterm infant older than 50 weeks postconception age and younger than age 6 months at the time of surgery with or without hydrocelectomy; incarcerated or strangulated | 49496 - RPR 1ST INGUN HRNA FULL TERM INFT <6 MO INCARCER | 49496 - RPR ING HERNIA BABY BLOCKED | '01/01/2017 | 12/31/2999 |
| 49500 | 49500 - Repair initial inguinal hernia age 6 months to younger than 5 years with or without hydrocelectomy; reducible | 49500 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS REDUCIBLE | 49500 - RPR ING HERNIA INIT REDUCE | '01/01/2017 | 12/31/2999 |
| 49501 | 49501 - Repair initial inguinal hernia age 6 months to younger than 5 years with or without hydrocelectomy; incarcerated or strangulated | 49501 - RPR 1ST INGUN HRNA AGE 6 MO-5 YRS INCARCERATED | 49501 - RPR ING HERNIA INIT BLOCKED | '01/01/2017 | 12/31/2999 |
| 49505 | 49505 - Repair initial inguinal hernia age 5 years or older; reducible | 49505 - RPR 1ST INGUN HRNA AGE 5 YRS/> REDUCIBLE | 49505 - PRP I/HERN INIT REDUC >5 YR | '01/01/2017 | 12/31/2999 |
| 49507 | 49507 - Repair initial inguinal hernia age 5 years or older; incarcerated or strangulated | 49507 - RPR 1ST INGUN HRNA AGE 5 YRS/> INCARCERATED | 49507 - PRP I/HERN INIT BLOCK >5 YR | '01/01/2017 | 12/31/2999 |
| 49520 | 49520 - Repair recurrent inguinal hernia any age; reducible | 49520 - RPR RECRT INGUINAL HERNIA ANY AGE REDUCIBLE | 49520 - REREPAIR ING HERNIA REDUCE | '01/01/2017 | 12/31/2999 |
| 49521 | 49521 - Repair recurrent inguinal hernia any age; incarcerated or strangulated | 49521 - RPR RECRT INGUN HERNIA ANY AGE INCARCERATED | 49521 - REREPAIR ING HERNIA BLOCKED | '01/01/2017 | 12/31/2999 |
| 49525 | 49525 - Repair inguinal hernia sliding any age | 49525 - RPR INGUN HERNIA SLIDING ANY AGE | 49525 - REPAIR ING HERNIA SLIDING | '01/01/2017 | 12/31/2999 |
| 49540 | 49540 - Repair lumbar hernia | 49540 - REPAIR LUMBAR HERNIA | 49540 - REPAIR LUMBAR HERNIA | '01/01/2017 | 12/31/2999 |
| 49550 | 49550 - Repair initial femoral hernia any age; reducible | 49550 - RPR 1ST FEM HRNA ANY AGE REDUCIBLE | 49550 - RPR REM HERNIA INIT REDUCE | '01/01/2017 | 12/31/2999 |
| 49553 | 49553 - Repair initial femoral hernia any age; incarcerated or strangulated | 49553 - RPR 1ST FEM HERNIA ANY AGE INCARCERATED | 49553 - RPR FEM HERNIA INIT BLOCKED | '01/01/2017 | 12/31/2999 |
| 49555 | 49555 - Repair recurrent femoral hernia; reducible | 49555 - RPR RECRT FEM HERNIA REDUCIBLE | 49555 - REREPAIR FEM HERNIA REDUCE | '01/01/2017 | 12/31/2999 |
| 49557 | 49557 - Repair recurrent femoral hernia; incarcerated or strangulated | 49557 - RPR RECRT FEM HRNA INCARCERATED | 49557 - REREPAIR FEM HERNIA BLOCKED | '01/01/2017 | 12/31/2999 |
| 49591 | 49591 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); less than 3 cm reducible | 49591 - RPR AA HERNIA 1ST < 3 CM REDUCIBLE | 49591 - RPR AA HRN 1ST < 3 CM RDC | '01/01/2023 | 12/31/2999 |
| 49592 | 49592 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); less than 3 cm incarcerated or strangulated | 49592 - RPR AA HERNIA 1ST < 3 CM NCRC8/STRANGULATED | 49592 - RPR AA HRN 1ST < 3 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49593 | 49593 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); 3 cm to 10 cm reducible | 49593 - RPR AA HERNIA 1ST 3-10 CM REDUCIBLE | 49593 - RPR AA HRN 1ST 3-10 RDC | '01/01/2023 | 12/31/2999 |
| 49594 | 49594 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); 3 cm to 10 cm incarcerated or strangulated | 49594 - RPR AA HERNIA 1ST 3-10 CM NCRC8/STRANGULATED | 49594 - RPR AA HRN 1ST 3-10 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49595 | 49595 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); greater than 10 cm reducible | 49595 - RPR AA HERNIA 1ST > 10 CM REDUCIBLE | 49595 - RPR AA HRN 1ST > 10 RDC | '01/01/2023 | 12/31/2999 |
| 49596 | 49596 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) initial including implantation of mesh or other prosthesis when performed total length of defect(s); greater than 10 cm incarcerated or strangulated | 49596 - RPR AA HERNIA 1ST > 10 CM NCRC8/STRANGULATED | 49596 - RPR AA HRN 1ST > 10 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49600 | 49600 - Repair of small omphalocele with primary closure | 49600 - RPR SMALL OMPHALOCELE W/PRIMARY CLOSURE | 49600 - REPAIR UMBILICAL LESION | '01/01/2017 | 12/31/2999 |
| 49605 | 49605 - Repair of large omphalocele or gastroschisis; with or without prosthesis | 49605 - RPR LG OMPHALOCELE/GASTROSCHISIS W/WO PROSTH | 49605 - REPAIR UMBILICAL LESION | '01/01/2017 | 12/31/2999 |
| 49606 | 49606 - Repair of large omphalocele or gastroschisis; with removal of prosthesis final reduction and closure in operating room | 49606 - RPR LG OMPHALOCELE/GASTROSCHISIS RMVL PROSTH | 49606 - REPAIR UMBILICAL LESION | '01/01/2017 | 12/31/2999 |
| 49610 | 49610 - Repair of omphalocele (Gross type operation); first stage | 49610 - RPR OMPHALOCELE GROSS TYP OPRATION 1ST STG | 49610 - REPAIR UMBILICAL LESION | '01/01/2017 | 12/31/2999 |
| 49611 | 49611 - Repair of omphalocele (Gross type operation); second stage | 49611 - RPR OMPHALOCELE GROSS TYP OPRATION 2ND STG | 49611 - REPAIR UMBILICAL LESION | '01/01/2017 | 12/31/2999 |
| 49613 | 49613 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); less than 3 cm reducible | 49613 - RPR AA HERNIA RECR < 3 CM REDUCIBLE | 49613 - RPR AA HRN RCR < 3 RDC | '01/01/2023 | 12/31/2999 |
| 49614 | 49614 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); less than 3 cm incarcerated or strangulated | 49614 - RPR AA HERNIA RECR < 3 CM NCRC8/STRANGULATED | 49614 - RPR AA HRN RCR < 3 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49615 | 49615 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); 3 cm to 10 cm reducible | 49615 - RPR AA HERNIA RECR 3-10 CM REDUCIBLE | 49615 - RPR AA HRN RCR 3-10 RDC | '01/01/2023 | 12/31/2999 |
| 49616 | 49616 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); 3 cm to 10 cm incarcerated or strangulated | 49616 - RPR AA HERNIA RECR 3-10 CM NCRC8/STRANGULATED | 49616 - RPR AA HRN RCR 3-10 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49617 | 49617 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); greater than 10 cm reducible | 49617 - RPR AA HERNIA RECR > 10 CM REDUCIBLE | 49617 - RPR AA HRN RCR > 10 RDC | '01/01/2023 | 12/31/2999 |
| 49618 | 49618 - Repair of anterior abdominal hernia(s) (ie epigastric incisional ventral umbilical spigelian) any approach (ie open laparoscopic robotic) recurrent including implantation of mesh or other prosthesis when performed total length of defect(s); greater than 10 cm incarcerated or strangulated | 49618 - RPR AA HERNIA RECR > 10 CM NCRC8/STRANGULATED | 49618 - RPR AA HRN RCR > 10 NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49621 | 49621 - Repair of parastomal hernia any approach (ie open laparoscopic robotic) initial or recurrent including implantation of mesh or other prosthesis when performed; reducible | 49621 - RPR PARASTOMAL HERNIA 1ST/RECR REDUCIBLE | 49621 - RPR PARASTOMAL HERNIA RDC | '01/01/2023 | 12/31/2999 |
| 49622 | 49622 - Repair of parastomal hernia any approach (ie open laparoscopic robotic) initial or recurrent including implantation of mesh or other prosthesis when performed; incarcerated or strangulated | 49622 - RPR PARASTOMAL HRNA 1ST/RECR NCRC8/STRANGULATED | 49622 - RPR PARASTOMAL HRNA NCR/STRN | '01/01/2023 | 12/31/2999 |
| 49623 | 49623 - Removal of total or near total non-infected mesh or other prosthesis at the time of initial or recurrent anterior abdominal hernia repair or parastomal hernia repair any approach (ie open laparoscopic robotic) (List separately in addition to code for primary procedure) | 49623 - RMVL NONINFCT MESH/PROSTH AA/PARASTOMAL HRNA RPR | 49623 - RMVL NINFCT MESH HERNIA RPR | '01/01/2023 | 12/31/2999 |
| 49650 | 49650 - Laparoscopy surgical; repair initial inguinal hernia | 49650 - LAPAROSCOPY SURG RPR INITIAL INGUINAL HERNIA | 49650 - LAP ING HERNIA REPAIR INIT | '01/01/2017 | 12/31/2999 |
| 49651 | 49651 - Laparoscopy surgical; repair recurrent inguinal hernia | 49651 - LAPS SURG RPR RECURRENT INGUINAL HERNIA | 49651 - LAP ING HERNIA REPAIR RECUR | '01/01/2017 | 12/31/2999 |
| 49659 | 49659 - Unlisted laparoscopy procedure hernioplasty herniorrhaphy herniotomy | 49659 - UNLISTED LAPS PX HRNAP HERNIORRHAPHY HERNIOTOMY | 49659 - UNLSTD LAPS PX HRNAP HRNRPHY | '01/01/2023 | 12/31/2999 |
| 49900 | 49900 - Suture secondary of abdominal wall for evisceration or dehiscence | 49900 - SEC ABDOMINAL WALL SUTURE EVISCERATION/DEHSN | 49900 - REPAIR OF ABDOMINAL WALL | '01/01/2017 | 12/31/2999 |
| 49904 | 49904 - Omental flap extra-abdominal (eg for reconstruction of sternal and chest wall defects) | 49904 - OMENTAL FLAP EXTRA-ABDOMINAL | 49904 - OMENTAL FLAP EXTRA-ABDOM | '01/01/2017 | 12/31/2999 |
| 49905 | 49905 - Omental flap intra-abdominal (List separately in addition to code for primary procedure) | 49905 - OMENTAL FLAP INTRA-ABDOMINAL | 49905 - OMENTAL FLAP INTRA-ABDOM | '01/01/2017 | 12/31/2999 |
| 49906 | 49906 - Free omental flap with microvascular anastomosis | 49906 - FREE OMENTAL FLAP W/MICROVASCULAR ANAST | 49906 - FREE OMENTAL FLAP MICROVASC | '01/01/2017 | 12/31/2999 |
| 49999 | 49999 - Unlisted procedure abdomen peritoneum and omentum | 49999 - UNLISTED PROCEDURE ABDOMEN PERITONEUM & OMENTUM | 49999 - UNLISTED PX ABD PERTM&OMN | '01/01/2023 | 12/31/2999 |
| 50010 | 50010 - Renal exploration not necessitating other specific procedures | 50010 - RNL EXPL X NECESSITATING OTH SPEC PX | 50010 - EXPLORATION OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50020 | 50020 - Drainage of perirenal or renal abscess open | 50020 - DRAINAGE PERIRENAL/RENAL ABSCESS OPEN | 50020 - RENAL ABSCESS OPEN DRAIN | '01/01/2017 | 12/31/2999 |
| 50040 | 50040 - Nephrostomy nephrotomy with drainage | 50040 - NEPHROSTOMY NEPHROTOMY W/DRAINAGE | 50040 - NFROS NFROT W/DRG | '01/01/2023 | 12/31/2999 |
| 50045 | 50045 - Nephrotomy with exploration | 50045 - NEPHROTOMY W/EXPLORATION | 50045 - NEPHROTOMY W/EXPLORATION | '01/01/2023 | 12/31/2999 |
| 5005F | 5005F - Patient counseled on self-examination for new or changing moles (ML) | 5005F - COUNSEL NEW/CHANGING MOLES SELF-EXAMINATION | 5005F - PT COUNSLD ON EXAM FOR MOLES | '01/01/2017 | 12/31/2999 |
| 50060 | 50060 - Nephrolithotomy; removal of calculus | 50060 - NEPHROLITHOTOMY REMOVAL CALCULUS | 50060 - NL REMOVAL CALCULUS | '01/01/2023 | 12/31/2999 |
| 50065 | 50065 - Nephrolithotomy; secondary surgical operation for calculus | 50065 - NEPHROLITHOTOMY SECONDARY SURG OPERJ CALCULUS | 50065 - NL SEC SURG OPERJ CALCULUS | '01/01/2023 | 12/31/2999 |
| 50070 | 50070 - Nephrolithotomy; complicated by congenital kidney abnormality | 50070 - NEPHROLITHOTOMY COMP CGEN KDN ABNORMALITY | 50070 - NL COMP CGEN KDN ABNORMALITY | '01/01/2023 | 12/31/2999 |
| 50075 | 50075 - Nephrolithotomy; removal of large staghorn calculus filling renal pelvis and calyces (including anatrophic pyelolithotomy) | 50075 - NEPHROLITHOTOMY RMVL LARGE STAGHORN CALCULUS | 50075 - NL RMVL LG STAGHORN CALCULUS | '01/01/2023 | 12/31/2999 |
| 50080 | 50080 - Percutaneous nephrolithotomy or pyelolithotomy lithotripsy stone extraction antegrade ureteroscopy antegrade stent placement and nephrostomy tube placement when performed including imaging guidance; simple (eg stone[s] up to 2 cm in single location of kidney or renal pelvis nonbranching stones) | 50080 - PERQ NL/PL LITHOTRP SIMPLE UP TO 2 CM 1 LOCATION | 50080 - PERQ NL/PL LITHOTRP SMPL<2CM | '01/01/2023 | 12/31/2999 |
| 50081 | 50081 - Percutaneous nephrolithotomy or pyelolithotomy lithotripsy stone extraction antegrade ureteroscopy antegrade stent placement and nephrostomy tube placement when performed including imaging guidance; complex (eg stone[s] > 2 cm branching stones stones in multiple locations ureter stones complicated anatomy) | 50081 - PERQ NL/PL LITHOTRP COMPLEX >2 CM MLT LOCATIONS | 50081 - PERQ NL/PL LITHOTRP CPLX>2CM | '01/01/2023 | 12/31/2999 |
| 50100 | 50100 - Transection or repositioning of aberrant renal vessels (separate procedure) | 50100 - TRNSXJ/REPOSITIONING ABERRANT RENAL VESSELS SPX | 50100 - TRNSXJ/REPOS ABRRNT RNL VSLS | '01/01/2023 | 12/31/2999 |
| 5010F | 5010F - Findings of dilated macular or fundus exam communicated to the physician or other qualified health care professional managing the diabetes care (EC) | 5010F - DILATED MACULAR/FUNDUS XM COMMUNJ TX PHYS/QHP | 5010F - MACUL RESULT PHY/QHP MNG DM | '01/01/2017 | 12/31/2999 |
| 50120 | 50120 - Pyelotomy; with exploration | 50120 - PYELOTOMY W/EXPLORATION | 50120 - PYELOTOMY W/EXPLORATION | '01/01/2023 | 12/31/2999 |
| 50125 | 50125 - Pyelotomy; with drainage pyelostomy | 50125 - PYELOTOMY W/DRAINAGE PYELOSTOMY | 50125 - PYELOTOMY W/DRG PYELOSTOMY | '01/01/2023 | 12/31/2999 |
| 50130 | 50130 - Pyelotomy; with removal of calculus (pyelolithotomy pelviolithotomy including coagulum pyelolithotomy) | 50130 - PYELOTOMY WITH REMOVAL CALCULUS | 50130 - PYELOTOMY W/REMOVAL CALCULUS | '01/01/2023 | 12/31/2999 |
| 50135 | 50135 - Pyelotomy; complicated (eg secondary operation congenital kidney abnormality) | 50135 - PYELOTOMY COMPLICATED | 50135 - PYELOTOMY COMPLICATED | '01/01/2023 | 12/31/2999 |
| 5015F | 5015F - Documentation of communication that a fracture occurred and that the patient was or should be tested or treated for osteoporosis (OP) | 5015F - DOCD CONTACT THAT FX EXISTED & PT TSTED/TXD OP | 5015F - DOC FX & TEST/TXMNT FOR OP | '01/01/2017 | 12/31/2999 |
| 50200 | 50200 - Renal biopsy; percutaneous by trocar or needle | 50200 - RENAL BIOPSY PRQ TROCAR/NEEDLE | 50200 - RENAL BIOPSY PERQ | '01/01/2017 | 12/31/2999 |
| 50205 | 50205 - Renal biopsy; by surgical exposure of kidney | 50205 - RENAL BIOPSY SURG EXPOSURE KIDNEY | 50205 - RENAL BX SURG EXPOSURE KDN | '01/01/2023 | 12/31/2999 |
| 5020F | 5020F - Treatment summary report communicated to physician(s) or other qualified health care professional(s) managing continuing care and to the patient within 1 month of completing treatment (ONC) | 5020F - TX SUMM RPRT COMMUN PHYS&PT 1 MO COMPLETE | 5020F - TXMNTS 2 PHYS/QHP BY 1 MON | '01/01/2017 | 12/31/2999 |
| 50220 | 50220 - Nephrectomy including partial ureterectomy any open approach including rib resection; | 50220 - NEPHRECTOMY W/PRTL URETERECTOMY W/OPEN RIB RESCJ | 50220 - REMOVE KIDNEY OPEN | '01/01/2017 | 12/31/2999 |
| 50225 | 50225 - Nephrectomy including partial ureterectomy any open approach including rib resection; complicated because of previous surgery on same kidney | 50225 - NEPHRECTOMY W/PRTL URETERECT OPN RIB RESCJ COMPL | 50225 - REMOVAL KIDNEY OPEN COMPLEX | '01/01/2017 | 12/31/2999 |
| 50230 | 50230 - Nephrectomy including partial ureterectomy any open approach including rib resection; radical with regional lymphadenectomy and/or vena caval thrombectomy | 50230 - NEPHRECTOMY W/PRTL URETERECT OPEN RIB RESCJ RAD | 50230 - REMOVAL KIDNEY OPEN RADICAL | '01/01/2017 | 12/31/2999 |
| 50234 | 50234 - Nephrectomy with total ureterectomy and bladder cuff; through same incision | 50234 - NEPHRECTOMY W/TOT URETERECT&BLDR CUFF SAME INC | 50234 - REMOVAL OF KIDNEY & URETER | '01/01/2017 | 12/31/2999 |
| 50236 | 50236 - Nephrectomy with total ureterectomy and bladder cuff; through separate incision | 50236 - NEPHRECTOMY TOT URETEREC&BLDR CUFF SEPAR INCISN | 50236 - REMOVAL OF KIDNEY & URETER | '01/01/2017 | 12/31/2999 |
| 50240 | 50240 - Nephrectomy partial | 50240 - NEPHRECTOMY PARTIAL | 50240 - PARTIAL REMOVAL OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50250 | 50250 - Ablation open 1 or more renal mass lesion(s) cryosurgical including intraoperative ultrasound guidance and monitoring if performed | 50250 - OPEN ABLATION RENAL MASS CRYOSURG ULTRASOUND | 50250 - CRYOABLATE RENAL MASS OPEN | '01/01/2017 | 12/31/2999 |
| 50280 | 50280 - Excision or unroofing of cyst(s) of kidney | 50280 - EXCISION/UNROOFING CYST KIDNEY | 50280 - REMOVAL OF KIDNEY LESION | '01/01/2017 | 12/31/2999 |
| 50290 | 50290 - Excision of perinephric cyst | 50290 - EXCISION PERINEPHRIC CYST | 50290 - REMOVAL OF KIDNEY LESION | '01/01/2017 | 12/31/2999 |
| 50300 | 50300 - Donor nephrectomy (including cold preservation); from cadaver donor unilateral or bilateral | 50300 - DONOR NEPHRECTOMY CADAVER DONOR UNI/BILATERAL | 50300 - REMOVE CADAVER DONOR KIDNEY | '01/01/2017 | 12/31/2999 |
| 50320 | 50320 - Donor nephrectomy (including cold preservation); open from living donor | 50320 - DONOR NEPHRECTOMY OPEN LIVING DONOR | 50320 - REMOVE KIDNEY LIVING DONOR | '01/01/2017 | 12/31/2999 |
| 50323 | 50323 - Backbench standard preparation of cadaver donor renal allograft prior to transplantation including dissection and removal of perinephric fat diaphragmatic and retroperitoneal attachments excision of adrenal gland and preparation of ureter(s) renal vein(s) and renal artery(s) ligating branches as necessary | 50323 - BKBENCH PREPJ CADAVER DONOR RENAL ALLOGRAFT | 50323 - PREP CADAVER RENAL ALLOGRAFT | '01/01/2017 | 12/31/2999 |
| 50325 | 50325 - Backbench standard preparation of living donor renal allograft (open or laparoscopic) prior to transplantation including dissection and removal of perinephric fat and preparation of ureter(s) renal vein(s) and renal artery(s) ligating branches as necessary | 50325 - BKBENCH PREPJ LIVING RENAL DONOR ALLOGRAFT | 50325 - PREP DONOR RENAL GRAFT | '01/01/2017 | 12/31/2999 |
| 50327 | 50327 - Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; venous anastomosis each | 50327 - BKBENCH RCNSTJ RENAL ALGRFT VENOUS ANAST EA | 50327 - PREP RENAL GRAFT/VENOUS | '01/01/2017 | 12/31/2999 |
| 50328 | 50328 - Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; arterial anastomosis each | 50328 - BKBENCH RCNSTJ RENAL ALLOGRAFT ARTERIAL ANAST EA | 50328 - PREP RENAL GRAFT/ARTERIAL | '01/01/2017 | 12/31/2999 |
| 50329 | 50329 - Backbench reconstruction of cadaver or living donor renal allograft prior to transplantation; ureteral anastomosis each | 50329 - BKBENCH RCNSTJ ALGRFT URETERAL ANAST EA | 50329 - PREP RENAL GRAFT/URETERAL | '01/01/2017 | 12/31/2999 |
| 50340 | 50340 - Recipient nephrectomy (separate procedure) | 50340 - RECIPIENT NEPHRECTOMY SEPARATE PROCEDURE | 50340 - REMOVAL OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50360 | 50360 - Renal allotransplantation implantation of graft; without recipient nephrectomy | 50360 - RENAL ALTRNSPLJ IMPLTJ GRF W/O RCP NEPHRECTOMY | 50360 - TRANSPLANTATION OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50365 | 50365 - Renal allotransplantation implantation of graft; with recipient nephrectomy | 50365 - RENAL ALTRNSPLJ IMPLTJ GRF W/RCP NEPHRECTOMY | 50365 - TRANSPLANTATION OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50370 | 50370 - Removal of transplanted renal allograft | 50370 - RMVL TRNSPLED RENAL ALLOGRAFT | 50370 - REMOVE TRANSPLANTED KIDNEY | '01/01/2017 | 12/31/2999 |
| 50380 | 50380 - Renal autotransplantation reimplantation of kidney | 50380 - RENAL AUTOTRNSPLJ REIMPLANTATION KIDNEY | 50380 - REIMPLANTATION OF KIDNEY | '01/01/2017 | 12/31/2999 |
| 50382 | 50382 - Removal (via snare/capture) and replacement of internally dwelling ureteral stent via percutaneous approach including radiological supervision and interpretation | 50382 - RMVL & RPLCMT INTLY DWELLING URETERAL STENT PRQ | 50382 - CHANGE URETER STENT PERCUT | '01/01/2017 | 12/31/2999 |
| 50384 | 50384 - Removal (via snare/capture) of internally dwelling ureteral stent via percutaneous approach including radiological supervision and interpretation | 50384 - REMOVAL INDWELLING URETERAL STENT PRQ | 50384 - REMOVE URETER STENT PERCUT | '01/01/2017 | 12/31/2999 |
| 50385 | 50385 - Removal (via snare/capture) and replacement of internally dwelling ureteral stent via transurethral approach without use of cystoscopy including radiological supervision and interpretation | 50385 - REMOVE & REPLACE INDWELL URETERAL STENT TRURTHRL | 50385 - CHANGE STENT VIA TRANSURETH | '01/01/2017 | 12/31/2999 |
| 50386 | 50386 - Removal (via snare/capture) of internally dwelling ureteral stent via transurethral approach without use of cystoscopy including radiological supervision and interpretation | 50386 - REMOVE INT DWELL URETERAL STENT TRANSURETHRAL | 50386 - REMOVE STENT VIA TRANSURETH | '01/01/2017 | 12/31/2999 |
| 50387 | 50387 - Removal and replacement of externally accessible nephroureteral catheter (eg external/internal stent) requiring fluoroscopic guidance including radiological supervision and interpretation | 50387 - RMVL & RPLCMT XTRNL ACCESSIBLE NEPHROURTRL CATH | 50387 - CHANGE NEPHROURETERAL CATH | '01/01/2017 | 12/31/2999 |
| 50389 | 50389 - Removal of nephrostomy tube requiring fluoroscopic guidance (eg with concurrent indwelling ureteral stent) | 50389 - RMVL NFROS TUBE REQ FLUORO GUIDANCE | 50389 - REMOVE RENAL TUBE W/FLUORO | '01/01/2017 | 12/31/2999 |
| 50390 | 50390 - Aspiration and/or injection of renal cyst or pelvis by needle percutaneous | 50390 - ASPIR &/NJX RENAL CYST/PELVIS NEEDLE PRQ | 50390 - DRAINAGE OF KIDNEY LESION | '01/01/2017 | 12/31/2999 |
| 50391 | 50391 - Instillation(s) of therapeutic agent into renal pelvis and/or ureter through established nephrostomy pyelostomy or ureterostomy tube (eg anticarcinogenic or antifungal agent) | 50391 - INSTLJ THER AGENT RENAL PELVIS&/URETER VIA TUB | 50391 - INSTLL RX AGNT INTO RNAL TUB | '01/01/2017 | 12/31/2999 |
| 50396 | 50396 - Manometric studies through nephrostomy or pyelostomy tube or indwelling ureteral catheter | 50396 - MANOMETRIC STDS THRU TUBE/NDWELLG URTRL CATH | 50396 - MEASURE KIDNEY PRESSURE | '01/01/2017 | 12/31/2999 |
| 50400 | 50400 - Pyeloplasty (Foley Y-pyeloplasty) plastic operation on renal pelvis with or without plastic operation on ureter nephropexy nephrostomy pyelostomy or ureteral splinting; simple | 50400 - PYELOPLASTY SIMPLE | 50400 - REVISION OF KIDNEY/URETER | '01/01/2017 | 12/31/2999 |
| 50405 | 50405 - Pyeloplasty (Foley Y-pyeloplasty) plastic operation on renal pelvis with or without plastic operation on ureter nephropexy nephrostomy pyelostomy or ureteral splinting; complicated (congenital kidney abnormality secondary pyeloplasty solitary kidney calycoplasty) | 50405 - PYELOPLASTY COMPLICATED | 50405 - REVISION OF KIDNEY/URETER | '01/01/2017 | 12/31/2999 |
| 50430 | 50430 - Injection procedure for antegrade nephrostogram and/or ureterogram complete diagnostic procedure including imaging guidance (eg ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; new access | 50430 - NJX PX ANTEGRDE NFROSGRM &/URTRGRM NEW ACCESS | 50430 - NJX PX NFROSGRM &/URTRGRM | '01/01/2017 | 12/31/2999 |
| 50431 | 50431 - Injection procedure for antegrade nephrostogram and/or ureterogram complete diagnostic procedure including imaging guidance (eg ultrasound and fluoroscopy) and all associated radiological supervision and interpretation; existing access | 50431 - NJX PX ANTEGRDE NFROSGRM &/URTRGRM EXSTNG ACESS | 50431 - NJX PX NFROSGRM &/URTRGRM | '01/01/2017 | 12/31/2999 |
| 50432 | 50432 - Placement of nephrostomy catheter percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | 50432 - PLMT NEPHROSTOMY CATH PRQ NEW ACCESS RS&I | 50432 - PLMT NEPHROSTOMY CATHETER | '01/01/2017 | 12/31/2999 |
| 50433 | 50433 - Placement of nephroureteral catheter percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation new access | 50433 - PLMT NEPHROURETERAL CATH PRQ NEW ACCESS RS&I | 50433 - PLMT NEPHROURETERAL CATHETER | '01/01/2017 | 12/31/2999 |
| 50434 | 50434 - Convert nephrostomy catheter to nephroureteral catheter percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation via pre-existing nephrostomy tract | 50434 - CONVERT NEPHROSTOMY CATH TO NEPHROURTRL CATH PRQ | 50434 - CONVERT NEPHROSTOMY CATHETER | '01/01/2017 | 12/31/2999 |
| 50435 | 50435 - Exchange nephrostomy catheter percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | 50435 - EXCHANGE NEPHROSTOMY CATHETER PRQ W/IMG GID RS&I | 50435 - EXCHANGE NEPHROSTOMY CATH | '01/01/2017 | 12/31/2999 |
| 50436 | 50436 - Dilation of existing tract percutaneous for an endourologic procedure including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation with postprocedure tube placement when performed; | 50436 - PERQ DILATION XST TRC ENDOUROLOGIC PX W/IMG | 50436 - DILAT XST TRC NDURLGC PX | '01/01/2019 | 12/31/2999 |
| 50437 | 50437 - Dilation of existing tract percutaneous for an endourologic procedure including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation with postprocedure tube placement when performed; including new access into the renal collecting system | 50437 - PERQ DILATION XST TRC NEW ACCESS RENAL COLTJ SYS | 50437 - DILAT XST TRC NEW ACCESS RCS | '01/01/2019 | 12/31/2999 |
| 50500 | 50500 - Nephrorrhaphy suture of kidney wound or injury | 50500 - NEPHRORRHAPHY SUTURE KIDNEY WOUND/INJURY | 50500 - REPAIR OF KIDNEY WOUND | '01/01/2017 | 12/31/2999 |
| 5050F | 5050F - Treatment plan communicated to provider(s) managing continuing care within 1 month of diagnosis (ML) | 5050F - TX COMMUN PROVIDERS CONTINUING CARE 1 MO DX | 5050F - PLAN 2 MAIN DR BY 1 MONTH | '01/01/2017 | 12/31/2999 |
| 50520 | 50520 - Closure of nephrocutaneous or pyelocutaneous fistula | 50520 - CLOSURE NEPHROCUTANEOUS/PYELOCUTANEOUS FISTULA | 50520 - CLOSE KIDNEY-SKIN FISTULA | '01/01/2017 | 12/31/2999 |
| 50525 | 50525 - Closure of nephrovisceral fistula (eg renocolic) including visceral repair; abdominal approach | 50525 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR ABDL APPR | 50525 - CLOSE NEPHROVISCERAL FISTULA | '01/01/2017 | 12/31/2999 |
| 50526 | 50526 - Closure of nephrovisceral fistula (eg renocolic) including visceral repair; thoracic approach | 50526 - CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR | 50526 - CLOSE NEPHROVISCERAL FISTULA | '01/01/2017 | 12/31/2999 |
| 50540 | 50540 - Symphysiotomy for horseshoe kidney with or without pyeloplasty and/or other plastic procedure unilateral or bilateral (1 operation) | 50540 - SYMPHYSIOTOMY HORSESHOE KDN W/WO PLOP UNI/BI | 50540 - REVISION OF HORSESHOE KIDNEY | '01/01/2017 | 12/31/2999 |
| 50541 | 50541 - Laparoscopy surgical; ablation of renal cysts | 50541 - LAPAROSCOPY SURG ABLATION RENAL CYSTS | 50541 - LAPARO ABLATE RENAL CYST | '01/01/2017 | 12/31/2999 |
| 50542 | 50542 - Laparoscopy surgical; ablation of renal mass lesion(s) including intraoperative ultrasound guidance and monitoring when performed | 50542 - LAPS ABLTJ RENAL MASS LESION W/INTRAOP US | 50542 - LAPARO ABLATE RENAL MASS | '01/01/2017 | 12/31/2999 |
| 50543 | 50543 - Laparoscopy surgical; partial nephrectomy | 50543 - LAPAROSCOPY SURG PARTIAL NEPHRECTOMY | 50543 - LAPARO PARTIAL NEPHRECTOMY | '01/01/2017 | 12/31/2999 |
| 50544 | 50544 - Laparoscopy surgical; pyeloplasty | 50544 - LAPAROSCOPY SURG PYELOPLASTY | 50544 - LAPAROSCOPY PYELOPLASTY | '01/01/2017 | 12/31/2999 |
| 50545 | 50545 - Laparoscopy surgical; radical nephrectomy (includes removal of Gerota's fascia and surrounding fatty tissue removal of regional lymph nodes and adrenalectomy) | 50545 - LAPAROSCOPY RADICAL NEPHRECTOMY | 50545 - LAPARO RADICAL NEPHRECTOMY | '01/01/2017 | 12/31/2999 |
| 50546 | 50546 - Laparoscopy surgical; nephrectomy including partial ureterectomy | 50546 - LAPAROSCOPY NEPHRECTOMY W/PARTIAL URETERECT | 50546 - LAPAROSCOPIC NEPHRECTOMY | '01/01/2017 | 12/31/2999 |
| 50547 | 50547 - Laparoscopy surgical; donor nephrectomy (including cold preservation) from living donor | 50547 - LAPAROSCOPY DONOR NEPHRECTOMY LIVING DONOR | 50547 - LAPARO REMOVAL DONOR KIDNEY | '01/01/2017 | 12/31/2999 |
| 50548 | 50548 - Laparoscopy surgical; nephrectomy with total ureterectomy | 50548 - LAPAROSCOPY NEPHRECTOMY W/TOTAL URETERECTOMY | 50548 - LAPARO REMOVE W/URETER | '01/01/2017 | 12/31/2999 |
| 50549 | 50549 - Unlisted laparoscopy procedure renal | 50549 - UNLISTED LAPAROSCOPY PROCEDURE RENAL | 50549 - UNLISTED LAPS PX RENAL | '01/01/2023 | 12/31/2999 |
| 50551 | 50551 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; | 50551 - RENAL ENDOSCOPY NEPHROSTOMY W/WO IRRIGATION | 50551 - KIDNEY ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50553 | 50553 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with ureteral catheterization with or without dilation of ureter | 50553 - RENAL NDSC NEPHROST W/URETERAL CATH W/WO DILA | 50553 - KIDNEY ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50555 | 50555 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with biopsy | 50555 - RENAL NDSC NEPHROS/PYELOSTOMY BIOPSY | 50555 - KIDNEY ENDOSCOPY & BIOPSY | '01/01/2017 | 12/31/2999 |
| 50557 | 50557 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with fulguration and/or incision with or without biopsy | 50557 - RENAL NDSC NEPHROS/PYELOSTOMY FULG&/INC W/WO BI | 50557 - KIDNEY ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50561 | 50561 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with removal of foreign body or calculus | 50561 - RENAL NDSC NEPHROS/PYELOSTOMY RMVL FB/CALCULUS | 50561 - KIDNEY ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50562 | 50562 - Renal endoscopy through established nephrostomy or pyelostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with resection of tumor | 50562 - RENAL NDSC NEPHROS/PYELOSTOMY RESCJ TUMOR | 50562 - RENAL SCOPE W/TUMOR RESECT | '01/01/2017 | 12/31/2999 |
| 50570 | 50570 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; | 50570 - RENAL NDSC NEPHROTOMY W/WO IRRIGATION | 50570 - KIDNEY ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50572 | 50572 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with ureteral catheterization with or without dilation of ureter | 50572 - RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER | 50572 - KIDNEY ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50574 | 50574 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with biopsy | 50574 - RENAL NDSC NEPHROTOMY W/BIOPSY | 50574 - KIDNEY ENDOSCOPY & BIOPSY | '01/01/2017 | 12/31/2999 |
| 50575 | 50575 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with endopyelotomy (includes cystoscopy ureteroscopy dilation of ureter and ureteral pelvic junction incision of ureteral pelvic junction and insertion of endopyelotomy stent) | 50575 - RNL NDSC NFROT/PLOT W/ENDOPYELOTOMY | 50575 - KIDNEY ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50576 | 50576 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with fulguration and/or incision with or without biopsy | 50576 - RNL NDSC NFROT FULGURATION &/INCISION W/WO BX | 50576 - KIDNEY ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50580 | 50580 - Renal endoscopy through nephrotomy or pyelotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with removal of foreign body or calculus | 50580 - RNL NDSC NFROT/PLOT W/RMVL FB/CALCULUS | 50580 - KIDNEY ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50590 | 50590 - Lithotripsy extracorporeal shock wave | 50590 - LITHOTRIPSY XTRCORP SHOCK WAVE | 50590 - FRAGMENTING OF KIDNEY STONE | '01/01/2017 | 12/31/2999 |
| 50592 | 50592 - Ablation 1 or more renal tumor(s) percutaneous unilateral radiofrequency | 50592 - ABLTJ 1/> RENAL TUMOR PRQ UNI RADIOFREQUENCY | 50592 - PERC RF ABLATE RENAL TUMOR | '01/01/2017 | 12/31/2999 |
| 50593 | 50593 - Ablation renal tumor(s) unilateral percutaneous cryotherapy | 50593 - ABLATION RENAL TUMOR UNILATERAL PERQ CRYOTHERAPY | 50593 - PERC CRYO ABLATE RENAL TUM | '01/01/2017 | 12/31/2999 |
| 50600 | 50600 - Ureterotomy with exploration or drainage (separate procedure) | 50600 - URTROTOMY W/EXPL/DRG SEPARATE PROCEDURE | 50600 - EXPLORATION OF URETER | '01/01/2017 | 12/31/2999 |
| 50605 | 50605 - Ureterotomy for insertion of indwelling stent all types | 50605 - URETEROTOMY INSERTION INDWELLING STENT ALL TYPES | 50605 - INSERT URETERAL SUPPORT | '01/01/2017 | 12/31/2999 |
| 50606 | 50606 - Endoluminal biopsy of ureter and/or renal pelvis non-endoscopic including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure) | 50606 - ENDOLUMINAL BX URTR &/RNL PELVIS NONENDOSCOPIC | 50606 - ENDOLUMINAL BX URTR RNL PLVS | '01/01/2017 | 12/31/2999 |
| 5060F | 5060F - Findings from diagnostic mammogram communicated to practice managing patient's on-going care within 3 business days of exam interpretation (RAD) | 5060F - FINDNGS DIAG MAM TO MNGNG PRACT 3 DAYS INTERP | 5060F - FNDNGS MAMMO 2PT W/IN 3 DAYS | '01/01/2017 | 12/31/2999 |
| 50610 | 50610 - Ureterolithotomy; upper one-third of ureter | 50610 - URTROLITHOTOMY UPPER ONE-THIRD URETER | 50610 - REMOVAL OF URETER STONE | '01/01/2017 | 12/31/2999 |
| 50620 | 50620 - Ureterolithotomy; middle one-third of ureter | 50620 - URTROLITHOTOMY MIDDLE ONE-THIRD URETER | 50620 - REMOVAL OF URETER STONE | '01/01/2017 | 12/31/2999 |
| 5062F | 5062F - Findings from diagnostic mammogram communicated to the patient within 5 days of exam interpretation (RAD) | 5062F - DOC DIRECT COMM DIAG MAMMO FNDNGS-PHONE/PERSON | 5062F - MAMMO RESULT COM TO PT 5 DAY | '01/01/2017 | 12/31/2999 |
| 50630 | 50630 - Ureterolithotomy; lower one-third of ureter | 50630 - URTROLITHOTOMY LOWER ONE-THIRD URETER | 50630 - REMOVAL OF URETER STONE | '01/01/2017 | 12/31/2999 |
| 50650 | 50650 - Ureterectomy with bladder cuff (separate procedure) | 50650 - URETRECECTOMY W/BLADDER CUFF SEPARATE PROCEDURE | 50650 - REMOVAL OF URETER | '01/01/2017 | 12/31/2999 |
| 50660 | 50660 - Ureterectomy total ectopic ureter combination abdominal vaginal and/or perineal approach | 50660 - URETERECTOMY TOT ECTOPIC URETER CMBN APPR | 50660 - REMOVAL OF URETER | '01/01/2017 | 12/31/2999 |
| 50684 | 50684 - Injection procedure for ureterography or ureteropyelography through ureterostomy or indwelling ureteral catheter | 50684 - INJ PX URETEROGRAPHY/URETEROPYLOGRAPHY CATH | 50684 - INJECTION FOR URETER X-RAY | '01/01/2017 | 12/31/2999 |
| 50686 | 50686 - Manometric studies through ureterostomy or indwelling ureteral catheter | 50686 - MANOMETRIC STDS THRU URTROST/NDWELLG URTRL CATH | 50686 - MEASURE URETER PRESSURE | '01/01/2017 | 12/31/2999 |
| 50688 | 50688 - Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit | 50688 - CHNG URTROST TUBE/XTRNLLY ACCESSIBLE STENT ILEAL | 50688 - CHANGE OF URETER TUBE/STENT | '01/01/2017 | 12/31/2999 |
| 50690 | 50690 - Injection procedure for visualization of ileal conduit and/or ureteropyelography exclusive of radiologic service | 50690 - NJX VISUALIZATION ILEAL CONDUIT&/URETEROPYELOG | 50690 - INJECTION FOR URETER X-RAY | '01/01/2017 | 12/31/2999 |
| 50693 | 50693 - Placement of ureteral stent percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; pre-existing nephrostomy tract | 50693 - PLMT URTRL STENT PRQ PRE-EXISTING NFROS TRACT | 50693 - PLMT URETERAL STENT PRQ | '01/01/2017 | 12/31/2999 |
| 50694 | 50694 - Placement of ureteral stent percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access without separate nephrostomy catheter | 50694 - PLMT URTRL STNT PRQ NEW ACESS W/O SEP NFROS CATH | 50694 - PLMT URETERAL STENT PRQ | '01/01/2017 | 12/31/2999 |
| 50695 | 50695 - Placement of ureteral stent percutaneous including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation; new access with separate nephrostomy catheter | 50695 - PLMT URTRL STENT PRQ NEW ACCESS W/SEP NFROS CATH | 50695 - PLMT URETERAL STENT PRQ | '01/01/2017 | 12/31/2999 |
| 50700 | 50700 - Ureteroplasty plastic operation on ureter (eg stricture) | 50700 - URETEROPLASTY PLASTIC OPERATION URETER | 50700 - REVISION OF URETER | '01/01/2017 | 12/31/2999 |
| 50705 | 50705 - Ureteral embolization or occlusion including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure) | 50705 - URETERAL EMBOLIZATION/OCCLUSION W/IMG GID RS&I | 50705 - URETERAL EMBOLIZATION/OCCL | '01/01/2017 | 12/31/2999 |
| 50706 | 50706 - Balloon dilation ureteral stricture including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation (List separately in addition to code for primary procedure) | 50706 - BALLOON DILAT URETERAL STRICTURE W/IMG GID RS&I | 50706 - BALLOON DILATE URTRL STRIX | '01/01/2017 | 12/31/2999 |
| 50715 | 50715 - Ureterolysis with or without repositioning of ureter for retroperitoneal fibrosis | 50715 - URETEROLYSIS W/WORPSG URETER RETROPERIT FIBROSIS | 50715 - RELEASE OF URETER | '01/01/2017 | 12/31/2999 |
| 50722 | 50722 - Ureterolysis for ovarian vein syndrome | 50722 - URETEROLYSIS FOR OVARIAN VEIN SYNDROME | 50722 - RELEASE OF URETER | '01/01/2017 | 12/31/2999 |
| 50725 | 50725 - Ureterolysis for retrocaval ureter with reanastomosis of upper urinary tract or vena cava | 50725 - URTROLSS RETROCAVAL URTR W/REANAST | 50725 - RELEASE/REVISE URETER | '01/01/2017 | 12/31/2999 |
| 50727 | 50727 - Revision of urinary-cutaneous anastomosis (any type urostomy); | 50727 - REVJ URINARY-CUTANEOUS ANASTAMOSIS | 50727 - REVISE URETER | '01/01/2017 | 12/31/2999 |
| 50728 | 50728 - Revision of urinary-cutaneous anastomosis (any type urostomy); with repair of fascial defect and hernia | 50728 - REVJ UR-CUTAN ANAST RPR FSCAL DFCT & HERNIA | 50728 - REVISE URETER | '01/01/2017 | 12/31/2999 |
| 50740 | 50740 - Ureteropyelostomy anastomosis of ureter and renal pelvis | 50740 - URETEROPYELOSTOMY ANAST URETER RENAL PELVIS | 50740 - FUSION OF URETER & KIDNEY | '01/01/2017 | 12/31/2999 |
| 50750 | 50750 - Ureterocalycostomy anastomosis of ureter to renal calyx | 50750 - URETEROCALYCOSTOMY ANAST URETER RENAL CALYX | 50750 - FUSION OF URETER & KIDNEY | '01/01/2017 | 12/31/2999 |
| 50760 | 50760 - Ureteroureterostomy | 50760 - URETEROURETEROSTOMY | 50760 - FUSION OF URETERS | '01/01/2017 | 12/31/2999 |
| 50770 | 50770 - Transureteroureterostomy anastomosis of ureter to contralateral ureter | 50770 - TRANSURETEROURETEROSTOMY ANAST URETER CLAT URTR | 50770 - SPLICING OF URETERS | '01/01/2017 | 12/31/2999 |
| 50780 | 50780 - Ureteroneocystostomy; anastomosis of single ureter to bladder | 50780 - URETERONEOCYSTOSTOMY ANAST 1 URETER BLADDER | 50780 - REIMPLANT URETER IN BLADDER | '01/01/2017 | 12/31/2999 |
| 50782 | 50782 - Ureteroneocystostomy; anastomosis of duplicated ureter to bladder | 50782 - URETERONEOCYSTOSTOMY ANAST DUPLICATE URETER BLDR | 50782 - REIMPLANT URETER IN BLADDER | '01/01/2017 | 12/31/2999 |
| 50783 | 50783 - Ureteroneocystostomy; with extensive ureteral tailoring | 50783 - URETERONEOCYSTOSTOMY W/URETERAL TAILORING | 50783 - REIMPLANT URETER IN BLADDER | '01/01/2017 | 12/31/2999 |
| 50785 | 50785 - Ureteroneocystostomy; with vesico-psoas hitch or bladder flap | 50785 - URTRONEOCSTOST W/VESICO-PSOAS HITCH/BLDR FLAP | 50785 - REIMPLANT URETER IN BLADDER | '01/01/2017 | 12/31/2999 |
| 50800 | 50800 - Ureteroenterostomy direct anastomosis of ureter to intestine | 50800 - URETEROENTEROSTOMY ANAST URETER INTESTINE | 50800 - IMPLANT URETER IN BOWEL | '01/01/2017 | 12/31/2999 |
| 50810 | 50810 - Ureterosigmoidostomy with creation of sigmoid bladder and establishment of abdominal or perineal colostomy including intestine anastomosis | 50810 - URETEROSIGMOIDOSTOMY W/SIGMOID BLADDER & COLOSTO | 50810 - FUSION OF URETER & BOWEL | '01/01/2017 | 12/31/2999 |
| 50815 | 50815 - Ureterocolon conduit including intestine anastomosis | 50815 - URETEROCOLON CONDUIT INTESTINE ANASTOMOSIS | 50815 - URINE SHUNT TO INTESTINE | '01/01/2017 | 12/31/2999 |
| 50820 | 50820 - Ureteroileal conduit (ileal bladder) including intestine anastomosis (Bricker operation) | 50820 - URETEROILEAL CONDUIT W/INTESTINE ANASTOMOSIS | 50820 - CONSTRUCT BOWEL BLADDER | '01/01/2017 | 12/31/2999 |
| 50825 | 50825 - Continent diversion including intestine anastomosis using any segment of small and/or large intestine (Kock pouch or Camey enterocystoplasty) | 50825 - CONTINENT DVRJ W/INT ANAST ANY SGM SM&/LG INTSTN | 50825 - CONSTRUCT BOWEL BLADDER | '01/01/2017 | 12/31/2999 |
| 50830 | 50830 - Urinary undiversion (eg taking down of ureteroileal conduit ureterosigmoidostomy or ureteroenterostomy with ureteroureterostomy or ureteroneocystostomy) | 50830 - URINARY UNIDIVERSION | 50830 - REVISE URINE FLOW | '01/01/2017 | 12/31/2999 |
| 50840 | 50840 - Replacement of all or part of ureter by intestine segment including intestine anastomosis | 50840 - RPLCMT ALL/PART URETER INTESTINE SGM W/ANAST | 50840 - REPLACE URETER BY BOWEL | '01/01/2017 | 12/31/2999 |
| 50845 | 50845 - Cutaneous appendico-vesicostomy | 50845 - CUTANANEOUS APPENDICO-VESICOSTOMY | 50845 - APPENDICO-VESICOSTOMY | '01/01/2017 | 12/31/2999 |
| 50860 | 50860 - Ureterostomy transplantation of ureter to skin | 50860 - URETEROSTOMY TRANSPLANTATION URETER SKIN | 50860 - TRANSPLANT URETER TO SKIN | '01/01/2017 | 12/31/2999 |
| 50900 | 50900 - Ureterorrhaphy suture of ureter (separate procedure) | 50900 - URETERORRHAPHY SUTURE URETER SEPARATE PROCEDURE | 50900 - REPAIR OF URETER | '01/01/2017 | 12/31/2999 |
| 50920 | 50920 - Closure of ureterocutaneous fistula | 50920 - CLOSURE URETEROCUTANEOUS FISTULA | 50920 - CLOSURE URETER/SKIN FISTULA | '01/01/2017 | 12/31/2999 |
| 50930 | 50930 - Closure of ureterovisceral fistula (including visceral repair) | 50930 - CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR | 50930 - CLOSURE URETER/BOWEL FISTULA | '01/01/2017 | 12/31/2999 |
| 50940 | 50940 - Deligation of ureter | 50940 - DELIGATION URETER | 50940 - RELEASE OF URETER | '01/01/2017 | 12/31/2999 |
| 50945 | 50945 - Laparoscopy surgical; ureterolithotomy | 50945 - LAPAROSCOPY URTROLITHOTOMY | 50945 - LAPAROSCOPY URETEROLITHOTOMY | '01/01/2017 | 12/31/2999 |
| 50947 | 50947 - Laparoscopy surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement | 50947 - LAPS URTRONEOCSTOST W/CSTSC&URTRL STENT PLMT | 50947 - LAPARO NEW URETER/BLADDER | '01/01/2017 | 12/31/2999 |
| 50948 | 50948 - Laparoscopy surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement | 50948 - LAPS URTRONEOCSTOST W/O CSTSC&URTRL STENT PLMT | 50948 - LAPARO NEW URETER/BLADDER | '01/01/2017 | 12/31/2999 |
| 50949 | 50949 - Unlisted laparoscopy procedure ureter | 50949 - UNLISTED LAPAROSCOPY PROCEDURE URETER | 50949 - UNLISTED LAPS PX URETER | '01/01/2023 | 12/31/2999 |
| 50951 | 50951 - Ureteral endoscopy through established ureterostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; | 50951 - URETERAL ENDOSCOPY VIA URETEROSTOMY | 50951 - ENDOSCOPY OF URETER | '01/01/2017 | 12/31/2999 |
| 50953 | 50953 - Ureteral endoscopy through established ureterostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with ureteral catheterization with or without dilation of ureter | 50953 - URETERAL ENDOSCOPY VIA URETEROST W/WO DIL URETER | 50953 - ENDOSCOPY OF URETER | '01/01/2017 | 12/31/2999 |
| 50955 | 50955 - Ureteral endoscopy through established ureterostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with biopsy | 50955 - URETERAL ENDOSCOPY VIA URETEROSTOMY W/BIOPSY | 50955 - URETER ENDOSCOPY & BIOPSY | '01/01/2017 | 12/31/2999 |
| 50957 | 50957 - Ureteral endoscopy through established ureterostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with fulguration and/or incision with or without biopsy | 50957 - URETERAL ENDOSCOPY W/DEST&/INC W/WO BIOPSY | 50957 - URETER ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50961 | 50961 - Ureteral endoscopy through established ureterostomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with removal of foreign body or calculus | 50961 - URETERAL ENDOSCOPY VIA URETEROST W/RMVL FB/STONE | 50961 - URETER ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50970 | 50970 - Ureteral endoscopy through ureterotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; | 50970 - URETERAL ENDOSCOPY VIA URETEROTOMY W/O IMAGING | 50970 - URETER ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 50972 | 50972 - Ureteral endoscopy through ureterotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with ureteral catheterization with or without dilation of ureter | 50972 - NDSC URETEROTOMY URTRL CATHJ W/WO DILAT URETER | 50972 - URETER ENDOSCOPY & CATHETER | '01/01/2017 | 12/31/2999 |
| 50974 | 50974 - Ureteral endoscopy through ureterotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with biopsy | 50974 - URETERAL ENDOSCOPY VIA URETEROT W/O IMAGING W/BX | 50974 - URETER ENDOSCOPY & BIOPSY | '01/01/2017 | 12/31/2999 |
| 50976 | 50976 - Ureteral endoscopy through ureterotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with fulguration and/or incision with or without biopsy | 50976 - URETERAL ENDOSC VIA URETEROT W/DEST&/INC W/WO BX | 50976 - URETER ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 50980 | 50980 - Ureteral endoscopy through ureterotomy with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with removal of foreign body or calculus | 50980 - NDSC URETEROTOMY RMVL FB/CALCULUS | 50980 - URETER ENDOSCOPY & TREATMENT | '01/01/2017 | 12/31/2999 |
| 5100F | 5100F - Potential risk for fracture communicated to the referring physician or other qualified health care professional within 24 hours of completion of the imaging study (NUC_MED) | 5100F - FX RISK REF PHYS/QHP COMMJ 24 HRS IMAGING STUDY | 5100F - RSK FX REF W/N 24 HRS XRAY | '01/01/2017 | 12/31/2999 |
| 51020 | 51020 - Cystotomy or cystostomy; with fulguration and/or insertion of radioactive material | 51020 - CYSTOTOMY/CYSTOSTOMY FULG&/INSJ RADACT MATRL | 51020 - INCISE & TREAT BLADDER | '01/01/2017 | 12/31/2999 |
| 51030 | 51030 - Cystotomy or cystostomy; with cryosurgical destruction of intravesical lesion | 51030 - CSTOTOMY/CSTOST CRYOSURG DSTRJ INTRAVESICAL LES | 51030 - INCISE & TREAT BLADDER | '01/01/2017 | 12/31/2999 |
| 51040 | 51040 - Cystostomy cystotomy with drainage | 51040 - CYSTOSTOMY CYSTOTOMY W/DRAINAGE | 51040 - INCISE & DRAIN BLADDER | '01/01/2017 | 12/31/2999 |
| 51045 | 51045 - Cystotomy with insertion of ureteral catheter or stent (separate procedure) | 51045 - CYSTOTOMY W/INSJ URETERAL CATH/STENT SPX | 51045 - INCISE BLADDER/DRAIN URETER | '01/01/2017 | 12/31/2999 |
| 51050 | 51050 - Cystolithotomy cystotomy with removal of calculus without vesical neck resection | 51050 - CYSTOLITHOTOMY CYSTOTOMY W/RMVL CALCULUS | 51050 - REMOVAL OF BLADDER STONE | '01/01/2017 | 12/31/2999 |
| 51060 | 51060 - Transvesical ureterolithotomy | 51060 - TRANSVESICAL URETROLITHOTOMY | 51060 - REMOVAL OF URETER STONE | '01/01/2017 | 12/31/2999 |
| 51065 | 51065 - Cystotomy with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus | 51065 - CYSTOTOMY W/CALCULUS BASKET XTRJ&/FRAGMENTATIO | 51065 - REMOVE URETER CALCULUS | '01/01/2017 | 12/31/2999 |
| 51080 | 51080 - Drainage of perivesical or prevesical space abscess | 51080 - DRG PRIVESICAL/PREVESICAL SPACE ABSC | 51080 - DRAINAGE OF BLADDER ABSCESS | '01/01/2017 | 12/31/2999 |
| 51100 | 51100 - Aspiration of bladder; by needle | 51100 - ASPIRATION BLADDER NEEDLE | 51100 - DRAIN BLADDER BY NEEDLE | '01/01/2017 | 12/31/2999 |
| 51101 | 51101 - Aspiration of bladder; by trocar or intracatheter | 51101 - ASPIRATION BLADDER TROCAR/INTRACATHETER | 51101 - DRAIN BLADDER BY TROCAR/CATH | '01/01/2017 | 12/31/2999 |
| 51102 | 51102 - Aspiration of bladder; with insertion of suprapubic catheter | 51102 - ASPIRATION BLADDER INSERT SUPRAPUBIC CATHETER | 51102 - DRAIN BL W/CATH INSERTION | '01/01/2017 | 12/31/2999 |
| 51500 | 51500 - Excision of urachal cyst or sinus with or without umbilical hernia repair | 51500 - EXC URACHAL CYST/SINUS W/WO UMBILICAL HERNIA RPR | 51500 - REMOVAL OF BLADDER CYST | '01/01/2017 | 12/31/2999 |
| 51520 | 51520 - Cystotomy; for simple excision of vesical neck (separate procedure) | 51520 - CYSTOTOMY SIMPLE EXCISION VESICAL NECK | 51520 - REMOVAL OF BLADDER LESION | '01/01/2017 | 12/31/2999 |
| 51525 | 51525 - Cystotomy; for excision of bladder diverticulum single or multiple (separate procedure) | 51525 - CYSTOTOMY EXCISE BLADDER DIVERTICULUM 1/MULTIPLE | 51525 - REMOVAL OF BLADDER LESION | '01/01/2017 | 12/31/2999 |
| 51530 | 51530 - Cystotomy; for excision of bladder tumor | 51530 - CYSTOTOMY EXCISION BLADDER TUMOR | 51530 - REMOVAL OF BLADDER LESION | '01/01/2017 | 12/31/2999 |
| 51535 | 51535 - Cystotomy for excision incision or repair of ureterocele | 51535 - CYSTOTOMY EXCISE/INCISE/REPAIR URETEROCELE | 51535 - REPAIR OF URETER LESION | '01/01/2017 | 12/31/2999 |
| 51550 | 51550 - Cystectomy partial; simple | 51550 - CYSTECTOMY PARTIAL SIMPLE | 51550 - PARTIAL REMOVAL OF BLADDER | '01/01/2017 | 12/31/2999 |
| 51555 | 51555 - Cystectomy partial; complicated (eg postradiation previous surgery difficult location) | 51555 - CYSTECTOMY PARTIAL COMPLICATED | 51555 - PARTIAL REMOVAL OF BLADDER | '01/01/2017 | 12/31/2999 |
| 51565 | 51565 - Cystectomy partial with reimplantation of ureter(s) into bladder (ureteroneocystostomy) | 51565 - CSTC PRTL W/RIMPLTJ URTR IN BLDR URTRONEOCSTOST | 51565 - REVISE BLADDER & URETER(S) | '01/01/2017 | 12/31/2999 |
| 51570 | 51570 - Cystectomy complete; (separate procedure) | 51570 - CYSTECTOMY COMPLETE SEPARATE PROCEDURE | 51570 - REMOVAL OF BLADDER | '01/01/2017 | 12/31/2999 |
| 51575 | 51575 - Cystectomy complete; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 51575 - CYSTECTOMY W/BI PELVIC LYMPHADENECTOMY | 51575 - REMOVAL OF BLADDER & NODES | '01/01/2017 | 12/31/2999 |
| 51580 | 51580 - Cystectomy complete with ureterosigmoidostomy or ureterocutaneous transplantations; | 51580 - CYSTECTOMY W/URETEROSIGMOIDOSTOMY W/NODES | 51580 - REMOVE BLADDER/REVISE TRACT | '01/01/2017 | 12/31/2999 |
| 51585 | 51585 - Cystectomy complete with ureterosigmoidostomy or ureterocutaneous transplantations; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 51585 - CYSTECTOMY W/URETEROSIGMOID BI PELV LYMPH NODES | 51585 - REMOVAL OF BLADDER & NODES | '01/01/2017 | 12/31/2999 |
| 51590 | 51590 - Cystectomy complete with ureteroileal conduit or sigmoid bladder including intestine anastomosis; | 51590 - CSTC COMPL W/URTROILEAL CONDUIT/BLDR W/INT ANAST | 51590 - REMOVE BLADDER/REVISE TRACT | '01/01/2017 | 12/31/2999 |
| 51595 | 51595 - Cystectomy complete with ureteroileal conduit or sigmoid bladder including intestine anastomosis; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 51595 - CSTC COMPL W/CONDUIT/SIGMOID BLDR PEL LMPHADEC | 51595 - REMOVE BLADDER/REVISE TRACT | '01/01/2017 | 12/31/2999 |
| 51596 | 51596 - Cystectomy complete with continent diversion any open technique using any segment of small and/or large intestine to construct neobladder | 51596 - CSTC COMPL W/CONTINENT DVRJ OPN NEOBLDR | 51596 - REMOVE BLADDER/CREATE POUCH | '01/01/2017 | 12/31/2999 |
| 51597 | 51597 - Pelvic exenteration complete for vesical prostatic or urethral malignancy with removal of bladder and ureteral transplantations with or without hysterectomy and/or abdominoperineal resection of rectum and colon and colostomy or any combination thereof | 51597 - PELVIC EXENTERATION COMPLETE MALIGNANCY | 51597 - REMOVAL OF PELVIC STRUCTURES | '01/01/2017 | 12/31/2999 |
| 51600 | 51600 - Injection procedure for cystography or voiding urethrocystography | 51600 - NJX CSTOGRAPY/VOIDING URETHROCSTOGRAPY | 51600 - INJECTION FOR BLADDER X-RAY | '01/01/2017 | 12/31/2999 |
| 51605 | 51605 - Injection procedure and placement of chain for contrast and/or chain urethrocystography | 51605 - NJX & PLACEMENT CHAIN CONTRAST&/URETHROCSTOGRAPY | 51605 - PREPARATION FOR BLADDER XRAY | '01/01/2017 | 12/31/2999 |
| 51610 | 51610 - Injection procedure for retrograde urethrocystography | 51610 - NJX RETROGRADE URETHROCSTOGRAPY | 51610 - INJECTION FOR BLADDER X-RAY | '01/01/2017 | 12/31/2999 |
| 51700 | 51700 - Bladder irrigation simple lavage and/or instillation | 51700 - BLDR IRRIGATION SMPL LAVAGE &/INSTLJ | 51700 - IRRIGATION OF BLADDER | '01/01/2017 | 12/31/2999 |
| 51701 | 51701 - Insertion of non-indwelling bladder catheter (eg straight catheterization for residual urine) | 51701 - INSJ NON-NDWELLG BLADDER CATHETER | 51701 - INSERT BLADDER CATHETER | '01/01/2017 | 12/31/2999 |
| 51702 | 51702 - Insertion of temporary indwelling bladder catheter; simple (eg Foley) | 51702 - INSJ TEMP NDWELLG BLADDER CATHETER SIMPLE | 51702 - INSERT TEMP BLADDER CATH | '01/01/2017 | 12/31/2999 |
| 51703 | 51703 - Insertion of temporary indwelling bladder catheter; complicated (eg altered anatomy fractured catheter/balloon) | 51703 - INSJ TEMP NDWELLG BLADDER CATHETER COMPLICATED | 51703 - INSERT BLADDER CATH COMPLEX | '01/01/2017 | 12/31/2999 |
| 51705 | 51705 - Change of cystostomy tube; simple | 51705 - CHANGE CYSTOSTOMY TUBE SIMPLE | 51705 - CHANGE OF BLADDER TUBE | '01/01/2017 | 12/31/2999 |
| 51710 | 51710 - Change of cystostomy tube; complicated | 51710 - CHANGE CYSTOSTOMY TUBE COMPLICATED | 51710 - CHANGE OF BLADDER TUBE | '01/01/2017 | 12/31/2999 |
| 51715 | 51715 - Endoscopic injection of implant material into the submucosal tissues of the urethra and/or bladder neck | 51715 - NDSC NJX IMPLT MATRL URT&/BLDR NCK | 51715 - ENDOSCOPIC INJECTION/IMPLANT | '01/01/2017 | 12/31/2999 |
| 51720 | 51720 - Bladder instillation of anticarcinogenic agent (including retention time) | 51720 - BLADDER INSTILLATION ANTICARCINOGENIC AGENT | 51720 - TREATMENT OF BLADDER LESION | '01/01/2017 | 12/31/2999 |
| 51725 | 51725 - Simple cystometrogram (CMG) (eg spinal manometer) | 51725 - SIMPLE CYSTOMETROGRAM | 51725 - SIMPLE CYSTOMETROGRAM | '01/01/2017 | 12/31/2999 |
| 51726 | 51726 - Complex cystometrogram (ie calibrated electronic equipment); | 51726 - BLADDER PRESSURE MEASUREMENT DURING FILLING | 51726 - COMPLEX CYSTOMETROGRAM | '01/01/2017 | 12/31/2999 |
| 51727 | 51727 - Complex cystometrogram (ie calibrated electronic equipment); with urethral pressure profile studies (ie urethral closure pressure profile) any technique | 51727 - COMPLEX CYSTOMETROGRAM URETHRAL PRESS PROFILE | 51727 - CYSTOMETROGRAM W/UP | '01/01/2017 | 12/31/2999 |
| 51728 | 51728 - Complex cystometrogram (ie calibrated electronic equipment); with voiding pressure studies (ie bladder voiding pressure) any technique | 51728 - COMPLEX CYSTOMETROGRAM VOIDING PRESSURE STUDIES | 51728 - CYSTOMETROGRAM W/VP | '01/01/2017 | 12/31/2999 |
| 51729 | 51729 - Complex cystometrogram (ie calibrated electronic equipment); with voiding pressure studies (ie bladder voiding pressure) and urethral pressure profile studies (ie urethral closure pressure profile) any technique | 51729 - COMPLX CYSTOMETRO W/VOID PRESS & URETHRAL PROFIL | 51729 - CYSTOMETROGRAM W/VP&UP | '01/01/2017 | 12/31/2999 |
| 51736 | 51736 - Simple uroflowmetry (UFR) (eg stop-watch flow rate mechanical uroflowmeter) | 51736 - SIMPLE UROFLOMETRY | 51736 - URINE FLOW MEASUREMENT | '01/01/2017 | 12/31/2999 |
| 51741 | 51741 - Complex uroflowmetry (eg calibrated electronic equipment) | 51741 - COMPLEX UROFLOMETRY | 51741 - ELECTRO-UROFLOWMETRY FIRST | '01/01/2017 | 12/31/2999 |
| 51784 | 51784 - Electromyography studies (EMG) of anal or urethral sphincter other than needle any technique | 51784 - EMG STDS ANAL/URTL SPHNCTR OTH/THN NDL | 51784 - ANAL/URINARY MUSCLE STUDY | '01/01/2017 | 12/31/2999 |
| 51785 | 51785 - Needle electromyography studies (EMG) of anal or urethral sphincter any technique | 51785 - NDL EMG STDS EMG ANAL/URTL SPHNCTR ANY TQ | 51785 - ANAL/URINARY MUSCLE STUDY | '01/01/2017 | 12/31/2999 |
| 51792 | 51792 - Stimulus evoked response (eg measurement of bulbocavernosus reflex latency time) | 51792 - STIMULUS EVOKED RESPONSE | 51792 - URINARY REFLEX STUDY | '01/01/2017 | 12/31/2999 |
| 51797 | 51797 - Voiding pressure studies intra-abdominal (ie rectal gastric intraperitoneal) (List separately in addition to code for primary procedure) | 51797 - VOID PRESSURE STUDIES INTRAABDOMINAL | 51797 - INTRAABDOMINAL PRESSURE TEST | '01/01/2017 | 12/31/2999 |
| 51798 | 51798 - Measurement of post-voiding residual urine and/or bladder capacity by ultrasound non-imaging | 51798 - MEAS POST-VOIDING RESIDUAL URINE&/BLADDER CAP | 51798 - US URINE CAPACITY MEASURE | '01/01/2017 | 12/31/2999 |
| 51800 | 51800 - Cystoplasty or cystourethroplasty plastic operation on bladder and/or vesical neck (anterior Y-plasty vesical fundus resection) any procedure with or without wedge resection of posterior vesical neck | 51800 - CSTOPLASTY/CSTOURTP PLSTC ANY | 51800 - REVISION OF BLADDER/URETHRA | '01/01/2017 | 12/31/2999 |
| 51820 | 51820 - Cystourethroplasty with unilateral or bilateral ureteroneocystostomy | 51820 - CSTOURTP W/UNI/BI URTRONEOCSTOST | 51820 - REVISION OF URINARY TRACT | '01/01/2017 | 12/31/2999 |
| 51840 | 51840 - Anterior vesicourethropexy or urethropexy (eg Marshall-Marchetti-Krantz Burch); simple | 51840 - ANT VESICOURETHROPEXY/URETHROPEXY SMPL | 51840 - ATTACH BLADDER/URETHRA | '01/01/2017 | 12/31/2999 |
| 51841 | 51841 - Anterior vesicourethropexy or urethropexy (eg Marshall-Marchetti-Krantz Burch); complicated (eg secondary repair) | 51841 - ANT VESICOURETHROPEXY/URETHROPEXY COMP | 51841 - ATTACH BLADDER/URETHRA | '01/01/2017 | 12/31/2999 |
| 51845 | 51845 - Abdomino-vaginal vesical neck suspension with or without endoscopic control (eg Stamey Raz modified Pereyra) | 51845 - ABDOMINO-VAG VESICAL NCK SSP W/WO NDSC CTRL | 51845 - REPAIR BLADDER NECK | '01/01/2017 | 12/31/2999 |
| 51860 | 51860 - Cystorrhaphy suture of bladder wound injury or rupture; simple | 51860 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT SIMPLE | 51860 - REPAIR OF BLADDER WOUND | '01/01/2017 | 12/31/2999 |
| 51865 | 51865 - Cystorrhaphy suture of bladder wound injury or rupture; complicated | 51865 - CYSTORRHAPHY SUTR BLDR WND INJ/RPT COMPLICATED | 51865 - REPAIR OF BLADDER WOUND | '01/01/2017 | 12/31/2999 |
| 51880 | 51880 - Closure of cystostomy (separate procedure) | 51880 - CLOSURE CYSTOSTOMY SEPARATE PROCEDURE | 51880 - REPAIR OF BLADDER OPENING | '01/01/2017 | 12/31/2999 |
| 51900 | 51900 - Closure of vesicovaginal fistula abdominal approach | 51900 - CLSR VESICOVAGINAL FISTUL AABDL APPROACH | 51900 - REPAIR BLADDER/VAGINA LESION | '01/01/2017 | 12/31/2999 |
| 51920 | 51920 - Closure of vesicouterine fistula; | 51920 - CLOSURE VESICOUTERINE FISTULA | 51920 - CLOSE BLADDER-UTERUS FISTULA | '01/01/2017 | 12/31/2999 |
| 51925 | 51925 - Closure of vesicouterine fistula; with hysterectomy | 51925 - CLSR VESICOUTERINE FISTULA W/HYSTERECTOMY | 51925 - HYSTERECTOMY/BLADDER REPAIR | '01/01/2017 | 12/31/2999 |
| 51940 | 51940 - Closure exstrophy of bladder | 51940 - CLOSURE EXSTROPHY BLADDER | 51940 - CORRECTION OF BLADDER DEFECT | '01/01/2017 | 12/31/2999 |
| 51960 | 51960 - Enterocystoplasty including intestinal anastomosis | 51960 - ENTEROCYSTOPLASTY W/INTESTINAL ANASTOMOSIS | 51960 - REVISION OF BLADDER & BOWEL | '01/01/2017 | 12/31/2999 |
| 51980 | 51980 - Cutaneous vesicostomy | 51980 - CUTANEOUS VESICOSTOMY | 51980 - CONSTRUCT BLADDER OPENING | '01/01/2017 | 12/31/2999 |
| 51990 | 51990 - Laparoscopy surgical; urethral suspension for stress incontinence | 51990 - LAPAROSCOPY URETHRAL SUSPENSION STRESS INCONT | 51990 - LAPARO URETHRAL SUSPENSION | '01/01/2017 | 12/31/2999 |
| 51992 | 51992 - Laparoscopy surgical; sling operation for stress incontinence (eg fascia or synthetic) | 51992 - LAPAROSCOPY SLING OPERATION STRESS INCONT | 51992 - LAPARO SLING OPERATION | '01/01/2017 | 12/31/2999 |
| 51999 | 51999 - Unlisted laparoscopy procedure bladder | 51999 - UNLISTED LAPAROSCOPY PROCEDURE BLADDER | 51999 - UNLISTED LAPS PX BLADDER | '01/01/2023 | 12/31/2999 |
| 52000 | 52000 - Cystourethroscopy (separate procedure) | 52000 - CYSTOURETHROSCOPY | 52000 - CYSTOSCOPY | '01/01/2017 | 12/31/2999 |
| 52001 | 52001 - Cystourethroscopy with irrigation and evacuation of multiple obstructing clots | 52001 - CYSTO W/IRRIG & EVAC MULTPLE OBSTRUCTING CLOTS | 52001 - CYSTOSCOPY REMOVAL OF CLOTS | '01/01/2017 | 12/31/2999 |
| 52005 | 52005 - Cystourethroscopy with ureteral catheterization with or without irrigation instillation or ureteropyelography exclusive of radiologic service; | 52005 - CYSTO BLADDER W/URETERAL CATHETERIZATION | 52005 - CYSTOSCOPY & URETER CATHETER | '01/01/2017 | 12/31/2999 |
| 52007 | 52007 - Cystourethroscopy with ureteral catheterization with or without irrigation instillation or ureteropyelography exclusive of radiologic service; with brush biopsy of ureter and/or renal pelvis | 52007 - CYSTO W/URTRL CATHJ BRUSH BX URTR&/RENAL PELVIS | 52007 - CYSTOSCOPY AND BIOPSY | '01/01/2017 | 12/31/2999 |
| 5200F | 5200F - Consideration of referral for a neurological evaluation of appropriateness for surgical therapy for intractable epilepsy within the past 3 years (EPI) | 5200F - CONSID NEURO EVAL APPROP SURG THXPY EPIL 3YRS | 5200F - EVAL APPROS SURG THXPY EPI | '01/01/2017 | 12/31/2999 |
| 52010 | 52010 - Cystourethroscopy with ejaculatory duct catheterization with or without irrigation instillation or duct radiography exclusive of radiologic service | 52010 - CYSTO W/EJACULATORY DUCT CATHETERIZATION | 52010 - CYSTOSCOPY & DUCT CATHETER | '01/01/2017 | 12/31/2999 |
| 52204 | 52204 - Cystourethroscopy with biopsy(s) | 52204 - CYSTOURETHROSCOPY WITH BIOPSY | 52204 - CYSTOSCOPY W/BIOPSY(S) | '01/01/2017 | 12/31/2999 |
| 52214 | 52214 - Cystourethroscopy with fulguration (including cryosurgery or laser surgery) of trigone bladder neck prostatic fossa urethra or periurethral glands | 52214 - CYSTO W/DESTRUCTION OF LESIONS | 52214 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52224 | 52224 - Cystourethroscopy with fulguration (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion(s) with or without biopsy | 52224 - CYSTO W/REMOVAL OF LESIONS SMALL | 52224 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52234 | 52234 - Cystourethroscopy with fulguration (including cryosurgery or laser surgery) and/or resection of; SMALL bladder tumor(s) (0.5 up to 2.0 cm) | 52234 - CYSTO W/REMOVAL OF TUMORS SMALL | 52234 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52235 | 52235 - Cystourethroscopy with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm) | 52235 - CYSTOURETHROSCOPY W/DEST &/RMVL MED BLADDER TUM | 52235 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52240 | 52240 - Cystourethroscopy with fulguration (including cryosurgery or laser surgery) and/or resection of; LARGE bladder tumor(s) | 52240 - CYSTOURETHROSCOPY W/DEST &/RMVL TUMOR LARGE | 52240 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52250 | 52250 - Cystourethroscopy with insertion of radioactive substance with or without biopsy or fulguration | 52250 - CYSTOURETHROSCOPY INSJ RADIOACT SBST W/WOBX/FULG | 52250 - CYSTOSCOPY AND RADIOTRACER | '01/01/2017 | 12/31/2999 |
| 52260 | 52260 - Cystourethroscopy with dilation of bladder for interstitial cystitis; general or conduction (spinal) anesthesia | 52260 - CYSTOURETHROSCOPY W/DIL BLADDER GENERAL ANESTH | 52260 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52265 | 52265 - Cystourethroscopy with dilation of bladder for interstitial cystitis; local anesthesia | 52265 - CYSTOURETHROSCOPY W/DIL BLADDER LOCAL ANESTHESIA | 52265 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52270 | 52270 - Cystourethroscopy with internal urethrotomy; female | 52270 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY FEMALE | 52270 - CYSTOSCOPY & REVISE URETHRA | '01/01/2017 | 12/31/2999 |
| 52275 | 52275 - Cystourethroscopy with internal urethrotomy; male | 52275 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY MALE | 52275 - CYSTOSCOPY & REVISE URETHRA | '01/01/2017 | 12/31/2999 |
| 52276 | 52276 - Cystourethroscopy with direct vision internal urethrotomy | 52276 - CYSTOURETHROSCOPY W/INTERNAL URETHROTOMY | 52276 - CYSTOSCOPY AND TREATMENT | '01/01/2023 | 12/31/2999 |
| 52277 | 52277 - Cystourethroscopy with resection of external sphincter (sphincterotomy) | 52277 - CYSTOURETHROSCOPY W/RESECJ EXTERNAL SPHINCTER | 52277 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52281 | 52281 - Cystourethroscopy with calibration and/or dilation of urethral stricture or stenosis with or without meatotomy with or without injection procedure for cystography male or female | 52281 - CYSTO CALIBRATION DILAT URTL STRIX/STENOSIS | 52281 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52282 | 52282 - Cystourethroscopy with insertion of permanent urethral stent | 52282 - CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT | 52282 - CYSTOSCOPY IMPLANT STENT | '01/01/2017 | 12/31/2999 |
| 52283 | 52283 - Cystourethroscopy with steroid injection into stricture | 52283 - CYSTOURETHROSCOPY W/STEROID INJECTION STRICTURE | 52283 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52285 | 52285 - Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy urethral dilation internal urethrotomy lysis of urethrovaginal septal fibrosis lateral incisions of the bladder neck and fulguration of polyp(s) of urethra bladder neck and/or trigone | 52285 - CYSTOURETHROSCOPY TX FEMALE URETHRAL SYNDROME | 52285 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52287 | 52287 - Cystourethroscopy with injection(s) for chemodenervation of the bladder | 52287 - CYSTOURETHROSCOPY INJ CHEMODENERVATION BLADDER | 52287 - CYSTOSCOPY CHEMODENERVATION | '01/01/2017 | 12/31/2999 |
| 52290 | 52290 - Cystourethroscopy; with ureteral meatotomy unilateral or bilateral | 52290 - CYSTOURETHROSCOPY W/URETERAL MEATOTOMY UNI/BI | 52290 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52300 | 52300 - Cystourethroscopy; with resection or fulguration of orthotopic ureterocele(s) unilateral or bilateral | 52300 - CYSTO W/RESCJ/FULG ORTHOPIC URETEROCELE UNI/BI | 52300 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52301 | 52301 - Cystourethroscopy; with resection or fulguration of ectopic ureterocele(s) unilateral or bilateral | 52301 - CYSTO W/RESECJ ECTOPIC URETEROCELE UNI/BI | 52301 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52305 | 52305 - Cystourethroscopy; with incision or resection of orifice of bladder diverticulum single or multiple | 52305 - CYSTO INC/RESCJ ORIFICE BLDR DIVERTICULUM 1/MLT | 52305 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52310 | 52310 - Cystourethroscopy with removal of foreign body calculus or ureteral stent from urethra or bladder (separate procedure); simple | 52310 - CYSTO W/SIMPLE REMOVAL STONE & STENT | 52310 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52315 | 52315 - Cystourethroscopy with removal of foreign body calculus or ureteral stent from urethra or bladder (separate procedure); complicated | 52315 - CYSTO W/COMPLEX REMOVAL STONE & STENT | 52315 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52317 | 52317 - Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm) | 52317 - LITHOLAPAXY SMPL/SM <2.5 CM | 52317 - REMOVE BLADDER STONE | '01/01/2017 | 12/31/2999 |
| 52318 | 52318 - Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; complicated or large (over 2.5 cm) | 52318 - LITHOLAPAXY COMP/LG > 2.5 CM | 52318 - REMOVE BLADDER STONE | '01/01/2017 | 12/31/2999 |
| 52320 | 52320 - Cystourethroscopy (including ureteral catheterization); with removal of ureteral calculus | 52320 - CYSTOURETHROSCOPY W/RMVL URETERAL CALCULUS | 52320 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52325 | 52325 - Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg ultrasonic or electro-hydraulic technique) | 52325 - CYSTO FRAGMENTATION URETERAL STONE | 52325 - CYSTOSCOPY STONE REMOVAL | '01/01/2017 | 12/31/2999 |
| 52327 | 52327 - Cystourethroscopy (including ureteral catheterization); with subureteric injection of implant material | 52327 - CYSTO W/SUBURTRIC NJX IMPLT MATRL | 52327 - CYSTOSCOPY INJECT MATERIAL | '01/01/2017 | 12/31/2999 |
| 52330 | 52330 - Cystourethroscopy (including ureteral catheterization); with manipulation without removal of ureteral calculus | 52330 - CYSTO MANJ W/O RMVL URETERAL STONE | 52330 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52332 | 52332 - Cystourethroscopy with insertion of indwelling ureteral stent (eg Gibbons or double-J type) | 52332 - CYSTO W/INSERT URETERAL STENT | 52332 - CYSTOSCOPY AND TREATMENT | '01/01/2017 | 12/31/2999 |
| 52334 | 52334 - Cystourethroscopy with insertion of ureteral guide wire through kidney to establish a percutaneous nephrostomy retrograde | 52334 - CYSTO INSJ URTRL GD WIRE PRQ NFROS RTRGR | 52334 - CREATE PASSAGE TO KIDNEY | '01/01/2017 | 12/31/2999 |
| 52341 | 52341 - Cystourethroscopy; with treatment of ureteral stricture (eg balloon dilation laser electrocautery and incision) | 52341 - CYSTO W/TX URETERAL STRICTURE | 52341 - CYSTO W/URETER STRICTURE TX | '01/01/2017 | 12/31/2999 |
| 52342 | 52342 - Cystourethroscopy; with treatment of ureteropelvic junction stricture (eg balloon dilation laser electrocautery and incision) | 52342 - CYSTO W/TX URETEROPELVIC JUNCTION STRICTURE | 52342 - CYSTO W/UP STRICTURE TX | '01/01/2017 | 12/31/2999 |
| 52343 | 52343 - Cystourethroscopy; with treatment of intra-renal stricture (eg balloon dilation laser electrocautery and incision) | 52343 - CYSTO W/TX INTRA-RENAL STRICTURE | 52343 - CYSTO W/RENAL STRICTURE TX | '01/01/2017 | 12/31/2999 |
| 52344 | 52344 - Cystourethroscopy with ureteroscopy; with treatment of ureteral stricture (eg balloon dilation laser electrocautery and incision) | 52344 - CYSTO W/URTROSCOPY W/TX URETERAL STRICTURE | 52344 - CYSTO/URETERO STRICTURE TX | '01/01/2017 | 12/31/2999 |
| 52345 | 52345 - Cystourethroscopy with ureteroscopy; with treatment of ureteropelvic junction stricture (eg balloon dilation laser electrocautery and incision) | 52345 - CYSTO W/URTROSCOPY W/TX URTROPEL JUNCT STRIX | 52345 - CYSTO/URETERO W/UP STRICTURE | '01/01/2017 | 12/31/2999 |
| 52346 | 52346 - Cystourethroscopy with ureteroscopy; with treatment of intra-renal stricture (eg balloon dilation laser electrocautery and incision) | 52346 - CYSTO W/URTROSCOPY W/TX INTRA-RENAL STRICTURE | 52346 - CYSTOURETERO W/RENAL STRICT | '01/01/2017 | 12/31/2999 |
| 52351 | 52351 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; diagnostic | 52351 - CYSTO W/URTROSCOPY&/PYELOSCOPY DX | 52351 - CYSTOURETERO & OR PYELOSCOPE | '01/01/2017 | 12/31/2999 |
| 52352 | 52352 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included) | 52352 - CYSTO W/URETEROSCOPY W/RMVL/MANJ STONES | 52352 - CYSTOURETERO W/STONE REMOVE | '01/01/2017 | 12/31/2999 |
| 52353 | 52353 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with lithotripsy (ureteral catheterization is included) | 52353 - CYSTO W/URETEROSCOPY W/LITHOTRIPSY | 52353 - CYSTOURETERO W/LITHOTRIPSY | '01/01/2017 | 12/31/2999 |
| 52354 | 52354 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with biopsy and/or fulguration of ureteral or renal pelvic lesion | 52354 - CYSTO/PYELOSCOPY BX&/FULGURATION PELIVC LESION | 52354 - CYSTOURETERO W/BIOPSY | '01/01/2017 | 12/31/2999 |
| 52355 | 52355 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with resection of ureteral or renal pelvic tumor | 52355 - CYSTO/PYELOSCOPY RESCJ PELVIC TUMOR | 52355 - CYSTOURETERO W/EXCISE TUMOR | '01/01/2017 | 12/31/2999 |
| 52356 | 52356 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with lithotripsy including insertion of indwelling ureteral stent (eg Gibbons or double-J type) | 52356 - CYSTO/URETERO W/LITHOTRIPSY &INDWELL STENT INSRT | 52356 - CYSTO/URETERO W/LITHOTRIPSY | '01/01/2017 | 12/31/2999 |
| 52400 | 52400 - Cystourethroscopy with incision fulguration or resection of congenital posterior urethral valves or congenital obstructive hypertrophic mucosal folds | 52400 - CYSTO INC FULG/RESCJ URTL VALVES/FOLDS | 52400 - CYSTOURETERO W/CONGEN REPR | '01/01/2017 | 12/31/2999 |
| 52402 | 52402 - Cystourethroscopy with transurethral resection or incision of ejaculatory ducts | 52402 - CSTO W/TRURL RESCJ/INC EJACULATORY DUXS | 52402 - CYSTOURETHRO CUT EJACUL DUCT | '01/01/2017 | 12/31/2999 |
| 52441 | 52441 - Cystourethroscopy with insertion of permanent adjustable transprostatic implant; single implant | 52441 - CYSTO INSERTION TRANSPROSTATIC IMPLANT SINGLE | 52441 - CYSTOURETHRO W/IMPLANT | '01/01/2017 | 12/31/2999 |
| 52442 | 52442 - Cystourethroscopy with insertion of permanent adjustable transprostatic implant; each additional permanent adjustable transprostatic implant (List separately in addition to code for primary procedure) | 52442 - CYSTO INSERTION TRANSPROSTATIC IMPLANT EA ADDL | 52442 - CYSTOURETHRO W/ADDL IMPLANT | '01/01/2017 | 12/31/2999 |
| 52450 | 52450 - Transurethral incision of prostate | 52450 - TRANSURETHRAL INCISION PROSTATE | 52450 - INCISION OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 52500 | 52500 - Transurethral resection of bladder neck (separate procedure) | 52500 - TRANSURETHRAL RESECTION BLADDER NECK | 52500 - REVISION OF BLADDER NECK | '01/01/2017 | 12/31/2999 |
| 5250F | 5250F - Asthma discharge plan provided to patient (Asthma) | 5250F - ASTHMA DISCHARGE PLAN PRESENT | 5250F - ASTHMA DISCHARGE PLAN PRESNT | '01/01/2017 | 12/31/2999 |
| 52601 | 52601 - Transurethral electrosurgical resection of prostate including control of postoperative bleeding complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation and internal urethrotomy are included) | 52601 - TRURL ELECTROSURG RESCJ PROSTATE BLEED COMPLETE | 52601 - PROSTATECTOMY (TURP) | '01/01/2017 | 12/31/2999 |
| 52630 | 52630 - Transurethral resection; residual or regrowth of obstructive prostate tissue including control of postoperative bleeding complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation and internal urethrotomy are included) | 52630 - TRURL RESCJ RESIDUAL/REGROWTH OBSTR PRSTATE TISS | 52630 - REMOVE PROSTATE REGROWTH | '01/01/2017 | 12/31/2999 |
| 52640 | 52640 - Transurethral resection; of postoperative bladder neck contracture | 52640 - TRURL RESCJ POSTOP BLADDER NECK CONTRACTURE | 52640 - RELIEVE BLADDER CONTRACTURE | '01/01/2017 | 12/31/2999 |
| 52647 | 52647 - Laser coagulation of prostate including control of postoperative bleeding complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation and internal urethrotomy are included if performed) | 52647 - LASER COAGULATION OF PROSTATE FOR URINE FLOW | 52647 - LASER SURGERY OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 52648 | 52648 - Laser vaporization of prostate including control of postoperative bleeding complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation internal urethrotomy and transurethral resection of prostate are included if performed) | 52648 - LASER VAPORIZATION OF PROSTATE FOR URINE FLOW | 52648 - LASER SURGERY OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 52649 | 52649 - Laser enucleation of the prostate with morcellation including control of postoperative bleeding complete (vasectomy meatotomy cystourethroscopy urethral calibration and/or dilation internal urethrotomy and transurethral resection of prostate are included if performed) | 52649 - LASER ENUCLEATION PROSTATE W/MORCELLATION | 52649 - PROSTATE LASER ENUCLEATION | '01/01/2017 | 12/31/2999 |
| 52700 | 52700 - Transurethral drainage of prostatic abscess | 52700 - TRURL DRAINAGE PROSTATIC ABSCESS | 52700 - DRAINAGE OF PROSTATE ABSCESS | '01/01/2017 | 12/31/2999 |
| 53000 | 53000 - Urethrotomy or urethrostomy external (separate procedure); pendulous urethra | 53000 - URTT/URTS XTRNL SPX PENDULOUS URETHRA | 53000 - INCISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53010 | 53010 - Urethrotomy or urethrostomy external (separate procedure); perineal urethra external | 53010 - URETHROTOMY/URETHROSTOMY XT SPX PERINEAL URETHRA | 53010 - INCISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53020 | 53020 - Meatotomy cutting of meatus (separate procedure); except infant | 53020 - MEATOTOMY CUTTING MEATUS SPX EXCEPT INFANT | 53020 - INCISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53025 | 53025 - Meatotomy cutting of meatus (separate procedure); infant | 53025 - MEATOTOMY CUTTING MEATUS SPX INFANT | 53025 - INCISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53040 | 53040 - Drainage of deep periurethral abscess | 53040 - DRAINAGE DEEP PERIURETHRAL ABSCESS | 53040 - DRAINAGE OF URETHRA ABSCESS | '01/01/2017 | 12/31/2999 |
| 53060 | 53060 - Drainage of Skene's gland abscess or cyst | 53060 - DRG OF SKENE'S GLAND ABSCESS OR CYST | 53060 - DRAINAGE OF URETHRA ABSCESS | '01/01/2017 | 12/31/2999 |
| 53080 | 53080 - Drainage of perineal urinary extravasation; uncomplicated (separate procedure) | 53080 - DRG PERINEAL URINARY XTRVASATION UNCOMP SPX | 53080 - DRAINAGE OF URINARY LEAKAGE | '01/01/2017 | 12/31/2999 |
| 53085 | 53085 - Drainage of perineal urinary extravasation; complicated | 53085 - DRG PERINEAL URINARY XTRVASATION COMPLIC | 53085 - DRAINAGE OF URINARY LEAKAGE | '01/01/2017 | 12/31/2999 |
| 53200 | 53200 - Biopsy of urethra | 53200 - BIOPSY URETHRA | 53200 - BIOPSY OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53210 | 53210 - Urethrectomy total including cystostomy; female | 53210 - URETHRECTOMY TOT W/CYSTOST FEMALE | 53210 - REMOVAL OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53215 | 53215 - Urethrectomy total including cystostomy; male | 53215 - URETHRECTOMY TOT W/CYSTOST MALE | 53215 - REMOVAL OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53220 | 53220 - Excision or fulguration of carcinoma of urethra | 53220 - EXC/FULGURATION CARCINOMA URETHRA | 53220 - TREATMENT OF URETHRA LESION | '01/01/2017 | 12/31/2999 |
| 53230 | 53230 - Excision of urethral diverticulum (separate procedure); female | 53230 - EXC URETHRAL DIVERTICULUM SPX FEMALE | 53230 - REMOVAL OF URETHRA LESION | '01/01/2017 | 12/31/2999 |
| 53235 | 53235 - Excision of urethral diverticulum (separate procedure); male | 53235 - EXC URETHRAL DIVERTICULUM SPX MALE | 53235 - REMOVAL OF URETHRA LESION | '01/01/2017 | 12/31/2999 |
| 53240 | 53240 - Marsupialization of urethral diverticulum male or female | 53240 - MARSUPIALIZATION URTL DIVERTICULUM MALE/FEMALE | 53240 - SURGERY FOR URETHRA POUCH | '01/01/2017 | 12/31/2999 |
| 53250 | 53250 - Excision of bulbourethral gland (Cowper's gland) | 53250 - EXCISION OF BULBOURETHRAL GLAND | 53250 - REMOVAL OF URETHRA GLAND | '01/01/2017 | 12/31/2999 |
| 53260 | 53260 - Excision or fulguration; urethral polyp(s) distal urethra | 53260 - EXC/FULGURATION URETHRAL POLYP DSTL URETHRA | 53260 - TREATMENT OF URETHRA LESION | '01/01/2017 | 12/31/2999 |
| 53265 | 53265 - Excision or fulguration; urethral caruncle | 53265 - EXC/FULGURATION URETHRAL CARUNCLE | 53265 - TREATMENT OF URETHRA LESION | '01/01/2017 | 12/31/2999 |
| 53270 | 53270 - Excision or fulguration; Skene's glands | 53270 - EXCISION OR FULGURATION SKENES GLANDS | 53270 - REMOVAL OF URETHRA GLAND | '01/01/2017 | 12/31/2999 |
| 53275 | 53275 - Excision or fulguration; urethral prolapse | 53275 - EXCISION/FULGURATION URETHRAL PROLAPSE | 53275 - REPAIR OF URETHRA DEFECT | '01/01/2017 | 12/31/2999 |
| 53400 | 53400 - Urethroplasty; first stage for fistula diverticulum or stricture (eg Johannsen type) | 53400 - URETHROPLASTY 1ST STG FISTULA/DIVERTICULUM/STRIX | 53400 - REVISE URETHRA STAGE 1 | '01/01/2017 | 12/31/2999 |
| 53405 | 53405 - Urethroplasty; second stage (formation of urethra) including urinary diversion | 53405 - URETHROPLASTY 2ND STAGE W/URINARY DIVERSION | 53405 - REVISE URETHRA STAGE 2 | '01/01/2017 | 12/31/2999 |
| 53410 | 53410 - Urethroplasty 1-stage reconstruction of male anterior urethra | 53410 - URETHROPLASTY 1 STG RECNST MALE ANTERIOR URETHRA | 53410 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53415 | 53415 - Urethroplasty transpubic or perineal 1-stage for reconstruction or repair of prostatic or membranous urethra | 53415 - URTP TRANSPUBIC/PRNL 1 STG RCNSTJ/RPR URT | 53415 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53420 | 53420 - Urethroplasty 2-stage reconstruction or repair of prostatic or membranous urethra; first stage | 53420 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 1ST STAGE | 53420 - RECONSTRUCT URETHRA STAGE 1 | '01/01/2017 | 12/31/2999 |
| 53425 | 53425 - Urethroplasty 2-stage reconstruction or repair of prostatic or membranous urethra; second stage | 53425 - URTP 2-STG RCNSTJ/RPR PROSTAT/URETHRA 2ND STAGE | 53425 - RECONSTRUCT URETHRA STAGE 2 | '01/01/2017 | 12/31/2999 |
| 53430 | 53430 - Urethroplasty reconstruction of female urethra | 53430 - URETHROPLASTY RCNSTJ FEMALE URETHRA | 53430 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53431 | 53431 - Urethroplasty with tubularization of posterior urethra and/or lower bladder for incontinence (eg Tenago Leadbetter procedure) | 53431 - URTP W/TUBULARIZATION POST URT&/LWR BLDR | 53431 - RECONSTRUCT URETHRA/BLADDER | '01/01/2017 | 12/31/2999 |
| 53440 | 53440 - Sling operation for correction of male urinary incontinence (eg fascia or synthetic) | 53440 - SLING OPRATION CORRJ MALE URINARY INCONTINENCE | 53440 - MALE SLING PROCEDURE | '01/01/2017 | 12/31/2999 |
| 53442 | 53442 - Removal or revision of sling for male urinary incontinence (eg fascia or synthetic) | 53442 - RMVL/REVJ SLING MALE URINARY INCONTINENCE | 53442 - REMOVE/REVISE MALE SLING | '01/01/2017 | 12/31/2999 |
| 53444 | 53444 - Insertion of tandem cuff (dual cuff) | 53444 - INSERTION TANDEM CUFF | 53444 - INSERT TANDEM CUFF | '01/01/2017 | 12/31/2999 |
| 53445 | 53445 - Insertion of inflatable urethral/bladder neck sphincter including placement of pump reservoir and cuff | 53445 - INSJ INFLATABLE URETHRAL/BLADDER NECK SPHINCTER | 53445 - INSERT URO/VES NCK SPHINCTER | '01/01/2017 | 12/31/2999 |
| 53446 | 53446 - Removal of inflatable urethral/bladder neck sphincter including pump reservoir and cuff | 53446 - REMVL INFLATABLE URETHRAL/BLADDER NECK SPHINCTER | 53446 - REMOVE URO SPHINCTER | '01/01/2017 | 12/31/2999 |
| 53447 | 53447 - Removal and replacement of inflatable urethral/bladder neck sphincter including pump reservoir and cuff at the same operative session | 53447 - RMVL & RPLCMT NFLTL URETHRAL/BLADDER NECK SPHINC | 53447 - REMOVE/REPLACE UR SPHINCTER | '01/01/2017 | 12/31/2999 |
| 53448 | 53448 - Removal and replacement of inflatable urethral/bladder neck sphincter including pump reservoir and cuff through an infected field at the same operative session including irrigation and debridement of infected tissue | 53448 - RMVL & RPLCMT NFLTBL NCK SPHNCTR THRU INFCT FLD | 53448 - REMOV/REPLC UR SPHINCTR COMP | '01/01/2017 | 12/31/2999 |
| 53449 | 53449 - Repair of inflatable urethral/bladder neck sphincter including pump reservoir and cuff | 53449 - RPR NFLTBL URETHRAL/BLADDER NECK SPHINCTER | 53449 - REPAIR URO SPHINCTER | '01/01/2017 | 12/31/2999 |
| 53450 | 53450 - Urethromeatoplasty with mucosal advancement | 53450 - URETHROMEATOPLASTY W/MUCOSAL ADVANCEMENT | 53450 - REVISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53451 | 53451 - Periurethral transperineal adjustable balloon continence device; bilateral insertion including cystourethroscopy and imaging guidance | 53451 - PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV BI INSJ | 53451 - TPRNL BALO CNTNC DEV BI | '01/01/2022 | 12/31/2999 |
| 53452 | 53452 - Periurethral transperineal adjustable balloon continence device; unilateral insertion including cystourethroscopy and imaging guidance | 53452 - PERIURETHRL TPRNL ADJTBL BALO CNTNC DEV UNI INSJ | 53452 - TPRNL BALO CNTNC DEV UNI | '01/01/2022 | 12/31/2999 |
| 53453 | 53453 - Periurethral transperineal adjustable balloon continence device; removal each balloon | 53453 - PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV RMVL EA | 53453 - TPRNL BALO CNTNC DEV RMVL EA | '01/01/2022 | 12/31/2999 |
| 53454 | 53454 - Periurethral transperineal adjustable balloon continence device; percutaneous adjustment of balloon(s) fluid volume | 53454 - PERIURETHRAL TPRNL ADJTBL BALO CNTNC DEV ADJMT | 53454 - TPRNL BALO CNTNC DEV ADJMT | '01/01/2022 | 12/31/2999 |
| 53460 | 53460 - Urethromeatoplasty with partial excision of distal urethral segment (Richardson type procedure) | 53460 - URETHROMEATOPLASTY W/PRTL EXC DSTL URTL SGM | 53460 - REVISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53500 | 53500 - Urethrolysis transvaginal secondary open including cystourethroscopy (eg postsurgical obstruction scarring) | 53500 - URETHROLSS TRVG SEC OPN W/CSTO | 53500 - URETHRLYS TRANSVAG W/ SCOPE | '01/01/2017 | 12/31/2999 |
| 53502 | 53502 - Urethrorrhaphy suture of urethral wound or injury female | 53502 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ FEMALE | 53502 - REPAIR OF URETHRA INJURY | '01/01/2017 | 12/31/2999 |
| 53505 | 53505 - Urethrorrhaphy suture of urethral wound or injury; penile | 53505 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PENILE | 53505 - REPAIR OF URETHRA INJURY | '01/01/2017 | 12/31/2999 |
| 53510 | 53510 - Urethrorrhaphy suture of urethral wound or injury; perineal | 53510 - URETHRORRHAPHY SUTR URETHRAL WOUND/INJ PERINEAL | 53510 - REPAIR OF URETHRA INJURY | '01/01/2017 | 12/31/2999 |
| 53515 | 53515 - Urethrorrhaphy suture of urethral wound or injury; prostatomembranous | 53515 - URTORR SUTR URETHRAL WND/INJ PROSTATOMEMBRANOUS | 53515 - REPAIR OF URETHRA INJURY | '01/01/2017 | 12/31/2999 |
| 53520 | 53520 - Closure of urethrostomy or urethrocutaneous fistula male (separate procedure) | 53520 - CLSR URETHROSTOMY/URETHROQ FSTL MALE SPX | 53520 - REPAIR OF URETHRA DEFECT | '01/01/2017 | 12/31/2999 |
| 53600 | 53600 - Dilation of urethral stricture by passage of sound or urethral dilator male; initial | 53600 - DILAT URETHRAL STRIX DILATOR MALE 1ST | 53600 - DILATE URETHRA STRICTURE | '01/01/2017 | 12/31/2999 |
| 53601 | 53601 - Dilation of urethral stricture by passage of sound or urethral dilator male; subsequent | 53601 - DILAT URETHRAL STRIX DILATOR MALE SBSQ | 53601 - DILATE URETHRA STRICTURE | '01/01/2017 | 12/31/2999 |
| 53605 | 53605 - Dilation of urethral stricture or vesical neck by passage of sound or urethral dilator male general or conduction (spinal) anesthesia | 53605 - DILAT URETHRAL STRIX/VESICAL NCK DILAT MALE ANES | 53605 - DILATE URETHRA STRICTURE | '01/01/2017 | 12/31/2999 |
| 53620 | 53620 - Dilation of urethral stricture by passage of filiform and follower male; initial | 53620 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE 1ST | 53620 - DILATE URETHRA STRICTURE | '01/01/2017 | 12/31/2999 |
| 53621 | 53621 - Dilation of urethral stricture by passage of filiform and follower male; subsequent | 53621 - DILAT URETHRAL STRIX FILIFORM & FOLLWR MALE SBSQ | 53621 - DILATE URETHRA STRICTURE | '01/01/2017 | 12/31/2999 |
| 53660 | 53660 - Dilation of female urethra including suppository and/or instillation; initial | 53660 - DILAT FEMALE URETHRA W/SUPPOSITORY&/INSTLJ INI | 53660 - DILATION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53661 | 53661 - Dilation of female urethra including suppository and/or instillation; subsequent | 53661 - DILAT FEMALE URT W/SUPPOSITORY&/INSTLJ SBSQ | 53661 - DILATION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53665 | 53665 - Dilation of female urethra general or conduction (spinal) anesthesia | 53665 - DILAT FEMALE URETHRA GENERAL/CNDJ SPINAL ANES | 53665 - DILATION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 53850 | 53850 - Transurethral destruction of prostate tissue; by microwave thermotherapy | 53850 - TRURL DSTRJ PRSTATE TISS MICROWAVE THERMOTH | 53850 - PROSTATIC MICROWAVE THERMOTX | '01/01/2017 | 12/31/2999 |
| 53852 | 53852 - Transurethral destruction of prostate tissue; by radiofrequency thermotherapy | 53852 - TRURL DSTRJ PRSTATE TISS RF THERMOTH | 53852 - PROSTATIC RF THERMOTX | '01/01/2017 | 12/31/2999 |
| 53854 | 53854 - Transurethral destruction of prostate tissue; by radiofrequency generated water vapor thermotherapy | 53854 - TRURL DSTRJ PRST8 TISS RF WV THERMOTHERAPY | 53854 - TRURL DSTRJ PRST8 TISS RF WV | '01/01/2019 | 12/31/2999 |
| 53855 | 53855 - Insertion of a temporary prostatic urethral stent including urethral measurement | 53855 - INSERT TEMP PROSTATIC URETH STENT W/MEASUREMENT | 53855 - INSERT PROST URETHRAL STENT | '01/01/2017 | 12/31/2999 |
| 53860 | 53860 - Transurethral radiofrequency micro-remodeling of the female bladder neck and proximal urethra for stress urinary incontinence | 53860 - TRURL RF FEMALE BLADDER NECK STRS URIN INCONT | 53860 - TRANSURETHRAL RF TREATMENT | '01/01/2017 | 12/31/2999 |
| 53899 | 53899 - Unlisted procedure urinary system | 53899 - UNLISTED PROCEDURE URINARY SYSTEM | 53899 - UNLISTED PX URINARY SYSTEM | '01/01/2023 | 12/31/2999 |
| 54000 | 54000 - Slitting of prepuce dorsal or lateral (separate procedure); newborn | 54000 - SLITTING PREPUCE DORSAL/LATERAL SPX NEWBORN | 54000 - SLITTING OF PREPUCE | '01/01/2017 | 12/31/2999 |
| 54001 | 54001 - Slitting of prepuce dorsal or lateral (separate procedure); except newborn | 54001 - SLITTING PREPUCE DORSAL/LAT SPX XCP NEWBORN | 54001 - SLITTING OF PREPUCE | '01/01/2017 | 12/31/2999 |
| 54015 | 54015 - Incision and drainage of penis deep | 54015 - I&D PENIS DEEP | 54015 - DRAIN PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54050 | 54050 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; chemical | 54050 - DSTRJ LESION PENIS SIMPLE CHEMICAL | 54050 - DESTRUCTION PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54055 | 54055 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; electrodesiccation | 54055 - DSTRJ LESION PENIS SIMPLE ELECTRODESICCATION | 54055 - DESTRUCTION PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54056 | 54056 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; cryosurgery | 54056 - DSTRJ LESION PENIS SIMPLE CRYOSURGERY | 54056 - CRYOSURGERY PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54057 | 54057 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; laser surgery | 54057 - DSTRJ LESION PENIS SIMPLE LASER | 54057 - LASER SURG PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54060 | 54060 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) simple; surgical excision | 54060 - DSTRJ LESION PENIS SIMPLE SURG EXCISION | 54060 - EXCISION OF PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54065 | 54065 - Destruction of lesion(s) penis (eg condyloma papilloma molluscum contagiosum herpetic vesicle) extensive (eg laser surgery electrosurgery cryosurgery chemosurgery) | 54065 - DSTRJ LESION PENIS EXTENSIVE | 54065 - DESTRUCTION PENIS LESION(S) | '01/01/2017 | 12/31/2999 |
| 54100 | 54100 - Biopsy of penis; (separate procedure) | 54100 - BIOPSY PENIS SEPARATE PROCEDURE | 54100 - BIOPSY OF PENIS | '01/01/2017 | 12/31/2999 |
| 54105 | 54105 - Biopsy of penis; deep structures | 54105 - BIOPSY PENIS DEEP STRUCTURES | 54105 - BIOPSY OF PENIS | '01/01/2017 | 12/31/2999 |
| 54110 | 54110 - Excision of penile plaque (Peyronie disease); | 54110 - EXCISION OF PENILE PLAQUE | 54110 - TREATMENT OF PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54111 | 54111 - Excision of penile plaque (Peyronie disease); with graft to 5 cm in length | 54111 - EXC PENILE PLAQUE GRAFT &/5 CM LENGTH | 54111 - TREAT PENIS LESION GRAFT | '01/01/2017 | 12/31/2999 |
| 54112 | 54112 - Excision of penile plaque (Peyronie disease); with graft greater than 5 cm in length | 54112 - EXC PENILE PLAQUE GRAFT > 5 CM LENGTH | 54112 - TREAT PENIS LESION GRAFT | '01/01/2017 | 12/31/2999 |
| 54115 | 54115 - Removal foreign body from deep penile tissue (eg plastic implant) | 54115 - REMOVAL FOREIGN BODY DEEP PENILE TISSUE | 54115 - TREATMENT OF PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54120 | 54120 - Amputation of penis; partial | 54120 - AMPUTATION PENIS PARTIAL | 54120 - PARTIAL REMOVAL OF PENIS | '01/01/2017 | 12/31/2999 |
| 54125 | 54125 - Amputation of penis; complete | 54125 - AMPUTATION PENIS COMPLETE | 54125 - REMOVAL OF PENIS | '01/01/2017 | 12/31/2999 |
| 54130 | 54130 - Amputation of penis radical; with bilateral inguinofemoral lymphadenectomy | 54130 - AMPUTATION PENIS RADW/BI INGUINOFEMORAL LMPHADE | 54130 - REMOVE PENIS & NODES | '01/01/2017 | 12/31/2999 |
| 54135 | 54135 - Amputation of penis radical; in continuity with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 54135 - AMPUTATION PENIS RADICAL W/LYMPH NODES | 54135 - REMOVE PENIS & NODES | '01/01/2017 | 12/31/2999 |
| 54150 | 54150 - Circumcision using clamp or other device with regional dorsal penile or ring block | 54150 - CIRCUMCISION W/CLAMP/OTH DEV W/BLOCK | 54150 - CIRCUMCISION W/REGIONL BLOCK | '01/01/2017 | 12/31/2999 |
| 54160 | 54160 - Circumcision surgical excision other than clamp device or dorsal slit; neonate (28 days of age or less) | 54160 - CIRCUMCISION NEONATE | 54160 - CIRCUMCISION NEONATE | '01/01/2017 | 12/31/2999 |
| 54161 | 54161 - Circumcision surgical excision other than clamp device or dorsal slit; older than 28 days of age | 54161 - CIRCUMCISION AGE >28 DAYS | 54161 - CIRCUM 28 DAYS OR OLDER | '01/01/2017 | 12/31/2999 |
| 54162 | 54162 - Lysis or excision of penile post-circumcision adhesions | 54162 - LYSIS/EXCISION PENILE POSTCIRCUMCISION ADHESIONS | 54162 - LYSIS PENIL CIRCUMIC LESION | '01/01/2017 | 12/31/2999 |
| 54163 | 54163 - Repair incomplete circumcision | 54163 - REPAIR INCOMPLETE CIRCUMCISION | 54163 - REPAIR OF CIRCUMCISION | '01/01/2017 | 12/31/2999 |
| 54164 | 54164 - Frenulotomy of penis | 54164 - FRENULOTOMY PENIS | 54164 - FRENULOTOMY OF PENIS | '01/01/2017 | 12/31/2999 |
| 54200 | 54200 - Injection procedure for Peyronie disease; | 54200 - INJECTION PEYRONIE DISEASE | 54200 - TREATMENT OF PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54205 | 54205 - Injection procedure for Peyronie disease; with surgical exposure of plaque | 54205 - NJX PEYRONIE W/SURG EXPOS PLAQUE | 54205 - TREATMENT OF PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54220 | 54220 - Irrigation of corpora cavernosa for priapism | 54220 - IRRIGATION CORPORA CAVERNOSA PRIAPISM | 54220 - TREATMENT OF PENIS LESION | '01/01/2017 | 12/31/2999 |
| 54230 | 54230 - Injection procedure for corpora cavernosography | 54230 - INJECTION CORPORA CAVERNOSOGRAPY | 54230 - PREPARE PENIS STUDY | '01/01/2017 | 12/31/2999 |
| 54231 | 54231 - Dynamic cavernosometry including intracavernosal injection of vasoactive drugs (eg papaverine phentolamine) | 54231 - DYNAMIC CAVERNOSOMETRY NJX VASOACTIVE DRUGS | 54231 - DYNAMIC CAVERNOSOMETRY | '01/01/2017 | 12/31/2999 |
| 54235 | 54235 - Injection of corpora cavernosa with pharmacologic agent(s) (eg papaverine phentolamine) | 54235 - NJX C/P/A CAVERNOSA W/PHARMACOLOGIC AGT | 54235 - PENILE INJECTION | '01/01/2017 | 12/31/2999 |
| 54240 | 54240 - Penile plethysmography | 54240 - PENILE PLETHYSMOGRAPHY | 54240 - PENIS STUDY | '01/01/2017 | 12/31/2999 |
| 54250 | 54250 - Nocturnal penile tumescence and/or rigidity test | 54250 - NOCTURNAL PENILE TUMESCENCE &/RIGIDITY TEST | 54250 - PENIS STUDY | '01/01/2017 | 12/31/2999 |
| 54300 | 54300 - Plastic operation of penis for straightening of chordee (eg hypospadias) with or without mobilization of urethra | 54300 - PENIS STRAIGHTENING CHORDEE | 54300 - REVISION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54304 | 54304 - Plastic operation on penis for correction of chordee or for first stage hypospadias repair with or without transplantation of prepuce and/or skin flaps | 54304 - PENIS CORRJ CHORDEE/1ST STAGE HYPOSPADIAS RPR | 54304 - REVISION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54308 | 54308 - Urethroplasty for second stage hypospadias repair (including urinary diversion); less than 3 cm | 54308 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR <3 CM | 54308 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54312 | 54312 - Urethroplasty for second stage hypospadias repair (including urinary diversion); greater than 3 cm | 54312 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR > 3 CM | 54312 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54316 | 54316 - Urethroplasty for second stage hypospadias repair (including urinary diversion) with free skin graft obtained from site other than genitalia | 54316 - URETHROPLASTY 2ND STAGE HYPOSPADIAS RPR SKIN GRF | 54316 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54318 | 54318 - Urethroplasty for third stage hypospadias repair to release penis from scrotum (eg third stage Cecil repair) | 54318 - URETHROPLASTY 3RD STG HYPOSPADIAS RPR RLS PENIS | 54318 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54322 | 54322 - 1-stage distal hypospadias repair (with or without chordee or circumcision); with simple meatal advancement (eg Magpi V-flap) | 54322 - 1 STG DSTL HYPOSPADIAS RPR W/SMPL MEATAL ADVMNT | 54322 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54324 | 54324 - 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps (eg flip-flap prepucial flap) | 54324 - 1 STG DSTL HYPOSPADIAS RPR W/URTP SKIN FLAPS | 54324 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54326 | 54326 - 1-stage distal hypospadias repair (with or without chordee or circumcision); with urethroplasty by local skin flaps and mobilization of urethra | 54326 - 1 STG DSTL HYPOSPADIAS RPR URTP SKN FLAPS | 54326 - RECONSTRUCTION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 54328 | 54328 - 1-stage distal hypospadias repair (with or without chordee or circumcision); with extensive dissection to correct chordee and urethroplasty with local skin flaps skin graft patch and/or island flap | 54328 - 1 STAGE DSTL HYPOSPADIAS RPR W/EXTENSIVE DSJ | 54328 - REVISE PENIS/URETHRA | '01/01/2017 | 12/31/2999 |
| 54332 | 54332 - 1-stage proximal penile or penoscrotal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap | 54332 - 1 STAGE PROX PENILE/PENOSCROTAL HYPOSPADIAS RPR | 54332 - REVISE PENIS/URETHRA | '01/01/2017 | 12/31/2999 |
| 54336 | 54336 - 1-stage perineal hypospadias repair requiring extensive dissection to correct chordee and urethroplasty by use of skin graft tube and/or island flap | 54336 - 1 STG PERINEAL HYPOSPADIAS RPR W/GRF&/FLAP | 54336 - REVISE PENIS/URETHRA | '01/01/2017 | 12/31/2999 |
| 54340 | 54340 - Repair of hypospadias complication(s) (ie fistula stricture diverticula); by closure incision or excision simple | 54340 - RPR HYPOSPADIAS COMPLCTJS CLSR INC/EXC SIMPLE | 54340 - RPR HYPSPAD COMP SIMPLE | '01/01/2022 | 12/31/2999 |
| 54344 | 54344 - Repair of hypospadias complication(s) (ie fistula stricture diverticula); requiring mobilization of skin flaps and urethroplasty with flap or patch graft | 54344 - RPR HYPOSPADIAS COMPLCTJS MOBLJ FLAPS & URTP | 54344 - RRP HYPSPAD COMP MOBLJ&URTP | '01/01/2022 | 12/31/2999 |
| 54348 | 54348 - Repair of hypospadias complication(s) (ie fistula stricture diverticula); requiring extensive dissection and urethroplasty with flap patch or tubed graft (including urinary diversion when performed) | 54348 - RPR HYPOSPADIAS COMPLCTJS DSJ & URTP FLAP/GRF | 54348 - RPR HYPSPAD COMP DSJ & URTP | '01/01/2022 | 12/31/2999 |
| 54352 | 54352 - Revision of prior hypospadias repair requiring extensive dissection and excision of previously constructed structures including re-release of chordee and reconstruction of urethra and penis by use of local skin as grafts and island flaps and skin brought in as flaps or grafts | 54352 - REVISION PRIOR HYPOSPADIAS REPAIR DSJ&EXC RCNSTJ | 54352 - REVJ PRIOR HYPSPAD REPAIR | '01/01/2022 | 12/31/2999 |
| 54360 | 54360 - Plastic operation on penis to correct angulation | 54360 - PLASTIC RPR PENIS CORRECT ANGULATION | 54360 - PENIS PLASTIC SURGERY | '01/01/2017 | 12/31/2999 |
| 54380 | 54380 - Plastic operation on penis for epispadias distal to external sphincter; | 54380 - PLASTIC RPR PENIS EPISPADIAS DSTL SPHNCTR | 54380 - REPAIR PENIS | '01/01/2017 | 12/31/2999 |
| 54385 | 54385 - Plastic operation on penis for epispadias distal to external sphincter; with incontinence | 54385 - PLASTIC PENIS EPISPADIAS DSTL SPHNCTR W/INCONT | 54385 - REPAIR PENIS | '01/01/2017 | 12/31/2999 |
| 54390 | 54390 - Plastic operation on penis for epispadias distal to external sphincter; with exstrophy of bladder | 54390 - PLASTIC RPR PENIS EPISPADIAS W/EXSTROPHY BLADDER | 54390 - REPAIR PENIS AND BLADDER | '01/01/2017 | 12/31/2999 |
| 54400 | 54400 - Insertion of penile prosthesis; non-inflatable (semi-rigid) | 54400 - INSJ PENILE PROSTHESIS NON-INFLATABLE SEMI-RIGID | 54400 - INSERT SEMI-RIGID PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 54401 | 54401 - Insertion of penile prosthesis; inflatable (self-contained) | 54401 - INSJ PENILE PROSTHESOS INFLATABLE SELF-CONTAINED | 54401 - INSERT SELF-CONTD PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 54405 | 54405 - Insertion of multi-component inflatable penile prosthesis including placement of pump cylinders and reservoir | 54405 - INSJ MULTI-COMPONENT INFLATABLE PENILE PROSTH | 54405 - INSERT MULTI-COMP PENIS PROS | '01/01/2017 | 12/31/2999 |
| 54406 | 54406 - Removal of all components of a multi-component inflatable penile prosthesis without replacement of prosthesis | 54406 - RMVL INFLATABLE PENILE PROSTH W/O RPLCMT PROSTH | 54406 - REMOVE MUTI-COMP PENIS PROS | '01/01/2017 | 12/31/2999 |
| 54408 | 54408 - Repair of component(s) of a multi-component inflatable penile prosthesis | 54408 - RPR COMPONENT INFLATABLE PENILE PROSTHESIS | 54408 - REPAIR MULTI-COMP PENIS PROS | '01/01/2017 | 12/31/2999 |
| 54410 | 54410 - Removal and replacement of all component(s) of a multi-component inflatable penile prosthesis at the same operative session | 54410 - RMVL & RPLCMT INFLATABLE PENILE PROSTH SAME SESS | 54410 - REMOVE/REPLACE PENIS PROSTH | '01/01/2017 | 12/31/2999 |
| 54411 | 54411 - Removal and replacement of all components of a multi-component inflatable penile prosthesis through an infected field at the same operative session including irrigation and debridement of infected tissue | 54411 - RMVL & RPLCMT NFLTBL PENILE PROSTH INFECTED FIEL | 54411 - REMOV/REPLC PENIS PROS COMP | '01/01/2017 | 12/31/2999 |
| 54415 | 54415 - Removal of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis without replacement of prosthesis | 54415 - RMVL NON-NFLTBL/NFLTBL PENILE PROSTH W/O RPLCMT | 54415 - REMOVE SELF-CONTD PENIS PROS | '01/01/2017 | 12/31/2999 |
| 54416 | 54416 - Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis at the same operative session | 54416 - RMVL & RPLCMT NON-NFLTBL/NFLTBL PENILE PROSTHESI | 54416 - REMV/REPL PENIS CONTAIN PROS | '01/01/2017 | 12/31/2999 |
| 54417 | 54417 - Removal and replacement of non-inflatable (semi-rigid) or inflatable (self-contained) penile prosthesis through an infected field at the same operative session including irrigation and debridement of infected tissue | 54417 - RMVL & RPLCMT PENILE PROSTHESIS INFECTED FIELD | 54417 - REMV/REPLC PENIS PROS COMPL | '01/01/2017 | 12/31/2999 |
| 54420 | 54420 - Corpora cavernosa-saphenous vein shunt (priapism operation) unilateral or bilateral | 54420 - CORPORA CAVERNOSA-SAPHENOUS VEIN SHUNT UNI/BI | 54420 - REVISION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54430 | 54430 - Corpora cavernosa-corpus spongiosum shunt (priapism operation) unilateral or bilateral | 54430 - CORPORA CAVERNOSA-CORPUS SPONGIOSUM SHUNT UNI/BI | 54430 - REVISION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54435 | 54435 - Corpora cavernosa-glans penis fistulization (eg biopsy needle Winter procedure rongeur or punch) for priapism | 54435 - CORPORA CAVERNOSA-GLANS PENIS FSTLJ PRIAPISM | 54435 - REVISION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54437 | 54437 - Repair of traumatic corporeal tear(s) | 54437 - REPAIR OF TRAUMATIC CORPOREAL TEAR(S) | 54437 - REPAIR CORPOREAL TEAR | '01/01/2017 | 12/31/2999 |
| 54438 | 54438 - Replantation penis complete amputation including urethral repair | 54438 - REPLANTATION PENIS COMP AMPUTATION W/URETH REP | 54438 - REPLANTATION OF PENIS | '01/01/2017 | 12/31/2999 |
| 54440 | 54440 - Plastic operation of penis for injury | 54440 - PLASTIC OPERATION PENIS INJURY | 54440 - REPAIR OF PENIS | '01/01/2017 | 12/31/2999 |
| 54450 | 54450 - Foreskin manipulation including lysis of preputial adhesions and stretching | 54450 - FORESKN MANJ W/LSS PREPUTIAL ADS&STRETCHING | 54450 - PREPUTIAL STRETCHING | '01/01/2017 | 12/31/2999 |
| 54500 | 54500 - Biopsy of testis needle (separate procedure) | 54500 - BIOPSY TESTIS NEEDLE SEPARATE PROCEDURE | 54500 - BIOPSY OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54505 | 54505 - Biopsy of testis incisional (separate procedure) | 54505 - BIOPSY TESTIS INCISIONAL SEPARATE PROCEDURE | 54505 - BIOPSY OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54512 | 54512 - Excision of extraparenchymal lesion of testis | 54512 - EXC XTRPARENCHYMAL LESION TESTIS | 54512 - EXCISE LESION TESTIS | '01/01/2017 | 12/31/2999 |
| 54520 | 54520 - Orchiectomy simple (including subcapsular) with or without testicular prosthesis scrotal or inguinal approach | 54520 - ORCHIECTOMY SIMPLE SCROTAL/INGUINAL APPROACH | 54520 - REMOVAL OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54522 | 54522 - Orchiectomy partial | 54522 - ORCHIECTOMY PARTIAL | 54522 - ORCHIECTOMY PARTIAL | '01/01/2017 | 12/31/2999 |
| 54530 | 54530 - Orchiectomy radical for tumor; inguinal approach | 54530 - ORCHIECTOMY RADICAL TUMOR INGUINAL APPROACH | 54530 - REMOVAL OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54535 | 54535 - Orchiectomy radical for tumor; with abdominal exploration | 54535 - ORCHIECTOMY RADICAL TUMOR W/ABDOMINAL EXPL | 54535 - EXTENSIVE TESTIS SURGERY | '01/01/2017 | 12/31/2999 |
| 54550 | 54550 - Exploration for undescended testis (inguinal or scrotal area) | 54550 - EXPL UNDESCENDED TSTIS INGUN/SCROTAL AREA | 54550 - EXPLORATION FOR TESTIS | '01/01/2017 | 12/31/2999 |
| 54560 | 54560 - Exploration for undescended testis with abdominal exploration | 54560 - EXPL UNDESCENDED TESTIS W/ABDOMINAL EXPL | 54560 - EXPLORATION FOR TESTIS | '01/01/2017 | 12/31/2999 |
| 54600 | 54600 - Reduction of torsion of testis surgical with or without fixation of contralateral testis | 54600 - RDCTJ TORSION TSTIS W/WO FIXJ CLAT TESTIS | 54600 - REDUCE TESTIS TORSION | '01/01/2017 | 12/31/2999 |
| 54620 | 54620 - Fixation of contralateral testis (separate procedure) | 54620 - FIXATION CONTRALATERAL TESTIS SEPARATE PROCEDURE | 54620 - SUSPENSION OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54640 | 54640 - Orchiopexy inguinal or scrotal approach | 54640 - ORCHIOPEXY INGUINAL OR SCROTAL APPROACH | 54640 - ORCHIOPEXY INGUN/SCROT APPR | '01/01/2020 | 12/31/2999 |
| 54650 | 54650 - Orchiopexy abdominal approach for intra-abdominal testis (eg Fowler-Stephens) | 54650 - ORCHIOPEXY ABDL APPROACH INTRA-ABDOMINAL TESTIS | 54650 - ORCHIOPEXY (FOWLER-STEPHENS) | '01/01/2017 | 12/31/2999 |
| 54660 | 54660 - Insertion of testicular prosthesis (separate procedure) | 54660 - INSJ TESTICULAR PROSTH SEPARATE PROCEDURE | 54660 - REVISION OF TESTIS | '01/01/2017 | 12/31/2999 |
| 54670 | 54670 - Suture or repair of testicular injury | 54670 - SUTURE/REPAIR TESTICULAR INJURY | 54670 - REPAIR TESTIS INJURY | '01/01/2017 | 12/31/2999 |
| 54680 | 54680 - Transplantation of testis(es) to thigh (because of scrotal destruction) | 54680 - TRANSPLANTATION TESTIS TO THIGH | 54680 - RELOCATION OF TESTIS(ES) | '01/01/2017 | 12/31/2999 |
| 54690 | 54690 - Laparoscopy surgical; orchiectomy | 54690 - LAPAROSCOPY SURGICAL ORCHIECTOMY | 54690 - LAPAROSCOPY ORCHIECTOMY | '01/01/2017 | 12/31/2999 |
| 54692 | 54692 - Laparoscopy surgical; orchiopexy for intra-abdominal testis | 54692 - LAPAROSCOPY ORCHIOPEXY INTRA-ABDOMINAL TESTIS | 54692 - LAPAROSCOPY ORCHIOPEXY | '01/01/2017 | 12/31/2999 |
| 54699 | 54699 - Unlisted laparoscopy procedure testis | 54699 - UNLISTED LAPAROSCOPY PROCEDURE TESTIS | 54699 - UNLISTED LAPS PX TESTIS | '01/01/2023 | 12/31/2999 |
| 54700 | 54700 - Incision and drainage of epididymis testis and/or scrotal space (eg abscess or hematoma) | 54700 - I&D EPIDIDYMIS TSTIS&/SCROTAL SPACE | 54700 - DRAINAGE OF SCROTUM | '01/01/2017 | 12/31/2999 |
| 54800 | 54800 - Biopsy of epididymis needle | 54800 - BIOPSY EPIDIDYMIS NEEDLE | 54800 - BIOPSY OF EPIDIDYMIS | '01/01/2017 | 12/31/2999 |
| 54830 | 54830 - Excision of local lesion of epididymis | 54830 - EXCISION LOCAL LESION EPIDIDYMIS | 54830 - REMOVE EPIDIDYMIS LESION | '01/01/2017 | 12/31/2999 |
| 54840 | 54840 - Excision of spermatocele with or without epididymectomy | 54840 - EXCISION SPERMATOCELE W/WO EPIDIDYMECTOMY | 54840 - REMOVE EPIDIDYMIS LESION | '01/01/2017 | 12/31/2999 |
| 54860 | 54860 - Epididymectomy; unilateral | 54860 - EPIDIDYMECTOMY UNILATERAL | 54860 - REMOVAL OF EPIDIDYMIS | '01/01/2017 | 12/31/2999 |
| 54861 | 54861 - Epididymectomy; bilateral | 54861 - EPIDIDYMECTOMY BILATERAL | 54861 - REMOVAL OF EPIDIDYMIS | '01/01/2017 | 12/31/2999 |
| 54865 | 54865 - Exploration of epididymis with or without biopsy | 54865 - EXPLORATION EPIDIDYMIS W/WO BIOPSY | 54865 - EXPLORE EPIDIDYMIS | '01/01/2017 | 12/31/2999 |
| 54900 | 54900 - Epididymovasostomy anastomosis of epididymis to vas deferens; unilateral | 54900 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS UNI | 54900 - FUSION OF SPERMATIC DUCTS | '01/01/2017 | 12/31/2999 |
| 54901 | 54901 - Epididymovasostomy anastomosis of epididymis to vas deferens; bilateral | 54901 - EPIDIDYMOVASOSTOMY ANAST EPIDIDYMIS BI | 54901 - FUSION OF SPERMATIC DUCTS | '01/01/2017 | 12/31/2999 |
| 55000 | 55000 - Puncture aspiration of hydrocele tunica vaginalis with or without injection of medication | 55000 - PNXR ASPIR HYDROCELE TUNICA VAGIS W/WO NJX MED | 55000 - DRAINAGE OF HYDROCELE | '01/01/2017 | 12/31/2999 |
| 55040 | 55040 - Excision of hydrocele; unilateral | 55040 - EXCISION HYDROCELE UNILATERAL | 55040 - REMOVAL OF HYDROCELE | '01/01/2017 | 12/31/2999 |
| 55041 | 55041 - Excision of hydrocele; bilateral | 55041 - EXCISION HYDROCELE BILATERAL | 55041 - REMOVAL OF HYDROCELES | '01/01/2017 | 12/31/2999 |
| 55060 | 55060 - Repair of tunica vaginalis hydrocele (Bottle type) | 55060 - RPR TUNICA VAGINALIS HYDROCELE BOTTLE TYPE | 55060 - REPAIR OF HYDROCELE | '01/01/2017 | 12/31/2999 |
| 55100 | 55100 - Drainage of scrotal wall abscess | 55100 - DRAINAGE SCROTAL WALL ABSCESS | 55100 - DRAINAGE OF SCROTUM ABSCESS | '01/01/2017 | 12/31/2999 |
| 55110 | 55110 - Scrotal exploration | 55110 - SCROTAL EXPLORATION | 55110 - EXPLORE SCROTUM | '01/01/2017 | 12/31/2999 |
| 55120 | 55120 - Removal of foreign body in scrotum | 55120 - REMOVAL FOREIGN BODY SCROTUM | 55120 - REMOVAL OF SCROTUM LESION | '01/01/2017 | 12/31/2999 |
| 55150 | 55150 - Resection of scrotum | 55150 - RESECTION SCROTUM | 55150 - REMOVAL OF SCROTUM | '01/01/2017 | 12/31/2999 |
| 55175 | 55175 - Scrotoplasty; simple | 55175 - SCROTOPLASTY SIMPLE | 55175 - REVISION OF SCROTUM | '01/01/2017 | 12/31/2999 |
| 55180 | 55180 - Scrotoplasty; complicated | 55180 - SCROTOPLASTY COMPLICATED | 55180 - REVISION OF SCROTUM | '01/01/2017 | 12/31/2999 |
| 55200 | 55200 - Vasotomy cannulization with or without incision of vas unilateral or bilateral (separate procedure) | 55200 - VASOTOMY CANNULIZATION W/WO VAS INC UNI/BI SPX | 55200 - INCISION OF SPERM DUCT | '01/01/2017 | 12/31/2999 |
| 55250 | 55250 - Vasectomy unilateral or bilateral (separate procedure) including postoperative semen examination(s) | 55250 - VASECTOMY UNI/BI SPX W/POSTOP SEMEN EXAMS | 55250 - REMOVAL OF SPERM DUCT(S) | '01/01/2017 | 12/31/2999 |
| 55300 | 55300 - Vasotomy for vasograms seminal vesiculograms or epididymograms unilateral or bilateral | 55300 - VASOTOMY VASOGRAMS UNI/BI | 55300 - PREPARE SPERM DUCT X-RAY | '01/01/2017 | 12/31/2999 |
| 55400 | 55400 - Vasovasostomy vasovasorrhaphy | 55400 - VASOVASOSTOMY VASOVASORRHAPHY | 55400 - REPAIR OF SPERM DUCT | '01/01/2017 | 12/31/2999 |
| 55500 | 55500 - Excision of hydrocele of spermatic cord unilateral (separate procedure) | 55500 - EXC HYDROCELE SPRMATIC CORD UNI SPX | 55500 - REMOVAL OF HYDROCELE | '01/01/2017 | 12/31/2999 |
| 55520 | 55520 - Excision of lesion of spermatic cord (separate procedure) | 55520 - EXC LESION SPERMATIC CORD SEPARATE PROCEDURE | 55520 - REMOVAL OF SPERM CORD LESION | '01/01/2017 | 12/31/2999 |
| 55530 | 55530 - Excision of varicocele or ligation of spermatic veins for varicocele; (separate procedure) | 55530 - EXC VARICOCELE/LIGATION SPERMATIC VEINS SPX | 55530 - REVISE SPERMATIC CORD VEINS | '01/01/2017 | 12/31/2999 |
| 55535 | 55535 - Excision of varicocele or ligation of spermatic veins for varicocele; abdominal approach | 55535 - EXC VARICOCELE/LIGATION SPERMATIC VEINS ABDL | 55535 - REVISE SPERMATIC CORD VEINS | '01/01/2017 | 12/31/2999 |
| 55540 | 55540 - Excision of varicocele or ligation of spermatic veins for varicocele; with hernia repair | 55540 - EXC VARICOCELE/LIGATION VEINS W/HERNIA RPR | 55540 - REVISE HERNIA & SPERM VEINS | '01/01/2017 | 12/31/2999 |
| 55550 | 55550 - Laparoscopy surgical with ligation of spermatic veins for varicocele | 55550 - LAPS LIGATION SPERMATIC VEINS VARICOCELE | 55550 - LAPARO LIGATE SPERMATIC VEIN | '01/01/2017 | 12/31/2999 |
| 55559 | 55559 - Unlisted laparoscopy procedure spermatic cord | 55559 - UNLISTED LAPROSCOPY PROCEDURE SPERMATIC CORD | 55559 - UNLSTD LAPS PX SPRMATIC CORD | '01/01/2023 | 12/31/2999 |
| 55600 | 55600 - Vesiculotomy; | 55600 - VESICULOTOMY | 55600 - INCISE SPERM DUCT POUCH | '01/01/2017 | 12/31/2999 |
| 55605 | 55605 - Vesiculotomy; complicated | 55605 - VESICULOTOMY COMPLICATED | 55605 - INCISE SPERM DUCT POUCH | '01/01/2017 | 12/31/2999 |
| 55650 | 55650 - Vesiculectomy any approach | 55650 - VESICULECTOMY ANY APPROACH | 55650 - REMOVE SPERM DUCT POUCH | '01/01/2017 | 12/31/2999 |
| 55680 | 55680 - Excision of Mullerian duct cyst | 55680 - EXCISION MULLERIAN DUCT CYST | 55680 - REMOVE SPERM POUCH LESION | '01/01/2017 | 12/31/2999 |
| 55700 | 55700 - Biopsy prostate; needle or punch single or multiple any approach | 55700 - PROSTATE NEEDLE BIOPSY ANY APPROACH | 55700 - BIOPSY OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 55705 | 55705 - Biopsy prostate; incisional any approach | 55705 - BIOPSY PROSTATE INCISIONAL ANY APPROACH | 55705 - BIOPSY OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 55706 | 55706 - Biopsies prostate needle transperineal stereotactic template guided saturation sampling including imaging guidance | 55706 - BX PROSTATE STRTCTC SATURATION SAMPLING IMG GID | 55706 - PROSTATE SATURATION SAMPLING | '01/01/2017 | 12/31/2999 |
| 55720 | 55720 - Prostatotomy external drainage of prostatic abscess any approach; simple | 55720 - PROSTATOTOMY EXTERNAL DRG ABSCESS SIMPLE | 55720 - DRAINAGE OF PROSTATE ABSCESS | '01/01/2017 | 12/31/2999 |
| 55725 | 55725 - Prostatotomy external drainage of prostatic abscess any approach; complicated | 55725 - PROSTATOTOMY EXTERNAL DRG ABSCESS COMPLICATED | 55725 - DRAINAGE OF PROSTATE ABSCESS | '01/01/2017 | 12/31/2999 |
| 55801 | 55801 - Prostatectomy perineal subtotal (including control of postoperative bleeding vasectomy meatotomy urethral calibration and/or dilation and internal urethrotomy) | 55801 - PROSTATECTOMY PERINEAL SUBTOTAL | 55801 - REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 55810 | 55810 - Prostatectomy perineal radical; | 55810 - PROSTATECTOMY PERINEAL RADICAL | 55810 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55812 | 55812 - Prostatectomy perineal radical; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | 55812 - PROSTATECTOMY PERINEAL RADICAL W/LYMPH NODE BX | 55812 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55815 | 55815 - Prostatectomy perineal radical; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 55815 - PROSTATECTOMY PERINEAL RAD W/BI PELVIC LYMPH EXC | 55815 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55821 | 55821 - Prostatectomy (including control of postoperative bleeding vasectomy meatotomy urethral calibration and/or dilation and internal urethrotomy); suprapubic subtotal 1 or 2 stages | 55821 - PROSTATECTOMY SUPRAPUBIC SUBTOTAL 1/2 STAGES | 55821 - REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 55831 | 55831 - Prostatectomy (including control of postoperative bleeding vasectomy meatotomy urethral calibration and/or dilation and internal urethrotomy); retropubic subtotal | 55831 - PROSTATECTOMY RETROPUBIC SUBTOTAL | 55831 - REMOVAL OF PROSTATE | '01/01/2017 | 12/31/2999 |
| 55840 | 55840 - Prostatectomy retropubic radical with or without nerve sparing; | 55840 - PROSTATECTOMY RETROPUBIC W/WO NERVE SPARING | 55840 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55842 | 55842 - Prostatectomy retropubic radical with or without nerve sparing; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | 55842 - PROSTECT RETROPUBIC RAD W/WO NRV SPAR W/LYMPH BX | 55842 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55845 | 55845 - Prostatectomy retropubic radical with or without nerve sparing; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 55845 - PROSTECT RETROPUB RAD W/WO NRV SPAR & BI PLV LYM | 55845 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55860 | 55860 - Exposure of prostate any approach for insertion of radioactive substance; | 55860 - EXPOS PROSTATE ANY APPROACH INSJ RADIOACT SUBST | 55860 - SURGICAL EXPOSURE PROSTATE | '01/01/2017 | 12/31/2999 |
| 55862 | 55862 - Exposure of prostate any approach for insertion of radioactive substance; with lymph node biopsy(s) (limited pelvic lymphadenectomy) | 55862 - EXPOS PROSTATE INSJ RADIOACT SBST W/LYMPH BX | 55862 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55865 | 55865 - Exposure of prostate any approach for insertion of radioactive substance; with bilateral pelvic lymphadenectomy including external iliac hypogastric and obturator nodes | 55865 - EXPOS PROSTATE INSJ RADIOAC SBST W/BI PELV LYMPH | 55865 - EXTENSIVE PROSTATE SURGERY | '01/01/2017 | 12/31/2999 |
| 55866 | 55866 - Laparoscopy surgical prostatectomy retropubic radical including nerve sparing includes robotic assistance when performed | 55866 - LAPS SURG PRST8ECT RPBIC RAD W/NRV SPARING ROBOT | 55866 - LAPS SURG PRST8ECT RPBIC RAD | '01/01/2023 | 12/31/2999 |
| 55867 | 55867 - Laparoscopy surgical prostatectomy simple subtotal (including control of postoperative bleeding vasectomy meatotomy urethral calibration and/or dilation and internal urethrotomy) includes robotic assistance when performed | 55867 - LAPS SURG PRST8ECT SMPL STOT ROBOTIC ASSISTANCE | 55867 - LAPS SURG PRST8ECT SMPL STOT | '01/01/2023 | 12/31/2999 |
| 55870 | 55870 - Electroejaculation | 55870 - ELECTROEJACULATION | 55870 - ELECTROEJACULATION | '01/01/2017 | 12/31/2999 |
| 55873 | 55873 - Cryosurgical ablation of the prostate (includes ultrasonic guidance and monitoring) | 55873 - CRYOSURGICAL ABLATION PROSTATE W/US & MONITORI | 55873 - CRYOABLATE PROSTATE | '01/01/2017 | 12/31/2999 |
| 55874 | 55874 - Transperineal placement of biodegradable material peri-prostatic single or multiple injection(s) including image guidance when performed | 55874 - TRANSPERINEAL PLMT BIODEGRADABLE MATRL 1/MLT NJX | 55874 - TPRNL PLMT BIODEGRDABL MATRL | '01/01/2018 | 12/31/2999 |
| 55875 | 55875 - Transperineal placement of needles or catheters into prostate for interstitial radioelement application with or without cystoscopy | 55875 - TRANSPERINEAL PLMT NDL/CATHS PROSTATE RADJ INSJ | 55875 - TRANSPERI NEEDLE PLACE PROS | '01/01/2017 | 12/31/2999 |
| 55876 | 55876 - Placement of interstitial device(s) for radiation therapy guidance (eg fiducial markers dosimeter) prostate (via needle any approach) single or multiple | 55876 - PLMT INTERSTITIAL DEV RADIAT TX PROSTATE 1/MULT | 55876 - PLACE RT DEVICE/MARKER PROS | '01/01/2017 | 12/31/2999 |
| 55880 | 55880 - Ablation of malignant prostate tissue transrectal with high intensity-focused ultrasound (HIFU) including ultrasound guidance | 55880 - TRANSRECTAL ABLTJ MAL PRST8 TISSUE HIFU W/US | 55880 - ABLTJ MAL PRST8 TISS HIFU | '01/01/2021 | 12/31/2999 |
| 55899 | 55899 - Unlisted procedure male genital system | 55899 - UNLISTED PROCEDURE MALE GENITAL SYSTEM | 55899 - UNLISTED PX MALE GENITAL SYS | '01/01/2023 | 12/31/2999 |
| 55920 | 55920 - Placement of needles or catheters into pelvic organs and/or genitalia (except prostate) for subsequent interstitial radioelement application | 55920 - PLACEMENT NEEDLE PELVIC ORGAN RADIOELEMENT APPL | 55920 - PLACE NEEDLES PELVIC FOR RT | '01/01/2017 | 12/31/2999 |
| 55970 | 55970 - Intersex surgery; male to female | 55970 - INTERSEX SURG MALE FEMALE | 55970 - SEX TRANSFORMATION M TO F | '01/01/2017 | 12/31/2999 |
| 55980 | 55980 - Intersex surgery; female to male | 55980 - INTERSEX SURG FEMALE MALE | 55980 - SEX TRANSFORMATION F TO M | '01/01/2017 | 12/31/2999 |
| 56405 | 56405 - Incision and drainage of vulva or perineal abscess | 56405 - I&D VULVA/PERINEAL ABSCESS | 56405 - I & D OF VULVA/PERINEUM | '01/01/2017 | 12/31/2999 |
| 56420 | 56420 - Incision and drainage of Bartholin's gland abscess | 56420 - I&D OF BARTHOLINS GLAND ABSCESS | 56420 - DRAINAGE OF GLAND ABSCESS | '01/01/2017 | 12/31/2999 |
| 56440 | 56440 - Marsupialization of Bartholin's gland cyst | 56440 - MARSUPIALIZATION BARTHOLINS GLAND CYST | 56440 - SURGERY FOR VULVA LESION | '01/01/2017 | 12/31/2999 |
| 56441 | 56441 - Lysis of labial adhesions | 56441 - LYSIS LABIAL ADHESIONS | 56441 - LYSIS OF LABIAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 56442 | 56442 - Hymenotomy simple incision | 56442 - HYMENOTOMY SIMPLE INCISION | 56442 - HYMENOTOMY | '01/01/2017 | 12/31/2999 |
| 56501 | 56501 - Destruction of lesion(s) vulva; simple (eg laser surgery electrosurgery cryosurgery chemosurgery) | 56501 - DESTRUCTION LESIONS VULVA SIMPLE | 56501 - DESTROY VULVA LESIONS SIM | '01/01/2017 | 12/31/2999 |
| 56515 | 56515 - Destruction of lesion(s) vulva; extensive (eg laser surgery electrosurgery cryosurgery chemosurgery) | 56515 - DESTRUCTION LESIONS VULVA EXTENSIVE | 56515 - DESTROY VULVA LESION/S COMPL | '01/01/2017 | 12/31/2999 |
| 56605 | 56605 - Biopsy of vulva or perineum (separate procedure); 1 lesion | 56605 - BIOPSY VULVA/PERINEUM 1 LESION SPX | 56605 - BIOPSY OF VULVA/PERINEUM | '01/01/2017 | 12/31/2999 |
| 56606 | 56606 - Biopsy of vulva or perineum (separate procedure); each separate additional lesion (List separately in addition to code for primary procedure) | 56606 - BIOPSY VULVA/PERINEUM EACH ADDL LESION | 56606 - BIOPSY OF VULVA/PERINEUM | '01/01/2017 | 12/31/2999 |
| 56620 | 56620 - Vulvectomy simple; partial | 56620 - VULVECTOMY SIMPLE PARTIAL | 56620 - PARTIAL REMOVAL OF VULVA | '01/01/2017 | 12/31/2999 |
| 56625 | 56625 - Vulvectomy simple; complete | 56625 - VULVECTOMY SIMPLE COMPLETE | 56625 - COMPLETE REMOVAL OF VULVA | '01/01/2017 | 12/31/2999 |
| 56630 | 56630 - Vulvectomy radical partial; | 56630 - VULVECTOMY RADICAL PARTIAL | 56630 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56631 | 56631 - Vulvectomy radical partial; with unilateral inguinofemoral lymphadenectomy | 56631 - VULVECTOMY RAD PRTL UNI INGUINOFEM LMPHADECTOMY | 56631 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56632 | 56632 - Vulvectomy radical partial; with bilateral inguinofemoral lymphadenectomy | 56632 - VULVECTOMY RAD PRTL BI INGUINOFEM LMPHADECTOMY | 56632 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56633 | 56633 - Vulvectomy radical complete; | 56633 - VULVECTOMY RADICAL COMPLETE | 56633 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56634 | 56634 - Vulvectomy radical complete; with unilateral inguinofemoral lymphadenectomy | 56634 - VULVECTOMY RAD COMPL UNI INGUINOFEM LMPHADECTOMY | 56634 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56637 | 56637 - Vulvectomy radical complete; with bilateral inguinofemoral lymphadenectomy | 56637 - VULVECTOMY RAD COMPL BI INGUINOFEM LMPHADECTOMY | 56637 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56640 | 56640 - Vulvectomy radical complete with inguinofemoral iliac and pelvic lymphadenectomy | 56640 - VULVECTOMY RAD COMPL ILIAC & PELVIC LMPHADECTOMY | 56640 - EXTENSIVE VULVA SURGERY | '01/01/2017 | 12/31/2999 |
| 56700 | 56700 - Partial hymenectomy or revision of hymenal ring | 56700 - PRTL HYMENECTOMY/REVJ HYMENAL RING | 56700 - PARTIAL REMOVAL OF HYMEN | '01/01/2017 | 12/31/2999 |
| 56740 | 56740 - Excision of Bartholin's gland or cyst | 56740 - EXC BARTHOLINS GLAND/CYST | 56740 - REMOVE VAGINA GLAND LESION | '01/01/2017 | 12/31/2999 |
| 56800 | 56800 - Plastic repair of introitus | 56800 - PLASTIC REPAIR INTROITUS | 56800 - REPAIR OF VAGINA | '01/01/2017 | 12/31/2999 |
| 56805 | 56805 - Clitoroplasty for intersex state | 56805 - CLITOROPLASTY INTERSEX STATE | 56805 - REPAIR CLITORIS | '01/01/2017 | 12/31/2999 |
| 56810 | 56810 - Perineoplasty repair of perineum nonobstetrical (separate procedure) | 56810 - PERINEOPLASTY RPR PERINEUM NONOBSTETRICAL SPX | 56810 - REPAIR OF PERINEUM | '01/01/2017 | 12/31/2999 |
| 56820 | 56820 - Colposcopy of the vulva; | 56820 - COLPOSCOPY VULVA | 56820 - EXAM OF VULVA W/SCOPE | '01/01/2017 | 12/31/2999 |
| 56821 | 56821 - Colposcopy of the vulva; with biopsy(s) | 56821 - COLPOSCOPY VULVA W/BIOPSY | 56821 - EXAM/BIOPSY OF VULVA W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57000 | 57000 - Colpotomy; with exploration | 57000 - COLPOTOMY W/EXPLORATION | 57000 - EXPLORATION OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57010 | 57010 - Colpotomy; with drainage of pelvic abscess | 57010 - COLPOTOMY W/DRAINAGE PELVIC ABSCESS | 57010 - DRAINAGE OF PELVIC ABSCESS | '01/01/2017 | 12/31/2999 |
| 57020 | 57020 - Colpocentesis (separate procedure) | 57020 - COLPOCENTESIS SEPARATE PROCEDURE | 57020 - DRAINAGE OF PELVIC FLUID | '01/01/2017 | 12/31/2999 |
| 57022 | 57022 - Incision and drainage of vaginal hematoma; obstetrical/postpartum | 57022 - I&D VAGINAL HEMATOMA OBSTETRICAL/POSTPARTUM | 57022 - I & D VAGINAL HEMATOMA PP | '01/01/2017 | 12/31/2999 |
| 57023 | 57023 - Incision and drainage of vaginal hematoma; non-obstetrical (eg post-trauma spontaneous bleeding) | 57023 - I&D VAGINAL HEMATOMA NON-OBSTETRICAL | 57023 - I & D VAG HEMATOMA NON-OB | '01/01/2017 | 12/31/2999 |
| 57061 | 57061 - Destruction of vaginal lesion(s); simple (eg laser surgery electrosurgery cryosurgery chemosurgery) | 57061 - DESTRUCTION VAGINAL LESIONS SIMPLE | 57061 - DESTROY VAG LESIONS SIMPLE | '01/01/2017 | 12/31/2999 |
| 57065 | 57065 - Destruction of vaginal lesion(s); extensive (eg laser surgery electrosurgery cryosurgery chemosurgery) | 57065 - DESTRUCTION VAGINAL LESIONS EXTENSIVE | 57065 - DESTROY VAG LESIONS COMPLEX | '01/01/2017 | 12/31/2999 |
| 57100 | 57100 - Biopsy of vaginal mucosa; simple (separate procedure) | 57100 - BIOPSY VAGINAL MUCOSA SIMPLE | 57100 - BIOPSY OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57105 | 57105 - Biopsy of vaginal mucosa; extensive requiring suture (including cysts) | 57105 - BIOPSY VAGINAL MUCOSA EXTENSIVE | 57105 - BIOPSY OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57106 | 57106 - Vaginectomy partial removal of vaginal wall; | 57106 - VAGINECTOMY PARTIAL REMOVAL VAGINAL WALL | 57106 - REMOVE VAGINA WALL PARTIAL | '01/01/2017 | 12/31/2999 |
| 57107 | 57107 - Vaginectomy partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) | 57107 - VAGINECTOMY PRTL RMVL VAG WALL & PARAVAGINAL T | 57107 - REMOVE VAGINA TISSUE PART | '01/01/2017 | 12/31/2999 |
| 57109 | 57109 - Vaginectomy partial removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) | 57109 - VAGNC PRTL RMVL VAG WALL W/BI TOT PEL LMPHADEC | 57109 - VAGINECTOMY PARTIAL W/NODES | '01/01/2017 | 12/31/2999 |
| 57110 | 57110 - Vaginectomy complete removal of vaginal wall; | 57110 - VAGINECTOMY COMPLETE REMOVAL VAGINAL WALL | 57110 - REMOVE VAGINA WALL COMPLETE | '01/01/2017 | 12/31/2999 |
| 57111 | 57111 - Vaginectomy complete removal of vaginal wall; with removal of paravaginal tissue (radical vaginectomy) | 57111 - VAGINECTOMY COMPL RMVL VAG WALL & PARAVAG TISS | 57111 - REMOVE VAGINA TISSUE COMPL | '01/01/2017 | 12/31/2999 |
| 57120 | 57120 - Colpocleisis (Le Fort type) | 57120 - COLPOCLEISIS LE FORT TYPE | 57120 - CLOSURE OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57130 | 57130 - Excision of vaginal septum | 57130 - EXCISION VAGINAL SEPTUM | 57130 - REMOVE VAGINA LESION | '01/01/2017 | 12/31/2999 |
| 57135 | 57135 - Excision of vaginal cyst or tumor | 57135 - EXCISION VAGINAL CYST/TUMOR | 57135 - REMOVE VAGINA LESION | '01/01/2017 | 12/31/2999 |
| 57150 | 57150 - Irrigation of vagina and/or application of medicament for treatment of bacterial parasitic or fungoid disease | 57150 - IRRIGATION VAGINA&/APPL MEDICAMENT TX DISEASE | 57150 - TREAT VAGINA INFECTION | '01/01/2017 | 12/31/2999 |
| 57155 | 57155 - Insertion of uterine tandem and/or vaginal ovoids for clinical brachytherapy | 57155 - INSERTION UTERINE TANDEM&/VAGINAL OVOIDS | 57155 - INSERT UTERI TANDEM/OVOIDS | '01/01/2017 | 12/31/2999 |
| 57156 | 57156 - Insertion of a vaginal radiation afterloading apparatus for clinical brachytherapy | 57156 - INSERTION VAGINAL RADIATION DEVICE | 57156 - INS VAG BRACHYTX DEVICE | '01/01/2017 | 12/31/2999 |
| 57160 | 57160 - Fitting and insertion of pessary or other intravaginal support device | 57160 - FIT&INSJ PESSARY/OTH INTRAVAGINAL SUPPORT DEVI | 57160 - INSERT PESSARY/OTHER DEVICE | '01/01/2017 | 12/31/2999 |
| 57170 | 57170 - Diaphragm or cervical cap fitting with instructions | 57170 - DIAPHRAGM/CERVICAL CAP FITTING W/INSTRUCTIONS | 57170 - FITTING OF DIAPHRAGM/CAP | '01/01/2017 | 12/31/2999 |
| 57180 | 57180 - Introduction of any hemostatic agent or pack for spontaneous or traumatic nonobstetrical vaginal hemorrhage (separate procedure) | 57180 - INTRO ANY HEMOSTATIC AGENT/PACK VAG HEMRRG SPX | 57180 - TREAT VAGINAL BLEEDING | '01/01/2017 | 12/31/2999 |
| 57200 | 57200 - Colporrhaphy suture of injury of vagina (nonobstetrical) | 57200 - COLPORRHAPHY SUTURE INJURY VAGINA | 57200 - REPAIR OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57210 | 57210 - Colpoperineorrhaphy suture of injury of vagina and/or perineum (nonobstetrical) | 57210 - COLPOPERINEORRHAPHY SUTURE INJ VAGINA&/PERINEU | 57210 - REPAIR VAGINA/PERINEUM | '01/01/2017 | 12/31/2999 |
| 57220 | 57220 - Plastic operation on urethral sphincter vaginal approach (eg Kelly urethral plication) | 57220 - PLASTIC URETHRAL SPHINCTER VAGINAL APPROACH | 57220 - REVISION OF URETHRA | '01/01/2017 | 12/31/2999 |
| 57230 | 57230 - Plastic repair of urethrocele | 57230 - PLASTIC REPAIR URETHROCELE | 57230 - REPAIR OF URETHRAL LESION | '01/01/2017 | 12/31/2999 |
| 57240 | 57240 - Anterior colporrhaphy repair of cystocele with or without repair of urethrocele including cystourethroscopy when performed | 57240 - ANTERIOR COLPORRAPHY RPR CYSTOCELE W/CYSTO | 57240 - ANTERIOR COLPORRHAPHY | '01/01/2018 | 12/31/2999 |
| 57250 | 57250 - Posterior colporrhaphy repair of rectocele with or without perineorrhaphy | 57250 - POST COLPORRHAPHY RECTOCELE W/WO PERINEORRHAPHY | 57250 - REPAIR RECTUM & VAGINA | '01/01/2017 | 12/31/2999 |
| 57260 | 57260 - Combined anteroposterior colporrhaphy including cystourethroscopy when performed; | 57260 - CMBND ANTERPOST COLPORRAPHY W/CYSTO | 57260 - CMBN ANT PST COLPRHY | '01/01/2018 | 12/31/2999 |
| 57265 | 57265 - Combined anteroposterior colporrhaphy including cystourethroscopy when performed; with enterocele repair | 57265 - CMBND ANTERPOST COLPORRAPHY W/CYSTO W/NTRCL RPR | 57265 - CMBN AP COLPRHY W/NTRCL RPR | '01/01/2018 | 12/31/2999 |
| 57267 | 57267 - Insertion of mesh or other prosthesis for repair of pelvic floor defect each site (anterior posterior compartment) vaginal approach (List separately in addition to code for primary procedure) | 57267 - INSJ MESH/PROSTH PELVIC FLOOR DEFECT EACH SITE | 57267 - INSERT MESH/PELVIC FLR ADDON | '01/01/2017 | 12/31/2999 |
| 57268 | 57268 - Repair of enterocele vaginal approach (separate procedure) | 57268 - REPAIR ENTEROCELE VAGINAL APPROACH SPX | 57268 - REPAIR OF BOWEL BULGE | '01/01/2017 | 12/31/2999 |
| 57270 | 57270 - Repair of enterocele abdominal approach (separate procedure) | 57270 - REPAIR ENTEROCELE ABDOMINAL APPROACH SPX | 57270 - REPAIR OF BOWEL POUCH | '01/01/2017 | 12/31/2999 |
| 57280 | 57280 - Colpopexy abdominal approach | 57280 - COLPOPEXY ABDOMINAL APPROACH | 57280 - SUSPENSION OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57282 | 57282 - Colpopexy vaginal; extra-peritoneal approach (sacrospinous iliococcygeus) | 57282 - COLPOPEXY VAGINAL EXTRAPERITONEAL APPROACH | 57282 - COLPOPEXY EXTRAPERITONEAL | '01/01/2017 | 12/31/2999 |
| 57283 | 57283 - Colpopexy vaginal; intra-peritoneal approach (uterosacral levator myorrhaphy) | 57283 - COLPOPEXY VAGINAL INTRAPERITONEAL APPROACH | 57283 - COLPOPEXY INTRAPERITONEAL | '01/01/2017 | 12/31/2999 |
| 57284 | 57284 - Paravaginal defect repair (including repair of cystocele if performed); open abdominal approach | 57284 - PARAVAGINAL DEFECT REPAIR OPEN ABDOMINAL APPR | 57284 - REPAIR PARAVAG DEFECT OPEN | '01/01/2017 | 12/31/2999 |
| 57285 | 57285 - Paravaginal defect repair (including repair of cystocele if performed); vaginal approach | 57285 - PARAVAGINAL DEFECT REPAIR VAGINAL APPROACH | 57285 - REPAIR PARAVAG DEFECT VAG | '01/01/2017 | 12/31/2999 |
| 57287 | 57287 - Removal or revision of sling for stress incontinence (eg fascia or synthetic) | 57287 - RMVL/REVJ SLING STRESS INCONTINENCE | 57287 - REVISE/REMOVE SLING REPAIR | '01/01/2017 | 12/31/2999 |
| 57288 | 57288 - Sling operation for stress incontinence (eg fascia or synthetic) | 57288 - SLING OPERATION STRESS INCONTINENCE | 57288 - REPAIR BLADDER DEFECT | '01/01/2017 | 12/31/2999 |
| 57289 | 57289 - Pereyra procedure including anterior colporrhaphy | 57289 - PEREYRA PX W/ANTERIOR COLPORRHAPHY | 57289 - REPAIR BLADDER & VAGINA | '01/01/2017 | 12/31/2999 |
| 57291 | 57291 - Construction of artificial vagina; without graft | 57291 - CONSTRUCTION ARTIFICIAL VAGINA W/O GRAFT | 57291 - CONSTRUCTION OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57292 | 57292 - Construction of artificial vagina; with graft | 57292 - CONSTRUCTION ARTIFICIAL VAGINA W/GRAFT | 57292 - CONSTRUCT VAGINA WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 57295 | 57295 - Revision (including removal) of prosthetic vaginal graft; vaginal approach | 57295 - REVJ/RMVL PROSTHETIC VAGINAL GRAFT VAGINAL APP | 57295 - REVISE VAG GRAFT VIA VAGINA | '01/01/2017 | 12/31/2999 |
| 57296 | 57296 - Revision (including removal) of prosthetic vaginal graft; open abdominal approach | 57296 - REVJ W/RMVL PROSTHETIC VAGINAL GRAFT ABDML APPR | 57296 - REVISE VAG GRAFT OPEN ABD | '01/01/2017 | 12/31/2999 |
| 57300 | 57300 - Closure of rectovaginal fistula; vaginal or transanal approach | 57300 - CLSR RECTOVAGINAL FISTULA VAGINAL/TRANSANAL APPR | 57300 - REPAIR RECTUM-VAGINA FISTULA | '01/01/2017 | 12/31/2999 |
| 57305 | 57305 - Closure of rectovaginal fistula; abdominal approach | 57305 - CLSR RECTOVAGINAL FISTULA ABDOMINAL APPROACH | 57305 - REPAIR RECTUM-VAGINA FISTULA | '01/01/2017 | 12/31/2999 |
| 57307 | 57307 - Closure of rectovaginal fistula; abdominal approach with concomitant colostomy | 57307 - CLSR RECTOVAG FSTL ABDL APPR W/CONCOMITANT CLST | 57307 - FISTULA REPAIR & COLOSTOMY | '01/01/2017 | 12/31/2999 |
| 57308 | 57308 - Closure of rectovaginal fistula; transperineal approach with perineal body reconstruction with or without levator plication | 57308 - CLSR RECTOVAG FSTL TPRNL PRNL BDY RCNSTJ | 57308 - FISTULA REPAIR TRANSPERINE | '01/01/2017 | 12/31/2999 |
| 57310 | 57310 - Closure of urethrovaginal fistula; | 57310 - CLOSURE URETHROVAGINAL FISTULA | 57310 - REPAIR URETHROVAGINAL LESION | '01/01/2017 | 12/31/2999 |
| 57311 | 57311 - Closure of urethrovaginal fistula; with bulbocavernosus transplant | 57311 - CLSR URETHROVAG FSTL W/BULBOCAVERNOSUS TRNSPL | 57311 - REPAIR URETHROVAGINAL LESION | '01/01/2017 | 12/31/2999 |
| 57320 | 57320 - Closure of vesicovaginal fistula; vaginal approach | 57320 - CLOSURE VESICOVAGINAL FISTULA VAGINAL APPROACH | 57320 - REPAIR BLADDER-VAGINA LESION | '01/01/2017 | 12/31/2999 |
| 57330 | 57330 - Closure of vesicovaginal fistula; transvesical and vaginal approach | 57330 - CLSR VESICOVAG FSTL TRANSVESICAL&VAG APPR | 57330 - REPAIR BLADDER-VAGINA LESION | '01/01/2017 | 12/31/2999 |
| 57335 | 57335 - Vaginoplasty for intersex state | 57335 - VAGINOPLASTY INTERSEX STATE | 57335 - REPAIR VAGINA | '01/01/2017 | 12/31/2999 |
| 57400 | 57400 - Dilation of vagina under anesthesia (other than local) | 57400 - DILATION VAGINA W/ANESTHESIA OTHER THAN LOCAL | 57400 - DILATION OF VAGINA | '01/01/2017 | 12/31/2999 |
| 57410 | 57410 - Pelvic examination under anesthesia (other than local) | 57410 - PELVIC EXAMINATION W/ANESTHESIA OTHER THAN LOCAL | 57410 - PELVIC EXAMINATION | '01/01/2017 | 12/31/2999 |
| 57415 | 57415 - Removal of impacted vaginal foreign body (separate procedure) under anesthesia (other than local) | 57415 - REMOVAL IMPACTED VAG FB SPX W/ANES OTH/THN LOCAL | 57415 - REMOVE VAGINAL FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 57420 | 57420 - Colposcopy of the entire vagina with cervix if present; | 57420 - COLPOSCOPY ENTIRE VAGINA W/CERVIX IF PRESENT | 57420 - EXAM OF VAGINA W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57421 | 57421 - Colposcopy of the entire vagina with cervix if present; with biopsy(s) of vagina/cervix | 57421 - COLPOSCOPY ENTIRE VAGINA W/VAGINA/CERVIX BX | 57421 - EXAM/BIOPSY OF VAG W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57423 | 57423 - Paravaginal defect repair (including repair of cystocele if performed) laparoscopic approach | 57423 - PARAVAGINAL DEFECT REPAIR LAPAROSCOPIC APPROACH | 57423 - REPAIR PARAVAG DEFECT LAP | '01/01/2017 | 12/31/2999 |
| 57425 | 57425 - Laparoscopy surgical colpopexy (suspension of vaginal apex) | 57425 - LAPAROSCOPY COLPOPEXY SUSPENSION VAGINAL APEX | 57425 - LAPAROSCOPY SURG COLPOPEXY | '01/01/2017 | 12/31/2999 |
| 57426 | 57426 - Revision (including removal) of prosthetic vaginal graft laparoscopic approach | 57426 - REVISION PROSTHETIC VAGINAL GRAFT LAPAROSCOPIC | 57426 - REVISE PROSTH VAG GRAFT LAP | '01/01/2017 | 12/31/2999 |
| 57452 | 57452 - Colposcopy of the cervix including upper/adjacent vagina; | 57452 - COLPOSCOPY CERVIX UPPER/ADJACENT VAGINA | 57452 - EXAM OF CERVIX W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57454 | 57454 - Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix and endocervical curettage | 57454 - COLPOSCOPY CERVIX BX CERVIX & ENDOCRV CURRETAGE | 57454 - BX/CURETT OF CERVIX W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57455 | 57455 - Colposcopy of the cervix including upper/adjacent vagina; with biopsy(s) of the cervix | 57455 - COLPOSCOPY CERVIX UPPR/ADJCNT VAGINA W/CERVIX BX | 57455 - BIOPSY OF CERVIX W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57456 | 57456 - Colposcopy of the cervix including upper/adjacent vagina; with endocervical curettage | 57456 - COLPOSCOPY CERVIX ENDOCERVICAL CURETTAGE | 57456 - ENDOCERV CURETTAGE W/SCOPE | '01/01/2017 | 12/31/2999 |
| 57460 | 57460 - Colposcopy of the cervix including upper/adjacent vagina; with loop electrode biopsy(s) of the cervix | 57460 - COLPOSCOPY CERVIX VAG LOOP ELTRD BX CERVIX | 57460 - BX OF CERVIX W/SCOPE LEEP | '01/01/2017 | 12/31/2999 |
| 57461 | 57461 - Colposcopy of the cervix including upper/adjacent vagina; with loop electrode conization of the cervix | 57461 - COLPOSCOPY CERVIX VAG ELTRD CONIZATION CERVIX | 57461 - CONZ OF CERVIX W/SCOPE LEEP | '01/01/2017 | 12/31/2999 |
| 57465 | 57465 - Computer-aided mapping of cervix uteri during colposcopy including optical dynamic spectral imaging and algorithmic quantification of the acetowhitening effect (List separately in addition to code for primary procedure) | 57465 - COMPUTER-AIDED MAPG CERVIX UTERI DRG COLPOSCOPY | 57465 - CAM CERVIX UTERI DRG COLP | '01/01/2021 | 12/31/2999 |
| 57500 | 57500 - Biopsy of cervix single or multiple or local excision of lesion with or without fulguration (separate procedure) | 57500 - BIOPSY CERVIX SINGLE/MULT/EXCISION OF LESION SPX | 57500 - BIOPSY OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57505 | 57505 - Endocervical curettage (not done as part of a dilation and curettage) | 57505 - ENDOCERVICAL CURETTAGE NOT DONE AS PART OF D&C | 57505 - ENDOCERVICAL CURETTAGE | '01/01/2019 | 12/31/2999 |
| 57510 | 57510 - Cautery of cervix; electro or thermal | 57510 - CAUTERY CERVIX ELECTRO/THERMAL | 57510 - CAUTERIZATION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57511 | 57511 - Cautery of cervix; cryocautery initial or repeat | 57511 - CAUTERY CERVIX CRYOCAUTERY INITIAL/REPEAT | 57511 - CRYOCAUTERY OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57513 | 57513 - Cautery of cervix; laser ablation | 57513 - CAUTERY CERVIX LASER ABLATION | 57513 - LASER SURGERY OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57520 | 57520 - Conization of cervix with or without fulguration with or without dilation and curettage with or without repair; cold knife or laser | 57520 - CONIZATION CERVIX W/WO D&C RPR KNIFE/LASER | 57520 - CONIZATION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57522 | 57522 - Conization of cervix with or without fulguration with or without dilation and curettage with or without repair; loop electrode excision | 57522 - CONIZATION CERVIX W/WO D&C RPR ELTRD EXC | 57522 - CONIZATION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57530 | 57530 - Trachelectomy (cervicectomy) amputation of cervix (separate procedure) | 57530 - TRACHELECTOMY CERVICECTOMY AMP CERVIX SPX | 57530 - REMOVAL OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57531 | 57531 - Radical trachelectomy with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling biopsy with or without removal of tube(s) with or without removal of ovary(s) | 57531 - RAD TRACHELECTOMY W/BI PEL LMPHADEC | 57531 - REMOVAL OF CERVIX RADICAL | '01/01/2017 | 12/31/2999 |
| 57540 | 57540 - Excision of cervical stump abdominal approach; | 57540 - EXCISION CERVICAL STUMP ABDOMINAL APPROACH | 57540 - REMOVAL OF RESIDUAL CERVIX | '01/01/2017 | 12/31/2999 |
| 57545 | 57545 - Excision of cervical stump abdominal approach; with pelvic floor repair | 57545 - EXC CERVICAL STUMP ABDL APPR W/PELVIC FLOOR RPR | 57545 - REMOVE CERVIX/REPAIR PELVIS | '01/01/2017 | 12/31/2999 |
| 57550 | 57550 - Excision of cervical stump vaginal approach; | 57550 - EXCISION CERVICAL STUMP VAGINAL APPROACH | 57550 - REMOVAL OF RESIDUAL CERVIX | '01/01/2017 | 12/31/2999 |
| 57555 | 57555 - Excision of cervical stump vaginal approach; with anterior and/or posterior repair | 57555 - EXC CRV STUMP VAG APPR W/ANT &/POST REPAIR | 57555 - REMOVE CERVIX/REPAIR VAGINA | '01/01/2017 | 12/31/2999 |
| 57556 | 57556 - Excision of cervical stump vaginal approach; with repair of enterocele | 57556 - EXC CRV STUMP VAG APPR W/RPR NTRCL | 57556 - REMOVE CERVIX REPAIR BOWEL | '01/01/2017 | 12/31/2999 |
| 57558 | 57558 - Dilation and curettage of cervical stump | 57558 - DILATION & CURETTAGE CERVICAL STUMP | 57558 - D&C OF CERVICAL STUMP | '01/01/2017 | 12/31/2999 |
| 57700 | 57700 - Cerclage of uterine cervix nonobstetrical | 57700 - CERCLAGE UTERINE CERVIX NONOBSTETRICAL | 57700 - REVISION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57720 | 57720 - Trachelorrhaphy plastic repair of uterine cervix vaginal approach | 57720 - TRACHELORRHAPHY PLSTC RPR UTERINE CERVIX VAG | 57720 - REVISION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 57800 | 57800 - Dilation of cervical canal instrumental (separate procedure) | 57800 - DILATION CERVICAL CANAL INSTRUMENTAL SPX | 57800 - DILATION OF CERVICAL CANAL | '01/01/2017 | 12/31/2999 |
| 58100 | 58100 - Endometrial sampling (biopsy) with or without endocervical sampling (biopsy) without cervical dilation any method (separate procedure) | 58100 - ENDOMETRIAL BX W/WO ENDOCERVIX BX W/O DILAT SPX | 58100 - BIOPSY OF UTERUS LINING | '01/01/2017 | 12/31/2999 |
| 58110 | 58110 - Endometrial sampling (biopsy) performed in conjunction with colposcopy (List separately in addition to code for primary procedure) | 58110 - ENDOMETRIAL BX CONJUNCT W/COLPOSCOPY | 58110 - BX DONE W/COLPOSCOPY ADD-ON | '01/01/2017 | 12/31/2999 |
| 58120 | 58120 - Dilation and curettage diagnostic and/or therapeutic (nonobstetrical) | 58120 - DILATION & CURETTAGE DX&/THER NONOBSTETRIC | 58120 - DILATION AND CURETTAGE | '01/01/2017 | 12/31/2999 |
| 58140 | 58140 - Myomectomy excision of fibroid tumor(s) of uterus 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; abdominal approach | 58140 - MYOMECTOMY 1-4 MYOMAS W/250 GM/< ABDOMINAL APPR | 58140 - MYOMECTOMY ABDOM METHOD | '01/01/2017 | 12/31/2999 |
| 58145 | 58145 - Myomectomy excision of fibroid tumor(s) of uterus 1 to 4 intramural myoma(s) with total weight of 250 g or less and/or removal of surface myomas; vaginal approach | 58145 - MYOMECTOMY 1-4 MYOMAS 250 GM/< VAGINAL APPR | 58145 - MYOMECTOMY VAG METHOD | '01/01/2017 | 12/31/2999 |
| 58146 | 58146 - Myomectomy excision of fibroid tumor(s) of uterus 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g abdominal approach | 58146 - MYOMECTOMY 5/> MYOMAS &/>250 GM ABDOMINA | 58146 - MYOMECTOMY ABDOM COMPLEX | '01/01/2017 | 12/31/2999 |
| 58150 | 58150 - Total abdominal hysterectomy (corpus and cervix) with or without removal of tube(s) with or without removal of ovary(s); | 58150 - TOTAL ABDOMINAL HYSTERECT W/WO RMVL TUBE OVARY | 58150 - TOTAL HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58152 | 58152 - Total abdominal hysterectomy (corpus and cervix) with or without removal of tube(s) with or without removal of ovary(s); with colpo-urethrocystopexy (eg Marshall-Marchetti-Krantz Burch) | 58152 - TOT ABD HYST W/WO RMVL TUBE OVARY W/COLPURETHRXY | 58152 - TOTAL HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58180 | 58180 - Supracervical abdominal hysterectomy (subtotal hysterectomy) with or without removal of tube(s) with or without removal of ovary(s) | 58180 - SUPRACERVICAL ABDL HYSTER W/WO RMVL TUBE OVARY | 58180 - PARTIAL HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58200 | 58200 - Total abdominal hysterectomy including partial vaginectomy with para-aortic and pelvic lymph node sampling with or without removal of tube(s) with or without removal of ovary(s) | 58200 - TOT ABD HYST W/PARAORTIC & PELVIC LYMPH NODE SAM | 58200 - EXTENSIVE HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58210 | 58210 - Radical abdominal hysterectomy with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) with or without removal of tube(s) with or without removal of ovary(s) | 58210 - RAD ABDL HYSTERECTOMY W/BI PELVIC LMPHADENECTOMY | 58210 - EXTENSIVE HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58240 | 58240 - Pelvic exenteration for gynecologic malignancy with total abdominal hysterectomy or cervicectomy with or without removal of tube(s) with or without removal of ovary(s) with removal of bladder and ureteral transplantations and/or abdominoperineal resection of rectum and colon and colostomy or any combination thereof | 58240 - PEL EXNTJ GYNECOLOGIC MAL | 58240 - REMOVAL OF PELVIS CONTENTS | '01/01/2017 | 12/31/2999 |
| 58260 | 58260 - Vaginal hysterectomy for uterus 250 g or less; | 58260 - VAGINAL HYSTERECTOMY UTERUS 250 GM/< | 58260 - VAGINAL HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58262 | 58262 - Vaginal hysterectomy for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | 58262 - VAG HYST 250 GM/< W/RMVL TUBE&/OVARY | 58262 - VAG HYST INCLUDING T/O | '01/01/2017 | 12/31/2999 |
| 58263 | 58263 - Vaginal hysterectomy for uterus 250 g or less; with removal of tube(s) and/or ovary(s) with repair of enterocele | 58263 - VAG HYST 250 GM/< W/RMVL TUBE OVARY W/RPR NTRCL | 58263 - VAG HYST W/T/O & VAG REPAIR | '01/01/2017 | 12/31/2999 |
| 58267 | 58267 - Vaginal hysterectomy for uterus 250 g or less; with colpo-urethrocystopexy (Marshall-Marchetti-Krantz type Pereyra type) with or without endoscopic control | 58267 - VAG HYST 250 GM/< W/COLPO-URTCSTOPEXY | 58267 - VAG HYST W/URINARY REPAIR | '01/01/2017 | 12/31/2999 |
| 58270 | 58270 - Vaginal hysterectomy for uterus 250 g or less; with repair of enterocele | 58270 - VAGINAL HYSTERECTOMY 250 GM/< W/RPR ENTEROCELE | 58270 - VAG HYST W/ENTEROCELE REPAIR | '01/01/2017 | 12/31/2999 |
| 58275 | 58275 - Vaginal hysterectomy with total or partial vaginectomy; | 58275 - VAGINAL HYSTERECTOMY W/TOT/PRTL VAGINECTOMY | 58275 - HYSTERECTOMY/REVISE VAGINA | '01/01/2017 | 12/31/2999 |
| 58280 | 58280 - Vaginal hysterectomy with total or partial vaginectomy; with repair of enterocele | 58280 - VAG HYSTER W/TOT/PRTL VAGINECT W/RPR ENTEROCELE | 58280 - HYSTERECTOMY/REVISE VAGINA | '01/01/2017 | 12/31/2999 |
| 58285 | 58285 - Vaginal hysterectomy radical (Schauta type operation) | 58285 - VAGINAL HYSTERECTOMY RADICAL SCHAUTA OPERATION | 58285 - EXTENSIVE HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58290 | 58290 - Vaginal hysterectomy for uterus greater than 250 g; | 58290 - VAGINAL HYSTERECTOMY UTERUS > 250 GM | 58290 - VAG HYST COMPLEX | '01/01/2017 | 12/31/2999 |
| 58291 | 58291 - Vaginal hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | 58291 - VAG HYST > 250 GM RMVL TUBE&/OVARY | 58291 - VAG HYST INCL T/O COMPLEX | '01/01/2017 | 12/31/2999 |
| 58292 | 58292 - Vaginal hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) with repair of enterocele | 58292 - VAG HYST > 250 GM RMVL TUBE&/OVARY W/RPR ENTRCLE | 58292 - VAG HYST T/O & REPAIR COMPL | '01/01/2017 | 12/31/2999 |
| 58294 | 58294 - Vaginal hysterectomy for uterus greater than 250 g; with repair of enterocele | 58294 - VAGINAL HYSTERECTOMY >250 GM RPR ENTEROCELE | 58294 - VAG HYST W/ENTEROCELE COMPL | '01/01/2017 | 12/31/2999 |
| 58300 | 58300 - Insertion of intrauterine device (IUD) | 58300 - INSERTION INTRAUTERINE DEVICE IUD | 58300 - INSERT INTRAUTERINE DEVICE | '01/01/2017 | 12/31/2999 |
| 58301 | 58301 - Removal of intrauterine device (IUD) | 58301 - REMOVAL INTRAUTERINE DEVICE IUD | 58301 - REMOVE INTRAUTERINE DEVICE | '01/01/2017 | 12/31/2999 |
| 58321 | 58321 - Artificial insemination; intra-cervical | 58321 - ARTIFICIAL INSEMINATION INTRA-CERVICAL | 58321 - ARTIFICIAL INSEMINATION | '01/01/2017 | 12/31/2999 |
| 58322 | 58322 - Artificial insemination; intra-uterine | 58322 - ARTIFICIAL INSEMINATION INTRA-UTERINE | 58322 - ARTIFICIAL INSEMINATION | '01/01/2017 | 12/31/2999 |
| 58323 | 58323 - Sperm washing for artificial insemination | 58323 - SPERM WASHING ARTIFICIAL INSEMINATION | 58323 - SPERM WASHING | '01/01/2017 | 12/31/2999 |
| 58340 | 58340 - Catheterization and introduction of saline or contrast material for saline infusion sonohysterography (SIS) or hysterosalpingography | 58340 - CATH & SALINE/CONTRAST SONOHYSTER/HYSTEROSALPI | 58340 - CATHETER FOR HYSTEROGRAPHY | '01/01/2017 | 12/31/2999 |
| 58345 | 58345 - Transcervical introduction of fallopian tube catheter for diagnosis and/or re-establishing patency (any method) with or without hysterosalpingography | 58345 - TRANSCERV FALLOPIAN TUBE CATH W/WO HYSTOSALPING | 58345 - REOPEN FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 58346 | 58346 - Insertion of Heyman capsules for clinical brachytherapy | 58346 - INSERTION HEYMAN CAPSULES CLINICAL BRACHYTHERAPY | 58346 - INSERT HEYMAN UTERI CAPSULE | '01/01/2017 | 12/31/2999 |
| 58350 | 58350 - Chromotubation of oviduct including materials | 58350 - CHROMOTUBATION OVIDUCT W/MATERIALS | 58350 - REOPEN FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 58353 | 58353 - Endometrial ablation thermal without hysteroscopic guidance | 58353 - ENDOMETRIAL ABLTJ THERMAL W/O HYSTEROSCOPIC GUID | 58353 - ENDOMETR ABLATE THERMAL | '01/01/2017 | 12/31/2999 |
| 58356 | 58356 - Endometrial cryoablation with ultrasonic guidance including endometrial curettage when performed | 58356 - ENDOMETRIAL CRYOABLATION W/US & ENDOMETRIAL CR | 58356 - ENDOMETRIAL CRYOABLATION | '01/01/2017 | 12/31/2999 |
| 58400 | 58400 - Uterine suspension with or without shortening of round ligaments with or without shortening of sacrouterine ligaments; (separate procedure) | 58400 - UTERINE SUSPENSION W/WO SHORTENING LIGAMENTS SPX | 58400 - SUSPENSION OF UTERUS | '01/01/2017 | 12/31/2999 |
| 58410 | 58410 - Uterine suspension with or without shortening of round ligaments with or without shortening of sacrouterine ligaments; with presacral sympathectomy | 58410 - UTERINE SUSP W/WO SHORT LIGAMNTS W/SYMPATHECTOMY | 58410 - SUSPENSION OF UTERUS | '01/01/2017 | 12/31/2999 |
| 58520 | 58520 - Hysterorrhaphy repair of ruptured uterus (nonobstetrical) | 58520 - HYSTERORRHAPHY REPAIR RUPT UTERUS NONOBSTETRICAL | 58520 - REPAIR OF RUPTURED UTERUS | '01/01/2017 | 12/31/2999 |
| 58540 | 58540 - Hysteroplasty repair of uterine anomaly (Strassman type) | 58540 - HYSTEROPLASTY RPR UTERINE ANOMALY | 58540 - REVISION OF UTERUS | '01/01/2017 | 12/31/2999 |
| 58541 | 58541 - Laparoscopy surgical supracervical hysterectomy for uterus 250 g or less; | 58541 - LAPAROSCOPY SUPRACERVICAL HYSTERECTOMY 250 GM/< | 58541 - LSH UTERUS 250 G OR LESS | '01/01/2017 | 12/31/2999 |
| 58542 | 58542 - Laparoscopy surgical supracervical hysterectomy for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | 58542 - LAPS SUPRACRV HYSTERECT 250 GM/< RMVL TUBE/OVAR | 58542 - LSH W/T/O UT 250 G OR LESS | '01/01/2017 | 12/31/2999 |
| 58543 | 58543 - Laparoscopy surgical supracervical hysterectomy for uterus greater than 250 g; | 58543 - LAPS SUPRACERVICAL HYSTERECTOMY >250 | 58543 - LSH UTERUS ABOVE 250 G | '01/01/2017 | 12/31/2999 |
| 58544 | 58544 - Laparoscopy surgical supracervical hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | 58544 - LAPS SUPRACRV HYSTEREC >250 G RMVL TUBE/OVARY | 58544 - LSH W/T/O UTERUS ABOVE 250 G | '01/01/2017 | 12/31/2999 |
| 58545 | 58545 - Laparoscopy surgical myomectomy excision; 1 to 4 intramural myomas with total weight of 250 g or less and/or removal of surface myomas | 58545 - LAPS MYOMECTOMY EXC 1-4 MYOMAS 250 GM/< | 58545 - LAPAROSCOPIC MYOMECTOMY | '01/01/2017 | 12/31/2999 |
| 58546 | 58546 - Laparoscopy surgical myomectomy excision; 5 or more intramural myomas and/or intramural myomas with total weight greater than 250 g | 58546 - LAPS MYOMECTOMY EXC 5/> MYOMAS >250 GRAMS | 58546 - LAPARO-MYOMECTOMY COMPLEX | '01/01/2017 | 12/31/2999 |
| 58548 | 58548 - Laparoscopy surgical with radical hysterectomy with bilateral total pelvic lymphadenectomy and para-aortic lymph node sampling (biopsy) with removal of tube(s) and ovary(s) if performed | 58548 - LAPS W/RAD HYST W/BILAT LMPHADEC RMVL TUBE/OVARY | 58548 - LAP RADICAL HYST | '01/01/2017 | 12/31/2999 |
| 58550 | 58550 - Laparoscopy surgical with vaginal hysterectomy for uterus 250 g or less; | 58550 - LAPS VAGINAL HYSTERECTOMY UTERUS 250 GM/< | 58550 - LAPARO-ASST VAG HYSTERECTOMY | '01/01/2017 | 12/31/2999 |
| 58552 | 58552 - Laparoscopy surgical with vaginal hysterectomy for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | 58552 - LAPS W/VAG HYSTERECT 250 GM/&RMVL TUBE&/OVARIES | 58552 - LAPARO-VAG HYST INCL T/O | '01/01/2017 | 12/31/2999 |
| 58553 | 58553 - Laparoscopy surgical with vaginal hysterectomy for uterus greater than 250 g; | 58553 - LAPS W/VAGINAL HYSTERECTOMY > 250 GRAMS | 58553 - LAPARO-VAG HYST COMPLEX | '01/01/2017 | 12/31/2999 |
| 58554 | 58554 - Laparoscopy surgical with vaginal hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | 58554 - LAPS VAGINAL HYSTERECT > 250 GM RMVL TUBE&/OVAR | 58554 - LAPARO-VAG HYST W/T/O COMPL | '01/01/2017 | 12/31/2999 |
| 58555 | 58555 - Hysteroscopy diagnostic (separate procedure) | 58555 - HYSTEROSCOPY DIAGNOSTIC SEPARATE PROCEDURE | 58555 - HYSTEROSCOPY DX SEP PROC | '01/01/2017 | 12/31/2999 |
| 58558 | 58558 - Hysteroscopy surgical; with sampling (biopsy) of endometrium and/or polypectomy with or without D & C | 58558 - HYSTEROSCOPY BX ENDOMETRIUM&/POLYPC W/WO D&C | 58558 - HYSTEROSCOPY BIOPSY | '01/01/2017 | 12/31/2999 |
| 58559 | 58559 - Hysteroscopy surgical; with lysis of intrauterine adhesions (any method) | 58559 - HYSTEROSCOPY LYSIS INTRAUTERINE ADHESIONS | 58559 - HYSTEROSCOPY LYSIS | '01/01/2017 | 12/31/2999 |
| 58560 | 58560 - Hysteroscopy surgical; with division or resection of intrauterine septum (any method) | 58560 - HYSTEROSCOPY DIV/RESCJ INTRAUTERINE SEPTUM | 58560 - HYSTEROSCOPY RESECT SEPTUM | '01/01/2017 | 12/31/2999 |
| 58561 | 58561 - Hysteroscopy surgical; with removal of leiomyomata | 58561 - HYSTEROSCOPY REMOVAL LEIOMYOMATA | 58561 - HYSTEROSCOPY REMOVE MYOMA | '01/01/2017 | 12/31/2999 |
| 58562 | 58562 - Hysteroscopy surgical; with removal of impacted foreign body | 58562 - HYSTEROSCOPY REMOVAL IMPACTED FOREIGN BODY | 58562 - HYSTEROSCOPY REMOVE FB | '01/01/2017 | 12/31/2999 |
| 58563 | 58563 - Hysteroscopy surgical; with endometrial ablation (eg endometrial resection electrosurgical ablation thermoablation) | 58563 - HYSTEROSCOPY ENDOMETRIAL ABLATION | 58563 - HYSTEROSCOPY ABLATION | '01/01/2017 | 12/31/2999 |
| 58565 | 58565 - Hysteroscopy surgical; with bilateral fallopian tube cannulation to induce occlusion by placement of permanent implants | 58565 - HYSTEROSCOPY BI TUBE OCCLUSION W/PERM IMPLNTS | 58565 - HYSTEROSCOPY STERILIZATION | '01/01/2017 | 12/31/2999 |
| 58570 | 58570 - Laparoscopy surgical with total hysterectomy for uterus 250 g or less; | 58570 - LAPAROSCOPY W TOTAL HYSTERECTOMY UTERUS 250 GM/< | 58570 - TLH UTERUS 250 G OR LESS | '01/01/2017 | 12/31/2999 |
| 58571 | 58571 - Laparoscopy surgical with total hysterectomy for uterus 250 g or less; with removal of tube(s) and/or ovary(s) | 58571 - LAPS TOTAL HYSTERECT 250 GM/< W/RMVL TUBE/OVARY | 58571 - TLH W/T/O 250 G OR LESS | '01/01/2017 | 12/31/2999 |
| 58572 | 58572 - Laparoscopy surgical with total hysterectomy for uterus greater than 250 g; | 58572 - LAPAROSCOPY TOTAL HYSTERECTOMY UTERUS >250 GM | 58572 - TLH UTERUS OVER 250 G | '01/01/2017 | 12/31/2999 |
| 58573 | 58573 - Laparoscopy surgical with total hysterectomy for uterus greater than 250 g; with removal of tube(s) and/or ovary(s) | 58573 - LAPAROSCOPY TOT HYSTERECTOMY >250 G W/TUBE/OVAR | 58573 - TLH W/T/O UTERUS OVER 250 G | '01/01/2017 | 12/31/2999 |
| 58575 | 58575 - Laparoscopy surgical total hysterectomy for resection of malignancy (tumor debulking) with omentectomy including salpingo-oophorectomy unilateral or bilateral when performed | 58575 - LAPS TOT HYSTERECTOMY RESJ MALIGNANCY W/OMNTC | 58575 - LAPS TOT HYST RESJ MAL | '01/01/2018 | 12/31/2999 |
| 58578 | 58578 - Unlisted laparoscopy procedure uterus | 58578 - UNLISTED LAPAROSCOPY PROCEDURE UTERUS | 58578 - UNLISTED LAPS PX UTERUS | '01/01/2023 | 12/31/2999 |
| 58579 | 58579 - Unlisted hysteroscopy procedure uterus | 58579 - UNLISTED HYSTEROSCOPY PROCEDURE UTERUS | 58579 - UNLISTED HYSTSC PX UTERUS | '01/01/2023 | 12/31/2999 |
| 58600 | 58600 - Ligation or transection of fallopian tube(s) abdominal or vaginal approach unilateral or bilateral | 58600 - LIG/TRNSXJ FLP TUBE ABDL/VAG APPR UNI/BI | 58600 - DIVISION OF FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 58605 | 58605 - Ligation or transection of fallopian tube(s) abdominal or vaginal approach postpartum unilateral or bilateral during same hospitalization (separate procedure) | 58605 - LIG/TRNSXJ FLP TUBE ABDL/VAG POSTPARTUM SPX | 58605 - DIVISION OF FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 58611 | 58611 - Ligation or transection of fallopian tube(s) when done at the time of cesarean delivery or intra-abdominal surgery (not a separate procedure) (List separately in addition to code for primary procedure) | 58611 - LIG/TRNSXJ FALOPIAN TUBE CESAREAN DEL/ABDML SURG | 58611 - LIGATE OVIDUCT(S) ADD-ON | '01/01/2017 | 12/31/2999 |
| 58615 | 58615 - Occlusion of fallopian tube(s) by device (eg band clip Falope ring) vaginal or suprapubic approach | 58615 - OCCLUSION FLP TUBE DEV VAG/SUPRAPUBIC APPR | 58615 - OCCLUDE FALLOPIAN TUBE(S) | '01/01/2017 | 12/31/2999 |
| 58660 | 58660 - Laparoscopy surgical; with lysis of adhesions (salpingolysis ovariolysis) (separate procedure) | 58660 - LAPAROSCOPY W/LYSIS OF ADHESIONS | 58660 - LAPAROSCOPY LYSIS | '01/01/2017 | 12/31/2999 |
| 58661 | 58661 - Laparoscopy surgical; with removal of adnexal structures (partial or total oophorectomy and/or salpingectomy) | 58661 - LAPAROSCOPY W/RMVL ADNEXAL STRUCTURES | 58661 - LAPAROSCOPY REMOVE ADNEXA | '01/01/2017 | 12/31/2999 |
| 58662 | 58662 - Laparoscopy surgical; with fulguration or excision of lesions of the ovary pelvic viscera or peritoneal surface by any method | 58662 - LAPS FULG/EXC OVARY VISCERA/PERITONEAL SURFACE | 58662 - LAPAROSCOPY EXCISE LESIONS | '01/01/2017 | 12/31/2999 |
| 58670 | 58670 - Laparoscopy surgical; with fulguration of oviducts (with or without transection) | 58670 - LAPAROSCOPY FULGURATION OVIDUCTS | 58670 - LAPAROSCOPY TUBAL CAUTERY | '01/01/2017 | 12/31/2999 |
| 58671 | 58671 - Laparoscopy surgical; with occlusion of oviducts by device (eg band clip or Falope ring) | 58671 - LAPAROSCOPY W/PLMT OCCLUSION DEVICE OVIDUCTS | 58671 - LAPAROSCOPY TUBAL BLOCK | '01/01/2017 | 12/31/2999 |
| 58672 | 58672 - Laparoscopy surgical; with fimbrioplasty | 58672 - LAPAROSCOPY FIMBRIOPLASTY | 58672 - LAPAROSCOPY FIMBRIOPLASTY | '01/01/2017 | 12/31/2999 |
| 58673 | 58673 - Laparoscopy surgical; with salpingostomy (salpingoneostomy) | 58673 - LAPAROSCOPY SALPINGOSTOMY | 58673 - LAPAROSCOPY SALPINGOSTOMY | '01/01/2017 | 12/31/2999 |
| 58674 | 58674 - Laparoscopy surgical ablation of uterine fibroid(s) including intraoperative ultrasound guidance and monitoring radiofrequency | 58674 - LAPS ABLTJ UTERINE FIBROIDS W/INTRAOP US GDN | 58674 - LAPS ABLTJ UTERINE FIBROIDS | '01/01/2017 | 12/31/2999 |
| 58679 | 58679 - Unlisted laparoscopy procedure oviduct ovary | 58679 - UNLISTED LAPAROSCOPY PROCEDURE OVIDUCT OVARY | 58679 - UNLISTED LAPS PX OVIDCT OVRY | '01/01/2023 | 12/31/2999 |
| 58700 | 58700 - Salpingectomy complete or partial unilateral or bilateral (separate procedure) | 58700 - SALPINGECTOMY COMPLETE/PARTIAL UNI/BI SPX | 58700 - REMOVAL OF FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 58720 | 58720 - Salpingo-oophorectomy complete or partial unilateral or bilateral (separate procedure) | 58720 - SALPINGO-OOPHORECTOMY COMPL/PRTL UNI/BI SPX | 58720 - REMOVAL OF OVARY/TUBE(S) | '01/01/2017 | 12/31/2999 |
| 58740 | 58740 - Lysis of adhesions (salpingolysis ovariolysis) | 58740 - LYSIS OF ADHESIONS SALPINX/OVARY | 58740 - ADHESIOLYSIS TUBE OVARY | '01/01/2017 | 12/31/2999 |
| 58750 | 58750 - Tubotubal anastomosis | 58750 - TUBOTUBAL ANASTATOMOSIS | 58750 - REPAIR OVIDUCT | '01/01/2017 | 12/31/2999 |
| 58752 | 58752 - Tubouterine implantation | 58752 - TUBOUTERINE IMPLANTATION | 58752 - REVISE OVARIAN TUBE(S) | '01/01/2017 | 12/31/2999 |
| 58760 | 58760 - Fimbrioplasty | 58760 - FIMBRIOPLASTY | 58760 - FIMBRIOPLASTY | '01/01/2017 | 12/31/2999 |
| 58770 | 58770 - Salpingostomy (salpingoneostomy) | 58770 - SALPINGOSTOMY | 58770 - CREATE NEW TUBAL OPENING | '01/01/2017 | 12/31/2999 |
| 58800 | 58800 - Drainage of ovarian cyst(s) unilateral or bilateral (separate procedure); vaginal approach | 58800 - DRAINAGE OVARIAN CYST UNI/BI SPX VAGINAL APPR | 58800 - DRAINAGE OF OVARIAN CYST(S) | '01/01/2017 | 12/31/2999 |
| 58805 | 58805 - Drainage of ovarian cyst(s) unilateral or bilateral (separate procedure); abdominal approach | 58805 - DRAINAGE OVARIAN CYST UNI/BI SPX ABDOMINAL | 58805 - DRAINAGE OF OVARIAN CYST(S) | '01/01/2017 | 12/31/2999 |
| 58820 | 58820 - Drainage of ovarian abscess; vaginal approach open | 58820 - DRAINAGE OVARIAN ABSCESS VAGINAL APPR OPEN | 58820 - DRAIN OVARY ABSCESS OPEN | '01/01/2017 | 12/31/2999 |
| 58822 | 58822 - Drainage of ovarian abscess; abdominal approach | 58822 - DRAINAGE OVARIAN ABSCESS ABDOMINAL APPROACH | 58822 - DRAIN OVARY ABSCESS PERCUT | '01/01/2017 | 12/31/2999 |
| 58825 | 58825 - Transposition ovary(s) | 58825 - TRANSPOSITION OVARY | 58825 - TRANSPOSITION OVARY(S) | '01/01/2017 | 12/31/2999 |
| 58900 | 58900 - Biopsy of ovary unilateral or bilateral (separate procedure) | 58900 - BIOPSY OVARY UNI/BI SEPARATE PROCEDURE | 58900 - BIOPSY OF OVARY(S) | '01/01/2017 | 12/31/2999 |
| 58920 | 58920 - Wedge resection or bisection of ovary unilateral or bilateral | 58920 - WEDGE RESCJ/BISCTJ OVARY UNI/BI | 58920 - PARTIAL REMOVAL OF OVARY(S) | '01/01/2017 | 12/31/2999 |
| 58925 | 58925 - Ovarian cystectomy unilateral or bilateral | 58925 - OVARIAN CYSTECTOMY UNI/BI | 58925 - REMOVAL OF OVARIAN CYST(S) | '01/01/2017 | 12/31/2999 |
| 58940 | 58940 - Oophorectomy partial or total unilateral or bilateral; | 58940 - OOPHORECTOMY PARTIAL/TOTAL UNI/BI | 58940 - REMOVAL OF OVARY(S) | '01/01/2017 | 12/31/2999 |
| 58943 | 58943 - Oophorectomy partial or total unilateral or bilateral; for ovarian tubal or primary peritoneal malignancy with para-aortic and pelvic lymph node biopsies peritoneal washings peritoneal biopsies diaphragmatic assessments with or without salpingectomy(s) with or without omentectomy | 58943 - OOPHORECTOMY PRTL/TOT UNI/BI OVARIAN MALIGNANCY | 58943 - REMOVAL OF OVARY(S) | '01/01/2017 | 12/31/2999 |
| 58950 | 58950 - Resection (initial) of ovarian tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; | 58950 - RESCJ OVARIAN/TUBAL/PERITONEAL MALIGNANCY W/BSO | 58950 - RESECT OVARIAN MALIGNANCY | '01/01/2017 | 12/31/2999 |
| 58951 | 58951 - Resection (initial) of ovarian tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with total abdominal hysterectomy pelvic and limited para-aortic lymphadenectomy | 58951 - RESCJ PRIM PRTL MAL W/BSO & OMNTC TAH & LMPHAD | 58951 - RESECT OVARIAN MALIGNANCY | '01/01/2017 | 12/31/2999 |
| 58952 | 58952 - Resection (initial) of ovarian tubal or primary peritoneal malignancy with bilateral salpingo-oophorectomy and omentectomy; with radical dissection for debulking (ie radical excision or destruction intra-abdominal or retroperitoneal tumors) | 58952 - RESCJ PRIM PRTL MAL W/BSO & OMNTC RAD DEBULKING | 58952 - RESECT OVARIAN MALIGNANCY | '01/01/2017 | 12/31/2999 |
| 58953 | 58953 - Bilateral salpingo-oophorectomy with omentectomy total abdominal hysterectomy and radical dissection for debulking; | 58953 - BSO W/OMENTECTOMY TAH&RAD DEBULKING DISSECTION | 58953 - TAH RAD DISSECT FOR DEBULK | '01/01/2017 | 12/31/2999 |
| 58954 | 58954 - Bilateral salpingo-oophorectomy with omentectomy total abdominal hysterectomy and radical dissection for debulking; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy | 58954 - BSO W/OMENTECTOMY TAH DEBULKING W/LMPHADECTOMY | 58954 - TAH RAD DEBULK/LYMPH REMOVE | '01/01/2017 | 12/31/2999 |
| 58956 | 58956 - Bilateral salpingo-oophorectomy with total omentectomy total abdominal hysterectomy for malignancy | 58956 - BSO W/TOT OMENTECTOMY & HYSTERECTOMY MALIGNANC | 58956 - BSO OMENTECTOMY W/TAH | '01/01/2017 | 12/31/2999 |
| 58957 | 58957 - Resection (tumor debulking) of recurrent ovarian tubal primary peritoneal uterine malignancy (intra-abdominal retroperitoneal tumors) with omentectomy if performed; | 58957 - RESECJ RECUR OVARIAN/TUBAL/PERITONEAL MALIGNANCY | 58957 - RESECT RECURRENT GYN MAL | '01/01/2017 | 12/31/2999 |
| 58958 | 58958 - Resection (tumor debulking) of recurrent ovarian tubal primary peritoneal uterine malignancy (intra-abdominal retroperitoneal tumors) with omentectomy if performed; with pelvic lymphadenectomy and limited para-aortic lymphadenectomy | 58958 - RESECTION RECRT MAL W/OMENTECTOMY PEL LMPHADEC | 58958 - RESECT RECUR GYN MAL W/LYM | '01/01/2017 | 12/31/2999 |
| 58960 | 58960 - Laparotomy for staging or restaging of ovarian tubal or primary peritoneal malignancy (second look) with or without omentectomy peritoneal washing biopsy of abdominal and pelvic peritoneum diaphragmatic assessment with pelvic and limited para-aortic lymphadenectomy | 58960 - LAPT STG/RESTG OVARIAN TUBAL/PRIM MAL 2ND LOOK | 58960 - EXPLORATION OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 58970 | 58970 - Follicle puncture for oocyte retrieval any method | 58970 - FOLLICLE PUNCTURE OOCYTE RETRIEVAL ANY METHOD | 58970 - RETRIEVAL OF OOCYTE | '01/01/2017 | 12/31/2999 |
| 58974 | 58974 - Embryo transfer intrauterine | 58974 - EMBRYO TRANSFER INTRAUTERINE | 58974 - TRANSFER OF EMBRYO | '01/01/2017 | 12/31/2999 |
| 58976 | 58976 - Gamete zygote or embryo intrafallopian transfer any method | 58976 - GAMETE ZYGOTE/EMBRYO FALLOPIAN TRANSFER ANY METH | 58976 - TRANSFER OF EMBRYO | '01/01/2017 | 12/31/2999 |
| 58999 | 58999 - Unlisted procedure female genital system (nonobstetrical) | 58999 - UNLISTED PX FEMALE GENITAL SYSTEM NONOBSTETRICAL | 58999 - UNLISTED PX FML GENITAL SYS | '01/01/2023 | 12/31/2999 |
| 59000 | 59000 - Amniocentesis; diagnostic | 59000 - AMNIOCENTESIS DIAGNOSIC | 59000 - AMNIOCENTESIS DIAGNOSTIC | '01/01/2017 | 12/31/2999 |
| 59001 | 59001 - Amniocentesis; therapeutic amniotic fluid reduction (includes ultrasound guidance) | 59001 - AMNIOCENTESIS THER AMNIOTIC FLUID RDCTJ US GUID | 59001 - AMNIOCENTESIS THERAPEUTIC | '01/01/2017 | 12/31/2999 |
| 59012 | 59012 - Cordocentesis (intrauterine) any method | 59012 - CORDOCENTESIS INTRAUTERINE | 59012 - FETAL CORD PUNCTURE PRENATAL | '01/01/2017 | 12/31/2999 |
| 59015 | 59015 - Chorionic villus sampling any method | 59015 - CHORIONIC VILLUS SAMPLING | 59015 - CHORION BIOPSY | '01/01/2017 | 12/31/2999 |
| 59020 | 59020 - Fetal contraction stress test | 59020 - FETAL CONTRACTION STRESS TEST | 59020 - FETAL CONTRACT STRESS TEST | '01/01/2017 | 12/31/2999 |
| 59025 | 59025 - Fetal non-stress test | 59025 - FETAL NONSTRESS TEST | 59025 - FETAL NON-STRESS TEST | '01/01/2017 | 12/31/2999 |
| 59030 | 59030 - Fetal scalp blood sampling | 59030 - FETAL SCALP BLOOD SAMPLING | 59030 - FETAL SCALP BLOOD SAMPLE | '01/01/2017 | 12/31/2999 |
| 59050 | 59050 - Fetal monitoring during labor by consulting physician (ie non-attending physician) with written report; supervision and interpretation | 59050 - FETAL MONITORING LABOR PHYS WRITTEN REPORT | 59050 - FETAL MONITOR W/REPORT | '01/01/2017 | 12/31/2999 |
| 59051 | 59051 - Fetal monitoring during labor by consulting physician (ie non-attending physician) with written report; interpretation only | 59051 - FETAL MONITR LABOR PHYS WRTTN REPRT INTERPJ ONLY | 59051 - FETAL MONITOR/INTERPRET ONLY | '01/01/2017 | 12/31/2999 |
| 59070 | 59070 - Transabdominal amnioinfusion including ultrasound guidance | 59070 - TRANSABDOMINAL AMNIOINFUSION W/ULTRSND GUIDANCE | 59070 - TRANSABDOM AMNIOINFUS W/US | '01/01/2017 | 12/31/2999 |
| 59072 | 59072 - Fetal umbilical cord occlusion including ultrasound guidance | 59072 - FETAL UMBILICAL CORD OCCLUSION W/ULTRSND GUIDNCE | 59072 - UMBILICAL CORD OCCLUD W/US | '01/01/2017 | 12/31/2999 |
| 59074 | 59074 - Fetal fluid drainage (eg vesicocentesis thoracocentesis paracentesis) including ultrasound guidance | 59074 - FETAL FLUID DRAINAGE W/ULTRASOUND GUIDANCE | 59074 - FETAL FLUID DRAINAGE W/US | '01/01/2017 | 12/31/2999 |
| 59076 | 59076 - Fetal shunt placement including ultrasound guidance | 59076 - FETAL SHUNT PLACEMENT W/ULTRASOUND GUIDANCE | 59076 - FETAL SHUNT PLACEMENT W/US | '01/01/2017 | 12/31/2999 |
| 59100 | 59100 - Hysterotomy abdominal (eg for hydatidiform mole abortion) | 59100 - HYSTEROTOMY ABDOMINAL | 59100 - REMOVE UTERUS LESION | '01/01/2017 | 12/31/2999 |
| 59120 | 59120 - Surgical treatment of ectopic pregnancy; tubal or ovarian requiring salpingectomy and/or oophorectomy abdominal or vaginal approach | 59120 - TX ECTOPIC PREGNANCY ABDOMINAL/VAGINAL APPR | 59120 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59121 | 59121 - Surgical treatment of ectopic pregnancy; tubal or ovarian without salpingectomy and/or oophorectomy | 59121 - TX ECTOPIC PREGNANCY W/O SALPING&/OOPHORECTOMY | 59121 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59130 | 59130 - Surgical treatment of ectopic pregnancy; abdominal pregnancy | 59130 - TX ECTOPIC PREGNANCY ABDL PREGNANCY | 59130 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59136 | 59136 - Surgical treatment of ectopic pregnancy; interstitial uterine pregnancy with partial resection of uterus | 59136 - TX ECTOPIC PREGNANCY NTRSTL PRTL RESCJ UTER | 59136 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59140 | 59140 - Surgical treatment of ectopic pregnancy; cervical with evacuation | 59140 - TX ECTOPIC PREGNANCY CERVICAL W/EVACUATION | 59140 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59150 | 59150 - Laparoscopic treatment of ectopic pregnancy; without salpingectomy and/or oophorectomy | 59150 - LAPS TX ECTOPIC PREG W/O SALPING&/OOPHORECTOMY | 59150 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59151 | 59151 - Laparoscopic treatment of ectopic pregnancy; with salpingectomy and/or oophorectomy | 59151 - LAPS TX ECTOPIC PREG W/SALPING&/OOPHORECTOMY | 59151 - TREAT ECTOPIC PREGNANCY | '01/01/2017 | 12/31/2999 |
| 59160 | 59160 - Curettage postpartum | 59160 - CURETTAGE POSTPARTUM | 59160 - D & C AFTER DELIVERY | '01/01/2017 | 12/31/2999 |
| 59200 | 59200 - Insertion of cervical dilator (eg laminaria prostaglandin) (separate procedure) | 59200 - INSERTION CERVICAL DILATOR SEPARATE PROCEDURE | 59200 - INSERT CERVICAL DILATOR | '01/01/2017 | 12/31/2999 |
| 59300 | 59300 - Episiotomy or vaginal repair by other than attending | 59300 - EPISIOTOMY/VAG RPR OTH/THN ATTENDING | 59300 - EPISIOTOMY OR VAGINAL REPAIR | '01/01/2017 | 12/31/2999 |
| 59320 | 59320 - Cerclage of cervix during pregnancy; vaginal | 59320 - CERCLAGE CERVIX PREGNANCY VAGINAL | 59320 - REVISION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 59325 | 59325 - Cerclage of cervix during pregnancy; abdominal | 59325 - CERCLAGE CERVIX PREGNANCY ABDOMINAL | 59325 - REVISION OF CERVIX | '01/01/2017 | 12/31/2999 |
| 59350 | 59350 - Hysterorrhaphy of ruptured uterus | 59350 - HYSTERORRHAPHY RUPTURED UTERUS | 59350 - REPAIR OF UTERUS | '01/01/2017 | 12/31/2999 |
| 59400 | 59400 - Routine obstetric care including antepartum care vaginal delivery (with or without episiotomy and/or forceps) and postpartum care | 59400 - OB CARE ANTEPARTUM VAG DLVR & POSTPARTUM | 59400 - OBSTETRICAL CARE | '01/01/2017 | 12/31/2999 |
| 59402 | 59402 - DELIVERY VAGINAL IN HOME ONE FETUS | 59402 - | 59402 - | '01/01/1950 | 12/31/2999 |
| 59409 | 59409 - Vaginal delivery only (with or without episiotomy and/or forceps); | 59409 - VAGINAL DELIVERY ONLY | 59409 - OBSTETRICAL CARE | '01/01/2017 | 12/31/2999 |
| 59410 | 59410 - Vaginal delivery only (with or without episiotomy and/or forceps); including postpartum care | 59410 - VAGINAL DELIVERY ONLY W/POSTPARTUM CARE | 59410 - OBSTETRICAL CARE | '01/01/2017 | 12/31/2999 |
| 59412 | 59412 - External cephalic version with or without tocolysis | 59412 - EXTERNAL CEPHALIC VERSION W/WO TOCOLYSIS | 59412 - ANTEPARTUM MANIPULATION | '01/01/2017 | 12/31/2999 |
| 59414 | 59414 - Delivery of placenta (separate procedure) | 59414 - DELIVERY PLACENTA SEPARATE PROCEDURE | 59414 - DELIVER PLACENTA | '01/01/2017 | 12/31/2999 |
| 59425 | 59425 - Antepartum care only; 4-6 visits | 59425 - ANTEPARTUM CARE ONLY 4-6 VISITS | 59425 - ANTEPARTUM CARE ONLY | '01/01/2017 | 12/31/2999 |
| 59426 | 59426 - Antepartum care only; 7 or more visits | 59426 - ANTEPARTUM CARE ONLY 7/> VISITS | 59426 - ANTEPARTUM CARE ONLY | '01/01/2017 | 12/31/2999 |
| 59430 | 59430 - Postpartum care only (separate procedure) | 59430 - POSTPARTUM CARE ONLY SEPARATE PROCEDURE | 59430 - CARE AFTER DELIVERY | '01/01/2017 | 12/31/2999 |
| 59510 | 59510 - Routine obstetric care including antepartum care cesarean delivery and postpartum care | 59510 - OB ANTEPARTUM CARE CESAREAN DLVR & POSTPARTUM | 59510 - CESAREAN DELIVERY | '01/01/2017 | 12/31/2999 |
| 59514 | 59514 - Cesarean delivery only; | 59514 - CESAREAN DELIVERY ONLY | 59514 - CESAREAN DELIVERY ONLY | '01/01/2017 | 12/31/2999 |
| 59515 | 59515 - Cesarean delivery only; including postpartum care | 59515 - CESAREAN DELIVERY ONLY W/POSTPARTUM CARE | 59515 - CESAREAN DELIVERY | '01/01/2017 | 12/31/2999 |
| 59525 | 59525 - Subtotal or total hysterectomy after cesarean delivery (List separately in addition to code for primary procedure) | 59525 - STOT/TOT HYSTERECTOMY AFTER CESAREAN DELIVERY | 59525 - REMOVE UTERUS AFTER CESAREAN | '01/01/2017 | 12/31/2999 |
| 59610 | 59610 - Routine obstetric care including antepartum care vaginal delivery (with or without episiotomy and/or forceps) and postpartum care after previous cesarean delivery | 59610 - ROUTINE OB CARE VAG DLVRY & POSTPARTUM CARE VB | 59610 - VBAC DELIVERY | '01/01/2017 | 12/31/2999 |
| 59612 | 59612 - Vaginal delivery only after previous cesarean delivery (with or without episiotomy and/or forceps); | 59612 - VAGINAL DELIVERY AFTER CESAREAN DELIVERY | 59612 - VBAC DELIVERY ONLY | '01/01/2017 | 12/31/2999 |
| 59614 | 59614 - Vaginal delivery only after previous cesarean delivery (with or without episiotomy and/or forceps); including postpartum care | 59614 - VAGINAL DELIVERY & POSTPARTUM CARE VBAC | 59614 - VBAC CARE AFTER DELIVERY | '01/01/2017 | 12/31/2999 |
| 59618 | 59618 - Routine obstetric care including antepartum care cesarean delivery and postpartum care following attempted vaginal delivery after previous cesarean delivery | 59618 - ROUTINE OBSTETRICAL CARE ATTEMPTED VBAC | 59618 - ATTEMPTED VBAC DELIVERY | '01/01/2017 | 12/31/2999 |
| 59620 | 59620 - Cesarean delivery only following attempted vaginal delivery after previous cesarean delivery; | 59620 - CESAREAN DELIVERY ATTEMPTED VBAC | 59620 - ATTEMPTED VBAC DELIVERY ONLY | '01/01/2017 | 12/31/2999 |
| 59622 | 59622 - Cesarean delivery only following attempted vaginal delivery after previous cesarean delivery; including postpartum care | 59622 - CESAREAN DLVRY & POSTPARTUM CARE ATTEMPTED VBA | 59622 - ATTEMPTED VBAC AFTER CARE | '01/01/2017 | 12/31/2999 |
| 59812 | 59812 - Treatment of incomplete abortion any trimester completed surgically | 59812 - TX INCOMPLETE ABORTION ANY TRIMESTER SURGICAL | 59812 - TREATMENT OF MISCARRIAGE | '01/01/2017 | 12/31/2999 |
| 59820 | 59820 - Treatment of missed abortion completed surgically; first trimester | 59820 - TX MISSED ABORTION FIRST TRIMESTER SURGICAL | 59820 - CARE OF MISCARRIAGE | '01/01/2017 | 12/31/2999 |
| 59821 | 59821 - Treatment of missed abortion completed surgically; second trimester | 59821 - TX MISSED ABORTION SECOND TRIMESTER SURGICAL | 59821 - TREATMENT OF MISCARRIAGE | '01/01/2017 | 12/31/2999 |
| 59830 | 59830 - Treatment of septic abortion completed surgically | 59830 - TX SEPTIC ABORTION SURGICAL | 59830 - TREAT UTERUS INFECTION | '01/01/2017 | 12/31/2999 |
| 59840 | 59840 - Induced abortion by dilation and curettage | 59840 - INDUCED ABORTION DILATION AND CURETTAGE | 59840 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59841 | 59841 - Induced abortion by dilation and evacuation | 59841 - INDUCED ABORTION DILATION & EVACUATION | 59841 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59850 | 59850 - Induced abortion by 1 or more intra-amniotic injections (amniocentesis-injections) including hospital admission and visits delivery of fetus and secundines; | 59850 - INDUCED ABORTION 1/> AMNIOTIC INJX W/D&C/EVACJ | 59850 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59851 | 59851 - Induced abortion by 1 or more intra-amniotic injections (amniocentesis-injections) including hospital admission and visits delivery of fetus and secundines; with dilation and curettage and/or evacuation | 59851 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS D&C | 59851 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59852 | 59852 - Induced abortion by 1 or more intra-amniotic injections (amniocentesis-injections) including hospital admission and visits delivery of fetus and secundines; with hysterotomy (failed intra-amniotic injection) | 59852 - INDUCE ABORT 1/> AMNIOT NJXS DLVR FETUS HYSTOTM | 59852 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59855 | 59855 - Induced abortion by 1 or more vaginal suppositories (eg prostaglandin) with or without cervical dilation (eg laminaria) including hospital admission and visits delivery of fetus and secundines; | 59855 - INDUCED ABORT 1/> VAG SUPPOSITORIES DLVR FETUS | 59855 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59856 | 59856 - Induced abortion by 1 or more vaginal suppositories (eg prostaglandin) with or without cervical dilation (eg laminaria) including hospital admission and visits delivery of fetus and secundines; with dilation and curettage and/or evacuation | 59856 - INDUCED ABORT 1/> VAG SUPP DLVR FETUS D&C &/EVAC | 59856 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59857 | 59857 - Induced abortion by 1 or more vaginal suppositories (eg prostaglandin) with or without cervical dilation (eg laminaria) including hospital admission and visits delivery of fetus and secundines; with hysterotomy (failed medical evacuation) | 59857 - INDUCED ABORT 1/> VAG SUPPOS DLVR FETUS HYSTOT | 59857 - ABORTION | '01/01/2017 | 12/31/2999 |
| 59866 | 59866 - Multifetal pregnancy reduction(s) (MPR) | 59866 - MULTIFETAL PREGNANCY REDUCTION | 59866 - ABORTION (MPR) | '01/01/2017 | 12/31/2999 |
| 59870 | 59870 - Uterine evacuation and curettage for hydatidiform mole | 59870 - UTERINE EVACUATION & CURETTAGE HYDATIDIFORM MOLE | 59870 - EVACUATE MOLE OF UTERUS | '01/01/2017 | 12/31/2999 |
| 59871 | 59871 - Removal of cerclage suture under anesthesia (other than local) | 59871 - REMOVAL CERCLAGE SUTURE UNDER ANESTHESIA | 59871 - REMOVE CERCLAGE SUTURE | '01/01/2017 | 12/31/2999 |
| 59897 | 59897 - Unlisted fetal invasive procedure including ultrasound guidance when performed | 59897 - UNLISTED FETAL INVASIVE PX W/ULTRASOUND | 59897 - UNLISTED FETAL INVAS PX W/US | '01/01/2023 | 12/31/2999 |
| 59898 | 59898 - Unlisted laparoscopy procedure maternity care and delivery | 59898 - UNLISTED LAPAROSCOPY PX MATERNITY CARE&DELIVERY | 59898 - UNLSTD LAPS PX MAT CARE&DLVR | '01/01/2023 | 12/31/2999 |
| 59899 | 59899 - Unlisted procedure maternity care and delivery | 59899 - UNLISTED PROCEDURE MATERNITY CARE & DELIVERY | 59899 - UNLISTED PX MAT CARE&DLVR | '01/01/2023 | 12/31/2999 |
| 60000 | 60000 - Incision and drainage of thyroglossal duct cyst infected | 60000 - I&D THYROGLOSSAL DUCT CYST INFECTED | 60000 - DRAIN THYROID/TONGUE CYST | '01/01/2017 | 12/31/2999 |
| 6005F | 6005F - Rationale (eg severity of illness and safety) for level of care (eg home hospital) documented (CAP) | 6005F - RATIONALE FOR LEVEL OF CARE DOCUMENTED | 6005F - CARE LEVEL RATIONALE DOC | '01/01/2017 | 12/31/2999 |
| 60100 | 60100 - Biopsy thyroid percutaneous core needle | 60100 - BIOPSY THYROID PERCUTANEOUS CORE NEEDLE | 60100 - BIOPSY OF THYROID | '01/01/2017 | 12/31/2999 |
| 6010F | 6010F - Dysphagia screening conducted prior to order for or receipt of any foods fluids or medication by mouth (STR) | 6010F - DYSPHAGIA SCREENING PRIOR ORAL INTAKE | 6010F - DYSPHAG TEST DONE B/4 EATING | '01/01/2017 | 12/31/2999 |
| 6015F | 6015F - Patient receiving or eligible to receive foods fluids or medication by mouth (STR) | 6015F - PATIENT OK FOR PER ORAL INTAKE (FOOD/MEDICATION) | 6015F - DYSPHAG TEST DONE B/4 EATING | '01/01/2017 | 12/31/2999 |
| 60200 | 60200 - Excision of cyst or adenoma of thyroid or transection of isthmus | 60200 - EXC CYST/ADENOMA THYROID/TRANSECTION ISTHMUS | 60200 - REMOVE THYROID LESION | '01/01/2017 | 12/31/2999 |
| 6020F | 6020F - NPO (nothing by mouth) ordered (STR) | 6020F - NOTHING BY MOUTH ORDERED | 6020F - NPO (NOTHING-MOUTH) ORDERED | '01/01/2017 | 12/31/2999 |
| 60210 | 60210 - Partial thyroid lobectomy unilateral; with or without isthmusectomy | 60210 - PRTL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | 60210 - PARTIAL THYROID EXCISION | '01/01/2017 | 12/31/2999 |
| 60212 | 60212 - Partial thyroid lobectomy unilateral; with contralateral subtotal lobectomy including isthmusectomy | 60212 - PRTL THYROID LOBEC UNI W/CONTRATLAT STOT LOBEC | 60212 - PARTIAL THYROID EXCISION | '01/01/2017 | 12/31/2999 |
| 60220 | 60220 - Total thyroid lobectomy unilateral; with or without isthmusectomy | 60220 - TOTAL THYROID LOBECTOMY UNI W/WO ISTHMUSECTOMY | 60220 - PARTIAL REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60225 | 60225 - Total thyroid lobectomy unilateral; with contralateral subtotal lobectomy including isthmusectomy | 60225 - TOTAL THYROID LOBEC UNI W/CONTRALAT STOT LOBEC | 60225 - PARTIAL REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60240 | 60240 - Thyroidectomy total or complete | 60240 - THYROIDECTOMY TOTAL/COMPLETE | 60240 - REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60252 | 60252 - Thyroidectomy total or subtotal for malignancy; with limited neck dissection | 60252 - THYROIDECTOMY TOTAL/SUBTOTAL LMTD NECK DISSECT | 60252 - REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60254 | 60254 - Thyroidectomy total or subtotal for malignancy; with radical neck dissection | 60254 - THYROIDECTOMY TOTAL/SUBTOTAL RAD NECK DISSECT | 60254 - EXTENSIVE THYROID SURGERY | '01/01/2017 | 12/31/2999 |
| 60260 | 60260 - Thyroidectomy removal of all remaining thyroid tissue following previous removal of a portion of thyroid | 60260 - THYROIDECTOMY RMVL REMAINING TISS FLWG PRTL RMVL | 60260 - REPEAT THYROID SURGERY | '01/01/2017 | 12/31/2999 |
| 60270 | 60270 - Thyroidectomy including substernal thyroid; sternal split or transthoracic approach | 60270 - THYROIDECT W/SUBSTERNAL SPLIT/TRANSTHORACIC | 60270 - REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60271 | 60271 - Thyroidectomy including substernal thyroid; cervical approach | 60271 - THYROIDECTOMY SUBSTERNAL CERVICAL APPROACH | 60271 - REMOVAL OF THYROID | '01/01/2017 | 12/31/2999 |
| 60280 | 60280 - Excision of thyroglossal duct cyst or sinus; | 60280 - EXCISION THYROGLOSSAL DUCT CYST/SINUS | 60280 - REMOVE THYROID DUCT LESION | '01/01/2017 | 12/31/2999 |
| 60281 | 60281 - Excision of thyroglossal duct cyst or sinus; recurrent | 60281 - EXCISION THYROGLOSSAL DUCT CYST/SINUS RECURRENT | 60281 - REMOVE THYROID DUCT LESION | '01/01/2017 | 12/31/2999 |
| 60300 | 60300 - Aspiration and/or injection thyroid cyst | 60300 - ASPIRATION AND/OR INJECTION THYROID CYST | 60300 - ASPIR/INJ THYROID CYST | '01/01/2017 | 12/31/2999 |
| 6030F | 6030F - All elements of maximal sterile barrier technique hand hygiene skin preparation and if ultrasound is used sterile ultrasound techniques followed (CRIT) | 6030F - ALL ELEM OF MAX STERILE BARRIER TECHNQ FLWD | 6030F - MAX STERILE BARRIERS FLWD | '01/01/2017 | 12/31/2999 |
| 6040F | 6040F - Use of appropriate radiation dose reduction devices OR manual techniques for appropriate moderation of exposure documented (RAD) | 6040F - USE APPROP RAD DOSE RDXN DEV/MAN TECHS DOCD | 6040F - APPRO RAD DS DVCS TECHS DOCD | '01/01/2017 | 12/31/2999 |
| 6045F | 6045F - Radiation exposure or exposure time in final report for procedure using fluoroscopy documented (RAD) | 6045F - RAD EXPOS/TIME IN LAST RPRT FLUORO PRXD DOCD | 6045F - RADXPS IN END RPRT4FLURO PXD | '01/01/2017 | 12/31/2999 |
| 60500 | 60500 - Parathyroidectomy or exploration of parathyroid(s); | 60500 - PARATHYROIDECTOMY/EXPLORATION PARATHYROIDS | 60500 - EXPLORE PARATHYROID GLANDS | '01/01/2017 | 12/31/2999 |
| 60502 | 60502 - Parathyroidectomy or exploration of parathyroid(s); re-exploration | 60502 - PARATHYROIDECTOMY/EXPLOR PARATHYROIDS RE-EXPLOR | 60502 - RE-EXPLORE PARATHYROIDS | '01/01/2017 | 12/31/2999 |
| 60505 | 60505 - Parathyroidectomy or exploration of parathyroid(s); with mediastinal exploration sternal split or transthoracic approach | 60505 - PARATHYRDEC/EXPL PARATHYR MEDSTNL STERNAL/TTHRC | 60505 - EXPLORE PARATHYROID GLANDS | '01/01/2017 | 12/31/2999 |
| 60512 | 60512 - Parathyroid autotransplantation (List separately in addition to code for primary procedure) | 60512 - PARATHYROID AUTOTRANSPLANTATION ADD-ON | 60512 - AUTOTRANSPLANT PARATHYROID | '01/01/2017 | 12/31/2999 |
| 60520 | 60520 - Thymectomy partial or total; transcervical approach (separate procedure) | 60520 - THYMECTOMY PRTL/TOT TRANSCERVICAL APPR SPX | 60520 - REMOVAL OF THYMUS GLAND | '01/01/2017 | 12/31/2999 |
| 60521 | 60521 - Thymectomy partial or total; sternal split or transthoracic approach without radical mediastinal dissection (separate procedure) | 60521 - THYMECTOMY PRTL/TOT W/O RAD MEDSTNL DSJ SPX | 60521 - REMOVAL OF THYMUS GLAND | '01/01/2017 | 12/31/2999 |
| 60522 | 60522 - Thymectomy partial or total; sternal split or transthoracic approach with radical mediastinal dissection (separate procedure) | 60522 - THYMECTOMY PRTL/TOT RAD MEDSTNL DSJ SPX | 60522 - REMOVAL OF THYMUS GLAND | '01/01/2017 | 12/31/2999 |
| 60540 | 60540 - Adrenalectomy partial or complete or exploration of adrenal gland with or without biopsy transabdominal lumbar or dorsal (separate procedure); | 60540 - ADRENALECTOMY W/EXPL W/WO BX ABDL/LMBR/DRSAL SPX | 60540 - EXPLORE ADRENAL GLAND | '01/01/2017 | 12/31/2999 |
| 60545 | 60545 - Adrenalectomy partial or complete or exploration of adrenal gland with or without biopsy transabdominal lumbar or dorsal (separate procedure); with excision of adjacent retroperitoneal tumor | 60545 - ADRENALECTOMY EXPL W/EXC RETROPERTINEAL TUMOR | 60545 - EXPLORE ADRENAL GLAND | '01/01/2017 | 12/31/2999 |
| 60600 | 60600 - Excision of carotid body tumor; without excision of carotid artery | 60600 - EXC CAROTID BODY TUMOR W/O EXC CAROTID ARTERY | 60600 - REMOVE CAROTID BODY LESION | '01/01/2017 | 12/31/2999 |
| 60605 | 60605 - Excision of carotid body tumor; with excision of carotid artery | 60605 - EXC CAROTID BODY TUMOR W EXC CAROTID ARTERY | 60605 - REMOVE CAROTID BODY LESION | '01/01/2017 | 12/31/2999 |
| 60650 | 60650 - Laparoscopy surgical with adrenalectomy partial or complete or exploration of adrenal gland with or without biopsy transabdominal lumbar or dorsal | 60650 - LAPAROSCOPY ADRENALECTOMY PRTL/COMPL TABDL | 60650 - LAPAROSCOPY ADRENALECTOMY | '01/01/2017 | 12/31/2999 |
| 60659 | 60659 - Unlisted laparoscopy procedure endocrine system | 60659 - UNLISTED LAPAROSCOPY PROCEDURE ENDOCRINE SYSTEM | 60659 - UNLISTED LAPS PX ENDOC SYS | '01/01/2023 | 12/31/2999 |
| 60699 | 60699 - Unlisted procedure endocrine system | 60699 - UNLISTED PROCEDURE ENDOCRINE SYSTEM | 60699 - UNLISTED PX ENDOCRINE SYSTEM | '01/01/2023 | 12/31/2999 |
| 6070F | 6070F - Patient queried and counseled about anti-epileptic drug (AED) side effects (EPI) | 6070F - PATIENT QUERIED COUNSELED RE AED SIDE EFFECTS | 6070F - PT ASKED/CNSLD AED EFFECTS | '01/01/2017 | 12/31/2999 |
| 6080F | 6080F - Patient (or caregiver) queried about falls (Prkns DSP) | 6080F - PATIENT QUERIED ABOUT FALLS | 6080F - PT/CAREGIVER QUERIED FALLS | '01/01/2017 | 12/31/2999 |
| 6090F | 6090F - Patient (or caregiver) counseled about safety issues appropriate to patient's stage of disease (Prkns) | 6090F - PATIENT SAFETY COUNSEL DISEASE STAGE APPROPRIATE | 6090F - PT/CAREGIVER COUNSEL SAFETY | '01/01/2017 | 12/31/2999 |
| 61000 | 61000 - Subdural tap through fontanelle or suture infant unilateral or bilateral; initial | 61000 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI INIT | 61000 - REMOVE CRANIAL CAVITY FLUID | '01/01/2017 | 12/31/2999 |
| 61001 | 61001 - Subdural tap through fontanelle or suture infant unilateral or bilateral; subsequent taps | 61001 - SUBDURAL TAP FONTANELLE/SUTUR INFANT UNI/BI SBSQ | 61001 - REMOVE CRANIAL CAVITY FLUID | '01/01/2017 | 12/31/2999 |
| 6100F | 6100F - Timeout to verify correct patient correct site and correct procedure documented (PATH) | 6100F - VERIFY CORRECT PT SITE PXD DOCUMENTED | 6100F - VERIFY PT SITE PXD DOCD | '01/01/2017 | 12/31/2999 |
| 6101F | 6101F - Safety counseling for dementia provided (DEM) | 6101F - SAFETY COUNSELING DEMENTIA PROVIDED | 6101F - SAFETY COUNSELING DEMENTIA | '01/01/2017 | 12/31/2999 |
| 61020 | 61020 - Ventricular puncture through previous burr hole fontanelle suture or implanted ventricular catheter/reservoir; without injection | 61020 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX | 61020 - REMOVE BRAIN CAVITY FLUID | '01/01/2017 | 12/31/2999 |
| 61026 | 61026 - Ventricular puncture through previous burr hole fontanelle suture or implanted ventricular catheter/reservoir; with injection of medication or other substance for diagnosis or treatment | 61026 - VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/INJ | 61026 - INJECTION INTO BRAIN CANAL | '01/01/2017 | 12/31/2999 |
| 6102F | 6102F - Safety counseling for dementia ordered (DEM) | 6102F - SAFETY COUNSELING DEMENTIA ORDERED | 6102F - SAFETY COUNSELING DEM ORDER | '01/01/2017 | 12/31/2999 |
| 61050 | 61050 - Cisternal or lateral cervical (C1-C2) puncture; without injection (separate procedure) | 61050 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/O INJ SPX | 61050 - REMOVE BRAIN CANAL FLUID | '01/01/2017 | 12/31/2999 |
| 61055 | 61055 - Cisternal or lateral cervical (C1-C2) puncture; with injection of medication or other substance for diagnosis or treatment | 61055 - CISTERNAL/LATERAL C1-C2 PUNCTURE W/INJECTION | 61055 - INJECTION INTO BRAIN CANAL | '01/01/2017 | 12/31/2999 |
| 61070 | 61070 - Puncture of shunt tubing or reservoir for aspiration or injection procedure | 61070 - PUNCTURE SHUNT TUBE/RESERVOIR ASPIRATION/INJ PX | 61070 - BRAIN CANAL SHUNT PROCEDURE | '01/01/2017 | 12/31/2999 |
| 61105 | 61105 - Twist drill hole for subdural or ventricular puncture | 61105 - TWIST DRILL HOLE SUBDURAL/VENTRICULAR PUNCTURE | 61105 - TWIST DRILL HOLE | '01/01/2017 | 12/31/2999 |
| 61107 | 61107 - Twist drill hole(s) for subdural intracerebral or ventricular puncture; for implanting ventricular catheter pressure recording device or other intracerebral monitoring device | 61107 - TWIST DRILL HOLE IMPLT VENTRICULAR CATH/DEVICE | 61107 - DRILL SKULL FOR IMPLANTATION | '01/01/2017 | 12/31/2999 |
| 61108 | 61108 - Twist drill hole(s) for subdural intracerebral or ventricular puncture; for evacuation and/or drainage of subdural hematoma | 61108 - TWIST DRILL HOLE EVAC&/DRG SUBDURAL HEMATOMA | 61108 - DRILL SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 6110F | 6110F - Counseling provided regarding risks of driving and the alternatives to driving (DEM) | 6110F - COUNSELING PROV RE RISKS DRIVING ALT TO DRIVING | 6110F - COUNSEL PROV DRIVING RISKS | '01/01/2017 | 12/31/2999 |
| 61120 | 61120 - Burr hole(s) for ventricular puncture (including injection of gas contrast media dye or radioactive material) | 61120 - BURR HOLE VENTRICULAR PUNCTURE | 61120 - BURR HOLE FOR PUNCTURE | '01/01/2017 | 12/31/2999 |
| 61140 | 61140 - Burr hole(s) or trephine; with biopsy of brain or intracranial lesion | 61140 - BURR HOLE/TREPHINE W/BX BRAIN/INTRACRNIAL LESION | 61140 - PIERCE SKULL FOR BIOPSY | '01/01/2017 | 12/31/2999 |
| 61150 | 61150 - Burr hole(s) or trephine; with drainage of brain abscess or cyst | 61150 - BURR HOLE/TREPHINE W/DRG BRAIN ABSCESS/CYST | 61150 - PIERCE SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61151 | 61151 - Burr hole(s) or trephine; with subsequent tapping (aspiration) of intracranial abscess or cyst | 61151 - BURR HOLE/TREPHINE W/SBSQ TAPPING ICRA ABSC/CST | 61151 - PIERCE SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61154 | 61154 - Burr hole(s) with evacuation and/or drainage of hematoma extradural or subdural | 61154 - BURR HOLE W/EVAC&/DRG HEMATOMA XDRL/SDRL | 61154 - PIERCE SKULL & REMOVE CLOT | '01/01/2017 | 12/31/2999 |
| 61156 | 61156 - Burr hole(s); with aspiration of hematoma or cyst intracerebral | 61156 - BURR HOLE W/ASPIR HEMATOMA/CYST INTRACEREBRAL | 61156 - PIERCE SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61210 | 61210 - Burr hole(s); for implanting ventricular catheter reservoir EEG electrode(s) pressure recording device or other cerebral monitoring device (separate procedure) | 61210 - BURR HOLE IMPLANT VENTRICULAR CATH/OTHER DEVICE | 61210 - PIERCE SKULL IMPLANT DEVICE | '01/01/2017 | 12/31/2999 |
| 61215 | 61215 - Insertion of subcutaneous reservoir pump or continuous infusion system for connection to ventricular catheter | 61215 - INSJ SUBQ RSVR PUMP/INFUSION SYSTEM VENTRIC CATH | 61215 - INSERT BRAIN-FLUID DEVICE | '01/01/2017 | 12/31/2999 |
| 61250 | 61250 - Burr hole(s) or trephine supratentorial exploratory not followed by other surgery | 61250 - BURR HOLE/TREPHINE SUPRATENTORIAL W/O OTH SURG | 61250 - PIERCE SKULL & EXPLORE | '01/01/2017 | 12/31/2999 |
| 61253 | 61253 - Burr hole(s) or trephine infratentorial unilateral or bilateral | 61253 - BURR HOLE/TREPHINE INFRATENTORIAL UNI/BI | 61253 - PIERCE SKULL & EXPLORE | '01/01/2017 | 12/31/2999 |
| 61304 | 61304 - Craniectomy or craniotomy exploratory; supratentorial | 61304 - CRANIECTOMY/CRANIOTOMY EXPL SUPRATENTORIAL | 61304 - OPEN SKULL FOR EXPLORATION | '01/01/2017 | 12/31/2999 |
| 61305 | 61305 - Craniectomy or craniotomy exploratory; infratentorial (posterior fossa) | 61305 - CRANIECTOMY/CRANIOTOMY EXPL INFRATENTORIAL | 61305 - OPEN SKULL FOR EXPLORATION | '01/01/2017 | 12/31/2999 |
| 61312 | 61312 - Craniectomy or craniotomy for evacuation of hematoma supratentorial; extradural or subdural | 61312 - CRANIECTOMY HMTMA SUPRATENTORIAL EXTRA/SUBDURAL | 61312 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61313 | 61313 - Craniectomy or craniotomy for evacuation of hematoma supratentorial; intracerebral | 61313 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL | 61313 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61314 | 61314 - Craniectomy or craniotomy for evacuation of hematoma infratentorial; extradural or subdural | 61314 - CRANIECTOMY HMTMA INFRATENTORIAL EXTRA/SUBDURAL | 61314 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61315 | 61315 - Craniectomy or craniotomy for evacuation of hematoma infratentorial; intracerebellar | 61315 - CRANIECTOMY HMTMA SUPRATENTORIAL INTRACEREBRAL | 61315 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61316 | 61316 - Incision and subcutaneous placement of cranial bone graft (List separately in addition to code for primary procedure) | 61316 - INCISION & SUBCUTANEOUS PLMT CRANIAL BONE GRAF | 61316 - IMPLT CRAN BONE FLAP TO ABDO | '01/01/2017 | 12/31/2999 |
| 61320 | 61320 - Craniectomy or craniotomy drainage of intracranial abscess; supratentorial | 61320 - CRANIECTOMY/CRANIOTMY DRG ABSCESS SUPRATENTORIAL | 61320 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61321 | 61321 - Craniectomy or craniotomy drainage of intracranial abscess; infratentorial | 61321 - CRANIECTOMY/CRANIOTMY DRG ABSCESS INFRATENTORIAL | 61321 - OPEN SKULL FOR DRAINAGE | '01/01/2017 | 12/31/2999 |
| 61322 | 61322 - Craniectomy or craniotomy decompressive with or without duraplasty for treatment of intracranial hypertension without evacuation of associated intraparenchymal hematoma; without lobectomy | 61322 - CRANIECT/CRANIOT W/WO DURAPLASTY W/O LOBECTOMY | 61322 - DECOMPRESSIVE CRANIOTOMY | '01/01/2017 | 12/31/2999 |
| 61323 | 61323 - Craniectomy or craniotomy decompressive with or without duraplasty for treatment of intracranial hypertension without evacuation of associated intraparenchymal hematoma; with lobectomy | 61323 - CRANIECT/CRANIOT W/WO DURAPLASTY W/LOBECTOMY | 61323 - DECOMPRESSIVE LOBECTOMY | '01/01/2017 | 12/31/2999 |
| 61330 | 61330 - Decompression of orbit only transcranial approach | 61330 - DECOMPRESSION ORBIT ONLY TRANSCRANIAL APPROACH | 61330 - DECOMPRESS EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 61333 | 61333 - Exploration of orbit (transcranial approach) with removal of lesion | 61333 - EXPL ORBIT TRANSCRANIAL APPROACH W/RMVL LESION | 61333 - EXPLORE ORBIT/REMOVE LESION | '01/01/2019 | 12/31/2999 |
| 61340 | 61340 - Subtemporal cranial decompression (pseudotumor cerebri slit ventricle syndrome) | 61340 - SUBTEMPORAL CRANIAL DECOMPRESSION | 61340 - SUBTEMPORAL DECOMPRESSION | '01/01/2017 | 12/31/2999 |
| 61343 | 61343 - Craniectomy suboccipital with cervical laminectomy for decompression of medulla and spinal cord with or without dural graft (eg Arnold-Chiari malformation) | 61343 - CRNEC SUBOCCIPITAL CRV LAM DCMPRN MEDULLA & CORD | 61343 - INCISE SKULL (PRESS RELIEF) | '01/01/2017 | 12/31/2999 |
| 61345 | 61345 - Other cranial decompression posterior fossa | 61345 - OTHER CRANIAL DECOMPRESSION POSTERIOR FOSSA | 61345 - RELIEVE CRANIAL PRESSURE | '01/01/2017 | 12/31/2999 |
| 61450 | 61450 - Craniectomy subtemporal for section compression or decompression of sensory root of gasserian ganglion | 61450 - CRNEC STPL SCTJ COMPRESSION/DCMPRN GANGLION | 61450 - INCISE SKULL FOR SURGERY | '01/01/2017 | 12/31/2999 |
| 61458 | 61458 - Craniectomy suboccipital; for exploration or decompression of cranial nerves | 61458 - CRNEC SOPL EXPL/DCMPRN CRNL NRV | 61458 - INCISE SKULL FOR BRAIN WOUND | '01/01/2017 | 12/31/2999 |
| 61460 | 61460 - Craniectomy suboccipital; for section of 1 or more cranial nerves | 61460 - CRANIECTOMY SUBOCCIPITAL SECTION 1/> CRANIAL NR | 61460 - INCISE SKULL FOR SURGERY | '01/01/2017 | 12/31/2999 |
| 61500 | 61500 - Craniectomy; with excision of tumor or other bone lesion of skull | 61500 - CRANIECTOMY W/EXCISION TUMOR/LESION SKULL | 61500 - REMOVAL OF SKULL LESION | '01/01/2017 | 12/31/2999 |
| 61501 | 61501 - Craniectomy; for osteomyelitis | 61501 - CRANIECTOMY OSTEOMYELITIS | 61501 - REMOVE INFECTED SKULL BONE | '01/01/2017 | 12/31/2999 |
| 6150F | 6150F - Patient not receiving a first course of anti-TNF (tumor necrosis factor) therapy (IBD) | 6150F - PT NOT RCVNG 1ST COURSE OF ANTI-TNF THERAPY | 6150F - PT NOTRCVNG1ST ANTITNF TXMNT | '01/01/2017 | 12/31/2999 |
| 61510 | 61510 - Craniectomy trephination bone flap craniotomy; for excision of brain tumor supratentorial except meningioma | 61510 - CRANIEC TREPHINE BONE FLP BRAIN TUMOR SUPRTENTOR | 61510 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61512 | 61512 - Craniectomy trephination bone flap craniotomy; for excision of meningioma supratentorial | 61512 - CRNEC TREPHINE BONE FLAP MENINGIOMA SUPRATENTOR | 61512 - REMOVE BRAIN LINING LESION | '01/01/2017 | 12/31/2999 |
| 61514 | 61514 - Craniectomy trephination bone flap craniotomy; for excision of brain abscess supratentorial | 61514 - CRNEC TREPHINE BONE FLAP BRAIN ABSC SUPRATENTOR | 61514 - REMOVAL OF BRAIN ABSCESS | '01/01/2017 | 12/31/2999 |
| 61516 | 61516 - Craniectomy trephination bone flap craniotomy; for excision or fenestration of cyst supratentorial | 61516 - CRNEC TREPHINE BONE FLAP FENEST CYST SUPRATENTOR | 61516 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61517 | 61517 - Implantation of brain intracavitary chemotherapy agent (List separately in addition to code for primary procedure) | 61517 - IMPLTJ BRAIN INTRACAVITARY CHEMOTHERAPY AGENT | 61517 - IMPLT BRAIN CHEMOTX ADD-ON | '01/01/2017 | 12/31/2999 |
| 61518 | 61518 - Craniectomy for excision of brain tumor infratentorial or posterior fossa; except meningioma cerebellopontine angle tumor or midline tumor at base of skull | 61518 - CRNEC EXC BRAIN TUMOR INFRATENTORIAL/POST FOSSA | 61518 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61519 | 61519 - Craniectomy for excision of brain tumor infratentorial or posterior fossa; meningioma | 61519 - CRNEC EXC TUM INFRATENTOR/POST FOSSA MENINGIOMA | 61519 - REMOVE BRAIN LINING LESION | '01/01/2017 | 12/31/2999 |
| 61520 | 61520 - Craniectomy for excision of brain tumor infratentorial or posterior fossa; cerebellopontine angle tumor | 61520 - CRNEC TUM INFRATTL/POSTFOSSA CRBLOPNT ANGLE TUM | 61520 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61521 | 61521 - Craniectomy for excision of brain tumor infratentorial or posterior fossa; midline tumor at base of skull | 61521 - CRNEC TUM INFRATTL/PFOSSA MIDLINE TUM BASE SKULL | 61521 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61522 | 61522 - Craniectomy infratentorial or posterior fossa; for excision of brain abscess | 61522 - CRNEC INFRATNTORIAL/POST FOSSA EXC BRAIN ABSCESS | 61522 - REMOVAL OF BRAIN ABSCESS | '01/01/2017 | 12/31/2999 |
| 61524 | 61524 - Craniectomy infratentorial or posterior fossa; for excision or fenestration of cyst | 61524 - CRNEC INFRATNTOR/POSTFOSSA EXC/FENESTRATION CYST | 61524 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61526 | 61526 - Craniectomy bone flap craniotomy transtemporal (mastoid) for excision of cerebellopontine angle tumor; | 61526 - CRNEC TRANSTEMPOR EXC CEREBELLOPONTINE ANGLE TUM | 61526 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61530 | 61530 - Craniectomy bone flap craniotomy transtemporal (mastoid) for excision of cerebellopontine angle tumor; combined with middle/posterior fossa craniotomy/craniectomy | 61530 - CRNEC EXC CEREBELLOPNTIN ANGLE TUM MID/POSTFOSSA | 61530 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61531 | 61531 - Subdural implantation of strip electrodes through 1 or more burr or trephine hole(s) for long-term seizure monitoring | 61531 - SUBDURAL IMPLTJ ELECTRODES SEIZURE MONITORING | 61531 - IMPLANT BRAIN ELECTRODES | '01/01/2017 | 12/31/2999 |
| 61533 | 61533 - Craniotomy with elevation of bone flap; for subdural implantation of an electrode array for long-term seizure monitoring | 61533 - CRANIOT SUBDURAL IMPLT ELCTRD SEIZURE MONITORING | 61533 - IMPLANT BRAIN ELECTRODES | '01/01/2017 | 12/31/2999 |
| 61534 | 61534 - Craniotomy with elevation of bone flap; for excision of epileptogenic focus without electrocorticography during surgery | 61534 - CRANIOT EPILEPTOGENIC FOC W/O ELECTRCORTICOGRPHY | 61534 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61535 | 61535 - Craniotomy with elevation of bone flap; for removal of epidural or subdural electrode array without excision of cerebral tissue (separate procedure) | 61535 - CRANIOT RMVL EPID/SUBDURL ELCTRD W/O EXC TIS SPX | 61535 - REMOVE BRAIN ELECTRODES | '01/01/2017 | 12/31/2999 |
| 61536 | 61536 - Craniotomy with elevation of bone flap; for excision of cerebral epileptogenic focus with electrocorticography during surgery (includes removal of electrode array) | 61536 - CRANIOT EPILEPTOGENIC FOCUS W/ELECTROCORTCOGRPHY | 61536 - REMOVAL OF BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61537 | 61537 - Craniotomy with elevation of bone flap; for lobectomy temporal lobe without electrocorticography during surgery | 61537 - CRANIOT TEMPORAL LOBE W/O ELECTROCORTICOGRAPHY | 61537 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61538 | 61538 - Craniotomy with elevation of bone flap; for lobectomy temporal lobe with electrocorticography during surgery | 61538 - CRANIOT LOBEC TEMPORAL LOBE W/ELECTROCORTCOGRPHY | 61538 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61539 | 61539 - Craniotomy with elevation of bone flap; for lobectomy other than temporal lobe partial or total with electrocorticography during surgery | 61539 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/ECOG | 61539 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61540 | 61540 - Craniotomy with elevation of bone flap; for lobectomy other than temporal lobe partial or total without electrocorticography during surgery | 61540 - CRANIOT LOBECTOMY OTH/THN TEMPORAL LOBE W/O ECOG | 61540 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61541 | 61541 - Craniotomy with elevation of bone flap; for transection of corpus callosum | 61541 - CRANIOTOMY TRANSECTION CORPUS CALLOSUM | 61541 - INCISION OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61543 | 61543 - Craniotomy with elevation of bone flap; for partial or subtotal (functional) hemispherectomy | 61543 - CRANIOTOMY PARTIAL/SUBTOTAL HEMISPHERECTOMY | 61543 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61544 | 61544 - Craniotomy with elevation of bone flap; for excision or coagulation of choroid plexus | 61544 - CRANIOTOMY EXCISION/COAGULATION CHOROID PLEXUS | 61544 - REMOVE & TREAT BRAIN LESION | '01/01/2017 | 12/31/2999 |
| 61545 | 61545 - Craniotomy with elevation of bone flap; for excision of craniopharyngioma | 61545 - CRANIOTOMY EXCISION CRANIOPHARYNGIOMA | 61545 - EXCISION OF BRAIN TUMOR | '01/01/2017 | 12/31/2999 |
| 61546 | 61546 - Craniotomy for hypophysectomy or excision of pituitary tumor intracranial approach | 61546 - CRANIOT HYPOPHYSEC/EXC PITUITARY TUMOR ICRL APPR | 61546 - REMOVAL OF PITUITARY GLAND | '01/01/2017 | 12/31/2999 |
| 61548 | 61548 - Hypophysectomy or excision of pituitary tumor transnasal or transseptal approach nonstereotactic | 61548 - HYPOPHYSEC/EXC PITUITARY TUM TRANSNASAL/SEPTAL | 61548 - REMOVAL OF PITUITARY GLAND | '01/01/2017 | 12/31/2999 |
| 61550 | 61550 - Craniectomy for craniosynostosis; single cranial suture | 61550 - CRANIECTOMY CRANIOSYNOSTOSIS 1 CRANIAL SUTURE | 61550 - RELEASE OF SKULL SEAMS | '01/01/2017 | 12/31/2999 |
| 61552 | 61552 - Craniectomy for craniosynostosis; multiple cranial sutures | 61552 - CRANIECT CRANIOSYNOSTOSIS MULT CRANIAL SUTURES | 61552 - RELEASE OF SKULL SEAMS | '01/01/2017 | 12/31/2999 |
| 61556 | 61556 - Craniotomy for craniosynostosis; frontal or parietal bone flap | 61556 - CRANIEC CRANIOSYNOSTOSIS FRONT/PARIET BONE FLAP | 61556 - INCISE SKULL/SUTURES | '01/01/2017 | 12/31/2999 |
| 61557 | 61557 - Craniotomy for craniosynostosis; bifrontal bone flap | 61557 - CRANIECTOMY CRANIOSYNOSTOSIS BIFRONTAL BONE FLAP | 61557 - INCISE SKULL/SUTURES | '01/01/2017 | 12/31/2999 |
| 61558 | 61558 - Extensive craniectomy for multiple cranial suture craniosynostosis (eg cloverleaf skull); not requiring bone grafts | 61558 - XTN CRANIECT MULTIPLE SUTURE CRANIOSYNOSTOSIS | 61558 - EXCISION OF SKULL/SUTURES | '01/01/2017 | 12/31/2999 |
| 61559 | 61559 - Extensive craniectomy for multiple cranial suture craniosynostosis (eg cloverleaf skull); recontouring with multiple osteotomies and bone autografts (eg barrel-stave procedure) (includes obtaining grafts) | 61559 - XTN CRNEC MLT SUTR CRANIOSYNOSTOSIS W/BONE GRAFT | 61559 - EXCISION OF SKULL/SUTURES | '01/01/2017 | 12/31/2999 |
| 61563 | 61563 - Excision intra and extracranial benign tumor of cranial bone (eg fibrous dysplasia); without optic nerve decompression | 61563 - EXC BENIGN TUM CRANIAL BONE W/O OPTIC NRV DCMPRN | 61563 - EXCISION OF SKULL TUMOR | '01/01/2017 | 12/31/2999 |
| 61564 | 61564 - Excision intra and extracranial benign tumor of cranial bone (eg fibrous dysplasia); with optic nerve decompression | 61564 - EXC BENIGN TUM CRANIAL BONE W/OPTIC NRV DCMPRN | 61564 - EXCISION OF SKULL TUMOR | '01/01/2017 | 12/31/2999 |
| 61566 | 61566 - Craniotomy with elevation of bone flap; for selective amygdalohippocampectomy | 61566 - CRANIOTOMY SELECTIVE AMYGDALOHIPPOCAMPECTOMY | 61566 - REMOVAL OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61567 | 61567 - Craniotomy with elevation of bone flap; for multiple subpial transections with electrocorticography during surgery | 61567 - CRANIOTOMY MULTIPLE SUBPIAL TRANSECTIONS W/ECOG | 61567 - INCISION OF BRAIN TISSUE | '01/01/2017 | 12/31/2999 |
| 61570 | 61570 - Craniectomy or craniotomy; with excision of foreign body from brain | 61570 - CRANIECTOMY/CRANIOTOMY EXC FOREIGN BODY BRAIN | 61570 - REMOVE FOREIGN BODY BRAIN | '01/01/2017 | 12/31/2999 |
| 61571 | 61571 - Craniectomy or craniotomy; with treatment of penetrating wound of brain | 61571 - CRANIECTOMY/CRANIOTOMY TX PENETRATNG WOUND BRAIN | 61571 - INCISE SKULL FOR BRAIN WOUND | '01/01/2017 | 12/31/2999 |
| 61575 | 61575 - Transoral approach to skull base brain stem or upper spinal cord for biopsy decompression or excision of lesion; | 61575 - TRNSRAL SKULL BSE/BR STEM/CORD BX/DCOMPR/EXC LES | 61575 - SKULL BASE/BRAINSTEM SURGERY | '01/01/2017 | 12/31/2999 |
| 61576 | 61576 - Transoral approach to skull base brain stem or upper spinal cord for biopsy decompression or excision of lesion; requiring splitting of tongue and/or mandible (including tracheostomy) | 61576 - TRNSRL SKUL BSE/BR STM/CORD BX/DCMP/ SPLT TONGUE | 61576 - SKULL BASE/BRAINSTEM SURGERY | '01/01/2017 | 12/31/2999 |
| 61580 | 61580 - Craniofacial approach to anterior cranial fossa; extradural including lateral rhinotomy ethmoidectomy sphenoidectomy without maxillectomy or orbital exenteration | 61580 - CRANIOFACIAL ANT CRANIAL FOSSA W/O ORBITAL EXNTJ | 61580 - CRANIOFACIAL APPROACH SKULL | '01/01/2017 | 12/31/2999 |
| 61581 | 61581 - Craniofacial approach to anterior cranial fossa; extradural including lateral rhinotomy orbital exenteration ethmoidectomy sphenoidectomy and/or maxillectomy | 61581 - CRANIOFACIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ | 61581 - CRANIOFACIAL APPROACH SKULL | '01/01/2017 | 12/31/2999 |
| 61582 | 61582 - Craniofacial approach to anterior cranial fossa; extradural including unilateral or bifrontal craniotomy elevation of frontal lobe(s) osteotomy of base of anterior cranial fossa | 61582 - CRANFCL ANT CRANIAL FOSSA UNI/BI CRANIOT/OSTEOT | 61582 - CRANIOFACIAL APPROACH SKULL | '01/01/2017 | 12/31/2999 |
| 61583 | 61583 - Craniofacial approach to anterior cranial fossa; intradural including unilateral or bifrontal craniotomy elevation or resection of frontal lobe osteotomy of base of anterior cranial fossa | 61583 - CRANFCL ANT CRANIAL FOSSA UNI/BIFRNTL ELEV LOBE | 61583 - CRANIOFACIAL APPROACH SKULL | '01/01/2017 | 12/31/2999 |
| 61584 | 61584 - Orbitocranial approach to anterior cranial fossa extradural including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); without orbital exenteration | 61584 - ORBITOCRANIAL ANT CRANIAL FOSSA W/O ORBIT EXNTJ | 61584 - ORBITOCRANIAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61585 | 61585 - Orbitocranial approach to anterior cranial fossa extradural including supraorbital ridge osteotomy and elevation of frontal and/or temporal lobe(s); with orbital exenteration | 61585 - ORBITOCRANIAL ANT CRANIAL FOSSA W/ORBITAL EXNTJ | 61585 - ORBITOCRANIAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61586 | 61586 - Bicoronal transzygomatic and/or LeFort I osteotomy approach to anterior cranial fossa with or without internal fixation without bone graft | 61586 - BICORONAL TRANSZYGMTC&/LEFORT I W/O BONE GRFT | 61586 - RESECT NASOPHARYNX SKULL | '01/01/2017 | 12/31/2999 |
| 61590 | 61590 - Infratemporal pre-auricular approach to middle cranial fossa (parapharyngeal space infratemporal and midline skull base nasopharynx) with or without disarticulation of the mandible including parotidectomy craniotomy decompression and/or mobilization of the facial nerve and/or petrous carotid artery | 61590 - INFRATEMPORAL MID CRANIAL FOSSA W/WO DISARTICLTN | 61590 - INFRATEMPORAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61591 | 61591 - Infratemporal post-auricular approach to middle cranial fossa (internal auditory meatus petrous apex tentorium cavernous sinus parasellar area infratemporal fossa) including mastoidectomy resection of sigmoid sinus with or without decompression and/or mobilization of contents of auditory canal or petrous carotid artery | 61591 - INFRATEMPO MID CRANIAL FOSSA W/WO DCOMPR&/MOBI | 61591 - INFRATEMPORAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61592 | 61592 - Orbitocranial zygomatic approach to middle cranial fossa (cavernous sinus and carotid artery clivus basilar artery or petrous apex) including osteotomy of zygoma craniotomy extra- or intradural elevation of temporal lobe | 61592 - ORBITOCRNL APPR MID CRANIAL FOSSA TEMPORAL LOBE | 61592 - ORBITOCRANIAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61595 | 61595 - Transtemporal approach to posterior cranial fossa jugular foramen or midline skull base including mastoidectomy decompression of sigmoid sinus and/or facial nerve with or without mobilization | 61595 - TRANSTEMP APPR POST CRAN FOSSA DCOMPR SINUS/NRV | 61595 - TRANSTEMPORAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61596 | 61596 - Transcochlear approach to posterior cranial fossa jugular foramen or midline skull base including labyrinthectomy decompression with or without mobilization of facial nerve and/or petrous carotid artery | 61596 - TRANSCOCHLR POST CRNL FOSSA W/WO MOBIL NRV/ART | 61596 - TRANSCOCHLEAR APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61597 | 61597 - Transcondylar (far lateral) approach to posterior cranial fossa jugular foramen or midline skull base including occipital condylectomy mastoidectomy resection of C1-C3 vertebral body(s) decompression of vertebral artery with or without mobilization | 61597 - TRNSCONDLR POST CRNL FOSSA DCOMPR ART W/WO MOBIL | 61597 - TRANSCONDYLAR APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61598 | 61598 - Transpetrosal approach to posterior cranial fossa clivus or foramen magnum including ligation of superior petrosal sinus and/or sigmoid sinus | 61598 - TRANSPTRSAL POST CRNL FOSSA CLIVUS/FORAMN MAGNUM | 61598 - TRANSPETROSAL APPROACH/SKULL | '01/01/2017 | 12/31/2999 |
| 61600 | 61600 - Resection or excision of neoplastic vascular or infectious lesion of base of anterior cranial fossa; extradural | 61600 - RESCJ/EXC LES BASE ANT CRANIAL FOSSA EXTRADURAL | 61600 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61601 | 61601 - Resection or excision of neoplastic vascular or infectious lesion of base of anterior cranial fossa; intradural including dural repair with or without graft | 61601 - RESCJ/EXC LES BASE ANT CRNL FOSSA INDRL W/WO GRF | 61601 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61605 | 61605 - Resection or excision of neoplastic vascular or infectious lesion of infratemporal fossa parapharyngeal space petrous apex; extradural | 61605 - RESCJ/EXC LES INFRATEMPOR FOSSA SPACE APEX XDRL | 61605 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61606 | 61606 - Resection or excision of neoplastic vascular or infectious lesion of infratemporal fossa parapharyngeal space petrous apex; intradural including dural repair with or without graft | 61606 - RESCJ/EXC LES ITPRL FOSSA SPACE APEX IDRL W/RPR | 61606 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61607 | 61607 - Resection or excision of neoplastic vascular or infectious lesion of parasellar area cavernous sinus clivus or midline skull base; extradural | 61607 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB XDRL | 61607 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61608 | 61608 - Resection or excision of neoplastic vascular or infectious lesion of parasellar area cavernous sinus clivus or midline skull base; intradural including dural repair with or without graft | 61608 - RESCJ/EXC LES PARASELLAR SINUS CLIVUS/MSB IDRL | 61608 - RESECT/EXCISE CRANIAL LESION | '01/01/2017 | 12/31/2999 |
| 61611 | 61611 - Transection or ligation carotid artery in petrous canal; without repair (List separately in addition to code for primary procedure) | 61611 - TRNSXJ/LIG CAROTID ARTERY PETROUS CANAL W/O RPR | 61611 - TRANSECT ARTERY SINUS | '01/01/2017 | 12/31/2999 |
| 61613 | 61613 - Obliteration of carotid aneurysm arteriovenous malformation or carotid-cavernous fistula by dissection within cavernous sinus | 61613 - OBLTRJ CAROTID ARYSM ARTVEN CAROTID FISTULA DSJ | 61613 - REMOVE ANEURYSM SINUS | '01/01/2017 | 12/31/2999 |
| 61615 | 61615 - Resection or excision of neoplastic vascular or infectious lesion of base of posterior cranial fossa jugular foramen foramen magnum or C1-C3 vertebral bodies; extradural | 61615 - RESCJ/EXC LES BASE POST CRNL FOSSA JUG FRMN XDRL | 61615 - RESECT/EXCISE LESION SKULL | '01/01/2017 | 12/31/2999 |
| 61616 | 61616 - Resection or excision of neoplastic vascular or infectious lesion of base of posterior cranial fossa jugular foramen foramen magnum or C1-C3 vertebral bodies; intradural including dural repair with or without graft | 61616 - RESCJ/EXC LES BASE PCF FORAMEN VRT BODIES IDRL | 61616 - RESECT/EXCISE LESION SKULL | '01/01/2017 | 12/31/2999 |
| 61618 | 61618 - Secondary repair of dura for cerebrospinal fluid leak anterior middle or posterior cranial fossa following surgery of the skull base; by free tissue graft (eg pericranium fascia tensor fascia lata adipose tissue homologous or synthetic grafts) | 61618 - SECONDARY RPR DURA CSF LEAK FREE TISSUE GRAFT | 61618 - REPAIR DURA | '01/01/2017 | 12/31/2999 |
| 61619 | 61619 - Secondary repair of dura for cerebrospinal fluid leak anterior middle or posterior cranial fossa following surgery of the skull base; by local or regionalized vascularized pedicle flap or myocutaneous flap (including galea temporalis frontalis or occipitalis muscle) | 61619 - SEC RPR DURA CSF LEAK LOCAL/REGIONALIZED FLAP | 61619 - REPAIR DURA | '01/01/2017 | 12/31/2999 |
| 61623 | 61623 - Endovascular temporary balloon arterial occlusion head or neck (extracranial/intracranial) including selective catheterization of vessel to be occluded positioning and inflation of occlusion balloon concomitant neurological monitoring and radiologic supervision and interpretation of all angiography required for balloon occlusion and to exclude vascular injury post occlusion | 61623 - EVASC TEMP BALLOON ARTL OCCLUSION HEAD/NECK | 61623 - ENDOVASC TEMPORY VESSEL OCCL | '01/01/2017 | 12/31/2999 |
| 61624 | 61624 - Transcatheter permanent occlusion or embolization (eg for tumor destruction to achieve hemostasis to occlude a vascular malformation) percutaneous any method; central nervous system (intracranial spinal cord) | 61624 - TCAT PERMANENT OCCLUSION/EMBOLIZATION PRQ CNS | 61624 - TRANSCATH OCCLUSION CNS | '01/01/2017 | 12/31/2999 |
| 61626 | 61626 - Transcatheter permanent occlusion or embolization (eg for tumor destruction to achieve hemostasis to occlude a vascular malformation) percutaneous any method; non-central nervous system head or neck (extracranial brachiocephalic branch) | 61626 - TCAT PERMANT OCCLUSION/EMBOLIZATION PRQ NON-CNS | 61626 - TRANSCATH OCCLUSION NON-CNS | '01/01/2017 | 12/31/2999 |
| 61630 | 61630 - Balloon angioplasty intracranial (eg atherosclerotic stenosis) percutaneous | 61630 - BALLOON ANGIOPLASTY INTRACRANIAL PERCUTANEOUS | 61630 - INTRACRANIAL ANGIOPLASTY | '01/01/2017 | 12/31/2999 |
| 61635 | 61635 - Transcatheter placement of intravascular stent(s) intracranial (eg atherosclerotic stenosis) including balloon angioplasty if performed | 61635 - TCAT PLMT IV STENT ICRA W/BALO ANGIOP IF PFRMD | 61635 - INTRACRAN ANGIOPLSTY W/STENT | '01/01/2017 | 12/31/2999 |
| 61640 | 61640 - Balloon dilatation of intracranial vasospasm percutaneous; initial vessel | 61640 - BALLOON DILAT INTRACRANIAL VASOSPASM PRQ INITIAL | 61640 - DILATE IC VASOSPASM INIT | '01/01/2017 | 12/31/2999 |
| 61641 | 61641 - Balloon dilatation of intracranial vasospasm percutaneous; each additional vessel in same vascular territory (List separately in addition to code for primary procedure) | 61641 - PERQ BALO DILA IC VSPSM EA VSL SM VASC TER | 61641 - DILAT IC VSPSM EA VSL SM TER | '01/01/2019 | 12/31/2999 |
| 61642 | 61642 - Balloon dilatation of intracranial vasospasm percutaneous; each additional vessel in different vascular territory (List separately in addition to code for primary procedure) | 61642 - PERQ BALO DILA IC VSPSM EA VSL DIFF VASC TER | 61642 - DILAT IC VSPSM EA DIFF TER | '01/01/2019 | 12/31/2999 |
| 61645 | 61645 - Percutaneous arterial transluminal mechanical thrombectomy and/or infusion for thrombolysis intracranial any method including diagnostic angiography fluoroscopic guidance catheter placement and intraprocedural pharmacological thrombolytic injection(s) | 61645 - PERQ ART TRLUML M-THROMBEC &/NFS INTRACRANIAL | 61645 - PERQ ART M-THROMBECT &/NFS | '01/01/2017 | 12/31/2999 |
| 61650 | 61650 - Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis arterial including catheter placement diagnostic angiography and imaging guidance; initial vascular territory | 61650 - EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART 1ST | 61650 - EVASC PRLNG ADMN RX AGNT 1ST | '01/01/2017 | 12/31/2999 |
| 61651 | 61651 - Endovascular intracranial prolonged administration of pharmacologic agent(s) other than for thrombolysis arterial including catheter placement diagnostic angiography and imaging guidance; each additional vascular territory (List separately in addition to code for primary procedure) | 61651 - EVASC INTRACRANIAL PROLNG ADMN RX AGENT ART ADDL | 61651 - EVASC PRLNG ADMN RX AGNT ADD | '01/01/2017 | 12/31/2999 |
| 61680 | 61680 - Surgery of intracranial arteriovenous malformation; supratentorial simple | 61680 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL SMPL | 61680 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61682 | 61682 - Surgery of intracranial arteriovenous malformation; supratentorial complex | 61682 - INTRACRANIAL ARVEN MALFRMJ SUPRATENTRL CMPL | 61682 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61684 | 61684 - Surgery of intracranial arteriovenous malformation; infratentorial simple | 61684 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL SMPL | 61684 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61686 | 61686 - Surgery of intracranial arteriovenous malformation; infratentorial complex | 61686 - INTRACRANIAL ARVEN MALFRMJ INFRATENTRL CMPL | 61686 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61690 | 61690 - Surgery of intracranial arteriovenous malformation; dural simple | 61690 - INTRACRANIAL ARVEN MALFRMJ DURAL SMPL | 61690 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61692 | 61692 - Surgery of intracranial arteriovenous malformation; dural complex | 61692 - INTRACRANIAL ARVEN MALFRMJ DURAL CMPL | 61692 - INTRACRANIAL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61697 | 61697 - Surgery of complex intracranial aneurysm intracranial approach; carotid circulation | 61697 - COMPLX INTRACRANIAL ARYSM CAROTID CIRCULATION | 61697 - BRAIN ANEURYSM REPR COMPLX | '01/01/2017 | 12/31/2999 |
| 61698 | 61698 - Surgery of complex intracranial aneurysm intracranial approach; vertebrobasilar circulation | 61698 - CPLX INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ | 61698 - BRAIN ANEURYSM REPR COMPLX | '01/01/2017 | 12/31/2999 |
| 61700 | 61700 - Surgery of simple intracranial aneurysm intracranial approach; carotid circulation | 61700 - SIMPLE INTRACRANIAL ARYSM CAROTID CIRCULATION | 61700 - BRAIN ANEURYSM REPR SIMPLE | '01/01/2017 | 12/31/2999 |
| 61702 | 61702 - Surgery of simple intracranial aneurysm intracranial approach; vertebrobasilar circulation | 61702 - SIMPLE INTRACRANIAL ARYSM VERTEBROBASILAR CRCJ | 61702 - INNER SKULL VESSEL SURGERY | '01/01/2017 | 12/31/2999 |
| 61703 | 61703 - Surgery of intracranial aneurysm cervical approach by application of occluding clamp to cervical carotid artery (Selverstone-Crutchfield type) | 61703 - ICRA CRV APPL OCCLUDING CLAMP CRV CRTD ART | 61703 - CLAMP NECK ARTERY | '01/01/2017 | 12/31/2999 |
| 61705 | 61705 - Surgery of aneurysm vascular malformation or carotid-cavernous fistula; by intracranial and cervical occlusion of carotid artery | 61705 - ARYSM VASC MALFRMJ/CRTD-OCCLUSION CRTD ART | 61705 - REVISE CIRCULATION TO HEAD | '01/01/2017 | 12/31/2999 |
| 61708 | 61708 - Surgery of aneurysm vascular malformation or carotid-cavernous fistula; by intracranial electrothrombosis | 61708 - ARYSM VASC MALFRMJ/ICRA ELECTROTHROMBOSIS | 61708 - REVISE CIRCULATION TO HEAD | '01/01/2017 | 12/31/2999 |
| 61710 | 61710 - Surgery of aneurysm vascular malformation or carotid-cavernous fistula; by intra-arterial embolization injection procedure or balloon catheter | 61710 - ARYSM VASC MALFRMJ IA EMBOLIZATION | 61710 - REVISE CIRCULATION TO HEAD | '01/01/2017 | 12/31/2999 |
| 61711 | 61711 - Anastomosis arterial extracranial-intracranial (eg middle cerebral/cortical) arteries | 61711 - ANAST ARTL EXTRACRANIAL-INTRACRANIAL ARTERIES | 61711 - FUSION OF SKULL ARTERIES | '01/01/2017 | 12/31/2999 |
| 61720 | 61720 - Creation of lesion by stereotactic method including burr hole(s) and localizing and recording techniques single or multiple stages; globus pallidus or thalamus | 61720 - CRTJ LES STRTCTC BURR GLOBUS PALLIDUS/THALAMUS | 61720 - INCISE SKULL/BRAIN SURGERY | '01/01/2017 | 12/31/2999 |
| 61735 | 61735 - Creation of lesion by stereotactic method including burr hole(s) and localizing and recording techniques single or multiple stages; subcortical structure(s) other than globus pallidus or thalamus | 61735 - CRTJ LES STRTCTC BURR SUBCORTICAL STRUX OTH/THN | 61735 - INCISE SKULL/BRAIN SURGERY | '01/01/2017 | 12/31/2999 |
| 61736 | 61736 - Laser interstitial thermal therapy (LITT) of lesion intracranial including burr hole(s) with magnetic resonance imaging guidance when performed; single trajectory for 1 simple lesion | 61736 - LITT LES ICR SINGLE TRAJECTORY 1 SIMPLE LESION | 61736 - LITT ICR 1 TRAJ 1 SMPL LES | '01/01/2022 | 12/31/2999 |
| 61737 | 61737 - Laser interstitial thermal therapy (LITT) of lesion intracranial including burr hole(s) with magnetic resonance imaging guidance when performed; multiple trajectories for multiple or complex lesion(s) | 61737 - LITT LES ICR MLT TRAJECTORIES MLT/CPLX LESIONS | 61737 - LITT ICR MLT TRJ MLT/CPLX LS | '01/01/2022 | 12/31/2999 |
| 61750 | 61750 - Stereotactic biopsy aspiration or excision including burr hole(s) for intracranial lesion; | 61750 - STEREOTACTIC BX ASPIR/EXC BURR INTRACRANIAL LES | 61750 - INCISE SKULL/BRAIN BIOPSY | '01/01/2017 | 12/31/2999 |
| 61751 | 61751 - Stereotactic biopsy aspiration or excision including burr hole(s) for intracranial lesion; with computed tomography and/or magnetic resonance guidance | 61751 - STRTCTC BX ASPIR/EXC BURR ICRA LESION W/CT&I/MR | 61751 - BRAIN BIOPSY W/CT/MR GUIDE | '01/01/2017 | 12/31/2999 |
| 61760 | 61760 - Stereotactic implantation of depth electrodes into the cerebrum for long-term seizure monitoring | 61760 - STRTCTC IMPLTJ ELTRD CEREBRUM SEIZURE MONITORING | 61760 - IMPLANT BRAIN ELECTRODES | '01/01/2017 | 12/31/2999 |
| 61770 | 61770 - Stereotactic localization including burr hole(s) with insertion of catheter(s) or probe(s) for placement of radiation source | 61770 - STRTCTC LOCLZJ INSJ CATH/PRB PLMT RADJ SRC | 61770 - INCISE SKULL FOR TREATMENT | '01/01/2017 | 12/31/2999 |
| 61781 | 61781 - Stereotactic computer-assisted (navigational) procedure; cranial intradural (List separately in addition to code for primary procedure) | 61781 - STRTCTC CPTR ASSTD PX CRANIAL INTRADURAL | 61781 - SCAN PROC CRANIAL INTRA | '01/01/2017 | 12/31/2999 |
| 61782 | 61782 - Stereotactic computer-assisted (navigational) procedure; cranial extradural (List separately in addition to code for primary procedure) | 61782 - STRTCTC CPTR ASSTD PX EXTRADURAL CRANIAL | 61782 - SCAN PROC CRANIAL EXTRA | '01/01/2017 | 12/31/2999 |
| 61783 | 61783 - Stereotactic computer-assisted (navigational) procedure; spinal (List separately in addition to code for primary procedure) | 61783 - STEREOTACTIC COMPUTER ASSISTED PX SPINAL | 61783 - SCAN PROC SPINAL | '01/01/2017 | 12/31/2999 |
| 61790 | 61790 - Creation of lesion by stereotactic method percutaneous by neurolytic agent (eg alcohol thermal electrical radiofrequency); gasserian ganglion | 61790 - CREATE LESION STRTCTC PRQ NEUROLYTIC GASSERIAN | 61790 - TREAT TRIGEMINAL NERVE | '01/01/2017 | 12/31/2999 |
| 61791 | 61791 - Creation of lesion by stereotactic method percutaneous by neurolytic agent (eg alcohol thermal electrical radiofrequency); trigeminal medullary tract | 61791 - CREATE LES STRTCTC PRQ NEUROLYTIC TRIGEMINAL TRC | 61791 - TREAT TRIGEMINAL TRACT | '01/01/2017 | 12/31/2999 |
| 61796 | 61796 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); 1 simple cranial lesion | 61796 - STEREOTACTIC RADIOSURGERY 1 SIMPLE CRANIAL LES | 61796 - SRS CRANIAL LESION SIMPLE | '01/01/2017 | 12/31/2999 |
| 61797 | 61797 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); each additional cranial lesion simple (List separately in addition to code for primary procedure) | 61797 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES SIMPLE | 61797 - SRS CRAN LES SIMPLE ADDL | '01/01/2017 | 12/31/2999 |
| 61798 | 61798 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); 1 complex cranial lesion | 61798 - STEREOTACTIC RADIOSURGERY 1 COMPLEX CRANIAL LES | 61798 - SRS CRANIAL LESION COMPLEX | '01/01/2017 | 12/31/2999 |
| 61799 | 61799 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); each additional cranial lesion complex (List separately in addition to code for primary procedure) | 61799 - STRTCTC RADIOSURGERY EA ADDL CRANIAL LES COMPLEX | 61799 - SRS CRAN LES COMPLEX ADDL | '01/01/2017 | 12/31/2999 |
| 61800 | 61800 - Application of stereotactic headframe for stereotactic radiosurgery (List separately in addition to code for primary procedure) | 61800 - APPL STRTCTC HEADFRAME STEREOTACTIC RADIOSURGERY | 61800 - APPLY SRS HEADFRAME ADD-ON | '01/01/2017 | 12/31/2999 |
| 61850 | 61850 - Twist drill or burr hole(s) for implantation of neurostimulator electrodes cortical | 61850 - TWIST/BURR HOLE IMPLTJ NSTIM ELTRD CORTICAL | 61850 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 61860 | 61860 - Craniectomy or craniotomy for implantation of neurostimulator electrodes cerebral cortical | 61860 - CRNEC/CRX IMPLTJ NSTIM ELTRD CERE CORTICAL | 61860 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 61863 | 61863 - Twist drill burr hole craniotomy or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg thalamus globus pallidus subthalamic nucleus periventricular periaqueductal gray) without use of intraoperative microelectrode recording; first array | 61863 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD 1ST ARRAY | 61863 - IMPLANT NEUROELECTRODE | '01/01/2017 | 12/31/2999 |
| 61864 | 61864 - Twist drill burr hole craniotomy or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg thalamus globus pallidus subthalamic nucleus periventricular periaqueductal gray) without use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure) | 61864 - STRTCTC IMPLTJ NSTIM ELTRD W/O RECORD EA ARRAY | 61864 - IMPLANT NEUROELECTRDE ADDL | '01/01/2017 | 12/31/2999 |
| 61867 | 61867 - Twist drill burr hole craniotomy or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg thalamus globus pallidus subthalamic nucleus periventricular periaqueductal gray) with use of intraoperative microelectrode recording; first array | 61867 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD 1ST ARRAY | 61867 - IMPLANT NEUROELECTRODE | '01/01/2017 | 12/31/2999 |
| 61868 | 61868 - Twist drill burr hole craniotomy or craniectomy with stereotactic implantation of neurostimulator electrode array in subcortical site (eg thalamus globus pallidus subthalamic nucleus periventricular periaqueductal gray) with use of intraoperative microelectrode recording; each additional array (List separately in addition to primary procedure) | 61868 - STRTCTC IMPLTJ NSTIM ELTRD W/RECORD EA ARRAY | 61868 - IMPLANT NEUROELECTRDE ADDL | '01/01/2017 | 12/31/2999 |
| 61880 | 61880 - Revision or removal of intracranial neurostimulator electrodes | 61880 - REVJ/RMVL INTRACRANIAL NEUROSTIMULATOR ELTRDS | 61880 - REVISE/REMOVE NEUROELECTRODE | '01/01/2017 | 12/31/2999 |
| 61885 | 61885 - Insertion or replacement of cranial neurostimulator pulse generator or receiver direct or inductive coupling; with connection to a single electrode array | 61885 - INSJ/RPLCMT CRANIAL NEUROSTIM PULSE GENERATOR | 61885 - INSRT/REDO NEUROSTIM 1 ARRAY | '01/01/2017 | 12/31/2999 |
| 61886 | 61886 - Insertion or replacement of cranial neurostimulator pulse generator or receiver direct or inductive coupling; with connection to 2 or more electrode arrays | 61886 - INSJ/RPLCMT CRANIAL NEUROSTIM GENER 2/> ELTRDS | 61886 - IMPLANT NEUROSTIM ARRAYS | '01/01/2017 | 12/31/2999 |
| 61888 | 61888 - Revision or removal of cranial neurostimulator pulse generator or receiver | 61888 - REVJ/RMVL NEUROSTIMULATOR PULSE GENERATOR | 61888 - REVISE/REMOVE NEURORECEIVER | '01/01/2017 | 12/31/2999 |
| 62000 | 62000 - Elevation of depressed skull fracture; simple extradural | 62000 - ELEVATION DEPRESSED SKULL FX SIMPLE EXTRADURAL | 62000 - TREAT SKULL FRACTURE | '01/01/2017 | 12/31/2999 |
| 62005 | 62005 - Elevation of depressed skull fracture; compound or comminuted extradural | 62005 - ELVTN DEPRS SKL FX COMPOUND/COMMIND XDRL | 62005 - TREAT SKULL FRACTURE | '01/01/2017 | 12/31/2999 |
| 62010 | 62010 - Elevation of depressed skull fracture; with repair of dura and/or debridement of brain | 62010 - ELVTN DEPRS SKL FX W/RPR DURA&/DBRDMT BRN | 62010 - TREATMENT OF HEAD INJURY | '01/01/2017 | 12/31/2999 |
| 62100 | 62100 - Craniotomy for repair of dural/cerebrospinal fluid leak including surgery for rhinorrhea/otorrhea | 62100 - CRX RPR DURAL/CSF LEAK RHINORRHEA/OTORRHEA | 62100 - REPAIR BRAIN FLUID LEAKAGE | '01/01/2017 | 12/31/2999 |
| 62115 | 62115 - Reduction of craniomegalic skull (eg treated hydrocephalus); not requiring bone grafts or cranioplasty | 62115 - RDCTJ CRANIOMEGALIC SKULL W/O GRAFT/CRANIOPLASTY | 62115 - REDUCTION OF SKULL DEFECT | '01/01/2017 | 12/31/2999 |
| 62117 | 62117 - Reduction of craniomegalic skull (eg treated hydrocephalus); requiring craniotomy and reconstruction with or without bone graft (includes obtaining grafts) | 62117 - RDCTJ CRANIOMEGALIC CRANIO&RECNSTJ W/WO GRAFT | 62117 - REDUCTION OF SKULL DEFECT | '01/01/2017 | 12/31/2999 |
| 62120 | 62120 - Repair of encephalocele skull vault including cranioplasty | 62120 - RPR ENCEPHALOCELE SKULL VAULT W/CRANIOPLASTY | 62120 - REPAIR SKULL CAVITY LESION | '01/01/2017 | 12/31/2999 |
| 62121 | 62121 - Craniotomy for repair of encephalocele skull base | 62121 - CRANIOTOMY FOR ENCEPHALOCELE REPAIR SKULL BASE | 62121 - INCISE SKULL REPAIR | '01/01/2017 | 12/31/2999 |
| 62140 | 62140 - Cranioplasty for skull defect; up to 5 cm diameter | 62140 - CRANIOPLASTY SKULL DEFECT 62140 - REPAIR OF SKULL DEFECT | '01/01/2017 | 12/31/2999 | |
| 62141 | 62141 - Cranioplasty for skull defect; larger than 5 cm diameter | 62141 - CRANIOPLASTY SKULL DEFECT >5 CM DIAMETER | 62141 - REPAIR OF SKULL DEFECT | '01/01/2017 | 12/31/2999 |
| 62142 | 62142 - Removal of bone flap or prosthetic plate of skull | 62142 - RMVL BONE FLAP/PROSTHETIC PLATE SKULL | 62142 - REMOVE SKULL PLATE/FLAP | '01/01/2017 | 12/31/2999 |
| 62143 | 62143 - Replacement of bone flap or prosthetic plate of skull | 62143 - RPLCMT BONE FLAP/PROSTHETIC PLATE SKULL | 62143 - REPLACE SKULL PLATE/FLAP | '01/01/2017 | 12/31/2999 |
| 62145 | 62145 - Cranioplasty for skull defect with reparative brain surgery | 62145 - CRANIOPLASTY SKULL DEFECT REPARATIVE BRAIN SURG | 62145 - REPAIR OF SKULL & BRAIN | '01/01/2017 | 12/31/2999 |
| 62146 | 62146 - Cranioplasty with autograft (includes obtaining bone grafts); up to 5 cm diameter | 62146 - CRANIOPLASTY W/AUTOGRAFT 62146 - REPAIR OF SKULL WITH GRAFT | '01/01/2017 | 12/31/2999 | |
| 62147 | 62147 - Cranioplasty with autograft (includes obtaining bone grafts); larger than 5 cm diameter | 62147 - CRANIOPLASTY W/AUTOGRAFT > 5 CM DIAMETER | 62147 - REPAIR OF SKULL WITH GRAFT | '01/01/2017 | 12/31/2999 |
| 62148 | 62148 - Incision and retrieval of subcutaneous cranial bone graft for cranioplasty (List separately in addition to code for primary procedure) | 62148 - INCISE&RETRIEVAL SUBQ CRANIOPLASTY BONE GRAFT | 62148 - RETR BONE FLAP TO FIX SKULL | '01/01/2017 | 12/31/2999 |
| 62160 | 62160 - Neuroendoscopy intracranial for placement or replacement of ventricular catheter and attachment to shunt system or external drainage (List separately in addition to code for primary procedure) | 62160 - NUNDSC ICRA PLMT/RPLCMT VENTR CATH SHUNT SYS | 62160 - NEUROENDOSCOPY ADD-ON | '01/01/2017 | 12/31/2999 |
| 62161 | 62161 - Neuroendoscopy intracranial; with dissection of adhesions fenestration of septum pellucidum or intraventricular cysts (including placement replacement or removal of ventricular catheter) | 62161 - NUNDSC ICRA DSJ ADS FENESTRATION SEPTUM CSTS | 62161 - DISSECT BRAIN W/SCOPE | '01/01/2017 | 12/31/2999 |
| 62162 | 62162 - Neuroendoscopy intracranial; with fenestration or excision of colloid cyst including placement of external ventricular catheter for drainage | 62162 - NUNDSC ICRA FENESTEXC CYST W/VENTRIC CATH DRG | 62162 - REMOVE COLLOID CYST W/SCOPE | '01/01/2017 | 12/31/2999 |
| 62164 | 62164 - Neuroendoscopy intracranial; with excision of brain tumor including placement of external ventricular catheter for drainage | 62164 - NEUROENDOSCOPY ICRA W/RETRIEVAL FOREIGN BODY | 62164 - REMOVE BRAIN TUMOR W/SCOPE | '01/01/2017 | 12/31/2999 |
| 62165 | 62165 - Neuroendoscopy intracranial; with excision of pituitary tumor transnasal or trans-sphenoidal approach | 62165 - NUNDSC ICRA EXC PITUITRY TUM TRNSNSL/SPHENOID | 62165 - REMOVE PITUIT TUMOR W/SCOPE | '01/01/2017 | 12/31/2999 |
| 62180 | 62180 - Ventriculocisternostomy (Torkildsen type operation) | 62180 - VENTRICULOCISTERNOSTOMY | 62180 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62190 | 62190 - Creation of shunt; subarachnoid/subdural-atrial -jugular -auricular | 62190 - CRTJ SHUNT SARACH/SDRL-ATR-JUG-AUR | 62190 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62192 | 62192 - Creation of shunt; subarachnoid/subdural-peritoneal -pleural other terminus | 62192 - CRTJ SHUNT SARACH/SDRL-PRTL-PLEURAL OTH | 62192 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62194 | 62194 - Replacement or irrigation subarachnoid/subdural catheter | 62194 - RPLCMT/IRRG SUBARACHNOID/SUBDURAL CATHETER | 62194 - REPLACE/IRRIGATE CATHETER | '01/01/2017 | 12/31/2999 |
| 62200 | 62200 - Ventriculocisternostomy third ventricle; | 62200 - VENTRICULOCISTERNOSTOMY 3RD VENTRICLE | 62200 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62201 | 62201 - Ventriculocisternostomy third ventricle; stereotactic neuroendoscopic method | 62201 - VENTRICULOCISTERNOSTOMY 3RD VNTRC NEURONDSC | 62201 - BRAIN CAVITY SHUNT W/SCOPE | '01/01/2017 | 12/31/2999 |
| 62220 | 62220 - Creation of shunt; ventriculo-atrial -jugular -auricular | 62220 - CRTJ SHUNT VENTRICULO-ATR-JUG-AUR | 62220 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62223 | 62223 - Creation of shunt; ventriculo-peritoneal -pleural other terminus | 62223 - CRTJ SHUNT VENTRICULO-PERITNEAL-PLEURAL TERMINUS | 62223 - ESTABLISH BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62225 | 62225 - Replacement or irrigation ventricular catheter | 62225 - RPLCMT/IRRIGATION VENTRICULAR CATHETER | 62225 - REPLACE/IRRIGATE CATHETER | '01/01/2017 | 12/31/2999 |
| 62230 | 62230 - Replacement or revision of cerebrospinal fluid shunt obstructed valve or distal catheter in shunt system | 62230 - RPLCMT/REVJ CSF SHUNT VALVE/CATH SHUNT SYS | 62230 - REPLACE/REVISE BRAIN SHUNT | '01/01/2017 | 12/31/2999 |
| 62252 | 62252 - Reprogramming of programmable cerebrospinal shunt | 62252 - REPRGRMG PROGRAMMABLE CEREBROSPINAL SHUNT | 62252 - CSF SHUNT REPROGRAM | '01/01/2017 | 12/31/2999 |
| 62256 | 62256 - Removal of complete cerebrospinal fluid shunt system; without replacement | 62256 - RMVL COMPL CSF SHUNT SYSTEM W/O RPLCMT SHUNT | 62256 - REMOVE BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62258 | 62258 - Removal of complete cerebrospinal fluid shunt system; with replacement by similar or other shunt at same operation | 62258 - RMVL COMPLETE CSF SHUNT SYSTEM W/RPLCMT SHUNT | 62258 - REPLACE BRAIN CAVITY SHUNT | '01/01/2017 | 12/31/2999 |
| 62263 | 62263 - Percutaneous lysis of epidural adhesions using solution injection (eg hypertonic saline enzyme) or mechanical means (eg catheter) including radiologic localization (includes contrast when administered) multiple adhesiolysis sessions; 2 or more days | 62263 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESS 2/> DAYS | 62263 - EPIDURAL LYSIS MULT SESSIONS | '01/01/2017 | 12/31/2999 |
| 62264 | 62264 - Percutaneous lysis of epidural adhesions using solution injection (eg hypertonic saline enzyme) or mechanical means (eg catheter) including radiologic localization (includes contrast when administered) multiple adhesiolysis sessions; 1 day | 62264 - PRQ LYSIS EPIDURAL ADHESIONS MULT SESSIONS 1 DAY | 62264 - EPIDURAL LYSIS ON SINGLE DAY | '01/01/2017 | 12/31/2999 |
| 62267 | 62267 - Percutaneous aspiration within the nucleus pulposus intervertebral disc or paravertebral tissue for diagnostic purposes | 62267 - PRQ ASPIR PULPOSUS/INTERVERTEBRAL DISC/PVRT TISS | 62267 - INTERDISCAL PERQ ASPIR DX | '01/01/2017 | 12/31/2999 |
| 62268 | 62268 - Percutaneous aspiration spinal cord cyst or syrinx | 62268 - PERCUTANEOUS ASPIRATION SPINAL CORD CYST/SYRINX | 62268 - DRAIN SPINAL CORD CYST | '01/01/2017 | 12/31/2999 |
| 62269 | 62269 - Biopsy of spinal cord percutaneous needle | 62269 - BIOPSY SPINAL CORD PERCUTANEOUS NEEDLE | 62269 - NEEDLE BIOPSY SPINAL CORD | '01/01/2017 | 12/31/2999 |
| 62270 | 62270 - Spinal puncture lumbar diagnostic; | 62270 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE | 62270 - DX LMBR SPI PNXR | '01/01/2020 | 12/31/2999 |
| 62272 | 62272 - Spinal puncture therapeutic for drainage of cerebrospinal fluid (by needle or catheter); | 62272 - THERAPEUTIC SPINAL PUNCTURE DRAINAGE CSF | 62272 - THER SPI PNXR DRG CSF | '01/01/2020 | 12/31/2999 |
| 62273 | 62273 - Injection epidural of blood or clot patch | 62273 - INJECTION EPIDURAL BLOOD/CLOT PATCH | 62273 - INJECT EPIDURAL PATCH | '01/01/2017 | 12/31/2999 |
| 62280 | 62280 - Injection/infusion of neurolytic substance (eg alcohol phenol iced saline solutions) with or without other therapeutic substance; subarachnoid | 62280 - INJX/INFUSION NEUROLYTIC SUBSTANCE SUBARACHNOID | 62280 - TREAT SPINAL CORD LESION | '01/01/2017 | 12/31/2999 |
| 62281 | 62281 - Injection/infusion of neurolytic substance (eg alcohol phenol iced saline solutions) with or without other therapeutic substance; epidural cervical or thoracic | 62281 - INJX/INFUS NEUROLYT SUBST EPIDURAL CERV/THORACIC | 62281 - TREAT SPINAL CORD LESION | '01/01/2017 | 12/31/2999 |
| 62282 | 62282 - Injection/infusion of neurolytic substance (eg alcohol phenol iced saline solutions) with or without other therapeutic substance; epidural lumbar sacral (caudal) | 62282 - INJX/INFUS NEUROLYT SBST EPIDURAL LUMBAR/SACRAL | 62282 - TREAT SPINAL CANAL LESION | '01/01/2017 | 12/31/2999 |
| 62284 | 62284 - Injection procedure for myelography and/or computed tomography lumbar | 62284 - INJECTION PROCEDURE MYELOGRAPHY/CT LUMBAR | 62284 - INJECTION FOR MYELOGRAM | '01/01/2017 | 12/31/2999 |
| 62287 | 62287 - Decompression procedure percutaneous of nucleus pulposus of intervertebral disc any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization with discography and/or epidural injection(s) at the treated level(s) when performed single or multiple levels lumbar | 62287 - DCMPRN PX PERQ NUCLEUS PULPOSUS 1/MLT LVL LUMBAR | 62287 - DCMPRN PX PERQ 1/MLT LUMBAR | '01/01/2022 | 12/31/2999 |
| 62290 | 62290 - Injection procedure for discography each level; lumbar | 62290 - INJECTION PX DISCOGRAPHY EACH LEVEL LUMBAR | 62290 - NJX PX DISCOGRAPHY LUMBAR | '01/01/2018 | 12/31/2999 |
| 62291 | 62291 - Injection procedure for discography each level; cervical or thoracic | 62291 - INJECTION PX DISCOGRPHY EA LVL CERVICAL/THORACIC | 62291 - NJX PX DISCOGRAPHY CRV/THRC | '01/01/2018 | 12/31/2999 |
| 62292 | 62292 - Injection procedure for chemonucleolysis including discography intervertebral disc single or multiple levels lumbar | 62292 - INJECTION PX CHEMONUCLEOLYSIS 1/MLT LUMBAR | 62292 - NJX CHEMONUCLEOLYSIS LMBR | '01/01/2018 | 12/31/2999 |
| 62294 | 62294 - Injection procedure arterial for occlusion of arteriovenous malformation spinal | 62294 - NJX ARTERIAL OCCLUSION ARVEN MALFRMJ SPINAL | 62294 - INJECTION INTO SPINAL ARTERY | '01/01/2017 | 12/31/2999 |
| 62302 | 62302 - Myelography via lumbar injection including radiological supervision and interpretation; cervical | 62302 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I CERVICAL | 62302 - MYELOGRAPHY LUMBAR INJECTION | '01/01/2017 | 12/31/2999 |
| 62303 | 62303 - Myelography via lumbar injection including radiological supervision and interpretation; thoracic | 62303 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I THORACIC | 62303 - MYELOGRAPHY LUMBAR INJECTION | '01/01/2017 | 12/31/2999 |
| 62304 | 62304 - Myelography via lumbar injection including radiological supervision and interpretation; lumbosacral | 62304 - MYELOGRAPHY VIA LUMBAR INJECT RS&I LUMBOSACRAL | 62304 - MYELOGRAPHY LUMBAR INJECTION | '01/01/2017 | 12/31/2999 |
| 62305 | 62305 - Myelography via lumbar injection including radiological supervision and interpretation; 2 or more regions (eg lumbar/thoracic cervical/thoracic lumbar/cervical lumbar/thoracic/cervical) | 62305 - MYELOGRAPHY VIA LUMBAR INJECTION RS&I 2+ REGIONS | 62305 - MYELOGRAPHY LUMBAR INJECTION | '01/01/2017 | 12/31/2999 |
| 62320 | 62320 - Injection(s) of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances including needle or catheter placement interlaminar epidural or subarachnoid cervical or thoracic; without imaging guidance | 62320 - NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN | 62320 - NJX INTERLAMINAR CRV/THRC | '01/01/2017 | 12/31/2999 |
| 62321 | 62321 - Injection(s) of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances including needle or catheter placement interlaminar epidural or subarachnoid cervical or thoracic; with imaging guidance (ie fluoroscopy or CT) | 62321 - NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | 62321 - NJX INTERLAMINAR CRV/THRC | '01/01/2017 | 12/31/2999 |
| 62322 | 62322 - Injection(s) of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances including needle or catheter placement interlaminar epidural or subarachnoid lumbar or sacral (caudal); without imaging guidance | 62322 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | 62322 - NJX INTERLAMINAR LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 62323 | 62323 - Injection(s) of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances including needle or catheter placement interlaminar epidural or subarachnoid lumbar or sacral (caudal); with imaging guidance (ie fluoroscopy or CT) | 62323 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | 62323 - NJX INTERLAMINAR LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 62324 | 62324 - Injection(s) including indwelling catheter placement continuous infusion or intermittent bolus of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances interlaminar epidural or subarachnoid cervical or thoracic; without imaging guidance | 62324 - NJX DX/THER SBST INTRLMNR CRV/THRC W/O IMG GDN | 62324 - NJX INTERLAMINAR CRV/THRC | '01/01/2017 | 12/31/2999 |
| 62325 | 62325 - Injection(s) including indwelling catheter placement continuous infusion or intermittent bolus of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances interlaminar epidural or subarachnoid cervical or thoracic; with imaging guidance (ie fluoroscopy or CT) | 62325 - NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | 62325 - NJX INTERLAMINAR CRV/THRC | '01/01/2017 | 12/31/2999 |
| 62326 | 62326 - Injection(s) including indwelling catheter placement continuous infusion or intermittent bolus of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances interlaminar epidural or subarachnoid lumbar or sacral (caudal); without imaging guidance | 62326 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/O IMG GDN | 62326 - NJX INTERLAMINAR LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 62327 | 62327 - Injection(s) including indwelling catheter placement continuous infusion or intermittent bolus of diagnostic or therapeutic substance(s) (eg anesthetic antispasmodic opioid steroid other solution) not including neurolytic substances interlaminar epidural or subarachnoid lumbar or sacral (caudal); with imaging guidance (ie fluoroscopy or CT) | 62327 - NJX DX/THER SBST INTRLMNR LMBR/SAC W/IMG GDN | 62327 - NJX INTERLAMINAR LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 62328 | 62328 - Spinal puncture lumbar diagnostic; with fluoroscopic or CT guidance | 62328 - DIAGNOSTIC LUMBAR SPINAL PUNCTURE W/FLUOR OR CT | 62328 - DX LMBR SPI PNXR W/FLUOR/CT | '01/01/2020 | 12/31/2999 |
| 62329 | 62329 - Spinal puncture therapeutic for drainage of cerebrospinal fluid (by needle or catheter); with fluoroscopic or CT guidance | 62329 - THERAPEUTIC SPINAL PNXR DRAINAGE CSF W/FLUOR/CT | 62329 - THER SPI PNXR CSF FLUOR/CT | '01/01/2020 | 12/31/2999 |
| 62350 | 62350 - Implantation revision or repositioning of tunneled intrathecal or epidural catheter for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy | 62350 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH PMP W/O LAM | 62350 - IMPLANT SPINAL CANAL CATH | '01/01/2017 | 12/31/2999 |
| 62351 | 62351 - Implantation revision or repositioning of tunneled intrathecal or epidural catheter for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy | 62351 - IMPLTJ REVJ/RPSG ITHCL/EDRL CATH W/LAM | 62351 - IMPLANT SPINAL CANAL CATH | '01/01/2017 | 12/31/2999 |
| 62355 | 62355 - Removal of previously implanted intrathecal or epidural catheter | 62355 - RMVL PREVIOUSLY IMPLTED ITHCL/EDRL CATH | 62355 - REMOVE SPINAL CANAL CATHETER | '01/01/2017 | 12/31/2999 |
| 62360 | 62360 - Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir | 62360 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS SUBQ RSVR | 62360 - INSERT SPINE INFUSION DEVICE | '01/01/2017 | 12/31/2999 |
| 62361 | 62361 - Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump | 62361 - IMPLTJ/RPLCMT FS NON-PRGRBL PUMP | 62361 - IMPLANT SPINE INFUSION PUMP | '01/01/2017 | 12/31/2999 |
| 62362 | 62362 - Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump including preparation of pump with or without programming | 62362 - IMPLTJ/RPLCMT ITHCL/EDRL DRUG NFS PRGRBL PUMP | 62362 - IMPLANT SPINE INFUSION PUMP | '01/01/2017 | 12/31/2999 |
| 62365 | 62365 - Removal of subcutaneous reservoir or pump previously implanted for intrathecal or epidural infusion | 62365 - RMVL SUBQ RSVR/PUMP INTRATHECAL/EPIDURAL INFUS | 62365 - REMOVE SPINE INFUSION DEVICE | '01/01/2017 | 12/31/2999 |
| 62367 | 62367 - Electronic analysis of programmable implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status alarm status drug prescription status); without reprogramming or refill | 62367 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/O REPRG/REFIL | 62367 - ANALYZE SPINE INFUS PUMP | '01/01/2017 | 12/31/2999 |
| 62368 | 62368 - Electronic analysis of programmable implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status alarm status drug prescription status); with reprogramming | 62368 - ELECT ANALYS IMPLT ITHCL/EDRL PUMP W/REPRGRMG | 62368 - ANALYZE SP INF PUMP W/REPROG | '01/01/2017 | 12/31/2999 |
| 62369 | 62369 - Electronic analysis of programmable implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status alarm status drug prescription status); with reprogramming and refill | 62369 - ELECT ANLYS IMPLT ITHCL/EDRL PMP W/REPRG&REFIL | 62369 - ANAL SP INF PMP W/REPRG&FILL | '01/01/2017 | 12/31/2999 |
| 62370 | 62370 - Electronic analysis of programmable implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status alarm status drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional) | 62370 - ELEC ANLYS IMPLT ITHCL/EDRL PMP W/REPR PHYS/QHP | 62370 - ANL SP INF PMP W/MDREPRG&FIL | '01/01/2017 | 12/31/2999 |
| 62380 | 62380 - Endoscopic decompression of spinal cord nerve root(s) including laminotomy partial facetectomy foraminotomy discectomy and/or excision of herniated intervertebral disc 1 interspace lumbar | 62380 - NDSC DCMPRN SPINAL CORD 1 W/LAMOT NTRSPC LUMBAR | 62380 - NDSC DCMPRN 1 NTRSPC LUMBAR | '01/01/2017 | 12/31/2999 |
| 63001 | 63001 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) 1 or 2 vertebral segments; cervical | 63001 - LAM W/O FACETEC FORAMOT/DSC 1/2 VRT SGM CRV | 63001 - REMOVE SPINE LAMINA 1/2 CRVL | '01/01/2022 | 12/31/2999 |
| 63003 | 63003 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) 1 or 2 vertebral segments; thoracic | 63003 - LAMINECTOMY W/O FFD 1/2 VERT SEG THORACIC | 63003 - REMOVE SPINE LAMINA 1/2 THRC | '01/01/2017 | 12/31/2999 |
| 63005 | 63005 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) 1 or 2 vertebral segments; lumbar except for spondylolisthesis | 63005 - LAMINECTOMY W/O FFD 1/2 VERT SEG LUMBAR | 63005 - REMOVE SPINE LAMINA 1/2 LMBR | '01/01/2017 | 12/31/2999 |
| 63011 | 63011 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) 1 or 2 vertebral segments; sacral | 63011 - LAMINECTOMY W/O FFD 1/2 VERT SEG SACRAL | 63011 - REMOVE SPINE LAMINA 1/2 SCRL | '01/01/2017 | 12/31/2999 |
| 63012 | 63012 - Laminectomy with removal of abnormal facets and/or pars inter-articularis with decompression of cauda equina and nerve roots for spondylolisthesis lumbar (Gill type procedure) | 63012 - LAMINECTOMY W/RMVL ABNORMAL FACETS LUMBAR | 63012 - REMOVE LAMINA/FACETS LUMBAR | '01/01/2017 | 12/31/2999 |
| 63015 | 63015 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) more than 2 vertebral segments; cervical | 63015 - LAMINECTOMY W/O FFD > 2 VERT SEG CERVICAL | 63015 - REMOVE SPINE LAMINA >2 CRVCL | '01/01/2017 | 12/31/2999 |
| 63016 | 63016 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) more than 2 vertebral segments; thoracic | 63016 - LAMINECTOMY W/O FFD > 2 VERT SEG THORACIC | 63016 - REMOVE SPINE LAMINA >2 THRC | '01/01/2017 | 12/31/2999 |
| 63017 | 63017 - Laminectomy with exploration and/or decompression of spinal cord and/or cauda equina without facetectomy foraminotomy or discectomy (eg spinal stenosis) more than 2 vertebral segments; lumbar | 63017 - LAMINECTOMY W/O FFD > 2 VERT SEG LUMBAR | 63017 - REMOVE SPINE LAMINA >2 LMBR | '01/01/2017 | 12/31/2999 |
| 63020 | 63020 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc; 1 interspace cervical | 63020 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC CERVC | 63020 - NECK SPINE DISK SURGERY | '01/01/2017 | 12/31/2999 |
| 63030 | 63030 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc; 1 interspace lumbar | 63030 - LAMNOTMY INCL W/DCMPRSN NRV ROOT 1 INTRSPC LUMBR | 63030 - LOW BACK DISK SURGERY | '01/01/2017 | 12/31/2999 |
| 63035 | 63035 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc; each additional interspace cervical or lumbar (List separately in addition to code for primary procedure) | 63035 - LAMNOTMY W/DCMPRSN NRV EACH ADDL CRVCL/LMBR | 63035 - SPINAL DISK SURGERY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63040 | 63040 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc reexploration single interspace; cervical | 63040 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC CERVICAL | 63040 - LAMINOTOMY SINGLE CERVICAL | '01/01/2017 | 12/31/2999 |
| 63042 | 63042 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc reexploration single interspace; lumbar | 63042 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC LUMBAR | 63042 - LAMINOTOMY SINGLE LUMBAR | '01/01/2017 | 12/31/2999 |
| 63043 | 63043 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc reexploration single interspace; each additional cervical interspace (List separately in addition to code for primary procedure) | 63043 - LAMOT PRTL FFD EXC DISC REEXPL 1 NTRSPC EA CRV | 63043 - LAMINOTOMY ADDL CERVICAL | '01/01/2017 | 12/31/2999 |
| 63044 | 63044 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and/or excision of herniated intervertebral disc reexploration single interspace; each additional lumbar interspace (List separately in addition to code for primary procedure) | 63044 - LAMOT W/PRTL FFD HRNA8 REEXPL 1 NTRSPC EA LMBR | 63044 - LAMINOTOMY ADDL LUMBAR | '01/01/2017 | 12/31/2999 |
| 63045 | 63045 - Laminectomy facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) single vertebral segment; cervical | 63045 - LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM CERVICAL | 63045 - LAM FACETEC & FORAMOT CRV | '01/01/2022 | 12/31/2999 |
| 63046 | 63046 - Laminectomy facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) single vertebral segment; thoracic | 63046 - LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM THORACIC | 63046 - LAM FACETEC & FORAMOT THRC | '01/01/2022 | 12/31/2999 |
| 63047 | 63047 - Laminectomy facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) single vertebral segment; lumbar | 63047 - LAM FACETECTOMY & FORAMOTOMY 1 VRT SGM LUMBAR | 63047 - LAM FACETEC & FORAMOT LUMBAR | '01/01/2022 | 12/31/2999 |
| 63048 | 63048 - Laminectomy facetectomy and foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) single vertebral segment; each additional vertebral segment cervical thoracic or lumbar (List separately in addition to code for primary procedure) | 63048 - LAM FACETECTOMY&FORAMOT 1 VRT SGM EA ADDL SGM | 63048 - LAM FACETEC &FORAMOT EA ADDL | '01/01/2022 | 12/31/2999 |
| 63050 | 63050 - Laminoplasty cervical with decompression of the spinal cord 2 or more vertebral segments; | 63050 - LAMOP CERVICAL W/DCMPRN SPI CORD 2/> VERT SEG | 63050 - CERVICAL LAMINOPLSTY 2/> SEG | '01/01/2017 | 12/31/2999 |
| 63051 | 63051 - Laminoplasty cervical with decompression of the spinal cord 2 or more vertebral segments; with reconstruction of the posterior bony elements (including the application of bridging bone graft and non-segmental fixation devices [eg wire suture mini-plates] when performed) | 63051 - LAMOPLASTY CERVICAL DCMPRN CORD 2/> SEG RCNSTJ | 63051 - C-LAMINOPLASTY W/GRAFT/PLATE | '01/01/2017 | 12/31/2999 |
| 63052 | 63052 - Laminectomy facetectomy or foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) during posterior interbody arthrodesis lumbar; single vertebral segment (List separately in addition to code for primary procedure) | 63052 - LAM FACETEC/FORAMOT DRG ARTHRD LUMBAR 1 VRT SGM | 63052 - LAM FACETC/FRMT ARTHRD LUM 1 | '01/01/2022 | 12/31/2999 |
| 63053 | 63053 - Laminectomy facetectomy or foraminotomy (unilateral or bilateral with decompression of spinal cord cauda equina and/or nerve root[s] [eg spinal or lateral recess stenosis]) during posterior interbody arthrodesis lumbar; each additional vertebral segment (List separately in addition to code for primary procedure) | 63053 - LAM FACETEC/FORAMOT DRG ARTHRD LMBR EA ADDL SGM | 63053 - LAM FACTC/FRMT ARTHRD LUM EA | '01/01/2023 | 12/31/2999 |
| 63055 | 63055 - Transpedicular approach with decompression of spinal cord equina and/or nerve root(s) (eg herniated intervertebral disc) single segment; thoracic | 63055 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG THORACIC | 63055 - DECOMPRESS SPINAL CORD THRC | '01/01/2017 | 12/31/2999 |
| 63056 | 63056 - Transpedicular approach with decompression of spinal cord equina and/or nerve root(s) (eg herniated intervertebral disc) single segment; lumbar (including transfacet or lateral extraforaminal approach) (eg far lateral herniated intervertebral disc) | 63056 - TRANSPEDICULAR DCMPRN SPINAL CORD 1 SEG LUMBAR | 63056 - DECOMPRESS SPINAL CORD LMBR | '01/01/2017 | 12/31/2999 |
| 63057 | 63057 - Transpedicular approach with decompression of spinal cord equina and/or nerve root(s) (eg herniated intervertebral disc) single segment; each additional segment thoracic or lumbar (List separately in addition to code for primary procedure) | 63057 - TRANSPEDICULAR DCMPRN 1 SEG EA THORACIC/LUMBAR | 63057 - DECOMPRESS SPINE CORD ADD-ON | '01/01/2017 | 12/31/2999 |
| 63064 | 63064 - Costovertebral approach with decompression of spinal cord or nerve root(s) (eg herniated intervertebral disc) thoracic; single segment | 63064 - COSTOVERTEBRAL DCMPRN SPINAL CORD THORACIC 1 SEG | 63064 - DECOMPRESS SPINAL CORD THRC | '01/01/2017 | 12/31/2999 |
| 63066 | 63066 - Costovertebral approach with decompression of spinal cord or nerve root(s) (eg herniated intervertebral disc) thoracic; each additional segment (List separately in addition to code for primary procedure) | 63066 - COSTOVERTEBRAL DCMPRN SPINE CORD THORACIC EA SEG | 63066 - DECOMPRESS SPINE CORD ADD-ON | '01/01/2017 | 12/31/2999 |
| 63075 | 63075 - Discectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; cervical single interspace | 63075 - DISCECTOMY ANT DCMPRN CORD CERVICAL 1 NTRSPC | 63075 - NECK SPINE DISK SURGERY | '01/01/2017 | 12/31/2999 |
| 63076 | 63076 - Discectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; cervical each additional interspace (List separately in addition to code for primary procedure) | 63076 - DISCECTOMY ANT DCMPRN CORD CERVICAL EA NTRSPC | 63076 - NECK SPINE DISK SURGERY | '01/01/2017 | 12/31/2999 |
| 63077 | 63077 - Discectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; thoracic single interspace | 63077 - DISCECTOMY ANT DCMPRN CORD THORACIC 1 NTRSPC | 63077 - SPINE DISK SURGERY THORAX | '01/01/2017 | 12/31/2999 |
| 63078 | 63078 - Discectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; thoracic each additional interspace (List separately in addition to code for primary procedure) | 63078 - DISCECTOMY ANT DCMPRN CORD THORACIC EA NTRSPC | 63078 - SPINE DISK SURGERY THORAX | '01/01/2017 | 12/31/2999 |
| 63081 | 63081 - Vertebral corpectomy (vertebral body resection) partial or complete anterior approach with decompression of spinal cord and/or nerve root(s); cervical single segment | 63081 - VERTEBRAL CORPECTOMY ANT DCMPRN CERVICAL 1 SEG | 63081 - REMOVE VERT BODY DCMPRN CRVL | '01/01/2017 | 12/31/2999 |
| 63082 | 63082 - Vertebral corpectomy (vertebral body resection) partial or complete anterior approach with decompression of spinal cord and/or nerve root(s); cervical each additional segment (List separately in addition to code for primary procedure) | 63082 - VERTEBRAL CORPECTOMY DCMPRN CERVICAL EA SEG | 63082 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63085 | 63085 - Vertebral corpectomy (vertebral body resection) partial or complete transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic single segment | 63085 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC 1 SEG | 63085 - REMOVE VERT BODY DCMPRN THRC | '01/01/2017 | 12/31/2999 |
| 63086 | 63086 - Vertebral corpectomy (vertebral body resection) partial or complete transthoracic approach with decompression of spinal cord and/or nerve root(s); thoracic each additional segment (List separately in addition to code for primary procedure) | 63086 - VERTEBRAL CORPECTOMY DCMPRN CORD THORACIC EA SEG | 63086 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63087 | 63087 - Vertebral corpectomy (vertebral body resection) partial or complete combined thoracolumbar approach with decompression of spinal cord cauda equina or nerve root(s) lower thoracic or lumbar; single segment | 63087 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR 1 SEG | 63087 - REMOV VERTBR DCMPRN THRCLMBR | '01/01/2017 | 12/31/2999 |
| 63088 | 63088 - Vertebral corpectomy (vertebral body resection) partial or complete combined thoracolumbar approach with decompression of spinal cord cauda equina or nerve root(s) lower thoracic or lumbar; each additional segment (List separately in addition to code for primary procedure) | 63088 - VCRPEC THORACOLMBR DCMPRN LWR THRC/LMBR EA SEG | 63088 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63090 | 63090 - Vertebral corpectomy (vertebral body resection) partial or complete transperitoneal or retroperitoneal approach with decompression of spinal cord cauda equina or nerve root(s) lower thoracic lumbar or sacral; single segment | 63090 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC 1 SEG | 63090 - REMOVE VERT BODY DCMPRN LMBR | '01/01/2017 | 12/31/2999 |
| 63091 | 63091 - Vertebral corpectomy (vertebral body resection) partial or complete transperitoneal or retroperitoneal approach with decompression of spinal cord cauda equina or nerve root(s) lower thoracic lumbar or sacral; each additional segment (List separately in addition to code for primary procedure) | 63091 - VCRPEC TRANSPRTL/RPR DCMPRN THRC LMBR/SAC EA SEG | 63091 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63101 | 63101 - Vertebral corpectomy (vertebral body resection) partial or complete lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg for tumor or retropulsed bone fragments); thoracic single segment | 63101 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN THRC 1 SEG | 63101 - REMOVE VERT BODY DCMPRN THRC | '01/01/2017 | 12/31/2999 |
| 63102 | 63102 - Vertebral corpectomy (vertebral body resection) partial or complete lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg for tumor or retropulsed bone fragments); lumbar single segment | 63102 - VERTEB CORPECT LAT XTRCAVITARY DCMPRN LMBR 1 SEG | 63102 - REMOVE VERT BODY DCMPRN LMBR | '01/01/2017 | 12/31/2999 |
| 63103 | 63103 - Vertebral corpectomy (vertebral body resection) partial or complete lateral extracavitary approach with decompression of spinal cord and/or nerve root(s) (eg for tumor or retropulsed bone fragments); thoracic or lumbar each additional segment (List separately in addition to code for primary procedure) | 63103 - VCRPEC LAT XTRCAVITARY DCMPRN THRC/LMBR EA SEG | 63103 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63170 | 63170 - Laminectomy with myelotomy (eg Bischof or DREZ type) cervical thoracic or thoracolumbar | 63170 - LAM W/MYELOTOMY CERVICAL/THORACIC/THORACOLUMBAR | 63170 - INCISE SPINAL CORD TRACT(S) | '01/01/2017 | 12/31/2999 |
| 63172 | 63172 - Laminectomy with drainage of intramedullary cyst/syrinx; to subarachnoid space | 63172 - LAM W/DRG INTRMEDULLARY CYST/SYRINX SUBARACHNOID | 63172 - DRAINAGE OF SPINAL CYST | '01/01/2017 | 12/31/2999 |
| 63173 | 63173 - Laminectomy with drainage of intramedullary cyst/syrinx; to peritoneal or pleural space | 63173 - LAM W/DRG INTRMEDULRY CYST/SYRINX PRTL/PLEURAL | 63173 - DRAINAGE OF SPINAL CYST | '01/01/2017 | 12/31/2999 |
| 63185 | 63185 - Laminectomy with rhizotomy; 1 or 2 segments | 63185 - LAMINECTOMY W/RHIZOTOMY 1/2 SEGMENTS | 63185 - INCISE SPINE NRV HALF SEGMNT | '01/01/2017 | 12/31/2999 |
| 63190 | 63190 - Laminectomy with rhizotomy; more than 2 segments | 63190 - LAMINECTOMY W/RHIZOTOMY > 2 SEGMENTS | 63190 - INCISE SPINE NRV >2 SEGMNTS | '01/01/2017 | 12/31/2999 |
| 63191 | 63191 - Laminectomy with section of spinal accessory nerve | 63191 - LAMINECTOMY W/SECTION SPINAL ACCESSORY NERVE | 63191 - INCISE SPINE ACCESSORY NERVE | '01/01/2017 | 12/31/2999 |
| 63197 | 63197 - Laminectomy with cordotomy with section of both spinothalamic tracts 1 stage thoracic | 63197 - LAM W/CORDOTOMY SCTJ SPINOTHALAMIC TRC 1STG THRC | 63197 - LAM W/CORDOTOMY 1STG THRC | '01/01/2022 | 12/31/2999 |
| 63200 | 63200 - Laminectomy with release of tethered spinal cord lumbar | 63200 - LAMINECTOMY RELEASE TETHERED SPINAL CORD LUMBAR | 63200 - RELEASE SPINAL CORD LUMBAR | '01/01/2017 | 12/31/2999 |
| 63250 | 63250 - Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; cervical | 63250 - LAM EXC/OCCLUSION AVM SPINAL CORD CERVICAL | 63250 - REVISE SPINAL CORD VSLS CRVL | '01/01/2017 | 12/31/2999 |
| 63251 | 63251 - Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracic | 63251 - LAM EXC/OCCLUSION AVM SPINAL CORD THORACIC | 63251 - REVISE SPINAL CORD VSLS THRC | '01/01/2017 | 12/31/2999 |
| 63252 | 63252 - Laminectomy for excision or occlusion of arteriovenous malformation of spinal cord; thoracolumbar | 63252 - LAM EXC/OCCLUSION AVM SPI CORD THORACOLUMBAR | 63252 - REVISE SPINE CORD VSL THRLMB | '01/01/2017 | 12/31/2999 |
| 63265 | 63265 - Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm extradural; cervical | 63265 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL CERVICAL | 63265 - EXCISE INTRASPINL LESION CRV | '01/01/2017 | 12/31/2999 |
| 63266 | 63266 - Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm extradural; thoracic | 63266 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL THORACIC | 63266 - EXCISE INTRSPINL LESION THRC | '01/01/2017 | 12/31/2999 |
| 63267 | 63267 - Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm extradural; lumbar | 63267 - LAM EXC/EVAC ISPI LESION OTH/THN NEO XDRL LUMBAR | 63267 - EXCISE INTRSPINL LESION LMBR | '01/01/2017 | 12/31/2999 |
| 63268 | 63268 - Laminectomy for excision or evacuation of intraspinal lesion other than neoplasm extradural; sacral | 63268 - LAM EXC/EVAC ISPI LES OTH/THN NEO XDRL SACRAL | 63268 - EXCISE INTRSPINL LESION SCRL | '01/01/2017 | 12/31/2999 |
| 63270 | 63270 - Laminectomy for excision of intraspinal lesion other than neoplasm intradural; cervical | 63270 - LAM EXC ISPI LES OTH/THN NEO IDRL CERVICAL | 63270 - EXCISE INTRSPINL LESION CRVL | '01/01/2017 | 12/31/2999 |
| 63271 | 63271 - Laminectomy for excision of intraspinal lesion other than neoplasm intradural; thoracic | 63271 - LAM EXC ISPI LES OTH/THN NEO IDRL THORACIC | 63271 - EXCISE INTRSPINL LESION THRC | '01/01/2017 | 12/31/2999 |
| 63272 | 63272 - Laminectomy for excision of intraspinal lesion other than neoplasm intradural; lumbar | 63272 - LAM EXC ISPI LES OTH/THN NEO IDRL LUMBAR | 63272 - EXCISE INTRSPINL LESION LMBR | '01/01/2017 | 12/31/2999 |
| 63273 | 63273 - Laminectomy for excision of intraspinal lesion other than neoplasm intradural; sacral | 63273 - LAM EXC ISPI LES OTH/THN NEO IDRL SACRAL | 63273 - EXCISE INTRSPINL LESION SCRL | '01/01/2017 | 12/31/2999 |
| 63275 | 63275 - Laminectomy for biopsy/excision of intraspinal neoplasm; extradural cervical | 63275 - LAMINECTOMY BX/EXC ISPI NEO XDRL CERVICAL | 63275 - BX/EXC XDRL SPINE LESN CRVL | '01/01/2017 | 12/31/2999 |
| 63276 | 63276 - Laminectomy for biopsy/excision of intraspinal neoplasm; extradural thoracic | 63276 - LAMINECTOMY BX/EXC ISPI NEO XDRL THORACIC | 63276 - BX/EXC XDRL SPINE LESN THRC | '01/01/2017 | 12/31/2999 |
| 63277 | 63277 - Laminectomy for biopsy/excision of intraspinal neoplasm; extradural lumbar | 63277 - LAMINECTOMY BX/EXC ISPI NEO XDRL LUMBAR | 63277 - BX/EXC XDRL SPINE LESN LMBR | '01/01/2017 | 12/31/2999 |
| 63278 | 63278 - Laminectomy for biopsy/excision of intraspinal neoplasm; extradural sacral | 63278 - LAMINECTOMY BX/EXC ISPI NEO XDRL SACRAL | 63278 - BX/EXC XDRL SPINE LESN SCRL | '01/01/2017 | 12/31/2999 |
| 63280 | 63280 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural extramedullary cervical | 63280 - LAM BX/EXC ISPI NEO IDRL XMED CERVICAL | 63280 - BX/EXC IDRL SPINE LESN CRVL | '01/01/2017 | 12/31/2999 |
| 63281 | 63281 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural extramedullary thoracic | 63281 - LAM BX/EXC ISPI NEO IDRL XMED THORACIC | 63281 - BX/EXC IDRL SPINE LESN THRC | '01/01/2017 | 12/31/2999 |
| 63282 | 63282 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural extramedullary lumbar | 63282 - LAM BX/EXC ISPI NEO IDRL XMED LUMBAR | 63282 - BX/EXC IDRL SPINE LESN LMBR | '01/01/2017 | 12/31/2999 |
| 63283 | 63283 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural sacral | 63283 - LAM BX/EXC ISPI NEO IDRL SACRAL | 63283 - BX/EXC IDRL SPINE LESN SCRL | '01/01/2017 | 12/31/2999 |
| 63285 | 63285 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural intramedullary cervical | 63285 - LAM BX/EXC ISPI NEO IDRL IMED CERVICAL | 63285 - BX/EXC IDRL IMED LESN CERVL | '01/01/2017 | 12/31/2999 |
| 63286 | 63286 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural intramedullary thoracic | 63286 - LAM BX/EXC ISPI NEO IDRL IMED THORACIC | 63286 - BX/EXC IDRL IMED LESN THRC | '01/01/2017 | 12/31/2999 |
| 63287 | 63287 - Laminectomy for biopsy/excision of intraspinal neoplasm; intradural intramedullary thoracolumbar | 63287 - LAM BX/EXC ISPI NEO IDRL IMED THORACOLMBR | 63287 - BX/EXC IDRL IMED LESN THRLMB | '01/01/2017 | 12/31/2999 |
| 63290 | 63290 - Laminectomy for biopsy/excision of intraspinal neoplasm; combined extradural-intradural lesion any level | 63290 - LAM BX/EXC ISPI NEO XDRL-IDRL LES ANY LVL | 63290 - BX/EXC XDRL/IDRL LSN ANY LVL | '01/01/2017 | 12/31/2999 |
| 63295 | 63295 - Osteoplastic reconstruction of dorsal spinal elements following primary intraspinal procedure (List separately in addition to code for primary procedure) | 63295 - OSTPL RCNSTJ DORSAL SPI ELMNTS FLWG ISPI PX | 63295 - REPAIR LAMINECTOMY DEFECT | '01/01/2017 | 12/31/2999 |
| 63300 | 63300 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; extradural cervical | 63300 - VCRPEC LES 1 SGM XDRL CERVICAL | 63300 - REMOVE VERT XDRL BODY CRVCL | '01/01/2017 | 12/31/2999 |
| 63301 | 63301 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; extradural thoracic by transthoracic approach | 63301 - VCRPEC LES 1 SGM XDRL THORACIC TTHRC | 63301 - REMOVE VERT XDRL BODY THRC | '01/01/2017 | 12/31/2999 |
| 63302 | 63302 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; extradural thoracic by thoracolumbar approach | 63302 - VCRPEC LES 1 SEG XDRL THRC THORACOLMBR | 63302 - REMOVE VERT XDRL BODY THRLMB | '01/01/2017 | 12/31/2999 |
| 63303 | 63303 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; extradural lumbar or sacral by transperitoneal or retroperitoneal approach | 63303 - VCRPEC LES 1 SEG XDRL LMBR/SAC TRANSPRTL/RPR | 63303 - REMOV VERT XDRL BDY LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 63304 | 63304 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; intradural cervical | 63304 - VERTEBRAL CORPECTOMY EXC LES 1 SEG IDRL CERVICAL | 63304 - REMOVE VERT IDRL BODY CRVCL | '01/01/2017 | 12/31/2999 |
| 63305 | 63305 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; intradural thoracic by transthoracic approach | 63305 - VERTEBRAL CORPECTOMY LES 1 SEG IDRL THRC TTHRC | 63305 - REMOVE VERT IDRL BODY THRC | '01/01/2017 | 12/31/2999 |
| 63306 | 63306 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; intradural thoracic by thoracolumbar approach | 63306 - VERTEBRL CORPECT LES 1 SEG IDRL THRC THORACOLMBR | 63306 - REMOV VERT IDRL BDY THRCLMBR | '01/01/2017 | 12/31/2999 |
| 63307 | 63307 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; intradural lumbar or sacral by transperitoneal or retroperitoneal approach | 63307 - VCRPEC LES 1 SEG IDRL LMBR/SAC TRANSPRTL/RPR | 63307 - REMOV VERT IDRL BDY LMBR/SAC | '01/01/2017 | 12/31/2999 |
| 63308 | 63308 - Vertebral corpectomy (vertebral body resection) partial or complete for excision of intraspinal lesion single segment; each additional segment (List separately in addition to codes for single segment) | 63308 - VERTEBRAL CORPECTOMY EXC INDRL LES EACH SEG | 63308 - REMOVE VERTEBRAL BODY ADD-ON | '01/01/2017 | 12/31/2999 |
| 63600 | 63600 - Creation of lesion of spinal cord by stereotactic method percutaneous any modality (including stimulation and/or recording) | 63600 - CREATION LES SPINAL CORD STEREOTACTIC METHOD PRQ | 63600 - REMOVE SPINAL CORD LESION | '01/01/2017 | 12/31/2999 |
| 63610 | 63610 - Stereotactic stimulation of spinal cord percutaneous separate procedure not followed by other surgery | 63610 - STRTCTC STIMJ SPI CORD PRQ SPX N/FLWD OTH SURG | 63610 - STIMULATION OF SPINAL CORD | '01/01/2017 | 12/31/2999 |
| 63620 | 63620 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); 1 spinal lesion | 63620 - STEREOTACTIC RADIOSURGERY 1 SPINAL LESION | 63620 - SRS SPINAL LESION | '01/01/2017 | 12/31/2999 |
| 63621 | 63621 - Stereotactic radiosurgery (particle beam gamma ray or linear accelerator); each additional spinal lesion (List separately in addition to code for primary procedure) | 63621 - STEREOTACTIC RADIOSURGERY EA ADDL SPINAL LESION | 63621 - SRS SPINAL LESION ADDL | '01/01/2017 | 12/31/2999 |
| 63650 | 63650 - Percutaneous implantation of neurostimulator electrode array epidural | 63650 - PRQ IMPLTJ NSTIM ELECTRODE ARRAY EPIDURAL | 63650 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 63655 | 63655 - Laminectomy for implantation of neurostimulator electrodes plate/paddle epidural | 63655 - LAM IMPLTJ NSTIM ELTRDS PLATE/PADDLE EDRL | 63655 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 63661 | 63661 - Removal of spinal neurostimulator electrode percutaneous array(s) including fluoroscopy when performed | 63661 - RMVL SPINAL NSTIM ELTRD PRQ ARRAY INCL FLUOR | 63661 - REMOVE SPINE ELTRD PERQ ARAY | '01/01/2017 | 12/31/2999 |
| 63662 | 63662 - Removal of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy including fluoroscopy when performed | 63662 - RMVL SPINAL NSTIM ELTRD PLATE/PADDLE INCL FLUOR | 63662 - REMOVE SPINE ELTRD PLATE | '01/01/2017 | 12/31/2999 |
| 63663 | 63663 - Revision including replacement when performed of spinal neurostimulator electrode percutaneous array(s) including fluoroscopy when performed | 63663 - REVJ INCL RPLCMT NSTIM ELTRD PRQ RA INCL FLUOR | 63663 - REVISE SPINE ELTRD PERQ ARAY | '01/01/2017 | 12/31/2999 |
| 63664 | 63664 - Revision including replacement when performed of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy including fluoroscopy when performed | 63664 - REVJ INCL RPLCMT NSTIM ELTRD PLT/PDLE INCL FLUOR | 63664 - REVISE SPINE ELTRD PLATE | '01/01/2017 | 12/31/2999 |
| 63685 | 63685 - Insertion or replacement of spinal neurostimulator pulse generator or receiver direct or inductive coupling | 63685 - INSJ/RPLCMT SPI NPGR DIR/INDUXIVE COUPLING | 63685 - INSRT/REDO SPINE N GENERATOR | '01/01/2017 | 12/31/2999 |
| 63688 | 63688 - Revision or removal of implanted spinal neurostimulator pulse generator or receiver | 63688 - REVJ/RMVL IMPLANTED SPINAL NEUROSTIM GENERATOR | 63688 - REVISE/REMOVE NEURORECEIVER | '01/01/2017 | 12/31/2999 |
| 63700 | 63700 - Repair of meningocele; less than 5 cm diameter | 63700 - REPAIR MENINGOCELE < 5 CM DIAMETER | 63700 - REPAIR OF SPINAL HERNIATION | '01/01/2017 | 12/31/2999 |
| 63702 | 63702 - Repair of meningocele; larger than 5 cm diameter | 63702 - REPAIR MENINGOCELE > 5 CM DIAMETER | 63702 - REPAIR OF SPINAL HERNIATION | '01/01/2017 | 12/31/2999 |
| 63704 | 63704 - Repair of myelomeningocele; less than 5 cm diameter | 63704 - REPAIR MYELOMENINGOCELE < 5 CM DIAMETER | 63704 - REPAIR OF SPINAL HERNIATION | '01/01/2017 | 12/31/2999 |
| 63706 | 63706 - Repair of myelomeningocele; larger than 5 cm diameter | 63706 - REPAIR MYELOMENINGOCELE > 5 CM DIAMETER | 63706 - REPAIR OF SPINAL HERNIATION | '01/01/2017 | 12/31/2999 |
| 63707 | 63707 - Repair of dural/cerebrospinal fluid leak not requiring laminectomy | 63707 - RPR DURAL/CEREBROSPINAL FLUID LEAK X REQ LAM | 63707 - REPAIR SPINAL FLUID LEAKAGE | '01/01/2017 | 12/31/2999 |
| 63709 | 63709 - Repair of dural/cerebrospinal fluid leak or pseudomeningocele with laminectomy | 63709 - RPR DURAL/CSF LEAK/PSEUDOMENINGOCELE W/LAM | 63709 - REPAIR SPINAL FLUID LEAKAGE | '01/01/2017 | 12/31/2999 |
| 63710 | 63710 - Dural graft spinal | 63710 - DURAL GRAFT SPINAL | 63710 - GRAFT REPAIR OF SPINE DEFECT | '01/01/2017 | 12/31/2999 |
| 63740 | 63740 - Creation of shunt lumbar subarachnoid-peritoneal -pleural or other; including laminectomy | 63740 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL/OTH W/LAM | 63740 - INSTALL SPINAL SHUNT | '01/01/2017 | 12/31/2999 |
| 63741 | 63741 - Creation of shunt lumbar subarachnoid-peritoneal -pleural or other; percutaneous not requiring laminectomy | 63741 - CRTJ SHUNT LMBR SARACH-PRTL-PLEURAL PRQ X LAM | 63741 - INSTALL SPINAL SHUNT | '01/01/2017 | 12/31/2999 |
| 63744 | 63744 - Replacement irrigation or revision of lumbosubarachnoid shunt | 63744 - RPLCMT IRRIGATION/REVJ LUMBOSARACH SHUNT | 63744 - REVISION OF SPINAL SHUNT | '01/01/2017 | 12/31/2999 |
| 63746 | 63746 - Removal of entire lumbosubarachnoid shunt system without replacement | 63746 - RMVL ENTIRE LUMBOSARACH SHUNT SYS W/O RPLCMT | 63746 - REMOVAL OF SPINAL SHUNT | '01/01/2017 | 12/31/2999 |
| 64400 | 64400 - Injection(s) anesthetic agent(s) and/or steroid; trigeminal nerve each branch (ie ophthalmic maxillary mandibular) | 64400 - INJECTION AA&/STRD TRIGEMINAL NERVE EACH BRANCH | 64400 - NJX AA&/STRD TRIGEMINAL NRV | '01/01/2020 | 12/31/2999 |
| 64405 | 64405 - Injection(s) anesthetic agent(s) and/or steroid; greater occipital nerve | 64405 - INJECTION AA&/STRD GREATER OCCIPITAL NERVE | 64405 - NJX AA&/STRD GR OCPL NRV | '01/01/2020 | 12/31/2999 |
| 64408 | 64408 - Injection(s) anesthetic agent(s) and/or steroid; vagus nerve | 64408 - INJECTION AA&/STRD VAGUS NERVE | 64408 - NJX AA&/STRD VAGUS NRV | '01/01/2020 | 12/31/2999 |
| 64415 | 64415 - Injection(s) anesthetic agent(s) and/or steroid; brachial plexus including imaging guidance when performed | 64415 - INJECTION AA&/STRD BRACHIAL PLEXUS W/IMG GDN | 64415 - NJX AA&/STRD BRCH PLXS IMG | '01/01/2023 | 12/31/2999 |
| 64416 | 64416 - Injection(s) anesthetic agent(s) and/or steroid; brachial plexus continuous infusion by catheter (including catheter placement) including imaging guidance when performed | 64416 - INJECTION AA&/STRD BRACH PLEX CONT NFS CATH IMG | 64416 - NJX AA&/STRD BRCH PL NFS IMG | '01/01/2023 | 12/31/2999 |
| 64417 | 64417 - Injection(s) anesthetic agent(s) and/or steroid; axillary nerve including imaging guidance when performed | 64417 - INJECTION AA&/STRD AXILLARY NERVE W/IMG GDN | 64417 - NJX AA&/STRD AX NERVE IMG | '01/01/2023 | 12/31/2999 |
| 64418 | 64418 - Injection(s) anesthetic agent(s) and/or steroid; suprascapular nerve | 64418 - INJECTION AA&/STRD SUPRASCAPULAR NERVE | 64418 - NJX AA&/STRD SPRSCAP NRV | '01/01/2020 | 12/31/2999 |
| 64420 | 64420 - Injection(s) anesthetic agent(s) and/or steroid; intercostal nerve single level | 64420 - INJECTION AA&/STRD INTERCOSTAL NRV SINGLE LVL | 64420 - NJX AA&/STRD NTRCOST NRV 1 | '01/01/2020 | 12/31/2999 |
| 64421 | 64421 - Injection(s) anesthetic agent(s) and/or steroid; intercostal nerve each additional level (List separately in addition to code for primary procedure) | 64421 - INJECTION AA&/STRD INTERCOSTAL NRV EA ADDL LVL | 64421 - NJX AA&/STRD NTRCOST NRV EA | '01/01/2020 | 12/31/2999 |
| 64425 | 64425 - Injection(s) anesthetic agent(s) and/or steroid; ilioinguinal iliohypogastric nerves | 64425 - INJECTION AA&/STRD ILIOINGUINAL IH NERVES | 64425 - NJX AA&/STRD II IH NERVES | '01/01/2020 | 12/31/2999 |
| 64430 | 64430 - Injection(s) anesthetic agent(s) and/or steroid; pudendal nerve | 64430 - INJECTION AA&/STRD PUDENDAL NERVE | 64430 - NJX AA&/STRD PUDENDAL NERVE | '01/01/2020 | 12/31/2999 |
| 64435 | 64435 - Injection(s) anesthetic agent(s) and/or steroid; paracervical (uterine) nerve | 64435 - INJECTION AA&/STRD PARACERVICAL NERVE | 64435 - NJX AA&/STRD PARACRV NRV | '01/01/2020 | 12/31/2999 |
| 64445 | 64445 - Injection(s) anesthetic agent(s) and/or steroid; sciatic nerve including imaging guidance when performed | 64445 - INJECTION AA&/STRD SCIATIC NERVE W/IMG GDN | 64445 - NJX AA&/STRD SCIATIC NRV IMG | '01/01/2023 | 12/31/2999 |
| 64446 | 64446 - Injection(s) anesthetic agent(s) and/or steroid; sciatic nerve continuous infusion by catheter (including catheter placement) including imaging guidance when performed | 64446 - INJECTION AA&/STRD SCIATIC NRV CONT NFS CATH IMG | 64446 - NJX AA&/STRD SC NRV NFS IMG | '01/01/2023 | 12/31/2999 |
| 64447 | 64447 - Injection(s) anesthetic agent(s) and/or steroid; femoral nerve including imaging guidance when performed | 64447 - INJECTION AA&/STRD FEMORAL NERVE W/IMG GDN | 64447 - NJX AA&/STRD FEMORAL NRV IMG | '01/01/2023 | 12/31/2999 |
| 64448 | 64448 - Injection(s) anesthetic agent(s) and/or steroid; femoral nerve continuous infusion by catheter (including catheter placement) including imaging guidance when performed | 64448 - INJECTION AA&/STRD FEM NRV CONT NFS CATH IMG GDN | 64448 - NJX AA&/STRD FEM NRV NFS IMG | '01/01/2023 | 12/31/2999 |
| 64449 | 64449 - Injection(s) anesthetic agent(s) and/or steroid; lumbar plexus posterior approach continuous infusion by catheter (including catheter placement) | 64449 - INJECTION AA&/STRD LUMBAR PLEXUS CONT NFS CATH | 64449 - NJX AA&/STRD LMBR PLEX NFS | '01/01/2020 | 12/31/2999 |
| 64450 | 64450 - Injection(s) anesthetic agent(s) and/or steroid; other peripheral nerve or branch | 64450 - INJECTION AA&/STRD OTHER PERIPHERAL NERVE/BRANCH | 64450 - NJX AA&/STRD OTHER PN/BRANCH | '01/01/2020 | 12/31/2999 |
| 64451 | 64451 - Injection(s) anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint with image guidance (ie fluoroscopy or computed tomography) | 64451 - INJECTION AA&/STRD NERVES NRVTG SI JOINT W/IMG | 64451 - NJX AA&/STRD NRV NRVTG SI JT | '01/01/2020 | 12/31/2999 |
| 64454 | 64454 - Injection(s) anesthetic agent(s) and/or steroid; genicular nerve branches including imaging guidance when performed | 64454 - INJECTION AA&/STRD GENICULAR NRV BRANCHES W/IMG | 64454 - NJX AA&/STRD GNCLR NRV BRNCH | '01/01/2020 | 12/31/2999 |
| 64455 | 64455 - Injection(s) anesthetic agent(s) and/or steroid; plantar common digital nerve(s) (eg Morton's neuroma) | 64455 - NJX AA&/STRD PLANTAR COMMON DIGITAL NERVES | 64455 - NJX AA&/STRD PLTR COM DG NRV | '01/01/2021 | 12/31/2999 |
| 64461 | 64461 - Paravertebral block (PVB) (paraspinous block) thoracic; single injection site (includes imaging guidance when performed) | 64461 - PVB THORACIC SINGLE INJECTION SITE W/IMG GID | 64461 - PVB THORACIC SINGLE INJ SITE | '01/01/2017 | 12/31/2999 |
| 64462 | 64462 - Paravertebral block (PVB) (paraspinous block) thoracic; second and any additional injection site(s) (includes imaging guidance when performed) (List separately in addition to code for primary procedure) | 64462 - PVB THORACIC SECOND & ADDL INJ SITE W/IMG GID | 64462 - PVB THORACIC 2ND+ INJ SITE | '01/01/2017 | 12/31/2999 |
| 64463 | 64463 - Paravertebral block (PVB) (paraspinous block) thoracic; continuous infusion by catheter (includes imaging guidance when performed) | 64463 - PVB THORACIC CONT CATHETER INFUSION W/IMG GID | 64463 - PVB THORACIC CONT INFUSION | '01/01/2017 | 12/31/2999 |
| 64479 | 64479 - Injection(s) anesthetic agent(s) and/or steroid; transforaminal epidural with imaging guidance (fluoroscopy or CT) cervical or thoracic single level | 64479 - NJX AA&/STRD TFRML EPI CERVICAL/THORACIC 1 LEVEL | 64479 - NJX AA&/STRD TFRM EPI C/T 1 | '01/01/2021 | 12/31/2999 |
| 64480 | 64480 - Injection(s) anesthetic agent(s) and/or steroid; transforaminal epidural with imaging guidance (fluoroscopy or CT) cervical or thoracic each additional level (List separately in addition to code for primary procedure) | 64480 - NJX AA&/STRD TFRML EPI CERVICAL/THORACIC EA ADDL | 64480 - NJX AA&/STRD TFRM EPI C/T EA | '01/01/2021 | 12/31/2999 |
| 64483 | 64483 - Injection(s) anesthetic agent(s) and/or steroid; transforaminal epidural with imaging guidance (fluoroscopy or CT) lumbar or sacral single level | 64483 - NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL | 64483 - NJX AA&/STRD TFRM EPI L/S 1 | '01/01/2021 | 12/31/2999 |
| 64484 | 64484 - Injection(s) anesthetic agent(s) and/or steroid; transforaminal epidural with imaging guidance (fluoroscopy or CT) lumbar or sacral each additional level (List separately in addition to code for primary procedure) | 64484 - NJX AA&/STRD TFRML EPI LUMBAR/SACRAL EA ADDL | 64484 - NJX AA&/STRD TFRM EPI L/S EA | '01/01/2021 | 12/31/2999 |
| 64486 | 64486 - Transversus abdominis plane (TAP) block (abdominal plane block rectus sheath block) unilateral; by injection(s) (includes imaging guidance when performed) | 64486 - TAP BLOCK UNILATERAL BY INJECTION(S) | 64486 - TAP BLOCK UNIL BY INJECTION | '01/01/2017 | 12/31/2999 |
| 64487 | 64487 - Transversus abdominis plane (TAP) block (abdominal plane block rectus sheath block) unilateral; by continuous infusion(s) (includes imaging guidance when performed) | 64487 - TAP BLOCK UNILATERAL BY CONTINUOUS INFUSION(S) | 64487 - TAP BLOCK UNI BY INFUSION | '01/01/2017 | 12/31/2999 |
| 64488 | 64488 - Transversus abdominis plane (TAP) block (abdominal plane block rectus sheath block) bilateral; by injections (includes imaging guidance when performed) | 64488 - TAP BLOCK BILATERAL BY INJECTION(S) | 64488 - TAP BLOCK BI INJECTION | '01/01/2017 | 12/31/2999 |
| 64489 | 64489 - Transversus abdominis plane (TAP) block (abdominal plane block rectus sheath block) bilateral; by continuous infusions (includes imaging guidance when performed) | 64489 - TAP BLOCK BILATERAL BY CONTINUOUS INFUSION(S) | 64489 - TAP BLOCK BI BY INFUSION | '01/01/2017 | 12/31/2999 |
| 64490 | 64490 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) cervical or thoracic; single level | 64490 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 1 LEVEL | 64490 - INJ PARAVERT F JNT C/T 1 LEV | '01/01/2017 | 12/31/2999 |
| 64491 | 64491 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) cervical or thoracic; second level (List separately in addition to code for primary procedure) | 64491 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 2ND LEVEL | 64491 - INJ PARAVERT F JNT C/T 2 LEV | '01/01/2017 | 12/31/2999 |
| 64492 | 64492 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary procedure) | 64492 - NJX DX/THER AGT PVRT FACET JT CRV/THRC 3+ LEVEL | 64492 - INJ PARAVERT F JNT C/T 3 LEV | '01/01/2017 | 12/31/2999 |
| 64493 | 64493 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) lumbar or sacral; single level | 64493 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 1 LEVEL | 64493 - INJ PARAVERT F JNT L/S 1 LEV | '01/01/2017 | 12/31/2999 |
| 64494 | 64494 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) lumbar or sacral; second level (List separately in addition to code for primary procedure) | 64494 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 2ND LEVEL | 64494 - INJ PARAVERT F JNT L/S 2 LEV | '01/01/2017 | 12/31/2999 |
| 64495 | 64495 - Injection(s) diagnostic or therapeutic agent paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT) lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary procedure) | 64495 - NJX DX/THER AGT PVRT FACET JT LMBR/SAC 3+ LEVEL | 64495 - INJ PARAVERT F JNT L/S 3 LEV | '01/01/2017 | 12/31/2999 |
| 64505 | 64505 - Injection anesthetic agent; sphenopalatine ganglion | 64505 - INJECTION ANES AGENT SPHENOPALATINE GANGLION | 64505 - N BLOCK SPENOPALATINE GANGL | '01/01/2017 | 12/31/2999 |
| 64510 | 64510 - Injection anesthetic agent; stellate ganglion (cervical sympathetic) | 64510 - NJX ANES STELLATE GANGLION CRV SYMPATHETIC | 64510 - N BLOCK STELLATE GANGLION | '01/01/2017 | 12/31/2999 |
| 64517 | 64517 - Injection anesthetic agent; superior hypogastric plexus | 64517 - INJECTION ANES SUPERIOR HYPOGASTRIC PLEXUS | 64517 - N BLOCK INJ HYPOGAS PLXS | '01/01/2017 | 12/31/2999 |
| 64520 | 64520 - Injection anesthetic agent; lumbar or thoracic (paravertebral sympathetic) | 64520 - INJECTION ANES LMBR/THRC PARAVERTBRL SYMPATHETIC | 64520 - N BLOCK LUMBAR/THORACIC | '01/01/2017 | 12/31/2999 |
| 64530 | 64530 - Injection anesthetic agent; celiac plexus with or without radiologic monitoring | 64530 - INJX ANES CELIAC PLEXUS W/WO RADIOLOGIC MONITRNG | 64530 - N BLOCK INJ CELIAC PELUS | '01/01/2017 | 12/31/2999 |
| 64553 | 64553 - Percutaneous implantation of neurostimulator electrode array; cranial nerve | 64553 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD CRANIAL NERVE | 64553 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 64555 | 64555 - Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) | 64555 - PRQ IMPLTJ NEUROSTIMULATOR ELTRD PERIPHERAL NRV | 64555 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 64561 | 64561 - Percutaneous implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) including image guidance if performed | 64561 - PRQ IMPLTJ NEUROSTIM ELTRD SACRAL NRVE W/IMAGING | 64561 - IMPLANT NEUROELECTRODES | '01/01/2017 | 12/31/2999 |
| 64566 | 64566 - Posterior tibial neurostimulation percutaneous needle electrode single treatment includes programming | 64566 - POST TIB NEUROSTIMULATION PRQ NEEDLE ELECTRODE | 64566 - NEUROELTRD STIM POST TIBIAL | '01/01/2017 | 12/31/2999 |
| 64568 | 64568 - Open implantation of cranial nerve (eg vagus nerve) neurostimulator electrode array and pulse generator | 64568 - OPEN IMPLANTATION CRANIAL NERVE NEA & PULSE GEN | 64568 - OPN IMPLTJ CRNL NRV NEA&PG | '01/01/2022 | 12/31/2999 |
| 64569 | 64569 - Revision or replacement of cranial nerve (eg vagus nerve) neurostimulator electrode array including connection to existing pulse generator | 64569 - REVISION/REPLMT NEUROSTIMLATOR ELTRD CRANIAL NRV | 64569 - REVISE/REPL VAGUS N ELTRD | '01/01/2017 | 12/31/2999 |
| 64570 | 64570 - Removal of cranial nerve (eg vagus nerve) neurostimulator electrode array and pulse generator | 64570 - REMOVAL CRNL NRV NSTIM ELTRDS & PULSE GENERATO | 64570 - REMOVE VAGUS N ELTRD | '01/01/2017 | 12/31/2999 |
| 64575 | 64575 - Open implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve) | 64575 - OPEN IMPLANTATION NEA PERIPHERAL NERVE | 64575 - OPN IMPLTJ NEA PERPH NERVE | '01/01/2022 | 12/31/2999 |
| 64580 | 64580 - Open implantation of neurostimulator electrode array; neuromuscular | 64580 - OPEN IMPLANTATION NEA NEUROMUSCULAR | 64580 - OPN IMPLTJ NEA NEUROMUSCULAR | '01/01/2022 | 12/31/2999 |
| 64581 | 64581 - Open implantation of neurostimulator electrode array; sacral nerve (transforaminal placement) | 64581 - OPEN IMPLANTATION NEA SACRAL NERVE | 64581 - OPN IMPLTJ NEA SACRAL NERVE | '01/01/2022 | 12/31/2999 |
| 64582 | 64582 - Open implantation of hypoglossal nerve neurostimulator array pulse generator and distal respiratory sensor electrode or electrode array | 64582 - OPEN IMPLTJ HPGLSL NRV NSTIM RA PG&RESPIR SENSOR | 64582 - OPN MPLTJ HPGLSL NSTM ARY PG | '01/01/2022 | 12/31/2999 |
| 64583 | 64583 - Revision or replacement of hypoglossal nerve neurostimulator array and distal respiratory sensor electrode or electrode array including connection to existing pulse generator | 64583 - REVJ/RPLCMT HPGLSL NERVE NSTIM RA PG&RESPIR SNR | 64583 - REV/RPLCT HPGLSL NSTM ARY PG | '01/01/2022 | 12/31/2999 |
| 64584 | 64584 - Removal of hypoglossal nerve neurostimulator array pulse generator and distal respiratory sensor electrode or electrode array | 64584 - REMOVAL HYPOGLOSSAL NERVE NSTIM RA PG&RESPIR SNR | 64584 - RMVL HPGLSL NSTIM ARY PG | '01/01/2022 | 12/31/2999 |
| 64585 | 64585 - Revision or removal of peripheral neurostimulator electrode array | 64585 - REVJ/RMVL PERIPHERAL NEUROSTIMULATOR ELECTRODE | 64585 - REVISE/REMOVE NEUROELECTRODE | '01/01/2017 | 12/31/2999 |
| 64590 | 64590 - Insertion or replacement of peripheral or gastric neurostimulator pulse generator or receiver direct or inductive coupling | 64590 - INSERTION/RPLCMT PERIPHERAL/GASTRIC NPGR | 64590 - INSRT/REDO PN/GASTR STIMUL | '01/01/2017 | 12/31/2999 |
| 64595 | 64595 - Revision or removal of peripheral or gastric neurostimulator pulse generator or receiver | 64595 - REVISION/RMVL PERIPHERAL/GASTRIC NPGR | 64595 - REVISE/RMV PN/GASTR STIMUL | '01/01/2017 | 12/31/2999 |
| 64600 | 64600 - Destruction by neurolytic agent trigeminal nerve; supraorbital infraorbital mental or inferior alveolar branch | 64600 - DSTRJ TRIGEMINAL NRV SUPRAORB INFRAORB BRANCH | 64600 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64605 | 64605 - Destruction by neurolytic agent trigeminal nerve; second and third division branches at foramen ovale | 64605 - DSTRJ NEUROLYTIC TRIGEMINAL NRV 2/3 DIV BRANCH | 64605 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64610 | 64610 - Destruction by neurolytic agent trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring | 64610 - DSTRJ NEURLYTIC TRIGEM NRV 2/3 DIV RADIO MONITOR | 64610 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64611 | 64611 - Chemodenervation of parotid and submandibular salivary glands bilateral | 64611 - CHEMODENERV PAROTID&SUBMANDIBL SALIVARY GLNDS | 64611 - CHEMODENERV SALIV GLANDS | '01/01/2017 | 12/31/2999 |
| 64612 | 64612 - Chemodenervation of muscle(s); muscle(s) innervated by facial nerve unilateral (eg for blepharospasm hemifacial spasm) | 64612 - CHEMODNRVTJ MUSC MUSC INNERVATED FACIAL NRV UNIL | 64612 - DESTROY NERVE FACE MUSCLE | '01/01/2017 | 12/31/2999 |
| 64615 | 64615 - Chemodenervation of muscle(s); muscle(s) innervated by facial trigeminal cervical spinal and accessory nerves bilateral (eg for chronic migraine) | 64615 - CHEMODERVATE FACIAL/TRIGEM/CERV MUSC MIGRAINE | 64615 - CHEMODENERV MUSC MIGRAINE | '01/01/2017 | 12/31/2999 |
| 64616 | 64616 - Chemodenervation of muscle(s); neck muscle(s) excluding muscles of the larynx unilateral (eg for cervical dystonia spasmodic torticollis) | 64616 - CHEMODENERVATION MUSCLE NECK UNILAT FOR DYSTONIA | 64616 - CHEMODENERV MUSC NECK DYSTON | '01/01/2017 | 12/31/2999 |
| 64617 | 64617 - Chemodenervation of muscle(s); larynx unilateral percutaneous (eg for spasmodic dysphonia) includes guidance by needle electromyography when performed | 64617 - CHEMODENERVATION MUSCLE LARYNX UNILAT W/EMG | 64617 - CHEMODENER MUSCLE LARYNX EMG | '01/01/2017 | 12/31/2999 |
| 64620 | 64620 - Destruction by neurolytic agent intercostal nerve | 64620 - DSTRJ NEUROLYTIC AGENT INTERCOSTAL NERVE | 64620 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64624 | 64624 - Destruction by neurolytic agent genicular nerve branches including imaging guidance when performed | 64624 - DESTRUCTION NEUROLYTIC AGT GENICULAR NERVE W/IMG | 64624 - DSTRJ NULYT AGT GNCLR NRV | '01/01/2020 | 12/31/2999 |
| 64625 | 64625 - Radiofrequency ablation nerves innervating the sacroiliac joint with image guidance (ie fluoroscopy or computed tomography) | 64625 - RADIOFREQUENCY ABLTJ NRV NRVTG SI JT W/IMG GDN | 64625 - RF ABLTJ NRV NRVTG SI JT | '01/01/2020 | 12/31/2999 |
| 64628 | 64628 - Thermal destruction of intraosseous basivertebral nerve including all imaging guidance; first 2 vertebral bodies lumbar or sacral | 64628 - THERMAL DSTRJ INTRAOSSEOUS BVN 1ST 2 LMBR/SAC | 64628 - TRML DSTRJ IOS BVN 1ST 2 L/S | '01/01/2022 | 12/31/2999 |
| 64629 | 64629 - Thermal destruction of intraosseous basivertebral nerve including all imaging guidance; each additional vertebral body lumbar or sacral (List separately in addition to code for primary procedure) | 64629 - THERMAL DSTRJ INTRAOSSEOUS BVN EA ADDL LMBR/SAC | 64629 - TRML DSTRJ IOS BVN EA ADDL | '01/01/2022 | 12/31/2999 |
| 64630 | 64630 - Destruction by neurolytic agent; pudendal nerve | 64630 - DSTRJ NEUROLYTIC AGENT PUDENDAL NERVE | 64630 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64632 | 64632 - Destruction by neurolytic agent; plantar common digital nerve | 64632 - DSTRJ NEUROLYTIC PLANTAR COMMON DIGITAL NERVE | 64632 - N BLOCK INJ COMMON DIGIT | '01/01/2017 | 12/31/2999 |
| 64633 | 64633 - Destruction by neurolytic agent paravertebral facet joint nerve(s) with imaging guidance (fluoroscopy or CT); cervical or thoracic single facet joint | 64633 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL CRVCL/THORA | 64633 - DESTROY CERV/THOR FACET JNT | '01/01/2017 | 12/31/2999 |
| 64634 | 64634 - Destruction by neurolytic agent paravertebral facet joint nerve(s) with imaging guidance (fluoroscopy or CT); cervical or thoracic each additional facet joint (List separately in addition to code for primary procedure) | 64634 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL CRVCL/THORA | 64634 - DESTROY C/TH FACET JNT ADDL | '01/01/2017 | 12/31/2999 |
| 64635 | 64635 - Destruction by neurolytic agent paravertebral facet joint nerve(s) with imaging guidance (fluoroscopy or CT); lumbar or sacral single facet joint | 64635 - DSTR NROLYTC AGNT PARVERTEB FCT SNGL LMBR/SACRAL | 64635 - DESTROY LUMB/SAC FACET JNT | '01/01/2017 | 12/31/2999 |
| 64636 | 64636 - Destruction by neurolytic agent paravertebral facet joint nerve(s) with imaging guidance (fluoroscopy or CT); lumbar or sacral each additional facet joint (List separately in addition to code for primary procedure) | 64636 - DSTR NROLYTC AGNT PARVERTEB FCT ADDL LMBR/SACRAL | 64636 - DESTROY L/S FACET JNT ADDL | '01/01/2017 | 12/31/2999 |
| 64640 | 64640 - Destruction by neurolytic agent; other peripheral nerve or branch | 64640 - DSTRJ NEUROLYTIC AGENT OTHER PERIPHERAL NERVE | 64640 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64642 | 64642 - Chemodenervation of one extremity; 1-4 muscle(s) | 64642 - CHEMODENERVATION ONE EXTREMITY 1-4 MUSCLE | 64642 - CHEMODENERV 1 EXTREMITY 1-4 | '01/01/2017 | 12/31/2999 |
| 64643 | 64643 - Chemodenervation of one extremity; each additional extremity 1-4 muscle(s) (List separately in addition to code for primary procedure) | 64643 - CHEMODENERVATION 1 EXTREMITY EA ADDL 1-4 MUSCLE | 64643 - CHEMODENERV 1 EXTREM 1-4 EA | '01/01/2017 | 12/31/2999 |
| 64644 | 64644 - Chemodenervation of one extremity; 5 or more muscles | 64644 - CHEMODENERVATION 1 EXTREMITY 5 OR MORE MUSCLES | 64644 - CHEMODENERV 1 EXTREM 5/> MUS | '01/01/2017 | 12/31/2999 |
| 64645 | 64645 - Chemodenervation of one extremity; each additional extremity 5 or more muscles (List separately in addition to code for primary procedure) | 64645 - CHEMODENERVATION 1 EXTREMITY EA ADDL 5/> MUSCLES | 64645 - CHEMODENERV 1 EXTREM 5/> EA | '01/01/2017 | 12/31/2999 |
| 64646 | 64646 - Chemodenervation of trunk muscle(s); 1-5 muscle(s) | 64646 - CHEMODENERVATION OF TRUNK MUSCLE 1-5 MUSCLES | 64646 - CHEMODENERV TRUNK MUSC 1-5 | '01/01/2017 | 12/31/2999 |
| 64647 | 64647 - Chemodenervation of trunk muscle(s); 6 or more muscles | 64647 - CHEMODENERVATION OF TRUNK 6 OR MORE MUSCLES | 64647 - CHEMODENERV TRUNK MUSC 6/> | '01/01/2017 | 12/31/2999 |
| 64650 | 64650 - Chemodenervation of eccrine glands; both axillae | 64650 - CHEMODENERVATION ECCRINE GLANDS BOTH AXILLAE | 64650 - CHEMODENERV ECCRINE GLANDS | '01/01/2017 | 12/31/2999 |
| 64653 | 64653 - Chemodenervation of eccrine glands; other area(s) (eg scalp face neck) per day | 64653 - CHEMODENERVATION ECCRINE GLANDS OTH AREA PER DAY | 64653 - CHEMODENERV ECCRINE GLANDS | '01/01/2017 | 12/31/2999 |
| 64680 | 64680 - Destruction by neurolytic agent with or without radiologic monitoring; celiac plexus | 64680 - DSTRJ NEUROLYTIC W/WO RAD MONITOR CELIAC PLEXUS | 64680 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64681 | 64681 - Destruction by neurolytic agent with or without radiologic monitoring; superior hypogastric plexus | 64681 - DSTRJ NULYT W/WORAD MNTR SUPRIOR HYPOGSTR PLEXUS | 64681 - INJECTION TREATMENT OF NERVE | '01/01/2017 | 12/31/2999 |
| 64702 | 64702 - Neuroplasty; digital 1 or both same digit | 64702 - NEUROPLASTY DIGITAL 1/BOTH SAME DIGIT | 64702 - REVISE FINGER/TOE NERVE | '01/01/2017 | 12/31/2999 |
| 64704 | 64704 - Neuroplasty; nerve of hand or foot | 64704 - NEUROPLASTY NERVE HAND/FOOT | 64704 - REVISE HAND/FOOT NERVE | '01/01/2017 | 12/31/2999 |
| 64708 | 64708 - Neuroplasty major peripheral nerve arm or leg open; other than specified | 64708 - NEURP MAJOR PRPH NRV ARM/LEG OPN OTH/THN SPEC | 64708 - REVISE ARM/LEG NERVE | '01/01/2017 | 12/31/2999 |
| 64712 | 64712 - Neuroplasty major peripheral nerve arm or leg open; sciatic nerve | 64712 - NEURP MAJOR PRPH NRV OPN ARM/LEG SCIATIC NRV | 64712 - REVISION OF SCIATIC NERVE | '01/01/2017 | 12/31/2999 |
| 64713 | 64713 - Neuroplasty major peripheral nerve arm or leg open; brachial plexus | 64713 - NEURP MAJOR PRPH NRV OPN ARM/LEG BRACH PLEXUS | 64713 - REVISION OF ARM NERVE(S) | '01/01/2017 | 12/31/2999 |
| 64714 | 64714 - Neuroplasty major peripheral nerve arm or leg open; lumbar plexus | 64714 - NEURP MAJOR PRPH NRV OPN ARM/LEG LMBR PLEXUS | 64714 - REVISE LOW BACK NERVE(S) | '01/01/2017 | 12/31/2999 |
| 64716 | 64716 - Neuroplasty and/or transposition; cranial nerve (specify) | 64716 - NEUROPLASTY &/TRANSPOSITION CRANIAL NERVE | 64716 - REVISION OF CRANIAL NERVE | '01/01/2017 | 12/31/2999 |
| 64718 | 64718 - Neuroplasty and/or transposition; ulnar nerve at elbow | 64718 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE ELBOW | 64718 - REVISE ULNAR NERVE AT ELBOW | '01/01/2017 | 12/31/2999 |
| 64719 | 64719 - Neuroplasty and/or transposition; ulnar nerve at wrist | 64719 - NEUROPLASTY &/TRANSPOSITION ULNAR NERVE WRIST | 64719 - REVISE ULNAR NERVE AT WRIST | '01/01/2017 | 12/31/2999 |
| 64721 | 64721 - Neuroplasty and/or transposition; median nerve at carpal tunnel | 64721 - NEUROPLASTY &/TRANSPOS MEDIAN NRV CARPAL TUNNE | 64721 - CARPAL TUNNEL SURGERY | '01/01/2017 | 12/31/2999 |
| 64722 | 64722 - Decompression; unspecified nerve(s) (specify) | 64722 - DECOMPRESSION UNSPECIFIED NERVE | 64722 - RELIEVE PRESSURE ON NERVE(S) | '01/01/2017 | 12/31/2999 |
| 64726 | 64726 - Decompression; plantar digital nerve | 64726 - DECOMPRESSION PLANTAR DIGITAL NERVE | 64726 - RELEASE FOOT/TOE NERVE | '01/01/2017 | 12/31/2999 |
| 64727 | 64727 - Internal neurolysis requiring use of operating microscope (List separately in addition to code for neuroplasty) (Neuroplasty includes external neurolysis) | 64727 - INTERNAL NEUROLYSIS REQ OPERATING MICROSCOPE | 64727 - INTERNAL NERVE REVISION | '01/01/2017 | 12/31/2999 |
| 64732 | 64732 - Transection or avulsion of; supraorbital nerve | 64732 - TRANSECTION/AVULSION SUPRAORBITAL NERVE | 64732 - INCISION OF BROW NERVE | '01/01/2017 | 12/31/2999 |
| 64734 | 64734 - Transection or avulsion of; infraorbital nerve | 64734 - TRANSECTION/AVULSION INFRAORBITAL NERVE | 64734 - INCISION OF CHEEK NERVE | '01/01/2017 | 12/31/2999 |
| 64736 | 64736 - Transection or avulsion of; mental nerve | 64736 - TRANSECTION/AVULSION MENTAL NERVE | 64736 - INCISION OF CHIN NERVE | '01/01/2017 | 12/31/2999 |
| 64738 | 64738 - Transection or avulsion of; inferior alveolar nerve by osteotomy | 64738 - TRANSECTION/AVULSION INF ALVEOLAR NRV W/OSTEO | 64738 - INCISION OF JAW NERVE | '01/01/2017 | 12/31/2999 |
| 64740 | 64740 - Transection or avulsion of; lingual nerve | 64740 - TRANSECTION/AVULSION LINGUAL NERVE | 64740 - INCISION OF TONGUE NERVE | '01/01/2017 | 12/31/2999 |
| 64742 | 64742 - Transection or avulsion of; facial nerve differential or complete | 64742 - TRANSECTION/AVULSION FACIAL NRV DIFFERENT/CMPL | 64742 - INCISION OF FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 64744 | 64744 - Transection or avulsion of; greater occipital nerve | 64744 - TRANSECTION/AVULSION GREATER OCCIPITAL NERVE | 64744 - INCISE NERVE BACK OF HEAD | '01/01/2017 | 12/31/2999 |
| 64746 | 64746 - Transection or avulsion of; phrenic nerve | 64746 - TRANSECTION/AVULSION PHRENIC NERVE | 64746 - INCISE DIAPHRAGM NERVE | '01/01/2017 | 12/31/2999 |
| 64755 | 64755 - Transection or avulsion of; vagus nerves limited to proximal stomach (selective proximal vagotomy proximal gastric vagotomy parietal cell vagotomy supra- or highly selective vagotomy) | 64755 - TRANSECTION/AVULSION VAGUS NERVES | 64755 - INCISION OF STOMACH NERVES | '01/01/2017 | 12/31/2999 |
| 64760 | 64760 - Transection or avulsion of; vagus nerve (vagotomy) abdominal | 64760 - TRANSECTION/AVULSION VAGUS NERVE ABDOMINAL | 64760 - INCISION OF VAGUS NERVE | '01/01/2017 | 12/31/2999 |
| 64763 | 64763 - Transection or avulsion of obturator nerve extrapelvic with or without adductor tenotomy | 64763 - TRNSXJ/AVLSN OBTURAT NRV XPELV W/WO TENOTOMY | 64763 - INCISE HIP/THIGH NERVE | '01/01/2017 | 12/31/2999 |
| 64766 | 64766 - Transection or avulsion of obturator nerve intrapelvic with or without adductor tenotomy | 64766 - TRNSXJ/AVLSN OBTURAT NRV INPELV W/WO TENOTOMY | 64766 - INCISE HIP/THIGH NERVE | '01/01/2017 | 12/31/2999 |
| 64771 | 64771 - Transection or avulsion of other cranial nerve extradural | 64771 - TRANSECTION/AVULSION OTH CRANIAL NRV XDRL | 64771 - SEVER CRANIAL NERVE | '01/01/2017 | 12/31/2999 |
| 64772 | 64772 - Transection or avulsion of other spinal nerve extradural | 64772 - TRANSECTION/AVULSION OTH SPINAL NRV XDRL | 64772 - INCISION OF SPINAL NERVE | '01/01/2017 | 12/31/2999 |
| 64774 | 64774 - Excision of neuroma; cutaneous nerve surgically identifiable | 64774 - EXC NEUROMA CUTAN NRV SURGLY IDENTIFIABLE | 64774 - REMOVE SKIN NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64776 | 64776 - Excision of neuroma; digital nerve 1 or both same digit | 64776 - EXC NEUROMA DIGITAL NERVE 1 OR BOTH SAME DIGIT | 64776 - REMOVE DIGIT NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64778 | 64778 - Excision of neuroma; digital nerve each additional digit (List separately in addition to code for primary procedure) | 64778 - EXCISION NEUROMA DIGITAL NRV EA ADDL DIGIT | 64778 - DIGIT NERVE SURGERY ADD-ON | '01/01/2017 | 12/31/2999 |
| 64782 | 64782 - Excision of neuroma; hand or foot except digital nerve | 64782 - EXC NEUROMA HAND/FOOT XCP DIGITAL NERVE | 64782 - REMOVE LIMB NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64783 | 64783 - Excision of neuroma; hand or foot each additional nerve except same digit (List separately in addition to code for primary procedure) | 64783 - EXC NEUROMA HAND/FOOT EA NRV XCP SM DGT | 64783 - LIMB NERVE SURGERY ADD-ON | '01/01/2017 | 12/31/2999 |
| 64784 | 64784 - Excision of neuroma; major peripheral nerve except sciatic | 64784 - EXC NEUROMA MAJOR PERIPHERAL NRV XCP SCIATIC | 64784 - REMOVE NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64786 | 64786 - Excision of neuroma; sciatic nerve | 64786 - EXCISION NEUROMA SCIATIC NERVE | 64786 - REMOVE SCIATIC NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64787 | 64787 - Implantation of nerve end into bone or muscle (List separately in addition to neuroma excision) | 64787 - IMPLANTATION NERVE END BONE/MUSCLE | 64787 - IMPLANT NERVE END | '01/01/2017 | 12/31/2999 |
| 64788 | 64788 - Excision of neurofibroma or neurolemmoma; cutaneous nerve | 64788 - EXC NEUROFIBROMA/NEUROLEMMOMA CUTAN NRV | 64788 - REMOVE SKIN NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64790 | 64790 - Excision of neurofibroma or neurolemmoma; major peripheral nerve | 64790 - EXC NEUROFIBROMA/NEUROLEMMOMA MAJOR PRPH NRV | 64790 - REMOVAL OF NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64792 | 64792 - Excision of neurofibroma or neurolemmoma; extensive (including malignant type) | 64792 - EXC NEUROFIBROMA/NEUROLEMMOMA EXTNSV | 64792 - REMOVAL OF NERVE LESION | '01/01/2017 | 12/31/2999 |
| 64795 | 64795 - Biopsy of nerve | 64795 - BIOPSY NERVE | 64795 - BIOPSY OF NERVE | '01/01/2017 | 12/31/2999 |
| 64802 | 64802 - Sympathectomy cervical | 64802 - SYMPATHECTOMY CERVICAL | 64802 - SYMPATHECTOMY CERVICAL | '01/01/2017 | 12/31/2999 |
| 64804 | 64804 - Sympathectomy cervicothoracic | 64804 - SYMPATHECTOMY CERVICOTHORACIC | 64804 - REMOVE SYMPATHETIC NERVES | '01/01/2017 | 12/31/2999 |
| 64809 | 64809 - Sympathectomy thoracolumbar | 64809 - SYMPATHECTOMY THORACOLUMBAR | 64809 - REMOVE SYMPATHETIC NERVES | '01/01/2017 | 12/31/2999 |
| 64818 | 64818 - Sympathectomy lumbar | 64818 - SYMPATHECTOMY LUMBAR | 64818 - REMOVE SYMPATHETIC NERVES | '01/01/2017 | 12/31/2999 |
| 64820 | 64820 - Sympathectomy; digital arteries each digit | 64820 - SYMPATHECTOMY DIGITAL ARTERIES EACH DIGIT | 64820 - SYMPATHECTOMY DIGITAL ARTERY | '01/01/2017 | 12/31/2999 |
| 64821 | 64821 - Sympathectomy; radial artery | 64821 - SYMPATHECTOMY RADIAL ARTERY | 64821 - REMOVE SYMPATHETIC NERVES | '01/01/2017 | 12/31/2999 |
| 64822 | 64822 - Sympathectomy; ulnar artery | 64822 - SYMPATHECTOMY ULNAR ARTERY | 64822 - REMOVE SYMPATHETIC NERVES | '01/01/2017 | 12/31/2999 |
| 64823 | 64823 - Sympathectomy; superficial palmar arch | 64823 - SYMPATHECTOMY SUPERFICIAL PALMAR ARCH | 64823 - SYMPATHECTOMY SUPFC PALMAR | '01/01/2017 | 12/31/2999 |
| 64831 | 64831 - Suture of digital nerve hand or foot; 1 nerve | 64831 - SUTURE DIGITAL NERVE HAND/FOOT 1 NERVE | 64831 - REPAIR OF DIGIT NERVE | '01/01/2017 | 12/31/2999 |
| 64832 | 64832 - Suture of digital nerve hand or foot; each additional digital nerve (List separately in addition to code for primary procedure) | 64832 - SUTR DIGITAL NRV HAND/FOOT EA DGTAL NRV | 64832 - REPAIR NERVE ADD-ON | '01/01/2017 | 12/31/2999 |
| 64834 | 64834 - Suture of 1 nerve; hand or foot common sensory nerve | 64834 - SUTURE 1 NERVE HAND/FOOT COMMON SENSORY NERVE | 64834 - REPAIR OF HAND OR FOOT NERVE | '01/01/2017 | 12/31/2999 |
| 64835 | 64835 - Suture of 1 nerve; median motor thenar | 64835 - SUTURE 1 NERVE MEDIAN MOTOR THENAR | 64835 - REPAIR OF HAND OR FOOT NERVE | '01/01/2017 | 12/31/2999 |
| 64836 | 64836 - Suture of 1 nerve; ulnar motor | 64836 - SUTURE 1 NERVE ULNAR MOTOR | 64836 - REPAIR OF HAND OR FOOT NERVE | '01/01/2017 | 12/31/2999 |
| 64837 | 64837 - Suture of each additional nerve hand or foot (List separately in addition to code for primary procedure) | 64837 - SUTURE EACH ADDITIONAL NERVE HAND/FOOT | 64837 - REPAIR NERVE ADD-ON | '01/01/2017 | 12/31/2999 |
| 64840 | 64840 - Suture of posterior tibial nerve | 64840 - SUTURE POSTERIOR TIBIAL NERVE | 64840 - REPAIR OF LEG NERVE | '01/01/2017 | 12/31/2999 |
| 64856 | 64856 - Suture of major peripheral nerve arm or leg except sciatic; including transposition | 64856 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/TRPOS | 64856 - REPAIR/TRANSPOSE NERVE | '01/01/2017 | 12/31/2999 |
| 64857 | 64857 - Suture of major peripheral nerve arm or leg except sciatic; without transposition | 64857 - SUTR PRPH NRV ARM/LEG XCP SCIATIC W/O TRPOS | 64857 - REPAIR ARM/LEG NERVE | '01/01/2017 | 12/31/2999 |
| 64858 | 64858 - Suture of sciatic nerve | 64858 - SUTURE SCIATIC NERVE | 64858 - REPAIR SCIATIC NERVE | '01/01/2017 | 12/31/2999 |
| 64859 | 64859 - Suture of each additional major peripheral nerve (List separately in addition to code for primary procedure) | 64859 - SUTURE EACH ADDITIONAL PERIPHERAL NERVE | 64859 - NERVE SURGERY | '01/01/2017 | 12/31/2999 |
| 64861 | 64861 - Suture of; brachial plexus | 64861 - SUTURE BRACHIAL PLEXUS | 64861 - REPAIR OF ARM NERVES | '01/01/2017 | 12/31/2999 |
| 64862 | 64862 - Suture of; lumbar plexus | 64862 - SUTURE LUMBAR PLEXUS | 64862 - REPAIR OF LOW BACK NERVES | '01/01/2017 | 12/31/2999 |
| 64864 | 64864 - Suture of facial nerve; extracranial | 64864 - SUTURE FACIAL NERVE EXTRACRANIAL | 64864 - REPAIR OF FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 64865 | 64865 - Suture of facial nerve; infratemporal with or without grafting | 64865 - SUTURE FACIAL NERVE INFRATEMPORAL W/WO GRAFT | 64865 - REPAIR OF FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 64866 | 64866 - Anastomosis; facial-spinal accessory | 64866 - ANASTOMOSIS FACIAL-SPINAL ACCESSORY | 64866 - FUSION OF FACIAL/OTHER NERVE | '01/01/2017 | 12/31/2999 |
| 64868 | 64868 - Anastomosis; facial-hypoglossal | 64868 - ANASTOMOSIS FACIAL HYPOGLOSSAL | 64868 - FUSION OF FACIAL/OTHER NERVE | '01/01/2017 | 12/31/2999 |
| 64872 | 64872 - Suture of nerve; requiring secondary or delayed suture (List separately in addition to code for primary neurorrhaphy) | 64872 - SUTURE NERVE REQ SECONDARY/DELAYED SUTURE | 64872 - SUBSEQUENT REPAIR OF NERVE | '01/01/2017 | 12/31/2999 |
| 64874 | 64874 - Suture of nerve; requiring extensive mobilization or transposition of nerve (List separately in addition to code for nerve suture) | 64874 - SUTURE NERVE REQ XTNSV MOBIL/TRPOS NERVE | 64874 - REPAIR & REVISE NERVE ADD-ON | '01/01/2017 | 12/31/2999 |
| 64876 | 64876 - Suture of nerve; requiring shortening of bone of extremity (List separately in addition to code for nerve suture) | 64876 - SUTURE NERVE REQ SHORTENING BONE EXTREMITY | 64876 - REPAIR NERVE/SHORTEN BONE | '01/01/2017 | 12/31/2999 |
| 64885 | 64885 - Nerve graft (includes obtaining graft) head or neck; up to 4 cm in length | 64885 - NERVE GRAFT HEAD/NECK 64885 - NERVE GRAFT HEAD/NECK '01/01/2017 | 12/31/2999 | ||
| 64886 | 64886 - Nerve graft (includes obtaining graft) head or neck; more than 4 cm length | 64886 - NERVE GRAFT HEAD/NECK >4 CM | 64886 - NERVE GRAFT HEAD/NECK >4 CM | '01/01/2017 | 12/31/2999 |
| 64890 | 64890 - Nerve graft (includes obtaining graft) single strand hand or foot; up to 4 cm length | 64890 - NERVE GRAFT 1 STRAND HAND/FOOT 64890 - NERVE GRAFT HAND/FOOT '01/01/2017 | 12/31/2999 | ||
| 64891 | 64891 - Nerve graft (includes obtaining graft) single strand hand or foot; more than 4 cm length | 64891 - NRV GRF 1 STRAND HAND/FOOT >4 CM | 64891 - NERVE GRAFT HAND/FOOT >4 CM | '01/01/2017 | 12/31/2999 |
| 64892 | 64892 - Nerve graft (includes obtaining graft) single strand arm or leg; up to 4 cm length | 64892 - NERVE GRAFT 1 STRAND ARM/LEG <4 CM | 64892 - NERVE GRAFT ARM/LEG <4 CM | '01/01/2017 | 12/31/2999 |
| 64893 | 64893 - Nerve graft (includes obtaining graft) single strand arm or leg; more than 4 cm length | 64893 - NERVE GRAFT 1 STRAND ARM/LEG >4 CM | 64893 - NERVE GRAFT ARM/LEG >4 CM | '01/01/2017 | 12/31/2999 |
| 64895 | 64895 - Nerve graft (includes obtaining graft) multiple strands (cable) hand or foot; up to 4 cm length | 64895 - NERVE GRAFT MLT STRANDS HAND/FOOT 64895 - NERVE GRAFT HAND/FOOT '01/01/2017 | 12/31/2999 | ||
| 64896 | 64896 - Nerve graft (includes obtaining graft) multiple strands (cable) hand or foot; more than 4 cm length | 64896 - NERVE GRAFT MLT STRANDS HAND/FOOT > 4 CM | 64896 - NERVE GRAFT HAND/FOOT >4 CM | '01/01/2017 | 12/31/2999 |
| 64897 | 64897 - Nerve graft (includes obtaining graft) multiple strands (cable) arm or leg; up to 4 cm length | 64897 - NERVE GRAFT MLT STRANDS ARM/LEG 64897 - NERVE GRAFT ARM/LEG '01/01/2017 | 12/31/2999 | ||
| 64898 | 64898 - Nerve graft (includes obtaining graft) multiple strands (cable) arm or leg; more than 4 cm length | 64898 - NERVE GRAFT MLT STRANDS ARM/LEG >4 CM | 64898 - NERVE GRAFT ARM/LEG >4 CM | '01/01/2017 | 12/31/2999 |
| 64901 | 64901 - Nerve graft each additional nerve; single strand (List separately in addition to code for primary procedure) | 64901 - NERVE GRAFT EACH NERVE 1 STRAND | 64901 - NERVE GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 64902 | 64902 - Nerve graft each additional nerve; multiple strands (cable) (List separately in addition to code for primary procedure) | 64902 - NERVE GRAFT EACH NERVE MULTIPLE STRANDS | 64902 - NERVE GRAFT ADD-ON | '01/01/2017 | 12/31/2999 |
| 64905 | 64905 - Nerve pedicle transfer; first stage | 64905 - NERVE PEDICLE TRANSFER FIRST STAGE | 64905 - NERVE PEDICLE TRANSFER | '01/01/2017 | 12/31/2999 |
| 64907 | 64907 - Nerve pedicle transfer; second stage | 64907 - NERVE PEDICAL TRANSFER SECOND STAGE | 64907 - NERVE PEDICLE TRANSFER | '01/01/2017 | 12/31/2999 |
| 64910 | 64910 - Nerve repair; with synthetic conduit or vein allograft (eg nerve tube) each nerve | 64910 - NERVE REPAIR W/CONDUIT EACH NERVE | 64910 - NERVE REPAIR W/ALLOGRAFT | '01/01/2017 | 12/31/2999 |
| 64911 | 64911 - Nerve repair; with autogenous vein graft (includes harvest of vein graft) each nerve | 64911 - NERVE REPAIR W/AUTOGENOUS VEIN GRAFT EA NERVE | 64911 - NEURORRAPHY W/VEIN AUTOGRAFT | '01/01/2017 | 12/31/2999 |
| 64912 | 64912 - Nerve repair; with nerve allograft each nerve first strand (cable) | 64912 - NERVE REPAIR W/NERVE ALLOGRAFT FIRST STRAND | 64912 - NRV RPR W/NRV ALGRFT 1ST | '01/01/2018 | 12/31/2999 |
| 64913 | 64913 - Nerve repair; with nerve allograft each additional strand (List separately in addition to code for primary procedure) | 64913 - NERVE REPAIR W/NERVE ALLOGRAFT EA ADDL STRAND | 64913 - NRV RPR W/NRV ALGRFT EA ADDL | '01/01/2018 | 12/31/2999 |
| 64999 | 64999 - Unlisted procedure nervous system | 64999 - UNLISTED PROCEDURE NERVOUS SYSTEM | 64999 - UNLISTED PX NERVOUS SYSTEM | '01/01/2023 | 12/31/2999 |
| 65091 | 65091 - Evisceration of ocular contents; without implant | 65091 - EVISCERATION OCULAR CONTENTS W/O IMPLANT | 65091 - REVISE EYE | '01/01/2017 | 12/31/2999 |
| 65093 | 65093 - Evisceration of ocular contents; with implant | 65093 - EVISCERATION OCULAR CONTENTS W/IMPLANT | 65093 - REVISE EYE WITH IMPLANT | '01/01/2017 | 12/31/2999 |
| 65101 | 65101 - Enucleation of eye; without implant | 65101 - ENUCLEATION OF EYE W/O IMPLANT | 65101 - REMOVAL OF EYE | '01/01/2017 | 12/31/2999 |
| 65103 | 65103 - Enucleation of eye; with implant muscles not attached to implant | 65103 - ENUCLEATION EYE IMPLT MUSC X ATTACHED IMPLT | 65103 - REMOVE EYE/INSERT IMPLANT | '01/01/2017 | 12/31/2999 |
| 65105 | 65105 - Enucleation of eye; with implant muscles attached to implant | 65105 - ENUCLEATION EYE IMPLT MUSC ATTACHED IMPLT | 65105 - REMOVE EYE/ATTACH IMPLANT | '01/01/2017 | 12/31/2999 |
| 65110 | 65110 - Exenteration of orbit (does not include skin graft) removal of orbital contents; only | 65110 - EXENTERATION ORBIT REMVL ORBITAL CONTENTS ONLY | 65110 - REMOVAL OF EYE | '01/01/2017 | 12/31/2999 |
| 65112 | 65112 - Exenteration of orbit (does not include skin graft) removal of orbital contents; with therapeutic removal of bone | 65112 - EXENTERATION ORBIT RMVL ORBIT CONTENTS & BONE | 65112 - REMOVE EYE/REVISE SOCKET | '01/01/2017 | 12/31/2999 |
| 65114 | 65114 - Exenteration of orbit (does not include skin graft) removal of orbital contents; with muscle or myocutaneous flap | 65114 - EXNTJ ORBIT RMVL ORB CNTS W/MUSC/MYOQ FLAP | 65114 - REMOVE EYE/REVISE SOCKET | '01/01/2017 | 12/31/2999 |
| 65125 | 65125 - Modification of ocular implant with placement or replacement of pegs (eg drilling receptacle for prosthesis appendage) (separate procedure) | 65125 - MODIFICAJ OC IMPLT W/PLMT/RPLCMT PEGS SPX | 65125 - REVISE OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65130 | 65130 - Insertion of ocular implant secondary; after evisceration in scleral shell | 65130 - INSJ OC IMPLT SEC AFTER EVSC SCLL SHELL | 65130 - INSERT OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65135 | 65135 - Insertion of ocular implant secondary; after enucleation muscles not attached to implant | 65135 - INSJ OC IMPLT AFTER ENCL MUSC X ATTACHED | 65135 - INSERT OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65140 | 65140 - Insertion of ocular implant secondary; after enucleation muscles attached to implant | 65140 - INSJ OC IMPLT AFTER ENCL MUSC ATTACHED | 65140 - ATTACH OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65150 | 65150 - Reinsertion of ocular implant; with or without conjunctival graft | 65150 - REINSERTION OCULAR IMPLT W/WO CONJUNCTIVAL GRAFT | 65150 - REVISE OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65155 | 65155 - Reinsertion of ocular implant; with use of foreign material for reinforcement and/or attachment of muscles to implant | 65155 - REINSERTION OCULAR IMPLT RNFCMT &/ ATTACH MUSCLE | 65155 - REINSERT OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65175 | 65175 - Removal of ocular implant | 65175 - REMOVAL OCULAR IMPLANT | 65175 - REMOVAL OF OCULAR IMPLANT | '01/01/2017 | 12/31/2999 |
| 65205 | 65205 - Removal of foreign body external eye; conjunctival superficial | 65205 - REMOVAL FB EYE CONJUNCTIVAL SUPERFICIAL | 65205 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65210 | 65210 - Removal of foreign body external eye; conjunctival embedded (includes concretions) subconjunctival or scleral nonperforating | 65210 - RMVL FB XTRNL EYE EMBED SCJNCL/SCLERAL NONPERFOR | 65210 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65220 | 65220 - Removal of foreign body external eye; corneal without slit lamp | 65220 - RMVL FB XTRNL EYE CORNEAL W/O SLIT LAMP | 65220 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65222 | 65222 - Removal of foreign body external eye; corneal with slit lamp | 65222 - RMVL FB XTRNL EYE CORNEAL W/SLIT LAMP | 65222 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65235 | 65235 - Removal of foreign body intraocular; from anterior chamber of eye or lens | 65235 - RMVL FB INTRAOCULAR ANT CHAMBER EYE/LENS | 65235 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65260 | 65260 - Removal of foreign body intraocular; from posterior segment magnetic extraction anterior or posterior route | 65260 - RMVL FB IO FROM POST SEG MAG XTRJ ANT/POST ROUTE | 65260 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65265 | 65265 - Removal of foreign body intraocular; from posterior segment nonmagnetic extraction | 65265 - RMVL FB IO FROM POST SEG NONMAGNETIC XTRJ | 65265 - REMOVE FOREIGN BODY FROM EYE | '01/01/2017 | 12/31/2999 |
| 65270 | 65270 - Repair of laceration; conjunctiva with or without nonperforating laceration sclera direct closure | 65270 - RPR LAC CJNC W/WO NONPERFOR LAC SCLERA DIR CLSR | 65270 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65272 | 65272 - Repair of laceration; conjunctiva by mobilization and rearrangement without hospitalization | 65272 - RPR LAC CJNC MOBLJ& REARGMT W/O HOSPITALIZATION | 65272 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65273 | 65273 - Repair of laceration; conjunctiva by mobilization and rearrangement with hospitalization | 65273 - RPR LAC CJNC MOBLJ & REARGMT W/HOSPIZATION | 65273 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65275 | 65275 - Repair of laceration; cornea nonperforating with or without removal foreign body | 65275 - RPR LAC CORNEA NONPERFOR W/WO RMVL FOREIGN BODY | 65275 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65280 | 65280 - Repair of laceration; cornea and/or sclera perforating not involving uveal tissue | 65280 - RPR LAC CORNEA&/SCLERA PERFOR X INVG UVEAL TIS | 65280 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65285 | 65285 - Repair of laceration; cornea and/or sclera perforating with reposition or resection of uveal tissue | 65285 - RPR LAC CORN&/SCLRA PERF W/REPOS/RESCJ UVEAL T | 65285 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65286 | 65286 - Repair of laceration; application of tissue glue wounds of cornea and/or sclera | 65286 - RPR LAC APPL TISSUE GLUE WOUND CORNEA&/SCLERA | 65286 - REPAIR OF EYE WOUND | '01/01/2017 | 12/31/2999 |
| 65290 | 65290 - Repair of wound extraocular muscle tendon and/or Tenon's capsule | 65290 - RPR WND EXTRAOCULAR MUSCLE TENDON&/TENON CAPSU | 65290 - REPAIR OF EYE SOCKET WOUND | '01/01/2017 | 12/31/2999 |
| 65400 | 65400 - Excision of lesion cornea (keratectomy lamellar partial) except pterygium | 65400 - EXCISION LESION CORNEA XCP PTERYGIUM | 65400 - REMOVAL OF EYE LESION | '01/01/2017 | 12/31/2999 |
| 65410 | 65410 - Biopsy of cornea | 65410 - BIOPSY CORNEA | 65410 - BIOPSY OF CORNEA | '01/01/2017 | 12/31/2999 |
| 65420 | 65420 - Excision or transposition of pterygium; without graft | 65420 - EXCISION/TRANSPOSITION PTERYGIUM W/O GRAFT | 65420 - REMOVAL OF EYE LESION | '01/01/2017 | 12/31/2999 |
| 65426 | 65426 - Excision or transposition of pterygium; with graft | 65426 - EXCISION/TRANSPOSITION PTERYGIUM W/GRAFG | 65426 - REMOVAL OF EYE LESION | '01/01/2017 | 12/31/2999 |
| 65430 | 65430 - Scraping of cornea diagnostic for smear and/or culture | 65430 - CORNEA SCRAPING DIAGNOSTIC SMEAR &/CULTURE | 65430 - CORNEAL SMEAR | '01/01/2017 | 12/31/2999 |
| 65435 | 65435 - Removal of corneal epithelium; with or without chemocauterization (abrasion curettage) | 65435 - RMVL CORNEAL EPITHELIUM W/WO CHEMOCAUTERIZATION | 65435 - CURETTE/TREAT CORNEA | '01/01/2017 | 12/31/2999 |
| 65436 | 65436 - Removal of corneal epithelium; with application of chelating agent (eg EDTA) | 65436 - RMVL CORNEAL EPITHELIUM W/APPL CHELATING AGENT | 65436 - CURETTE/TREAT CORNEA | '01/01/2017 | 12/31/2999 |
| 65450 | 65450 - Destruction of lesion of cornea by cryotherapy photocoagulation or thermocauterization | 65450 - DSTRJ LESION CRYOTHER PHOTO/THERMOCAUTZATION | 65450 - TREATMENT OF CORNEAL LESION | '01/01/2017 | 12/31/2999 |
| 65600 | 65600 - Multiple punctures of anterior cornea (eg for corneal erosion tattoo) | 65600 - MULTIPLE PUNCTURES ANTERIOR CORNEA | 65600 - REVISION OF CORNEA | '01/01/2017 | 12/31/2999 |
| 65710 | 65710 - Keratoplasty (corneal transplant); anterior lamellar | 65710 - KERATOPLASTY ANTERIOR LAMELLAR | 65710 - CORNEAL TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65730 | 65730 - Keratoplasty (corneal transplant); penetrating (except in aphakia or pseudophakia) | 65730 - KERATOPLASTY PENTRG EXCEPT APHAKIA/PSEUDOPHAKIA | 65730 - CORNEAL TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65750 | 65750 - Keratoplasty (corneal transplant); penetrating (in aphakia) | 65750 - KERATOPLASTY PENETRAING APHAKIA | 65750 - CORNEAL TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65755 | 65755 - Keratoplasty (corneal transplant); penetrating (in pseudophakia) | 65755 - KERATOPLASTY PENETRATING PSEUDOPHAKIA | 65755 - CORNEAL TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65756 | 65756 - Keratoplasty (corneal transplant); endothelial | 65756 - KERATOPLASTY ENDOTHELIAL | 65756 - CORNEAL TRNSPL ENDOTHELIAL | '01/01/2017 | 12/31/2999 |
| 65757 | 65757 - Backbench preparation of corneal endothelial allograft prior to transplantation (List separately in addition to code for primary procedure) | 65757 - BACKBENCH PREPJ CORNEAL ENDOTHELIAL ALLOGRAFT | 65757 - PREP CORNEAL ENDO ALLOGRAFT | '01/01/2017 | 12/31/2999 |
| 65760 | 65760 - Keratomileusis | 65760 - KERATOMILEUSIS | 65760 - REVISION OF CORNEA | '01/01/2017 | 12/31/2999 |
| 65765 | 65765 - Keratophakia | 65765 - KERATOPHAKIA | 65765 - REVISION OF CORNEA | '01/01/2017 | 12/31/2999 |
| 65767 | 65767 - Epikeratoplasty | 65767 - EPIKERATOPLASTY | 65767 - CORNEAL TISSUE TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65770 | 65770 - Keratoprosthesis | 65770 - KERATOPROSTHESIS | 65770 - REVISE CORNEA WITH IMPLANT | '01/01/2017 | 12/31/2999 |
| 65771 | 65771 - Radial keratotomy | 65771 - RADIAL KERATOTOMY | 65771 - RADIAL KERATOTOMY | '01/01/2017 | 12/31/2999 |
| 65772 | 65772 - Corneal relaxing incision for correction of surgically induced astigmatism | 65772 - CRNL RELAXING INC CORRJ INDUCED ASTIGMATISM | 65772 - CORRECTION OF ASTIGMATISM | '01/01/2017 | 12/31/2999 |
| 65775 | 65775 - Corneal wedge resection for correction of surgically induced astigmatism | 65775 - CRNL WEDGE RESCJ CORRJ INDUCED ASTIGMATISM | 65775 - CORRECTION OF ASTIGMATISM | '01/01/2017 | 12/31/2999 |
| 65778 | 65778 - Placement of amniotic membrane on the ocular surface; without sutures | 65778 - PLACE AMNIOTIC MEMBRA OCULAR SURFACE W/O SUTURES | 65778 - COVER EYE W/MEMBRANE | '01/01/2017 | 12/31/2999 |
| 65779 | 65779 - Placement of amniotic membrane on the ocular surface; single layer sutured | 65779 - PLACE AMNIOTIC MEMBRANE OCULAR SURFACE SUTURED | 65779 - COVER EYE W/MEMBRANE SUTURE | '01/01/2017 | 12/31/2999 |
| 65780 | 65780 - Ocular surface reconstruction; amniotic membrane transplantation multiple layers | 65780 - OCULAR SURFACE RECONSTRUCTION AMNIOTIC MEMBRANE | 65780 - OCULAR RECONST TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65781 | 65781 - Ocular surface reconstruction; limbal stem cell allograft (eg cadaveric or living donor) | 65781 - OCULAR SURFACE RECONSTRUCTION LIMBAL ALLOGRAFT | 65781 - OCULAR RECONST TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65782 | 65782 - Ocular surface reconstruction; limbal conjunctival autograft (includes obtaining graft) | 65782 - OCCULAR SURFACE RECONSTRUCTION LIMBAL AUTOGRAFT | 65782 - OCULAR RECONST TRANSPLANT | '01/01/2017 | 12/31/2999 |
| 65785 | 65785 - Implantation of intrastromal corneal ring segments | 65785 - IMPLANTATION INTRASTROMAL CORNEAL RING SEGMENTS | 65785 - IMPLTJ NTRSTRML CRNL RNG SEG | '01/01/2017 | 12/31/2999 |
| 65800 | 65800 - Paracentesis of anterior chamber of eye (separate procedure); with removal of aqueous | 65800 - PARACENTSIS ANT CHAMB EYE ASPIR AQUEOUS SPX | 65800 - DRAINAGE OF EYE | '01/01/2017 | 12/31/2999 |
| 65810 | 65810 - Paracentesis of anterior chamber of eye (separate procedure); with removal of vitreous and/or discission of anterior hyaloid membrane with or without air injection | 65810 - PARACENTSIS ANT CHAM RMVL VITREOUS W/WO AIR INJX | 65810 - DRAINAGE OF EYE | '01/01/2017 | 12/31/2999 |
| 65815 | 65815 - Paracentesis of anterior chamber of eye (separate procedure); with removal of blood with or without irrigation and/or air injection | 65815 - PARACEN ANT CHAM RMVL BLOOD W/WO IRRIG&/AIR IN | 65815 - DRAINAGE OF EYE | '01/01/2017 | 12/31/2999 |
| 65820 | 65820 - Goniotomy | 65820 - GONIOTOMY | 65820 - RELIEVE INNER EYE PRESSURE | '01/01/2017 | 12/31/2999 |
| 65850 | 65850 - Trabeculotomy ab externo | 65850 - TRABECULOTOMY AB EXTERNO | 65850 - INCISION OF EYE | '01/01/2017 | 12/31/2999 |
| 65855 | 65855 - Trabeculoplasty by laser surgery | 65855 - TRABECULOPLASTY BY LASER SURGERY | 65855 - TRABECULOPLASTY LASER SURG | '01/01/2017 | 12/31/2999 |
| 65860 | 65860 - Severing adhesions of anterior segment laser technique (separate procedure) | 65860 - SEVERING ADHESIONS ANTERIOR SEGMENT LASER SPX | 65860 - INCISE INNER EYE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 65865 | 65865 - Severing adhesions of anterior segment of eye incisional technique (with or without injection of air or liquid) (separate procedure); goniosynechiae | 65865 - SEVERING ADS ANT SEG INCAL TQ SPX GONIOSYNECHIAE | 65865 - INCISE INNER EYE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 65870 | 65870 - Severing adhesions of anterior segment of eye incisional technique (with or without injection of air or liquid) (separate procedure); anterior synechiae except goniosynechiae | 65870 - SEVERING ADS ANT SEG INCAL SPX ANT SYNECHIAE | 65870 - INCISE INNER EYE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 65875 | 65875 - Severing adhesions of anterior segment of eye incisional technique (with or without injection of air or liquid) (separate procedure); posterior synechiae | 65875 - SEVERING ADS ANT SEG INCAL SPX POST SYNECHIAE | 65875 - INCISE INNER EYE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 65880 | 65880 - Severing adhesions of anterior segment of eye incisional technique (with or without injection of air or liquid) (separate procedure); corneovitreal adhesions | 65880 - SEVERING ADS ANT SEG INCAL SPX CORNEOVITREAL | 65880 - INCISE INNER EYE ADHESIONS | '01/01/2017 | 12/31/2999 |
| 65900 | 65900 - Removal of epithelial downgrowth anterior chamber of eye | 65900 - RMVL EPITHELIAL DOWNGROWTH ANT CHAMBER EYE | 65900 - REMOVE EYE LESION | '01/01/2017 | 12/31/2999 |
| 65920 | 65920 - Removal of implanted material anterior segment of eye | 65920 - RMVL IMPLANTED MATERIAL ANTERIO SEGMENT EYE | 65920 - REMOVE IMPLANT OF EYE | '01/01/2017 | 12/31/2999 |
| 65930 | 65930 - Removal of blood clot anterior segment of eye | 65930 - RMVL BLOOD CLOT ANTERIOR SEGMENT EYE | 65930 - REMOVE BLOOD CLOT FROM EYE | '01/01/2017 | 12/31/2999 |
| 66020 | 66020 - Injection anterior chamber of eye (separate procedure); air or liquid | 66020 - INJX ANTERIOR CHAMBER EYE AIR/LIQUID SPX | 66020 - INJECTION TREATMENT OF EYE | '01/01/2017 | 12/31/2999 |
| 66030 | 66030 - Injection anterior chamber of eye (separate procedure); medication | 66030 - INJX ANTERIOR CHAMBER EYE MEDICATION SPX | 66030 - INJECTION TREATMENT OF EYE | '01/01/2017 | 12/31/2999 |
| 66130 | 66130 - Excision of lesion sclera | 66130 - EXCISION LESION SCLERA | 66130 - REMOVE EYE LESION | '01/01/2017 | 12/31/2999 |
| 66150 | 66150 - Fistulization of sclera for glaucoma; trephination with iridectomy | 66150 - FSTLJ SCLERA GLAUCOMA TREPHIN W/IRIDECTOMY | 66150 - GLAUCOMA SURGERY | '01/01/2017 | 12/31/2999 |
| 66155 | 66155 - Fistulization of sclera for glaucoma; thermocauterization with iridectomy | 66155 - FSTLJ SCLERA GLAUCOMA THERMOCAUT IRRIDEC | 66155 - GLAUCOMA SURGERY | '01/01/2017 | 12/31/2999 |
| 66160 | 66160 - Fistulization of sclera for glaucoma; sclerectomy with punch or scissors with iridectomy | 66160 - FSTLJ SCLERA SCLERECTOMY PUNCH/SCISSORS IRIDECT | 66160 - GLAUCOMA SURGERY | '01/01/2017 | 12/31/2999 |
| 66170 | 66170 - Fistulization of sclera for glaucoma; trabeculectomy ab externo in absence of previous surgery | 66170 - FSTLJ SCLERA GLAUCOMA TRABECULECT AB EXTERNO | 66170 - GLAUCOMA SURGERY | '01/01/2017 | 12/31/2999 |
| 66172 | 66172 - Fistulization of sclera for glaucoma; trabeculectomy ab externo with scarring from previous ocular surgery or trauma (includes injection of antifibrotic agents) | 66172 - FSTLJ SCLERA GLC TRBEC AB EXTERNO SCARRING | 66172 - INCISION OF EYE | '01/01/2017 | 12/31/2999 |
| 66174 | 66174 - Transluminal dilation of aqueous outflow canal (eg canaloplasty); without retention of device or stent | 66174 - TRLUML DILAT AQUEOUS O/F CAN WO RETENTION DEV/ST | 66174 - TRLUML DIL AQ O/F CAN W/O ST | '01/01/2023 | 12/31/2999 |
| 66175 | 66175 - Transluminal dilation of aqueous outflow canal (eg canaloplasty); with retention of device or stent | 66175 - TRLUML DILAT AQUEOUS O/F CAN W/RETENTION DEV/ST | 66175 - TRLUML DIL AQ O/F CAN W/ST | '01/01/2023 | 12/31/2999 |
| 66179 | 66179 - Aqueous shunt to extraocular equatorial plate reservoir external approach; without graft | 66179 - AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT | 66179 - AQUEOUS SHUNT EYE W/O GRAFT | '01/01/2017 | 12/31/2999 |
| 66180 | 66180 - Aqueous shunt to extraocular equatorial plate reservoir external approach; with graft | 66180 - AQUEOUS SHUNT EXTRAOC EQUAT PLATE RSVR W/GRAFT | 66180 - AQUEOUS SHUNT EYE W/GRAFT | '01/01/2017 | 12/31/2999 |
| 66183 | 66183 - Insertion of anterior segment aqueous drainage device without extraocular reservoir external approach | 66183 - INSERT ANTER DRAINAGE DEV W/O EXTRAOC RESERVOIR | 66183 - INSERT ANT DRAINAGE DEVICE | '01/01/2017 | 12/31/2999 |
| 66184 | 66184 - Revision of aqueous shunt to extraocular equatorial plate reservoir; without graft | 66184 - REVJ SHUNT EXTRAOCULAR RESERVOIR W/O GRAFT | 66184 - REVISION OF AQUEOUS SHUNT | '01/01/2017 | 12/31/2999 |
| 66185 | 66185 - Revision of aqueous shunt to extraocular equatorial plate reservoir; with graft | 66185 - REVJ AQUEOUS SHUNT EXTRAOCULAR RESERVOIR W/GRAFT | 66185 - REVISE AQUEOUS SHUNT EYE | '01/01/2017 | 12/31/2999 |
| 66225 | 66225 - Repair of scleral staphyloma with graft | 66225 - REPAIR SCLERAL STAPHYLOMA W/GRAFT | 66225 - REPAIR/GRAFT EYE LESION | '01/01/2019 | 12/31/2999 |
| 66250 | 66250 - Revision or repair of operative wound of anterior segment any type early or late major or minor procedure | 66250 - REVJ/RPR OPRATIVE WOUND ANTERIOR SEGMENT | 66250 - FOLLOW-UP SURGERY OF EYE | '01/01/2017 | 12/31/2999 |
| 66500 | 66500 - Iridotomy by stab incision (separate procedure); except transfixion | 66500 - IRIDOTOMY STAB INC SPX XCP TRANSFIXION | 66500 - INCISION OF IRIS | '01/01/2017 | 12/31/2999 |
| 66505 | 66505 - Iridotomy by stab incision (separate procedure); with transfixion as for iris bombe | 66505 - IRIDOTOMY STAB INC SPX TRANSFIXION | 66505 - INCISION OF IRIS | '01/01/2017 | 12/31/2999 |
| 66600 | 66600 - Iridectomy with corneoscleral or corneal section; for removal of lesion | 66600 - IRDEC CRNLSCLRL/CRNL SCTJ RMVL LES | 66600 - REMOVE IRIS AND LESION | '01/01/2017 | 12/31/2999 |
| 66605 | 66605 - Iridectomy with corneoscleral or corneal section; with cyclectomy | 66605 - IRDEC CRNLSCLRL/CRNL SCTJ CYCLECTOMY | 66605 - REMOVAL OF IRIS | '01/01/2017 | 12/31/2999 |
| 66625 | 66625 - Iridectomy with corneoscleral or corneal section; peripheral for glaucoma (separate procedure) | 66625 - IRDEC CRNLSCLRL/CRNL SCTJ PRPH GLC SPX | 66625 - REMOVAL OF IRIS | '01/01/2017 | 12/31/2999 |
| 66630 | 66630 - Iridectomy with corneoscleral or corneal section; sector for glaucoma (separate procedure) | 66630 - IRDEC CRNLSCLRL/CRNL SCTJ SECTOR GLC SPX | 66630 - REMOVAL OF IRIS | '01/01/2017 | 12/31/2999 |
| 66635 | 66635 - Iridectomy with corneoscleral or corneal section; optical (separate procedure) | 66635 - IRDEC CRNLSCLRL/CRNL SCTJ OPTICAL SPX | 66635 - REMOVAL OF IRIS | '01/01/2017 | 12/31/2999 |
| 66680 | 66680 - Repair of iris ciliary body (as for iridodialysis) | 66680 - REPAIR IRIS CILIARY BODY | 66680 - REPAIR IRIS & CILIARY BODY | '01/01/2017 | 12/31/2999 |
| 66682 | 66682 - Suture of iris ciliary body (separate procedure) with retrieval of suture through small incision (eg McCannel suture) | 66682 - SUTURE IRIS CILIARY BODY SPX RETRIEVAL SUTURE | 66682 - REPAIR IRIS & CILIARY BODY | '01/01/2017 | 12/31/2999 |
| 66700 | 66700 - Ciliary body destruction; diathermy | 66700 - CILIARY BODY DESTRUCTION DIATHERMY | 66700 - DESTRUCTION CILIARY BODY | '01/01/2017 | 12/31/2999 |
| 66710 | 66710 - Ciliary body destruction; cyclophotocoagulation transscleral | 66710 - CILIARY BODY DSTRJ CYCLOPHOTOCOAG TRANSSCERAL | 66710 - CILIARY TRANSSLERAL THERAPY | '01/01/2017 | 12/31/2999 |
| 66711 | 66711 - Ciliary body destruction; cyclophotocoagulation endoscopic without concomitant removal of crystalline lens | 66711 - ECP CILIARY BODY DSTRJ W/O RMVL CRYSTALLINE LENS | 66711 - ECP CILIARY BODY DESTRUCTION | '01/01/2020 | 12/31/2999 |
| 66720 | 66720 - Ciliary body destruction; cryotherapy | 66720 - CILIARY BODY DESTRUCTION CRYOTHERAPY | 66720 - DESTRUCTION CILIARY BODY | '01/01/2017 | 12/31/2999 |
| 66740 | 66740 - Ciliary body destruction; cyclodialysis | 66740 - CILIARY BODY DESTRUCTION CYCLODIALYSIS | 66740 - DESTRUCTION CILIARY BODY | '01/01/2017 | 12/31/2999 |
| 66761 | 66761 - Iridotomy/iridectomy by laser surgery (eg for glaucoma) (per session) | 66761 - IRIDOTOMY/IRRIDECTOMY LASER SURG PER SESSION | 66761 - REVISION OF IRIS | '01/01/2017 | 12/31/2999 |
| 66762 | 66762 - Iridoplasty by photocoagulation (1 or more sessions) (eg for improvement of vision for widening of anterior chamber angle) | 66762 - IRIDOPLASTY PHOTOCOAGULATION 1/> SESSIONS | 66762 - REVISION OF IRIS | '01/01/2017 | 12/31/2999 |
| 66770 | 66770 - Destruction of cyst or lesion iris or ciliary body (nonexcisional procedure) | 66770 - DSTRJ CYST/LESION IRIS/CILIARY BODY | 66770 - REMOVAL OF INNER EYE LESION | '01/01/2017 | 12/31/2999 |
| 66820 | 66820 - Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); stab incision technique (Ziegler or Wheeler knife) | 66820 - DISCISSION SECONDARY MEMBRANOUS CATARACT | 66820 - INCISION SECONDARY CATARACT | '01/01/2017 | 12/31/2999 |
| 66821 | 66821 - Discission of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid); laser surgery (eg YAG laser) (1 or more stages) | 66821 - POST-CATARACT LASER SURGERY | 66821 - AFTER CATARACT LASER SURGERY | '01/01/2017 | 12/31/2999 |
| 66825 | 66825 - Repositioning of intraocular lens prosthesis requiring an incision (separate procedure) | 66825 - REPOSITIONING IO LENS PROSTHESIS REQ INC SPX | 66825 - REPOSITION INTRAOCULAR LENS | '01/01/2017 | 12/31/2999 |
| 66830 | 66830 - Removal of secondary membranous cataract (opacified posterior lens capsule and/or anterior hyaloid) with corneo-scleral section with or without iridectomy (iridocapsulotomy iridocapsulectomy) | 66830 - RMVL SEC MEMBRANOUS CTRC CORNEO-SCLL SCTJ | 66830 - REMOVAL OF LENS LESION | '01/01/2017 | 12/31/2999 |
| 66840 | 66840 - Removal of lens material; aspiration technique 1 or more stages | 66840 - RMVL LENS MATERIAL ASPIR TQ 1/> STAGES | 66840 - REMOVAL OF LENS MATERIAL | '01/01/2017 | 12/31/2999 |
| 66850 | 66850 - Removal of lens material; phacofragmentation technique (mechanical or ultrasonic) (eg phacoemulsification) with aspiration | 66850 - RMVL LENS MATERIAL PHACOFRAGMENTATION ASPIR | 66850 - REMOVAL OF LENS MATERIAL | '01/01/2017 | 12/31/2999 |
| 66852 | 66852 - Removal of lens material; pars plana approach with or without vitrectomy | 66852 - RMVL LENS MATERIAL PARS PLANA W/WO VITRECTOMY | 66852 - REMOVAL OF LENS MATERIAL | '01/01/2017 | 12/31/2999 |
| 66920 | 66920 - Removal of lens material; intracapsular | 66920 - RMVL LENS MATERIAL INTRACAPSULAR | 66920 - EXTRACTION OF LENS | '01/01/2017 | 12/31/2999 |
| 66930 | 66930 - Removal of lens material; intracapsular for dislocated lens | 66930 - REMOVAL LENS MATRL INTRACAPSULAR DISLOCATED LENS | 66930 - EXTRACTION OF LENS | '01/01/2017 | 12/31/2999 |
| 66940 | 66940 - Removal of lens material; extracapsular (other than 66840 66850 66852) | 66940 - REMOVAL LENS MATERIAL EXTRACAPSULAR | 66940 - EXTRACTION OF LENS | '01/01/2017 | 12/31/2999 |
| 66982 | 66982 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification) complex requiring devices or techniques not generally used in routine cataract surgery (eg iris expansion device suture support for intraocular lens or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; without endoscopic cyclophotocoagulation | 66982 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX WO ECP | 66982 - XCAPSL CTRC RMVL CPLX WO ECP | '01/01/2020 | 12/31/2999 |
| 66983 | 66983 - Intracapsular cataract extraction with insertion of intraocular lens prosthesis (1 stage procedure) | 66983 - ICAPSULAR CATARACT XTRJ INSJ IO LENS PRSTH 1 STG | 66983 - CATARACT SURG W/IOL 1 STAGE | '01/01/2017 | 12/31/2999 |
| 66984 | 66984 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification); without endoscopic cyclophotocoagulation | 66984 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/O ECP | 66984 - XCAPSL CTRC RMVL W/O ECP | '01/01/2020 | 12/31/2999 |
| 66985 | 66985 - Insertion of intraocular lens prosthesis (secondary implant) not associated with concurrent cataract removal | 66985 - INSJ IO LENS PROSTHESIS NOT W/CONCURRENT RMVL | 66985 - INSERT LENS PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 66986 | 66986 - Exchange of intraocular lens | 66986 - EXCHANGE INTRAOCULAR LENS | 66986 - EXCHANGE LENS PROSTHESIS | '01/01/2017 | 12/31/2999 |
| 66987 | 66987 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification) complex requiring devices or techniques not generally used in routine cataract surgery (eg iris expansion device suture support for intraocular lens or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with endoscopic cyclophotocoagulation | 66987 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH CPLX W/ECP | 66987 - XCAPSL CTRC RMVL CPLX W/ECP | '01/01/2020 | 12/31/2999 |
| 66988 | 66988 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification); with endoscopic cyclophotocoagulation | 66988 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH W/ECP | 66988 - XCAPSL CTRC RMVL W/ECP | '01/01/2020 | 12/31/2999 |
| 66989 | 66989 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1-stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification) complex requiring devices or techniques not generally used in routine cataract surgery (eg iris expansion device suture support for intraocular lens or primary posterior capsulorrhexis) or performed on patients in the amblyogenic developmental stage; with insertion of intraocular (eg trabecular meshwork supraciliary suprachoroidal) anterior segment aqueous drainage device without extraocular reservoir internal approach one or more | 66989 - XCAPSL CTRC RMVL INSJ IO LENS PRSTH CPLX INSJ 1+ | 66989 - XCPSL CTRC RMVL CPLX INSJ 1+ | '01/01/2022 | 12/31/2999 |
| 66990 | 66990 - Use of ophthalmic endoscope (List separately in addition to code for primary procedure) | 66990 - USE OPHTHALMIC ENDOSCOPE | 66990 - OPHTHALMIC ENDOSCOPE ADD-ON | '01/01/2017 | 12/31/2999 |
| 66991 | 66991 - Extracapsular cataract removal with insertion of intraocular lens prosthesis (1 stage procedure) manual or mechanical technique (eg irrigation and aspiration or phacoemulsification); with insertion of intraocular (eg trabecular meshwork supraciliary suprachoroidal) anterior segment aqueous drainage device without extraocular reservoir internal approach one or more | 66991 - XCAPSL CTRC RMVL INSJ IO LENS PROSTH INSJ 1+ | 66991 - XCAPSL CTRC RMVL INSJ 1+ | '01/01/2022 | 12/31/2999 |
| 66999 | 66999 - Unlisted procedure anterior segment of eye | 66999 - UNLISTED PROCEDURE ANTERIOR SEGMENT EYE | 66999 - UNLISTED PX ANT SEGMENT EYE | '01/01/2023 | 12/31/2999 |
| 67005 | 67005 - Removal of vitreous anterior approach (open sky technique or limbal incision); partial removal | 67005 - RMVL VITREOUS ANT APPR PARTIAL REMOVAL | 67005 - PARTIAL REMOVAL OF EYE FLUID | '01/01/2017 | 12/31/2999 |
| 67010 | 67010 - Removal of vitreous anterior approach (open sky technique or limbal incision); subtotal removal with mechanical vitrectomy | 67010 - RMVL VITREOUS ANT APPR SUBTOT RMVL MECH VITRECT | 67010 - PARTIAL REMOVAL OF EYE FLUID | '01/01/2017 | 12/31/2999 |
| 67015 | 67015 - Aspiration or release of vitreous subretinal or choroidal fluid pars plana approach (posterior sclerotomy) | 67015 - ASPIRATION/RELEASE VITREOUS SUBRETINAL/CHOROIDAL | 67015 - RELEASE OF EYE FLUID | '01/01/2017 | 12/31/2999 |
| 67025 | 67025 - Injection of vitreous substitute pars plana or limbal approach (fluid-gas exchange) with or without aspiration (separate procedure) | 67025 - INJ SUBSTITUTE PARS PLANA/LIMBL W/WO ASPIR SPX | 67025 - REPLACE EYE FLUID | '01/01/2017 | 12/31/2999 |
| 67027 | 67027 - Implantation of intravitreal drug delivery system (eg ganciclovir implant) includes concomitant removal of vitreous | 67027 - IMPLTJ INTRAVITREAL DRUG DLVR SYS RMVL VTS | 67027 - IMPLANT EYE DRUG SYSTEM | '01/01/2017 | 12/31/2999 |
| 67028 | 67028 - Intravitreal injection of a pharmacologic agent (separate procedure) | 67028 - INTRAVITREAL NJX PHARMACOLOGIC AGT SPX | 67028 - INJECTION EYE DRUG | '01/01/2017 | 12/31/2999 |
| 67030 | 67030 - Discission of vitreous strands (without removal) pars plana approach | 67030 - DISCISSION VITREOUS STRANS PARS PLANA APPROACH | 67030 - INCISE INNER EYE STRANDS | '01/01/2017 | 12/31/2999 |
| 67031 | 67031 - Severing of vitreous strands vitreous face adhesions sheets membranes or opacities laser surgery (1 or more stages) | 67031 - SEVERING VITREOUS STRANS LASER 1/> STAGES | 67031 - LASER SURGERY EYE STRANDS | '01/01/2017 | 12/31/2999 |
| 67036 | 67036 - Vitrectomy mechanical pars plana approach; | 67036 - VITRECTOMY MECHANICAL PARS PLANA | 67036 - REMOVAL OF INNER EYE FLUID | '01/01/2017 | 12/31/2999 |
| 67039 | 67039 - Vitrectomy mechanical pars plana approach; with focal endolaser photocoagulation | 67039 - VITRECTOMY MCHNL PARS PLNA FOCAL ENDOLASER PC | 67039 - LASER TREATMENT OF RETINA | '01/01/2017 | 12/31/2999 |
| 67040 | 67040 - Vitrectomy mechanical pars plana approach; with endolaser panretinal photocoagulation | 67040 - VTRECTOMY MCHNL PARS PLNA ENDOLASER PANRTA PC | 67040 - LASER TREATMENT OF RETINA | '01/01/2017 | 12/31/2999 |
| 67041 | 67041 - Vitrectomy mechanical pars plana approach; with removal of preretinal cellular membrane (eg macular pucker) | 67041 - VITRECTOMY PARS PLANA REMOVE PRERETINAL MEMBRANE | 67041 - VIT FOR MACULAR PUCKER | '01/01/2017 | 12/31/2999 |
| 67042 | 67042 - Vitrectomy mechanical pars plana approach; with removal of internal limiting membrane of retina (eg for repair of macular hole diabetic macular edema) includes if performed intraocular tamponade (ie air gas or silicone oil) | 67042 - VITRECTOMY PARS PLANA REMOVE INT MEMB RETINA | 67042 - VIT FOR MACULAR HOLE | '01/01/2017 | 12/31/2999 |
| 67043 | 67043 - Vitrectomy mechanical pars plana approach; with removal of subretinal membrane (eg choroidal neovascularization) includes if performed intraocular tamponade (ie air gas or silicone oil) and laser photocoagulation | 67043 - VITRECTOMY PARS PLANA REMOVE SUBRETINAL MEMBRANE | 67043 - VIT FOR MEMBRANE DISSECT | '01/01/2017 | 12/31/2999 |
| 67101 | 67101 - Repair of retinal detachment including drainage of subretinal fluid when performed; cryotherapy | 67101 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID CRTX | 67101 - REPAIR DETACHED RETINA CRTX | '01/01/2017 | 12/31/2999 |
| 67105 | 67105 - Repair of retinal detachment including drainage of subretinal fluid when performed; photocoagulation | 67105 - RPR RETINAL DTCHMNT DRG SUBRETINAL FLUID PC | 67105 - REPAIR DETACHED RETINA PC | '01/01/2017 | 12/31/2999 |
| 67107 | 67107 - Repair of retinal detachment; scleral buckling (such as lamellar scleral dissection imbrication or encircling procedure) including when performed implant cryotherapy photocoagulation and drainage of subretinal fluid | 67107 - REPAIR RETINAL DETACHMENT SCLERAL BUCKLING | 67107 - REPAIR DETACHED RETINA | '01/01/2017 | 12/31/2999 |
| 67108 | 67108 - Repair of retinal detachment; with vitrectomy any method including when performed air or gas tamponade focal endolaser photocoagulation cryotherapy drainage of subretinal fluid scleral buckling and/or removal of lens by same technique | 67108 - RPR RETINAL DTCHMNT W/VITRECTOMY ANY METH | 67108 - REPAIR DETACHED RETINA | '01/01/2017 | 12/31/2999 |
| 67110 | 67110 - Repair of retinal detachment; by injection of air or other gas (eg pneumatic retinopexy) | 67110 - RPR RETINAL DTCHMNT INJECTION AIR/OTHER GAS | 67110 - REPAIR DETACHED RETINA | '01/01/2017 | 12/31/2999 |
| 67113 | 67113 - Repair of complex retinal detachment (eg proliferative vitreoretinopathy stage C-1 or greater diabetic traction retinal detachment retinopathy of prematurity retinal tear of greater than 90 degrees) with vitrectomy and membrane peeling including when performed air gas or silicone oil tamponade cryotherapy endolaser photocoagulation drainage of subretinal fluid scleral buckling and/or removal of lens | 67113 - RPR COMPLEX RETINA DETACH VITRECT &MEMBRANE PEEL | 67113 - REPAIR RETINAL DETACH CPLX | '01/01/2017 | 12/31/2999 |
| 67115 | 67115 - Release of encircling material (posterior segment) | 67115 - RELEASE ENCIRCLING MATERIAL POSTERIOR SEGMENT | 67115 - RELEASE ENCIRCLING MATERIAL | '01/01/2017 | 12/31/2999 |
| 67120 | 67120 - Removal of implanted material posterior segment; extraocular | 67120 - RMVL IMPLNT MATL POSTERIOR SEGMENT EXTRAOCULAR | 67120 - REMOVE EYE IMPLANT MATERIAL | '01/01/2017 | 12/31/2999 |
| 67121 | 67121 - Removal of implanted material posterior segment; intraocular | 67121 - RMVL IMPLT MATRL POSTERIOR SEGMENT INTRAOCULAR | 67121 - REMOVE EYE IMPLANT MATERIAL | '01/01/2017 | 12/31/2999 |
| 67141 | 67141 - Prophylaxis of retinal detachment (eg retinal break lattice degeneration) without drainage; cryotherapy diathermy | 67141 - PROPH RETINAL DTCHMNT W/O DRG CRTX DIATHERMY | 67141 - PROPH RTA DTCHMNT CRTX DTHRM | '01/01/2022 | 12/31/2999 |
| 67145 | 67145 - Prophylaxis of retinal detachment (eg retinal break lattice degeneration) without drainage; photocoagulation | 67145 - PROPH RETINAL DTCHMNT W/O DRG PHOTOCOAGULATION | 67145 - PROPH RTA DTCHMNT PC | '01/01/2022 | 12/31/2999 |
| 67208 | 67208 - Destruction of localized lesion of retina (eg macular edema tumors) 1 or more sessions; cryotherapy diathermy | 67208 - DSTRJ LOCLZD LESION RETINA 1/> SESS CRTX DTHRM | 67208 - TREATMENT OF RETINAL LESION | '01/01/2017 | 12/31/2999 |
| 67210 | 67210 - Destruction of localized lesion of retina (eg macular edema tumors) 1 or more sessions; photocoagulation | 67210 - DSTRJ LOCLZD LESION RETINA 1/> SESS PC | 67210 - TREATMENT OF RETINAL LESION | '01/01/2017 | 12/31/2999 |
| 67218 | 67218 - Destruction of localized lesion of retina (eg macular edema tumors) 1 or more sessions; radiation by implantation of source (includes removal of source) | 67218 - DSTRJ LESION RETINA 1/> SESS RADJ IMPLTJ | 67218 - TREATMENT OF RETINAL LESION | '01/01/2017 | 12/31/2999 |
| 67220 | 67220 - Destruction of localized lesion of choroid (eg choroidal neovascularization); photocoagulation (eg laser) 1 or more sessions | 67220 - DSTRJ LESION CHOROID PC 1/> SESS | 67220 - TREATMENT OF CHOROID LESION | '01/01/2017 | 12/31/2999 |
| 67221 | 67221 - Destruction of localized lesion of choroid (eg choroidal neovascularization); photodynamic therapy (includes intravenous infusion) | 67221 - DSTRJ LESION CHOROID PHOTODYNAMIC THERAPY | 67221 - OCULAR PHOTODYNAMIC THER | '01/01/2017 | 12/31/2999 |
| 67225 | 67225 - Destruction of localized lesion of choroid (eg choroidal neovascularization); photodynamic therapy second eye at single session (List separately in addition to code for primary eye treatment) | 67225 - DSTRJ LESION CHOROID PDT 2ND EYE 1 SESSION | 67225 - EYE PHOTODYNAMIC THER ADD-ON | '01/01/2017 | 12/31/2999 |
| 67227 | 67227 - Destruction of extensive or progressive retinopathy (eg diabetic retinopathy) cryotherapy diathermy | 67227 - DESTRUCTION RETINOPATHY CRYOTHERAPY DIATHERMY | 67227 - DSTRJ EXTENSIVE RETINOPATHY | '01/01/2017 | 12/31/2999 |
| 67228 | 67228 - Treatment of extensive or progressive retinopathy (eg diabetic retinopathy) photocoagulation | 67228 - TREATMENT EXTENSIVE RETINOPATHY PHOTOCOAGULATION | 67228 - TREATMENT X10SV RETINOPATHY | '01/01/2017 | 12/31/2999 |
| 67229 | 67229 - Treatment of extensive or progressive retinopathy 1 or more sessions preterm infant (less than 37 weeks gestation at birth) performed from birth up to 1 year of age (eg retinopathy of prematurity) photocoagulation or cryotherapy | 67229 - EXTENSIVE RETINOPATHY 1/> SESS PRETERM INFANT | 67229 - TR RETINAL LES PRETERM INF | '01/01/2017 | 12/31/2999 |
| 67250 | 67250 - Scleral reinforcement (separate procedure); without graft | 67250 - SCLERAL REINFORCEMENT SPX W/O GRAFT | 67250 - REINFORCE EYE WALL | '01/01/2017 | 12/31/2999 |
| 67255 | 67255 - Scleral reinforcement (separate procedure); with graft | 67255 - SCLERAL REINFORCEMENT SPX W/GRAFT | 67255 - REINFORCE/GRAFT EYE WALL | '01/01/2017 | 12/31/2999 |
| 67299 | 67299 - Unlisted procedure posterior segment | 67299 - UNLISTED PROCEDURE POSTERIOR SEGMENT | 67299 - UNLISTED PX POSTERIOR SEGMNT | '01/01/2023 | 12/31/2999 |
| 67311 | 67311 - Strabismus surgery recession or resection procedure; 1 horizontal muscle | 67311 - STRABISMUS RECESSION/RESCJ 1 HRZNTL MUSC | 67311 - REVISE EYE MUSCLE | '01/01/2017 | 12/31/2999 |
| 67312 | 67312 - Strabismus surgery recession or resection procedure; 2 horizontal muscles | 67312 - STRABISMUS RECESSION/RESCJ 2 HRZNTL MUSC | 67312 - REVISE TWO EYE MUSCLES | '01/01/2017 | 12/31/2999 |
| 67314 | 67314 - Strabismus surgery recession or resection procedure; 1 vertical muscle (excluding superior oblique) | 67314 - STRABISMUS RECESSION/RESCJ 1 VER MUSC | 67314 - REVISE EYE MUSCLE | '01/01/2017 | 12/31/2999 |
| 67316 | 67316 - Strabismus surgery recession or resection procedure; 2 or more vertical muscles (excluding superior oblique) | 67316 - STRABISMUS RECESSION/RESCJ 2/MORE VER MUSC | 67316 - REVISE TWO EYE MUSCLES | '01/01/2017 | 12/31/2999 |
| 67318 | 67318 - Strabismus surgery any procedure superior oblique muscle | 67318 - STRABISMUS ANY SUPERIOR OBLIQUE MUSCLE | 67318 - REVISE EYE MUSCLE(S) | '01/01/2017 | 12/31/2999 |
| 67320 | 67320 - Transposition procedure (eg for paretic extraocular muscle) any extraocular muscle (specify) (List separately in addition to code for primary procedure) | 67320 - TRANSPOSITION PROCEDURE EXTRAOCULAR MUSC | 67320 - REVISE EYE MUSCLE(S) ADD-ON | '01/01/2017 | 12/31/2999 |
| 67331 | 67331 - Strabismus surgery on patient with previous eye surgery or injury that did not involve the extraocular muscles (List separately in addition to code for primary procedure) | 67331 - STRABISMUS PREVIOUS EYE X INVOLVE EO MUSC | 67331 - EYE SURGERY FOLLOW-UP ADD-ON | '01/01/2017 | 12/31/2999 |
| 67332 | 67332 - Strabismus surgery on patient with scarring of extraocular muscles (eg prior ocular injury strabismus or retinal detachment surgery) or restrictive myopathy (eg dysthyroid ophthalmopathy) (List separately in addition to code for primary procedure) | 67332 - STRABISMUS SCARRING EO MUSC/RSTCV MYOPATHY | 67332 - REREVISE EYE MUSCLES ADD-ON | '01/01/2017 | 12/31/2999 |
| 67334 | 67334 - Strabismus surgery by posterior fixation suture technique with or without muscle recession (List separately in addition to code for primary procedure) | 67334 - STRABISMUS POST FIXJ SUTR TQ W/WO MUSC RECESSION | 67334 - REVISE EYE MUSCLE W/SUTURE | '01/01/2017 | 12/31/2999 |
| 67335 | 67335 - Placement of adjustable suture(s) during strabismus surgery including postoperative adjustment(s) of suture(s) (List separately in addition to code for specific strabismus surgery) | 67335 - PLACEMENT ADJUSTABLE SUTURE STRABISMUS | 67335 - EYE SUTURE DURING SURGERY | '01/01/2017 | 12/31/2999 |
| 67340 | 67340 - Strabismus surgery involving exploration and/or repair of detached extraocular muscle(s) (List separately in addition to code for primary procedure) | 67340 - STRABISMUS EXPL&/RPR DETACHED EXTROCULAR MUSC | 67340 - REVISE EYE MUSCLE ADD-ON | '01/01/2017 | 12/31/2999 |
| 67343 | 67343 - Release of extensive scar tissue without detaching extraocular muscle (separate procedure) | 67343 - RLS XTNSV SCAR TISS W/O DETACHING EO MUSC SPX | 67343 - RELEASE EYE TISSUE | '01/01/2017 | 12/31/2999 |
| 67345 | 67345 - Chemodenervation of extraocular muscle | 67345 - CHEMODENERVATION EXTRAOCULAR MUSCLE | 67345 - DESTROY NERVE OF EYE MUSCLE | '01/01/2017 | 12/31/2999 |
| 67346 | 67346 - Biopsy of extraocular muscle | 67346 - BIOPSY EXTRAOCULAR MUSCLE | 67346 - BIOPSY EYE MUSCLE | '01/01/2017 | 12/31/2999 |
| 67399 | 67399 - Unlisted procedure extraocular muscle | 67399 - UNLISTED PROCEDURE EXTRAOCULAR MUSCLE | 67399 - UNLISTED PX EXTRAOCULAR MUSC | '01/01/2017 | 12/31/2999 |
| 67400 | 67400 - Orbitotomy without bone flap (frontal or transconjunctival approach); for exploration with or without biopsy | 67400 - ORBITOTOMY W/O BONE FLAP EXPL W/WO BIOPSY | 67400 - EXPLORE/BIOPSY EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67405 | 67405 - Orbitotomy without bone flap (frontal or transconjunctival approach); with drainage only | 67405 - ORBITOTOMY W/O BONE FLAP EXPL W/DRAINAGE ONLY | 67405 - EXPLORE/DRAIN EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67412 | 67412 - Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of lesion | 67412 - ORBITOTOMY W/O BONE FLAP W/REMOVAL LESION | 67412 - EXPLORE/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67413 | 67413 - Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of foreign body | 67413 - ORBITOTOMY W/O BONE FLAP W/RMVL FOREIGN BODY | 67413 - EXPLORE/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67414 | 67414 - Orbitotomy without bone flap (frontal or transconjunctival approach); with removal of bone for decompression | 67414 - ORBITOTOMY W/O BONE FLAP W/RMVL BONE DCMPRN | 67414 - EXPLR/DECOMPRESS EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67415 | 67415 - Fine needle aspiration of orbital contents | 67415 - FINE NEEDLE ASPIRATION ORBITAL CONTENTS | 67415 - ASPIRATION ORBITAL CONTENTS | '01/01/2017 | 12/31/2999 |
| 67420 | 67420 - Orbitotomy with bone flap or window lateral approach (eg Kroenlein); with removal of lesion | 67420 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL LESION | 67420 - EXPLORE/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67430 | 67430 - Orbitotomy with bone flap or window lateral approach (eg Kroenlein); with removal of foreign body | 67430 - ORBITOTOMY BONE FLAP/WINDOW LATERAL RMVL FB | 67430 - EXPLORE/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67440 | 67440 - Orbitotomy with bone flap or window lateral approach (eg Kroenlein); with drainage | 67440 - ORBITOTOMY BONE FLAP/WINDOW LATERAL W/DRG | 67440 - EXPLORE/DRAIN EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67445 | 67445 - Orbitotomy with bone flap or window lateral approach (eg Kroenlein); with removal of bone for decompression | 67445 - ORBITOTOMY BONE FLAP/WINDOW LAT RMVL BONE DCMPRN | 67445 - EXPLR/DECOMPRESS EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67450 | 67450 - Orbitotomy with bone flap or window lateral approach (eg Kroenlein); for exploration with or without biopsy | 67450 - ORBITOTOMY BONE FLAP/WINDOW LAT EXPL W/WO BX | 67450 - EXPLORE/BIOPSY EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67500 | 67500 - Retrobulbar injection; medication (separate procedure does not include supply of medication) | 67500 - RETROBULBAR INJECTION MEDICATION SPX | 67500 - INJECT/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67505 | 67505 - Retrobulbar injection; alcohol | 67505 - RETROBULBAR INJECTION ALCOHOL | 67505 - INJECT/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67515 | 67515 - Injection of medication or other substance into Tenon's capsule | 67515 - INJECTION MEDICATION/OTHER SUBST TENON CAPSULE | 67515 - INJECT/TREAT EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 67550 | 67550 - Orbital implant (implant outside muscle cone); insertion | 67550 - ORBITAL IMPLANT INSERTION | 67550 - INSERT EYE SOCKET IMPLANT | '01/01/2017 | 12/31/2999 |
| 67560 | 67560 - Orbital implant (implant outside muscle cone); removal or revision | 67560 - ORBITAL IMPLANT REMOVAL/REVISION | 67560 - REVISE EYE SOCKET IMPLANT | '01/01/2017 | 12/31/2999 |
| 67570 | 67570 - Optic nerve decompression (eg incision or fenestration of optic nerve sheath) | 67570 - OPTIC NERVE DECOMPRESSION | 67570 - DECOMPRESS OPTIC NERVE | '01/01/2017 | 12/31/2999 |
| 67599 | 67599 - Unlisted procedure orbit | 67599 - UNLISTED PROCEDURE ORBIT | 67599 - UNLISTED PROCEDURE ORBIT | '01/01/2023 | 12/31/2999 |
| 67700 | 67700 - Blepharotomy drainage of abscess eyelid | 67700 - BLEPHAROTOMY DRAINAGE ABSCESS EYELID | 67700 - DRAINAGE OF EYELID ABSCESS | '01/01/2017 | 12/31/2999 |
| 67710 | 67710 - Severing of tarsorrhaphy | 67710 - SEVERING TARSORRHAPHY | 67710 - INCISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67715 | 67715 - Canthotomy (separate procedure) | 67715 - CANTHOTOMY SEPARATE PROCEDURE | 67715 - INCISION OF EYELID FOLD | '01/01/2017 | 12/31/2999 |
| 67800 | 67800 - Excision of chalazion; single | 67800 - EXCISION CHALAZION SINGLE | 67800 - REMOVE EYELID LESION | '01/01/2017 | 12/31/2999 |
| 67801 | 67801 - Excision of chalazion; multiple same lid | 67801 - EXCISION CHALAZION MULTIPLE SAME LID | 67801 - REMOVE EYELID LESIONS | '01/01/2017 | 12/31/2999 |
| 67805 | 67805 - Excision of chalazion; multiple different lids | 67805 - EXCISION CHALAZION MULTIPLE DIFFERENT LIDS | 67805 - REMOVE EYELID LESIONS | '01/01/2017 | 12/31/2999 |
| 67808 | 67808 - Excision of chalazion; under general anesthesia and/or requiring hospitalization single or multiple | 67808 - EXC CHALAZION ANES REQ HOSPIZATION SINGLE/MULT | 67808 - REMOVE EYELID LESION(S) | '01/01/2017 | 12/31/2999 |
| 67810 | 67810 - Incisional biopsy of eyelid skin including lid margin | 67810 - INCISIONAL BIOPSY EYELID SKIN & LID MARGIN | 67810 - BIOPSY EYELID & LID MARGIN | '01/01/2017 | 12/31/2999 |
| 67820 | 67820 - Correction of trichiasis; epilation by forceps only | 67820 - CORRECTION TRICHIASIS EPILATION FORCEPS ONLY | 67820 - REVISE EYELASHES | '01/01/2017 | 12/31/2999 |
| 67825 | 67825 - Correction of trichiasis; epilation by other than forceps (eg by electrosurgery cryotherapy laser surgery) | 67825 - CORRECTION TRICHIASIS EPILATION OTH/THAN FORCEPS | 67825 - REVISE EYELASHES | '01/01/2017 | 12/31/2999 |
| 67830 | 67830 - Correction of trichiasis; incision of lid margin | 67830 - CORRECTION TRICHIASIS INCCISION LID MARGIN | 67830 - REVISE EYELASHES | '01/01/2017 | 12/31/2999 |
| 67835 | 67835 - Correction of trichiasis; incision of lid margin with free mucous membrane graft | 67835 - CORRJ TRICHIASIS INC LID MRGN W/FR MUC MEMB GRF | 67835 - REVISE EYELASHES | '01/01/2017 | 12/31/2999 |
| 67840 | 67840 - Excision of lesion of eyelid (except chalazion) without closure or with simple direct closure | 67840 - EXC LESION EYELID W/O CLSR/W/SIMPLE DIR CLOSURE | 67840 - REMOVE EYELID LESION | '01/01/2017 | 12/31/2999 |
| 67850 | 67850 - Destruction of lesion of lid margin (up to 1 cm) | 67850 - DESTRUCTION LESION LID MARGIN 67850 - TREAT EYELID LESION | '01/01/2017 | 12/31/2999 | |
| 67875 | 67875 - Temporary closure of eyelids by suture (eg Frost suture) | 67875 - TEMPORARY CLOSURE EYELIDS SUTURE | 67875 - CLOSURE OF EYELID BY SUTURE | '01/01/2017 | 12/31/2999 |
| 67880 | 67880 - Construction of intermarginal adhesions median tarsorrhaphy or canthorrhaphy; | 67880 - CONSTJ INTERMARGIN ADHES/TARSORRH/CANTHORRHAPY | 67880 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67882 | 67882 - Construction of intermarginal adhesions median tarsorrhaphy or canthorrhaphy; with transposition of tarsal plate | 67882 - CONSTJ INTERMARGIN ADHES/TARSOR/CANTHOR W/TRPOS | 67882 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67900 | 67900 - Repair of brow ptosis (supraciliary mid-forehead or coronal approach) | 67900 - REPAIR BROW PTOSIS | 67900 - REPAIR BROW DEFECT | '01/01/2017 | 12/31/2999 |
| 67901 | 67901 - Repair of blepharoptosis; frontalis muscle technique with suture or other material (eg banked fascia) | 67901 - RPR BLEPHAROPTOSIS FRONTALIS MUSC SUTR/OTH MATRL | 67901 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67902 | 67902 - Repair of blepharoptosis; frontalis muscle technique with autologous fascial sling (includes obtaining fascia) | 67902 - RPR BLEPHAROPT FRONTALIS MUSC AUTOL FASCAL SLING | 67902 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67903 | 67903 - Repair of blepharoptosis; (tarso) levator resection or advancement internal approach | 67903 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT INTERNAL | 67903 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67904 | 67904 - Repair of blepharoptosis; (tarso) levator resection or advancement external approach | 67904 - RPR BLEPHAROPTOSIS LEVATOR RESCJ/ADVMNT XTRNL | 67904 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67906 | 67906 - Repair of blepharoptosis; superior rectus technique with fascial sling (includes obtaining fascia) | 67906 - RPR BLEPHAROPTOSIS SUPERIOR RECTUS FASCIAL SLING | 67906 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67908 | 67908 - Repair of blepharoptosis; conjunctivo-tarso-Muller's muscle-levator resection (eg Fasanella-Servat type) | 67908 - RPR BLPOS CONJUNCTIVO-TARSO-MUSC-LEVATOR RESCJ | 67908 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67909 | 67909 - Reduction of overcorrection of ptosis | 67909 - REDUCTION OVERCORRECTION PTOSIS | 67909 - REVISE EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67911 | 67911 - Correction of lid retraction | 67911 - CORRECTION LID RETRACTION | 67911 - REVISE EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67912 | 67912 - Correction of lagophthalmos with implantation of upper eyelid lid load (eg gold weight) | 67912 - CORRJ LAGOPHTHALMOS IMPLTJ UPR EYELID LID LOAD | 67912 - CORRECTION EYELID W/IMPLANT | '01/01/2017 | 12/31/2999 |
| 67914 | 67914 - Repair of ectropion; suture | 67914 - REPAIR ECTROPION SUTURE | 67914 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67915 | 67915 - Repair of ectropion; thermocauterization | 67915 - REPAIR ECTROPION THERMOCAUTERIZATION | 67915 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67916 | 67916 - Repair of ectropion; excision tarsal wedge | 67916 - REPAIR ECTROPION EXCISION TARSAL WEDGE | 67916 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67917 | 67917 - Repair of ectropion; extensive (eg tarsal strip operations) | 67917 - REPAIR ECTROPION EXTENSIVE | 67917 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67921 | 67921 - Repair of entropion; suture | 67921 - REPAIR ENTROPION SUTURE | 67921 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67922 | 67922 - Repair of entropion; thermocauterization | 67922 - REPAIR ENTROPION THERMOCAUTERIZATION | 67922 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67923 | 67923 - Repair of entropion; excision tarsal wedge | 67923 - REPAIR ENTROPION EXCISION TARSAL WEDGE | 67923 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67924 | 67924 - Repair of entropion; extensive (eg tarsal strip or capsulopalpebral fascia repairs operation) | 67924 - REPAIR ENTROPION EXTENSIVE | 67924 - REPAIR EYELID DEFECT | '01/01/2017 | 12/31/2999 |
| 67930 | 67930 - Suture of recent wound eyelid involving lid margin tarsus and/or palpebral conjunctiva direct closure; partial thickness | 67930 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC PRTL THICK | 67930 - REPAIR EYELID WOUND | '01/01/2017 | 12/31/2999 |
| 67935 | 67935 - Suture of recent wound eyelid involving lid margin tarsus and/or palpebral conjunctiva direct closure; full thickness | 67935 - SUTR WND EYELID/MARGIN/TARSUS/CONJUNC FULL THICK | 67935 - REPAIR EYELID WOUND | '01/01/2017 | 12/31/2999 |
| 67938 | 67938 - Removal of embedded foreign body eyelid | 67938 - REMOVAL EMBEDDED FOREIGN BODY EYELID | 67938 - REMOVE EYELID FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 67950 | 67950 - Canthoplasty (reconstruction of canthus) | 67950 - CANTHOPLASTY | 67950 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67961 | 67961 - Excision and repair of eyelid involving lid margin tarsus conjunctiva canthus or full thickness may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; up to one-fourth of lid margin | 67961 - EXCISION & REPAIR EYELID < ONE-FOURTH LID MARGIN | 67961 - REVISION OF EYELID | '01/01/2018 | 12/31/2999 |
| 67966 | 67966 - Excision and repair of eyelid involving lid margin tarsus conjunctiva canthus or full thickness may include preparation for skin graft or pedicle flap with adjacent tissue transfer or rearrangement; over one-fourth of lid margin | 67966 - EXCISION & REPAIR EYELID ONE-FOURTH LID MARGIN | 67966 - REVISION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67971 | 67971 - Reconstruction of eyelid full thickness by transfer of tarsoconjunctival flap from opposing eyelid; up to two-thirds of eyelid 1 stage or first stage | 67971 - RCNSTJ EYELID FULL THICKNESS 67971 - RECONSTRUCTION OF EYELID | '01/01/2017 | 12/31/2999 | |
| 67973 | 67973 - Reconstruction of eyelid full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid lower 1 stage or first stage | 67973 - RCNSTJ EYELID FULL THICKNESS LOWER EYELID 1 STG | 67973 - RECONSTRUCTION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67974 | 67974 - Reconstruction of eyelid full thickness by transfer of tarsoconjunctival flap from opposing eyelid; total eyelid upper 1 stage or first stage | 67974 - RCNSTJ EYELID FULL THICKNESS UPPER EYELID 1 STG | 67974 - RECONSTRUCTION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67975 | 67975 - Reconstruction of eyelid full thickness by transfer of tarsoconjunctival flap from opposing eyelid; second stage | 67975 - RCNSTJ EYELID FULL THICKNESS SECOND STAGE | 67975 - RECONSTRUCTION OF EYELID | '01/01/2017 | 12/31/2999 |
| 67999 | 67999 - Unlisted procedure eyelids | 67999 - UNLISTED PROCEDURE EYELIDS | 67999 - UNLISTED PROCEDURE EYELIDS | '01/01/2023 | 12/31/2999 |
| 68020 | 68020 - Incision of conjunctiva drainage of cyst | 68020 - INCISION CONJUNCTIVA DRAINAGE OF CYST | 68020 - INCISE/DRAIN EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68040 | 68040 - Expression of conjunctival follicles (eg for trachoma) | 68040 - EXPRESSION CONJUNCTIVAL FOLLICLES | 68040 - TREATMENT OF EYELID LESIONS | '01/01/2017 | 12/31/2999 |
| 68100 | 68100 - Biopsy of conjunctiva | 68100 - BIOPSY CONJUNCTIVA | 68100 - BIOPSY OF EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68110 | 68110 - Excision of lesion conjunctiva; up to 1 cm | 68110 - EXCISION LESION CONJUNCTIVA 68110 - REMOVE EYELID LINING LESION | '01/01/2017 | 12/31/2999 | |
| 68115 | 68115 - Excision of lesion conjunctiva; over 1 cm | 68115 - EXCISION LESION CONJUNCTIVA > 1 CM | 68115 - REMOVE EYELID LINING LESION | '01/01/2017 | 12/31/2999 |
| 68130 | 68130 - Excision of lesion conjunctiva; with adjacent sclera | 68130 - EXCISION LESION CONJUNCTIVA ADJACENT SCLERA | 68130 - REMOVE EYELID LINING LESION | '01/01/2017 | 12/31/2999 |
| 68135 | 68135 - Destruction of lesion conjunctiva | 68135 - DESTRUCTION LESION CONJUNCTIVA | 68135 - REMOVE EYELID LINING LESION | '01/01/2017 | 12/31/2999 |
| 68200 | 68200 - Subconjunctival injection | 68200 - SUBCONJUNCTIVAL INJECTION | 68200 - TREAT EYELID BY INJECTION | '01/01/2017 | 12/31/2999 |
| 68320 | 68320 - Conjunctivoplasty; with conjunctival graft or extensive rearrangement | 68320 - CONJUNCTIVOPLASTY W/GRF/XTNSV REARRANGEMENT | 68320 - REVISE/GRAFT EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68325 | 68325 - Conjunctivoplasty; with buccal mucous membrane graft (includes obtaining graft) | 68325 - CONJUNCTIVOPLASTY W/BUCCAL MUC MEMB GRAFT | 68325 - REVISE/GRAFT EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68326 | 68326 - Conjunctivoplasty reconstruction cul-de-sac; with conjunctival graft or extensive rearrangement | 68326 - CJP RCNSTJ CUL-DE-SAC BUCCAL GRF/XTNSV REARRGMT | 68326 - REVISE/GRAFT EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68328 | 68328 - Conjunctivoplasty reconstruction cul-de-sac; with buccal mucous membrane graft (includes obtaining graft) | 68328 - CONJUNCTPL CUL-DE-SAC W/BUCCAL MUC MEMB GRAFT | 68328 - REVISE/GRAFT EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68330 | 68330 - Repair of symblepharon; conjunctivoplasty without graft | 68330 - RPR SYMBLEPHARON CONJUNCTIVOPLASTY W/O GRAFT | 68330 - REVISE EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68335 | 68335 - Repair of symblepharon; with free graft conjunctiva or buccal mucous membrane (includes obtaining graft) | 68335 - RPR SYMBLEPHARON FR GRF CJNC/BUCCAL MUC MEMB | 68335 - REVISE/GRAFT EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68340 | 68340 - Repair of symblepharon; division of symblepharon with or without insertion of conformer or contact lens | 68340 - RPR & DIV SYMBLEPHARON W/WO CONFORM/CONTACT LE | 68340 - SEPARATE EYELID ADHESIONS | '01/01/2017 | 12/31/2999 |
| 68360 | 68360 - Conjunctival flap; bridge or partial (separate procedure) | 68360 - CONJUNCTIVAL FLAP BRIDGE/PARTIAL SPX | 68360 - REVISE EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68362 | 68362 - Conjunctival flap; total (such as Gunderson thin flap or purse string flap) | 68362 - CONJUNCTIVAL FLAP TOTAL | 68362 - REVISE EYELID LINING | '01/01/2017 | 12/31/2999 |
| 68371 | 68371 - Harvesting conjunctival allograft living donor | 68371 - HARVESTING CONJUNCIVAL ALLOGRAPHY LIVING DONOR | 68371 - HARVEST EYE TISSUE ALOGRAFT | '01/01/2017 | 12/31/2999 |
| 68399 | 68399 - Unlisted procedure conjunctiva | 68399 - UNLISTED PROCEDURE CONJUNCTIVA | 68399 - UNLISTED PX CONJUNCTIVA | '01/01/2023 | 12/31/2999 |
| 68400 | 68400 - Incision drainage of lacrimal gland | 68400 - INCISION DRAINAGE LACRIMAL GLAND | 68400 - INCISE/DRAIN TEAR GLAND | '01/01/2017 | 12/31/2999 |
| 68420 | 68420 - Incision drainage of lacrimal sac (dacryocystotomy or dacryocystostomy) | 68420 - INCISION DRAINAGE LACRIMAL SAC | 68420 - INCISE/DRAIN TEAR SAC | '01/01/2017 | 12/31/2999 |
| 68440 | 68440 - Snip incision of lacrimal punctum | 68440 - SNIP INCISION LACRIMAL PUNCTUM | 68440 - INCISE TEAR DUCT OPENING | '01/01/2017 | 12/31/2999 |
| 68500 | 68500 - Excision of lacrimal gland (dacryoadenectomy) except for tumor; total | 68500 - EXCISION LACRIMAL GLAND XCPT TUMOR TOTAL | 68500 - REMOVAL OF TEAR GLAND | '01/01/2017 | 12/31/2999 |
| 68505 | 68505 - Excision of lacrimal gland (dacryoadenectomy) except for tumor; partial | 68505 - EXCISION LACRIMAL GLAND XCPT TUMOR PRTL | 68505 - PARTIAL REMOVAL TEAR GLAND | '01/01/2017 | 12/31/2999 |
| 68510 | 68510 - Biopsy of lacrimal gland | 68510 - BIOPSY LACRIMAL GLAND | 68510 - BIOPSY OF TEAR GLAND | '01/01/2017 | 12/31/2999 |
| 68520 | 68520 - Excision of lacrimal sac (dacryocystectomy) | 68520 - EXCISION LACRIMAL SAC | 68520 - REMOVAL OF TEAR SAC | '01/01/2017 | 12/31/2999 |
| 68525 | 68525 - Biopsy of lacrimal sac | 68525 - BIOPSY LACRIMAL SAC | 68525 - BIOPSY OF TEAR SAC | '01/01/2017 | 12/31/2999 |
| 68530 | 68530 - Removal of foreign body or dacryolith lacrimal passages | 68530 - RMVL FB/DACRYOLITH LACRIMAL PASSAGES | 68530 - CLEARANCE OF TEAR DUCT | '01/01/2017 | 12/31/2999 |
| 68540 | 68540 - Excision of lacrimal gland tumor; frontal approach | 68540 - EXC LACRIMAL GLAND TUMOR FRONTAL APPROACH | 68540 - REMOVE TEAR GLAND LESION | '01/01/2017 | 12/31/2999 |
| 68550 | 68550 - Excision of lacrimal gland tumor; involving osteotomy | 68550 - EXC LACRIMAL GLAND TUMOR W/OSTEOTOMY | 68550 - REMOVE TEAR GLAND LESION | '01/01/2017 | 12/31/2999 |
| 68700 | 68700 - Plastic repair of canaliculi | 68700 - PLASTIC REPAIR CANALICULI | 68700 - REPAIR TEAR DUCTS | '01/01/2017 | 12/31/2999 |
| 68705 | 68705 - Correction of everted punctum cautery | 68705 - CORRECTION EVERTED PUNCTUM CAUTERY | 68705 - REVISE TEAR DUCT OPENING | '01/01/2017 | 12/31/2999 |
| 68720 | 68720 - Dacryocystorhinostomy (fistulization of lacrimal sac to nasal cavity) | 68720 - DACRYOCSTORHINOSTOMY | 68720 - CREATE TEAR SAC DRAIN | '01/01/2017 | 12/31/2999 |
| 68745 | 68745 - Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); without tube | 68745 - CONJUNCTIVORHINOSTOMY W/O TUBE | 68745 - CREATE TEAR DUCT DRAIN | '01/01/2017 | 12/31/2999 |
| 68750 | 68750 - Conjunctivorhinostomy (fistulization of conjunctiva to nasal cavity); with insertion of tube or stent | 68750 - CONJUNCTIVORHINOSTOMY INSJ TUBE/STENT | 68750 - CREATE TEAR DUCT DRAIN | '01/01/2017 | 12/31/2999 |
| 68760 | 68760 - Closure of the lacrimal punctum; by thermocauterization ligation or laser surgery | 68760 - CLSR LACRIMAL PUNCTUM THERMOCAUT LIG/LASER | 68760 - CLOSE TEAR DUCT OPENING | '01/01/2017 | 12/31/2999 |
| 68761 | 68761 - Closure of the lacrimal punctum; by plug each | 68761 - CLSR LACRIMAL PUNCTUM PLUG EACH | 68761 - CLOSE TEAR DUCT OPENING | '01/01/2017 | 12/31/2999 |
| 68770 | 68770 - Closure of lacrimal fistula (separate procedure) | 68770 - CLOSURE LACRIMAL FISTULA SPX | 68770 - CLOSE TEAR SYSTEM FISTULA | '01/01/2017 | 12/31/2999 |
| 68801 | 68801 - Dilation of lacrimal punctum with or without irrigation | 68801 - DILATION LACRIMAL PUNCTUM W/WO IRRGATION | 68801 - DILATE TEAR DUCT OPENING | '01/01/2017 | 12/31/2999 |
| 68810 | 68810 - Probing of nasolacrimal duct with or without irrigation; | 68810 - PROBE NASOLACRIMAL DUCT W/WO IRRIGATION | 68810 - PROBE NASOLACRIMAL DUCT | '01/01/2017 | 12/31/2999 |
| 68811 | 68811 - Probing of nasolacrimal duct with or without irrigation; requiring general anesthesia | 68811 - PROBE NASOLACRIMAL DUCT W/WO IRRIG REQ GEN ANES | 68811 - PROBE NASOLACRIMAL DUCT | '01/01/2017 | 12/31/2999 |
| 68815 | 68815 - Probing of nasolacrimal duct with or without irrigation; with insertion of tube or stent | 68815 - PROBE NASOLACRIMAL DUCT W/WO IRRG INSJ TUBE/STNT | 68815 - PROBE NASOLACRIMAL DUCT | '01/01/2017 | 12/31/2999 |
| 68816 | 68816 - Probing of nasolacrimal duct with or without irrigation; with transluminal balloon catheter dilation | 68816 - PROBE NASOLACRIMAL DUCT WITH CATHETER DILATION | 68816 - PROBE NL DUCT W/BALLOON | '01/01/2017 | 12/31/2999 |
| 68840 | 68840 - Probing of lacrimal canaliculi with or without irrigation | 68840 - PROBE LACRIMAL CANALICULI W/WO IRRIGATION | 68840 - EXPLORE/IRRIGATE TEAR DUCTS | '01/01/2017 | 12/31/2999 |
| 68841 | 68841 - Insertion of drug-eluting implant including punctal dilation when performed into lacrimal canaliculus each | 68841 - INSJ RX ELUTING IMPLT PUNCTAL DILAT LAC CANAL EA | 68841 - INSJ RX ELUT IMPLT LAC CANAL | '01/01/2022 | 12/31/2999 |
| 68850 | 68850 - Injection of contrast medium for dacryocystography | 68850 - INJECTION CONTRAST MEDIUM DACRYOCYSTOGRAPY | 68850 - INJECTION FOR TEAR SAC X-RAY | '01/01/2017 | 12/31/2999 |
| 68899 | 68899 - Unlisted procedure lacrimal system | 68899 - UNLISTED PROCEDURE LACRIMAL SYSTEM | 68899 - UNLISTED PX LACRIMAL SYSTEM | '01/01/2023 | 12/31/2999 |
| 69000 | 69000 - Drainage external ear abscess or hematoma; simple | 69000 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA SIMPLE | 69000 - DRAIN EXTERNAL EAR LESION | '01/01/2017 | 12/31/2999 |
| 69005 | 69005 - Drainage external ear abscess or hematoma; complicated | 69005 - DRAINAGE EXTERNAL EAR ABSCESS/HEMATOMA CMPLX | 69005 - DRAIN EXTERNAL EAR LESION | '01/01/2017 | 12/31/2999 |
| 69020 | 69020 - Drainage external auditory canal abscess | 69020 - DRAINAGE EXTERNAL AUDITORY CANAL ABSCESS | 69020 - DRAIN OUTER EAR CANAL LESION | '01/01/2017 | 12/31/2999 |
| 69090 | 69090 - Ear piercing | 69090 - EAR PIERCING | 69090 - PIERCE EARLOBES | '01/01/2017 | 12/31/2999 |
| 69100 | 69100 - Biopsy external ear | 69100 - BIOPSY EXTERNAL EAR | 69100 - BIOPSY OF EXTERNAL EAR | '01/01/2017 | 12/31/2999 |
| 69105 | 69105 - Biopsy external auditory canal | 69105 - BIOPSY EXTERNAL AUDITORY CANAL | 69105 - BIOPSY OF EXTERNAL EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69110 | 69110 - Excision external ear; partial simple repair | 69110 - EXCISION EXTERNAL EAR PARTIAL SIMPLE REPAIR | 69110 - REMOVE EXTERNAL EAR PARTIAL | '01/01/2017 | 12/31/2999 |
| 69120 | 69120 - Excision external ear; complete amputation | 69120 - EXCISION EXTERNAL EAR COMPLETE AMPUTATION | 69120 - REMOVAL OF EXTERNAL EAR | '01/01/2017 | 12/31/2999 |
| 69140 | 69140 - Excision exostosis(es) external auditory canal | 69140 - EXCISION EXOSTOSIS EXTERNAL AUDITORY CANAL | 69140 - REMOVE EAR CANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 69145 | 69145 - Excision soft tissue lesion external auditory canal | 69145 - EXCISION SOFT TIS LESION EXTERNAL AUDITORY CANAL | 69145 - REMOVE EAR CANAL LESION(S) | '01/01/2017 | 12/31/2999 |
| 69150 | 69150 - Radical excision external auditory canal lesion; without neck dissection | 69150 - RAD EXC XTRNL AUDITORY CANAL LES W/O NCK DSJ | 69150 - EXTENSIVE EAR CANAL SURGERY | '01/01/2017 | 12/31/2999 |
| 69155 | 69155 - Radical excision external auditory canal lesion; with neck dissection | 69155 - RAD EXC XTRNL AUDITORY CANAL LES NCK DSJ | 69155 - EXTENSIVE EAR/NECK SURGERY | '01/01/2017 | 12/31/2999 |
| 69200 | 69200 - Removal foreign body from external auditory canal; without general anesthesia | 69200 - RMVL FB XTRNL AUDITORY CANAL W/O ANES | 69200 - CLEAR OUTER EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69205 | 69205 - Removal foreign body from external auditory canal; with general anesthesia | 69205 - RMVL FB XTRNL AUDITORY CANAL ANES | 69205 - CLEAR OUTER EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69209 | 69209 - Removal impacted cerumen using irrigation/lavage unilateral | 69209 - REMOVAL IMPACTED CERUMEN IRRIGATION/LVG UNILAT | 69209 - REMOVE IMPACTED EAR WAX UNI | '01/01/2017 | 12/31/2999 |
| 69210 | 69210 - Removal impacted cerumen requiring instrumentation unilateral | 69210 - REMOVAL IMPACTED CERUMEN INSTRUMENTATION UNILAT | 69210 - REMOVE IMPACTED EAR WAX UNI | '01/01/2017 | 12/31/2999 |
| 69220 | 69220 - Debridement mastoidectomy cavity simple (eg routine cleaning) | 69220 - DEBRIDEMENT MASTOIDECTOMY CAVITY SIMPLE | 69220 - CLEAN OUT MASTOID CAVITY | '01/01/2017 | 12/31/2999 |
| 69222 | 69222 - Debridement mastoidectomy cavity complex (eg with anesthesia or more than routine cleaning) | 69222 - DEBRIDEMENT MASTOIDECTOMY CAVITY CMPLX | 69222 - CLEAN OUT MASTOID CAVITY | '01/01/2017 | 12/31/2999 |
| 69300 | 69300 - Otoplasty protruding ear with or without size reduction | 69300 - OTOPLASTY PROTRUDING EAR W/WO SIZE RDCTJ | 69300 - REVISE EXTERNAL EAR | '01/01/2017 | 12/31/2999 |
| 69310 | 69310 - Reconstruction of external auditory canal (meatoplasty) (eg for stenosis due to injury infection) (separate procedure) | 69310 - RECONSTRUCTION EXTERNAL AUDITORY CANAL SPX | 69310 - REBUILD OUTER EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69320 | 69320 - Reconstruction external auditory canal for congenital atresia single stage | 69320 - RCNSTJ XTRNL AUD CANAL CONGENITAL ATRESIA 1 STG | 69320 - REBUILD OUTER EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69399 | 69399 - Unlisted procedure external ear | 69399 - UNLISTED PROCEDURE EXTERNAL EAR | 69399 - UNLISTED PX EXTERNAL EAR | '01/01/2023 | 12/31/2999 |
| 69420 | 69420 - Myringotomy including aspiration and/or eustachian tube inflation | 69420 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ | 69420 - INCISION OF EARDRUM | '01/01/2017 | 12/31/2999 |
| 69421 | 69421 - Myringotomy including aspiration and/or eustachian tube inflation requiring general anesthesia | 69421 - MYRINGOTOMY ASPIR&/EUSTACHIAN TUBE NFLTJ ANES | 69421 - INCISION OF EARDRUM | '01/01/2017 | 12/31/2999 |
| 69424 | 69424 - Ventilating tube removal requiring general anesthesia | 69424 - VENTILATING TUBE RMVL REQUIRING GENERAL ANES | 69424 - REMOVE VENTILATING TUBE | '01/01/2017 | 12/31/2999 |
| 69433 | 69433 - Tympanostomy (requiring insertion of ventilating tube) local or topical anesthesia | 69433 - TYMPANOSTOMY LOCAL/TOPICAL ANESTHESIA | 69433 - CREATE EARDRUM OPENING | '01/01/2017 | 12/31/2999 |
| 69436 | 69436 - Tympanostomy (requiring insertion of ventilating tube) general anesthesia | 69436 - TYMPANOSTOMY GENERAL ANESTHESIA | 69436 - CREATE EARDRUM OPENING | '01/01/2017 | 12/31/2999 |
| 69440 | 69440 - Middle ear exploration through postauricular or ear canal incision | 69440 - MIDDLE EAR EXPL THRU POSTAUR/EAR CANAL INC | 69440 - EXPLORATION OF MIDDLE EAR | '01/01/2017 | 12/31/2999 |
| 69450 | 69450 - Tympanolysis transcanal | 69450 - TYMPANOLYSIS TRANSCANAL | 69450 - EARDRUM REVISION | '01/01/2017 | 12/31/2999 |
| 69501 | 69501 - Transmastoid antrotomy (simple mastoidectomy) | 69501 - TRANSMASTOID ANTROTOMY | 69501 - MASTOIDECTOMY | '01/01/2017 | 12/31/2999 |
| 69502 | 69502 - Mastoidectomy; complete | 69502 - MASTOIDECTOMY COMPLETE | 69502 - MASTOIDECTOMY | '01/01/2017 | 12/31/2999 |
| 69505 | 69505 - Mastoidectomy; modified radical | 69505 - MASTOIDECTOMY MODIFIED RADICAL | 69505 - REMOVE MASTOID STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69511 | 69511 - Mastoidectomy; radical | 69511 - MASTOIDECTOMY RADICAL | 69511 - EXTENSIVE MASTOID SURGERY | '01/01/2017 | 12/31/2999 |
| 69530 | 69530 - Petrous apicectomy including radical mastoidectomy | 69530 - PETROUS APICECTOMY RADICAL MASTOIDECTOMY | 69530 - EXTENSIVE MASTOID SURGERY | '01/01/2017 | 12/31/2999 |
| 69535 | 69535 - Resection temporal bone external approach | 69535 - RESCJ TEMPORAL BONE EXTERNAL APPROACH | 69535 - REMOVE PART OF TEMPORAL BONE | '01/01/2017 | 12/31/2999 |
| 69540 | 69540 - Excision aural polyp | 69540 - EXCISION AURAL POLYP | 69540 - REMOVE EAR LESION | '01/01/2017 | 12/31/2999 |
| 69550 | 69550 - Excision aural glomus tumor; transcanal | 69550 - EXCISION AURAL GLOMUS TUMOR TRANSCANAL | 69550 - REMOVE EAR LESION | '01/01/2017 | 12/31/2999 |
| 69552 | 69552 - Excision aural glomus tumor; transmastoid | 69552 - EXCISION AURAL GLOMUS TUMOR TRANSMASTOID | 69552 - REMOVE EAR LESION | '01/01/2017 | 12/31/2999 |
| 69554 | 69554 - Excision aural glomus tumor; extended (extratemporal) | 69554 - EXCISION AURAL GLOMUS TUMOR EXTENDED | 69554 - REMOVE EAR LESION | '01/01/2017 | 12/31/2999 |
| 69601 | 69601 - Revision mastoidectomy; resulting in complete mastoidectomy | 69601 - REVJ MASTOIDECTOMY RSLTG COMPL MASTOIDECTOMY | 69601 - MASTOID SURGERY REVISION | '01/01/2017 | 12/31/2999 |
| 69602 | 69602 - Revision mastoidectomy; resulting in modified radical mastoidectomy | 69602 - REVJ MASTOIDECTOMY RSLTG MODF RAD MSTDC | 69602 - MASTOID SURGERY REVISION | '01/01/2017 | 12/31/2999 |
| 69603 | 69603 - Revision mastoidectomy; resulting in radical mastoidectomy | 69603 - REVJ MASTOIDECTOMY RSLTG RAD MASTOIDECTOMY | 69603 - MASTOID SURGERY REVISION | '01/01/2017 | 12/31/2999 |
| 69604 | 69604 - Revision mastoidectomy; resulting in tympanoplasty | 69604 - REVJ MASTOIDECTOMY RSLTG TYMPANOPLASTY | 69604 - MASTOID SURGERY REVISION | '01/01/2017 | 12/31/2999 |
| 69610 | 69610 - Tympanic membrane repair with or without site preparation of perforation for closure with or without patch | 69610 - TYMPANIC MEMB RPR W/WO PREPJ PERFOR PATCH | 69610 - REPAIR OF EARDRUM | '01/01/2017 | 12/31/2999 |
| 69620 | 69620 - Myringoplasty (surgery confined to drumhead and donor area) | 69620 - MYRINGOPLASTY | 69620 - REPAIR OF EARDRUM | '01/01/2017 | 12/31/2999 |
| 69631 | 69631 - Tympanoplasty without mastoidectomy (including canalplasty atticotomy and/or middle ear surgery) initial or revision; without ossicular chain reconstruction | 69631 - TYMPANOPLASTY W/O MASTOIDECT W/O OSSICLE RECNSTJ | 69631 - REPAIR EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69632 | 69632 - Tympanoplasty without mastoidectomy (including canalplasty atticotomy and/or middle ear surgery) initial or revision; with ossicular chain reconstruction (eg postfenestration) | 69632 - TYMPNOPLSTY W/O MSTDC 1ST/REVJ W/OSICLE RECNSTJ | 69632 - REBUILD EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69633 | 69633 - Tympanoplasty without mastoidectomy (including canalplasty atticotomy and/or middle ear surgery) initial or revision; with ossicular chain reconstruction and synthetic prosthesis (eg partial ossicular replacement prosthesis [PORP] total ossicular replacement prosthesis [TORP]) | 69633 - TYMPANOPLASTY W/O MASTOIDEC 1ST/REVJ PROSTH TORP | 69633 - REBUILD EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69635 | 69635 - Tympanoplasty with antrotomy or mastoidotomy (including canalplasty atticotomy middle ear surgery and/or tympanic membrane repair); without ossicular chain reconstruction | 69635 - TYMPP ANTRT/MASTOID W/O OSSICULAR CHAIN RECNSTJ | 69635 - REPAIR EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69636 | 69636 - Tympanoplasty with antrotomy or mastoidotomy (including canalplasty atticotomy middle ear surgery and/or tympanic membrane repair); with ossicular chain reconstruction | 69636 - TYMPP ANTRT/MASTOID W/OSSICULAR CHAIN RECNSTJ | 69636 - REBUILD EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69637 | 69637 - Tympanoplasty with antrotomy or mastoidotomy (including canalplasty atticotomy middle ear surgery and/or tympanic membrane repair); with ossicular chain reconstruction and synthetic prosthesis (eg partial ossicular replacement prosthesis [PORP] total ossicular replacement prosthesis [TORP]) | 69637 - TMPP ANTRT/MASTOIDOTOMY PROSTHESIS TORP | 69637 - REBUILD EARDRUM STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69641 | 69641 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); without ossicular chain reconstruction | 69641 - TMPP MASTOIDECTOMY W/O OSSICULAR CHAIN RECNSTJ | 69641 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69642 | 69642 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); with ossicular chain reconstruction | 69642 - TMPP MASTOIDECTOMY W/OSSICULAR CHAIN RECNSTJ | 69642 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69643 | 69643 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); with intact or reconstructed wall without ossicular chain reconstruction | 69643 - TMPP MASTOIDECT NTC/RCNSTED WALL W/O OCR | 69643 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69644 | 69644 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); with intact or reconstructed canal wall with ossicular chain reconstruction | 69644 - TMPP MASTOIDECT NTC/RCNSTED CANAL WALL OCR | 69644 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69645 | 69645 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); radical or complete without ossicular chain reconstruction | 69645 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/O OCR | 69645 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69646 | 69646 - Tympanoplasty with mastoidectomy (including canalplasty middle ear surgery tympanic membrane repair); radical or complete with ossicular chain reconstruction | 69646 - TYMPANOPLASTY MASTOIDECTOMY RAD/COMPL W/OCR | 69646 - REVISE MIDDLE EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69650 | 69650 - Stapes mobilization | 69650 - STAPES MOBILIZATION | 69650 - RELEASE MIDDLE EAR BONE | '01/01/2017 | 12/31/2999 |
| 69660 | 69660 - Stapedectomy or stapedotomy with reestablishment of ossicular continuity with or without use of foreign material; | 69660 - STAPEDECTOMY/STAPEDOTOMY | 69660 - REVISE MIDDLE EAR BONE | '01/01/2017 | 12/31/2999 |
| 69661 | 69661 - Stapedectomy or stapedotomy with reestablishment of ossicular continuity with or without use of foreign material; with footplate drill out | 69661 - STAPEDECTOMY/STAPEDOTOMY W/FOOTPLATE DRILL OUT | 69661 - REVISE MIDDLE EAR BONE | '01/01/2017 | 12/31/2999 |
| 69662 | 69662 - Revision of stapedectomy or stapedotomy | 69662 - REVISION STAPEDECTOMY/STAPEDOTOMY | 69662 - REVISE MIDDLE EAR BONE | '01/01/2017 | 12/31/2999 |
| 69666 | 69666 - Repair oval window fistula | 69666 - REPAIR OVAL WINDOW FISTULA | 69666 - REPAIR MIDDLE EAR STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69667 | 69667 - Repair round window fistula | 69667 - REPAIR ROUND WINDOW FISTULA | 69667 - REPAIR MIDDLE EAR STRUCTURES | '01/01/2017 | 12/31/2999 |
| 69670 | 69670 - Mastoid obliteration (separate procedure) | 69670 - MASTOID OBLITERATION SEPARATE PROCEDURE | 69670 - REMOVE MASTOID AIR CELLS | '01/01/2017 | 12/31/2999 |
| 69676 | 69676 - Tympanic neurectomy | 69676 - TYMPANIC NEURECTOMY | 69676 - REMOVE MIDDLE EAR NERVE | '01/01/2017 | 12/31/2999 |
| 69700 | 69700 - Closure postauricular fistula mastoid (separate procedure) | 69700 - CLOSURE POSTAURICULAR FISTULA MASTOID SPX | 69700 - CLOSE MASTOID FISTULA | '01/01/2017 | 12/31/2999 |
| 69705 | 69705 - Nasopharyngoscopy surgical with dilation of eustachian tube (ie balloon dilation); unilateral | 69705 - SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE UNI | 69705 - NPS SURG DILAT EUST TUBE UNI | '01/01/2021 | 12/31/2999 |
| 69706 | 69706 - Nasopharyngoscopy surgical with dilation of eustachian tube (ie balloon dilation); bilateral | 69706 - SURG NASOPHARYNGOSCOPY DILAT EUSTACHIAN TUBE BI | 69706 - NPS SURG DILAT EUST TUBE BI | '01/01/2021 | 12/31/2999 |
| 69710 | 69710 - Implantation or replacement of electromagnetic bone conduction hearing device in temporal bone | 69710 - IMPLTJ/RPLCMT EMGNT BONE CNDJ DEV TEMPORAL BONE | 69710 - IMPLANT/REPLACE HEARING AID | '01/01/2017 | 12/31/2999 |
| 69711 | 69711 - Removal or repair of electromagnetic bone conduction hearing device in temporal bone | 69711 - RMVL/RPR EMGNT BONE CNDJ DEV TEMPORAL BONE | 69711 - REMOVE/REPAIR HEARING AID | '01/01/2017 | 12/31/2999 |
| 69714 | 69714 - Implantation osseointegrated implant skull; with percutaneous attachment to external speech processor | 69714 - IMPL OI IMPLT SKULL PERQ ATTACHMENT ESP | 69714 - IMPL OI IMPLT SKULL PERQ ESP | '01/01/2023 | 12/31/2999 |
| 69716 | 69716 - Implantation osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor within the mastoid and/or resulting in removal of less than 100 sq mm surface area of bone deep to the outer cranial cortex | 69716 - IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP<100 | 69716 - IMPL OI IMPLT SK TC ESP<100 | '01/01/2023 | 12/31/2999 |
| 69717 | 69717 - Replacement (including removal of existing device) osseointegrated implant skull; with percutaneous attachment to external speech processor | 69717 - RPLCMT OI IMPLT SKULL PERQ ATTACHMENT ESP | 69717 - RPLCMT OI IMPLT SKL PRQ ESP | '01/01/2023 | 12/31/2999 |
| 69719 | 69719 - Replacement (including removal of existing device) osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor within the mastoid and/or involving a bony defect less than 100 sq mm surface area of bone deep to the outer cranial cortex | 69719 - RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP<100 | 69719 - RPLCM OI IMPLT SK TC ESP<100 | '01/01/2023 | 12/31/2999 |
| 69720 | 69720 - Decompression facial nerve intratemporal; lateral to geniculate ganglion | 69720 - DCMPRN FACIAL NRV INTRATEMPORAL LAT GANGLION | 69720 - RELEASE FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 69725 | 69725 - Decompression facial nerve intratemporal; including medial to geniculate ganglion | 69725 - DCMPRN NRV INTRATEMPORAL MEDIAL GENICULATE | 69725 - RELEASE FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 69726 | 69726 - Removal entire osseointegrated implant skull; with percutaneous attachment to external speech processor | 69726 - REMOVAL ENTIRE OI IMPLT SKL PERQ ATTACHMENT ESP | 69726 - RMV NTR OI IMPLT SKL PRQ ESP | '01/01/2023 | 12/31/2999 |
| 69727 | 69727 - Removal entire osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor within the mastoid and/or involving a bony defect less than 100 sq mm surface area of bone deep to the outer cranial cortex | 69727 - REMOVAL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP<100 | 69727 - RMV NTR OI IMP SK TC ESP<100 | '01/01/2023 | 12/31/2999 |
| 69728 | 69728 - Removal entire osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor outside the mastoid and involving a bony defect greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex | 69728 - RMVL ENTIRE OI IMPLT SKL MAG TC ATTCH ESP>=100 | 69728 - RMV NTR OI IMP SK TC>=100 | '01/01/2023 | 12/31/2999 |
| 69729 | 69729 - Implantation osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor outside of the mastoid and resulting in removal of greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex | 69729 - IMPL OI IMPLT SKULL MAG TC ATTACHMENT ESP>=100 | 69729 - IMPL OI IMPLT SK TC ESP>=100 | '01/01/2023 | 12/31/2999 |
| 69730 | 69730 - Replacement (including removal of existing device) osseointegrated implant skull; with magnetic transcutaneous attachment to external speech processor outside the mastoid and involving a bony defect greater than or equal to 100 sq mm surface area of bone deep to the outer cranial cortex | 69730 - RPLCMT OI IMPLT SKULL MAG TC ATTACHMENT ESP>=100 | 69730 - RPLC OI IMPLT SK TC ESP>=100 | '01/01/2023 | 12/31/2999 |
| 69740 | 69740 - Suture facial nerve intratemporal with or without graft or decompression; lateral to geniculate ganglion | 69740 - SUTR NRV ITPRL W/WO GRF/DCMPRN LAT GENICULATE | 69740 - REPAIR FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 69745 | 69745 - Suture facial nerve intratemporal with or without graft or decompression; including medial to geniculate ganglion | 69745 - SUTR NRV ITPRL W/WO GRF/DCMPRN MEDIAL GENICULATE | 69745 - REPAIR FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 69799 | 69799 - Unlisted procedure middle ear | 69799 - UNLISTED PROCEDURE MIDDLE EAR | 69799 - UNLISTED PX MIDDLE EAR | '01/01/2023 | 12/31/2999 |
| 69801 | 69801 - Labyrinthotomy with perfusion of vestibuloactive drug(s) transcanal | 69801 - LABYRINTHOTOMY TRANSCANAL | 69801 - INCISE INNER EAR | '01/01/2017 | 12/31/2999 |
| 69805 | 69805 - Endolymphatic sac operation; without shunt | 69805 - ENDOLYMPHATIC SAC W/O SHUNT | 69805 - EXPLORE INNER EAR | '01/01/2017 | 12/31/2999 |
| 69806 | 69806 - Endolymphatic sac operation; with shunt | 69806 - ENDOLYMPHATIC SAC SHUNT | 69806 - EXPLORE INNER EAR | '01/01/2017 | 12/31/2999 |
| 69905 | 69905 - Labyrinthectomy; transcanal | 69905 - LABYRINTHECTOMY TRANSCANAL | 69905 - REMOVE INNER EAR | '01/01/2017 | 12/31/2999 |
| 69910 | 69910 - Labyrinthectomy; with mastoidectomy | 69910 - LABYRINTHECTOMY W/MASTOIDECTOMY | 69910 - REMOVE INNER EAR & MASTOID | '01/01/2017 | 12/31/2999 |
| 69915 | 69915 - Vestibular nerve section translabyrinthine approach | 69915 - VESTIBULAR NRV SECTION TRANSLABYRINTHINE APPR | 69915 - INCISE INNER EAR NERVE | '01/01/2017 | 12/31/2999 |
| 69930 | 69930 - Cochlear device implantation with or without mastoidectomy | 69930 - COCHLEAR DEVICE IMPLANTATION W/WO MASTOIDECTOMY | 69930 - IMPLANT COCHLEAR DEVICE | '01/01/2017 | 12/31/2999 |
| 69949 | 69949 - Unlisted procedure inner ear | 69949 - UNLISTED PROCEDURE INNER EAR | 69949 - UNLISTED PX INNER EAR | '01/01/2023 | 12/31/2999 |
| 69950 | 69950 - Vestibular nerve section transcranial approach | 69950 - VESTIBULAR NRV SECTION TRANSCRANIAL APPROACH | 69950 - INCISE INNER EAR NERVE | '01/01/2017 | 12/31/2999 |
| 69955 | 69955 - Total facial nerve decompression and/or repair (may include graft) | 69955 - TOTAL FACIAL NERVE DECOMPRESSION &/REPAIR | 69955 - RELEASE FACIAL NERVE | '01/01/2017 | 12/31/2999 |
| 69960 | 69960 - Decompression internal auditory canal | 69960 - DECOMPRESSION INTERNAL AUDITORY CANAL | 69960 - RELEASE INNER EAR CANAL | '01/01/2017 | 12/31/2999 |
| 69970 | 69970 - Removal of tumor temporal bone | 69970 - REMOVAL TUMOR TEMPORAL BONE | 69970 - REMOVE INNER EAR LESION | '01/01/2017 | 12/31/2999 |
| 69979 | 69979 - Unlisted procedure temporal bone middle fossa approach | 69979 - UNLISTED PROCEDURE TEMPORAL BONE MIDDLE FOSSA | 69979 - UNLISTED PX TEMPORAL BONE | '01/01/2023 | 12/31/2999 |
| 69990 | 69990 - Microsurgical techniques requiring use of operating microscope (List separately in addition to code for primary procedure) | 69990 - MICROSURG TQS REQ USE OPERATING MICROSCOPE | 69990 - MICROSURGERY ADD-ON | '01/01/2017 | 12/31/2999 |
| 70010 | 70010 - Myelography posterior fossa radiological supervision and interpretation | 70010 - MYELOGRAPY POST FOSSA RS&I | 70010 - CONTRAST X-RAY OF BRAIN | '01/01/2017 | 12/31/2999 |
| 70015 | 70015 - Cisternography positive contrast radiological supervision and interpretation | 70015 - CISTERNOGRAPHY POSITIVE CONTRAST RS&I | 70015 - CONTRAST X-RAY OF BRAIN | '01/01/2017 | 12/31/2999 |
| 70030 | 70030 - Radiologic examination eye for detection of foreign body | 70030 - RADIOLOGIC EXAMINATION EYE DETECT FOREIGN BODY | 70030 - X-RAY EYE FOR FOREIGN BODY | '01/01/2017 | 12/31/2999 |
| 70100 | 70100 - Radiologic examination mandible; partial less than 4 views | 70100 - RADIOLOGIC EXAMINATION MANDIPLE PRTL <4 VIEWS | 70100 - X-RAY EXAM OF JAW <4VIEWS | '01/01/2017 | 12/31/2999 |
| 7010F | 7010F - Patient information entered into a recall system that includes: target date for the next exam specified and a process to follow up with patients regarding missed or unscheduled appointments (ML) | 7010F - PT INFORMATION ENTERED INTO RECALL SYSTEM | 7010F - PT INFO INTO RECALL SYSTEM | '01/01/2017 | 12/31/2999 |
| 70110 | 70110 - Radiologic examination mandible; complete minimum of 4 views | 70110 - RADIOLOG EXAM MANDIBLE COMPL MINIMUM 4 VIEWS | 70110 - X-RAY EXAM OF JAW 4/> VIEWS | '01/01/2017 | 12/31/2999 |
| 70120 | 70120 - Radiologic examination mastoids; less than 3 views per side | 70120 - RADIOLOGIC EXAM MASTOIDS < 3 VIEWS PER SIDE | 70120 - X-RAY EXAM OF MASTOIDS | '01/01/2017 | 12/31/2999 |
| 70130 | 70130 - Radiologic examination mastoids; complete minimum of 3 views per side | 70130 - RADEX MASTOIDS COMPL MINIMUM 3 VIEWS PR SIDE | 70130 - X-RAY EXAM OF MASTOIDS | '01/01/2017 | 12/31/2999 |
| 70134 | 70134 - Radiologic examination internal auditory meati complete | 70134 - RADEX INTERNAL AUDITORY MEATI COMPLETE | 70134 - X-RAY EXAM OF MIDDLE EAR | '01/01/2017 | 12/31/2999 |
| 70140 | 70140 - Radiologic examination facial bones; less than 3 views | 70140 - RADEX FACIAL BONES < 3 VIEWS | 70140 - X-RAY EXAM OF FACIAL BONES | '01/01/2017 | 12/31/2999 |
| 70150 | 70150 - Radiologic examination facial bones; complete minimum of 3 views | 70150 - RADEX FACIAL BONES COMPLETE MINIMUM 3 VIEWS | 70150 - X-RAY EXAM OF FACIAL BONES | '01/01/2017 | 12/31/2999 |
| 70160 | 70160 - Radiologic examination nasal bones complete minimum of 3 views | 70160 - RADEX NASAL BONES COMPLETE MINIMUM 3 VIEWS | 70160 - X-RAY EXAM OF NASAL BONES | '01/01/2017 | 12/31/2999 |
| 70170 | 70170 - Dacryocystography nasolacrimal duct radiological supervision and interpretation | 70170 - DACRYOCSTOGRAPY NASOLACRIMAL DUCT RS&I | 70170 - X-RAY EXAM OF TEAR DUCT | '01/01/2017 | 12/31/2999 |
| 70190 | 70190 - Radiologic examination; optic foramina | 70190 - RADEX OPTIC FORAMINA | 70190 - X-RAY EXAM OF EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 70200 | 70200 - Radiologic examination; orbits complete minimum of 4 views | 70200 - RADEX ORBITS COMPLETE MINIMUM 4 VIEWS | 70200 - X-RAY EXAM OF EYE SOCKETS | '01/01/2017 | 12/31/2999 |
| 7020F | 7020F - Mammogram assessment category (eg Mammography Quality Standards Act [MQSA] Breast Imaging Reporting and Data System [BI-RADS] or FDA approved equivalent categories) entered into an internal database to allow for analysis of abnormal interpretation (recall) rate (RAD) | 7020F - MAMMO ASSESSMENT CAT IN DATABASE FOR RATE | 7020F - MAMMO ASSESS CAT IN DBASE | '01/01/2017 | 12/31/2999 |
| 70210 | 70210 - Radiologic examination sinuses paranasal less than 3 views | 70210 - RADEX SINUSES PARANASAL <3 VIEWS | 70210 - X-RAY EXAM OF SINUSES | '01/01/2017 | 12/31/2999 |
| 70220 | 70220 - Radiologic examination sinuses paranasal complete minimum of 3 views | 70220 - RADEX SINUSES PARANASAL COMPL MINIMUM 3 VIEWS | 70220 - X-RAY EXAM OF SINUSES | '01/01/2017 | 12/31/2999 |
| 70240 | 70240 - Radiologic examination sella turcica | 70240 - RADIOLOGIC EXAMINATION SELLA TURCICA | 70240 - X-RAY EXAM PITUITARY SADDLE | '01/01/2017 | 12/31/2999 |
| 70250 | 70250 - Radiologic examination skull; less than 4 views | 70250 - RADIOLOGIC EXAMINATION SKULL 4< VIEWS | 70250 - X-RAY EXAM OF SKULL | '01/01/2021 | 12/31/2999 |
| 7025F | 7025F - Patient information entered into a reminder system with a target due date for the next mammogram (RAD) | 7025F - INFO SYSTEM ANALYSIS ABNORMAL INTERPRATE | 7025F - PT INFOSYS ALARM 4 NXT MAMMO | '01/01/2017 | 12/31/2999 |
| 70260 | 70260 - Radiologic examination skull; complete minimum of 4 views | 70260 - RADIOLOGIC EXAM SKULL COMPLETE MINIMUM 4 VIEWS | 70260 - X-RAY EXAM OF SKULL | '01/01/2017 | 12/31/2999 |
| 70300 | 70300 - Radiologic examination teeth; single view | 70300 - RADIOLOGIC EXAMINATION TEETH 1 VIEW | 70300 - X-RAY EXAM OF TEETH | '01/01/2017 | 12/31/2999 |
| 70310 | 70310 - Radiologic examination teeth; partial examination less than full mouth | 70310 - RADIOLOGIC EXAM TEETH PRTL EXAM < FULL MOUTH | 70310 - X-RAY EXAM OF TEETH | '01/01/2017 | 12/31/2999 |
| 70320 | 70320 - Radiologic examination teeth; complete full mouth | 70320 - RADIOLOGIC EXAM TEETH COMPLETE FULL MOUTH | 70320 - FULL MOUTH X-RAY OF TEETH | '01/01/2017 | 12/31/2999 |
| 70328 | 70328 - Radiologic examination temporomandibular joint open and closed mouth; unilateral | 70328 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH UNILAT | 70328 - X-RAY EXAM OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 70330 | 70330 - Radiologic examination temporomandibular joint open and closed mouth; bilateral | 70330 - RADEX TEMPOROMANDBLE JT OPN & CLSD MOUTH BILAT | 70330 - X-RAY EXAM OF JAW JOINTS | '01/01/2017 | 12/31/2999 |
| 70332 | 70332 - Temporomandibular joint arthrography radiological supervision and interpretation | 70332 - TEMPOROMANDBLE JT ARTHROGRAPHY RS&I | 70332 - X-RAY EXAM OF JAW JOINT | '01/01/2017 | 12/31/2999 |
| 70336 | 70336 - Magnetic resonance (eg proton) imaging temporomandibular joint(s) | 70336 - MRI TEMPOROMANDIBULAR JOINT | 70336 - MAGNETIC IMAGE JAW JOINT | '01/01/2017 | 12/31/2999 |
| 70350 | 70350 - Cephalogram orthodontic | 70350 - CEPHALOGRAM ORTHODONTIC | 70350 - X-RAY HEAD FOR ORTHODONTIA | '01/01/2017 | 12/31/2999 |
| 70355 | 70355 - Orthopantogram (eg panoramic x-ray) | 70355 - ORTHOPANTOGRAM | 70355 - PANORAMIC X-RAY OF JAWS | '01/01/2017 | 12/31/2999 |
| 70360 | 70360 - Radiologic examination; neck soft tissue | 70360 - RADIOLOGIC EXAMINATION NECK SOFT TISSUE | 70360 - X-RAY EXAM OF NECK | '01/01/2017 | 12/31/2999 |
| 70370 | 70370 - Radiologic examination; pharynx or larynx including fluoroscopy and/or magnification technique | 70370 - RADEX PHARYNX/LARX W/FLUOR&/MAGNIFICATION TQ | 70370 - THROAT X-RAY & FLUOROSCOPY | '01/01/2017 | 12/31/2999 |
| 70371 | 70371 - Complex dynamic pharyngeal and speech evaluation by cine or video recording | 70371 - CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC | 70371 - SPEECH EVALUATION COMPLEX | '01/01/2017 | 12/31/2999 |
| 70380 | 70380 - Radiologic examination salivary gland for calculus | 70380 - RADIOLOGIC EXAMINATION SALIVARY GLAND CALCULUS | 70380 - X-RAY EXAM OF SALIVARY GLAND | '01/01/2017 | 12/31/2999 |
| 70390 | 70390 - Sialography radiological supervision and interpretation | 70390 - SIALOGRAPHY RS&I | 70390 - X-RAY EXAM OF SALIVARY DUCT | '01/01/2017 | 12/31/2999 |
| 70450 | 70450 - Computed tomography head or brain; without contrast material | 70450 - CT HEAD/BRAIN W/O CONTRAST MATERIAL | 70450 - CT HEAD/BRAIN W/O DYE | '01/01/2017 | 12/31/2999 |
| 70460 | 70460 - Computed tomography head or brain; with contrast material(s) | 70460 - CT HEAD/BRAIN W/CONTRAST MATERIAL | 70460 - CT HEAD/BRAIN W/DYE | '01/01/2017 | 12/31/2999 |
| 70470 | 70470 - Computed tomography head or brain; without contrast material followed by contrast material(s) and further sections | 70470 - CT HEAD/BRAIN W/O & W/CONTRAST MATERIAL | 70470 - CT HEAD/BRAIN W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 70480 | 70480 - Computed tomography orbit sella or posterior fossa or outer middle or inner ear; without contrast material | 70480 - CT ORBIT SELLA/POST FOSSA/EAR W/O CONTRAST MATRL | 70480 - CT ORBIT/EAR/FOSSA W/O DYE | '01/01/2017 | 12/31/2999 |
| 70481 | 70481 - Computed tomography orbit sella or posterior fossa or outer middle or inner ear; with contrast material(s) | 70481 - CT ORBIT SELLA/POST FOSSA/EAR W/CONTRAST MATRL | 70481 - CT ORBIT/EAR/FOSSA W/DYE | '01/01/2017 | 12/31/2999 |
| 70482 | 70482 - Computed tomography orbit sella or posterior fossa or outer middle or inner ear; without contrast material followed by contrast material(s) and further sections | 70482 - CT ORBIT SELLA/POST FOSSA/EAR W/O & W/CONTR MATR | 70482 - CT ORBIT/EAR/FOSSA W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 70486 | 70486 - Computed tomography maxillofacial area; without contrast material | 70486 - CT MAXILLOFACIAL W/O CONTRAST MATERIAL | 70486 - CT MAXILLOFACIAL W/O DYE | '01/01/2017 | 12/31/2999 |
| 70487 | 70487 - Computed tomography maxillofacial area; with contrast material(s) | 70487 - CT MAXILLOFACIAL W/CONTRAST MATERIAL | 70487 - CT MAXILLOFACIAL W/DYE | '01/01/2017 | 12/31/2999 |
| 70488 | 70488 - Computed tomography maxillofacial area; without contrast material followed by contrast material(s) and further sections | 70488 - CT MAXILLOFACIAL W/O & W/CONTRAST MATERIAL | 70488 - CT MAXILLOFACIAL W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 70490 | 70490 - Computed tomography soft tissue neck; without contrast material | 70490 - CT SOFT TISSUE NECK W/O CONTRAST MATERIAL | 70490 - CT SOFT TISSUE NECK W/O DYE | '01/01/2017 | 12/31/2999 |
| 70491 | 70491 - Computed tomography soft tissue neck; with contrast material(s) | 70491 - CT SOFT TISSUE NECK W/CONTRAST MATERIAL | 70491 - CT SOFT TISSUE NECK W/DYE | '01/01/2017 | 12/31/2999 |
| 70492 | 70492 - Computed tomography soft tissue neck; without contrast material followed by contrast material(s) and further sections | 70492 - CT SOFT TISSUE NECK W/O & W/CONTRAST MATERIAL | 70492 - CT SFT TSUE NCK W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 70496 | 70496 - Computed tomographic angiography head with contrast material(s) including noncontrast images if performed and image postprocessing | 70496 - CT ANGIOGRAPHY HEAD W/CONTRAST/NONCONTRAST | 70496 - CT ANGIOGRAPHY HEAD | '01/01/2017 | 12/31/2999 |
| 70498 | 70498 - Computed tomographic angiography neck with contrast material(s) including noncontrast images if performed and image postprocessing | 70498 - CT ANGIOGRAPHY NECK W/CONTRAST/NONCONTRAST | 70498 - CT ANGIOGRAPHY NECK | '01/01/2017 | 12/31/2999 |
| 70540 | 70540 - Magnetic resonance (eg proton) imaging orbit face and/or neck; without contrast material(s) | 70540 - MRI ORBIT FACE &/NECK W/O CONTRAST | 70540 - MRI ORBIT/FACE/NECK W/O DYE | '01/01/2017 | 12/31/2999 |
| 70542 | 70542 - Magnetic resonance (eg proton) imaging orbit face and/or neck; with contrast material(s) | 70542 - MRI ORBIT FACE & NECK W/CONTRAST MATERIAL | 70542 - MRI ORBIT/FACE/NECK W/DYE | '01/01/2017 | 12/31/2999 |
| 70543 | 70543 - Magnetic resonance (eg proton) imaging orbit face and/or neck; without contrast material(s) followed by contrast material(s) and further sequences | 70543 - MRI ORBIT FACE & NECK W/O & W/CONTRAST MATRL | 70543 - MRI ORBT/FAC/NCK W/O &W/DYE | '01/01/2017 | 12/31/2999 |
| 70544 | 70544 - Magnetic resonance angiography head; without contrast material(s) | 70544 - MRA HEAD W/O CONTRST MATERIAL | 70544 - MR ANGIOGRAPHY HEAD W/O DYE | '01/01/2017 | 12/31/2999 |
| 70545 | 70545 - Magnetic resonance angiography head; with contrast material(s) | 70545 - MRA HEAD W/CONTRAST MATERIAL | 70545 - MR ANGIOGRAPHY HEAD W/DYE | '01/01/2017 | 12/31/2999 |
| 70546 | 70546 - Magnetic resonance angiography head; without contrast material(s) followed by contrast material(s) and further sequences | 70546 - MRA HEAD W/O & W/CONTRAST MATERIAL | 70546 - MR ANGIOGRAPH HEAD W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 70547 | 70547 - Magnetic resonance angiography neck; without contrast material(s) | 70547 - MRA NECK W/O CONTRST MATERIAL | 70547 - MR ANGIOGRAPHY NECK W/O DYE | '01/01/2017 | 12/31/2999 |
| 70548 | 70548 - Magnetic resonance angiography neck; with contrast material(s) | 70548 - MRA NECK W/CONTRAST MATERIAL | 70548 - MR ANGIOGRAPHY NECK W/DYE | '01/01/2017 | 12/31/2999 |
| 70549 | 70549 - Magnetic resonance angiography neck; without contrast material(s) followed by contrast material(s) and further sequences | 70549 - MRA NECK W/O &W/CONTRAST MATERIAL | 70549 - MR ANGIOGRAPH NECK W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 70551 | 70551 - Magnetic resonance (eg proton) imaging brain (including brain stem); without contrast material | 70551 - MRI BRAIN BRAIN STEM W/O CONTRAST MATERIAL | 70551 - MRI BRAIN STEM W/O DYE | '01/01/2017 | 12/31/2999 |
| 70552 | 70552 - Magnetic resonance (eg proton) imaging brain (including brain stem); with contrast material(s) | 70552 - MRI BRAIN BRAIN STEM W/CONTRAST MATERIAL | 70552 - MRI BRAIN STEM W/DYE | '01/01/2017 | 12/31/2999 |
| 70553 | 70553 - Magnetic resonance (eg proton) imaging brain (including brain stem); without contrast material followed by contrast material(s) and further sequences | 70553 - MRI BRAIN BRAIN STEM W/O W/CONTRAST MATERIAL | 70553 - MRI BRAIN STEM W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 70554 | 70554 - Magnetic resonance imaging brain functional MRI; including test selection and administration of repetitive body part movement and/or visual stimulation not requiring physician or psychologist administration | 70554 - MRI BRAIN FUNCTIONAL W/O PHYSICIAN ADMNISTRATION | 70554 - FMRI BRAIN BY TECH | '01/01/2017 | 12/31/2999 |
| 70555 | 70555 - Magnetic resonance imaging brain functional MRI; requiring physician or psychologist administration of entire neurofunctional testing | 70555 - MRI BRAIN FUNCTIONAL W/PHYSICIAN ADMNISTRATION | 70555 - FMRI BRAIN BY PHYS/PSYCH | '01/01/2017 | 12/31/2999 |
| 70557 | 70557 - Magnetic resonance (eg proton) imaging brain (including brain stem and skull base) during open intracranial procedure (eg to assess for residual tumor or residual vascular malformation); without contrast material | 70557 - MRI BRAIN OPEN INTRACRANIAL PX W/O CONTRAST MATL | 70557 - MRI BRAIN W/O DYE | '01/01/2017 | 12/31/2999 |
| 70558 | 70558 - Magnetic resonance (eg proton) imaging brain (including brain stem and skull base) during open intracranial procedure (eg to assess for residual tumor or residual vascular malformation); with contrast material(s) | 70558 - MRI BRAIN OPEN INTRACRANIAL PX W/CONTRAST MATL | 70558 - MRI BRAIN W/DYE | '01/01/2017 | 12/31/2999 |
| 70559 | 70559 - Magnetic resonance (eg proton) imaging brain (including brain stem and skull base) during open intracranial procedure (eg to assess for residual tumor or residual vascular malformation); without contrast material(s) followed by contrast material(s) and further sequences | 70559 - MRI BRAIN OPEN INTRACRANIAL PX W/O & W/CONTRAST | 70559 - MRI BRAIN W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 71045 | 71045 - Radiologic examination chest; single view | 71045 - RADIOLOGIC EXAM CHEST SINGLE VIEW | 71045 - X-RAY EXAM CHEST 1 VIEW | '01/01/2018 | 12/31/2999 |
| 71046 | 71046 - Radiologic examination chest; 2 views | 71046 - RADIOLOGIC EXAM CHEST 2 VIEWS | 71046 - X-RAY EXAM CHEST 2 VIEWS | '01/01/2018 | 12/31/2999 |
| 71047 | 71047 - Radiologic examination chest; 3 views | 71047 - RADIOLOGIC EXAM CHEST 3 VIEWS | 71047 - X-RAY EXAM CHEST 3 VIEWS | '01/01/2018 | 12/31/2999 |
| 71048 | 71048 - Radiologic examination chest; 4 or more views | 71048 - RADIOLOGIC EXAM CHEST 4+ VIEWS | 71048 - X-RAY EXAM CHEST 4+ VIEWS | '01/01/2018 | 12/31/2999 |
| 71100 | 71100 - Radiologic examination ribs unilateral; 2 views | 71100 - RADEX RIBS UNILATERAL 2 VIEWS | 71100 - X-RAY EXAM RIBS UNI 2 VIEWS | '01/01/2017 | 12/31/2999 |
| 71101 | 71101 - Radiologic examination ribs unilateral; including posteroanterior chest minimum of 3 views | 71101 - RADEX RIBS UNI W/POSTEROANT CH MINIMUM 3 VIEWS | 71101 - X-RAY EXAM UNILAT RIBS/CHEST | '01/01/2017 | 12/31/2999 |
| 71110 | 71110 - Radiologic examination ribs bilateral; 3 views | 71110 - RADEX RIBS BILATERAL 3 VIEWS | 71110 - X-RAY EXAM RIBS BIL 3 VIEWS | '01/01/2017 | 12/31/2999 |
| 71111 | 71111 - Radiologic examination ribs bilateral; including posteroanterior chest minimum of 4 views | 71111 - RADEX RIBS BI W/POSTEROANT CH MINIMUM 4 VIEWS | 71111 - X-RAY EXAM RIBS/CHEST4/> VWS | '01/01/2017 | 12/31/2999 |
| 71120 | 71120 - Radiologic examination; sternum minimum of 2 views | 71120 - RADEX STERNUM MINIMUM 2 VIEWS | 71120 - X-RAY EXAM BREASTBONE 2/>VWS | '01/01/2017 | 12/31/2999 |
| 71130 | 71130 - Radiologic examination; sternoclavicular joint or joints minimum of 3 views | 71130 - RADEX STERNOCLAVICULAR JT/JTS MINIMUM 3 VIEWS | 71130 - X-RAY STRENOCLAVIC JT 3/>VWS | '01/01/2017 | 12/31/2999 |
| 71250 | 71250 - Computed tomography thorax diagnostic; without contrast material | 71250 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/O CNTRST | 71250 - CT THORAX DX C- | '01/01/2021 | 12/31/2999 |
| 71260 | 71260 - Computed tomography thorax diagnostic; with contrast material(s) | 71260 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX W/CONTRAST | 71260 - CT THORAX DX C+ | '01/01/2021 | 12/31/2999 |
| 71270 | 71270 - Computed tomography thorax diagnostic; without contrast material followed by contrast material(s) and further sections | 71270 - DIAGNOSTIC COMPUTED TOMOGRAPHY THORAX C-/C+ | 71270 - CT THORAX DX C-/C+ | '01/01/2021 | 12/31/2999 |
| 71271 | 71271 - Computed tomography thorax low dose for lung cancer screening without contrast material(s) | 71271 - COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- | 71271 - CT THORAX LUNG CANCER SCR C- | '01/01/2021 | 12/31/2999 |
| 71275 | 71275 - Computed tomographic angiography chest (noncoronary) with contrast material(s) including noncontrast images if performed and image postprocessing | 71275 - CT ANGIOGRAPHY CHEST W/CONTRAST/NONCONTRAST | 71275 - CT ANGIOGRAPHY CHEST | '01/01/2017 | 12/31/2999 |
| 71550 | 71550 - Magnetic resonance (eg proton) imaging chest (eg for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) | 71550 - MRI CHEST W/O CONTRAST MATERIAL | 71550 - MRI CHEST W/O DYE | '01/01/2017 | 12/31/2999 |
| 71551 | 71551 - Magnetic resonance (eg proton) imaging chest (eg for evaluation of hilar and mediastinal lymphadenopathy); with contrast material(s) | 71551 - MRI CHEST W/CONTRAST MATERIAL | 71551 - MRI CHEST W/DYE | '01/01/2017 | 12/31/2999 |
| 71552 | 71552 - Magnetic resonance (eg proton) imaging chest (eg for evaluation of hilar and mediastinal lymphadenopathy); without contrast material(s) followed by contrast material(s) and further sequences | 71552 - MRI CHEST W/O & W/CONTRAST MATERIAL | 71552 - MRI CHEST W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 71555 | 71555 - Magnetic resonance angiography chest (excluding myocardium) with or without contrast material(s) | 71555 - MRA CHEST W/O & W/CONTRAST MATERIAL | 71555 - MRI ANGIO CHEST W OR W/O DYE | '01/01/2017 | 12/31/2999 |
| 72020 | 72020 - Radiologic examination spine single view specify level | 72020 - RADEX SPINE 1 VIEW SPECIFY LEVEL | 72020 - X-RAY EXAM OF SPINE 1 VIEW | '01/01/2017 | 12/31/2999 |
| 72040 | 72040 - Radiologic examination spine cervical; 2 or 3 views | 72040 - RADEX SPINE CERVICAL 2 OR 3 VIEWS | 72040 - X-RAY EXAM NECK SPINE 2-3 VW | '01/01/2017 | 12/31/2999 |
| 72050 | 72050 - Radiologic examination spine cervical; 4 or 5 views | 72050 - RADEX SPINE CERVICAL 4 OR 5 VIEWS | 72050 - X-RAY EXAM NECK SPINE 4/5VWS | '01/01/2017 | 12/31/2999 |
| 72052 | 72052 - Radiologic examination spine cervical; 6 or more views | 72052 - RADEX SPINE CERVICAL 6 OR MORE VIEWS | 72052 - X-RAY EXAM NECK SPINE 6/>VWS | '01/01/2017 | 12/31/2999 |
| 72070 | 72070 - Radiologic examination spine; thoracic 2 views | 72070 - RADEX SPINE THORACIC 2 VIEWS | 72070 - X-RAY EXAM THORAC SPINE 2VWS | '01/01/2017 | 12/31/2999 |
| 72072 | 72072 - Radiologic examination spine; thoracic 3 views | 72072 - RADEX SPINE THORACIC 3 VIEWS | 72072 - X-RAY EXAM THORAC SPINE 3VWS | '01/01/2017 | 12/31/2999 |
| 72074 | 72074 - Radiologic examination spine; thoracic minimum of 4 views | 72074 - RADEX SPINE THORACIC MINIMUM 4 VIEWS | 72074 - X-RAY EXAM THORAC SPINE4/>VW | '01/01/2017 | 12/31/2999 |
| 72080 | 72080 - Radiologic examination spine; thoracolumbar junction minimum of 2 views | 72080 - RADEX SPINE THORACOLUMBAR JUNCTION MIN 2 VIEWS | 72080 - X-RAY EXAM THORACOLMB 2/> VW | '01/01/2017 | 12/31/2999 |
| 72081 | 72081 - Radiologic examination spine entire thoracic and lumbar including skull cervical and sacral spine if performed (eg scoliosis evaluation); one view | 72081 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 1 VW | 72081 - X-RAY EXAM ENTIRE SPI 1 VW | '01/01/2017 | 12/31/2999 |
| 72082 | 72082 - Radiologic examination spine entire thoracic and lumbar including skull cervical and sacral spine if performed (eg scoliosis evaluation); 2 or 3 views | 72082 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 2/3 VW | 72082 - X-RAY EXAM ENTIRE SPI 2/3 VW | '01/01/2017 | 12/31/2999 |
| 72083 | 72083 - Radiologic examination spine entire thoracic and lumbar including skull cervical and sacral spine if performed (eg scoliosis evaluation); 4 or 5 views | 72083 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 4/5 VW | 72083 - X-RAY EXAM ENTIRE SPI 4/5 VW | '01/01/2017 | 12/31/2999 |
| 72084 | 72084 - Radiologic examination spine entire thoracic and lumbar including skull cervical and sacral spine if performed (eg scoliosis evaluation); minimum of 6 views | 72084 - RADEX ENTIR THRC LMBR CRV SAC SPI W/SKULL 6/> VW | 72084 - X-RAY EXAM ENTIRE SPI 6/> VW | '01/01/2017 | 12/31/2999 |
| 72100 | 72100 - Radiologic examination spine lumbosacral; 2 or 3 views | 72100 - RADEX SPINE LUMBOSACRAL 2/3 VIEWS | 72100 - X-RAY EXAM L-S SPINE 2/3 VWS | '01/01/2017 | 12/31/2999 |
| 72110 | 72110 - Radiologic examination spine lumbosacral; minimum of 4 views | 72110 - RADEX SPINE LUMBOSACRAL MINIMUM 4 VIEWS | 72110 - X-RAY EXAM L-2 SPINE 4/>VWS | '01/01/2017 | 12/31/2999 |
| 72114 | 72114 - Radiologic examination spine lumbosacral; complete including bending views minimum of 6 views | 72114 - RADEX SPINE LUMBSCRL COMPL W/BENDING VIEWS MIN 6 | 72114 - X-RAY EXAM L-S SPINE BENDING | '01/01/2017 | 12/31/2999 |
| 72120 | 72120 - Radiologic examination spine lumbosacral; bending views only 2 or 3 views | 72120 - RADEX SPINE LUMBOSACRAL ONLY BENDING 2/3 VIEWS | 72120 - X-RAY BEND ONLY L-S SPINE | '01/01/2017 | 12/31/2999 |
| 72125 | 72125 - Computed tomography cervical spine; without contrast material | 72125 - CT CERVICAL SPINE W/O CONTRAST MATERIAL | 72125 - CT NECK SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72126 | 72126 - Computed tomography cervical spine; with contrast material | 72126 - CT CERVICAL SPINE W/CONTRAST MATERIAL | 72126 - CT NECK SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72127 | 72127 - Computed tomography cervical spine; without contrast material followed by contrast material(s) and further sections | 72127 - CT CERVICAL SPINE W/O &W/CONTRAST MATERIAL | 72127 - CT NECK SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72128 | 72128 - Computed tomography thoracic spine; without contrast material | 72128 - CT THORACIC SPINE W/O CONTRAST MATERIAL | 72128 - CT CHEST SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72129 | 72129 - Computed tomography thoracic spine; with contrast material | 72129 - CT THORACIC SPINE W/CONTRAST MATERIAL | 72129 - CT CHEST SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72130 | 72130 - Computed tomography thoracic spine; without contrast material followed by contrast material(s) and further sections | 72130 - CT THORACIC SPINE W/O & W/CONTRAST MATERIAL | 72130 - CT CHEST SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72131 | 72131 - Computed tomography lumbar spine; without contrast material | 72131 - CT LUMBAR SPINE W/O CONTRAST MATERIAL | 72131 - CT LUMBAR SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72132 | 72132 - Computed tomography lumbar spine; with contrast material | 72132 - CT LUMBAR SPINE W/CONTRAST MATERIAL | 72132 - CT LUMBAR SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72133 | 72133 - Computed tomography lumbar spine; without contrast material followed by contrast material(s) and further sections | 72133 - CT LUMBAR SPINE W/O & W/CONTRAST MATERIAL | 72133 - CT LUMBAR SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72141 | 72141 - Magnetic resonance (eg proton) imaging spinal canal and contents cervical; without contrast material | 72141 - MRI SPINAL CANAL CERVICAL W/O CONTRAST MATRL | 72141 - MRI NECK SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72142 | 72142 - Magnetic resonance (eg proton) imaging spinal canal and contents cervical; with contrast material(s) | 72142 - MRI SPINAL CANAL CERVICAL W/CONTRAST MATRL | 72142 - MRI NECK SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72146 | 72146 - Magnetic resonance (eg proton) imaging spinal canal and contents thoracic; without contrast material | 72146 - MRI SPINAL CANAL THORACIC W/O CONTRAST MATRL | 72146 - MRI CHEST SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72147 | 72147 - Magnetic resonance (eg proton) imaging spinal canal and contents thoracic; with contrast material(s) | 72147 - MRI SPINAL CANAL THORACIC W/CONTRAST MATRL | 72147 - MRI CHEST SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72148 | 72148 - Magnetic resonance (eg proton) imaging spinal canal and contents lumbar; without contrast material | 72148 - MRI SPINAL CANAL LUMBAR W/O CONTRAST MATERIAL | 72148 - MRI LUMBAR SPINE W/O DYE | '01/01/2017 | 12/31/2999 |
| 72149 | 72149 - Magnetic resonance (eg proton) imaging spinal canal and contents lumbar; with contrast material(s) | 72149 - MRI SPINAL CANAL LUMBAR W/CONTRAST MATERIAL | 72149 - MRI LUMBAR SPINE W/DYE | '01/01/2017 | 12/31/2999 |
| 72156 | 72156 - Magnetic resonance (eg proton) imaging spinal canal and contents without contrast material followed by contrast material(s) and further sequences; cervical | 72156 - MRI SPINAL CANAL CERVICAL W/O & W/CONTR MATRL | 72156 - MRI NECK SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72157 | 72157 - Magnetic resonance (eg proton) imaging spinal canal and contents without contrast material followed by contrast material(s) and further sequences; thoracic | 72157 - MRI SPINAL CANAL THORACIC W/O & W/CONTR MATRL | 72157 - MRI CHEST SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72158 | 72158 - Magnetic resonance (eg proton) imaging spinal canal and contents without contrast material followed by contrast material(s) and further sequences; lumbar | 72158 - MRI SPINAL CANAL LUMBAR W/O & W/CONTR MATRL | 72158 - MRI LUMBAR SPINE W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72159 | 72159 - Magnetic resonance angiography spinal canal and contents with or without contrast material(s) | 72159 - MRA SPINAL CANAL W/WO CONTRAST MATERIAL | 72159 - MR ANGIO SPINE W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 72170 | 72170 - Radiologic examination pelvis; 1 or 2 views | 72170 - RADIOLOGIC EXAMINATION PELVIS 1/2 VIEWS | 72170 - X-RAY EXAM OF PELVIS | '01/01/2017 | 12/31/2999 |
| 72190 | 72190 - Radiologic examination pelvis; complete minimum of 3 views | 72190 - RADIOLOGIC EXAM PELVIS COMPL MINIMUM 3 VIEWS | 72190 - X-RAY EXAM OF PELVIS | '01/01/2017 | 12/31/2999 |
| 72191 | 72191 - Computed tomographic angiography pelvis with contrast material(s) including noncontrast images if performed and image postprocessing | 72191 - CT ANGIOGRAPHY PELVIS W/CONTRAST/NONCONTRAST | 72191 - CT ANGIOGRAPH PELV W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 72192 | 72192 - Computed tomography pelvis; without contrast material | 72192 - CT PELVIS W/O CONTRAST MATERIAL | 72192 - CT PELVIS W/O DYE | '01/01/2017 | 12/31/2999 |
| 72193 | 72193 - Computed tomography pelvis; with contrast material(s) | 72193 - CT PELVIS W/CONTRAST MATERIAL | 72193 - CT PELVIS W/DYE | '01/01/2017 | 12/31/2999 |
| 72194 | 72194 - Computed tomography pelvis; without contrast material followed by contrast material(s) and further sections | 72194 - CT PELVIS W/O & W/CONTRAST MATERIAL | 72194 - CT PELVIS W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72195 | 72195 - Magnetic resonance (eg proton) imaging pelvis; without contrast material(s) | 72195 - MRI PELVIS W/O CONTRAST MATERIAL | 72195 - MRI PELVIS W/O DYE | '01/01/2017 | 12/31/2999 |
| 72196 | 72196 - Magnetic resonance (eg proton) imaging pelvis; with contrast material(s) | 72196 - MRI PELVIS W/CONTRAST MATERIAL | 72196 - MRI PELVIS W/DYE | '01/01/2017 | 12/31/2999 |
| 72197 | 72197 - Magnetic resonance (eg proton) imaging pelvis; without contrast material(s) followed by contrast material(s) and further sequences | 72197 - MRI PELVIS W/O & W/CONTRAST MATERIAL | 72197 - MRI PELVIS W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72198 | 72198 - Magnetic resonance angiography pelvis with or without contrast material(s) | 72198 - MRA PELVIS W/WO CONTRAST MATERIAL | 72198 - MR ANGIO PELVIS W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 72200 | 72200 - Radiologic examination sacroiliac joints; less than 3 views | 72200 - RADIOLOGIC EXAMINATION SACROILIAC JNTS <3 VIEWS | 72200 - X-RAY EXAM SI JOINTS | '01/01/2017 | 12/31/2999 |
| 72202 | 72202 - Radiologic examination sacroiliac joints; 3 or more views | 72202 - RADIOLOGIC EXAM SACROILIAC JOINTS 3/MORE VIEWS | 72202 - X-RAY EXAM SI JOINTS 3/> VWS | '01/01/2017 | 12/31/2999 |
| 72220 | 72220 - Radiologic examination sacrum and coccyx minimum of 2 views | 72220 - RADEX SACRUM & COCCYX MINIMUM 2 VIEWS | 72220 - X-RAY EXAM SACRUM TAILBONE | '01/01/2017 | 12/31/2999 |
| 72240 | 72240 - Myelography cervical radiological supervision and interpretation | 72240 - MYELOGRAPHY CERVICAL RS&I | 72240 - MYELOGRAPHY NECK SPINE | '01/01/2017 | 12/31/2999 |
| 72255 | 72255 - Myelography thoracic radiological supervision and interpretation | 72255 - MYELOGRAPHY THORACIC RS&I | 72255 - MYELOGRAPHY THORACIC SPINE | '01/01/2017 | 12/31/2999 |
| 72265 | 72265 - Myelography lumbosacral radiological supervision and interpretation | 72265 - MYELOGRAPY LUMBOSACRAL RS&I | 72265 - MYELOGRAPHY L-S SPINE | '01/01/2017 | 12/31/2999 |
| 72270 | 72270 - Myelography 2 or more regions (eg lumbar/thoracic cervical/thoracic lumbar/cervical lumbar/thoracic/cervical) radiological supervision and interpretation | 72270 - MYELOGRAPY 2/MORE REGIONS RS&I | 72270 - MYELOGPHY 2/> SPINE REGIONS | '01/01/2017 | 12/31/2999 |
| 72285 | 72285 - Discography cervical or thoracic radiological supervision and interpretation | 72285 - DISKOGRAPY CERVICAL/THORACIC RS&I | 72285 - DISCOGRAPHY CERV/THOR SPINE | '01/01/2017 | 12/31/2999 |
| 72295 | 72295 - Discography lumbar radiological supervision and interpretation | 72295 - DISKOGRAPY LUMBAR RS&I | 72295 - X-RAY OF LOWER SPINE DISK | '01/01/2017 | 12/31/2999 |
| 73000 | 73000 - Radiologic examination; clavicle complete | 73000 - RADEX CLAVICLE COMPLETE | 73000 - X-RAY EXAM OF COLLAR BONE | '01/01/2017 | 12/31/2999 |
| 73010 | 73010 - Radiologic examination; scapula complete | 73010 - RADEX SCAPULA COMPLETE | 73010 - X-RAY EXAM OF SHOULDER BLADE | '01/01/2017 | 12/31/2999 |
| 73020 | 73020 - Radiologic examination shoulder; 1 view | 73020 - RADEX SHOULDER 1 VIEW | 73020 - X-RAY EXAM OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 73030 | 73030 - Radiologic examination shoulder; complete minimum of 2 views | 73030 - RADEX SHOULDER COMPLETE MINIMUM 2 VIEWS | 73030 - X-RAY EXAM OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 73040 | 73040 - Radiologic examination shoulder arthrography radiological supervision and interpretation | 73040 - RADEX SHOULDER ARTHROGRAPHY RS&I | 73040 - CONTRAST X-RAY OF SHOULDER | '01/01/2017 | 12/31/2999 |
| 73050 | 73050 - Radiologic examination; acromioclavicular joints bilateral with or without weighted distraction | 73050 - RADEX A-C JOINTS BI W/WO WEIGHTED DISTRCJ | 73050 - X-RAY EXAM OF SHOULDERS | '01/01/2017 | 12/31/2999 |
| 73060 | 73060 - Radiologic examination; humerus minimum of 2 views | 73060 - RADEX HUMERUS MINIMUM 2 VIEWS | 73060 - X-RAY EXAM OF HUMERUS | '01/01/2017 | 12/31/2999 |
| 73070 | 73070 - Radiologic examination elbow; 2 views | 73070 - RADEX ELBOW 2 VIEWS | 73070 - X-RAY EXAM OF ELBOW | '01/01/2017 | 12/31/2999 |
| 73080 | 73080 - Radiologic examination elbow; complete minimum of 3 views | 73080 - RADEX ELBOW COMPLETE MINIMUM 3 VIEWS | 73080 - X-RAY EXAM OF ELBOW | '01/01/2017 | 12/31/2999 |
| 73085 | 73085 - Radiologic examination elbow arthrography radiological supervision and interpretation | 73085 - RADEX ELBOW ARTHROGRAPHY RS&I | 73085 - CONTRAST X-RAY OF ELBOW | '01/01/2017 | 12/31/2999 |
| 73090 | 73090 - Radiologic examination; forearm 2 views | 73090 - RADEX FOREARM 2 VIEWS | 73090 - X-RAY EXAM OF FOREARM | '01/01/2017 | 12/31/2999 |
| 73092 | 73092 - Radiologic examination; upper extremity infant minimum of 2 views | 73092 - RADEX UPPER EXTREMITY INFANT MINIMUM 2 VIEWS | 73092 - X-RAY EXAM OF ARM INFANT | '01/01/2017 | 12/31/2999 |
| 73100 | 73100 - Radiologic examination wrist; 2 views | 73100 - RADEX WRIST 2 VIEWS | 73100 - X-RAY EXAM OF WRIST | '01/01/2017 | 12/31/2999 |
| 73110 | 73110 - Radiologic examination wrist; complete minimum of 3 views | 73110 - RADEX WRIST COMPLETE MINIMUM 3 VIEWS | 73110 - X-RAY EXAM OF WRIST | '01/01/2017 | 12/31/2999 |
| 73115 | 73115 - Radiologic examination wrist arthrography radiological supervision and interpretation | 73115 - RADEX WRIST ARTHROGRAPHY RS&I | 73115 - CONTRAST X-RAY OF WRIST | '01/01/2017 | 12/31/2999 |
| 73120 | 73120 - Radiologic examination hand; 2 views | 73120 - RADEX HAND 2 VIEWS | 73120 - X-RAY EXAM OF HAND | '01/01/2017 | 12/31/2999 |
| 73130 | 73130 - Radiologic examination hand; minimum of 3 views | 73130 - RADEX HAND MINIMUM 3 VIEWS | 73130 - X-RAY EXAM OF HAND | '01/01/2017 | 12/31/2999 |
| 73140 | 73140 - Radiologic examination finger(s) minimum of 2 views | 73140 - RADEX FINGR MINIMUM 2 VIEWS | 73140 - X-RAY EXAM OF FINGER(S) | '01/01/2017 | 12/31/2999 |
| 73200 | 73200 - Computed tomography upper extremity; without contrast material | 73200 - CT UPPER EXTREMITY W/O CONTRAST MATERIAL | 73200 - CT UPPER EXTREMITY W/O DYE | '01/01/2017 | 12/31/2999 |
| 73201 | 73201 - Computed tomography upper extremity; with contrast material(s) | 73201 - CT UPPER EXTREMITY W/CONTRAST MATERIAL | 73201 - CT UPPER EXTREMITY W/DYE | '01/01/2017 | 12/31/2999 |
| 73202 | 73202 - Computed tomography upper extremity; without contrast material followed by contrast material(s) and further sections | 73202 - CT UPPER EXTREMITY W/O & W/CONTRAST MATERIAL | 73202 - CT UPPR EXTREMITY W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73206 | 73206 - Computed tomographic angiography upper extremity with contrast material(s) including noncontrast images if performed and image postprocessing | 73206 - CT ANGIOGRAPHY UPPER EXTREMITY | 73206 - CT ANGIO UPR EXTRM W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73218 | 73218 - Magnetic resonance (eg proton) imaging upper extremity other than joint; without contrast material(s) | 73218 - MRI UPPER EXTREMITY OTH THAN JT W/O CONTR MATRL | 73218 - MRI UPPER EXTREMITY W/O DYE | '01/01/2017 | 12/31/2999 |
| 73219 | 73219 - Magnetic resonance (eg proton) imaging upper extremity other than joint; with contrast material(s) | 73219 - MRI UPPER EXTREMITY OTH THAN JT W/CONTR MATRL | 73219 - MRI UPPER EXTREMITY W/DYE | '01/01/2017 | 12/31/2999 |
| 73220 | 73220 - Magnetic resonance (eg proton) imaging upper extremity other than joint; without contrast material(s) followed by contrast material(s) and further sequences | 73220 - MRI UPPER EXTREM OTHER THAN JT W/O & W/CONTRAS | 73220 - MRI UPPR EXTREMITY W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73221 | 73221 - Magnetic resonance (eg proton) imaging any joint of upper extremity; without contrast material(s) | 73221 - MRI ANY JT UPPER EXTREMITY W/O CONTRAST MATRL | 73221 - MRI JOINT UPR EXTREM W/O DYE | '01/01/2017 | 12/31/2999 |
| 73222 | 73222 - Magnetic resonance (eg proton) imaging any joint of upper extremity; with contrast material(s) | 73222 - MRI ANY JT UPPER EXTREMITY W/CONTRAST MATRL | 73222 - MRI JOINT UPR EXTREM W/DYE | '01/01/2017 | 12/31/2999 |
| 73223 | 73223 - Magnetic resonance (eg proton) imaging any joint of upper extremity; without contrast material(s) followed by contrast material(s) and further sequences | 73223 - MRI ANY JT UPPER EXTREMITY W/O & W/CONTR MATRL | 73223 - MRI JOINT UPR EXTR W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73225 | 73225 - Magnetic resonance angiography upper extremity with or without contrast material(s) | 73225 - MRA UPPER EXTREMITY W/WO CONTRAST MATERIAL | 73225 - MR ANGIO UPR EXTR W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73501 | 73501 - Radiologic examination hip unilateral with pelvis when performed; 1 view | 73501 - RADEX HIP UNILATERAL WITH PELVIS 1 VIEW | 73501 - X-RAY EXAM HIP UNI 1 VIEW | '01/01/2017 | 12/31/2999 |
| 73502 | 73502 - Radiologic examination hip unilateral with pelvis when performed; 2-3 views | 73502 - RADEX HIP UNILATERAL WITH PELVIS 2-3 VIEWS | 73502 - X-RAY EXAM HIP UNI 2-3 VIEWS | '01/01/2017 | 12/31/2999 |
| 73503 | 73503 - Radiologic examination hip unilateral with pelvis when performed; minimum of 4 views | 73503 - RADEX HIP UNILATERAL WITH PELVIS MINIMUM 4 VIEWS | 73503 - X-RAY EXAM HIP UNI 4/> VIEWS | '01/01/2017 | 12/31/2999 |
| 73521 | 73521 - Radiologic examination hips bilateral with pelvis when performed; 2 views | 73521 - RADEX HIPS BILATERAL WITH PELVIS 2 VIEWS | 73521 - X-RAY EXAM HIPS BI 2 VIEWS | '01/01/2017 | 12/31/2999 |
| 73522 | 73522 - Radiologic examination hips bilateral with pelvis when performed; 3-4 views | 73522 - RADEX HIPS BILATERAL WITH PELVIS 3-4 VIEWS | 73522 - X-RAY EXAM HIPS BI 3-4 VIEWS | '01/01/2017 | 12/31/2999 |
| 73523 | 73523 - Radiologic examination hips bilateral with pelvis when performed; minimum of 5 views | 73523 - RADEX HIPS BILATERAL WITH PELVIS MINIMUM 5 VIEWS | 73523 - X-RAY EXAM HIPS BI 5/> VIEWS | '01/01/2017 | 12/31/2999 |
| 73525 | 73525 - Radiologic examination hip arthrography radiological supervision and interpretation | 73525 - RADEX HIP ARTHROGRAPHY RS&I | 73525 - CONTRAST X-RAY OF HIP | '01/01/2017 | 12/31/2999 |
| 73551 | 73551 - Radiologic examination femur; 1 view | 73551 - RADIOLOGIC EXAMINATION FEMUR 1 VIEW | 73551 - X-RAY EXAM OF FEMUR 1 | '01/01/2017 | 12/31/2999 |
| 73552 | 73552 - Radiologic examination femur; minimum 2 views | 73552 - RADIOLOGIC EXAMINATION FEMUR MINIMUM 2 VIEWS | 73552 - X-RAY EXAM OF FEMUR 2/> | '01/01/2017 | 12/31/2999 |
| 73560 | 73560 - Radiologic examination knee; 1 or 2 views | 73560 - RADIOLOGIC EXAMINATION KNEE 1/2 VIEWS | 73560 - X-RAY EXAM OF KNEE 1 OR 2 | '01/01/2017 | 12/31/2999 |
| 73562 | 73562 - Radiologic examination knee; 3 views | 73562 - RADIOLOGIC EXAMINATION KNEE 3 VIEWS | 73562 - X-RAY EXAM OF KNEE 3 | '01/01/2017 | 12/31/2999 |
| 73564 | 73564 - Radiologic examination knee; complete 4 or more views | 73564 - RADIOLOGIC EXAM KNEE COMPLETE 4/MORE VIEWS | 73564 - X-RAY EXAM KNEE 4 OR MORE | '01/01/2017 | 12/31/2999 |
| 73565 | 73565 - Radiologic examination knee; both knees standing anteroposterior | 73565 - RADIOLOGIC EXAM BOTH KNEES STANDING ANTEROPOST | 73565 - X-RAY EXAM OF KNEES | '01/01/2017 | 12/31/2999 |
| 73580 | 73580 - Radiologic examination knee arthrography radiological supervision and interpretation | 73580 - RADIOLOGIC EXAM KNEE ARTHROGRAPHY RS&I | 73580 - CONTRAST X-RAY OF KNEE JOINT | '01/01/2017 | 12/31/2999 |
| 73590 | 73590 - Radiologic examination; tibia and fibula 2 views | 73590 - RADIOLOGIC EXAMINATION TIBIA & FIBULA 2 VIEWS | 73590 - X-RAY EXAM OF LOWER LEG | '01/01/2017 | 12/31/2999 |
| 73592 | 73592 - Radiologic examination; lower extremity infant minimum of 2 views | 73592 - RADEX LOWER EXTREMITY INFANT MINIMUM 2 VIEWS | 73592 - X-RAY EXAM OF LEG INFANT | '01/01/2017 | 12/31/2999 |
| 73600 | 73600 - Radiologic examination ankle; 2 views | 73600 - RADIOLOGIC EXAMINATION ANKLE 2 VIEWS | 73600 - X-RAY EXAM OF ANKLE | '01/01/2017 | 12/31/2999 |
| 73610 | 73610 - Radiologic examination ankle; complete minimum of 3 views | 73610 - RADEX ANKLE COMPLETE MINIMUM 3 VIEWS | 73610 - X-RAY EXAM OF ANKLE | '01/01/2017 | 12/31/2999 |
| 73615 | 73615 - Radiologic examination ankle arthrography radiological supervision and interpretation | 73615 - RADEX ANKLE ARTHROGRAPHY RS&I | 73615 - CONTRAST X-RAY OF ANKLE | '01/01/2017 | 12/31/2999 |
| 73620 | 73620 - Radiologic examination foot; 2 views | 73620 - RADIOLOGIC EXAMINATION FOOT 2 VIEWS | 73620 - X-RAY EXAM OF FOOT | '01/01/2017 | 12/31/2999 |
| 73630 | 73630 - Radiologic examination foot; complete minimum of 3 views | 73630 - RADEX FOOT COMPLETE MINIMUM 3 VIEWS | 73630 - X-RAY EXAM OF FOOT | '01/01/2017 | 12/31/2999 |
| 73650 | 73650 - Radiologic examination; calcaneus minimum of 2 views | 73650 - RADEX CALCANEUS MINIMUM 2 VIEWS | 73650 - X-RAY EXAM OF HEEL | '01/01/2017 | 12/31/2999 |
| 73660 | 73660 - Radiologic examination; toe(s) minimum of 2 views | 73660 - RADEX TOE MINIMUM 2 VIEWS | 73660 - X-RAY EXAM OF TOE(S) | '01/01/2017 | 12/31/2999 |
| 73700 | 73700 - Computed tomography lower extremity; without contrast material | 73700 - CT LOWER EXTREMITY W/O CONTRAST MATERIAL | 73700 - CT LOWER EXTREMITY W/O DYE | '01/01/2017 | 12/31/2999 |
| 73701 | 73701 - Computed tomography lower extremity; with contrast material(s) | 73701 - CT LOWER EXTREMITY W/CONTRAST MATERIAL | 73701 - CT LOWER EXTREMITY W/DYE | '01/01/2017 | 12/31/2999 |
| 73702 | 73702 - Computed tomography lower extremity; without contrast material followed by contrast material(s) and further sections | 73702 - CT LOWER EXTREMITY W/O & W/CONTRAST MATRL | 73702 - CT LWR EXTREMITY W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73706 | 73706 - Computed tomographic angiography lower extremity with contrast material(s) including noncontrast images if performed and image postprocessing | 73706 - CT ANGIOGRAPHY LOWER EXTREMITY | 73706 - CT ANGIO LWR EXTR W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73718 | 73718 - Magnetic resonance (eg proton) imaging lower extremity other than joint; without contrast material(s) | 73718 - MRI LOWER EXTREM OTH/THN JT W/O CONTR MATRL | 73718 - MRI LOWER EXTREMITY W/O DYE | '01/01/2017 | 12/31/2999 |
| 73719 | 73719 - Magnetic resonance (eg proton) imaging lower extremity other than joint; with contrast material(s) | 73719 - MRI LOWER EXTREM OTH/THN JT W/CONTRAST MATRL | 73719 - MRI LOWER EXTREMITY W/DYE | '01/01/2017 | 12/31/2999 |
| 73720 | 73720 - Magnetic resonance (eg proton) imaging lower extremity other than joint; without contrast material(s) followed by contrast material(s) and further sequences | 73720 - MRI LOWER EXTREM OTH/THN JT W/O & W/CONTR MATR | 73720 - MRI LWR EXTREMITY W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73721 | 73721 - Magnetic resonance (eg proton) imaging any joint of lower extremity; without contrast material | 73721 - MRI ANY JT LOWER EXTREM W/O CONTRAST MATRL | 73721 - MRI JNT OF LWR EXTRE W/O DYE | '01/01/2017 | 12/31/2999 |
| 73722 | 73722 - Magnetic resonance (eg proton) imaging any joint of lower extremity; with contrast material(s) | 73722 - MRI ANY JT LOWER EXTREM W/CONTRAST MATERIAL | 73722 - MRI JOINT OF LWR EXTR W/DYE | '01/01/2017 | 12/31/2999 |
| 73723 | 73723 - Magnetic resonance (eg proton) imaging any joint of lower extremity; without contrast material(s) followed by contrast material(s) and further sequences | 73723 - MRI ANY JT LOWER EXTREM W/O & W/CONTRAST MATRL | 73723 - MRI JOINT LWR EXTR W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 73725 | 73725 - Magnetic resonance angiography lower extremity with or without contrast material(s) | 73725 - MRA LOWER EXTREMITY W/WO CONTRAST MATERIAL | 73725 - MR ANG LWR EXT W OR W/O DYE | '01/01/2017 | 12/31/2999 |
| 74018 | 74018 - Radiologic examination abdomen; 1 view | 74018 - RADIOLOGIC EXAM ABDOMEN 1 VIEW | 74018 - X-RAY EXAM ABDOMEN 1 VIEW | '01/01/2018 | 12/31/2999 |
| 74019 | 74019 - Radiologic examination abdomen; 2 views | 74019 - RADIOLOGIC EXAM ABDOMEN 2 VIEWS | 74019 - X-RAY EXAM ABDOMEN 2 VIEWS | '01/01/2018 | 12/31/2999 |
| 74021 | 74021 - Radiologic examination abdomen; 3 or more views | 74021 - RADIOLOGIC EXAM ABDOMEN 3+ VIEWS | 74021 - X-RAY EXAM ABDOMEN 3+ VIEWS | '01/01/2018 | 12/31/2999 |
| 74022 | 74022 - Radiologic examination complete acute abdomen series including 2 or more views of the abdomen (eg supine erect decubitus) and a single view chest | 74022 - RADIOLOGIC EXAM COMPLETE ACUTE ABDOMEN SERIES | 74022 - X-RAY EXAM COMPLETE ABDOMEN | '01/01/2020 | 12/31/2999 |
| 74150 | 74150 - Computed tomography abdomen; without contrast material | 74150 - CT ABDOMEN W/O CONTRAST MATERIAL | 74150 - CT ABDOMEN W/O DYE | '01/01/2017 | 12/31/2999 |
| 74160 | 74160 - Computed tomography abdomen; with contrast material(s) | 74160 - CT ABDOMEN W/CONTRAST MATERIAL | 74160 - CT ABDOMEN W/DYE | '01/01/2017 | 12/31/2999 |
| 74170 | 74170 - Computed tomography abdomen; without contrast material followed by contrast material(s) and further sections | 74170 - CT ABDOMEN W/O & W/CONTRAST MATERIAL | 74170 - CT ABDOMEN W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 74174 | 74174 - Computed tomographic angiography abdomen and pelvis with contrast material(s) including noncontrast images if performed and image postprocessing | 74174 - CT ANGIO ABD&PLVIS CNTRST MTRL W/WO CNTRST IMG | 74174 - CT ANGIO ABD&PELV W/O&W/DYE | '01/01/2017 | 12/31/2999 |
| 74175 | 74175 - Computed tomographic angiography abdomen with contrast material(s) including noncontrast images if performed and image postprocessing | 74175 - CT ANGIOGRAPHY ABDOMEN W/CONTRAST/NONCONTRAST | 74175 - CT ANGIO ABDOM W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 74176 | 74176 - Computed tomography abdomen and pelvis; without contrast material | 74176 - CT ABDOMEN & PELVIS W/O CONTRAST MATERIAL | 74176 - CT ABD & PELVIS W/O CONTRAST | '01/01/2017 | 12/31/2999 |
| 74177 | 74177 - Computed tomography abdomen and pelvis; with contrast material(s) | 74177 - CT ABDOMEN & PELVIS W/CONTRAST MATERIAL | 74177 - CT ABD & PELV W/CONTRAST | '01/01/2017 | 12/31/2999 |
| 74178 | 74178 - Computed tomography abdomen and pelvis; without contrast material in one or both body regions followed by contrast material(s) and further sections in one or both body regions | 74178 - CT ABDOMEN & PELVIS W/O CONTRST 1/> BODY RE | 74178 - CT ABD & PELV 1/> REGNS | '01/01/2017 | 12/31/2999 |
| 74181 | 74181 - Magnetic resonance (eg proton) imaging abdomen; without contrast material(s) | 74181 - MRI ABDOMEN W/O CONTRAST MATERIAL | 74181 - MRI ABDOMEN W/O DYE | '01/01/2017 | 12/31/2999 |
| 74182 | 74182 - Magnetic resonance (eg proton) imaging abdomen; with contrast material(s) | 74182 - MRI ABDOMEN W/CONTRAST MATERIAL | 74182 - MRI ABDOMEN W/DYE | '01/01/2017 | 12/31/2999 |
| 74183 | 74183 - Magnetic resonance (eg proton) imaging abdomen; without contrast material(s) followed by with contrast material(s) and further sequences | 74183 - MRI ABDOMEN W/O & W/CONTRAST MATERIAL | 74183 - MRI ABDOMEN W/O & W/DYE | '01/01/2017 | 12/31/2999 |
| 74185 | 74185 - Magnetic resonance angiography abdomen with or without contrast material(s) | 74185 - MRA ABDOMEN W/WO CONTRAST MATERIAL | 74185 - MRI ANGIO ABDOM W ORW/O DYE | '01/01/2017 | 12/31/2999 |
| 74190 | 74190 - Peritoneogram (eg after injection of air or contrast) radiological supervision and interpretation | 74190 - PERITONEOGRAM RS&I | 74190 - X-RAY EXAM OF PERITONEUM | '01/01/2017 | 12/31/2999 |
| 74210 | 74210 - Radiologic examination pharynx and/or cervical esophagus including scout neck radiograph(s) and delayed image(s) when performed contrast (eg barium) study | 74210 - RADIOLOGIC EXAM PHRNX&/CRV ESOPH CONTRAST STUDY | 74210 - X-RAY XM PHRNX&/CRV ESOPH C+ | '01/01/2020 | 12/31/2999 |
| 74220 | 74220 - Radiologic examination esophagus including scout chest radiograph(s) and delayed image(s) when performed; single-contrast (eg barium) study | 74220 - RADIOLOGIC EXAM ESOPHAGUS SINGLE CONTRAST STUDY | 74220 - X-RAY XM ESOPHAGUS 1CNTRST | '01/01/2020 | 12/31/2999 |
| 74221 | 74221 - Radiologic examination esophagus including scout chest radiograph(s) and delayed image(s) when performed; double-contrast (eg high-density barium and effervescent agent) study | 74221 - RADIOLOGIC EXAM ESOPHAGUS DOUBLE CONTRAST STUDY | 74221 - X-RAY XM ESOPHAGUS 2CNTRST | '01/01/2020 | 12/31/2999 |
| 74230 | 74230 - Radiologic examination swallowing function with cineradiography/videoradiography including scout neck radiograph(s) and delayed image(s) when performed contrast (eg barium) study | 74230 - RADIOLOGIC EXAM SWALLOW FUNCTION CONTRAST STUDY | 74230 - X-RAY XM SWLNG FUNCJ C+ | '01/01/2020 | 12/31/2999 |
| 74235 | 74235 - Removal of foreign body(s) esophageal with use of balloon catheter radiological supervision and interpretation | 74235 - RMVL FB ESOPHAGEAL W/USE BALLOON CATH RS&I | 74235 - REMOVE ESOPHAGUS OBSTRUCTION | '01/01/2017 | 12/31/2999 |
| 74240 | 74240 - Radiologic examination upper gastrointestinal tract including scout abdominal radiograph(s) and delayed image(s) when performed; single-contrast (eg barium) study | 74240 - RADIOLOGIC EXAM UPR GI TRC SINGLE CONTRAST STUDY | 74240 - X-RAY XM UPR GI TRC 1CNTRST | '01/01/2020 | 12/31/2999 |
| 74246 | 74246 - Radiologic examination upper gastrointestinal tract including scout abdominal radiograph(s) and delayed image(s) when performed; double-contrast (eg high-density barium and effervescent agent) study including glucagon when administered | 74246 - RADIOLOGIC EXAM UPR GI TRC DOUBLE CONTRAST STUDY | 74246 - X-RAY XM UPR GI TRC 2CNTRST | '01/01/2020 | 12/31/2999 |
| 74248 | 74248 - Radiologic small intestine follow-through study including multiple serial images (List separately in addition to code for primary procedure for upper GI radiologic examination) | 74248 - RADIOLOGIC SMALL INTESTINE FOLLOW-THROUGH STUDY | 74248 - X-RAY SM INT F-THRU STD | '01/01/2020 | 12/31/2999 |
| 74250 | 74250 - Radiologic examination small intestine including multiple serial images and scout abdominal radiograph(s) when performed; single-contrast (eg barium) study | 74250 - RADIOLOGIC EXAM SMALL INT SINGLE CONTRAST STUDY | 74250 - X-RAY XM SM INT 1CNTRST STD | '01/01/2020 | 12/31/2999 |
| 74251 | 74251 - Radiologic examination small intestine including multiple serial images and scout abdominal radiograph(s) when performed; double-contrast (eg high-density barium and air via enteroclysis tube) study including glucagon when administered | 74251 - RADIOLOGIC EXAM SMALL INT DOUBLE CONTRAST STUDY | 74251 - X-RAY XM SM INT 2CNTRST STD | '01/01/2020 | 12/31/2999 |
| 74261 | 74261 - Computed tomographic (CT) colonography diagnostic including image postprocessing; without contrast material | 74261 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/O CONTRAST | 74261 - CT COLONOGRAPHY DX | '01/01/2017 | 12/31/2999 |
| 74262 | 74262 - Computed tomographic (CT) colonography diagnostic including image postprocessing; with contrast material(s) including non-contrast images if performed | 74262 - CT COLONOGRPHY DX IMAGE POSTPROCESS W/CONTRAST | 74262 - CT COLONOGRAPHY DX W/DYE | '01/01/2017 | 12/31/2999 |
| 74263 | 74263 - Computed tomographic (CT) colonography screening including image postprocessing | 74263 - CT COLONOGRAPHY SCREENING IMAGE POSTPROCESSING | 74263 - CT COLONOGRAPHY SCREENING | '01/01/2017 | 12/31/2999 |
| 74270 | 74270 - Radiologic examination colon including scout abdominal radiograph(s) and delayed image(s) when performed; single-contrast (eg barium) study | 74270 - RADIOLOGIC EXAM COLON SINGLE CONTRAST STUDY | 74270 - X-RAY XM COLON 1CNTRST STD | '01/01/2020 | 12/31/2999 |
| 74280 | 74280 - Radiologic examination colon including scout abdominal radiograph(s) and delayed image(s) when performed; double-contrast (eg high density barium and air) study including glucagon when administered | 74280 - RADIOLOGIC EXAM COLON DOUBLE CONTRAST STUDY | 74280 - X-RAY XM COLON 2CNTRST STD | '01/01/2020 | 12/31/2999 |
| 74283 | 74283 - Therapeutic enema contrast or air for reduction of intussusception or other intraluminal obstruction (eg meconium ileus) | 74283 - THERAPEUTIC ENEMA RDCTJ INTUSSUSCEPTION/OBSTRCJ | 74283 - THER NMA RDCTJ INTUS/OBSTRCJ | '01/01/2019 | 12/31/2999 |
| 74290 | 74290 - Cholecystography oral contrast | 74290 - CHOLECYSTOGRAPHY ORAL CONTRST | 74290 - CONTRAST X-RAY GALLBLADDER | '01/01/2017 | 12/31/2999 |
| 74300 | 74300 - Cholangiography and/or pancreatography; intraoperative radiological supervision and interpretation | 74300 - CHOLANGIOGRAPHY&/PANCREATOGRAPHY NTRAOP RS&I | 74300 - X-RAY BILE DUCTS/PANCREAS | '01/01/2017 | 12/31/2999 |
| 74301 | 74301 - Cholangiography and/or pancreatography; additional set intraoperative radiological supervision and interpretation (List separately in addition to code for primary procedure) | 74301 - CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS | 74301 - X-RAYS AT SURGERY ADD-ON | '01/01/2017 | 12/31/2999 |
| 74328 | 74328 - Endoscopic catheterization of the biliary ductal system radiological supervision and interpretation | 74328 - ENDOSCOPIC CATHJ BILIARY DUCTAL SYSTEM RS&I | 74328 - X-RAY BILE DUCT ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 74329 | 74329 - Endoscopic catheterization of the pancreatic ductal system radiological supervision and interpretation | 74329 - ENDOSCOPIC CATHJ PANCREATIC DUCTAL SYS RS&I | 74329 - X-RAY FOR PANCREAS ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 74330 | 74330 - Combined endoscopic catheterization of the biliary and pancreatic ductal systems radiological supervision and interpretation | 74330 - CMBN NDSC CATHJ BILIARY&PNCRTC DUCTAL SYS RS&I | 74330 - X-RAY BILE/PANC ENDOSCOPY | '01/01/2017 | 12/31/2999 |
| 74340 | 74340 - Introduction of long gastrointestinal tube (eg Miller-Abbott) including multiple fluoroscopies and images radiological supervision and interpretation | 74340 - INTRO LONG GI TUBE W/MULT FLUORO & IMAGES RS&I | 74340 - X-RAY GUIDE FOR GI TUBE | '01/01/2017 | 12/31/2999 |
| 74355 | 74355 - Percutaneous placement of enteroclysis tube radiological supervision and interpretation | 74355 - PERCUTANEOUS PLACEMENT ENTEROCLYSIS TUBE RS&I | 74355 - X-RAY GUIDE INTESTINAL TUBE | '01/01/2017 | 12/31/2999 |
| 74360 | 74360 - Intraluminal dilation of strictures and/or obstructions (eg esophagus) radiological supervision and interpretation | 74360 - INTRALUMINAL DILATION STRICTURES&/OBSTRCJS RS&I | 74360 - X-RAY GUIDE GI DILATION | '01/01/2017 | 12/31/2999 |
| 74363 | 74363 - Percutaneous transhepatic dilation of biliary duct stricture with or without placement of stent radiological supervision and interpretation | 74363 - PRQ TRANSHEPATC DILAT BILIARY DUCT STRICTRE RS&I | 74363 - X-RAY BILE DUCT DILATION | '01/01/2017 | 12/31/2999 |
| 74400 | 74400 - Urography (pyelography) intravenous with or without KUB with or without tomography | 74400 - UROGRAPHY IV W/WO KUB W/WO TOMOGRAPHY | 74400 - UROGRAPHY IV +-KUB TOMOG | '01/01/2021 | 12/31/2999 |
| 74410 | 74410 - Urography infusion drip technique and/or bolus technique; | 74410 - UROGRAPHY INFUSION DRIP &/BOLUS TECHNIQUE | 74410 - UROGRAPHY NFS DRIP&/BOLUS | '01/01/2021 | 12/31/2999 |
| 74415 | 74415 - Urography infusion drip technique and/or bolus technique; with nephrotomography | 74415 - UROGRAPHY NFS DRIP &/BOLUS W/NEPHROTOMOGRAPHY | 74415 - UROGRAPHY NFS DRIP&/BLS W/NF | '01/01/2021 | 12/31/2999 |
| 74420 | 74420 - Urography retrograde with or without KUB | 74420 - UROGRAPHY RETROGRADE WITH/WO KUB | 74420 - UROGRAPHY RTRGR +-KUB | '01/01/2021 | 12/31/2999 |
| 74425 | 74425 - Urography antegrade radiological supervision and interpretation | 74425 - ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ | 74425 - UROGRAPHY ANTEGRADE RS&I | '01/01/2021 | 12/31/2999 |
| 74430 | 74430 - Cystography minimum of 3 views radiological supervision and interpretation | 74430 - CYSTOGRAPHY MINIMUM 3 VIEWS RS&I | 74430 - CONTRAST X-RAY BLADDER | '01/01/2017 | 12/31/2999 |
| 74440 | 74440 - Vasography vesiculography or epididymography radiological supervision and interpretation | 74440 - VASOGRAPY VESICULOGRAPY/EPIDIDYMOGRAPY RS&I | 74440 - X-RAY MALE GENITAL TRACT | '01/01/2017 | 12/31/2999 |
| 74445 | 74445 - Corpora cavernosography radiological supervision and interpretation | 74445 - CORPORA CAVERNOSOGRAPY RS&I | 74445 - X-RAY EXAM OF PENIS | '01/01/2017 | 12/31/2999 |
| 74450 | 74450 - Urethrocystography retrograde radiological supervision and interpretation | 74450 - URETHROCYSTOGRAPHY RETROGRADE RS&I | 74450 - X-RAY URETHRA/BLADDER | '01/01/2017 | 12/31/2999 |
| 74455 | 74455 - Urethrocystography voiding radiological supervision and interpretation | 74455 - URETHROCYSTOGRAPHY VOIDING RS&I | 74455 - X-RAY URETHRA/BLADDER | '01/01/2017 | 12/31/2999 |
| 74470 | 74470 - Radiologic examination renal cyst study translumbar contrast visualization radiological supervision and interpretation | 74470 - RADEX RENAL CYST STUDY TRANSLUMBAR RS&I | 74470 - X-RAY EXAM OF KIDNEY LESION | '01/01/2017 | 12/31/2999 |
| 74485 | 74485 - Dilation of ureter(s) or urethra radiological supervision and interpretation | 74485 - DILATION URETERS/URETHRA RS&I | 74485 - DILATION URTR/URT RS&I | '01/01/2019 | 12/31/2999 |
| 74710 | 74710 - Pelvimetry with or without placental localization | 74710 - PELVIMETRY W/WOPLACENTAL LOCALIZATION | 74710 - X-RAY MEASUREMENT OF PELVIS | '01/01/2017 | 12/31/2999 |
| 74712 | 74712 - Magnetic resonance (eg proton) imaging fetal including placental and maternal pelvic imaging when performed; single or first gestation | 74712 - FETAL MRI W/PLACNTL MATRNL PLVC IMG SING/1ST GES | 74712 - MRI FETAL SNGL/1ST GESTATION | '01/01/2017 | 12/31/2999 |
| 74713 | 74713 - Magnetic resonance (eg proton) imaging fetal including placental and maternal pelvic imaging when performed; each additional gestation (List separately in addition to code for primary procedure) | 74713 - FETAL MRI W/PLACNTL MATRNL PLVC IMG EA ADDL GES | 74713 - MRI FETAL EA ADDL GESTATION | '01/01/2017 | 12/31/2999 |
| 74740 | 74740 - Hysterosalpingography radiological supervision and interpretation | 74740 - HYSTEROSALPINGOGRAPHY RS&I | 74740 - X-RAY FEMALE GENITAL TRACT | '01/01/2017 | 12/31/2999 |
| 74742 | 74742 - Transcervical catheterization of fallopian tube radiological supervision and interpretation | 74742 - TRANSCERVICAL CATHJ FALLOPIAN TUBE RS&I | 74742 - X-RAY FALLOPIAN TUBE | '01/01/2017 | 12/31/2999 |
| 74775 | 74775 - Perineogram (eg vaginogram for sex determination or extent of anomalies) | 74775 - PERINEOGRAM | 74775 - X-RAY EXAM OF PERINEUM | '01/01/2017 | 12/31/2999 |
| 75557 | 75557 - Cardiac magnetic resonance imaging for morphology and function without contrast material; | 75557 - CARDIAC MRI MORPHOLOGY & FUNCTION W/O CONTRAST | 75557 - CARDIAC MRI FOR MORPH | '01/01/2017 | 12/31/2999 |
| 75559 | 75559 - Cardiac magnetic resonance imaging for morphology and function without contrast material; with stress imaging | 75559 - CARDIAC MRI W/O CONTRAST W/STRESS IMAGING | 75559 - CARDIAC MRI W/STRESS IMG | '01/01/2017 | 12/31/2999 |
| 75561 | 75561 - Cardiac magnetic resonance imaging for morphology and function without contrast material(s) followed by contrast material(s) and further sequences; | 75561 - CARDIAC MRI W/WO CONTRAST & FURTHER SEQ | 75561 - CARDIAC MRI FOR MORPH W/DYE | '01/01/2017 | 12/31/2999 |
| 75563 | 75563 - Cardiac magnetic resonance imaging for morphology and function without contrast material(s) followed by contrast material(s) and further sequences; with stress imaging | 75563 - CARDIAC MRI W/W/O CONTRAST W/STRESS | 75563 - CARD MRI W/STRESS IMG & DYE | '01/01/2017 | 12/31/2999 |
| 75565 | 75565 - Cardiac magnetic resonance imaging for velocity flow mapping (List separately in addition to code for primary procedure) | 75565 - CARDIAC MRI FOR VELOCITY FLOW MAPPING | 75565 - CARD MRI VELOC FLOW MAPPING | '01/01/2017 | 12/31/2999 |
| 75571 | 75571 - Computed tomography heart without contrast material with quantitative evaluation of coronary calcium | 75571 - CT HEART NO CONTRAST QUANT EVAL CORONRY CALCIUM | 75571 - CT HRT W/O DYE W/CA TEST | '01/01/2017 | 12/31/2999 |
| 75572 | 75572 - Computed tomography heart with contrast material for evaluation of cardiac structure and morphology (including 3D image postprocessing assessment of cardiac function and evaluation of venous structures if performed) | 75572 - CT HEART CONTRAST EVAL CARDIAC STRUCTURE&MORPH | 75572 - CT HRT W/3D IMAGE | '01/01/2017 | 12/31/2999 |
| 75573 | 75573 - Computed tomography heart with contrast material for evaluation of cardiac structure and morphology in the setting of congenital heart disease (including 3D image postprocessing assessment of left ventricular [LV] cardiac function right ventricular [RV] structure and function and evaluation of vascular structures if performed) | 75573 - CT HEART C+ CARDIAC STRUX&MORPH CGEN HRT DS | 75573 - CT HRT C+ STRUX CGEN HRT DS | '01/01/2022 | 12/31/2999 |
| 75574 | 75574 - Computed tomographic angiography heart coronary arteries and bypass grafts (when present) with contrast material including 3D image postprocessing (including evaluation of cardiac structure and morphology assessment of cardiac function and evaluation of venous structures if performed) | 75574 - CTA HRT CORNRY ART/BYPASS GRFTS CONTRST 3D POST | 75574 - CT ANGIO HRT W/3D IMAGE | '01/01/2017 | 12/31/2999 |
| 75600 | 75600 - Aortography thoracic without serialography radiological supervision and interpretation | 75600 - AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I | 75600 - CONTRAST EXAM THORACIC AORTA | '01/01/2017 | 12/31/2999 |
| 75605 | 75605 - Aortography thoracic by serialography radiological supervision and interpretation | 75605 - AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I | 75605 - CONTRAST EXAM THORACIC AORTA | '01/01/2017 | 12/31/2999 |
| 75625 | 75625 - Aortography abdominal by serialography radiological supervision and interpretation | 75625 - AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I | 75625 - CONTRAST EXAM ABDOMINL AORTA | '01/01/2017 | 12/31/2999 |
| 75630 | 75630 - Aortography abdominal plus bilateral iliofemoral lower extremity catheter by serialography radiological supervision and interpretation | 75630 - AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I | 75630 - X-RAY AORTA LEG ARTERIES | '01/01/2017 | 12/31/2999 |
| 75635 | 75635 - Computed tomographic angiography abdominal aorta and bilateral iliofemoral lower extremity runoff with contrast material(s) including noncontrast images if performed and image postprocessing | 75635 - CTA ABDL AORTA&BI ILIOFEM W/CONTRAST&POSTP | 75635 - CT ANGIO ABDOMINAL ARTERIES | '01/01/2017 | 12/31/2999 |
| 75705 | 75705 - Angiography spinal selective radiological supervision and interpretation | 75705 - ANGIOGRAPHY SPINAL SELECTIVE RS&I | 75705 - ARTERY X-RAYS SPINE | '01/01/2017 | 12/31/2999 |
| 75710 | 75710 - Angiography extremity unilateral radiological supervision and interpretation | 75710 - ANGIOGRAPHY EXTREMITY UNILATERAL RS&I | 75710 - ARTERY X-RAYS ARM/LEG | '01/01/2017 | 12/31/2999 |
| 75716 | 75716 - Angiography extremity bilateral radiological supervision and interpretation | 75716 - ANGIOGRAPHY EXTREMITY BILATERAL RS&I | 75716 - ARTERY X-RAYS ARMS/LEGS | '01/01/2017 | 12/31/2999 |
| 75726 | 75726 - Angiography visceral selective or supraselective (with or without flush aortogram) radiological supervision and interpretation | 75726 - ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I | 75726 - ARTERY X-RAYS ABDOMEN | '01/01/2017 | 12/31/2999 |
| 75731 | 75731 - Angiography adrenal unilateral selective radiological supervision and interpretation | 75731 - ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I | 75731 - ARTERY X-RAYS ADRENAL GLAND | '01/01/2017 | 12/31/2999 |
| 75733 | 75733 - Angiography adrenal bilateral selective radiological supervision and interpretation | 75733 - ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I | 75733 - ARTERY X-RAYS ADRENALS | '01/01/2017 | 12/31/2999 |
| 75736 | 75736 - Angiography pelvic selective or supraselective radiological supervision and interpretation | 75736 - ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I | 75736 - ARTERY X-RAYS PELVIS | '01/01/2017 | 12/31/2999 |
| 75741 | 75741 - Angiography pulmonary unilateral selective radiological supervision and interpretation | 75741 - ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I | 75741 - ARTERY X-RAYS LUNG | '01/01/2017 | 12/31/2999 |
| 75743 | 75743 - Angiography pulmonary bilateral selective radiological supervision and interpretation | 75743 - ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I | 75743 - ARTERY X-RAYS LUNGS | '01/01/2017 | 12/31/2999 |
| 75746 | 75746 - Angiography pulmonary by nonselective catheter or venous injection radiological supervision and interpretation | 75746 - ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I | 75746 - ARTERY X-RAYS LUNG | '01/01/2017 | 12/31/2999 |
| 75756 | 75756 - Angiography internal mammary radiological supervision and interpretation | 75756 - ANGIOGRAPHY INTERNAL MAMMARY RS&I | 75756 - ARTERY X-RAYS CHEST | '01/01/2017 | 12/31/2999 |
| 75774 | 75774 - Angiography selective each additional vessel studied after basic examination radiological supervision and interpretation (List separately in addition to code for primary procedure) | 75774 - ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I | 75774 - ARTERY X-RAY EACH VESSEL | '01/01/2017 | 12/31/2999 |
| 75801 | 75801 - Lymphangiography extremity only unilateral radiological supervision and interpretation | 75801 - LYMPHANGIOGRAPHY EXTREMITY ONLY UNILATERAL RS&I | 75801 - LYMPH VESSEL X-RAY ARM/LEG | '01/01/2017 | 12/31/2999 |
| 75803 | 75803 - Lymphangiography extremity only bilateral radiological supervision and interpretation | 75803 - LYMPHANGIOGRAPHY EXTREMITY ONLY BILATERAL RS&I | 75803 - LYMPH VESSEL X-RAY ARMS/LEGS | '01/01/2017 | 12/31/2999 |
| 75805 | 75805 - Lymphangiography pelvic/abdominal unilateral radiological supervision and interpretation | 75805 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL UNILAT RS&I | 75805 - LYMPH VESSEL X-RAY TRUNK | '01/01/2017 | 12/31/2999 |
| 75807 | 75807 - Lymphangiography pelvic/abdominal bilateral radiological supervision and interpretation | 75807 - LYMPHANGIOGRAPHY PELVIC/ABDOMINAL BILATERAL RS&I | 75807 - LYMPH VESSEL X-RAY TRUNK | '01/01/2017 | 12/31/2999 |
| 75809 | 75809 - Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg LeVeen shunt ventriculoperitoneal shunt indwelling infusion pump) radiological supervision and interpretation | 75809 - SHUNTOGRAM INDWELLING NONVASCULAR SHUNT RS&I | 75809 - NONVASCULAR SHUNT X-RAY | '01/01/2017 | 12/31/2999 |
| 75810 | 75810 - Splenoportography radiological supervision and interpretation | 75810 - SPLENOPORTOGRAPY RS&I | 75810 - VEIN X-RAY SPLEEN/LIVER | '01/01/2017 | 12/31/2999 |
| 75820 | 75820 - Venography extremity unilateral radiological supervision and interpretation | 75820 - VENOGRAPHY EXTREMITY UNILATERAL RS&I | 75820 - VEIN X-RAY ARM/LEG | '01/01/2017 | 12/31/2999 |
| 75822 | 75822 - Venography extremity bilateral radiological supervision and interpretation | 75822 - VENOGRAPHY EXTREMITY BILATERAL RS&I | 75822 - VEIN X-RAY ARMS/LEGS | '01/01/2017 | 12/31/2999 |
| 75825 | 75825 - Venography caval inferior with serialography radiological supervision and interpretation | 75825 - VENOGRAPHY CAVAL INFERIOR SERIALOGRAPHY RS&I | 75825 - VEIN X-RAY TRUNK | '01/01/2017 | 12/31/2999 |
| 75827 | 75827 - Venography caval superior with serialography radiological supervision and interpretation | 75827 - VENOGRAPHY CAVAL SUPERIOR SERIALOGRAPHY RS&I | 75827 - VEIN X-RAY CHEST | '01/01/2017 | 12/31/2999 |
| 75831 | 75831 - Venography renal unilateral selective radiological supervision and interpretation | 75831 - VENOGRAPHY RENAL UNILATERAL SELECTIVE RS&I | 75831 - VEIN X-RAY KIDNEY | '01/01/2017 | 12/31/2999 |
| 75833 | 75833 - Venography renal bilateral selective radiological supervision and interpretation | 75833 - VENOGRAPHY RENAL BILATERAL SELECTIVE RS&I | 75833 - VEIN X-RAY KIDNEYS | '01/01/2017 | 12/31/2999 |
| 75840 | 75840 - Venography adrenal unilateral selective radiological supervision and interpretation | 75840 - VENOGRAPHY ADRENAL UNILATERAL SELECTIVE RS&I | 75840 - VEIN X-RAY ADRENAL GLAND | '01/01/2017 | 12/31/2999 |
| 75842 | 75842 - Venography adrenal bilateral selective radiological supervision and interpretation | 75842 - VENOGRAPHY ADRENAL BILATERAL SELECTIVE RS&I | 75842 - VEIN X-RAY ADRENAL GLANDS | '01/01/2017 | 12/31/2999 |
| 75860 | 75860 - Venography venous sinus (eg petrosal and inferior sagittal) or jugular catheter radiological supervision and interpretation | 75860 - VENOGRAPHY VENOUS SINUS/JUGULAR CATH RS&I | 75860 - VEIN X-RAY NECK | '01/01/2017 | 12/31/2999 |
| 75870 | 75870 - Venography superior sagittal sinus radiological supervision and interpretation | 75870 - VENOGRAPHY SUPERIOR SAGITTAL SINUS RS&I | 75870 - VEIN X-RAY SKULL | '01/01/2017 | 12/31/2999 |
| 75872 | 75872 - Venography epidural radiological supervision and interpretation | 75872 - VENOGRAPHY EPIDURAL RS&I | 75872 - VEIN X-RAY SKULL EPIDURAL | '01/01/2017 | 12/31/2999 |
| 75880 | 75880 - Venography orbital radiological supervision and interpretation | 75880 - VENOGRAPHY ORBITAL RS&I | 75880 - VEIN X-RAY EYE SOCKET | '01/01/2017 | 12/31/2999 |
| 75885 | 75885 - Percutaneous transhepatic portography with hemodynamic evaluation radiological supervision and interpretation | 75885 - PRQ TRANSHEPATC PORTOGRAPY HEMODYN EVAL RS&I | 75885 - VEIN X-RAY LIVER W/HEMODYNAM | '01/01/2017 | 12/31/2999 |
| 75887 | 75887 - Percutaneous transhepatic portography without hemodynamic evaluation radiological supervision and interpretation | 75887 - PRQ TRANSHEPATC PORTOGRAPY W/O HEMODYN EVL INTRP | 75887 - VEIN X-RAY LIVER W/O HEMODYN | '01/01/2017 | 12/31/2999 |
| 75889 | 75889 - Hepatic venography wedged or free with hemodynamic evaluation radiological supervision and interpretation | 75889 - HEPATC VNGRPH WDG/FR HEMODYN EVAL RS&I | 75889 - VEIN X-RAY LIVER W/HEMODYNAM | '01/01/2017 | 12/31/2999 |
| 75891 | 75891 - Hepatic venography wedged or free without hemodynamic evaluation radiological supervision and interpretation | 75891 - HEPATC VNGRPH WDG/FR W/O HEMODYN EVAL RS&I | 75891 - VEIN X-RAY LIVER | '01/01/2017 | 12/31/2999 |
| 75893 | 75893 - Venous sampling through catheter with or without angiography (eg for parathyroid hormone renin) radiological supervision and interpretation | 75893 - VENOUS SAMPLING THRU CATH W/WO ANGIOGRAPHY RS& | 75893 - VENOUS SAMPLING BY CATHETER | '01/01/2017 | 12/31/2999 |
| 75894 | 75894 - Transcatheter therapy embolization any method radiological supervision and interpretation | 75894 - TRANSCATHETER EMBOLIZATION ANY METH RS&I | 75894 - X-RAYS TRANSCATH THERAPY | '01/01/2017 | 12/31/2999 |
| 75898 | 75898 - Angiography through existing catheter for follow-up study for transcatheter therapy embolization or infusion other than for thrombolysis | 75898 - ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS | 75898 - FOLLOW-UP ANGIOGRAPHY | '01/01/2017 | 12/31/2999 |
| 75901 | 75901 - Mechanical removal of pericatheter obstructive material (eg fibrin sheath) from central venous device via separate venous access radiologic supervision and interpretation | 75901 - MECHANICAL RMVL PERICATHETER OBSTR MATRL RS&I | 75901 - REMOVE CVA DEVICE OBSTRUCT | '01/01/2017 | 12/31/2999 |
| 75902 | 75902 - Mechanical removal of intraluminal (intracatheter) obstructive material from central venous device through device lumen radiologic supervision and interpretation | 75902 - MECHANICAL RMVL INTRALUMINAL OBSTR MATRL RS&I | 75902 - REMOVE CVA LUMEN OBSTRUCT | '01/01/2017 | 12/31/2999 |
| 75956 | 75956 - Endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); involving coverage of left subclavian artery origin initial endoprosthesis plus descending thoracic aortic extension(s) if required to level of celiac artery origin radiological supervision and interpretation | 75956 - EVASC RPR DESCND THORCIC AORTA SUBCLAV ORIG RS&I | 75956 - XRAY ENDOVASC THOR AO REPR | '01/01/2017 | 12/31/2999 |
| 75957 | 75957 - Endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption); not involving coverage of left subclavian artery origin initial endoprosthesis plus descending thoracic aortic extension(s) if required to level of celiac artery origin radiological supervision and interpretation | 75957 - EVASC RPR DESCND THORCIC AORTA CELIAC ORIG RS&I | 75957 - XRAY ENDOVASC THOR AO REPR | '01/01/2017 | 12/31/2999 |
| 75958 | 75958 - Placement of proximal extension prosthesis for endovascular repair of descending thoracic aorta (eg aneurysm pseudoaneurysm dissection penetrating ulcer intramural hematoma or traumatic disruption) radiological supervision and interpretation | 75958 - PLMT PROX XTN PRSTH EVASC DESC THORAC AORTA RS&I | 75958 - XRAY PLACE PROX EXT THOR AO | '01/01/2017 | 12/31/2999 |
| 75959 | 75959 - Placement of distal extension prosthesis(s) (delayed) after endovascular repair of descending thoracic aorta as needed to level of celiac origin radiological supervision and interpretation | 75959 - PLMT DSTL XTN PRSTH EVASC DESC THORAC AORTA RS&I | 75959 - XRAY PLACE DIST EXT THOR AO | '01/01/2017 | 12/31/2999 |
| 75970 | 75970 - Transcatheter biopsy radiological supervision and interpretation | 75970 - TRANSCATHETER BIOPSY RS&I | 75970 - VASCULAR BIOPSY | '01/01/2017 | 12/31/2999 |
| 75984 | 75984 - Change of percutaneous tube or drainage catheter with contrast monitoring (eg genitourinary system abscess) radiological supervision and interpretation | 75984 - CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I | 75984 - XRAY CONTROL CATHETER CHANGE | '01/01/2017 | 12/31/2999 |
| 75989 | 75989 - Radiological guidance (ie fluoroscopy ultrasound or computed tomography) for percutaneous drainage (eg abscess specimen collection) with placement of catheter radiological supervision and interpretation | 75989 - RADIOLOGICAL GUIDANCE PRQ DRG W/PLMT CATH RS&I | 75989 - ABSCESS DRAINAGE UNDER X-RAY | '01/01/2017 | 12/31/2999 |
| 76000 | 76000 - Fluoroscopy (separate procedure) up to 1 hour physician or other qualified health care professional time | 76000 - FLUOROSCOPY UP TO 1 HOUR PHYSICIAN/QHP TIME | 76000 - FLUOROSCOPY <1 HR PHYS/QHP | '01/01/2018 | 12/31/2999 |
| 76010 | 76010 - Radiologic examination from nose to rectum for foreign body single view child | 76010 - RADEX FROM NOSE RECTUM FOREIGN BODY 1 VIEW CHLD | 76010 - X-RAY NOSE TO RECTUM | '01/01/2017 | 12/31/2999 |
| 76080 | 76080 - Radiologic examination abscess fistula or sinus tract study radiological supervision and interpretation | 76080 - RADEX ABSCESS/FISTULA/SINUS TRACT RS&I | 76080 - X-RAY EXAM OF FISTULA | '01/01/2017 | 12/31/2999 |
| 76098 | 76098 - Radiological examination surgical specimen | 76098 - RADIOLOGICAL EXAMINATION SURGICAL SPECIMEN | 76098 - X-RAY EXAM SURGICAL SPECIMEN | '01/01/2018 | 12/31/2999 |
| 76100 | 76100 - Radiologic examination single plane body section (eg tomography) other than with urography | 76100 - RADEX 1 PLNE BODY SECTION OTH/THN W/UROGRAPY | 76100 - X-RAY EXAM OF BODY SECTION | '01/01/2017 | 12/31/2999 |
| 76120 | 76120 - Cineradiography/videoradiography except where specifically included | 76120 - CINERADIOGRAPY/VIDRADIOGRAPY XCPT WHERE SPEC | 76120 - CINE/VIDEO X-RAYS | '01/01/2017 | 12/31/2999 |
| 76125 | 76125 - Cineradiography/videoradiography to complement routine examination (List separately in addition to code for primary procedure) | 76125 - CINERADIOGRAPY/VIDRADIOGRAPY ROUTINE EXAMINATION | 76125 - CINE/VIDEO X-RAYS ADD-ON | '01/01/2017 | 12/31/2999 |
| 76140 | 76140 - Consultation on X-ray examination made elsewhere written report | 76140 - CONSLTJ X-RAY XM MADE ELSEWHERE WRTTN REPRT | 76140 - X-RAY CONSULTATION | '01/01/2017 | 12/31/2999 |
| 76145 | 76145 - Medical physics dose evaluation for radiation exposure that exceeds institutional review threshold including report | 76145 - MEDICAL PHYSICS DOSE EVAL RADIATION EXPOS W/RPRT | 76145 - MED PHYSIC DOS EVAL RAD EXPS | '01/01/2021 | 12/31/2999 |
| 76376 | 76376 - 3D rendering with interpretation and reporting of computed tomography magnetic resonance imaging ultrasound or other tomographic modality with image postprocessing under concurrent supervision; not requiring image postprocessing on an independent workstation | 76376 - 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION | 76376 - 3D RENDER W/INTRP POSTPROCES | '01/01/2017 | 12/31/2999 |
| 76377 | 76377 - 3D rendering with interpretation and reporting of computed tomography magnetic resonance imaging ultrasound or other tomographic modality with image postprocessing under concurrent supervision; requiring image postprocessing on an independent workstation | 76377 - 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION | 76377 - 3D RENDER W/INTRP POSTPROCES | '01/01/2017 | 12/31/2999 |
| 76380 | 76380 - Computed tomography limited or localized follow-up study | 76380 - CT LIMITED/LOCALIZED FOLLOW UP STUDY | 76380 - CAT SCAN FOLLOW-UP STUDY | '01/01/2017 | 12/31/2999 |
| 76390 | 76390 - Magnetic resonance spectroscopy | 76390 - MRI SPECTROSCOPY | 76390 - MR SPECTROSCOPY | '01/01/2017 | 12/31/2999 |
| 76391 | 76391 - Magnetic resonance (eg vibration) elastography | 76391 - MAGNETIC RESONANCE ELASTOGRAPHY | 76391 - MR ELASTOGRAPHY | '01/01/2019 | 12/31/2999 |
| 76496 | 76496 - Unlisted fluoroscopic procedure (eg diagnostic interventional) | 76496 - UNLISTED FLUOROSCOPIC PROCEDURE | 76496 - UNLISTED FLUOROSCOPIC PX | '01/01/2023 | 12/31/2999 |
| 76497 | 76497 - Unlisted computed tomography procedure (eg diagnostic interventional) | 76497 - UNLISTED COMPUTED TOMOGRAPHY PROCEDURE | 76497 - UNLISTED CT PROCEDURE | '01/01/2023 | 12/31/2999 |
| 76498 | 76498 - Unlisted magnetic resonance procedure (eg diagnostic interventional) | 76498 - UNLISTED MAGNETIC RESONANCE PROCEDURE | 76498 - UNLISTED MR PROCEDURE | '01/01/2023 | 12/31/2999 |
| 76499 | 76499 - Unlisted diagnostic radiographic procedure | 76499 - UNLISTED DIAGNOSTIC RADIOGRAPHIC PROCEDURE | 76499 - UNLISTED DX RADIOGRAPHIC PX | '01/01/2023 | 12/31/2999 |
| 76506 | 76506 - Echoencephalography real time with image documentation (gray scale) (for determination of ventricular size delineation of cerebral contents and detection of fluid masses or other intracranial abnormalities) including A-mode encephalography as secondary component where indicated | 76506 - ECHOENCEPHALOGRAPHY REAL TIME IMAGING | 76506 - ECHO EXAM OF HEAD | '01/01/2017 | 12/31/2999 |
| 76510 | 76510 - Ophthalmic ultrasound diagnostic; B-scan and quantitative A-scan performed during the same patient encounter | 76510 - OPHTHALMIC US DX B-SCAN&QUAN A-SCAN SM PT ENCTR | 76510 - OPH US DX B-SCAN&QUAN A-SCAN | '01/01/2021 | 12/31/2999 |
| 76511 | 76511 - Ophthalmic ultrasound diagnostic; quantitative A-scan only | 76511 - OPHTHALMIC US DX QUANTITATIVE A-SCAN ONLY | 76511 - OPH US DX QUAN A-SCAN ONLY | '01/01/2021 | 12/31/2999 |
| 76512 | 76512 - Ophthalmic ultrasound diagnostic; B-scan (with or without superimposed non-quantitative A-scan) | 76512 - OPHTHALMIC US DX B-SCAN W/WO NON-QUAN A-SCAN | 76512 - OPH US DX B-SCAN | '01/01/2021 | 12/31/2999 |
| 76513 | 76513 - Ophthalmic ultrasound diagnostic; anterior segment ultrasound immersion (water bath) B-scan or high resolution biomicroscopy unilateral or bilateral | 76513 - DX OPHTHALMIC US ANT SEGMENT IMMERSION UNI/BI | 76513 - OPH US DX ANT SGM US UNI/BI | '01/01/2021 | 12/31/2999 |
| 76514 | 76514 - Ophthalmic ultrasound diagnostic; corneal pachymetry unilateral or bilateral (determination of corneal thickness) | 76514 - OPHTHALMIC US DX CORNEAL PACHYMETRY UNI/BI | 76514 - ECHO EXAM OF EYE THICKNESS | '01/01/2017 | 12/31/2999 |
| 76516 | 76516 - Ophthalmic biometry by ultrasound echography A-scan; | 76516 - OPHTHALMIC BIOMETRY US ECHOGRAPY A-SCAN | 76516 - ECHO EXAM OF EYE | '01/01/2017 | 12/31/2999 |
| 76519 | 76519 - Ophthalmic biometry by ultrasound echography A-scan; with intraocular lens power calculation | 76519 - OPH BMTRY US ECHOGRAPY A-SCAN IO LENS PWR CAL | 76519 - ECHO EXAM OF EYE | '01/01/2017 | 12/31/2999 |
| 76529 | 76529 - Ophthalmic ultrasonic foreign body localization | 76529 - OPHTHALMIC ULTRASONIC FOREIGN BODY LOCALIZATION | 76529 - ECHO EXAM OF EYE | '01/01/2017 | 12/31/2999 |
| 76536 | 76536 - Ultrasound soft tissues of head and neck (eg thyroid parathyroid parotid) real time with image documentation | 76536 - US SOFT TISSUE HEAD & NECK REAL TIME IMGE DOCM | 76536 - US EXAM OF HEAD AND NECK | '01/01/2017 | 12/31/2999 |
| 76604 | 76604 - Ultrasound chest (includes mediastinum) real time with image documentation | 76604 - US CHEST REAL TIME W/IMAGE DOCUMENTATION | 76604 - US EXAM CHEST | '01/01/2017 | 12/31/2999 |
| 76641 | 76641 - Ultrasound breast unilateral real time with image documentation including axilla when performed; complete | 76641 - US BREAST UNI REAL TIME WITH IMAGE COMPLETE | 76641 - ULTRASOUND BREAST COMPLETE | '01/01/2017 | 12/31/2999 |
| 76642 | 76642 - Ultrasound breast unilateral real time with image documentation including axilla when performed; limited | 76642 - US BREAST UNI REAL TIME WITH IMAGE LIMITED | 76642 - ULTRASOUND BREAST LIMITED | '01/01/2017 | 12/31/2999 |
| 76700 | 76700 - Ultrasound abdominal real time with image documentation; complete | 76700 - US ABDOMINAL REAL TIME W/IMAGE DOCUMENTATION | 76700 - US EXAM ABDOM COMPLETE | '01/01/2017 | 12/31/2999 |
| 76705 | 76705 - Ultrasound abdominal real time with image documentation; limited (eg single organ quadrant follow-up) | 76705 - US ABDOMINAL REAL TIME W/IMAGE LIMITED | 76705 - ECHO EXAM OF ABDOMEN | '01/01/2017 | 12/31/2999 |
| 76706 | 76706 - Ultrasound abdominal aorta real time with image documentation screening study for abdominal aortic aneurysm (AAA) | 76706 - US ABDOMINAL AORTA REAL TIME SCREEN STUDY AAA | 76706 - US ABDL AORTA SCREEN AAA | '01/01/2017 | 12/31/2999 |
| 76770 | 76770 - Ultrasound retroperitoneal (eg renal aorta nodes) real time with image documentation; complete | 76770 - US RETROPERITONEAL REAL TIME W/IMAGE COMPLETE | 76770 - US EXAM ABDO BACK WALL COMP | '01/01/2017 | 12/31/2999 |
| 76775 | 76775 - Ultrasound retroperitoneal (eg renal aorta nodes) real time with image documentation; limited | 76775 - US RETROPERITONEAL REAL TIME W/IMAGE LIMITED | 76775 - US EXAM ABDO BACK WALL LIM | '01/01/2017 | 12/31/2999 |
| 76776 | 76776 - Ultrasound transplanted kidney real time and duplex Doppler with image documentation | 76776 - US TRNSPLNT KIDNEY REAL TIME W/IMAGE DOCMTN | 76776 - US EXAM K TRANSPL W/DOPPLER | '01/01/2017 | 12/31/2999 |
| 76800 | 76800 - Ultrasound spinal canal and contents | 76800 - ULTRASOUND SPINAL CANAL & CONTENTS | 76800 - US EXAM SPINAL CANAL | '01/01/2017 | 12/31/2999 |
| 76801 | 76801 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation first trimester (< 14 weeks 0 days) transabdominal approach; single or first gestation | 76801 - US PREGNANT UTERUS 14 WK TRANSABDL 1/1ST GESTAT | 76801 - OB US < 14 WKS SINGLE FETUS | '01/01/2017 | 12/31/2999 |
| 76802 | 76802 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation first trimester (< 14 weeks 0 days) transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) | 76802 - US PREG UTERUS 14 WK TRANSABDL EACH GESTATION | 76802 - OB US < 14 WKS ADDL FETUS | '01/01/2017 | 12/31/2999 |
| 76805 | 76805 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation after first trimester (> or = 14 weeks 0 days) transabdominal approach; single or first gestation | 76805 - US PREG UTERUS AFTER 1ST TRIMEST 1/1ST GESTATION | 76805 - OB US >= 14 WKS SNGL FETUS | '01/01/2020 | 12/31/2999 |
| 76810 | 76810 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation after first trimester (> or = 14 weeks 0 days) transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) | 76810 - US PREG UTERUS > 1ST TRIMESTER ABDL EA GESTATIO | 76810 - OB US >= 14 WKS ADDL FETUS | '01/01/2020 | 12/31/2999 |
| 76811 | 76811 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation plus detailed fetal anatomic examination transabdominal approach; single or first gestation | 76811 - US PREG UTERUS W/DETAIL FETAL ANAT 1ST GESTATION | 76811 - OB US DETAILED SNGL FETUS | '01/01/2017 | 12/31/2999 |
| 76812 | 76812 - Ultrasound pregnant uterus real time with image documentation fetal and maternal evaluation plus detailed fetal anatomic examination transabdominal approach; each additional gestation (List separately in addition to code for primary procedure) | 76812 - US PREG UTERUS DETAIL FETAL ANAT EXAM EA GESTAT | 76812 - OB US DETAILED ADDL FETUS | '01/01/2017 | 12/31/2999 |
| 76813 | 76813 - Ultrasound pregnant uterus real time with image documentation first trimester fetal nuchal translucency measurement transabdominal or transvaginal approach; single or first gestation | 76813 - US FETAL NUCHAL TRANSLUCENCY 1ST GESTATION | 76813 - OB US NUCHAL MEAS 1 GEST | '01/01/2017 | 12/31/2999 |
| 76814 | 76814 - Ultrasound pregnant uterus real time with image documentation first trimester fetal nuchal translucency measurement transabdominal or transvaginal approach; each additional gestation (List separately in addition to code for primary procedure) | 76814 - US FETAL NUCHAL TRANSLUCENCY EA ADDL GESTATION | 76814 - OB US NUCHAL MEAS ADD-ON | '01/01/2017 | 12/31/2999 |
| 76815 | 76815 - Ultrasound pregnant uterus real time with image documentation limited (eg fetal heart beat placental location fetal position and/or qualitative amniotic fluid volume) 1 or more fetuses | 76815 - US PREGNANT UTERUS LIMITED 1/> FETUSES | 76815 - OB US LIMITED FETUS(S) | '01/01/2017 | 12/31/2999 |
| 76816 | 76816 - Ultrasound pregnant uterus real time with image documentation follow-up (eg re-evaluation of fetal size by measuring standard growth parameters and amniotic fluid volume re-evaluation of organ system(s) suspected or confirmed to be abnormal on a previous scan) transabdominal approach per fetus | 76816 - US PREG UTERUS REAL TIME F/U TRNSABDL PER FETUS | 76816 - OB US FOLLOW-UP PER FETUS | '01/01/2017 | 12/31/2999 |
| 76817 | 76817 - Ultrasound pregnant uterus real time with image documentation transvaginal | 76817 - US PREG UTERUS REAL TIME W/IMAGE DCMTN TRANSVAG | 76817 - TRANSVAGINAL US OBSTETRIC | '01/01/2017 | 12/31/2999 |
| 76818 | 76818 - Fetal biophysical profile; with non-stress testing | 76818 - FETAL BIOPHYSICAL PROFILE NON-STRESS TESTING | 76818 - FETAL BIOPHYS PROFILE W/NST | '01/01/2017 | 12/31/2999 |
| 76819 | 76819 - Fetal biophysical profile; without non-stress testing | 76819 - FETAL BIOPHYSICAL PROFILE W/O NON-STRESS TESTING | 76819 - FETAL BIOPHYS PROFIL W/O NST | '01/01/2017 | 12/31/2999 |
| 76820 | 76820 - Doppler velocimetry fetal; umbilical artery | 76820 - DOPPLER VELOCIMETRY FETAL UMBILICAL ARTERY | 76820 - UMBILICAL ARTERY ECHO | '01/01/2017 | 12/31/2999 |
| 76821 | 76821 - Doppler velocimetry fetal; middle cerebral artery | 76821 - DOPPLER VELOCIMETRY FETAL MIDDLE CEREBRAL ART | 76821 - MIDDLE CEREBRAL ARTERY ECHO | '01/01/2017 | 12/31/2999 |
| 76825 | 76825 - Echocardiography fetal cardiovascular system real time with image documentation (2D) with or without M-mode recording; | 76825 - ECHO FETAL CARDIOVASC W/WO M-MODE RECORDING | 76825 - ECHO EXAM OF FETAL HEART | '01/01/2017 | 12/31/2999 |
| 76826 | 76826 - Echocardiography fetal cardiovascular system real time with image documentation (2D) with or without M-mode recording; follow-up or repeat study | 76826 - ECHO FETAL CARDIOVASC W/WO M-MODE REPEAT STD | 76826 - ECHO EXAM OF FETAL HEART | '01/01/2017 | 12/31/2999 |
| 76827 | 76827 - Doppler echocardiography fetal pulsed wave and/or continuous wave with spectral display; complete | 76827 - DOPPLER ECHO FETAL SPECTRAL DISPLAY COMPLETE | 76827 - ECHO EXAM OF FETAL HEART | '01/01/2017 | 12/31/2999 |
| 76828 | 76828 - Doppler echocardiography fetal pulsed wave and/or continuous wave with spectral display; follow-up or repeat study | 76828 - DOPPLER ECHO FETAL PULS SPECTRAL F/U/REPEAT | 76828 - ECHO EXAM OF FETAL HEART | '01/01/2017 | 12/31/2999 |
| 76830 | 76830 - Ultrasound transvaginal | 76830 - US TRANSVAGINAL | 76830 - TRANSVAGINAL US NON-OB | '01/01/2017 | 12/31/2999 |
| 76831 | 76831 - Saline infusion sonohysterography (SIS) including color flow Doppler when performed | 76831 - SALINE INFUS SONOHYSTEROGRAPHY W/COLOR DOPPLER | 76831 - ECHO EXAM UTERUS | '01/01/2017 | 12/31/2999 |
| 76856 | 76856 - Ultrasound pelvic (nonobstetric) real time with image documentation; complete | 76856 - US PELVIC NONOBSTETRIC REAL-TIME IMAGE COMPLETE | 76856 - US EXAM PELVIC COMPLETE | '01/01/2017 | 12/31/2999 |
| 76857 | 76857 - Ultrasound pelvic (nonobstetric) real time with image documentation; limited or follow-up (eg for follicles) | 76857 - US PELVIC NONOBSTETRIC IMAGE DCMTN LIMITED/F/U | 76857 - US EXAM PELVIC LIMITED | '01/01/2017 | 12/31/2999 |
| 76870 | 76870 - Ultrasound scrotum and contents | 76870 - US SCROTUM & CONTENTS | 76870 - US EXAM SCROTUM | '01/01/2017 | 12/31/2999 |
| 76872 | 76872 - Ultrasound transrectal; | 76872 - US TRANSRECTAL | 76872 - US TRANSRECTAL | '01/01/2017 | 12/31/2999 |
| 76873 | 76873 - Ultrasound transrectal; prostate volume study for brachytherapy treatment planning (separate procedure) | 76873 - US TRANSRCT PRSTATE VOL BRACHYTX PLNNING SPX | 76873 - ECHOGRAP TRANS R PROS STUDY | '01/01/2017 | 12/31/2999 |
| 76881 | 76881 - Ultrasound complete joint (ie joint space and peri-articular soft-tissue structures) real-time with image documentation | 76881 - US COMPL JOINT R-T W/IMAGE DOCUMENTATION | 76881 - US COMPL JOINT R-T W/IMG | '01/01/2019 | 12/31/2999 |
| 76882 | 76882 - Ultrasound limited joint or focal evaluation of other nonvascular extremity structure(s) (eg joint space peri-articular tendon[s] muscle[s] nerve[s] other soft-tissue structure[s] or soft-tissue mass[es]) real-time with image documentation | 76882 - US LMTD JT/FCL EVAL NONVASC XTR STRUX R-T W/IMG | 76882 - US LMTD JT/FCL EVL NVASC XTR | '01/01/2023 | 12/31/2999 |
| 76883 | 76883 - Ultrasound nerve(s) and accompanying structures throughout their entire anatomic course in one extremity comprehensive including real-time cine imaging with image documentation per extremity | 76883 - US NRV&ACC STRUX 1 XTR COMPRE W/IMG PR EXTREMITY | 76883 - US NRV&ACC STRUX 1XTR COMPRE | '01/01/2023 | 12/31/2999 |
| 76885 | 76885 - Ultrasound infant hips real time with imaging documentation; dynamic (requiring physician or other qualified health care professional manipulation) | 76885 - US INFT HIPS R-T IMG DYNAMIC REQ PHYS/QHP MANJ | 76885 - US EXAM INFANT HIPS DYNAMIC | '01/01/2017 | 12/31/2999 |
| 76886 | 76886 - Ultrasound infant hips real time with imaging documentation; limited static (not requiring physician or other qualified health care professional manipulation) | 76886 - US INFT HIPS R-T IMG LMTD STATIC PHYS/QHP MANJ | 76886 - US EXAM INFANT HIPS STATIC | '01/01/2017 | 12/31/2999 |
| 76932 | 76932 - Ultrasonic guidance for endomyocardial biopsy imaging supervision and interpretation | 76932 - US ENDOMYOCARDIAL BIOPSY RS&I | 76932 - ECHO GUIDE FOR HEART BIOPSY | '01/01/2017 | 12/31/2999 |
| 76936 | 76936 - Ultrasound guided compression repair of arterial pseudoaneurysm or arteriovenous fistulae (includes diagnostic ultrasound evaluation compression of lesion and imaging) | 76936 - US CMPRN RPR ARTL PSEUDOARYSM/ARVEN FSTL | 76936 - ECHO GUIDE FOR ARTERY REPAIR | '01/01/2017 | 12/31/2999 |
| 76937 | 76937 - Ultrasound guidance for vascular access requiring ultrasound evaluation of potential access sites documentation of selected vessel patency concurrent realtime ultrasound visualization of vascular needle entry with permanent recording and reporting (List separately in addition to code for primary procedure) | 76937 - US VASC ACCESS SITS VSL PATENCY NDL ENTRY | 76937 - US GUIDE VASCULAR ACCESS | '01/01/2017 | 12/31/2999 |
| 76940 | 76940 - Ultrasound guidance for and monitoring of parenchymal tissue ablation | 76940 - US &MNTR PARENCHYMAL TISSUE ABLATION | 76940 - US GUIDE TISSUE ABLATION | '01/01/2017 | 12/31/2999 |
| 76941 | 76941 - Ultrasonic guidance for intrauterine fetal transfusion or cordocentesis imaging supervision and interpretation | 76941 - US INTRAUTERINE FTL TFUJ/CORDOCNTS IMG S&I | 76941 - ECHO GUIDE FOR TRANSFUSION | '01/01/2017 | 12/31/2999 |
| 76942 | 76942 - Ultrasonic guidance for needle placement (eg biopsy aspiration injection localization device) imaging supervision and interpretation | 76942 - US GUIDANCE NEEDLE PLACEMENT IMG S&I | 76942 - ECHO GUIDE FOR BIOPSY | '01/01/2017 | 12/31/2999 |
| 76945 | 76945 - Ultrasonic guidance for chorionic villus sampling imaging supervision and interpretation | 76945 - US GUIDANCE CHORIONIC VILLUS SAMPLING IMG S&I | 76945 - ECHO GUIDE VILLUS SAMPLING | '01/01/2017 | 12/31/2999 |
| 76946 | 76946 - Ultrasonic guidance for amniocentesis imaging supervision and interpretation | 76946 - US GUIDANCE AMNIOCENTESIS IMG S&I | 76946 - ECHO GUIDE FOR AMNIOCENTESIS | '01/01/2017 | 12/31/2999 |
| 76948 | 76948 - Ultrasonic guidance for aspiration of ova imaging supervision and interpretation | 76948 - US GUIDANCE ASPIRATION OVA IMG S&I | 76948 - ECHO GUIDE OVA ASPIRATION | '01/01/2017 | 12/31/2999 |
| 76965 | 76965 - Ultrasonic guidance for interstitial radioelement application | 76965 - US GUIDANCE INTERSTITIAL RADIOELMENT APPLICATION | 76965 - ECHO GUIDANCE RADIOTHERAPY | '01/01/2017 | 12/31/2999 |
| 76975 | 76975 - Gastrointestinal endoscopic ultrasound supervision and interpretation | 76975 - GI ENDOSCOPIC US S&I | 76975 - GI ENDOSCOPIC ULTRASOUND | '01/01/2017 | 12/31/2999 |
| 76977 | 76977 - Ultrasound bone density measurement and interpretation peripheral site(s) any method | 76977 - US BONE DENSITY MEAS & INTERP PERIPH ANY METHO | 76977 - US BONE DENSITY MEASURE | '01/01/2017 | 12/31/2999 |
| 76978 | 76978 - Ultrasound targeted dynamic microbubble sonographic contrast characterization (non-cardiac); initial lesion | 76978 - ULTRASOUND TRGT DYNAMIC MICROBUBBLE 1ST LESION | 76978 - US TRGT DYN MBUBB 1ST LES | '01/01/2019 | 12/31/2999 |
| 76979 | 76979 - Ultrasound targeted dynamic microbubble sonographic contrast characterization (non-cardiac); each additional lesion with separate injection (List separately in addition to code for primary procedure) | 76979 - ULTRASOUND TRGT DYNAMIC MICROBUBBLE EA ADDL LES | 76979 - US TRGT DYN MBUBB EA ADDL | '01/01/2019 | 12/31/2999 |
| 76981 | 76981 - Ultrasound elastography; parenchyma (eg organ) | 76981 - ULTRASOUND ELASTOGRAPHY PARENCHYMA | 76981 - USE PARENCHYMA | '01/01/2019 | 12/31/2999 |
| 76982 | 76982 - Ultrasound elastography; first target lesion | 76982 - ULTRASOUND ELASTOGRAPHY FIRST TARGET LESION | 76982 - USE 1ST TARGET LESION | '01/01/2019 | 12/31/2999 |
| 76983 | 76983 - Ultrasound elastography; each additional target lesion (List separately in addition to code for primary procedure) | 76983 - ULTRASOUND ELASTOGRAPHY EA ADDL TAGET LESION | 76983 - USE EA ADDL TARGET LESION | '01/01/2019 | 12/31/2999 |
| 76998 | 76998 - Ultrasonic guidance intraoperative | 76998 - ULTRASONIC GUIDANCE INTRAOPERATIVE | 76998 - US GUIDE INTRAOP | '01/01/2017 | 12/31/2999 |
| 76999 | 76999 - Unlisted ultrasound procedure (eg diagnostic interventional) | 76999 - UNLISTED US PROCEDURE | 76999 - ECHO EXAMINATION PROCEDURE | '01/01/2017 | 12/31/2999 |
| 77001 | 77001 - Fluoroscopic guidance for central venous access device placement replacement (catheter only or complete) or removal (includes fluoroscopic guidance for vascular access and catheter manipulation any necessary contrast injections through access site or catheter with related venography radiologic supervision and interpretation and radiographic documentation of final catheter position) (List separately in addition to code for primary procedure) | 77001 - FLUORO CENTRAL VENOUS ACCESS DEV PLACEMENT | 77001 - FLUOROGUIDE FOR VEIN DEVICE | '01/01/2017 | 12/31/2999 |
| 77002 | 77002 - Fluoroscopic guidance for needle placement (eg biopsy aspiration injection localization device) (List separately in addition to code for primary procedure) | 77002 - FLUOROSCOPIC GUIDANCE NEEDLE PLACEMENT ADD ON | 77002 - NEEDLE LOCALIZATION BY XRAY | '01/01/2017 | 12/31/2999 |
| 77003 | 77003 - Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) (List separately in addition to code for primary procedure) | 77003 - FLUOR NEEDLE/CATH SPINE/PARASPINAL DX/THER ADDON | 77003 - FLUOROGUIDE FOR SPINE INJECT | '01/01/2017 | 12/31/2999 |
| 77011 | 77011 - Computed tomography guidance for stereotactic localization | 77011 - CT GUIDANCE STEREOTACTIC LOCALIZATION | 77011 - CT SCAN FOR LOCALIZATION | '01/01/2017 | 12/31/2999 |
| 77012 | 77012 - Computed tomography guidance for needle placement (eg biopsy aspiration injection localization device) radiological supervision and interpretation | 77012 - CT GUIDANCE NEEDLE PLACEMENT | 77012 - CT SCAN FOR NEEDLE BIOPSY | '01/01/2017 | 12/31/2999 |
| 77013 | 77013 - Computed tomography guidance for and monitoring of parenchymal tissue ablation | 77013 - CT GUIDANCE &MONITORING VISC TISS ABLATION | 77013 - CT GUIDE FOR TISSUE ABLATION | '01/01/2017 | 12/31/2999 |
| 77014 | 77014 - Computed tomography guidance for placement of radiation therapy fields | 77014 - CT GUIDANCE RADIATION THERAPY FLDS PLACEMENT | 77014 - CT SCAN FOR THERAPY GUIDE | '01/01/2017 | 12/31/2999 |
| 77021 | 77021 - Magnetic resonance imaging guidance for needle placement (eg for biopsy needle aspiration injection or placement of localization device) radiological supervision and interpretation | 77021 - MRI GUIDANCE NEEDLE PLACEMENT RS&I | 77021 - MRI GUIDANCE NDL PLMT RS&I | '01/01/2019 | 12/31/2999 |
| 77022 | 77022 - Magnetic resonance imaging guidance for and monitoring of parenchymal tissue ablation | 77022 - MRI GUIDANCE FOR PARENCHYMAL TISSUE ABLATION | 77022 - MRI GDN PARNCHYMA TISS ABLTJ | '01/01/2019 | 12/31/2999 |
| 77046 | 77046 - Magnetic resonance imaging breast without contrast material; unilateral | 77046 - MRI BREAST WITHOUT CONTRAST MATERIAL UNILATERAL | 77046 - MRI BREAST C- UNILATERAL | '01/01/2019 | 12/31/2999 |
| 77047 | 77047 - Magnetic resonance imaging breast without contrast material; bilateral | 77047 - MRI BREAST WITHOUT CONTRAST MATERIAL BILATERAL | 77047 - MRI BREAST C- BILATERAL | '01/01/2019 | 12/31/2999 |
| 77048 | 77048 - Magnetic resonance imaging breast without and with contrast material(s) including computer-aided detection (CAD real-time lesion detection characterization and pharmacokinetic analysis) when performed; unilateral | 77048 - MRI BREAST W/OUT&WITH CONTRAST W/CAD UNILATERAL | 77048 - MRI BREAST C-+ W/CAD UNI | '01/01/2021 | 12/31/2999 |
| 77049 | 77049 - Magnetic resonance imaging breast without and with contrast material(s) including computer-aided detection (CAD real-time lesion detection characterization and pharmacokinetic analysis) when performed; bilateral | 77049 - MRI BREAST WITHOUT&WITH CONTRAST W/CAD BILATERAL | 77049 - MRI BREAST C-+ W/CAD BI | '01/01/2021 | 12/31/2999 |
| 77053 | 77053 - Mammary ductogram or galactogram single duct radiological supervision and interpretation | 77053 - MAMMARY DUCTOGRAM OR GALACTOGRAM SINGLE | 77053 - X-RAY OF MAMMARY DUCT | '01/01/2017 | 12/31/2999 |
| 77054 | 77054 - Mammary ductogram or galactogram multiple ducts radiological supervision and interpretation | 77054 - MAMMARY DUCTOGRAM OR GALACTOGRAM MULTIPLE | 77054 - X-RAY OF MAMMARY DUCTS | '01/01/2017 | 12/31/2999 |
| 77061 | 77061 - Diagnostic digital breast tomosynthesis; unilateral | 77061 - DIGITAL BREAST TOMOSYNTHESIS UNILATERAL | 77061 - BREAST TOMOSYNTHESIS UNI | '01/01/2020 | 12/31/2999 |
| 77062 | 77062 - Diagnostic digital breast tomosynthesis; bilateral | 77062 - DIGITAL BREAST TOMOSYNTHESIS BILATERAL | 77062 - BREAST TOMOSYNTHESIS BI | '01/01/2020 | 12/31/2999 |
| 77063 | 77063 - Screening digital breast tomosynthesis bilateral (List separately in addition to code for primary procedure) | 77063 - SCREENING DIGITAL BREAST TOMOSYNTHESIS BI | 77063 - BREAST TOMOSYNTHESIS BI | '01/01/2017 | 12/31/2999 |
| 77065 | 77065 - Diagnostic mammography including computer-aided detection (CAD) when performed; unilateral | 77065 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI | 77065 - DX MAMMO INCL CAD UNI | '01/01/2017 | 12/31/2999 |
| 77066 | 77066 - Diagnostic mammography including computer-aided detection (CAD) when performed; bilateral | 77066 - DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ BI | 77066 - DX MAMMO INCL CAD BI | '01/01/2017 | 12/31/2999 |
| 77067 | 77067 - Screening mammography bilateral (2-view study of each breast) including computer-aided detection (CAD) when performed | 77067 - SCREENING MAMMOGRAPHY BI 2-VIEW BREAST INC CAD | 77067 - SCR MAMMO BI INCL CAD | '01/01/2017 | 12/31/2999 |
| 77071 | 77071 - Manual application of stress performed by physician or other qualified health care professional for joint radiography including contralateral joint if indicated | 77071 - MANUAL APPL STRESS PFRMD PHYS/QHP JOINT FILMS | 77071 - X-RAY STRESS VIEW | '01/01/2017 | 12/31/2999 |
| 77072 | 77072 - Bone age studies | 77072 - BONE AGE STUDIES | 77072 - X-RAYS FOR BONE AGE | '01/01/2017 | 12/31/2999 |
| 77073 | 77073 - Bone length studies (orthoroentgenogram scanogram) | 77073 - BONE LENGTH STUDIES | 77073 - X-RAYS BONE LENGTH STUDIES | '01/01/2017 | 12/31/2999 |
| 77074 | 77074 - Radiologic examination osseous survey; limited (eg for metastases) | 77074 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY LIMITED | 77074 - X-RAYS BONE SURVEY LIMITED | '01/01/2017 | 12/31/2999 |
| 77075 | 77075 - Radiologic examination osseous survey; complete (axial and appendicular skeleton) | 77075 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPL | 77075 - X-RAYS BONE SURVEY COMPLETE | '01/01/2017 | 12/31/2999 |
| 77076 | 77076 - Radiologic examination osseous survey infant | 77076 - RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT | 77076 - X-RAYS BONE SURVEY INFANT | '01/01/2017 | 12/31/2999 |
| 77077 | 77077 - Joint survey single view 2 or more joints (specify) | 77077 - JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS | 77077 - JOINT SURVEY SINGLE VIEW | '01/01/2017 | 12/31/2999 |
| 77078 | 77078 - Computed tomography bone mineral density study 1 or more sites axial skeleton (eg hips pelvis spine) | 77078 - CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE | 77078 - CT BONE DENSITY AXIAL | '01/01/2017 | 12/31/2999 |
| 77080 | 77080 - Dual-energy X-ray absorptiometry (DXA) bone density study 1 or more sites; axial skeleton (eg hips pelvis spine) | 77080 - DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL | 77080 - DXA BONE DENSITY AXIAL | '01/01/2017 | 12/31/2999 |
| 77081 | 77081 - Dual-energy X-ray absorptiometry (DXA) bone density study 1 or more sites; appendicular skeleton (peripheral) (eg radius wrist heel) | 77081 - DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL | 77081 - DXA BONE DENSITY/PERIPHERAL | '01/01/2017 | 12/31/2999 |
| 77084 | 77084 - Magnetic resonance (eg proton) imaging bone marrow blood supply | 77084 - BONE MARROW BLOOD SUPPLY | 77084 - MAGNETIC IMAGE BONE MARROW | '01/01/2017 | 12/31/2999 |
| 77085 | 77085 - Dual-energy X-ray absorptiometry (DXA) bone density study 1 or more sites; axial skeleton (eg hips pelvis spine) including vertebral fracture assessment | 77085 - DXA BONE DENSITY STUDY AXIAL SKELETON | 77085 - DXA BONE DENSITY STUDY | '01/01/2017 | 12/31/2999 |
| 77086 | 77086 - Vertebral fracture assessment via dual-energy X-ray absorptiometry (DXA) | 77086 - VERTEBRAL FRACTURE ASSESSMENT VIA DXA | 77086 - FRACTURE ASSESSMENT VIA DXA | '01/01/2017 | 12/31/2999 |
| 77089 | 77089 - Trabecular bone score (TBS) structural condition of the bone microarchitecture; using dual X-ray absorptiometry (DXA) or other imaging data on gray-scale variogram calculation with interpretation and report on fracture-risk | 77089 - TBS DXA/OTHER IMG CALCULATION W/I&R FX RISK | 77089 - TBS DXA CAL W/I&R FX RISK | '01/01/2022 | 12/31/2999 |
| 77090 | 77090 - Trabecular bone score (TBS) structural condition of the bone microarchitecture; technical preparation and transmission of data for analysis to be performed elsewhere | 77090 - TBS TECHL PREP&TRANSMIS DATA ALYS PFRMD ELSEWHR | 77090 - TBS TECHL PREP&TRANSMIS DATA | '01/01/2022 | 12/31/2999 |
| 77091 | 77091 - Trabecular bone score (TBS) structural condition of the bone microarchitecture; technical calculation only | 77091 - TBS TECHNICAL CALCULATION ONLY | 77091 - TBS TECHL CALCULATION ONLY | '01/01/2022 | 12/31/2999 |
| 77092 | 77092 - Trabecular bone score (TBS) structural condition of the bone microarchitecture; interpretation and report on fracture-risk only by other qualified health care professional | 77092 - TBS INTERPRETATION & REPORT FX RISK BY OTHER QHP | 77092 - TBS I&R FX RSK QHP | '01/01/2022 | 12/31/2999 |
| 77261 | 77261 - Therapeutic radiology treatment planning; simple | 77261 - THERAPEUTIC RADIOLOGY TX PLANNING SIMPLE | 77261 - RADIATION THERAPY PLANNING | '01/01/2017 | 12/31/2999 |
| 77262 | 77262 - Therapeutic radiology treatment planning; intermediate | 77262 - THERAPEUTIC RADIOLOGY TX PLANNING INTERMEDIATE | 77262 - RADIATION THERAPY PLANNING | '01/01/2017 | 12/31/2999 |
| 77263 | 77263 - Therapeutic radiology treatment planning; complex | 77263 - THERAPEUTIC RADIOLOGY TX PLANNING COMPLEX | 77263 - RADIATION THERAPY PLANNING | '01/01/2017 | 12/31/2999 |
| 77280 | 77280 - Therapeutic radiology simulation-aided field setting; simple | 77280 - THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE | 77280 - SET RADIATION THERAPY FIELD | '01/01/2017 | 12/31/2999 |
| 77285 | 77285 - Therapeutic radiology simulation-aided field setting; intermediate | 77285 - THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED | 77285 - SET RADIATION THERAPY FIELD | '01/01/2017 | 12/31/2999 |
| 77290 | 77290 - Therapeutic radiology simulation-aided field setting; complex | 77290 - THER RAD SIMULAJ-AIDED FIELD SETTING COMPLEX | 77290 - SET RADIATION THERAPY FIELD | '01/01/2017 | 12/31/2999 |
| 77293 | 77293 - Respiratory motion management simulation (List separately in addition to code for primary procedure) | 77293 - RESPIRATORY MOTION MANAGEMENT SIMULATION | 77293 - RESPIRATOR MOTION MGMT SIMUL | '01/01/2017 | 12/31/2999 |
| 77295 | 77295 - 3-dimensional radiotherapy plan including dose-volume histograms | 77295 - 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS | 77295 - 3-D RADIOTHERAPY PLAN | '01/01/2017 | 12/31/2999 |
| 77299 | 77299 - Unlisted procedure therapeutic radiology clinical treatment planning | 77299 - UNLISTED PX THER RADIOLOGY CLINICAL TX PLANNING | 77299 - UNLISTED PX THER RAD TX PLNG | '01/01/2023 | 12/31/2999 |
| 77300 | 77300 - Basic radiation dosimetry calculation central axis depth dose calculation TDF NSD gap calculation off axis factor tissue inhomogeneity factors calculation of non-ionizing radiation surface and depth dose as required during course of treatment only when prescribed by the treating physician | 77300 - BASIC RADIATION DOSIMETRY CALCULATION | 77300 - RADIATION THERAPY DOSE PLAN | '01/01/2017 | 12/31/2999 |
| 77301 | 77301 - Intensity modulated radiotherapy plan including dose-volume histograms for target and critical structure partial tolerance specifications | 77301 - NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS | 77301 - RADIOTHERAPY DOSE PLAN IMRT | '01/01/2017 | 12/31/2999 |
| 77306 | 77306 - Teletherapy isodose plan; simple (1 or 2 unmodified ports directed to a single area of interest) includes basic dosimetry calculation(s) | 77306 - TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION | 77306 - TELETHX ISODOSE PLAN SIMPLE | '01/01/2017 | 12/31/2999 |
| 77307 | 77307 - Teletherapy isodose plan; complex (multiple treatment areas tangential ports the use of wedges blocking rotational beam or special beam considerations) includes basic dosimetry calculation(s) | 77307 - TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY | 77307 - TELETHX ISODOSE PLAN CPLX | '01/01/2017 | 12/31/2999 |
| 77316 | 77316 - Brachytherapy isodose plan; simple (calculation[s] made from 1 to 4 sources or remote afterloading brachytherapy 1 channel) includes basic dosimetry calculation(s) | 77316 - BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL | 77316 - BRACHYTX ISODOSE PLAN SIMPLE | '01/01/2017 | 12/31/2999 |
| 77317 | 77317 - Brachytherapy isodose plan; intermediate (calculation[s] made from 5 to 10 sources or remote afterloading brachytherapy 2-12 channels) includes basic dosimetry calculation(s) | 77317 - BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL | 77317 - BRACHYTX ISODOSE INTERMED | '01/01/2017 | 12/31/2999 |
| 77318 | 77318 - Brachytherapy isodose plan; complex (calculation[s] made from over 10 sources or remote afterloading brachytherapy over 12 channels) includes basic dosimetry calculation(s) | 77318 - BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL | 77318 - BRACHYTX ISODOSE COMPLEX | '01/01/2017 | 12/31/2999 |
| 77321 | 77321 - Special teletherapy port plan particles hemibody total body | 77321 - SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY | 77321 - SPECIAL TELETX PORT PLAN | '01/01/2017 | 12/31/2999 |
| 77331 | 77331 - Special dosimetry (eg TLD microdosimetry) (specify) only when prescribed by the treating physician | 77331 - SPEC DOSIM ONLY PRESCRIBED TREATING PHYS | 77331 - SPECIAL RADIATION DOSIMETRY | '01/01/2017 | 12/31/2999 |
| 77332 | 77332 - Treatment devices design and construction; simple (simple block simple bolus) | 77332 - TX DEVICES DESIGN & CONSTRUCTION SIMPLE | 77332 - RADIATION TREATMENT AID(S) | '01/01/2017 | 12/31/2999 |
| 77333 | 77333 - Treatment devices design and construction; intermediate (multiple blocks stents bite blocks special bolus) | 77333 - TX DEVICES DESIGN & CONSTRUCTION INTERMEDIATE | 77333 - RADIATION TREATMENT AID(S) | '01/01/2017 | 12/31/2999 |
| 77334 | 77334 - Treatment devices design and construction; complex (irregular blocks special shields compensators wedges molds or casts) | 77334 - TX DEVICES DESIGN & CONSTRUCTION COMPLEX | 77334 - RADIATION TREATMENT AID(S) | '01/01/2017 | 12/31/2999 |
| 77336 | 77336 - Continuing medical physics consultation including assessment of treatment parameters quality assurance of dose delivery and review of patient treatment documentation in support of the radiation oncologist reported per week of therapy | 77336 - CONTINUING MEDICAL PHYSICS CONSLTJ PR WK | 77336 - RADIATION PHYSICS CONSULT | '01/01/2017 | 12/31/2999 |
| 77338 | 77338 - Multi-leaf collimator (MLC) device(s) for intensity modulated radiation therapy (IMRT) design and construction per IMRT plan | 77338 - MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN | 77338 - DESIGN MLC DEVICE FOR IMRT | '01/01/2017 | 12/31/2999 |
| 77370 | 77370 - Special medical radiation physics consultation | 77370 - SPEC MEDICAL RADJ PHYSICS CONSLTJ | 77370 - RADIATION PHYSICS CONSULT | '01/01/2017 | 12/31/2999 |
| 77371 | 77371 - Radiation treatment delivery stereotactic radiosurgery (SRS) complete course of treatment of cranial lesion(s) consisting of 1 session; multi-source Cobalt 60 based | 77371 - RADIATION DELIVERY STEREOTACTIC CRANIAL COBALT | 77371 - SRS MULTISOURCE | '01/01/2017 | 12/31/2999 |
| 77372 | 77372 - Radiation treatment delivery stereotactic radiosurgery (SRS) complete course of treatment of cranial lesion(s) consisting of 1 session; linear accelerator based | 77372 - RADIATION DELIVERY STEREOTACTIC CRANIAL LINEAR | 77372 - SRS LINEAR BASED | '01/01/2017 | 12/31/2999 |
| 77373 | 77373 - Stereotactic body radiation therapy treatment delivery per fraction to 1 or more lesions including image guidance entire course not to exceed 5 fractions | 77373 - STEREOTACTIC BODY RADIATION DELIVERY | 77373 - SBRT DELIVERY | '01/01/2017 | 12/31/2999 |
| 77385 | 77385 - Intensity modulated radiation treatment delivery (IMRT) includes guidance and tracking when performed; simple | 77385 - INTENSITY MODULATED RADIATION TX DLVR SIMPLE | 77385 - NTSTY MODUL RAD TX DLVR SMPL | '01/01/2017 | 12/31/2999 |
| 77386 | 77386 - Intensity modulated radiation treatment delivery (IMRT) includes guidance and tracking when performed; complex | 77386 - INTENSITY MODULATED RADIATION TX DLVR COMPLEX | 77386 - NTSTY MODUL RAD TX DLVR CPLX | '01/01/2017 | 12/31/2999 |
| 77387 | 77387 - Guidance for localization of target volume for delivery of radiation treatment includes intrafraction tracking when performed | 77387 - GUIDANCE FOR LOCLZJ TARGET VOL FOR RADJ TX DLVR | 77387 - GUIDANCE FOR RADJ TX DLVR | '01/01/2019 | 12/31/2999 |
| 77399 | 77399 - Unlisted procedure medical radiation physics dosimetry and treatment devices and special services | 77399 - UNLISTD PX MED RADJ PHYSIC DOSIM&TX DEV&SPEC SVC | 77399 - UNLISTED PX MED RADJ PHYSICS | '01/01/2023 | 12/31/2999 |
| 77401 | 77401 - Radiation treatment delivery superficial and/or ortho voltage per day | 77401 - RADIATION TX DELIVERY SUPERFICIAL&/ORTHO VOLTA | 77401 - RADIATION TREATMENT DELIVERY | '01/01/2017 | 12/31/2999 |
| 77402 | 77402 - Radiation treatment delivery >=1 MeV; simple | 77402 - RADIATION TREATMENT DELIVERY 1 MEV >= SIMPLE | 77402 - RADIATION TREATMENT DELIVERY | '01/01/2021 | 12/31/2999 |
| 77407 | 77407 - Radiation treatment delivery >=1 MeV; intermediate | 77407 - RADIATION TX DELIVERY 1 MEV >= INTERMEDIATE | 77407 - RADIATION TREATMENT DELIVERY | '01/01/2021 | 12/31/2999 |
| 77412 | 77412 - Radiation treatment delivery >=1 MeV; complex | 77412 - RADIATION TREATMENT DELIVERY 1 MEV >= COMPLEX | 77412 - RADIATION TREATMENT DELIVERY | '01/01/2021 | 12/31/2999 |
| 77417 | 77417 - Therapeutic radiology port image(s) | 77417 - THERAPEUTIC RADIOLOGY PORT IMAGES(S) | 77417 - RADIOLOGY PORT IMAGES(S) | '01/01/2017 | 12/31/2999 |
| 77423 | 77423 - High energy neutron radiation treatment delivery 1 or more isocenter(s) with coplanar or non-coplanar geometry with blocking and/or wedge and/or compensator(s) | 77423 - HIGH ENERGY NEUTRON RADJ TX DLVR 1/> ISOCENTER | 77423 - NEUTRON BEAM TX COMPLEX | '01/01/2018 | 12/31/2999 |
| 77424 | 77424 - Intraoperative radiation treatment delivery x-ray single treatment session | 77424 - INTRAOP RADIAJ TX DELIVER XRAY SINGLE TX SESSION | 77424 - IO RAD TX DELIVERY BY X-RAY | '01/01/2017 | 12/31/2999 |
| 77425 | 77425 - Intraoperative radiation treatment delivery electrons single treatment session | 77425 - INTRAOP RADIAJ TX DELIVER ELECTRONS SNGL TX SESS | 77425 - IO RAD TX DELIVER BY ELCTRNS | '01/01/2017 | 12/31/2999 |
| 77427 | 77427 - Radiation treatment management 5 treatments | 77427 - RADIATION TREATMENT MANAGEMENT 5 TREATMENTS | 77427 - RADIATION TX MANAGEMENT X5 | '01/01/2017 | 12/31/2999 |
| 77431 | 77431 - Radiation therapy management with complete course of therapy consisting of 1 or 2 fractions only | 77431 - RADIATION THERAPY MGMT 1/2 FRACTIONS ONLY | 77431 - RADIATION THERAPY MANAGEMENT | '01/01/2017 | 12/31/2999 |
| 77432 | 77432 - Stereotactic radiation treatment management of cranial lesion(s) (complete course of treatment consisting of 1 session) | 77432 - STERETCTC RADIATION TX MANAGEMENT CRANIAL LESION | 77432 - STEREOTACTIC RADIATION TRMT | '01/01/2017 | 12/31/2999 |
| 77435 | 77435 - Stereotactic body radiation therapy treatment management per treatment course to 1 or more lesions including image guidance entire course not to exceed 5 fractions | 77435 - STEREOTACTIC BODY RADIATION MANAGEMENT | 77435 - SBRT MANAGEMENT | '01/01/2017 | 12/31/2999 |
| 77469 | 77469 - Intraoperative radiation treatment management | 77469 - INTRAOPERATIVE RADIATION TREATMENT MANAGEMENT | 77469 - IO RADIATION TX MANAGEMENT | '01/01/2017 | 12/31/2999 |
| 77470 | 77470 - Special treatment procedure (eg total body irradiation hemibody radiation per oral or endocavitary irradiation) | 77470 - SPECIAL TREATMENT PROCEDURE | 77470 - SPECIAL RADIATION TREATMENT | '01/01/2017 | 12/31/2999 |
| 77499 | 77499 - Unlisted procedure therapeutic radiology treatment management | 77499 - UNLISTED PROCEDURE THERAPEUTIC RADIOLOGY TX MGMT | 77499 - UNLISTED PX THER RAD TX MGMT | '01/01/2023 | 12/31/2999 |
| 77520 | 77520 - Proton treatment delivery; simple without compensation | 77520 - PROTON TX DELIVERY SIMPLE W/O COMPENSATION | 77520 - PROTON TRMT SIMPLE W/O COMP | '01/01/2017 | 12/31/2999 |
| 77522 | 77522 - Proton treatment delivery; simple with compensation | 77522 - PROTON TX DELIVERY SIMPLE W/COMPENSATION | 77522 - PROTON TRMT SIMPLE W/COMP | '01/01/2017 | 12/31/2999 |
| 77523 | 77523 - Proton treatment delivery; intermediate | 77523 - PROTON TX DELIVERY INTERMEDIATE | 77523 - PROTON TRMT INTERMEDIATE | '01/01/2017 | 12/31/2999 |
| 77525 | 77525 - Proton treatment delivery; complex | 77525 - PROTON TX DELIVERY COMPLEX | 77525 - PROTON TREATMENT COMPLEX | '01/01/2017 | 12/31/2999 |
| 77600 | 77600 - Hyperthermia externally generated; superficial (ie heating to a depth of 4 cm or less) | 77600 - HYPERTHERMIA EXTERNAL GENERATED SUPERFICIAL | 77600 - HYPERTHERMIA TREATMENT | '01/01/2017 | 12/31/2999 |
| 77605 | 77605 - Hyperthermia externally generated; deep (ie heating to depths greater than 4 cm) | 77605 - HYPERTHERMIA EXTERNAL GENERATED DEEP | 77605 - HYPERTHERMIA TREATMENT | '01/01/2017 | 12/31/2999 |
| 77610 | 77610 - Hyperthermia generated by interstitial probe(s); 5 or fewer interstitial applicators | 77610 - HYPERTHERMIA INTERSTITIAL PROBE 5/< APPLICATORS | 77610 - HYPERTHERMIA TREATMENT | '01/01/2017 | 12/31/2999 |
| 77615 | 77615 - Hyperthermia generated by interstitial probe(s); more than 5 interstitial applicators | 77615 - HYPERTHERMIA INTERSTIAL PROBE 5/> APPLICATORS | 77615 - HYPERTHERMIA TREATMENT | '01/01/2017 | 12/31/2999 |
| 77620 | 77620 - Hyperthermia generated by intracavitary probe(s) | 77620 - HYPERTHERMIA INTRACAVITARY PROBES | 77620 - HYPERTHERMIA TREATMENT | '01/01/2017 | 12/31/2999 |
| 77750 | 77750 - Infusion or instillation of radioelement solution (includes 3-month follow-up care) | 77750 - NFS/INSTLJ RADIOELMNT SLN 3 MO FOLLOW-UP CARE | 77750 - INFUSE RADIOACTIVE MATERIALS | '01/01/2017 | 12/31/2999 |
| 77761 | 77761 - Intracavitary radiation source application; simple | 77761 - INTRACAVITARY RADIATION SOURCE APPLIC SIMPLE | 77761 - APPLY INTRCAV RADIAT SIMPLE | '01/01/2017 | 12/31/2999 |
| 77762 | 77762 - Intracavitary radiation source application; intermediate | 77762 - INTRACAVITARY RADIATION SOURCE APPLIC INTERMED | 77762 - APPLY INTRCAV RADIAT INTERM | '01/01/2017 | 12/31/2999 |
| 77763 | 77763 - Intracavitary radiation source application; complex | 77763 - INTRACAVITARY RADIATION SOURCE APPLIC COMPLEX | 77763 - APPLY INTRCAV RADIAT COMPL | '01/01/2017 | 12/31/2999 |
| 77767 | 77767 - Remote afterloading high dose rate radionuclide skin surface brachytherapy includes basic dosimetry when performed; lesion diameter up to 2.0 cm or 1 channel | 77767 - HDR RDNCL SKN SURF BRACHYTX LES 77767 - HDR RDNCL SKN SURF BRACHYTX | '01/01/2017 | 12/31/2999 | |
| 77768 | 77768 - Remote afterloading high dose rate radionuclide skin surface brachytherapy includes basic dosimetry when performed; lesion diameter over 2.0 cm and 2 or more channels or multiple lesions | 77768 - HDR RDNCL SK SRF BRCHYTX LES >2CM&2CHAN/MLT LES | 77768 - HDR RDNCL SKN SURF BRACHYTX | '01/01/2017 | 12/31/2999 |
| 77770 | 77770 - Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy includes basic dosimetry when performed; 1 channel | 77770 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX 1 CHANNEL | 77770 - HDR RDNCL NTRSTL/ICAV BRCHTX | '01/01/2017 | 12/31/2999 |
| 77771 | 77771 - Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy includes basic dosimetry when performed; 2-12 channels | 77771 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX 2-12 CHANNEL | 77771 - HDR RDNCL NTRSTL/ICAV BRCHTX | '01/01/2017 | 12/31/2999 |
| 77772 | 77772 - Remote afterloading high dose rate radionuclide interstitial or intracavitary brachytherapy includes basic dosimetry when performed; over 12 channels | 77772 - HDR RDNCL NTRSTL/INTRCAV BRACHYTX >12 CHANNELS | 77772 - HDR RDNCL NTRSTL/ICAV BRCHTX | '01/01/2017 | 12/31/2999 |
| 77778 | 77778 - Interstitial radiation source application complex includes supervision handling loading of radiation source when performed | 77778 - INTERSTITIAL RADIATION SOURCE APPLIC COMPLEX | 77778 - APPLY INTERSTIT RADIAT COMPL | '01/01/2017 | 12/31/2999 |
| 77789 | 77789 - Surface application of low dose rate radionuclide source | 77789 - SURFACE APPLIC LOW DOSE RATE RADIONUCLIDE SOURCE | 77789 - APPLY SURF LDR RADIONUCLIDE | '01/01/2017 | 12/31/2999 |
| 77790 | 77790 - Supervision handling loading of radiation source | 77790 - SUPERVISION HANDLING LOADING RADIATION SOURCE | 77790 - RADIATION HANDLING | '01/01/2017 | 12/31/2999 |
| 77799 | 77799 - Unlisted procedure clinical brachytherapy | 77799 - UNLISTED PROCEDURE CLINICAL BRACHYTHERAPY | 77799 - UNLISTED PX CLIN BRACHYTX | '01/01/2023 | 12/31/2999 |
| 78012 | 78012 - Thyroid uptake single or multiple quantitative measurement(s) (including stimulation suppression or discharge when performed) | 78012 - THYROID UPTAKE SINGLE/MULTIPLE QUANT MEASUREMENT | 78012 - THYROID UPTAKE MEASUREMENT | '01/01/2017 | 12/31/2999 |
| 78013 | 78013 - Thyroid imaging (including vascular flow when performed); | 78013 - THYROID IMAGING WITH VASCULAR FLOW | 78013 - THYROID IMAGING W/BLOOD FLOW | '01/01/2017 | 12/31/2999 |
| 78014 | 78014 - Thyroid imaging (including vascular flow when performed); with single or multiple uptake(s) quantitative measurement(s) (including stimulation suppression or discharge when performed) | 78014 - THYROID UPTAKE W/BLOOD FLOW SNGLE/MULT QUAN MEAS | 78014 - THYROID IMAGING W/BLOOD FLOW | '01/01/2017 | 12/31/2999 |
| 78015 | 78015 - Thyroid carcinoma metastases imaging; limited area (eg neck and chest only) | 78015 - THYROID CARCINOMA METASTASES IMG LMTD AREA | 78015 - THYROID MET IMAGING | '01/01/2017 | 12/31/2999 |
| 78016 | 78016 - Thyroid carcinoma metastases imaging; with additional studies (eg urinary recovery) | 78016 - THYROID CARCINOMA METASTASES IMG ADDL STUDY | 78016 - THYROID MET IMAGING/STUDIES | '01/01/2017 | 12/31/2999 |
| 78018 | 78018 - Thyroid carcinoma metastases imaging; whole body | 78018 - THYROID CARCINOMA METASTASES IMG WHOLE BODY | 78018 - THYROID MET IMAGING BODY | '01/01/2017 | 12/31/2999 |
| 78020 | 78020 - Thyroid carcinoma metastases uptake (List separately in addition to code for primary procedure) | 78020 - THYROID CARCINOMA METASTASES UPTAKE | 78020 - THYROID MET UPTAKE | '01/01/2017 | 12/31/2999 |
| 78070 | 78070 - Parathyroid planar imaging (including subtraction when performed); | 78070 - PARATHYROID PLANAR IMAGING | 78070 - PARATHYROID PLANAR IMAGING | '01/01/2017 | 12/31/2999 |
| 78071 | 78071 - Parathyroid planar imaging (including subtraction when performed); with tomographic (SPECT) | 78071 - PARATHYROID PLANAR IMAGING W/WO SUBTRACTION | 78071 - PARATHYRD PLANAR W/WO SUBTRJ | '01/01/2017 | 12/31/2999 |
| 78072 | 78072 - Parathyroid planar imaging (including subtraction when performed); with tomographic (SPECT) and concurrently acquired computed tomography (CT) for anatomical localization | 78072 - PARATHYROID IMAGING W/TOMOGRAPHIC SPECT & CT | 78072 - PARATHYRD PLANAR W/SPECT&CT | '01/01/2017 | 12/31/2999 |
| 78075 | 78075 - Adrenal imaging cortex and/or medulla | 78075 - ADRENAL IMAGING CORTEX &/MEDULLA | 78075 - ADRENAL CORTEX & MEDULLA IMG | '01/01/2017 | 12/31/2999 |
| 78099 | 78099 - Unlisted endocrine procedure diagnostic nuclear medicine | 78099 - UNLISTED ENDOCRINE PX DX NUCLEAR MEDICINE | 78099 - UNLISTED ENDOCRINE PX DX NUC | '01/01/2023 | 12/31/2999 |
| 78102 | 78102 - Bone marrow imaging; limited area | 78102 - BONE MARROW IMAGING LIMITED AREA | 78102 - BONE MARROW IMAGING LTD | '01/01/2017 | 12/31/2999 |
| 78103 | 78103 - Bone marrow imaging; multiple areas | 78103 - BONE MARROW IMAGING MULTIPLE AREAS | 78103 - BONE MARROW IMAGING MULT | '01/01/2017 | 12/31/2999 |
| 78104 | 78104 - Bone marrow imaging; whole body | 78104 - BONE MARROW IMAGING WHOLE BODY | 78104 - BONE MARROW IMAGING BODY | '01/01/2017 | 12/31/2999 |
| 78110 | 78110 - Plasma volume radiopharmaceutical volume-dilution technique (separate procedure); single sampling | 78110 - PLASMA VOL RADIOPHARM VOL DILUTION SPX 1 SAMPLE | 78110 - PLASMA VOLUME SINGLE | '01/01/2017 | 12/31/2999 |
| 78111 | 78111 - Plasma volume radiopharmaceutical volume-dilution technique (separate procedure); multiple samplings | 78111 - PLASMA VOL RADIOPHARM VOL DILUTE SPX MULT SMPLES | 78111 - PLASMA VOLUME MULTIPLE | '01/01/2017 | 12/31/2999 |
| 78120 | 78120 - Red cell volume determination (separate procedure); single sampling | 78120 - RED CELL VOLUME DETERMINATION SPX 1 SAMPLING | 78120 - RED CELL MASS SINGLE | '01/01/2017 | 12/31/2999 |
| 78121 | 78121 - Red cell volume determination (separate procedure); multiple samplings | 78121 - RED CELL VOLUME DETERMINATION SPX MULT SAMPLINGS | 78121 - RED CELL MASS MULTIPLE | '01/01/2017 | 12/31/2999 |
| 78122 | 78122 - Whole blood volume determination including separate measurement of plasma volume and red cell volume (radiopharmaceutical volume-dilution technique) | 78122 - WHOLE BLOOD VOLUME DETERM PLASMA&RED CELL VOLU | 78122 - BLOOD VOLUME | '01/01/2017 | 12/31/2999 |
| 78130 | 78130 - Red cell survival study | 78130 - RED CELL SURVIVAL STUDY | 78130 - RED CELL SURVIVAL STUDY | '01/01/2021 | 12/31/2999 |
| 78140 | 78140 - Labeled red cell sequestration differential organ/tissue (eg splenic and/or hepatic) | 78140 - LABELED RBC SEQUESTRATION DIFFERNTL ORGAN/TISSUE | 78140 - RED CELL SEQUESTRATION | '01/01/2017 | 12/31/2999 |
| 78185 | 78185 - Spleen imaging only with or without vascular flow | 78185 - SPLEEN IMAGING ONLY W/WO VASCULAR FLOW | 78185 - SPLEEN IMAGING | '01/01/2017 | 12/31/2999 |
| 78191 | 78191 - Platelet survival study | 78191 - PLATELET SURVIVAL STUDY | 78191 - PLATELET SURVIVAL | '01/01/2017 | 12/31/2999 |
| 78195 | 78195 - Lymphatics and lymph nodes imaging | 78195 - LYMPHATICS & LYMPH NODES IMAGING | 78195 - LYMPH SYSTEM IMAGING | '01/01/2017 | 12/31/2999 |
| 78199 | 78199 - Unlisted hematopoietic reticuloendothelial and lymphatic procedure diagnostic nuclear medicine | 78199 - UNLISTED HEMATOP RET/ENDO&LYMPHATIC DX NUC MED | 78199 - UNLSTD HEMATOP RET/ENDO LYMP | '01/01/2023 | 12/31/2999 |
| 78201 | 78201 - Liver imaging; static only | 78201 - LIVER IMAGING STATIC ONLY | 78201 - LIVER IMAGING | '01/01/2017 | 12/31/2999 |
| 78202 | 78202 - Liver imaging; with vascular flow | 78202 - LIVER IMAGING W/VASCULAR FLOW | 78202 - LIVER IMAGING WITH FLOW | '01/01/2017 | 12/31/2999 |
| 78215 | 78215 - Liver and spleen imaging; static only | 78215 - LIVER & SPLEEN IMAGING STATIC ONLY | 78215 - LIVER AND SPLEEN IMAGING | '01/01/2017 | 12/31/2999 |
| 78216 | 78216 - Liver and spleen imaging; with vascular flow | 78216 - LIVER & SPLEEN IMAGING W/VASCULAR FLOW | 78216 - LIVER & SPLEEN IMAGE/FLOW | '01/01/2017 | 12/31/2999 |
| 78226 | 78226 - Hepatobiliary system imaging including gallbladder when present; | 78226 - HEPATOBILIARY SYST IMAGING INCLUDING GALLBLADDER | 78226 - HEPATOBILIARY SYSTEM IMAGING | '01/01/2017 | 12/31/2999 |
| 78227 | 78227 - Hepatobiliary system imaging including gallbladder when present; with pharmacologic intervention including quantitative measurement(s) when performed | 78227 - HEPATOBIL SYST IMAG INC GB W/PHARMA INTERVENJ | 78227 - HEPATOBIL SYST IMAGE W/DRUG | '01/01/2017 | 12/31/2999 |
| 78230 | 78230 - Salivary gland imaging; | 78230 - SALIVARY GLAND IMAGING | 78230 - SALIVARY GLAND IMAGING | '01/01/2017 | 12/31/2999 |
| 78231 | 78231 - Salivary gland imaging; with serial images | 78231 - SALIVARY GLAND IMAGING SERIAL IMAGES | 78231 - SERIAL SALIVARY IMAGING | '01/01/2017 | 12/31/2999 |
| 78232 | 78232 - Salivary gland function study | 78232 - SALIVARY GLAND FUNCTION STUDY | 78232 - SALIVARY GLAND FUNCTION EXAM | '01/01/2017 | 12/31/2999 |
| 78258 | 78258 - Esophageal motility | 78258 - ESOPHAGEAL MOTILITY | 78258 - ESOPHAGEAL MOTILITY STUDY | '01/01/2017 | 12/31/2999 |
| 78261 | 78261 - Gastric mucosa imaging | 78261 - GASTRIC MUCOSA IMAGING | 78261 - GASTRIC MUCOSA IMAGING | '01/01/2017 | 12/31/2999 |
| 78262 | 78262 - Gastroesophageal reflux study | 78262 - GASTROESOPHAGEAL REFLUX STUDY | 78262 - GASTROESOPHAGEAL REFLUX EXAM | '01/01/2017 | 12/31/2999 |
| 78264 | 78264 - Gastric emptying imaging study (eg solid liquid or both); | 78264 - GASTRIC EMPTYING IMAGING STUDY | 78264 - GASTRIC EMPTYING IMAG STUDY | '01/01/2017 | 12/31/2999 |
| 78265 | 78265 - Gastric emptying imaging study (eg solid liquid or both); with small bowel transit | 78265 - GASTRIC EMPTYNG IMAG STD W/SM BWL TRANSIT | 78265 - GASTRIC EMPTYING IMAG STUDY | '01/01/2017 | 12/31/2999 |
| 78266 | 78266 - Gastric emptying imaging study (eg solid liquid or both); with small bowel and colon transit multiple days | 78266 - GSTRC EMPTNG IMAG STD W/SM BWL COL TRNST MLT DAY | 78266 - GASTRIC EMPTYING IMAG STUDY | '01/01/2017 | 12/31/2999 |
| 78267 | 78267 - Urea breath test C-14 (isotopic); acquisition for analysis | 78267 - UREA BREATH TEST C-14 ISOTOPIC ACQUISJ ANALYSIS | 78267 - BREATH TST ATTAIN/ANAL C-14 | '01/01/2017 | 12/31/2999 |
| 78268 | 78268 - Urea breath test C-14 (isotopic); analysis | 78268 - UREA BREATH TEST C-14 ISOTOPIC ANALYSIS | 78268 - BREATH TEST ANALYSIS C-14 | '01/01/2017 | 12/31/2999 |
| 78278 | 78278 - Acute gastrointestinal blood loss imaging | 78278 - ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING | 78278 - ACUTE GI BLOOD LOSS IMAGING | '01/01/2017 | 12/31/2999 |
| 78282 | 78282 - Gastrointestinal protein loss | 78282 - GASTROINTESTINAL PROTEIN LOSS | 78282 - GI PROTEIN LOSS EXAM | '01/01/2017 | 12/31/2999 |
| 78290 | 78290 - Intestine imaging (eg ectopic gastric mucosa Meckel's localization volvulus) | 78290 - INTESTINE IMAGING | 78290 - MECKELS DIVERT EXAM | '01/01/2017 | 12/31/2999 |
| 78291 | 78291 - Peritoneal-venous shunt patency test (eg for LeVeen Denver shunt) | 78291 - PERITONEAL-VENOUS SHUNT PATENCY TEST | 78291 - LEVEEN/SHUNT PATENCY EXAM | '01/01/2017 | 12/31/2999 |
| 78299 | 78299 - Unlisted gastrointestinal procedure diagnostic nuclear medicine | 78299 - UNLISTED GASTROINTESTINAL PX DX NUCLEAR MEDICINE | 78299 - UNLISTED GI PX DX NUC MED | '01/01/2023 | 12/31/2999 |
| 78300 | 78300 - Bone and/or joint imaging; limited area | 78300 - BONE &/JOINT IMAGING LIMITED AREA | 78300 - BONE IMAGING LIMITED AREA | '01/01/2017 | 12/31/2999 |
| 78305 | 78305 - Bone and/or joint imaging; multiple areas | 78305 - BONE &/JOINT IMAGING MULTIPLE AREAS | 78305 - BONE IMAGING MULTIPLE AREAS | '01/01/2017 | 12/31/2999 |
| 78306 | 78306 - Bone and/or joint imaging; whole body | 78306 - BONE &/JOINT IMAGING WHOLE BODY | 78306 - BONE IMAGING WHOLE BODY | '01/01/2017 | 12/31/2999 |
| 78315 | 78315 - Bone and/or joint imaging; 3 phase study | 78315 - BONE &/JOINT IMAGING 3 PHASE STUDY | 78315 - BONE IMAGING 3 PHASE | '01/01/2017 | 12/31/2999 |
| 78350 | 78350 - Bone density (bone mineral content) study 1 or more sites; single photon absorptiometry | 78350 - BONE DENSITY 1/> SITES 1 PHOTON ABSORPTIOMETRY | 78350 - BONE MINERAL SINGLE PHOTON | '01/01/2017 | 12/31/2999 |
| 78351 | 78351 - Bone density (bone mineral content) study 1 or more sites; dual photon absorptiometry 1 or more sites | 78351 - BONE DENSTY 1/> SITES DUAL PHOTON ABSORPTIOMETR | 78351 - BONE MINERAL DUAL PHOTON | '01/01/2017 | 12/31/2999 |
| 78399 | 78399 - Unlisted musculoskeletal procedure diagnostic nuclear medicine | 78399 - UNLISTED MUSCULOSKELETAL PX DX NUCLEAR MEDICINE | 78399 - UNLISTED MUSCSKEL PX DX NUC | '01/01/2023 | 12/31/2999 |
| 78414 | 78414 - Determination of central c-v hemodynamics (non-imaging) (eg ejection fraction with probe technique) with or without pharmacologic intervention or exercise single or multiple determinations | 78414 - CARD-VASC HEMODYNAM W/WO PHARM/EXER 1/MLT DETERM | 78414 - NON-IMAGING HEART FUNCTION | '01/01/2017 | 12/31/2999 |
| 78428 | 78428 - Cardiac shunt detection | 78428 - CARDIAC SHUNT DETECTION | 78428 - CARDIAC SHUNT IMAGING | '01/01/2017 | 12/31/2999 |
| 78429 | 78429 - Myocardial imaging positron emission tomography (PET) metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s] when performed) single study; with concurrently acquired computed tomography transmission scan | 78429 - MYOCRD IMG PET METAB EVAL SINGLE STUDY CNCRNT CT | 78429 - MYOCRD IMG PET 1 STD W/CT | '01/01/2020 | 12/31/2999 |
| 78430 | 78430 - Myocardial imaging positron emission tomography (PET) perfusion study (including ventricular wall motion[s] and/or ejection fraction[s] when performed); single study at rest or stress (exercise or pharmacologic) with concurrently acquired computed tomography transmission scan | 78430 - MYOCRD IMG PET PRFUJ 1STD REST/STRESS CNCRNT CT | 78430 - MYOCRD IMG PET RST/STRS W/CT | '01/01/2020 | 12/31/2999 |
| 78431 | 78431 - Myocardial imaging positron emission tomography (PET) perfusion study (including ventricular wall motion[s] and/or ejection fraction[s] when performed); multiple studies at rest and stress (exercise or pharmacologic) with concurrently acquired computed tomography transmission scan | 78431 - MYOCRD IMG PET PRFUJ MLT STD RST&STRS CNCRNT CT | 78431 - MYOCRD IMG PET RST&STRS CT | '01/01/2020 | 12/31/2999 |
| 78432 | 78432 - Myocardial imaging positron emission tomography (PET) combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s] when performed) dual radiotracer (eg myocardial viability); | 78432 - MYOCRD IMG PET PRFUJ W/METAB DUAL RADIOTRACER | 78432 - MYOCRD IMG PET 2RTRACER | '01/01/2020 | 12/31/2999 |
| 78433 | 78433 - Myocardial imaging positron emission tomography (PET) combined perfusion with metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s] when performed) dual radiotracer (eg myocardial viability); with concurrently acquired computed tomography transmission scan | 78433 - MYOCRD IMG PET PRFUJ W/METAB 2RTRACER CNCRNT CT | 78433 - MYOCRD IMG PET 2RTRACER CT | '01/01/2020 | 12/31/2999 |
| 78434 | 78434 - Absolute quantitation of myocardial blood flow (AQMBF) positron emission tomography (PET) rest and pharmacologic stress (List separately in addition to code for primary procedure) | 78434 - AQMBF PET REST AND PHARMACOLOGIC STRESS | 78434 - AQMBF PET REST & RX STRESS | '01/01/2020 | 12/31/2999 |
| 78445 | 78445 - Non-cardiac vascular flow imaging (ie angiography venography) | 78445 - NONCARDIAC VASCULAR FLOW IMAGING | 78445 - VASCULAR FLOW IMAGING | '01/01/2017 | 12/31/2999 |
| 78451 | 78451 - Myocardial perfusion imaging tomographic (SPECT) (including attenuation correction qualitative or quantitative wall motion ejection fraction by first pass or gated technique additional quantification when performed); single study at rest or stress (exercise or pharmacologic) | 78451 - MYOCARDIAL SPECT SINGLE STUDY AT REST OR STRESS | 78451 - HT MUSCLE IMAGE SPECT SING | '01/01/2017 | 12/31/2999 |
| 78452 | 78452 - Myocardial perfusion imaging tomographic (SPECT) (including attenuation correction qualitative or quantitative wall motion ejection fraction by first pass or gated technique additional quantification when performed); multiple studies at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection | 78452 - MYOCARDIAL SPECT MULTIPLE STUDIES | 78452 - HT MUSCLE IMAGE SPECT MULT | '01/01/2017 | 12/31/2999 |
| 78453 | 78453 - Myocardial perfusion imaging planar (including qualitative or quantitative wall motion ejection fraction by first pass or gated technique additional quantification when performed); single study at rest or stress (exercise or pharmacologic) | 78453 - MYOCARDIAL PERFUSION PLANAR 1 STUDY REST/STRESS | 78453 - HT MUSCLE IMAGE PLANAR SING | '01/01/2017 | 12/31/2999 |
| 78454 | 78454 - Myocardial perfusion imaging planar (including qualitative or quantitative wall motion ejection fraction by first pass or gated technique additional quantification when performed); multiple studies at rest and/or stress (exercise or pharmacologic) and/or redistribution and/or rest reinjection | 78454 - MYOCARDIAL PERFUSION PLANAR MULTIPLE STUDIES | 78454 - HT MUSC IMAGE PLANAR MULT | '01/01/2017 | 12/31/2999 |
| 78456 | 78456 - Acute venous thrombosis imaging peptide | 78456 - ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE | 78456 - ACUTE VENOUS THROMBUS IMAGE | '01/01/2017 | 12/31/2999 |
| 78457 | 78457 - Venous thrombosis imaging venogram; unilateral | 78457 - VENOUS THROMBOSIS IMAGING VENOGRAM UNILATERAL | 78457 - VENOUS THROMBOSIS IMAGING | '01/01/2017 | 12/31/2999 |
| 78458 | 78458 - Venous thrombosis imaging venogram; bilateral | 78458 - VENOUS THROMBOSIS IMAGING VENOGRAM BILATERAL | 78458 - VEN THROMBOSIS IMAGES BILAT | '01/01/2017 | 12/31/2999 |
| 78459 | 78459 - Myocardial imaging positron emission tomography (PET) metabolic evaluation study (including ventricular wall motion[s] and/or ejection fraction[s] when performed) single study; | 78459 - MYOCRD IMG PET METAB EVAL SINGLE STUDY | 78459 - MYOCRD IMG PET SINGLE STUDY | '01/01/2020 | 12/31/2999 |
| 78466 | 78466 - Myocardial imaging infarct avid planar; qualitative or quantitative | 78466 - MYOCARDIAL IMAGING INFARCT AVID PLANAR QUAL/QUAN | 78466 - HEART INFARCT IMAGE | '01/01/2017 | 12/31/2999 |
| 78468 | 78468 - Myocardial imaging infarct avid planar; with ejection fraction by first pass technique | 78468 - MYOCRD IMG INFARCT AVID PLNR EJEC FXJ 1ST PS TQ | 78468 - HEART INFARCT IMAGE (EF) | '01/01/2017 | 12/31/2999 |
| 78469 | 78469 - Myocardial imaging infarct avid planar; tomographic SPECT with or without quantification | 78469 - MYOCRD INFARCT AVID PLNR TOMOG SPECT W/WO QUANTJ | 78469 - HEART INFARCT IMAGE (3D) | '01/01/2017 | 12/31/2999 |
| 78472 | 78472 - Cardiac blood pool imaging gated equilibrium; planar single study at rest or stress (exercise and/or pharmacologic) wall motion study plus ejection fraction with or without additional quantitative processing | 78472 - CARD BLOOD POOL GATED PLANAR 1 STUDY REST/STRESS | 78472 - GATED HEART PLANAR SINGLE | '01/01/2017 | 12/31/2999 |
| 78473 | 78473 - Cardiac blood pool imaging gated equilibrium; multiple studies wall motion study plus ejection fraction at rest and stress (exercise and/or pharmacologic) with or without additional quantification | 78473 - CARD BL POOL GATED MLT STDY WAL MOTN EJECT FRACT | 78473 - GATED HEART MULTIPLE | '01/01/2017 | 12/31/2999 |
| 78481 | 78481 - Cardiac blood pool imaging (planar) first pass technique; single study at rest or with stress (exercise and/or pharmacologic) wall motion study plus ejection fraction with or without quantification | 78481 - CARD BL POOL PLANAR 1 STDY WAL MOTN EJECT FRACT | 78481 - HEART FIRST PASS SINGLE | '01/01/2017 | 12/31/2999 |
| 78483 | 78483 - Cardiac blood pool imaging (planar) first pass technique; multiple studies at rest and with stress (exercise and/or pharmacologic) wall motion study plus ejection fraction with or without quantification | 78483 - CARD BL POOL PLNR MLT STDY WAL MOTN EJECT FRACT | 78483 - HEART FIRST PASS MULTIPLE | '01/01/2017 | 12/31/2999 |
| 78491 | 78491 - Myocardial imaging positron emission tomography (PET) perfusion study (including ventricular wall motion[s] and/or ejection fraction[s] when performed); single study at rest or stress (exercise or pharmacologic) | 78491 - MYOCRD IMG PET PRFUJ SINGLE STUDY REST/STRESS | 78491 - MYOCRD IMG PET 1STD RST/STRS | '01/01/2020 | 12/31/2999 |
| 78492 | 78492 - Myocardial imaging positron emission tomography (PET) perfusion study (including ventricular wall motion[s] and/or ejection fraction[s] when performed); multiple studies at rest and stress (exercise or pharmacologic) | 78492 - MYOCRD IMG PET PRFUJ MULTIPLE STUDY REST&STRESS | 78492 - MYOCRD IMG PET MLT RST&STRS | '01/01/2020 | 12/31/2999 |
| 78494 | 78494 - Cardiac blood pool imaging gated equilibrium SPECT at rest wall motion study plus ejection fraction with or without quantitative processing | 78494 - CARD BL POOL GATED SPECT REST WAL MOTN EJCT FRCT | 78494 - HEART IMAGE SPECT | '01/01/2017 | 12/31/2999 |
| 78496 | 78496 - Cardiac blood pool imaging gated equilibrium single study at rest with right ventricular ejection fraction by first pass technique (List separately in addition to code for primary procedure) | 78496 - CARD BL POOL GATED 1 STDY REST RT VENT EJCT FRCT | 78496 - HEART FIRST PASS ADD-ON | '01/01/2017 | 12/31/2999 |
| 78499 | 78499 - Unlisted cardiovascular procedure diagnostic nuclear medicine | 78499 - UNLISTED CARDIOVASCULAR PX DX NUCLEAR MEDICINE | 78499 - UNLISTED CV PX DX NUC MED | '01/01/2023 | 12/31/2999 |
| 78579 | 78579 - Pulmonary ventilation imaging (eg aerosol or gas) | 78579 - PULMONARY VENTILATION IMAGING | 78579 - LUNG VENTILATION IMAGING | '01/01/2017 | 12/31/2999 |
| 78580 | 78580 - Pulmonary perfusion imaging (eg particulate) | 78580 - PULMONARY PERFUSION IMAGING PARTICULATE | 78580 - LUNG PERFUSION IMAGING | '01/01/2017 | 12/31/2999 |
| 78582 | 78582 - Pulmonary ventilation (eg aerosol or gas) and perfusion imaging | 78582 - PULMONARY VENTILATION & PERFUSION IMAGING | 78582 - LUNG VENTILAT&PERFUS IMAGING | '01/01/2017 | 12/31/2999 |
| 78597 | 78597 - Quantitative differential pulmonary perfusion including imaging when performed | 78597 - QUANT DIFFERENTIAL PULM PERFUSION W/WO IMAGING | 78597 - LUNG PERFUSION DIFFERENTIAL | '01/01/2017 | 12/31/2999 |
| 78598 | 78598 - Quantitative differential pulmonary perfusion and ventilation (eg aerosol or gas) including imaging when performed | 78598 - QUANT DIFF PULM PRFUSION & VENTLAJ W/WO IMAGIN | 78598 - LUNG PERF&VENTILAT DIFERENTL | '01/01/2017 | 12/31/2999 |
| 78599 | 78599 - Unlisted respiratory procedure diagnostic nuclear medicine | 78599 - UNLISTED RESPIRATORY PX DX NUCLEAR MEDICINE | 78599 - UNLISTED RESP PX DX NUC MED | '01/01/2023 | 12/31/2999 |
| 78600 | 78600 - Brain imaging less than 4 static views; | 78600 - BRAIN IMAGING <4 STATIC VIEWS | 78600 - BRAIN IMAGE < 4 VIEWS | '01/01/2017 | 12/31/2999 |
| 78601 | 78601 - Brain imaging less than 4 static views; with vascular flow | 78601 - BRAIN IMAGING <4 STATIC VIEWS W/VASCULAR FLOW | 78601 - BRAIN IMAGE W/FLOW < 4 VIEWS | '01/01/2017 | 12/31/2999 |
| 78605 | 78605 - Brain imaging minimum 4 static views; | 78605 - BRAIN IMAGING MINIMUM 4 STATIC VIEWS | 78605 - BRAIN IMAGE 4+ VIEWS | '01/01/2017 | 12/31/2999 |
| 78606 | 78606 - Brain imaging minimum 4 static views; with vascular flow | 78606 - BRAIN IMAGING MIN 4 STATIC VIEWS W VASCULAR FLOW | 78606 - BRAIN IMAGE W/FLOW 4 + VIEWS | '01/01/2017 | 12/31/2999 |
| 78608 | 78608 - Brain imaging positron emission tomography (PET); metabolic evaluation | 78608 - BRAIN IMAGING PET METABOLIC EVALUATION | 78608 - BRAIN IMAGING (PET) | '01/01/2017 | 12/31/2999 |
| 78609 | 78609 - Brain imaging positron emission tomography (PET); perfusion evaluation | 78609 - BRAIN IMAGING PET PERFUSION EVALUATION | 78609 - BRAIN IMAGING (PET) | '01/01/2017 | 12/31/2999 |
| 78610 | 78610 - Brain imaging vascular flow only | 78610 - BRAIN IMAGING VASCULAR FLOW ONLY | 78610 - BRAIN FLOW IMAGING ONLY | '01/01/2017 | 12/31/2999 |
| 78630 | 78630 - Cerebrospinal fluid flow imaging (not including introduction of material); cisternography | 78630 - CEREBROSPINAL FLUID FLOW W/O MATL CISTERNOGRAPHY | 78630 - CEREBROSPINAL FLUID SCAN | '01/01/2017 | 12/31/2999 |
| 78635 | 78635 - Cerebrospinal fluid flow imaging (not including introduction of material); ventriculography | 78635 - CEREBROSPINAL FLUID FLOW W/O MATL VENTRICLGRAPHY | 78635 - CSF VENTRICULOGRAPHY | '01/01/2017 | 12/31/2999 |
| 78645 | 78645 - Cerebrospinal fluid flow imaging (not including introduction of material); shunt evaluation | 78645 - CEREBROSPINAL FLUID FLOW W/O MATL SHUNT EVALTJ | 78645 - CSF SHUNT EVALUATION | '01/01/2017 | 12/31/2999 |
| 78650 | 78650 - Cerebrospinal fluid leakage detection and localization | 78650 - CEREBROSPINAL FLUID LEAK DETECTION&LOCALIZATIO | 78650 - CSF LEAKAGE IMAGING | '01/01/2017 | 12/31/2999 |
| 78660 | 78660 - Radiopharmaceutical dacryocystography | 78660 - RADIOPHARMACEUTICAL DACRYOCYSTOGRAPHY | 78660 - NUCLEAR EXAM OF TEAR FLOW | '01/01/2017 | 12/31/2999 |
| 78699 | 78699 - Unlisted nervous system procedure diagnostic nuclear medicine | 78699 - UNLISTED NERVOUS SYSTEM PX DX NUCLEAR MEDICINE | 78699 - UNLISTED NRVS SYS PX DX NUC | '01/01/2023 | 12/31/2999 |
| 78700 | 78700 - Kidney imaging morphology; | 78700 - KIDNEY IMAGING MORPHOLOGY | 78700 - KIDNEY IMAGING MORPHOL | '01/01/2017 | 12/31/2999 |
| 78701 | 78701 - Kidney imaging morphology; with vascular flow | 78701 - KIDNEY IMAGING MORPHOOGY W/VASCULAR FLOW | 78701 - KIDNEY IMAGING WITH FLOW | '01/01/2017 | 12/31/2999 |
| 78707 | 78707 - Kidney imaging morphology; with vascular flow and function single study without pharmacological intervention | 78707 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/O RX | 78707 - K FLOW/FUNCT IMAGE W/O DRUG | '01/01/2017 | 12/31/2999 |
| 78708 | 78708 - Kidney imaging morphology; with vascular flow and function single study with pharmacological intervention (eg angiotensin converting enzyme inhibitor and/or diuretic) | 78708 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW 1 W/RX | 78708 - K FLOW/FUNCT IMAGE W/DRUG | '01/01/2017 | 12/31/2999 |
| 78709 | 78709 - Kidney imaging morphology; with vascular flow and function multiple studies with and without pharmacological intervention (eg angiotensin converting enzyme inhibitor and/or diuretic) | 78709 - KIDNEY IMG MORPHOLOGY VASCULAR FLOW MULTIPLE | 78709 - K FLOW/FUNCT IMAGE MULTIPLE | '01/01/2017 | 12/31/2999 |
| 78725 | 78725 - Kidney function study non-imaging radioisotopic study | 78725 - KIDNEY FUNCJ STUDY NON-IMG RADIOISOTOPIC STUDY | 78725 - KIDNEY FUNCTION STUDY | '01/01/2017 | 12/31/2999 |
| 78730 | 78730 - Urinary bladder residual study (List separately in addition to code for primary procedure) | 78730 - URINARY BLADDER RESIDUAL STUDY | 78730 - URINARY BLADDER RETENTION | '01/01/2017 | 12/31/2999 |
| 78740 | 78740 - Ureteral reflux study (radiopharmaceutical voiding cystogram) | 78740 - URETERAL REFLUX STUDY RP VOIDING CYSTOGRAM | 78740 - URETERAL REFLUX STUDY | '01/01/2017 | 12/31/2999 |
| 78761 | 78761 - Testicular imaging with vascular flow | 78761 - TESTICULAR IMAGING WITH VASCULAR FLOW | 78761 - TESTICULAR IMAGING W/FLOW | '01/01/2017 | 12/31/2999 |
| 78799 | 78799 - Unlisted genitourinary procedure diagnostic nuclear medicine | 78799 - UNLISTED GENITOURINARY PX DX NUCLEAR MEDICINE | 78799 - UNLISTED GU PX DX NUC MED | '01/01/2023 | 12/31/2999 |
| 78800 | 78800 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); planar single area (eg head neck chest pelvis) single day imaging | 78800 - RP LOCLZJ TUM PLNR 1 AREA SINGLE DAY IMAGING | 78800 - RP LOCLZJ TUM 1 AREA 1 D IMG | '01/01/2020 | 12/31/2999 |
| 78801 | 78801 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); planar 2 or more areas (eg abdomen and pelvis head and chest) 1 or more days imaging or single area imaging over 2 or more days | 78801 - RP LOCLZJ TUM PLNR 2+AREA 1+D IMG/1 AREA IMG>2+D | 78801 - RP LOCLZJ TUM 2+AREA 1+D IMG | '01/01/2020 | 12/31/2999 |
| 78802 | 78802 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); planar whole body single day imaging | 78802 - RP LOCLZJ TUM PLNR WHOLE BODY SINGLE DAY IMAGING | 78802 - RP LOCLZJ TUM WHBDY 1 D IMG | '01/01/2020 | 12/31/2999 |
| 78803 | 78803 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); tomographic (SPECT) single area (eg head neck chest pelvis) or acquisition single day imaging | 78803 - RP LOCLZJ TUM SPECT 1 AREA/ACQUISJ 1 DAY IMG | 78803 - RP LOCLZJ TUM SPECT 1 AREA | '01/01/2023 | 12/31/2999 |
| 78804 | 78804 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); planar whole body requiring 2 or more days imaging | 78804 - RP LOCLZJ TUM PLNR WHOLE BODY 2+ DAYS IMAGING | 78804 - RP LOCLZJ TUM WHBDY 2+D IMG | '01/01/2020 | 12/31/2999 |
| 78808 | 78808 - Injection procedure for radiopharmaceutical localization by non-imaging probe study intravenous (eg parathyroid adenoma) | 78808 - NJX RP LOCLZJ NON-IMG PROBE STUDY INTRAVENOUS | 78808 - IV INJ RA DRUG DX STUDY | '01/01/2017 | 12/31/2999 |
| 78811 | 78811 - Positron emission tomography (PET) imaging; limited area (eg chest head/neck) | 78811 - PET IMAGING LIMITED AREA CHEST HEAD/NECK | 78811 - PET IMAGE LTD AREA | '01/01/2017 | 12/31/2999 |
| 78812 | 78812 - Positron emission tomography (PET) imaging; skull base to mid-thigh | 78812 - PET IMAGING SKULL BASE TO MID-THIGH | 78812 - PET IMAGE SKULL-THIGH | '01/01/2017 | 12/31/2999 |
| 78813 | 78813 - Positron emission tomography (PET) imaging; whole body | 78813 - PET IMAGING WHOLE BODY | 78813 - PET IMAGE FULL BODY | '01/01/2017 | 12/31/2999 |
| 78814 | 78814 - Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; limited area (eg chest head/neck) | 78814 - PET IMAGING CT FOR ATTENUATION LIMITED AREA | 78814 - PET IMAGE W/CT LMTD | '01/01/2017 | 12/31/2999 |
| 78815 | 78815 - Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; skull base to mid-thigh | 78815 - PET IMAGING CT ATTENUATION SKULL BASE MID-THIGH | 78815 - PET IMAGE W/CT SKULL-THIGH | '01/01/2017 | 12/31/2999 |
| 78816 | 78816 - Positron emission tomography (PET) with concurrently acquired computed tomography (CT) for attenuation correction and anatomical localization imaging; whole body | 78816 - PET IMAGING FOR CT ATTENUATION WHOLE BODY | 78816 - PET IMAGE W/CT FULL BODY | '01/01/2017 | 12/31/2999 |
| 78830 | 78830 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review localization and determination/detection of pathology single area (eg head neck chest pelvis) or acquisition single day imaging | 78830 - RP LOCLZJ TUM SPECT W/CT 1 AREA/ACQUISJ 1DAY IMG | 78830 - RP LOCLZJ TUM SPECT W/CT 1 | '01/01/2023 | 12/31/2999 |
| 78831 | 78831 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); tomographic (SPECT) minimum 2 areas (eg pelvis and knees chest and abdomen) or separate acquisitions (eg lung ventilation and perfusion) single day imaging or single area or acquisition over 2 or more days | 78831 - RP LOCLZJ TUM SPECT 2 AREA/SEP ACQUISJ IMG | 78831 - RP LOCLZJ TUM SPECT 2 AREAS | '01/01/2023 | 12/31/2999 |
| 78832 | 78832 - Radiopharmaceutical localization of tumor inflammatory process or distribution of radiopharmaceutical agent(s) (includes vascular flow and blood pool imaging when performed); tomographic (SPECT) with concurrently acquired computed tomography (CT) transmission scan for anatomical review localization and determination/detection of pathology minimum 2 areas (eg pelvis and knees chest and abdomen) or separate acquisitions (eg lung ventilation and perfusion) single day imaging or single area or acquisition over 2 or more days | 78832 - RP LOCLZJ TUM SPECT CT 2AREA/SEP ACQUISJ IMG | 78832 - RP LOCLZJ TUM SPECT W/CT 2 | '01/01/2023 | 12/31/2999 |
| 78835 | 78835 - Radiopharmaceutical quantification measurement(s) single area (List separately in addition to code for primary procedure) | 78835 - RADIOPHARMACEUTICAL QUANTIFICATION MEAS 1 AREA | 78835 - RP QUAN MEAS SINGLE AREA | '01/01/2020 | 12/31/2999 |
| 78999 | 78999 - Unlisted miscellaneous procedure diagnostic nuclear medicine | 78999 - UNLISTED MISCELLANEOUS PX DX NUCLEAR MEDICINE | 78999 - UNLISTED MISC PX DX NUC MED | '01/01/2023 | 12/31/2999 |
| 79005 | 79005 - Radiopharmaceutical therapy by oral administration | 79005 - RP THERAPY ORAL ADMINISTRATION | 79005 - NUCLEAR RX ORAL ADMIN | '01/01/2017 | 12/31/2999 |
| 79101 | 79101 - Radiopharmaceutical therapy by intravenous administration | 79101 - RP THERAPY INTRAVENOUS ADMINISTRATION | 79101 - NUCLEAR RX IV ADMIN | '01/01/2017 | 12/31/2999 |
| 79200 | 79200 - Radiopharmaceutical therapy by intracavitary administration | 79200 - RP THERAPY INRACAVITARY ADMINISTRATION | 79200 - NUCLEAR RX INTRACAV ADMIN | '01/01/2017 | 12/31/2999 |
| 79300 | 79300 - Radiopharmaceutical therapy by interstitial radioactive colloid administration | 79300 - RP THERAPY INTERSTITIAL RADIOACTIVE COLLOID ADMN | 79300 - NUCLR RX INTERSTIT COLLOID | '01/01/2017 | 12/31/2999 |
| 79403 | 79403 - Radiopharmaceutical therapy radiolabeled monoclonal antibody by intravenous infusion | 79403 - RP THER RADIOLBLD MONOCLONAL ANTIBODY IV INFUS | 79403 - HEMATOPOIETIC NUCLEAR TX | '01/01/2017 | 12/31/2999 |
| 79440 | 79440 - Radiopharmaceutical therapy by intra-articular administration | 79440 - RP THERAPY INTRA-ARTICULAR ADMINISTRATION | 79440 - NUCLEAR RX INTRA-ARTICULAR | '01/01/2017 | 12/31/2999 |
| 79445 | 79445 - Radiopharmaceutical therapy by intra-arterial particulate administration | 79445 - RP THERAPY INTRA-ARTERIAL PARTICULATE ADMN | 79445 - NUCLEAR RX INTRA-ARTERIAL | '01/01/2017 | 12/31/2999 |
| 79999 | 79999 - Radiopharmaceutical therapy unlisted procedure | 79999 - RP THERAPY UNLISTED PROCEDURE | 79999 - RP THERAPY UNLISTED PX | '01/01/2023 | 12/31/2999 |
| 80047 | 80047 - Basic metabolic panel (Calcium ionized) This panel must include the following: Calcium ionized (82330) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea Nitrogen (BUN) (84520) | 80047 - BASIC METABOLIC PANEL CALCIUM IONIZED | 80047 - METABOLIC PANEL IONIZED CA | '01/01/2017 | 12/31/2999 |
| 80048 | 80048 - Basic metabolic panel (Calcium total) This panel must include the following: Calcium total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | 80048 - BASIC METABOLIC PANEL CALCIUM TOTAL | 80048 - METABOLIC PANEL TOTAL CA | '01/01/2017 | 12/31/2999 |
| 80050 | 80050 - General health panel This panel must include the following: Comprehensive metabolic panel (80053) Blood count complete (CBC) automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count complete (CBC) automated (85027) and appropriate manual differential WBC count (85007 or 85009) Thyroid stimulating hormone (TSH) (84443) | 80050 - GENERAL HEALTH PANEL | 80050 - GENERAL HEALTH PANEL | '01/01/2017 | 12/31/2999 |
| 80051 | 80051 - Electrolyte panel This panel must include the following: Carbon dioxide (bicarbonate) (82374) Chloride (82435) Potassium (84132) Sodium (84295) | 80051 - ELECTROLYTE PANEL | 80051 - ELECTROLYTE PANEL | '01/01/2017 | 12/31/2999 |
| 80053 | 80053 - Comprehensive metabolic panel This panel must include the following: Albumin (82040) Bilirubin total (82247) Calcium total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphatase alkaline (84075) Potassium (84132) Protein total (84155) Sodium (84295) Transferase alanine amino (ALT) (SGPT) (84460) Transferase aspartate amino (AST) (SGOT) (84450) Urea nitrogen (BUN) (84520) | 80053 - COMPREHENSIVE METABOLIC PANEL | 80053 - COMPREHEN METABOLIC PANEL | '01/01/2017 | 12/31/2999 |
| 80055 | 80055 - Obstetric panel This panel must include the following: Blood count complete (CBC) automated and automated differential WBC count (85025 or 85027 and 85004) OR Blood count complete (CBC) automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) Antibody rubella (86762) Syphilis test non-treponemal antibody; qualitative (eg VDRL RPR ART) (86592) Antibody screen RBC each serum technique (86850) Blood typing ABO (86900) AND Blood typing Rh (D) (86901) | 80055 - OBSTETRIC PANEL | 80055 - OBSTETRIC PANEL | '01/01/2017 | 12/31/2999 |
| 80061 | 80061 - Lipid panel This panel must include the following: Cholesterol serum total (82465) Lipoprotein direct measurement high density cholesterol (HDL cholesterol) (83718) Triglycerides (84478) | 80061 - LIPID PANEL | 80061 - LIPID PANEL | '01/01/2017 | 12/31/2999 |
| 80069 | 80069 - Renal function panel This panel must include the following: Albumin (82040) Calcium total (82310) Carbon dioxide (bicarbonate) (82374) Chloride (82435) Creatinine (82565) Glucose (82947) Phosphorus inorganic (phosphate) (84100) Potassium (84132) Sodium (84295) Urea nitrogen (BUN) (84520) | 80069 - RENAL FUNCTION PANEL | 80069 - RENAL FUNCTION PANEL | '01/01/2017 | 12/31/2999 |
| 80074 | 80074 - Acute hepatitis panel This panel must include the following: Hepatitis A antibody (HAAb) IgM antibody (86709) Hepatitis B core antibody (HBcAb) IgM antibody (86705) Hepatitis B surface antigen (HBsAg) (87340) Hepatitis C antibody (86803) | 80074 - ACUTE HEPATITIS PANEL | 80074 - ACUTE HEPATITIS PANEL | '01/01/2017 | 12/31/2999 |
| 80076 | 80076 - Hepatic function panel This panel must include the following: Albumin (82040) Bilirubin total (82247) Bilirubin direct (82248) Phosphatase alkaline (84075) Protein total (84155) Transferase alanine amino (ALT) (SGPT) (84460) Transferase aspartate amino (AST) (SGOT) (84450) | 80076 - HEPATIC FUNCTION PANEL | 80076 - HEPATIC FUNCTION PANEL | '01/01/2017 | 12/31/2999 |
| 80081 | 80081 - Obstetric panel (includes HIV testing) This panel must include the following: Blood count complete (CBC) and automated differential WBC count (85025 or 85027 and 85004) OR Blood count complete (CBC) automated (85027) and appropriate manual differential WBC count (85007 or 85009) Hepatitis B surface antigen (HBsAg) (87340) HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies single result (87389) Antibody rubella (86762) Syphilis test non-treponemal antibody; qualitative (eg VDRL RPR ART) (86592) Antibody screen RBC each serum technique (86850) Blood typing ABO (86900) AND Blood typing Rh (D) (86901) | 80081 - OBSTETRIC PANEL | 80081 - OBSTETRIC PANEL | '01/01/2017 | 12/31/2999 |
| 80143 | 80143 - Acetaminophen | 80143 - DRUG ASSAY ACETAMINOPHEN | 80143 - DRUG ASSAY ACETAMINOPHEN | '01/01/2021 | 12/31/2999 |
| 80145 | 80145 - Adalimumab | 80145 - DRUG ASSAY ADALIMUMAB | 80145 - DRUG ASSAY ADALIMUMAB | '01/01/2020 | 12/31/2999 |
| 80150 | 80150 - Amikacin | 80150 - DRUG SCREEN QUANTITATIVE AMIKACIN | 80150 - ASSAY OF AMIKACIN | '01/01/2017 | 12/31/2999 |
| 80151 | 80151 - Amiodarone | 80151 - DRUG ASSAY AMIODARONE | 80151 - DRUG ASSAY AMIODARONE | '01/01/2021 | 12/31/2999 |
| 80155 | 80155 - Caffeine | 80155 - DRUG ASSAY CAFFEINE | 80155 - DRUG ASSAY CAFFEINE | '01/01/2017 | 12/31/2999 |
| 80156 | 80156 - Carbamazepine; total | 80156 - DRUG ASSAY CARBAMAZEPINE TOTAL | 80156 - ASSAY CARBAMAZEPINE TOTAL | '01/01/2017 | 12/31/2999 |
| 80157 | 80157 - Carbamazepine; free | 80157 - DRUG ASSAY CARBAMAZEPINE FREE | 80157 - ASSAY CARBAMAZEPINE FREE | '01/01/2017 | 12/31/2999 |
| 80158 | 80158 - Cyclosporine | 80158 - DRUG ASSAY CYCLOSPORINE | 80158 - DRUG ASSAY CYCLOSPORINE | '01/01/2017 | 12/31/2999 |
| 80159 | 80159 - Clozapine | 80159 - DRUG ASSAY CLOZAPINE | 80159 - DRUG ASSAY CLOZAPINE | '01/01/2017 | 12/31/2999 |
| 80161 | 80161 - Carbamazepine; -10 11-epoxide | 80161 - DRUG ASSAY CARBAMAZEPINE -10 11-EPOXIDE | 80161 - ASY CARBAMAZEPIN 10 11-EPXID | '01/01/2021 | 12/31/2999 |
| 80162 | 80162 - Digoxin; total | 80162 - DRUG SCREEN QUANTITATIVE DIGOXIN TOTAL | 80162 - ASSAY OF DIGOXIN TOTAL | '01/01/2017 | 12/31/2999 |
| 80163 | 80163 - Digoxin; free | 80163 - DRUG SCREEN QUANTITATIVE DIGOXIN FREE | 80163 - ASSAY OF DIGOXIN FREE | '01/01/2017 | 12/31/2999 |
| 80164 | 80164 - Valproic acid (dipropylacetic acid); total | 80164 - DRUG ASSAY VALPROIC DIPROPYLACETIC ACID TOTAL | 80164 - ASSAY DIPROPYLACETIC ACD TOT | '01/01/2017 | 12/31/2999 |
| 80165 | 80165 - Valproic acid (dipropylacetic acid); free | 80165 - DRUG SCREEN QUANT DIPROPYLACETIC ACID FREE | 80165 - DIPROPYLACETIC ACID FREE | '01/01/2017 | 12/31/2999 |
| 80167 | 80167 - Felbamate | 80167 - DRUG ASSAY FELBAMATE | 80167 - DRUG ASSAY FELBAMATE | '01/01/2021 | 12/31/2999 |
| 80168 | 80168 - Ethosuximide | 80168 - DRUG SCREEN QUANTITATIVE ETHOSUXIMIDE | 80168 - ASSAY OF ETHOSUXIMIDE | '01/01/2017 | 12/31/2999 |
| 80169 | 80169 - Everolimus | 80169 - DRUG ASSAY EVEROLIMUS | 80169 - DRUG ASSAY EVEROLIMUS | '01/01/2017 | 12/31/2999 |
| 80170 | 80170 - Gentamicin | 80170 - DRUG SCREEN QUANTITATIVE GENTAMICIN | 80170 - ASSAY OF GENTAMICIN | '01/01/2017 | 12/31/2999 |
| 80171 | 80171 - Gabapentin whole blood serum or plasma | 80171 - DRUG SCREEN QUANTITATIVE GABAPENTIN | 80171 - DRUG SCREEN QUANT GABAPENTIN | '01/01/2017 | 12/31/2999 |
| 80173 | 80173 - Haloperidol | 80173 - DRUG SCREEN QUANTITATIVE HALOPRIDOL | 80173 - ASSAY OF HALOPERIDOL | '01/01/2017 | 12/31/2999 |
| 80175 | 80175 - Lamotrigine | 80175 - DRUG SCREEN QUANTITATIVE LAMOTRIGINE | 80175 - DRUG SCREEN QUAN LAMOTRIGINE | '01/01/2017 | 12/31/2999 |
| 80176 | 80176 - Lidocaine | 80176 - DRUG SCREEN QUANTITATIVE LIDOCAINE | 80176 - ASSAY OF LIDOCAINE | '01/01/2017 | 12/31/2999 |
| 80177 | 80177 - Levetiracetam | 80177 - DRUG SCREEN QUANTITATIVE LEVETIRACETAM | 80177 - DRUG SCRN QUAN LEVETIRACETAM | '01/01/2017 | 12/31/2999 |
| 80178 | 80178 - Lithium | 80178 - DRUG SCREEN QUANTITATIVE LITHIUM | 80178 - ASSAY OF LITHIUM | '01/01/2017 | 12/31/2999 |
| 80179 | 80179 - Salicylate | 80179 - DRUG ASSAY SALICYLATE | 80179 - DRUG ASSAY SALICYLATE | '01/01/2021 | 12/31/2999 |
| 80180 | 80180 - Mycophenolate (mycophenolic acid) | 80180 - DRUG SCREEN QUANTITATIVE MYCOPHENOLATE | 80180 - DRUG SCRN QUAN MYCOPHENOLATE | '01/01/2017 | 12/31/2999 |
| 80181 | 80181 - Flecainide | 80181 - DRUG ASSAY FLECAINIDE | 80181 - DRUG ASSAY FLECAINIDE | '01/01/2021 | 12/31/2999 |
| 80183 | 80183 - Oxcarbazepine | 80183 - DRUG SCREEN QUANTITATIVE OXCARBAZEPINE | 80183 - DRUG SCRN QUANT OXCARBAZEPIN | '01/01/2017 | 12/31/2999 |
| 80184 | 80184 - Phenobarbital | 80184 - DRUG SCREEN QUANTITATIVE PHENOBARBITAL | 80184 - ASSAY OF PHENOBARBITAL | '01/01/2017 | 12/31/2999 |
| 80185 | 80185 - Phenytoin; total | 80185 - DRUG SCREEN QUANTITATIVE PHENYTOIN TOTAL | 80185 - ASSAY OF PHENYTOIN TOTAL | '01/01/2017 | 12/31/2999 |
| 80186 | 80186 - Phenytoin; free | 80186 - DRUG SCREEN QUANTITATIVE PHENYTOIN FREE | 80186 - ASSAY OF PHENYTOIN FREE | '01/01/2017 | 12/31/2999 |
| 80187 | 80187 - Posaconazole | 80187 - DRUG ASSAY POSACONAZOLE | 80187 - DRUG ASSAY POSACONAZOLE | '01/01/2020 | 12/31/2999 |
| 80188 | 80188 - Primidone | 80188 - DRUG SCREEN QUANTITATIVE PRIMIDONE | 80188 - ASSAY OF PRIMIDONE | '01/01/2017 | 12/31/2999 |
| 80189 | 80189 - Itraconazole | 80189 - DRUG ASSAY ITRACONAZOLE | 80189 - DRUG ASSAY ITRACONAZOLE | '01/01/2022 | 12/31/2999 |
| 80190 | 80190 - Procainamide; | 80190 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE | 80190 - ASSAY OF PROCAINAMIDE | '01/01/2017 | 12/31/2999 |
| 80192 | 80192 - Procainamide; with metabolites (eg n-acetyl procainamide) | 80192 - DRUG SCREEN QUANTITATIVE PROCAINAMIDE METABOLITE | 80192 - ASSAY OF PROCAINAMIDE | '01/01/2017 | 12/31/2999 |
| 80193 | 80193 - Leflunomide | 80193 - DRUG ASSAY LEFLUNOMIDE | 80193 - DRUG ASSAY LEFLUNOMIDE | '01/01/2021 | 12/31/2999 |
| 80194 | 80194 - Quinidine | 80194 - DRUG SCREEN QUANTITATIVE QUINIDINE | 80194 - ASSAY OF QUINIDINE | '01/01/2017 | 12/31/2999 |
| 80195 | 80195 - Sirolimus | 80195 - DRUG SCREEN QUANTITATIVE SIROLIMUS | 80195 - ASSAY OF SIROLIMUS | '01/01/2017 | 12/31/2999 |
| 80197 | 80197 - Tacrolimus | 80197 - DRUG SCREEN QUANTITATIVE TACROLIMUS | 80197 - ASSAY OF TACROLIMUS | '01/01/2017 | 12/31/2999 |
| 80198 | 80198 - Theophylline | 80198 - DRUG SCREEN QUANTITATIVE THEOPHYLLINE | 80198 - ASSAY OF THEOPHYLLINE | '01/01/2017 | 12/31/2999 |
| 80199 | 80199 - Tiagabine | 80199 - DRUG SCREEN QUANTITATIVE TIAGABINE | 80199 - DRUG SCREEN QUANT TIAGABINE | '01/01/2017 | 12/31/2999 |
| 80200 | 80200 - Tobramycin | 80200 - DRUG SCREEN QUANTITATIVE TOBRAMYCIN | 80200 - ASSAY OF TOBRAMYCIN | '01/01/2017 | 12/31/2999 |
| 80201 | 80201 - Topiramate | 80201 - DRUG SCREEN QUANTITATIVE TOPIRAMATE | 80201 - ASSAY OF TOPIRAMATE | '01/01/2017 | 12/31/2999 |
| 80202 | 80202 - Vancomycin | 80202 - DRUG SCREEN QUANTITATIVE VANCOMYCIN | 80202 - ASSAY OF VANCOMYCIN | '01/01/2017 | 12/31/2999 |
| 80203 | 80203 - Zonisamide | 80203 - DRUG SCREEN QUANTITATIVE ZONISAMIDE | 80203 - DRUG SCREEN QUANT ZONISAMIDE | '01/01/2017 | 12/31/2999 |
| 80204 | 80204 - Methotrexate | 80204 - DRUG ASSAY METHOTREXATE | 80204 - DRUG ASSAY METHOTREXATE | '01/01/2021 | 12/31/2999 |
| 80210 | 80210 - Rufinamide | 80210 - DRUG ASSAY RUFINAMIDE | 80210 - DRUG ASSAY RUFINAMIDE | '01/01/2021 | 12/31/2999 |
| 80220 | 80220 - Hydroxychloroquine | 80220 - DRUG ASSAY HYDROXYCHLOROQUINE | 80220 - DRUG ASY HYDROXYCHLOROQUINE | '01/01/2022 | 12/31/2999 |
| 80230 | 80230 - Infliximab | 80230 - DRUG ASSAY INFLIXIMAB | 80230 - DRUG ASSAY INFLIXIMAB | '01/01/2020 | 12/31/2999 |
| 80235 | 80235 - Lacosamide | 80235 - DRUG ASSAY LACOSAMIDE | 80235 - DRUG ASSAY LACOSAMIDE | '01/01/2020 | 12/31/2999 |
| 80280 | 80280 - Vedolizumab | 80280 - DRUG ASSAY VEDOLIZUMAB | 80280 - DRUG ASSAY VEDOLIZUMAB | '01/01/2020 | 12/31/2999 |
| 80285 | 80285 - Voriconazole | 80285 - DRUG ASSAY VORICONAZOLE | 80285 - DRUG ASSAY VORICONAZOLE | '01/01/2020 | 12/31/2999 |
| 80299 | 80299 - Quantitation of therapeutic drug not elsewhere specified | 80299 - QUANTITATION DRUG NOT ELSEWHERE SPECIFIED | 80299 - QUANTITATIVE ASSAY DRUG | '01/01/2017 | 12/31/2999 |
| 80305 | 80305 - Drug test(s) presumptive any number of drug classes any number of devices or procedures; capable of being read by direct optical observation only (eg utilizing immunoassay [eg dipsticks cups cards or cartridges]) includes sample validation when performed per date of service | 80305 - DRUG TEST PRSMV READ DIRECT OPTICAL OBS PR DATE | 80305 - DRUG TEST PRSMV DIR OPT OBS | '01/01/2018 | 12/31/2999 |
| 80306 | 80306 - Drug test(s) presumptive any number of drug classes any number of devices or procedures; read by instrument assisted direct optical observation (eg utilizing immunoassay [eg dipsticks cups cards or cartridges]) includes sample validation when performed per date of service | 80306 - DRUG TST PRSMV READ INSTRMNT ASSTD DIR OPT OBS | 80306 - DRUG TEST PRSMV INSTRMNT | '01/01/2018 | 12/31/2999 |
| 80307 | 80307 - Drug test(s) presumptive any number of drug classes any number of devices or procedures; by instrument chemistry analyzers (eg utilizing immunoassay [eg EIA ELISA EMIT FPIA IA KIMS RIA]) chromatography (eg GC HPLC) and mass spectrometry either with or without chromatography (eg DART DESI GC-MS GC-MS/MS LC-MS LC-MS/MS LDTD MALDI TOF) includes sample validation when performed per date of service | 80307 - DRUG TST PRSMV INSTRMNT CHEM ANALYZERS PR DATE | 80307 - DRUG TEST PRSMV CHEM ANLYZR | '01/01/2018 | 12/31/2999 |
| 80320 | 80320 - Alcohols | 80320 - DRUG SCREEN QUANTITATIVE ALCOHOLS | 80320 - DRUG SCREEN QUANTALCOHOLS | '01/01/2017 | 12/31/2999 |
| 80321 | 80321 - Alcohol biomarkers; 1 or 2 | 80321 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 1 OR 2 | 80321 - ALCOHOLS BIOMARKERS 1OR 2 | '01/01/2017 | 12/31/2999 |
| 80322 | 80322 - Alcohol biomarkers; 3 or more | 80322 - DRUG SCREEN QUANT ALCOHOLS BIOMARKERS 3 OR MORE | 80322 - ALCOHOLS BIOMARKERS 3/MORE | '01/01/2017 | 12/31/2999 |
| 80323 | 80323 - Alkaloids not otherwise specified | 80323 - ALKALOIDS NOT OTHERWISE SPECIFIED | 80323 - ALKALOIDS NOS | '01/01/2017 | 12/31/2999 |
| 80324 | 80324 - Amphetamines; 1 or 2 | 80324 - DRUG SCREEN QUANT AMPHETAMINES 1 OR 2 | 80324 - DRUG SCREEN AMPHETAMINES 1/2 | '01/01/2017 | 12/31/2999 |
| 80325 | 80325 - Amphetamines; 3 or 4 | 80325 - DRUG SCREEN QUANT AMPHETAMINES 3 OR 4 | 80325 - AMPHETAMINES 3OR 4 | '01/01/2017 | 12/31/2999 |
| 80326 | 80326 - Amphetamines; 5 or more | 80326 - DRUG SCREEN QUANT AMPHETAMINES 5 OR MORE | 80326 - AMPHETAMINES 5 OR MORE | '01/01/2017 | 12/31/2999 |
| 80327 | 80327 - Anabolic steroids; 1 or 2 | 80327 - DRUG SCREEN QUANT ANABOLIC STEROID 1 OR 2 | 80327 - ANABOLIC STEROID 1 OR 2 | '01/01/2017 | 12/31/2999 |
| 80328 | 80328 - Anabolic steroids; 3 or more | 80328 - DRUG SCREEN QUANT ANABOLIC STEROID 3 OR MORE | 80328 - ANABOLIC STEROID 3 OR MORE | '01/01/2017 | 12/31/2999 |
| 80329 | 80329 - Analgesics non-opioid; 1 or 2 | 80329 - DRUG SCREEN ANALGESICS NON-OPIOID 1 OR 2 | 80329 - ANALGESICS NON-OPIOID 1 OR 2 | '01/01/2017 | 12/31/2999 |
| 80330 | 80330 - Analgesics non-opioid; 3-5 | 80330 - DRUG SCREEN ANALGESICS NON-OPIOID 3-5 | 80330 - ANALGESICS NON-OPIOID 3-5 | '01/01/2017 | 12/31/2999 |
| 80331 | 80331 - Analgesics non-opioid; 6 or more | 80331 - DRUG SCREEN ANALGESICS NON-OPIOID 6 OR MORE | 80331 - ANALGESICS NON-OPIOID 6/MORE | '01/01/2017 | 12/31/2999 |
| 80332 | 80332 - Antidepressants serotonergic class; 1 or 2 | 80332 - ANTIDEPRESSANTS SEROTONERGIC CLASS 1 OR 2 | 80332 - ANTIDEPRESSANTS CLASS 1 OR 2 | '01/01/2017 | 12/31/2999 |
| 80333 | 80333 - Antidepressants serotonergic class; 3-5 | 80333 - ANTIDEPRESSANTS SEROTONERGIC CLASS 3-5 | 80333 - ANTIDEPRESSANTS CLASS 3-5 | '01/01/2017 | 12/31/2999 |
| 80334 | 80334 - Antidepressants serotonergic class; 6 or more | 80334 - ANTIDEPRESSANTS SEROTONERGIC CLASS 6 OR MORE | 80334 - ANTIDEPRESSANTS CLASS 6/MORE | '01/01/2017 | 12/31/2999 |
| 80335 | 80335 - Antidepressants tricyclic and other cyclicals; 1 or 2 | 80335 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 1 OR 2 | 80335 - ANTIDEPRESSANT TRICYCLIC 1/2 | '01/01/2017 | 12/31/2999 |
| 80336 | 80336 - Antidepressants tricyclic and other cyclicals; 3-5 | 80336 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 3-5 | 80336 - ANTIDEPRESSANT TRICYCLIC 3-5 | '01/01/2017 | 12/31/2999 |
| 80337 | 80337 - Antidepressants tricyclic and other cyclicals; 6 or more | 80337 - ANTIDEPRESSANTS TRICYCLIC OTHER CYCLICALS 6/MORE | 80337 - TRICYCLIC & CYCLICALS 6/MORE | '01/01/2017 | 12/31/2999 |
| 80338 | 80338 - Antidepressants not otherwise specified | 80338 - ANTIDEPRESSANTS NOT OTHERWISE SPECIFIED | 80338 - ANTIDEPRESSANT NOT SPECIFIED | '01/01/2017 | 12/31/2999 |
| 80339 | 80339 - Antiepileptics not otherwise specified; 1-3 | 80339 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 1-3 | 80339 - ANTIEPILEPTICS NOS 1-3 | '01/01/2017 | 12/31/2999 |
| 80340 | 80340 - Antiepileptics not otherwise specified; 4-6 | 80340 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 4-6 | 80340 - ANTIEPILEPTICS NOS 4-6 | '01/01/2017 | 12/31/2999 |
| 80341 | 80341 - Antiepileptics not otherwise specified; 7 or more | 80341 - ANTIEPILEPTICS NOT OTHERWISE SPECIFIED 7/MORE | 80341 - ANTIEPILEPTICS NOS 7/MORE | '01/01/2017 | 12/31/2999 |
| 80342 | 80342 - Antipsychotics not otherwise specified; 1-3 | 80342 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 1-3 | 80342 - ANTIPSYCHOTICS NOS 1-3 | '01/01/2017 | 12/31/2999 |
| 80343 | 80343 - Antipsychotics not otherwise specified; 4-6 | 80343 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 4-6 | 80343 - ANTIPSYCHOTICS NOS 4-6 | '01/01/2017 | 12/31/2999 |
| 80344 | 80344 - Antipsychotics not otherwise specified; 7 or more | 80344 - ANTIPSYCHOTICS NOT OTHERWISE SPECIFIED 7/MORE | 80344 - ANTIPSYCHOTICS NOS 7/MORE | '01/01/2017 | 12/31/2999 |
| 80345 | 80345 - Barbiturates | 80345 - DRUG SCREENING BARBITURATES | 80345 - DRUG SCREENING BARBITURATES | '01/01/2017 | 12/31/2999 |
| 80346 | 80346 - Benzodiazepines; 1-12 | 80346 - DRUG SCREENING BENZODIAZEPINES 1-12 | 80346 - BENZODIAZEPINES1-12 | '01/01/2017 | 12/31/2999 |
| 80347 | 80347 - Benzodiazepines; 13 or more | 80347 - DRUG SCREENING BENZODIAZEPINES 13 OR MORE | 80347 - BENZODIAZEPINES 13 OR MORE | '01/01/2017 | 12/31/2999 |
| 80348 | 80348 - Buprenorphine | 80348 - DRUG SCREENING BUPRENORPHINE | 80348 - DRUG SCREENING BUPRENORPHINE | '01/01/2017 | 12/31/2999 |
| 80349 | 80349 - Cannabinoids natural | 80349 - DRUG SCREENING CANNABINOIDS NATURAL | 80349 - CANNABINOIDS NATURAL | '01/01/2017 | 12/31/2999 |
| 80350 | 80350 - Cannabinoids synthetic; 1-3 | 80350 - DRUG SCREENING CANNABINOIDS SYNTHETIC 1-3 | 80350 - CANNABINOIDS SYNTHETIC 1-3 | '01/01/2017 | 12/31/2999 |
| 80351 | 80351 - Cannabinoids synthetic; 4-6 | 80351 - DRUG SCREENING CANNABINOIDS SYNTHETIC 4-6 | 80351 - CANNABINOIDS SYNTHETIC 4-6 | '01/01/2017 | 12/31/2999 |
| 80352 | 80352 - Cannabinoids synthetic; 7 or more | 80352 - DRUG SCREENING CANNABINOIDS SYNTHETIC 7/MORE | 80352 - CANNABINOID SYNTHETIC 7/MORE | '01/01/2017 | 12/31/2999 |
| 80353 | 80353 - Cocaine | 80353 - DRUG SCREENING COCAINE | 80353 - DRUG SCREENING COCAINE | '01/01/2017 | 12/31/2999 |
| 80354 | 80354 - Fentanyl | 80354 - DRUG SCREENING FENTANYL | 80354 - DRUG SCREENING FENTANYL | '01/01/2017 | 12/31/2999 |
| 80355 | 80355 - Gabapentin non-blood | 80355 - DRUG SCREENING GABAPENTIN NON-BLOOD | 80355 - GABAPENTIN NON-BLOOD | '01/01/2017 | 12/31/2999 |
| 80356 | 80356 - Heroin metabolite | 80356 - DRUG SCREENING HEROIN METABOLITE | 80356 - HEROIN METABOLITE | '01/01/2017 | 12/31/2999 |
| 80357 | 80357 - Ketamine and norketamine | 80357 - DRUG SCREENING KETAMINE AND NORKETAMINE | 80357 - KETAMINE AND NORKETAMINE | '01/01/2017 | 12/31/2999 |
| 80358 | 80358 - Methadone | 80358 - DRUG SCREENING METHADONE | 80358 - DRUG SCREENING METHADONE | '01/01/2017 | 12/31/2999 |
| 80359 | 80359 - Methylenedioxyamphetamines (MDA MDEA MDMA) | 80359 - DRUG SCREENING METHYLENEDIOXYAMPHETAMINES | 80359 - METHYLENEDIOXYAMPHETAMINES | '01/01/2017 | 12/31/2999 |
| 80360 | 80360 - Methylphenidate | 80360 - DRUG SCREENING METHYLPHENIDATE | 80360 - METHYLPHENIDATE | '01/01/2017 | 12/31/2999 |
| 80361 | 80361 - Opiates 1 or more | 80361 - DRUG SCREENING OPIATES 1 OR MORE | 80361 - OPIATES 1 OR MORE | '01/01/2017 | 12/31/2999 |
| 80362 | 80362 - Opioids and opiate analogs; 1 or 2 | 80362 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 1 OR 2 | 80362 - OPIOIDS & OPIATE ANALOGS 1/2 | '01/01/2017 | 12/31/2999 |
| 80363 | 80363 - Opioids and Opiate analogs; 3 or 4 | 80363 - DRUG SCREENING OPIOIDS AND OPIATE ANALOGS 3 OR 4 | 80363 - OPIOIDS & OPIATE ANALOGS 3/4 | '01/01/2017 | 12/31/2999 |
| 80364 | 80364 - Opioids and Opiate analogs; 5 or more | 80364 - DRUG SCREENING OPIOIDS & OPIATE ANALOGS 5/MORE | 80364 - OPIOID &OPIATE ANALOG 5/MORE | '01/01/2017 | 12/31/2999 |
| 80365 | 80365 - Oxycodone | 80365 - DRUG SCREENING OXYCODONE | 80365 - DRUG SCREENING OXYCODONE | '01/01/2017 | 12/31/2999 |
| 80366 | 80366 - Pregabalin | 80366 - DRUG SCREENING PREGABALIN | 80366 - DRUG SCREENING PREGABALIN | '01/01/2017 | 12/31/2999 |
| 80367 | 80367 - Propoxyphene | 80367 - DRUG SCREENING PROPOXYPHENE | 80367 - DRUG SCREENING PROPOXYPHENE | '01/01/2017 | 12/31/2999 |
| 80368 | 80368 - Sedative hypnotics (non-benzodiazepines) | 80368 - DRUG SCREENING SEDATIVE HYPNOTICS | 80368 - SEDATIVE HYPNOTICS | '01/01/2017 | 12/31/2999 |
| 80369 | 80369 - Skeletal muscle relaxants; 1 or 2 | 80369 - DRUG SCREENING SKELETAL MUSCLE RELAXANTS 1 OR 2 | 80369 - SKELETAL MUSCLE RELAXANT 1/2 | '01/01/2017 | 12/31/2999 |
| 80370 | 80370 - Skeletal muscle relaxants; 3 or more | 80370 - DRUG SCREENING SKEL MUSCLE RELAXANTS 3 OR MORE | 80370 - SKEL MUSC RELAXANT 3 OR MORE | '01/01/2017 | 12/31/2999 |
| 80371 | 80371 - Stimulants synthetic | 80371 - DRUG SCREENING STIMULANTS SYNTHETIC | 80371 - STIMULANTS SYNTHETIC | '01/01/2017 | 12/31/2999 |
| 80372 | 80372 - Tapentadol | 80372 - DRUG SCREENING TAPENTADOL | 80372 - DRUG SCREENING TAPENTADOL | '01/01/2017 | 12/31/2999 |
| 80373 | 80373 - Tramadol | 80373 - DRUG SCREENING TRAMADOL | 80373 - DRUG SCREENING TRAMADOL | '01/01/2017 | 12/31/2999 |
| 80374 | 80374 - Stereoisomer (enantiomer) analysis single drug class | 80374 - DRUG SCREEN STEREOISOMER ANALYSIS 1 DRUG CLASS | 80374 - STEREOISOMER ANALYSIS | '01/01/2017 | 12/31/2999 |
| 80375 | 80375 - Drug(s) or substance(s) definitive qualitative or quantitative not otherwise specified; 1-3 | 80375 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 1-3 | 80375 - DRUG/SUBSTANCE NOS 1-3 | '01/01/2017 | 12/31/2999 |
| 80376 | 80376 - Drug(s) or substance(s) definitive qualitative or quantitative not otherwise specified; 4-6 | 80376 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 4-6 | 80376 - DRUG/SUBSTANCE NOS 4-6 | '01/01/2017 | 12/31/2999 |
| 80377 | 80377 - Drug(s) or substance(s) definitive qualitative or quantitative not otherwise specified; 7 or more | 80377 - DRUG/SUBSTANCE DEFINITIVE QUAL/QUANT NOS 7/MORE | 80377 - DRUG/SUBSTANCE NOS 7/MORE | '01/01/2017 | 12/31/2999 |
| 80400 | 80400 - ACTH stimulation panel; for adrenal insufficiency This panel must include the following: Cortisol (82533 x 2) | 80400 - ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY | 80400 - ACTH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80402 | 80402 - ACTH stimulation panel; for 21 hydroxylase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxyprogesterone (83498 x 2) | 80402 - ACTH STIMULATION PANEL 21 HYDROXYLASE DEFICIENCY | 80402 - ACTH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80406 | 80406 - ACTH stimulation panel; for 3 beta-hydroxydehydrogenase deficiency This panel must include the following: Cortisol (82533 x 2) 17 hydroxypregnenolone (84143 x 2) | 80406 - ACTH STIMJ PANEL 3 BETA-HYDROXYDEHYD DEFNCY | 80406 - ACTH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80408 | 80408 - Aldosterone suppression evaluation panel (eg saline infusion) This panel must include the following: Aldosterone (82088 x 2) Renin (84244 x 2) | 80408 - ALDOSTERONE SUPPRESSION EVALUATION PANEL | 80408 - ALDOSTERONE SUPPRESSION EVAL | '01/01/2017 | 12/31/2999 |
| 80410 | 80410 - Calcitonin stimulation panel (eg calcium pentagastrin) This panel must include the following: Calcitonin (82308 x 3) | 80410 - CALCITONIN STIMULATION PANEL | 80410 - CALCITONIN STIMUL PANEL | '01/01/2017 | 12/31/2999 |
| 80412 | 80412 - Corticotropic releasing hormone (CRH) stimulation panel This panel must include the following: Cortisol (82533 x 6) Adrenocorticotropic hormone (ACTH) (82024 x 6) | 80412 - CORTICOTROPIC RELEASING HORM STIMJ PANEL | 80412 - CRH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80414 | 80414 - Chorionic gonadotropin stimulation panel; testosterone response This panel must include the following: Testosterone (84403 x 2 on 3 pooled blood samples) | 80414 - CHORNC GONAD STIMJ PANEL TESTOSTERONE RESPONSE | 80414 - TESTOSTERONE RESPONSE PANEL | '01/01/2021 | 12/31/2999 |
| 80415 | 80415 - Chorionic gonadotropin stimulation panel; estradiol response This panel must include the following: Estradiol total (82670 x 2 on 3 pooled blood samples) | 80415 - CHORNC GONAD STIMJ PNL TOTAL ESTRADIOL RESPONSE | 80415 - TOT ESTRADIOL RESPONSE PANEL | '01/01/2021 | 12/31/2999 |
| 80416 | 80416 - Renal vein renin stimulation panel (eg captopril) This panel must include the following: Renin (84244 x 6) | 80416 - RENAL VEIN RENIN STIMULATION PANEL | 80416 - RENIN STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80417 | 80417 - Peripheral vein renin stimulation panel (eg captopril) This panel must include the following: Renin (84244 x 2) | 80417 - PERIPHERAL VEIN RENIN STIMULATION PANEL | 80417 - RENIN STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80418 | 80418 - Combined rapid anterior pituitary evaluation panel This panel must include the following: Adrenocorticotropic hormone (ACTH) (82024 x 4) Luteinizing hormone (LH) (83002 x 4) Follicle stimulating hormone (FSH) (83001 x 4) Prolactin (84146 x 4) Human growth hormone (HGH) (83003 x 4) Cortisol (82533 x 4) Thyroid stimulating hormone (TSH) (84443 x 4) | 80418 - COMBINED RAPID ANT PITUITARY EVALUATION PANEL | 80418 - PITUITARY EVALUATION PANEL | '01/01/2017 | 12/31/2999 |
| 80420 | 80420 - Dexamethasone suppression panel 48 hour This panel must include the following: Free cortisol urine (82530 x 2) Cortisol (82533 x 2) Volume measurement for timed collection (81050 x 2) | 80420 - DEXMETHASONE SUPPRESSION PANEL 48 HR | 80420 - DEXAMETHASONE PANEL | '01/01/2017 | 12/31/2999 |
| 80422 | 80422 - Glucagon tolerance panel; for insulinoma This panel must include the following: Glucose (82947 x 3) Insulin (83525 x 3) | 80422 - GLUCOSE TOLERANCE PANEL INSULINOMA | 80422 - GLUCAGON TOLERANCE PANEL | '01/01/2017 | 12/31/2999 |
| 80424 | 80424 - Glucagon tolerance panel; for pheochromocytoma This panel must include the following: Catecholamines fractionated (82384 x 2) | 80424 - GLUCOSE TOLERANCE PANEL PHEOCHROMOCYTOMA | 80424 - GLUCAGON TOLERANCE PANEL | '01/01/2017 | 12/31/2999 |
| 80426 | 80426 - Gonadotropin releasing hormone stimulation panel This panel must include the following: Follicle stimulating hormone (FSH) (83001 x 4) Luteinizing hormone (LH) (83002 x 4) | 80426 - GONADOTROPIN RELEASING HORMONE STIMJ PANEL | 80426 - GONADOTROPIN HORMONE PANEL | '01/01/2017 | 12/31/2999 |
| 80428 | 80428 - Growth hormone stimulation panel (eg arginine infusion l-dopa administration) This panel must include the following: Human growth hormone (HGH) (83003 x 4) | 80428 - GROWTH HORMONE STIMULATION PANEL | 80428 - GROWTH HORMONE PANEL | '01/01/2017 | 12/31/2999 |
| 80430 | 80430 - Growth hormone suppression panel (glucose administration) This panel must include the following: Glucose (82947 x 3) Human growth hormone (HGH) (83003 x 4) | 80430 - GROWTH HORMONE SUPRJ PANEL GLUCOSE ADMN | 80430 - GROWTH HORMONE PANEL | '01/01/2017 | 12/31/2999 |
| 80432 | 80432 - Insulin-induced C-peptide suppression panel This panel must include the following: Insulin (83525) C-peptide (84681 x 5) Glucose (82947 x 5) | 80432 - INSULIN-INDUCED C-PEPTIDE SUPRESSION PANEL | 80432 - INSULIN SUPPRESSION PANEL | '01/01/2017 | 12/31/2999 |
| 80434 | 80434 - Insulin tolerance panel; for ACTH insufficiency This panel must include the following: Cortisol (82533 x 5) Glucose (82947 x 5) | 80434 - INSULIN TOLERANCE PANEL ACTH INSUFFICIENCY | 80434 - INSULIN TOLERANCE PANEL | '01/01/2017 | 12/31/2999 |
| 80435 | 80435 - Insulin tolerance panel; for growth hormone deficiency This panel must include the following: Glucose (82947 x 5) Human growth hormone (HGH) (83003 x 5) | 80435 - INSULIN TOLERANCE PANEL GROWTH HORM DEFNCY | 80435 - INSULIN TOLERANCE PANEL | '01/01/2017 | 12/31/2999 |
| 80436 | 80436 - Metyrapone panel This panel must include the following: Cortisol (82533 x 2) 11 deoxycortisol (82634 x 2) | 80436 - METYRAPONE PANEL | 80436 - METYRAPONE PANEL | '01/01/2017 | 12/31/2999 |
| 80438 | 80438 - Thyrotropin releasing hormone (TRH) stimulation panel; 1 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 3) | 80438 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 1 HR | 80438 - TRH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80439 | 80439 - Thyrotropin releasing hormone (TRH) stimulation panel; 2 hour This panel must include the following: Thyroid stimulating hormone (TSH) (84443 x 4) | 80439 - THYROTROPIN RELEASING HORMONE STMLJ PANEL 2 HR | 80439 - TRH STIMULATION PANEL | '01/01/2017 | 12/31/2999 |
| 80503 | 80503 - Pathology clinical consultation; for a clinical problem with limited review of patient's history and medical records and straightforward medical decision making When using time for code selection 5-20 minutes of total time is spent on the date of the consultation. | 80503 - PATHOLOGY CLINICAL CONSULTATION SF MDM 5-20 MIN | 80503 - PATH CLIN CONSLTJ SF 5-20 | '01/01/2022 | 12/31/2999 |
| 80504 | 80504 - Pathology clinical consultation; for a moderately complex clinical problem with review of patient's history and medical records and moderate level of medical decision making When using time for code selection 21-40 minutes of total time is spent on the date of the consultation. | 80504 - PATHOLOGY CLINICAL CONSULTATION MOD MDM 21-40MIN | 80504 - PATH CLIN CONSLTJ MOD 21-40 | '01/01/2022 | 12/31/2999 |
| 80505 | 80505 - Pathology clinical consultation; for a highly complex clinical problem with comprehensive review of patient's history and medical records and high level of medical decision making When using time for code selection 41-60 minutes of total time is spent on the date of the consultation. | 80505 - PATHOLOGY CLINICAL CONSULTATION HI MDM 41-60 MIN | 80505 - PATH CLIN CONSLTJ HIGH 41-60 | '01/01/2022 | 12/31/2999 |
| 80506 | 80506 - Pathology clinical consultation; prolonged service each additional 30 minutes (List separately in addition to code for primary procedure) | 80506 - PATHOLOGY CLINICAL CONSLTJ PROLNG SVC EA ADDL 30 | 80506 - PATH CLIN CONSLTJ PROLNG SVC | '01/01/2022 | 12/31/2999 |
| 81000 | 81000 - Urinalysis by dip stick or tablet reagent for bilirubin glucose hemoglobin ketones leukocytes nitrite pH protein specific gravity urobilinogen any number of these constituents; non-automated with microscopy | 81000 - URINLS DIP STICK/TABLET REAGNT NON-AUTO MICRSCPY | 81000 - URINALYSIS NONAUTO W/SCOPE | '01/01/2017 | 12/31/2999 |
| 81001 | 81001 - Urinalysis by dip stick or tablet reagent for bilirubin glucose hemoglobin ketones leukocytes nitrite pH protein specific gravity urobilinogen any number of these constituents; automated with microscopy | 81001 - URNLS DIP STICK/TABLET REAGENT AUTO MICROSCOPY | 81001 - URINALYSIS AUTO W/SCOPE | '01/01/2017 | 12/31/2999 |
| 81002 | 81002 - Urinalysis by dip stick or tablet reagent for bilirubin glucose hemoglobin ketones leukocytes nitrite pH protein specific gravity urobilinogen any number of these constituents; non-automated without microscopy | 81002 - URNLS DIP STICK/TABLET RGNT NON-AUTO W/O MICRSCP | 81002 - URINALYSIS NONAUTO W/O SCOPE | '01/01/2017 | 12/31/2999 |
| 81003 | 81003 - Urinalysis by dip stick or tablet reagent for bilirubin glucose hemoglobin ketones leukocytes nitrite pH protein specific gravity urobilinogen any number of these constituents; automated without microscopy | 81003 - URNLS DIP STICK/TABLET RGNT AUTO W/O MICROSCOPY | 81003 - URINALYSIS AUTO W/O SCOPE | '01/01/2017 | 12/31/2999 |
| 81005 | 81005 - Urinalysis; qualitative or semiquantitative except immunoassays | 81005 - URINALYSIS QUAL/SEMIQUANT EXCEPT IMMUNOASSAYS | 81005 - URINALYSIS | '01/01/2017 | 12/31/2999 |
| 81007 | 81007 - Urinalysis; bacteriuria screen except by culture or dipstick | 81007 - URINALYSIS BACTERIURIA SCR XCPT CULTURE/DIPSTICK | 81007 - URINE SCREEN FOR BACTERIA | '01/01/2017 | 12/31/2999 |
| 81015 | 81015 - Urinalysis; microscopic only | 81015 - URINALYSIS MICROSCOPIC ONLY | 81015 - MICROSCOPIC EXAM OF URINE | '01/01/2017 | 12/31/2999 |
| 81020 | 81020 - Urinalysis; 2 or 3 glass test | 81020 - URINALYSIS 2/3 GLASS TEST | 81020 - URINALYSIS GLASS TEST | '01/01/2017 | 12/31/2999 |
| 81025 | 81025 - Urine pregnancy test by visual color comparison methods | 81025 - URINE PREGNANCY TEST VISUAL COLOR CMPRSN METHS | 81025 - URINE PREGNANCY TEST | '01/01/2017 | 12/31/2999 |
| 81050 | 81050 - Volume measurement for timed collection each | 81050 - VOLUME MEASUREMENT TIMED COLLECTION EACH | 81050 - URINALYSIS VOLUME MEASURE | '01/01/2017 | 12/31/2999 |
| 81099 | 81099 - Unlisted urinalysis procedure | 81099 - UNLISTED URINALYSIS PROCEDURE | 81099 - UNLISTED URINALYSIS PX | '01/01/2023 | 12/31/2999 |
| 81105 | 81105 - Human Platelet Antigen 1 genotyping (HPA-1) ITGB3 (integrin beta 3 [platelet glycoprotein IIIa] antigen CD61 [GPIIIa]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-1a/b (L33P) | 81105 - HPA-1 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81105 - HPA-1 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81106 | 81106 - Human Platelet Antigen 2 genotyping (HPA-2) GP1BA (glycoprotein Ib [platelet] alpha polypeptide [GPIba]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-2a/b (T145M) | 81106 - HPA-2 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81106 - HPA-2 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81107 | 81107 - Human Platelet Antigen 3 genotyping (HPA-3) ITGA2B (integrin alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex] antigen CD41 [GPIIb]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-3a/b (I843S) | 81107 - HPA-3 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81107 - HPA-3 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81108 | 81108 - Human Platelet Antigen 4 genotyping (HPA-4) ITGB3 (integrin beta 3 [platelet glycoprotein IIIa] antigen CD61 [GPIIIa]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-4a/b (R143Q) | 81108 - HPA-4 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81108 - HPA-4 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81109 | 81109 - Human Platelet Antigen 5 genotyping (HPA-5) ITGA2 (integrin alpha 2 [CD49B alpha 2 subunit of VLA-2 receptor] [GPIa]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant (eg HPA-5a/b [K505E]) | 81109 - HPA-5 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81109 - HPA-5 GENOTYPING | '01/01/2019 | 12/31/2999 |
| 81110 | 81110 - Human Platelet Antigen 6 genotyping (HPA-6w) ITGB3 (integrin beta 3 [platelet glycoprotein IIIa antigen CD61] [GPIIIa]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-6a/b (R489Q) | 81110 - HPA-6 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81110 - HPA-6 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81111 | 81111 - Human Platelet Antigen 9 genotyping (HPA-9w) ITGA2B (integrin alpha 2b [platelet glycoprotein IIb of IIb/IIIa complex antigen CD41] [GPIIb]) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-9a/b (V837M) | 81111 - HPA-9 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81111 - HPA-9 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81112 | 81112 - Human Platelet Antigen 15 genotyping (HPA-15) CD109 (CD109 molecule) (eg neonatal alloimmune thrombocytopenia [NAIT] post-transfusion purpura) gene analysis common variant HPA-15a/b (S682Y) | 81112 - HPA-15 GENOTYPING GENE ANALYSIS COMMON VARIANT | 81112 - HPA-15 GENOTYPING | '01/01/2018 | 12/31/2999 |
| 81120 | 81120 - IDH1 (isocitrate dehydrogenase 1 [NADP+] soluble) (eg glioma) common variants (eg R132H R132C) | 81120 - IDH1 COMMON VARIANTS | 81120 - IDH1 COMMON VARIANTS | '01/01/2018 | 12/31/2999 |
| 81121 | 81121 - IDH2 (isocitrate dehydrogenase 2 [NADP+] mitochondrial) (eg glioma) common variants (eg R140W R172M) | 81121 - IDH2 COMMON VARIANTS | 81121 - IDH2 COMMON VARIANTS | '01/01/2018 | 12/31/2999 |
| 81161 | 81161 - DMD (dystrophin) (eg Duchenne/Becker muscular dystrophy) deletion analysis and duplication analysis if performed | 81161 - DMD DUPLICATION/DELETION ANALYSIS | 81161 - DMD DUP/DELET ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81162 | 81162 - BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full sequence analysis and full duplication/deletion analysis (ie detection of large gene rearrangements) | 81162 - BRCA1 BRCA2 GENE ALYS FULL SEQ FULL DUP/DEL ALYS | 81162 - BRCA1&2 GEN FULL SEQ DUP/DEL | '01/01/2019 | 12/31/2999 |
| 81163 | 81163 - BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full sequence analysis | 81163 - BRCA1 BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81163 - BRCA1&2 GENE FULL SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 81164 | 81164 - BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie detection of large gene rearrangements) | 81164 - BRCA1 BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS | 81164 - BRCA1&2 GEN FUL DUP/DEL ALYS | '01/01/2019 | 12/31/2999 |
| 81165 | 81165 - BRCA1 (BRCA1 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full sequence analysis | 81165 - BRCA1 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81165 - BRCA1 GENE FULL SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 81166 | 81166 - BRCA1 (BRCA1 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie detection of large gene rearrangements) | 81166 - BRCA1 GENE ANALYSIS FULL DUP/DEL ANALYSIS | 81166 - BRCA1 GENE FULL DUP/DEL ALYS | '01/01/2019 | 12/31/2999 |
| 81167 | 81167 - BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full duplication/deletion analysis (ie detection of large gene rearrangements) | 81167 - BRCA2 GENE ANALYSIS FULL DUP/DEL ANALYSIS | 81167 - BRCA2 GENE FULL DUP/DEL ALYS | '01/01/2019 | 12/31/2999 |
| 81168 | 81168 - CCND1/IGH (t(11;14)) (eg mantle cell lymphoma) translocation analysis major breakpoint qualitative and quantitative if performed | 81168 - CCND1/IGH TRANSLOCATION ALYS MAJOR BP QUAL&QUAN | 81168 - CCND1/IGH TRANSLOCATION ALYS | '01/01/2021 | 12/31/2999 |
| 81170 | 81170 - ABL1 (ABL proto-oncogene 1 non-receptor tyrosine kinase) (eg acquired imatinib tyrosine kinase inhibitor resistance) gene analysis variants in the kinase domain | 81170 - ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS | 81170 - ABL1 GENE | '01/01/2017 | 12/31/2999 |
| 81171 | 81171 - AFF2 (AF4/FMR2 family member 2 [FMR2]) (eg fragile X mental retardation 2 [FRAXE]) gene analysis; evaluation to detect abnormal (eg expanded) alleles | 81171 - AFF2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81171 - AFF2 GENE DETC ABNOR ALLELES | '01/01/2019 | 12/31/2999 |
| 81172 | 81172 - AFF2 (AF4/FMR2 family member 2 [FMR2]) (eg fragile X mental retardation 2 [FRAXE]) gene analysis; characterization of alleles (eg expanded size and methylation status) | 81172 - AFF2 GENE ANALYSIS CHARACTERIZATION OF ALLELES | 81172 - AFF2 GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81173 | 81173 - AR (androgen receptor) (eg spinal and bulbar muscular atrophy Kennedy disease X chromosome inactivation) gene analysis; full gene sequence | 81173 - AR GENE ANALYSIS FULL GENE SEQUENCE | 81173 - AR GENE FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 81174 | 81174 - AR (androgen receptor) (eg spinal and bulbar muscular atrophy Kennedy disease X chromosome inactivation) gene analysis; known familial variant | 81174 - AR GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81174 - AR GENE KNOWN FAMIL VARIANT | '01/01/2019 | 12/31/2999 |
| 81175 | 81175 - ASXL1 (additional sex combs like 1 transcriptional regulator) (eg myelodysplastic syndrome myeloproliferative neoplasms chronic myelomonocytic leukemia) gene analysis; full gene sequence | 81175 - ASXL1 GENE ANALYSIS FULL GENE SEQUENCE | 81175 - ASXL1 FULL GENE SEQUENCE | '01/01/2018 | 12/31/2999 |
| 81176 | 81176 - ASXL1 (additional sex combs like 1 transcriptional regulator) (eg myelodysplastic syndrome myeloproliferative neoplasms chronic myelomonocytic leukemia) gene analysis; targeted sequence analysis (eg exon 12) | 81176 - ASXL1 GENE ANALYSIS TARGETED SEQ ANALYSIS | 81176 - ASXL1 GENE TARGET SEQ ALYS | '01/01/2018 | 12/31/2999 |
| 81177 | 81177 - ATN1 (atrophin 1) (eg dentatorubral-pallidoluysian atrophy) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81177 - ATN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81177 - ATN1 GENE DETC ABNOR ALLELES | '01/01/2019 | 12/31/2999 |
| 81178 | 81178 - ATXN1 (ataxin 1) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81178 - ATXN1 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81178 - ATXN1 GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81179 | 81179 - ATXN2 (ataxin 2) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81179 - ATXN2 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81179 - ATXN2 GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81180 | 81180 - ATXN3 (ataxin 3) (eg spinocerebellar ataxia Machado-Joseph disease) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81180 - ATXN3 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81180 - ATXN3 GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81181 | 81181 - ATXN7 (ataxin 7) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81181 - ATXN7 GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81181 - ATXN7 GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81182 | 81182 - ATXN8OS (ATXN8 opposite strand [non-protein coding]) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81182 - ATXN8OS GENE ANALYSIS EVAL DETECT ABNOR ALLELES | 81182 - ATXN8OS GEN DETC ABNOR ALLEL | '01/01/2019 | 12/31/2999 |
| 81183 | 81183 - ATXN10 (ataxin 10) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81183 - ATXN10 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES | 81183 - ATXN10 GENE DETC ABNOR ALLEL | '01/01/2019 | 12/31/2999 |
| 81184 | 81184 - CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg spinocerebellar ataxia) gene analysis; evaluation to detect abnormal (eg expanded) alleles | 81184 - CACNA1A GENE ANALYSIS EVAL DETECT ABNOR ALLELES | 81184 - CACNA1A GEN DETC ABNOR ALLEL | '01/01/2019 | 12/31/2999 |
| 81185 | 81185 - CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg spinocerebellar ataxia) gene analysis; full gene sequence | 81185 - CACNA1A GENE ANALYSIS FULL GENE SEQUENCE | 81185 - CACNA1A GENE FULL GENE SEQ | '01/01/2019 | 12/31/2999 |
| 81186 | 81186 - CACNA1A (calcium voltage-gated channel subunit alpha1 A) (eg spinocerebellar ataxia) gene analysis; known familial variant | 81186 - CACNA1A GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81186 - CACNA1A GEN KNOWN FAMIL VRNT | '01/01/2019 | 12/31/2999 |
| 81187 | 81187 - CNBP (CCHC-type zinc finger nucleic acid binding protein) (eg myotonic dystrophy type 2) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81187 - CNBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81187 - CNBP GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81188 | 81188 - CSTB (cystatin B) (eg Unverricht-Lundborg disease) gene analysis; evaluation to detect abnormal (eg expanded) alleles | 81188 - CSTB GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81188 - CSTB GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81189 | 81189 - CSTB (cystatin B) (eg Unverricht-Lundborg disease) gene analysis; full gene sequence | 81189 - CSTB GENE ANALYSIS FULL GENE SEQUENCE | 81189 - CSTB GENE FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 81190 | 81190 - CSTB (cystatin B) (eg Unverricht-Lundborg disease) gene analysis; known familial variant(s) | 81190 - CSTB GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81190 - CSTB GENE KNOWN FAMIL VRNT | '01/01/2019 | 12/31/2999 |
| 81191 | 81191 - NTRK1 (neurotrophic receptor tyrosine kinase 1) (eg solid tumors) translocation analysis | 81191 - NTRK1 TRANSLOCATION ANALYSIS | 81191 - NTRK1 TRANSLOCATION ANALYSIS | '01/01/2021 | 12/31/2999 |
| 81192 | 81192 - NTRK2 (neurotrophic receptor tyrosine kinase 2) (eg solid tumors) translocation analysis | 81192 - NTRK2 TRANSLOCATION ANALYSIS | 81192 - NTRK2 TRANSLOCATION ANALYSIS | '01/01/2021 | 12/31/2999 |
| 81193 | 81193 - NTRK3 (neurotrophic receptor tyrosine kinase 3) (eg solid tumors) translocation analysis | 81193 - NTRK3 TRANSLOCATION ANALYSIS | 81193 - NTRK3 TRANSLOCATION ANALYSIS | '01/01/2021 | 12/31/2999 |
| 81194 | 81194 - NTRK (neurotrophic receptor tyrosine kinase 1 2 and 3) (eg solid tumors) translocation analysis | 81194 - NTRK TRANSLOCATION ANALYSIS | 81194 - NTRK TRANSLOCATION ANALYSIS | '01/01/2022 | 12/31/2999 |
| 81200 | 81200 - ASPA (aspartoacylase) (eg Canavan disease) gene analysis common variants (eg E285A Y231X) | 81200 - ASPA GENE ANALYSIS COMMON VARIANTS | 81200 - ASPA GENE | '01/01/2017 | 12/31/2999 |
| 81201 | 81201 - APC (adenomatous polyposis coli) (eg familial adenomatosis polyposis [FAP] attenuated FAP) gene analysis; full gene sequence | 81201 - APC GENE ANALYSIS FULL GENE SEQUENCE | 81201 - APC GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81202 | 81202 - APC (adenomatous polyposis coli) (eg familial adenomatosis polyposis [FAP] attenuated FAP) gene analysis; known familial variants | 81202 - APC GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81202 - APC GENE KNOWN FAM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81203 | 81203 - APC (adenomatous polyposis coli) (eg familial adenomatosis polyposis [FAP] attenuated FAP) gene analysis; duplication/deletion variants | 81203 - APC GENE ANALYSIS DUPLICATION/DELETION VARIANTS | 81203 - APC GENE DUP/DELET VARIANTS | '01/01/2017 | 12/31/2999 |
| 81204 | 81204 - AR (androgen receptor) (eg spinal and bulbar muscular atrophy Kennedy disease X chromosome inactivation) gene analysis; characterization of alleles (eg expanded size or methylation status) | 81204 - AR GENE ANALYSIS CHARACTERIZATION OF ALLELES | 81204 - AR GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81205 | 81205 - BCKDHB (branched-chain keto acid dehydrogenase E1 beta polypeptide) (eg maple syrup urine disease) gene analysis common variants (eg R183P G278S E422X) | 81205 - BCKDHB GENE ANALYSIS COMMON VARIANTS | 81205 - BCKDHB GENE | '01/01/2017 | 12/31/2999 |
| 81206 | 81206 - BCR/ABL1 (t(9;22)) (eg chronic myelogenous leukemia) translocation analysis; major breakpoint qualitative or quantitative | 81206 - BCR/ABL1 MAJOR BREAKPNT QUALITATIVE/QUANTITATIVE | 81206 - BCR/ABL1 GENE MAJOR BP | '01/01/2017 | 12/31/2999 |
| 81207 | 81207 - BCR/ABL1 (t(9;22)) (eg chronic myelogenous leukemia) translocation analysis; minor breakpoint qualitative or quantitative | 81207 - BCR/ABL1 MINOR BREAKPNT QUALITATIVE/QUANTITATIVE | 81207 - BCR/ABL1 GENE MINOR BP | '01/01/2017 | 12/31/2999 |
| 81208 | 81208 - BCR/ABL1 (t(9;22)) (eg chronic myelogenous leukemia) translocation analysis; other breakpoint qualitative or quantitative | 81208 - BCR/ABL1 OTHER BREAKPNT QUALITATIVE/QUANTITATIVE | 81208 - BCR/ABL1 GENE OTHER BP | '01/01/2017 | 12/31/2999 |
| 81209 | 81209 - BLM (Bloom syndrome RecQ helicase-like) (eg Bloom syndrome) gene analysis 2281del6ins7 variant | 81209 - BLM GENE ANALYSIS 2281DEL6INS7 VARIANT | 81209 - BLM GENE | '01/01/2017 | 12/31/2999 |
| 81210 | 81210 - BRAF (B-Raf proto-oncogene serine/threonine kinase) (eg colon cancer melanoma) gene analysis V600 variant(s) | 81210 - BRAF GENE ANALYSIS V600 VARIANT(S) | 81210 - BRAF GENE | '01/01/2017 | 12/31/2999 |
| 81212 | 81212 - BRCA1 (BRCA1 DNA repair associated) BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; 185delAG 5385insC 6174delT variants | 81212 - BRCA1 BRCA 2 GEN ALYS 185DELAG 5385INSC 6174DELT | 81212 - BRCA1&2 185&5385&6174 VRNT | '01/01/2019 | 12/31/2999 |
| 81215 | 81215 - BRCA1 (BRCA1 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; known familial variant | 81215 - BRCA1 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81215 - BRCA1 GENE KNOWN FAMIL VRNT | '01/01/2019 | 12/31/2999 |
| 81216 | 81216 - BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; full sequence analysis | 81216 - BRCA2 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81216 - BRCA2 GENE FULL SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 81217 | 81217 - BRCA2 (BRCA2 DNA repair associated) (eg hereditary breast and ovarian cancer) gene analysis; known familial variant | 81217 - BRCA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81217 - BRCA2 GENE KNOWN FAMIL VRNT | '01/01/2019 | 12/31/2999 |
| 81218 | 81218 - CEBPA (CCAAT/enhancer binding protein [C/EBP] alpha) (eg acute myeloid leukemia) gene analysis full gene sequence | 81218 - CEBPA GENE ANALYSIS FULL GENE SEQUENCE | 81218 - CEBPA GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81219 | 81219 - CALR (calreticulin) (eg myeloproliferative disorders) gene analysis common variants in exon 9 | 81219 - CALR GENE ANALYSIS COMMON VARIANTS IN EXON 9 | 81219 - CALR GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81220 | 81220 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg cystic fibrosis) gene analysis; common variants (eg ACMG/ACOG guidelines) | 81220 - CFTR GENE ANALYSIS COMMON VARIANTS | 81220 - CFTR GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81221 | 81221 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg cystic fibrosis) gene analysis; known familial variants | 81221 - CFTR GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81221 - CFTR GENE KNOWN FAM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81222 | 81222 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg cystic fibrosis) gene analysis; duplication/deletion variants | 81222 - CFTR GENE ANALYSIS DUPLICATION/DELETION VARIANTS | 81222 - CFTR GENE DUP/DELET VARIANTS | '01/01/2017 | 12/31/2999 |
| 81223 | 81223 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg cystic fibrosis) gene analysis; full gene sequence | 81223 - CFTR GENE ANALYSIS FULL GENE SEQUENCE | 81223 - CFTR GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81224 | 81224 - CFTR (cystic fibrosis transmembrane conductance regulator) (eg cystic fibrosis) gene analysis; intron 8 poly-T analysis (eg male infertility) | 81224 - CFTR GENE ANALYSIS INTRON 8 POLY-T ANALYSIS | 81224 - CFTR GENE INTRON POLY T | '01/01/2017 | 12/31/2999 |
| 81225 | 81225 - CYP2C19 (cytochrome P450 family 2 subfamily C polypeptide 19) (eg drug metabolism) gene analysis common variants (eg *2 *3 *4 *8 *17) | 81225 - CYP2C19 GENE ANALYSIS COMMON VARIANTS | 81225 - CYP2C19 GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81226 | 81226 - CYP2D6 (cytochrome P450 family 2 subfamily D polypeptide 6) (eg drug metabolism) gene analysis common variants (eg *2 *3 *4 *5 *6 *9 *10 *17 *19 *29 *35 *41 *1XN *2XN *4XN) | 81226 - CYP2D6 GENE ANALYSIS COMMON VARIANTS | 81226 - CYP2D6 GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81227 | 81227 - CYP2C9 (cytochrome P450 family 2 subfamily C polypeptide 9) (eg drug metabolism) gene analysis common variants (eg *2 *3 *5 *6) | 81227 - CYP2C9 GENE ANALYSIS COMMON VARIANTS | 81227 - CYP2C9 GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81228 | 81228 - Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number variants comparative genomic hybridization [CGH] microarray analysis | 81228 - CYTOG ALYS CHRMOML ABNOR COPY NUMBER VRNT CGH | 81228 - CYTOG ALYS CHRML ABNR CGH | '01/01/2022 | 12/31/2999 |
| 81229 | 81229 - Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and single nucleotide polymorphism (SNP) variants comparative genomic hybridization (CGH) microarray analysis | 81229 - CYTOG ALYS CHRMOML ABNOR CPY NUMBER&SNP VRNT CGH | 81229 - CYTOG ALYS CHRML ABNR SNPCGH | '01/01/2022 | 12/31/2999 |
| 81230 | 81230 - CYP3A4 (cytochrome P450 family 3 subfamily A member 4) (eg drug metabolism) gene analysis common variant(s) (eg *2 *22) | 81230 - CYP3A4 GENE ANALYSIS COMMON VARIANTS | 81230 - CYP3A4 GENE COMMON VARIANTS | '01/01/2018 | 12/31/2999 |
| 81231 | 81231 - CYP3A5 (cytochrome P450 family 3 subfamily A member 5) (eg drug metabolism) gene analysis common variants (eg *2 *3 *4 *5 *6 *7) | 81231 - CYP3A5 GENE ANALYSIS COMMON VARIANTS | 81231 - CYP3A5 GENE COMMON VARIANTS | '01/01/2018 | 12/31/2999 |
| 81232 | 81232 - DPYD (dihydropyrimidine dehydrogenase) (eg 5-fluorouracil/5-FU and capecitabine drug metabolism) gene analysis common variant(s) (eg *2A *4 *5 *6) | 81232 - DPYD GENE ANALYSIS COMMON VARIANTS | 81232 - DPYD GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81233 | 81233 - BTK (Bruton's tyrosine kinase) (eg chronic lymphocytic leukemia) gene analysis common variants (eg C481S C481R C481F) | 81233 - BTK GENE ANALYSIS COMMON VARIANTS | 81233 - BTK GENE COMMON VARIANTS | '01/01/2019 | 12/31/2999 |
| 81234 | 81234 - DMPK (DM1 protein kinase) (eg myotonic dystrophy type 1) gene analysis; evaluation to detect abnormal (expanded) alleles | 81234 - DMPK GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81234 - DMPK GENE DETC ABNOR ALLELE | '01/01/2019 | 12/31/2999 |
| 81235 | 81235 - EGFR (epidermal growth factor receptor) (eg non-small cell lung cancer) gene analysis common variants (eg exon 19 LREA deletion L858R T790M G719A G719S L861Q) | 81235 - EGFR GENE ANALYSIS COMMON VARIANTS | 81235 - EGFR GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81236 | 81236 - EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg myelodysplastic syndrome myeloproliferative neoplasms) gene analysis full gene sequence | 81236 - EZH2 GENE ANALYSIS FULL GENE SEQUENCE | 81236 - EZH2 GENE FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 81237 | 81237 - EZH2 (enhancer of zeste 2 polycomb repressive complex 2 subunit) (eg diffuse large B-cell lymphoma) gene analysis common variant(s) (eg codon 646) | 81237 - EZH2 GENE ANALYSIS COMMON VARIANTS | 81237 - EZH2 GENE COMMON VARIANTS | '01/01/2019 | 12/31/2999 |
| 81238 | 81238 - F9 (coagulation factor IX) (eg hemophilia B) full gene sequence | 81238 - F9 FULL GENE SEQUENCE | 81238 - F9 FULL GENE SEQUENCE | '01/01/2018 | 12/31/2999 |
| 81239 | 81239 - DMPK (DM1 protein kinase) (eg myotonic dystrophy type 1) gene analysis; characterization of alleles (eg expanded size) | 81239 - DMPK GENE ANALYSIS CHARACTERIZATION OF ALLELES | 81239 - DMPK GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81240 | 81240 - F2 (prothrombin coagulation factor II) (eg hereditary hypercoagulability) gene analysis 20210G>A variant | 81240 - F2 GENE ANALYSIS 20210G >A VARIANT | 81240 - F2 GENE | '01/01/2017 | 12/31/2999 |
| 81241 | 81241 - F5 (coagulation factor V) (eg hereditary hypercoagulability) gene analysis Leiden variant | 81241 - F5 COAGULATION FACTOR V ANAL LEIDEN VARIANT | 81241 - F5 GENE | '01/01/2017 | 12/31/2999 |
| 81242 | 81242 - FANCC (Fanconi anemia complementation group C) (eg Fanconi anemia type C) gene analysis common variant (eg IVS4+4A>T) | 81242 - FANCC GENE ANALYSIS COMMON VARIANT | 81242 - FANCC GENE | '01/01/2017 | 12/31/2999 |
| 81243 | 81243 - FMR1 (fragile X mental retardation 1) (eg fragile X mental retardation) gene analysis; evaluation to detect abnormal (eg expanded) alleles | 81243 - FMR1 ANALYSIS EVAL TO DETECT ABNORMAL ALLELES | 81243 - FMR1 GENE DETECTION | '01/01/2017 | 12/31/2999 |
| 81244 | 81244 - FMR1 (fragile X mental retardation 1) (eg fragile X mental retardation) gene analysis; characterization of alleles (eg expanded size and promoter methylation status) | 81244 - FMR1 GENE ANALYSIS CHARACTERIZATION OF ALLELES | 81244 - FMR1 GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81245 | 81245 - FLT3 (fms-related tyrosine kinase 3) (eg acute myeloid leukemia) gene analysis; internal tandem duplication (ITD) variants (ie exons 14 15) | 81245 - FLT3 GENE ANALYSIS INTERNAL TANDEM DUP VARIANTS | 81245 - FLT3 GENE | '01/01/2017 | 12/31/2999 |
| 81246 | 81246 - FLT3 (fms-related tyrosine kinase 3) (eg acute myeloid leukemia) gene analysis; tyrosine kinase domain (TKD) variants (eg D835 I836) | 81246 - FLT3 GENE ANLYS TYROSINE KINASE DOMAIN VARIANTS | 81246 - FLT3 GENE ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81247 | 81247 - G6PD (glucose-6-phosphate dehydrogenase) (eg hemolytic anemia jaundice) gene analysis; common variant(s) (eg A A-) | 81247 - G6PD GENE ANALYSIS COMMON VARIANTS | 81247 - G6PD GENE ALYS CMN VARIANT | '01/01/2018 | 12/31/2999 |
| 81248 | 81248 - G6PD (glucose-6-phosphate dehydrogenase) (eg hemolytic anemia jaundice) gene analysis; known familial variant(s) | 81248 - G6PD GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81248 - G6PD KNOWN FAMILIAL VARIANT | '01/01/2018 | 12/31/2999 |
| 81249 | 81249 - G6PD (glucose-6-phosphate dehydrogenase) (eg hemolytic anemia jaundice) gene analysis; full gene sequence | 81249 - G6PD GENE ANALYSIS FULL GENE SEQUENCE | 81249 - G6PD FULL GENE SEQUENCE | '01/01/2018 | 12/31/2999 |
| 81250 | 81250 - G6PC (glucose-6-phosphatase catalytic subunit) (eg Glycogen storage disease type 1a von Gierke disease) gene analysis common variants (eg R83C Q347X) | 81250 - G6PC GENE ANALYSIS COMMON VARIANTS | 81250 - G6PC GENE | '01/01/2017 | 12/31/2999 |
| 81251 | 81251 - GBA (glucosidase beta acid) (eg Gaucher disease) gene analysis common variants (eg N370S 84GG L444P IVS2+1G>A) | 81251 - GBA GLUCOSIDASE/BETA/ACID ANAL COMM VARIANTS | 81251 - GBA GENE | '01/01/2017 | 12/31/2999 |
| 81252 | 81252 - GJB2 (gap junction protein beta 2 26kDa connexin 26) (eg nonsyndromic hearing loss) gene analysis; full gene sequence | 81252 - GJB2 GENE ANALYSIS FULL GENE SEQUENCE | 81252 - GJB2 GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81253 | 81253 - GJB2 (gap junction protein beta 2 26kDa connexin 26) (eg nonsyndromic hearing loss) gene analysis; known familial variants | 81253 - GJB2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81253 - GJB2 GENE KNOWN FAM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81254 | 81254 - GJB6 (gap junction protein beta 6 30kDa connexin 30) (eg nonsyndromic hearing loss) gene analysis common variants (eg 309kb [del(GJB6-D13S1830)] and 232kb [del(GJB6-D13S1854)]) | 81254 - GJB6 GENE ANALYSIS COMMON VARIANTS | 81254 - GJB6 GENE COM VARIANTS | '01/01/2017 | 12/31/2999 |
| 81255 | 81255 - HEXA (hexosaminidase A [alpha polypeptide]) (eg Tay-Sachs disease) gene analysis common variants (eg 1278insTATC 1421+1G>C G269S) | 81255 - HEXA GENE ANALYSIS COMMON VARIANTS | 81255 - HEXA GENE | '01/01/2017 | 12/31/2999 |
| 81256 | 81256 - HFE (hemochromatosis) (eg hereditary hemochromatosis) gene analysis common variants (eg C282Y H63D) | 81256 - HFE HEMOCHROMATOSIS GENE ANAL COMMON VARIANTS | 81256 - HFE GENE | '01/01/2017 | 12/31/2999 |
| 81257 | 81257 - HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg alpha thalassemia Hb Bart hydrops fetalis syndrome HbH disease) gene analysis; common deletions or variant (eg Southeast Asian Thai Filipino Mediterranean alpha3.7 alpha4.2 alpha20.5 Constant Spring) | 81257 - HBA1/HBA2 GENE ANALYSIS COMMON DELETIONS/VARIANT | 81257 - HBA1/HBA2 GENE | '01/01/2018 | 12/31/2999 |
| 81258 | 81258 - HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg alpha thalassemia Hb Bart hydrops fetalis syndrome HbH disease) gene analysis; known familial variant | 81258 - HBA1/HBA2 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81258 - HBA1/HBA2 GENE FAM VRNT | '01/01/2018 | 12/31/2999 |
| 81259 | 81259 - HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg alpha thalassemia Hb Bart hydrops fetalis syndrome HbH disease) gene analysis; full gene sequence | 81259 - HBA1/HBA2 GENE ANALYSIS FULL GENE SEQUENCE | 81259 - HBA1/HBA2 FULL GENE SEQUENCE | '01/01/2018 | 12/31/2999 |
| 81260 | 81260 - IKBKAP (inhibitor of kappa light polypeptide gene enhancer in B-cells kinase complex-associated protein) (eg familial dysautonomia) gene analysis common variants (eg 2507+6T>C R696P) | 81260 - IKBKAP GENE ANALYSIS COMMON VARIANTS | 81260 - IKBKAP GENE | '01/01/2017 | 12/31/2999 |
| 81261 | 81261 - IGH@ (Immunoglobulin heavy chain locus) (eg leukemias and lymphomas B-cell) gene rearrangement analysis to detect abnormal clonal population(s); amplified methodology (eg polymerase chain reaction) | 81261 - IGH@ REARRANGE ABNORMAL CLONAL POP AMPLIFIED | 81261 - IGH GENE REARRANGE AMP METH | '01/01/2017 | 12/31/2999 |
| 81262 | 81262 - IGH@ (Immunoglobulin heavy chain locus) (eg leukemias and lymphomas B-cell) gene rearrangement analysis to detect abnormal clonal population(s); direct probe methodology (eg Southern blot) | 81262 - IGH@ REARRANGE ABNORMAL CLONAL POP DIRECT PROBE | 81262 - IGH GENE REARRANG DIR PROBE | '01/01/2017 | 12/31/2999 |
| 81263 | 81263 - IGH@ (Immunoglobulin heavy chain locus) (eg leukemia and lymphoma B-cell) variable region somatic mutation analysis | 81263 - IGH@ VARIABLE REGION SOMATIC MUTATION ANALYSIS | 81263 - IGH VARI REGIONAL MUTATION | '01/01/2017 | 12/31/2999 |
| 81264 | 81264 - IGK@ (Immunoglobulin kappa light chain locus) (eg leukemia and lymphoma B-cell) gene rearrangement analysis evaluation to detect abnormal clonal population(s) | 81264 - IGK@ GENE REARRANGE DETECT ABNORMAL CLONAL POP | 81264 - IGK REARRANGEABN CLONAL POP | '01/01/2017 | 12/31/2999 |
| 81265 | 81265 - Comparative analysis using Short Tandem Repeat (STR) markers; patient and comparative specimen (eg pre-transplant recipient and donor germline testing post-transplant non-hematopoietic recipient germline [eg buccal swab or other germline tissue sample] and donor testing twin zygosity testing or maternal cell contamination of fetal cells) | 81265 - COMPARATIVE ANAL STR MARKERS PATIENT&COMP SPEC | 81265 - STR MARKERS SPECIMEN ANAL | '01/01/2017 | 12/31/2999 |
| 81266 | 81266 - Comparative analysis using Short Tandem Repeat (STR) markers; each additional specimen (eg additional cord blood donor additional fetal samples from different cultures or additional zygosity in multiple birth pregnancies) (List separately in addition to code for primary procedure) | 81266 - COMPARATIVE ANAL STR MARKERS EA ADDL SPECIMEN | 81266 - STR MARKERS SPEC ANAL ADDL | '01/01/2017 | 12/31/2999 |
| 81267 | 81267 - Chimerism (engraftment) analysis post transplantation specimen (eg hematopoietic stem cell) includes comparison to previously performed baseline analyses; without cell selection | 81267 - CHIMERISM W/COMP TO BASELINE W/O CELL SELECTION | 81267 - CHIMERISM ANAL NO CELL SELEC | '01/01/2017 | 12/31/2999 |
| 81268 | 81268 - Chimerism (engraftment) analysis post transplantation specimen (eg hematopoietic stem cell) includes comparison to previously performed baseline analyses; with cell selection (eg CD3 CD33) each cell type | 81268 - CHIMERISM W/COMP TO BASELINE W/CELL SELECTION EA | 81268 - CHIMERISM ANAL W/CELL SELECT | '01/01/2017 | 12/31/2999 |
| 81269 | 81269 - HBA1/HBA2 (alpha globin 1 and alpha globin 2) (eg alpha thalassemia Hb Bart hydrops fetalis syndrome HbH disease) gene analysis; duplication/deletion variants | 81269 - HBA1/HBA2 GENE ANALYSIS DUP/DEL VARIANTS | 81269 - HBA1/HBA2 GENE DUP/DEL VRNTS | '01/01/2018 | 12/31/2999 |
| 81270 | 81270 - JAK2 (Janus kinase 2) (eg myeloproliferative disorder) gene analysis p.Val617Phe (V617F) variant | 81270 - JAK2 GENE ANALYSIS P.VAL617PHE VARIANT | 81270 - JAK2 GENE | '01/01/2017 | 12/31/2999 |
| 81271 | 81271 - HTT (huntingtin) (eg Huntington disease) gene analysis; evaluation to detect abnormal (eg expanded) alleles | 81271 - HTT GENE ANALYSIS DETECT ABNORMAL ALLELES | 81271 - HTT GENE DETC ABNOR ALLELES | '01/01/2019 | 12/31/2999 |
| 81272 | 81272 - KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg gastrointestinal stromal tumor [GIST] acute myeloid leukemia melanoma) gene analysis targeted sequence analysis (eg exons 8 11 13 17 18) | 81272 - KIT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS | 81272 - KIT GENE TARGETED SEQ ANALYS | '01/01/2017 | 12/31/2999 |
| 81273 | 81273 - KIT (v-kit Hardy-Zuckerman 4 feline sarcoma viral oncogene homolog) (eg mastocytosis) gene analysis D816 variant(s) | 81273 - KIT GENE ANALYSIS D816 VARIANT(S) | 81273 - KIT GENE ANALYS D816 VARIANT | '01/01/2017 | 12/31/2999 |
| 81274 | 81274 - HTT (huntingtin) (eg Huntington disease) gene analysis; characterization of alleles (eg expanded size) | 81274 - HTT GENE ANALYSIS CHARACTERIZATION ALLELES | 81274 - HTT GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81275 | 81275 - KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg carcinoma) gene analysis; variants in exon 2 (eg codons 12 and 13) | 81275 - KRAS GENE ANALYSIS VARIANTS IN EXON 2 | 81275 - KRAS GENE VARIANTS EXON 2 | '01/01/2017 | 12/31/2999 |
| 81276 | 81276 - KRAS (Kirsten rat sarcoma viral oncogene homolog) (eg carcinoma) gene analysis; additional variant(s) (eg codon 61 codon 146) | 81276 - KRAS GENE ANALYSIS ADDITIONAL VARIANT(S) | 81276 - KRAS GENE ADDL VARIANTS | '01/01/2017 | 12/31/2999 |
| 81277 | 81277 - Cytogenomic neoplasia (genome-wide) microarray analysis interrogation of genomic regions for copy number and loss-of-heterozygosity variants for chromosomal abnormalities | 81277 - CYTOGENOMIC NEOPLASIA MICROARRAY ANALYSIS | 81277 - CYTOGENOMIC NEO MICRORA ALYS | '01/01/2020 | 12/31/2999 |
| 81278 | 81278 - IGH@/BCL2 (t(14;18)) (eg follicular lymphoma) translocation analysis major breakpoint region (MBR) and minor cluster region (mcr) breakpoints qualitative or quantitative | 81278 - IGH@/BCL2 TLCJ ALYS MBR & MCR BP QUAL/QUAN | 81278 - IGH@/BCL2 TRANSLOCATION ALYS | '01/01/2021 | 12/31/2999 |
| 81279 | 81279 - JAK2 (Janus kinase 2) (eg myeloproliferative disorder) targeted sequence analysis (eg exons 12 and 13) | 81279 - JAK2 TARGETED SEQUENCE ANALYSIS | 81279 - JAK2 GENE TRGT SEQUENCE ALYS | '01/01/2021 | 12/31/2999 |
| 81283 | 81283 - IFNL3 (interferon lambda 3) (eg drug response) gene analysis rs12979860 variant | 81283 - IFNL3 GENE ANALYSIS RS12979860 VARIANT | 81283 - IFNL3 GENE | '01/01/2018 | 12/31/2999 |
| 81284 | 81284 - FXN (frataxin) (eg Friedreich ataxia) gene analysis; evaluation to detect abnormal (expanded) alleles | 81284 - FXN GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81284 - FXN GENE DETC ABNOR ALLELES | '01/01/2019 | 12/31/2999 |
| 81285 | 81285 - FXN (frataxin) (eg Friedreich ataxia) gene analysis; characterization of alleles (eg expanded size) | 81285 - FXN GENE ANALYSIS CHARACTERIZATION ALLELES | 81285 - FXN GENE CHARAC ALLELES | '01/01/2019 | 12/31/2999 |
| 81286 | 81286 - FXN (frataxin) (eg Friedreich ataxia) gene analysis; full gene sequence | 81286 - FXN GENE ANALYSIS FULL GENE SEQUENCE | 81286 - FXN GENE FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 81287 | 81287 - MGMT (O-6-methylguanine-DNA methyltransferase) (eg glioblastoma multiforme) promoter methylation analysis | 81287 - MGMT GENE PROMOTER METHYLATION ANALYSIS | 81287 - MGMT GENE PRMTR MTHYLTN ALYS | '01/01/2019 | 12/31/2999 |
| 81288 | 81288 - MLH1 (mutL homolog 1 colon cancer nonpolyposis type 2) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; promoter methylation analysis | 81288 - MLH1 GENE ANALYSIS PROMOTER METHYLATION ANALYSIS | 81288 - MLH1 GENE | '01/01/2017 | 12/31/2999 |
| 81289 | 81289 - FXN (frataxin) (eg Friedreich ataxia) gene analysis; known familial variant(s) | 81289 - FXN GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81289 - FXN GENE KNOWN FAMIL VARIANT | '01/01/2019 | 12/31/2999 |
| 81290 | 81290 - MCOLN1 (mucolipin 1) (eg Mucolipidosis type IV) gene analysis common variants (eg IVS3-2A>G del6.4kb) | 81290 - MCOLN1 MUCOLIPIN1 GENE ANALYSIS COMMON VARIANTS | 81290 - MCOLN1 GENE | '01/01/2017 | 12/31/2999 |
| 81291 | 81291 - MTHFR (5 10-methylenetetrahydrofolate reductase) (eg hereditary hypercoagulability) gene analysis common variants (eg 677T 1298C) | 81291 - MTHFR GENE ANALYSIS COMMON VARIANTS | 81291 - MTHFR GENE | '01/01/2017 | 12/31/2999 |
| 81292 | 81292 - MLH1 (mutL homolog 1 colon cancer nonpolyposis type 2) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; full sequence analysis | 81292 - MLH1 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81292 - MLH1 GENE FULL SEQ | '01/01/2017 | 12/31/2999 |
| 81293 | 81293 - MLH1 (mutL homolog 1 colon cancer nonpolyposis type 2) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; known familial variants | 81293 - MLH1 GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81293 - MLH1 GENE KNOWN VARIANTS | '01/01/2017 | 12/31/2999 |
| 81294 | 81294 - MLH1 (mutL homolog 1 colon cancer nonpolyposis type 2) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; duplication/deletion variants | 81294 - MLH1 GENE ANALYSIS DUPLICATION/DELETION VARIANTS | 81294 - MLH1 GENE DUP/DELETE VARIANT | '01/01/2017 | 12/31/2999 |
| 81295 | 81295 - MSH2 (mutS homolog 2 colon cancer nonpolyposis type 1) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; full sequence analysis | 81295 - MSH2 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81295 - MSH2 GENE FULL SEQ | '01/01/2017 | 12/31/2999 |
| 81296 | 81296 - MSH2 (mutS homolog 2 colon cancer nonpolyposis type 1) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; known familial variants | 81296 - MSH2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81296 - MSH2 GENE KNOWN VARIANTS | '01/01/2017 | 12/31/2999 |
| 81297 | 81297 - MSH2 (mutS homolog 2 colon cancer nonpolyposis type 1) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; duplication/deletion variants | 81297 - MSH2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS | 81297 - MSH2 GENE DUP/DELETE VARIANT | '01/01/2017 | 12/31/2999 |
| 81298 | 81298 - MSH6 (mutS homolog 6 [E. coli]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; full sequence analysis | 81298 - MSH6 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81298 - MSH6 GENE FULL SEQ | '01/01/2017 | 12/31/2999 |
| 81299 | 81299 - MSH6 (mutS homolog 6 [E. coli]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; known familial variants | 81299 - MSH6 GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81299 - MSH6 GENE KNOWN VARIANTS | '01/01/2017 | 12/31/2999 |
| 81300 | 81300 - MSH6 (mutS homolog 6 [E. coli]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; duplication/deletion variants | 81300 - MSH6 GENE ANALYSIS DUPLICATION/DELETION VARIA | 81300 - MSH6 GENE DUP/DELETE VARIANT | '01/01/2017 | 12/31/2999 |
| 81301 | 81301 - Microsatellite instability analysis (eg hereditary non-polyposis colorectal cancer Lynch syndrome) of markers for mismatch repair deficiency (eg BAT25 BAT26) includes comparison of neoplastic and normal tissue if performed | 81301 - MICROSATELLITE INSTAB ANAL MISMATCH REPAIR DEF | 81301 - MICROSATELLITE INSTABILITY | '01/01/2017 | 12/31/2999 |
| 81302 | 81302 - MECP2 (methyl CpG binding protein 2) (eg Rett syndrome) gene analysis; full sequence analysis | 81302 - MECP2 GENE ANALYSIS FULL SEQUENCE | 81302 - MECP2 GENE FULL SEQ | '01/01/2017 | 12/31/2999 |
| 81303 | 81303 - MECP2 (methyl CpG binding protein 2) (eg Rett syndrome) gene analysis; known familial variant | 81303 - MECP2 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81303 - MECP2 GENE KNOWN VARIANT | '01/01/2017 | 12/31/2999 |
| 81304 | 81304 - MECP2 (methyl CpG binding protein 2) (eg Rett syndrome) gene analysis; duplication/deletion variants | 81304 - MECP2 GENE ANALYSIS DUPLICATION/DELETION VARIANT | 81304 - MECP2 GENE DUP/DELET VARIANT | '01/01/2017 | 12/31/2999 |
| 81305 | 81305 - MYD88 (myeloid differentiation primary response 88) (eg Waldenstrom's macroglobulinemia lymphoplasmacytic leukemia) gene analysis p.Leu265Pro (L265P) variant | 81305 - MYD88 GENE ANALYSIS P.LEU265 (L265P) VARIANT | 81305 - MYD88 GENE P.LEU265PRO VRNT | '01/01/2019 | 12/31/2999 |
| 81306 | 81306 - NUDT15 (nudix hydrolase 15) (eg drug metabolism) gene analysis common variant(s) (eg *2 *3 *4 *5 *6) | 81306 - NUDT15 GENE ANALYSIS COMMON VARIANTS | 81306 - NUDT15 GENE COMMON VARIANTS | '01/01/2019 | 12/31/2999 |
| 81307 | 81307 - PALB2 (partner and localizer of BRCA2) (eg breast and pancreatic cancer) gene analysis; full gene sequence | 81307 - PALB2 GENE ANALYSIS FULL GENE SEQUENCE | 81307 - PALB2 GENE FULL GENE SEQ | '01/01/2020 | 12/31/2999 |
| 81308 | 81308 - PALB2 (partner and localizer of BRCA2) (eg breast and pancreatic cancer) gene analysis; known familial variant | 81308 - PALB2 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81308 - PALB2 GENE KNOWN FAMIL VRNT | '01/01/2020 | 12/31/2999 |
| 81309 | 81309 - PIK3CA (phosphatidylinositol-4 5-biphosphate 3-kinase catalytic subunit alpha) (eg colorectal and breast cancer) gene analysis targeted sequence analysis (eg exons 7 9 20) | 81309 - PIK3CA GENE ANALYSIS TARGETED SEQUENCE ANALYSIS | 81309 - PIK3CA GENE TRGT SEQ ALYS | '01/01/2020 | 12/31/2999 |
| 81310 | 81310 - NPM1 (nucleophosmin) (eg acute myeloid leukemia) gene analysis exon 12 variants | 81310 - NPM1 NUCLEOPHOSMIN GENE ANAL EXON 12 VARIANTS | 81310 - NPM1 GENE | '01/01/2017 | 12/31/2999 |
| 81311 | 81311 - NRAS (neuroblastoma RAS viral [v-ras] oncogene homolog) (eg colorectal carcinoma) gene analysis variants in exon 2 (eg codons 12 and 13) and exon 3 (eg codon 61) | 81311 - NRAS GENE ANALYSIS VARIANTS IN EXON 2&3 | 81311 - NRAS GENE VARIANTS EXON 2&3 | '01/01/2017 | 12/31/2999 |
| 81312 | 81312 - PABPN1 (poly[A] binding protein nuclear 1) (eg oculopharyngeal muscular dystrophy) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81312 - PABPN1 GENE ANALYSIS EVAL DETC ABNORMAL ALLELES | 81312 - PABPN1 GENE DETC ABNOR ALLEL | '01/01/2019 | 12/31/2999 |
| 81313 | 81313 - PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (eg prostate cancer) | 81313 - PCA3/KLK3 PROSTATE SPECIFIC ANTIGEN RATIO | 81313 - PCA3/KLK3 ANTIGEN | '01/01/2017 | 12/31/2999 |
| 81314 | 81314 - PDGFRA (platelet-derived growth factor receptor alpha polypeptide) (eg gastrointestinal stromal tumor [GIST]) gene analysis targeted sequence analysis (eg exons 12 18) | 81314 - PDGFRA GENE ANALYS TARGETED SEQUENCE ANALYS | 81314 - PDGFRA GENE | '01/01/2017 | 12/31/2999 |
| 81315 | 81315 - PML/RARalpha (t(15;17)) (promyelocytic leukemia/retinoic acid receptor alpha) (eg promyelocytic leukemia) translocation analysis; common breakpoints (eg intron 3 and intron 6) qualitative or quantitative | 81315 - PML/RARALPHA COMMON BREAKPOINTS QUAL/QUANT | 81315 - PML/RARALPHA COM BREAKPOINTS | '01/01/2017 | 12/31/2999 |
| 81316 | 81316 - PML/RARalpha (t(15;17)) (promyelocytic leukemia/retinoic acid receptor alpha) (eg promyelocytic leukemia) translocation analysis; single breakpoint (eg intron 3 intron 6 or exon 6) qualitative or quantitative | 81316 - PML/RARALPHA SINGLE BREAKPOINT QUAL/QUAN | 81316 - PML/RARALPHA 1 BREAKPOINT | '01/01/2017 | 12/31/2999 |
| 81317 | 81317 - PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; full sequence analysis | 81317 - PMS2 GENE ANALYSIS FULL SEQUENCE | 81317 - PMS2 GENE FULL SEQ ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81318 | 81318 - PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; known familial variants | 81318 - PMS2 GENE ANALYSIS KNOWN FAMILIAL VARIANTS | 81318 - PMS2 KNOWN FAMILIAL VARIANTS | '01/01/2017 | 12/31/2999 |
| 81319 | 81319 - PMS2 (postmeiotic segregation increased 2 [S. cerevisiae]) (eg hereditary non-polyposis colorectal cancer Lynch syndrome) gene analysis; duplication/deletion variants | 81319 - PMS2 GENE ANALYSIS DUPLICATION/DELETION VARIANTS | 81319 - PMS2 GENE DUP/DELET VARIANTS | '01/01/2017 | 12/31/2999 |
| 81320 | 81320 - PLCG2 (phospholipase C gamma 2) (eg chronic lymphocytic leukemia) gene analysis common variants (eg R665W S707F L845F) | 81320 - PLCG2 GENE ANALYSIS COMMON VARIANTS | 81320 - PLCG2 GENE COMMON VARIANTS | '01/01/2019 | 12/31/2999 |
| 81321 | 81321 - PTEN (phosphatase and tensin homolog) (eg Cowden syndrome PTEN hamartoma tumor syndrome) gene analysis; full sequence analysis | 81321 - PTEN GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81321 - PTEN GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81322 | 81322 - PTEN (phosphatase and tensin homolog) (eg Cowden syndrome PTEN hamartoma tumor syndrome) gene analysis; known familial variant | 81322 - PTEN GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81322 - PTEN GENE KNOWN FAM VARIANT | '01/01/2017 | 12/31/2999 |
| 81323 | 81323 - PTEN (phosphatase and tensin homolog) (eg Cowden syndrome PTEN hamartoma tumor syndrome) gene analysis; duplication/deletion variant | 81323 - PTEN GENE ANALYSIS DUPLICATION/DELETION VARIANT | 81323 - PTEN GENE DUP/DELET VARIANT | '01/01/2017 | 12/31/2999 |
| 81324 | 81324 - PMP22 (peripheral myelin protein 22) (eg Charcot-Marie-Tooth hereditary neuropathy with liability to pressure palsies) gene analysis; duplication/deletion analysis | 81324 - PMP22 GENE ANAL DUPLICATION/DELETION ANALYSIS | 81324 - PMP22 GENE DUP/DELET | '01/01/2017 | 12/31/2999 |
| 81325 | 81325 - PMP22 (peripheral myelin protein 22) (eg Charcot-Marie-Tooth hereditary neuropathy with liability to pressure palsies) gene analysis; full sequence analysis | 81325 - PMP22 GENE ANALYSIS FULL SEQUENCE ANALYSIS | 81325 - PMP22 GENE FULL SEQUENCE | '01/01/2017 | 12/31/2999 |
| 81326 | 81326 - PMP22 (peripheral myelin protein 22) (eg Charcot-Marie-Tooth hereditary neuropathy with liability to pressure palsies) gene analysis; known familial variant | 81326 - PMP22 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81326 - PMP22 GENE KNOWN FAM VARIANT | '01/01/2017 | 12/31/2999 |
| 81327 | 81327 - SEPT9 (Septin9) (eg colorectal cancer) promoter methylation analysis | 81327 - SEPT9 GENE PROMOTER METHYLATION ANALYSIS | 81327 - SEPT9 GEN PRMTR MTHYLTN ALYS | '01/01/2019 | 12/31/2999 |
| 81328 | 81328 - SLCO1B1 (solute carrier organic anion transporter family member 1B1) (eg adverse drug reaction) gene analysis common variant(s) (eg *5) | 81328 - SLCO1B1 GENE ANALYSIS COMMON VARIANTS | 81328 - SLCO1B1 GENE COM VARIANTS | '01/01/2018 | 12/31/2999 |
| 81329 | 81329 - SMN1 (survival of motor neuron 1 telomeric) (eg spinal muscular atrophy) gene analysis; dosage/deletion analysis (eg carrier testing) includes SMN2 (survival of motor neuron 2 centromeric) analysis if performed | 81329 - SMN1 GENE ANALYSIS DOSAGE/DELET ALYS W/SMN2 ALYS | 81329 - SMN1 GENE DOS/DELETION ALYS | '01/01/2019 | 12/31/2999 |
| 81330 | 81330 - SMPD1 (sphingomyelin phosphodiesterase 1 acid lysosomal) (eg Niemann-Pick disease Type A) gene analysis common variants (eg R496L L302P fsP330) | 81330 - SMPD1 GENE ANALYSIS COMMON VARIANTS | 81330 - SMPD1 GENE COMMON VARIANTS | '01/01/2023 | 12/31/2999 |
| 81331 | 81331 - SNRPN/UBE3A (small nuclear ribonucleoprotein polypeptide N and ubiquitin protein ligase E3A) (eg Prader-Willi syndrome and/or Angelman syndrome) methylation analysis | 81331 - SNRPN/UBE3A METHYLATION ANALYSIS | 81331 - SNRPN/UBE3A GENE | '01/01/2017 | 12/31/2999 |
| 81332 | 81332 - SERPINA1 (serpin peptidase inhibitor clade A alpha-1 antiproteinase antitrypsin member 1) (eg alpha-1-antitrypsin deficiency) gene analysis common variants (eg *S and *Z) | 81332 - SERPINA1 GENE ANALYSIS COMMON VARIANTS | 81332 - SERPINA1 GENE | '01/01/2017 | 12/31/2999 |
| 81333 | 81333 - TGFBI (transforming growth factor beta-induced) (eg corneal dystrophy) gene analysis common variants (eg R124H R124C R124L R555W R555Q) | 81333 - TGFBI GENE ANALYSIS COMMON VARIANTS | 81333 - TGFBI GENE COMMON VARIANTS | '01/01/2019 | 12/31/2999 |
| 81334 | 81334 - RUNX1 (runt related transcription factor 1) (eg acute myeloid leukemia familial platelet disorder with associated myeloid malignancy) gene analysis targeted sequence analysis (eg exons 3-8) | 81334 - RUNX1 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS | 81334 - RUNX1 GENE TARGETED SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 81335 | 81335 - TPMT (thiopurine S-methyltransferase) (eg drug metabolism) gene analysis common variants (eg *2 *3) | 81335 - TPMT GENE ANALAYSIS COMMON VARIANTS | 81335 - TPMT GENE COM VARIANTS | '01/01/2018 | 12/31/2999 |
| 81336 | 81336 - SMN1 (survival of motor neuron 1 telomeric) (eg spinal muscular atrophy) gene analysis; full gene sequence | 81336 - SMN1 GENE ANALYSIS FULL GENE SEQUENCE | 81336 - SMN1 GENE FULL GENE SEQUENCE | '01/01/2019 | 12/31/2999 |
| 81337 | 81337 - SMN1 (survival of motor neuron 1 telomeric) (eg spinal muscular atrophy) gene analysis; known familial sequence variant(s) | 81337 - SMN1 GENE ANALYSIS KNOWN FAMILIAL SEQ VARIANTS | 81337 - SMN1 GEN NOWN FAMIL SEQ VRNT | '01/01/2019 | 12/31/2999 |
| 81338 | 81338 - MPL (MPL proto-oncogene thrombopoietin receptor) (eg myeloproliferative disorder) gene analysis; common variants (eg W515A W515K W515L W515R) | 81338 - MPL GENE ANALYSIS COMMON VARIANTS | 81338 - MPL GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81339 | 81339 - MPL (MPL proto-oncogene thrombopoietin receptor) (eg myeloproliferative disorder) gene analysis; sequence analysis exon 10 | 81339 - MPL GENE ANALYSIS SEQUENCE ANALYSIS EXON 10 | 81339 - MPL GENE SEQ ALYS EXON 10 | '01/01/2021 | 12/31/2999 |
| 81340 | 81340 - TRB@ (T cell antigen receptor beta) (eg leukemia and lymphoma) gene rearrangement analysis to detect abnormal clonal population(s); using amplification methodology (eg polymerase chain reaction) | 81340 - TRB@ REARRANGEMENT ANAL AMPLIFICATION METHOD | 81340 - TRB@ GENE REARRANGE AMPLIFY | '01/01/2017 | 12/31/2999 |
| 81341 | 81341 - TRB@ (T cell antigen receptor beta) (eg leukemia and lymphoma) gene rearrangement analysis to detect abnormal clonal population(s); using direct probe methodology (eg Southern blot) | 81341 - TRB@ REARRANGEMENT ANAL DIRECT PROBE METHODOLOGY | 81341 - TRB@ GENE REARRANGE DIRPROBE | '01/01/2017 | 12/31/2999 |
| 81342 | 81342 - TRG@ (T cell antigen receptor gamma) (eg leukemia and lymphoma) gene rearrangement analysis evaluation to detect abnormal clonal population(s) | 81342 - TRG@ GENE REARRANGEMENT ANALYSIS | 81342 - TRG GENE REARRANGEMENT ANAL | '01/01/2017 | 12/31/2999 |
| 81343 | 81343 - PPP2R2B (protein phosphatase 2 regulatory subunit Bbeta) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81343 - PPP2R2B GENE ANALYSIS EVAL DETC ABNORMAL ALLELES | 81343 - PPP2R2B GEN DETC ABNOR ALLEL | '01/01/2019 | 12/31/2999 |
| 81344 | 81344 - TBP (TATA box binding protein) (eg spinocerebellar ataxia) gene analysis evaluation to detect abnormal (eg expanded) alleles | 81344 - TBP GENE ANALYSIS EVAL DETECT ABNORMAL ALLELES | 81344 - TBP GENE DETC ABNOR ALLELES | '01/01/2019 | 12/31/2999 |
| 81345 | 81345 - TERT (telomerase reverse transcriptase) (eg thyroid carcinoma glioblastoma multiforme) gene analysis targeted sequence analysis (eg promoter region) | 81345 - TERT GENE ANALYSIS TARGETED SEQUENCE ANALYSIS | 81345 - TERT GENE TARGETED SEQ ALYS | '01/01/2019 | 12/31/2999 |
| 81346 | 81346 - TYMS (thymidylate synthetase) (eg 5-fluorouracil/5-FU drug metabolism) gene analysis common variant(s) (eg tandem repeat variant) | 81346 - TYMS GENE ANALYSIS COMMON VARIANTS | 81346 - TYMS GENE COM VARIANTS | '01/01/2018 | 12/31/2999 |
| 81347 | 81347 - SF3B1 (splicing factor [3b] subunit B1) (eg myelodysplastic syndrome/acute myeloid leukemia) gene analysis common variants (eg A672T E622D L833F R625C R625L) | 81347 - SF3B1 GENE ANALYSIS COMMON VARIANTS | 81347 - SF3B1 GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81348 | 81348 - SRSF2 (serine and arginine-rich splicing factor 2) (eg myelodysplastic syndrome acute myeloid leukemia) gene analysis common variants (eg P95H P95L) | 81348 - SRSF2 GENE ANALYSIS COMMON VARIANTS | 81348 - SRSF2 GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81349 | 81349 - Cytogenomic (genome-wide) analysis for constitutional chromosomal abnormalities; interrogation of genomic regions for copy number and loss-of-heterozygosity variants low-pass sequencing analysis | 81349 - CYTOG ALYS CHRMOML ABNOR LOW-PASS SEQ ALYS | 81349 - CYTOG ALYS CHRML ABNR LW-PS | '01/01/2022 | 12/31/2999 |
| 81350 | 81350 - UGT1A1 (UDP glucuronosyltransferase 1 family polypeptide A1) (eg drug metabolism hereditary unconjugated hyperbilirubinemia [Gilbert syndrome]) gene analysis common variants (eg *28 *36 *37) | 81350 - UGT1A1 GENE ANALYSIS COMMON VARIANTS | 81350 - UGT1A1 GENE COMMON VARIANTS | '01/01/2020 | 12/31/2999 |
| 81351 | 81351 - TP53 (tumor protein 53) (eg Li-Fraumeni syndrome) gene analysis; full gene sequence | 81351 - TP53 GENE ANALYSIS FULL GENE SEQUENCE | 81351 - TP53 GENE FULL GENE SEQUENCE | '01/01/2021 | 12/31/2999 |
| 81352 | 81352 - TP53 (tumor protein 53) (eg Li-Fraumeni syndrome) gene analysis; targeted sequence analysis (eg 4 oncology) | 81352 - TP53 GENE ANALYSIS TARGETED SEQUENCE ANALYSIS | 81352 - TP53 GENE TRGT SEQUENCE ALYS | '01/01/2021 | 12/31/2999 |
| 81353 | 81353 - TP53 (tumor protein 53) (eg Li-Fraumeni syndrome) gene analysis; known familial variant | 81353 - TP53 GENE ANALYSIS KNOWN FAMILIAL VARIANT | 81353 - TP53 GENE KNOWN FAMIL VRNT | '01/01/2021 | 12/31/2999 |
| 81355 | 81355 - VKORC1 (vitamin K epoxide reductase complex subunit 1) (eg warfarin metabolism) gene analysis common variant(s) (eg -1639G>A c.173+1000C>T) | 81355 - VKORC1 GENE ANALYSIS COMMON VARIANT(S) | 81355 - VKORC1 GENE | '01/01/2017 | 12/31/2999 |
| 81357 | 81357 - U2AF1 (U2 small nuclear RNA auxiliary factor 1) (eg myelodysplastic syndrome acute myeloid leukemia) gene analysis common variants (eg S34F S34Y Q157R Q157P) | 81357 - U2AF1 GENE ANALYSIS COMMON VARIANTS | 81357 - U2AF1 GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81360 | 81360 - ZRSR2 (zinc finger CCCH-type RNA binding motif and serine/arginine-rich 2) (eg myelodysplastic syndrome acute myeloid leukemia) gene analysis common variant(s) (eg E65fs E122fs R448fs) | 81360 - ZRSR2 GENE ANALYSIS COMMON VARIANT(S) | 81360 - ZRSR2 GENE COMMON VARIANTS | '01/01/2021 | 12/31/2999 |
| 81361 | 81361 - HBB (hemoglobin subunit beta) (eg sickle cell anemia beta thalassemia hemoglobinopathy); common variant(s) (eg HbS HbC HbE) | 81361 - HBB COMMON VARIANTS | 81361 - HBB GENE COM VARIANTS | '01/01/2018 | 12/31/2999 |
| 81362 | 81362 - HBB (hemoglobin subunit beta) (eg sickle cell anemia beta thalassemia hemoglobinopathy); known familial variant(s) | 81362 - HBB KNOWN FAMILIAL VARIANTS | 81362 - HBB GENE KNOWN FAM VARIANT | '01/01/2018 | 12/31/2999 |
| 81363 | 81363 - HBB (hemoglobin subunit beta) (eg sickle cell anemia beta thalassemia hemoglobinopathy); duplication/deletion variant(s) | 81363 - HBB DUPLICATION/DELETION VARIANTS | 81363 - HBB GENE DUP/DEL VARIANTS | '01/01/2018 | 12/31/2999 |
| 81364 | 81364 - HBB (hemoglobin subunit beta) (eg sickle cell anemia beta thalassemia hemoglobinopathy); full gene sequence | 81364 - HBB FULL GENE SEQUENCE | 81364 - HBB FULL GENE SEQUENCE | '01/01/2018 | 12/31/2999 |
| 81370 | 81370 - HLA Class I and II typing low resolution (eg antigen equivalents); HLA-A -B -C -DRB1/3/4/5 and -DQB1 | 81370 - HLA CLASS I&II LOW HLA-A -B -C -DRB1/3/4/5&DQB | 81370 - HLA I & II TYPING LR | '01/01/2017 | 12/31/2999 |
| 81371 | 81371 - HLA Class I and II typing low resolution (eg antigen equivalents); HLA-A -B and -DRB1 (eg verification typing) | 81371 - HLA I&LI LOW RESOLUTION HLA-A -B&-DRB1 | 81371 - HLA I & II TYPE VERIFY LR | '01/01/2017 | 12/31/2999 |
| 81372 | 81372 - HLA Class I typing low resolution (eg antigen equivalents); complete (ie HLA-A -B and -C) | 81372 - HLA CLASS I TYPING LOW RESOLUTION COMPLETE | 81372 - HLA I TYPING COMPLETE LR | '01/01/2017 | 12/31/2999 |
| 81373 | 81373 - HLA Class I typing low resolution (eg antigen equivalents); one locus (eg HLA-A -B or -C) each | 81373 - HLA CLASS I TYPING LOW RESOLUTION ONE LOCUS EACH | 81373 - HLA I TYPING 1 LOCUS LR | '01/01/2017 | 12/31/2999 |
| 81374 | 81374 - HLA Class I typing low resolution (eg antigen equivalents); one antigen equivalent (eg B*27) each | 81374 - HLA I LOW RESOLUTION ONE ANTIGEN EQUIVALENT EACH | 81374 - HLA I TYPING 1 ANTIGEN LR | '01/01/2017 | 12/31/2999 |
| 81375 | 81375 - HLA Class II typing low resolution (eg antigen equivalents); HLA-DRB1/3/4/5 and -DQB1 | 81375 - HLA II LOW RESOLUTION HLA-DRB1/3/4/5 AND -DQB1 | 81375 - HLA II TYPING AG EQUIV LR | '01/01/2017 | 12/31/2999 |
| 81376 | 81376 - HLA Class II typing low resolution (eg antigen equivalents); one locus (eg HLA-DRB1 -DRB3/4/5 -DQB1 -DQA1 -DPB1 or -DPA1) each | 81376 - HLA CLASS II TYPING LOW RESOLUTION ONE LOCUS EA | 81376 - HLA II TYPING 1 LOCUS LR | '01/01/2017 | 12/31/2999 |
| 81377 | 81377 - HLA Class II typing low resolution (eg antigen equivalents); one antigen equivalent each | 81377 - HLA II LOW RESOLUTION ONE ANTIGEN EQUIVALENT EA | 81377 - HLA II TYPE 1 AG EQUIV LR | '01/01/2017 | 12/31/2999 |
| 81378 | 81378 - HLA Class I and II typing high resolution (ie alleles or allele groups) HLA-A -B -C and -DRB1 | 81378 - HLA I&II HIGH RESOLUTION HLA-A -B -C AND -DRB1 | 81378 - HLA I & II TYPING HR | '01/01/2017 | 12/31/2999 |
| 81379 | 81379 - HLA Class I typing high resolution (ie alleles or allele groups); complete (ie HLA-A -B and -C) | 81379 - HLA CLASS I TYPING HIGH RESOLUTION COMPLETE | 81379 - HLA I TYPING COMPLETE HR | '01/01/2017 | 12/31/2999 |
| 81380 | 81380 - HLA Class I typing high resolution (ie alleles or allele groups); one locus (eg HLA-A -B or -C) each | 81380 - HLA CLASS I TYPING HIGH RESOLUTION ONE LOCUS EA | 81380 - HLA I TYPING 1 LOCUS HR | '01/01/2017 | 12/31/2999 |
| 81381 | 81381 - HLA Class I typing high resolution (ie alleles or allele groups); one allele or allele group (eg B*57:01P) each | 81381 - HLA I TYPING HIGH RESOLUTION 1 ALLELE/ALLELE GRP | 81381 - HLA I TYPING 1 ALLELE HR | '01/01/2017 | 12/31/2999 |
| 81382 | 81382 - HLA Class II typing high resolution (ie alleles or allele groups); one locus (eg HLA-DRB1 -DRB3/4/5 -DQB1 -DQA1 -DPB1 or -DPA1) each | 81382 - HLA CLASS II TYPING HIGH RESOLUTION ONE LOCUS EA | 81382 - HLA II TYPING 1 LOC HR | '01/01/2017 | 12/31/2999 |
| 81383 | 81383 - HLA Class II typing high resolution (ie alleles or allele groups); one allele or allele group (eg HLA-DQB1*06:02P) each | 81383 - HLA II HIGH RESOLUTION 1 ALLELE/ALLELE GROUP | 81383 - HLA II TYPING 1 ALLELE HR | '01/01/2017 | 12/31/2999 |
| 81400 | 81400 - Molecular pathology procedure Level 1 (eg identification of single germline variant [eg SNP] by techniques such as restriction enzyme digestion or melt curve analysis) ACADM (acyl-CoA dehydrogenase C-4 to C-12 straight chain MCAD) (eg medium chain acyl dehydrogenase deficiency) K304E variant ACE (angiotensin converting enzyme) (eg hereditary blood pressure regulation) insertion/deletion variant AGTR1 (angiotensin II receptor type 1) (eg essential hypertension) 1166A>C variant BCKDHA (branched chain keto acid dehydrogenase E1 alpha polypeptide) (eg maple syrup urine disease type 1A) Y438N variant CCR5 (chemokine C-C motif receptor 5) (eg HIV resistance) 32-bp deletion mutation/794 825del32 deletion CLRN1 (clarin 1) (eg Usher syndrome type 3) N48K variant F2 (coagulation factor 2) (eg hereditary hypercoagulability) 1199G>A variant F5 (coagulation factor V) (eg hereditary hypercoagulability) HR2 variant F7 (coagulation factor VII [serum prothrombin conversion accelerator]) (eg hereditary hypercoagulability) R353Q variant F13B (coagulation factor XIII B polypeptide) (eg hereditary hypercoagulability) V34L variant FGB (fibrinogen beta chain) (eg hereditary ischemic heart disease) -455G>A variant FGFR1 (fibroblast growth factor receptor 1) (eg Pfeiffer syndrome type 1 craniosynostosis) P252R variant FGFR3 (fibroblast growth factor receptor 3) (eg Muenke syndrome) P250R variant FKTN (fukutin) (eg Fukuyama congenital muscular dystrophy) retrotransposon insertion variant GNE (glucosamine [UDP-N-acetyl]-2-epimerase/N-acetylmannosamine kinase) (eg inclusion body myopathy 2 [IBM2] Nonaka myopathy) M712T variant IVD (isovaleryl-CoA dehydrogenase) (eg isovaleric acidemia) A282V variant LCT (lactase-phlorizin hydrolase) (eg lactose intolerance) 13910 C>T variant NEB (nebulin) (eg nemaline myopathy 2) exon 55 deletion variant PCDH15 (protocadherin-related 15) (eg Usher syndrome type 1F) R245X variant SERPINE1 (serpine peptidase inhi | 81400 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 1 | 81400 - MOPATH PROCEDURE LEVEL 1 | '01/01/2018 | 12/31/2999 |
| 81401 | 81401 - Molecular pathology procedure Level 2 (eg 2-10 SNPs 1 methylated variant or 1 somatic variant [typically using nonsequencing target variant analysis] or detection of a dynamic mutation disorder/triplet repeat) ABCC8 (ATP-binding cassette sub-family C [CFTR/MRP] member 8) (eg familial hyperinsulinism) common variants (eg c.3898-9G>A [c.3992-9G>A] F1388del) ABL1 (ABL proto-oncogene 1 non-receptor tyrosine kinase) (eg acquired imatinib resistance) T315I variant ACADM (acyl-CoA dehydrogenase C-4 to C-12 straight chain MCAD) (eg medium chain acyl dehydrogenase deficiency) commons variants (eg K304E Y42H) ADRB2 (adrenergic beta-2 receptor surface) (eg drug metabolism) common variants (eg G16R Q27E) APOB (apolipoprotein B) (eg familial hypercholesterolemia type B) common variants (eg R3500Q R3500W) APOE (apolipoprotein E) (eg hyperlipoproteinemia type III cardiovascular disease Alzheimer disease) common variants (eg *2 *3 *4) CBFB/MYH11 (inv(16)) (eg acute myeloid leukemia) qualitative and quantitative if performed CBS (cystathionine-beta-synthase) (eg homocystinuria cystathionine beta-synthase deficiency) common variants (eg I278T G307S) CFH/ARMS2 (complement factor H/age-related maculopathy susceptibility 2) (eg macular degeneration) common variants (eg Y402H [CFH] A69S [ARMS2]) DEK/NUP214 (t(6;9)) (eg acute myeloid leukemia) translocation analysis qualitative and quantitative if performed E2A/PBX1 (t(1;19)) (eg acute lymphocytic leukemia) translocation analysis qualitative and quantitative if performed EML4/ALK (inv(2)) (eg non-small cell lung cancer) translocation or inversion analysis ETV6/RUNX1 (t(12;21)) (eg acute lymphocytic leukemia) translocation analysis qualitative and quantitative if performed EWSR1/ATF1 (t(12;22)) (eg clear cell sarcoma) translocation analysis qualitative and quantitative if performed EWSR1/ERG (t(21;22)) (eg Ewing sarcoma/peripheral neuroectodermal tumor) translocation a | 81401 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 2 | 81401 - MOPATH PROCEDURE LEVEL 2 | '01/01/2021 | 12/31/2999 |
| 81402 | 81402 - Molecular pathology procedure Level 3 (eg >10 SNPs 2-10 methylated variants or 2-10 somatic variants [typically using non-sequencing target variant analysis] immunoglobulin and T-cell receptor gene rearrangements duplication/deletion variants of 1 exon loss of heterozygosity [LOH] uniparental disomy [UPD]) Chromosome 1p-/19q- (eg glial tumors) deletion analysis Chromosome 18q- (eg D18S55 D18S58 D18S61 D18S64 and D18S69) (eg colon cancer) allelic imbalance assessment (ie loss of heterozygosity) COL1A1/PDGFB (t(17;22)) (eg dermatofibrosarcoma protuberans) translocation analysis multiple breakpoints qualitative and quantitative if performed CYP21A2 (cytochrome P450 family 21 subfamily A polypeptide 2) (eg congenital adrenal hyperplasia 21-hydroxylase deficiency) common variants (eg IVS2-13G P30L I172N exon 6 mutation cluster [I235N V236E M238K] V281L L307FfsX6 Q318X R356W P453S G110VfsX21 30-kb deletion variant) ESR1/PGR (receptor 1/progesterone receptor) ratio (eg breast cancer) MEFV (Mediterranean fever) (eg familial Mediterranean fever) common variants (eg E148Q P369S F479L M680I I692del M694V M694I K695R V726A A744S R761H) TRD@ (T cell antigen receptor delta) (eg leukemia and lymphoma) gene rearrangement analysis evaluation to detect abnormal clonal population Uniparental disomy (UPD) (eg Russell-Silver syndrome Prader-Willi/Angelman syndrome) short tandem repeat (STR) analysis | 81402 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 3 | 81402 - MOPATH PROCEDURE LEVEL 3 | '01/01/2021 | 12/31/2999 |
| 81403 | 81403 - Molecular pathology procedure Level 4 (eg analysis of single exon by DNA sequence analysis analysis of >10 amplicons using multiplex PCR in 2 or more independent reactions mutation scanning or duplication/deletion variants of 2-5 exons) ANG (angiogenin ribonuclease RNase A family 5) (eg amyotrophic lateral sclerosis) full gene sequence ARX (aristaless-related homeobox) (eg X-linked lissencephaly with ambiguous genitalia X-linked mental retardation) duplication/deletion analysis CEL (carboxyl ester lipase [bile salt-stimulated lipase]) (eg maturity-onset diabetes of the young [MODY]) targeted sequence analysis of exon 11 (eg c.1785delC c.1686delT) CTNNB1 (catenin [cadherin-associated protein] beta 1 88kDa) (eg desmoid tumors) targeted sequence analysis (eg exon 3) DAZ/SRY (deleted in azoospermia and sex determining region Y) (eg male infertility) common deletions (eg AZFa AZFb AZFc AZFd) DNMT3A (DNA [cytosine-5-]-methyltransferase 3 alpha) (eg acute myeloid leukemia) targeted sequence analysis (eg exon 23) EPCAM (epithelial cell adhesion molecule) (eg Lynch syndrome) duplication/deletion analysis F8 (coagulation factor VIII) (eg hemophilia A) inversion analysis intron 1 and intron 22A F12 (coagulation factor XII [Hageman factor]) (eg angioedema hereditary type III; factor XII deficiency) targeted sequence analysis of exon 9 FGFR3 (fibroblast growth factor receptor 3) (eg isolated craniosynostosis) targeted sequence analysis (eg exon 7) (For targeted sequence analysis of multiple FGFR3 exons use 81404) GJB1 (gap junction protein beta 1) (eg Charcot-Marie-Tooth X-linked) full gene sequence GNAQ (guanine nucleotide-binding protein G[q] subunit alpha) (eg uveal melanoma) common variants (eg R183 Q209) Human erythrocyte antigen gene analyses (eg SLC14A1 [Kidd blood group] BCAM [Lutheran blood group] ICAM4 [Landsteiner-Wiener blood group] SLC4A1 [Diego blood group] AQP1 [Colton blood group] ERMAP [Scianna blood group] | 81403 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 4 | 81403 - MOPATH PROCEDURE LEVEL 4 | '01/01/2018 | 12/31/2999 |
| 81404 | 81404 - Molecular pathology procedure Level 5 (eg analysis of 2-5 exons by DNA sequence analysis mutation scanning or duplication/deletion variants of 6-10 exons or characterization of a dynamic mutation disorder/triplet repeat by Southern blot analysis) ACADS (acyl-CoA dehydrogenase C-2 to C-3 short chain) (eg short chain acyl-CoA dehydrogenase deficiency) targeted sequence analysis (eg exons 5 and 6) AQP2 (aquaporin 2 [collecting duct]) (eg nephrogenic diabetes insipidus) full gene sequence ARX (aristaless related homeobox) (eg X-linked lissencephaly with ambiguous genitalia X-linked mental retardation) full gene sequence AVPR2 (arginine vasopressin receptor 2) (eg nephrogenic diabetes insipidus) full gene sequence BBS10 (Bardet-Biedl syndrome 10) (eg Bardet-Biedl syndrome) full gene sequence BTD (biotinidase) (eg biotinidase deficiency) full gene sequence C10orf2 (chromosome 10 open reading frame 2) (eg mitochondrial DNA depletion syndrome) full gene sequence CAV3 (caveolin 3) (eg CAV3-related distal myopathy limb-girdle muscular dystrophy type 1C) full gene sequence CD40LG (CD40 ligand) (eg X-linked hyper IgM syndrome) full gene sequence CDKN2A (cyclin-dependent kinase inhibitor 2A) (eg CDKN2A-related cutaneous malignant melanoma familial atypical mole-malignant melanoma syndrome) full gene sequence CLRN1 (clarin 1) (eg Usher syndrome type 3) full gene sequence COX6B1 (cytochrome c oxidase subunit VIb polypeptide 1) (eg mitochondrial respiratory chain complex IV deficiency) full gene sequence CPT2 (carnitine palmitoyltransferase 2) (eg carnitine palmitoyltransferase II deficiency) full gene sequence CRX (cone-rod homeobox) (eg cone-rod dystrophy 2 Leber congenital amaurosis) full gene sequence CYP1B1 (cytochrome P450 family 1 subfamily B polypeptide 1) (eg primary congenital glaucoma) full gene sequence EGR2 (early growth response 2) (eg Charcot-Marie-Tooth) full gene sequence EMD (emerin) (eg Emery-Dreifuss muscular dystro | 81404 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 5 | 81404 - MOPATH PROCEDURE LEVEL 5 | '01/01/2019 | 12/31/2999 |
| 81405 | 81405 - Molecular pathology procedure Level 6 (eg analysis of 6-10 exons by DNA sequence analysis mutation scanning or duplication/deletion variants of 11-25 exons regionally targeted cytogenomic array analysis) ABCD1 (ATP-binding cassette sub-family D [ALD] member 1) (eg adrenoleukodystrophy) full gene sequence ACADS (acyl-CoA dehydrogenase C-2 to C-3 short chain) (eg short chain acyl-CoA dehydrogenase deficiency) full gene sequence ACTA2 (actin alpha 2 smooth muscle aorta) (eg thoracic aortic aneurysms and aortic dissections) full gene sequence ACTC1 (actin alpha cardiac muscle 1) (eg familial hypertrophic cardiomyopathy) full gene sequence ANKRD1 (ankyrin repeat domain 1) (eg dilated cardiomyopathy) full gene sequence APTX (aprataxin) (eg ataxia with oculomotor apraxia 1) full gene sequence ARSA (arylsulfatase A) (eg arylsulfatase A deficiency) full gene sequence BCKDHA (branched chain keto acid dehydrogenase E1 alpha polypeptide) (eg maple syrup urine disease type 1A) full gene sequence BCS1L (BCS1-like [S. cerevisiae]) (eg Leigh syndrome mitochondrial complex III deficiency GRACILE syndrome) full gene sequence BMPR2 (bone morphogenetic protein receptor type II [serine/threonine kinase]) (eg heritable pulmonary arterial hypertension) duplication/deletion analysis CASQ2 (calsequestrin 2 [cardiac muscle]) (eg catecholaminergic polymorphic ventricular tachycardia) full gene sequence CASR (calcium-sensing receptor) (eg hypocalcemia) full gene sequence CDKL5 (cyclin-dependent kinase-like 5) (eg early infantile epileptic encephalopathy) duplication/deletion analysis CHRNA4 (cholinergic receptor nicotinic alpha 4) (eg nocturnal frontal lobe epilepsy) full gene sequence CHRNB2 (cholinergic receptor nicotinic beta 2 [neuronal]) (eg nocturnal frontal lobe epilepsy) full gene sequence COX10 (COX10 homolog cytochrome c oxidase assembly protein) (eg mitochondrial respiratory chain complex IV deficiency) full gene sequence COX15 ( | 81405 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 6 | 81405 - MOPATH PROCEDURE LEVEL 6 | '01/01/2023 | 12/31/2999 |
| 81406 | 81406 - Molecular pathology procedure Level 7 (eg analysis of 11-25 exons by DNA sequence analysis mutation scanning or duplication/deletion variants of 26-50 exons) ACADVL (acyl-CoA dehydrogenase very long chain) (eg very long chain acyl-coenzyme A dehydrogenase deficiency) full gene sequence ACTN4 (actinin alpha 4) (eg focal segmental glomerulosclerosis) full gene sequence AFG3L2 (AFG3 ATPase family gene 3-like 2 [S. cerevisiae]) (eg spinocerebellar ataxia) full gene sequence AIRE (autoimmune regulator) (eg autoimmune polyendocrinopathy syndrome type 1) full gene sequence ALDH7A1 (aldehyde dehydrogenase 7 family member A1) (eg pyridoxine-dependent epilepsy) full gene sequence ANO5 (anoctamin 5) (eg limb-girdle muscular dystrophy) full gene sequence ANOS1 (anosmin-1) (eg Kallmann syndrome 1) full gene sequence APP (amyloid beta [A4] precursor protein) (eg Alzheimer disease) full gene sequence ASS1 (argininosuccinate synthase 1) (eg citrullinemia type I) full gene sequence ATL1 (atlastin GTPase 1) (eg spastic paraplegia) full gene sequence ATP1A2 (ATPase Na+/K+ transporting alpha 2 polypeptide) (eg familial hemiplegic migraine) full gene sequence ATP7B (ATPase Cu++ transporting beta polypeptide) (eg Wilson disease) full gene sequence BBS1 (Bardet-Biedl syndrome 1) (eg Bardet-Biedl syndrome) full gene sequence BBS2 (Bardet-Biedl syndrome 2) (eg Bardet-Biedl syndrome) full gene sequence BCKDHB (branched-chain keto acid dehydrogenase E1 beta polypeptide) (eg maple syrup urine disease type 1B) full gene sequence BEST1 (bestrophin 1) (eg vitelliform macular dystrophy) full gene sequence BMPR2 (bone morphogenetic protein receptor type II [serine/threonine kinase]) (eg heritable pulmonary arterial hypertension) full gene sequence BRAF (B-Raf proto-oncogene serine/threonine kinase) (eg Noonan syndrome) full gene sequence BSCL2 (Berardinelli-Seip congenital lipodystrophy 2 [seipin]) (eg Berardinelli-Seip congenital lipodystrophy) f | 81406 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 7 | 81406 - MOPATH PROCEDURE LEVEL 7 | '01/01/2020 | 12/31/2999 |
| 81407 | 81407 - Molecular pathology procedure Level 8 (eg analysis of 26-50 exons by DNA sequence analysis mutation scanning or duplication/deletion variants of >50 exons sequence analysis of multiple genes on one platform) ABCC8 (ATP-binding cassette sub-family C [CFTR/MRP] member 8) (eg familial hyperinsulinism) full gene sequence AGL (amylo-alpha-1 6-glucosidase 4-alpha-glucanotransferase) (eg glycogen storage disease type III) full gene sequence AHI1 (Abelson helper integration site 1) (eg Joubert syndrome) full gene sequence APOB (apolipoprotein B) (eg familial hypercholesterolemia type B) full gene sequence ASPM (asp [abnormal spindle] homolog microcephaly associated [Drosophila]) (eg primary microcephaly) full gene sequence CHD7 (chromodomain helicase DNA binding protein 7) (eg CHARGE syndrome) full gene sequence COL4A4 (collagen type IV alpha 4) (eg Alport syndrome) full gene sequence COL4A5 (collagen type IV alpha 5) (eg Alport syndrome) duplication/deletion analysis COL6A1 (collagen type VI alpha 1) (eg collagen type VI-related disorders) full gene sequence COL6A2 (collagen type VI alpha 2) (eg collagen type VI-related disorders) full gene sequence COL6A3 (collagen type VI alpha 3) (eg collagen type VI-related disorders) full gene sequence CREBBP (CREB binding protein) (eg Rubinstein-Taybi syndrome) full gene sequence F8 (coagulation factor VIII) (eg hemophilia A) full gene sequence JAG1 (jagged 1) (eg Alagille syndrome) full gene sequence KDM5C (lysine [K]-specific demethylase 5C) (eg X-linked mental retardation) full gene sequence KIAA0196 (KIAA0196) (eg spastic paraplegia) full gene sequence L1CAM (L1 cell adhesion molecule) (eg MASA syndrome X-linked hydrocephaly) full gene sequence LAMB2 (laminin beta 2 [laminin S]) (eg Pierson syndrome) full gene sequence MYBPC3 (myosin binding protein C cardiac) (eg familial hypertrophic cardiomyopathy) full gene sequence MYH6 (myosin heavy chain 6 cardiac muscle alpha) | 81407 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 8 | 81407 - MOPATH PROCEDURE LEVEL 8 | '01/01/2020 | 12/31/2999 |
| 81408 | 81408 - Molecular pathology procedure Level 9 (eg analysis of >50 exons in a single gene by DNA sequence analysis) ABCA4 (ATP-binding cassette sub-family A [ABC1] member 4) (eg Stargardt disease age-related macular degeneration) full gene sequence ATM (ataxia telangiectasia mutated) (eg ataxia telangiectasia) full gene sequence CDH23 (cadherin-related 23) (eg Usher syndrome type 1) full gene sequence CEP290 (centrosomal protein 290kDa) (eg Joubert syndrome) full gene sequence COL1A1 (collagen type I alpha 1) (eg osteogenesis imperfecta type I) full gene sequence COL1A2 (collagen type I alpha 2) (eg osteogenesis imperfecta type I) full gene sequence COL4A1 (collagen type IV alpha 1) (eg brain small-vessel disease with hemorrhage) full gene sequence COL4A3 (collagen type IV alpha 3 [Goodpasture antigen]) (eg Alport syndrome) full gene sequence COL4A5 (collagen type IV alpha 5) (eg Alport syndrome) full gene sequence DMD (dystrophin) (eg Duchenne/Becker muscular dystrophy) full gene sequence DYSF (dysferlin limb girdle muscular dystrophy 2B [autosomal recessive]) (eg limb-girdle muscular dystrophy) full gene sequence FBN1 (fibrillin 1) (eg Marfan syndrome) full gene sequence ITPR1 (inositol 1 4 5-trisphosphate receptor type 1) (eg spinocerebellar ataxia) full gene sequence LAMA2 (laminin alpha 2) (eg congenital muscular dystrophy) full gene sequence LRRK2 (leucine-rich repeat kinase 2) (eg Parkinson disease) full gene sequence MYH11 (myosin heavy chain 11 smooth muscle) (eg thoracic aortic aneurysms and aortic dissections) full gene sequence NEB (nebulin) (eg nemaline myopathy 2) full gene sequence NF1 (neurofibromin 1) (eg neurofibromatosis type 1) full gene sequence PKHD1 (polycystic kidney and hepatic disease 1) (eg autosomal recessive polycystic kidney disease) full gene sequence RYR1 (ryanodine receptor 1 skeletal) (eg malignant hyperthermia) full gene sequence RYR2 (ryanodine receptor 2 [cardiac]) (eg cate | 81408 - MOLECULAR PATHOLOGY PROCEDURE LEVEL 9 | 81408 - MOPATH PROCEDURE LEVEL 9 | '01/01/2017 | 12/31/2999 |
| 81410 | 81410 - Aortic dysfunction or dilation (eg Marfan syndrome Loeys Dietz syndrome Ehler Danlos syndrome type IV arterial tortuosity syndrome); genomic sequence analysis panel must include sequencing of at least 9 genes including FBN1 TGFBR1 TGFBR2 COL3A1 MYH11 ACTA2 SLC2A10 SMAD3 and MYLK | 81410 - AORTIC DYSFUNCTION/DILATION GENOMIC SEQ ANALYSIS | 81410 - AORTIC DYSFUNCTION/DILATION | '01/01/2017 | 12/31/2999 |
| 81411 | 81411 - Aortic dysfunction or dilation (eg Marfan syndrome Loeys Dietz syndrome Ehler Danlos syndrome type IV arterial tortuosity syndrome); duplication/deletion analysis panel must include analyses for TGFBR1 TGFBR2 MYH11 and COL3A1 | 81411 - AORTIC DYSFUNCTION/DILATION DUP/DEL ANALYSIS | 81411 - AORTIC DYSFUNCTION/DILATION | '01/01/2017 | 12/31/2999 |
| 81412 | 81412 - Ashkenazi Jewish associated disorders (eg Bloom syndrome Canavan disease cystic fibrosis familial dysautonomia Fanconi anemia group C Gaucher disease Tay-Sachs disease) genomic sequence analysis panel must include sequencing of at least 9 genes including ASPA BLM CFTR FANCC GBA HEXA IKBKAP MCOLN1 and SMPD1 | 81412 - ASHKENAZI JEWISH ASSOC DSRDRS GEN SEQ ANAL 9 GEN | 81412 - ASHKENAZI JEWISH ASSOC DIS | '01/01/2017 | 12/31/2999 |
| 81413 | 81413 - Cardiac ion channelopathies (eg Brugada syndrome long QT syndrome short QT syndrome catecholaminergic polymorphic ventricular tachycardia); genomic sequence analysis panel must include sequencing of at least 10 genes including ANK2 CASQ2 CAV3 KCNE1 KCNE2 KCNH2 KCNJ2 KCNQ1 RYR2 and SCN5A | 81413 - CAR ION CHNNLPATH GENOMIC SEQ ALYS INC 10 GNS | 81413 - CAR ION CHNNLPATH INC 10 GNS | '01/01/2017 | 12/31/2999 |
| 81414 | 81414 - Cardiac ion channelopathies (eg Brugada syndrome long QT syndrome short QT syndrome catecholaminergic polymorphic ventricular tachycardia); duplication/deletion gene analysis panel must include analysis of at least 2 genes including KCNH2 and KCNQ1 | 81414 - CAR ION CHNNLPATH DUP/DEL GN ALYS PANEL 2 GENES | 81414 - CAR ION CHNNLPATH INC 2 GNS | '01/01/2017 | 12/31/2999 |
| 81415 | 81415 - Exome (eg unexplained constitutional or heritable disorder or syndrome); sequence analysis | 81415 - EXOME SEQUENCE ANALYSIS | 81415 - EXOME SEQUENCE ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81416 | 81416 - Exome (eg unexplained constitutional or heritable disorder or syndrome); sequence analysis each comparator exome (eg parents siblings) (List separately in addition to code for primary procedure) | 81416 - EXOME SEQUENCE ANALYSIS EACH COMPARATOR EXOME | 81416 - EXOME SEQUENCE ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81417 | 81417 - Exome (eg unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained exome sequence (eg updated knowledge or unrelated condition/syndrome) | 81417 - EXOME RE-EVAL OF PREVIOUSLY OBTAINED EXOME SEQ | 81417 - EXOME RE-EVALUATION | '01/01/2017 | 12/31/2999 |
| 81418 | 81418 - Drug metabolism (eg pharmacogenomics) genomic sequence analysis panel must include testing of at least 6 genes including CYP2C19 CYP2D6 and CYP2D6 duplication/deletion analysis | 81418 - RX METAB GENOMIC SEQ ALYS PANEL AT LEAST 6 GENES | 81418 - RX METAB GEN SEQ ALYS PNL 6 | '01/01/2023 | 12/31/2999 |
| 81419 | 81419 - Epilepsy genomic sequence analysis panel must include analyses for ALDH7A1 CACNA1A CDKL5 CHD2 GABRG2 GRIN2A KCNQ2 MECP2 PCDH19 POLG PRRT2 SCN1A SCN1B SCN2A SCN8A SLC2A1 SLC9A6 STXBP1 SYNGAP1 TCF4 TPP1 TSC1 TSC2 and ZEB2 | 81419 - EPILEPSY GENOMIC SEQUENCE ANALYSIS PANEL | 81419 - EPILEPSY GEN SEQ ALYS PANEL | '01/01/2021 | 12/31/2999 |
| 81420 | 81420 - Fetal chromosomal aneuploidy (eg trisomy 21 monosomy X) genomic sequence analysis panel circulating cell-free fetal DNA in maternal blood must include analysis of chromosomes 13 18 and 21 | 81420 - FETAL CHROMOSOMAL ANEUPLOIDY GENOMIC SEQ ANALYS | 81420 - FETAL CHRMOML ANEUPLOIDY | '01/01/2017 | 12/31/2999 |
| 81422 | 81422 - Fetal chromosomal microdeletion(s) genomic sequence analysis (eg DiGeorge syndrome Cri-du-chat syndrome) circulating cell-free fetal DNA in maternal blood | 81422 - FETAL CHROMOSOMAL MICRODELTJ GENOMIC SEQ ANALYS | 81422 - FETAL CHRMOML MICRODELTJ | '01/01/2017 | 12/31/2999 |
| 81425 | 81425 - Genome (eg unexplained constitutional or heritable disorder or syndrome); sequence analysis | 81425 - GENOME SEQUENCE ANALYSIS | 81425 - GENOME SEQUENCE ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81426 | 81426 - Genome (eg unexplained constitutional or heritable disorder or syndrome); sequence analysis each comparator genome (eg parents siblings) (List separately in addition to code for primary procedure) | 81426 - GENOME SEQUENCE ANALYSIS EACH COMPARATOR GENOME | 81426 - GENOME SEQUENCE ANALYSIS | '01/01/2017 | 12/31/2999 |
| 81427 | 81427 - Genome (eg unexplained constitutional or heritable disorder or syndrome); re-evaluation of previously obtained genome sequence (eg updated knowledge or unrelated condition/syndrome) | 81427 - GENOME RE-EVALUATION OF PREC OBTAINED GENOME SEQ | 81427 - GENOME RE-EVALUATION | '01/01/2017 | 12/31/2999 |
| 81430 | 81430 - Hearing loss (eg nonsyndromic hearing loss Usher syndrome Pendred syndrome); genomic sequence analysis panel must include sequencing of at least 60 genes including CDH23 CLRN1 GJB2 GPR98 MTRNR1 MYO7A MYO15A PCDH15 OTOF SLC26A4 TMC1 TMPRSS3 USH1C USH1G USH2A and WFS1 | 81430 - HEARING LOSS GENOMIC SEQUENCE ANALYSIS 60 GENES | 81430 - HEARING LOSS SEQUENCE ANALYS | '01/01/2017 | 12/31/2999 |
| 81431 | 81431 - Hearing loss (eg nonsyndromic hearing loss Usher syndrome Pendred syndrome); duplication/deletion analysis panel must include copy number analyses for STRC and DFNB1 deletions in GJB2 and GJB6 genes | 81431 - HEARING LOSS DUP/DEL ANALYSIS | 81431 - HEARING LOSS DUP/DEL ANALYS | '01/01/2017 | 12/31/2999 |
| 81432 | 81432 - Hereditary breast cancer-related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer); genomic sequence analysis panel must include sequencing of at least 10 genes always including BRCA1 BRCA2 CDH1 MLH1 MSH2 MSH6 PALB2 PTEN STK11 and TP53 | 81432 - HEREDITARY BRST CA-RELATED GEN SEQ ANALYS 10 GEN | 81432 - HRDTRY BRST CA-RLATD DSORDRS | '01/01/2018 | 12/31/2999 |
| 81433 | 81433 - Hereditary breast cancer-related disorders (eg hereditary breast cancer hereditary ovarian cancer hereditary endometrial cancer); duplication/deletion analysis panel must include analyses for BRCA1 BRCA2 MLH1 MSH2 and STK11 | 81433 - HEREDITARY BRST CA-RELATED DUP/DEL ANALYSIS | 81433 - HRDTRY BRST CA-RLATD DSORDRS | '01/01/2017 | 12/31/2999 |
| 81434 | 81434 - Hereditary retinal disorders (eg retinitis pigmentosa Leber congenital amaurosis cone-rod dystrophy) genomic sequence analysis panel must include sequencing of at least 15 genes including ABCA4 CNGA1 CRB1 EYS PDE6A PDE6B PRPF31 PRPH2 RDH12 RHO RP1 RP2 RPE65 RPGR and USH2A | 81434 - HEREDITARY RETINAL DSRDRS GEN SEQ ANALYS 15 GEN | 81434 - HEREDITARY RETINAL DISORDERS | '01/01/2017 | 12/31/2999 |
| 81435 | 81435 - Hereditary colon cancer disorders (eg Lynch syndrome PTEN hamartoma syndrome Cowden syndrome familial adenomatosis polyposis); genomic sequence analysis panel must include sequencing of at least 10 genes including APC BMPR1A CDH1 MLH1 MSH2 MSH6 MUTYH PTEN SMAD4 and STK11 | 81435 - HEREDITARY COLON CA DSRDRS GEN SEQ ANALYS 10 GEN | 81435 - HEREDITARY COLON CA DSORDRS | '01/01/2017 | 12/31/2999 |
| 81436 | 81436 - Hereditary colon cancer disorders (eg Lynch syndrome PTEN hamartoma syndrome Cowden syndrome familial adenomatosis polyposis); duplication/deletion analysis panel must include analysis of at least 5 genes including MLH1 MSH2 EPCAM SMAD4 and STK11 | 81436 - HEREDITARY COLON CA DSRDRS DUP/DEL ANALYS 5 GEN | 81436 - HEREDITARY COLON CA DSORDRS | '01/01/2017 | 12/31/2999 |
| 81437 | 81437 - Hereditary neuroendocrine tumor disorders (eg medullary thyroid carcinoma parathyroid carcinoma malignant pheochromocytoma or paraganglioma); genomic sequence analysis panel must include sequencing of at least 6 genes including MAX SDHB SDHC SDHD TMEM127 and VHL | 81437 - HEREDTRY NURONDCRN TUM DSRDRS GEN SEQ ANAL 6 GEN | 81437 - HEREDTRY NURONDCRN TUM DSRDR | '01/01/2017 | 12/31/2999 |
| 81438 | 81438 - Hereditary neuroendocrine tumor disorders (eg medullary thyroid carcinoma parathyroid carcinoma malignant pheochromocytoma or paraganglioma); duplication/deletion analysis panel must include analyses for SDHB SDHC SDHD and VHL | 81438 - HEREDTRY NURONDCRN TUM DSRDRS DUP/DEL ANALYSIS | 81438 - HEREDTRY NURONDCRN TUM DSRDR | '01/01/2017 | 12/31/2999 |
| 81439 | 81439 - Hereditary cardiomyopathy (eg hypertrophic cardiomyopathy dilated cardiomyopathy arrhythmogenic right ventricular cardiomyopathy) genomic sequence analysis panel must include sequencing of at least 5 cardiomyopathy-related genes (eg DSG2 MYBPC3 MYH7 PKP2 TTN) | 81439 - HEREDITARY CARDIOMYOPATHY GEN SEQ ANALYS 5 GEN | 81439 - HRDTRY CARDMYPY GENE PANEL | '01/01/2018 | 12/31/2999 |
| 81440 | 81440 - Nuclear encoded mitochondrial genes (eg neurologic or myopathic phenotypes) genomic sequence panel must include analysis of at least 100 genes including BCS1L C10orf2 COQ2 COX10 DGUOK MPV17 OPA1 PDSS2 POLG POLG2 RRM2B SCO1 SCO2 SLC25A4 SUCLA2 SUCLG1 TAZ TK2 and TYMP | 81440 - NUCLEAR MITOCHONDRIAL 100 GENE GENOMIC SEQ | 81440 - MITOCHONDRIAL GENE | '01/01/2017 | 12/31/2999 |
| 81441 | 81441 - Inherited bone marrow failure syndromes (IBMFS) (eg Fanconi anemia dyskeratosis congenita Diamond-Blackfan anemia Shwachman-Diamond syndrome GATA2 deficiency syndrome congenital amegakaryocytic thrombocytopenia) sequence analysis panel must include sequencing of at least 30 genes including BRCA2 BRIP1 DKC1 FANCA FANCB FANCC FANCD2 FANCE FANCF FANCG FANCI FANCL GATA1 GATA2 MPL NHP2 NOP10 PALB2 RAD51C RPL11 RPL35A RPL5 RPS10 RPS19 RPS24 RPS26 RPS7 SBDS TERT and TINF2 | 81441 - IBMFS SEQUENCE ANALYSIS PANEL AT LEAST 30 GENES | 81441 - IBMFS SEQ ALYS PNL 30 GENES | '01/01/2023 | 12/31/2999 |
| 81442 | 81442 - Noonan spectrum disorders (eg Noonan syndrome cardio-facio-cutaneous syndrome Costello syndrome LEOPARD syndrome Noonan-like syndrome) genomic sequence analysis panel must include sequencing of at least 12 genes including BRAF CBL HRAS KRAS MAP2K1 MAP2K2 NRAS PTPN11 RAF1 RIT1 SHOC2 and SOS1 | 81442 - NOONAN SPECTRUM DISORDERS GEN SEQ ANALYS 12 GEN | 81442 - NOONAN SPECTRUM DISORDERS | '01/01/2017 | 12/31/2999 |
| 81443 | 81443 - Genetic testing for severe inherited conditions (eg cystic fibrosis Ashkenazi Jewish-associated disorders [eg Bloom syndrome Canavan disease Fanconi anemia type C mucolipidosis type VI Gaucher disease Tay-Sachs disease] beta hemoglobinopathies phenylketonuria galactosemia) genomic sequence analysis panel must include sequencing of at least 15 genes (eg ACADM ARSA ASPA ATP7B BCKDHA BCKDHB BLM CFTR DHCR7 FANCC G6PC GAA GALT GBA GBE1 HBB HEXA IKBKAP MCOLN1 PAH) | 81443 - GENETIC TESTING FOR SEVERE INHERITED CONDITIONS | 81443 - GENETIC TSTG SEVERE INH COND | '01/01/2019 | 12/31/2999 |
| 81445 | 81445 - Targeted genomic sequence analysis panel solid organ neoplasm 5-50 genes (eg ALK BRAF CDKN2A EGFR ERBB2 KIT KRAS MET NRAS PDGFRA PDGFRB PGR PIK3CA PTEN RET) interrogation for sequence variants and copy number variants or rearrangements if performed; DNA analysis or combined DNA and RNA analysis | 81445 - TGSAP SOLID ORGAN NEOPLASM 5-50 DNA/DNA&RNA ALYS | 81445 - TGSAP SO NEO 5-50DNA/DNA&RNA | '01/01/2023 | 12/31/2999 |
| 81448 | 81448 - Hereditary peripheral neuropathies (eg Charcot-Marie-Tooth spastic paraplegia) genomic sequence analysis panel must include sequencing of at least 5 peripheral neuropathy-related genes (eg BSCL2 GJB1 MFN2 MPZ REEP1 SPAST SPG11 SPTLC1) | 81448 - HEREDITARY PERIPHERAL NEUROPATHY GEN SEQ PNL | 81448 - HRDTRY PERPH NEURPHY PANEL | '01/01/2018 | 12/31/2999 |
| 81449 | 81449 - Targeted genomic sequence analysis panel solid organ neoplasm 5-50 genes (eg ALK BRAF CDKN2A EGFR ERBB2 KIT KRAS MET NRAS PDGFRA PDGFRB PGR PIK3CA PTEN RET) interrogation for sequence variants and copy number variants or rearrangements if performed; RNA analysis | 81449 - TGSAP SOLID ORGAN NEOPLASM 5-50 RNA ANALYSIS | 81449 - TGSAP SO NEO 5-50 RNA ALYS | '01/01/2023 | 12/31/2999 |
| 81450 | 81450 - Targeted genomic sequence analysis panel hematolymphoid neoplasm or disorder 5-50 genes (eg BRAF CEBPA DNMT3A EZH2 FLT3 IDH1 IDH2 JAK2 KIT KRAS MLL NOTCH1 NPM1 NRAS) interrogation for sequence variants and copy number variants or rearrangements or isoform expression or mRNA expression levels if performed; DNA analysis or combined DNA and RNA analysis | 81450 - TGSAP HEMATOLYMPHOID NEO/DO 5-50DNA/DNA&RNA ALYS | 81450 - TGSAP HL NEO 5-50DNA/DNA&RNA | '01/01/2023 | 12/31/2999 |
| 81451 | 81451 - Targeted genomic sequence analysis panel hematolymphoid neoplasm or disorder 5-50 genes (eg BRAF CEBPA DNMT3A EZH2 FLT3 IDH1 IDH2 JAK2 KIT KRAS MLL NOTCH1 NPM1 NRAS) interrogation for sequence variants and copy number variants or rearrangements or isoform expression or mRNA expression levels if performed; RNA analysis | 81451 - TGSAP HEMATOLYMPHOID NEO/DO 5-50 RNA ANALYSIS | 81451 - TGSAP HL NEO 5-50 RNA ALYS | '01/01/2023 | 12/31/2999 |
| 81455 | 81455 - Targeted genomic sequence analysis panel solid organ or hematolymphoid neoplasm or disorder 51 or greater genes (eg ALK BRAF CDKN2A CEBPA DNMT3A EGFR ERBB2 EZH2 FLT3 IDH1 IDH2 JAK2 KIT KRAS MET MLL NOTCH1 NPM1 NRAS PDGFRA PDGFRB PGR PIK3CA PTEN RET) interrogation for sequence variants and copy number variants or rearrangements or isoform expression or mRNA expression levels if performed; DNA analysis or combined DNA and RNA analysis | 81455 - TGSAP SO/HEMATOLYMPHOID NEO/DO 51/| '01/01/2023 | 12/31/2999 | | |
| 81456 | 81456 - Targeted genomic sequence analysis panel solid organ or hematolymphoid neoplasm or disorder 51 or greater genes (eg ALK BRAF CDKN2A CEBPA DNMT3A EGFR ERBB2 EZH2 FLT3 IDH1 IDH2 JAK2 KIT KRAS MET MLL NOTCH1 NPM1 NRAS PDGFRA PDGFRB PGR PIK3CA PTEN RET) interrogation for sequence variants and copy number variants or rearrangements or isoform expression or mRNA expression levels if performed; RNA analysis | 81456 - TGSAP SO/HEMATOLYMPHOID NEO/DO 51/| '01/01/2023 | 12/31/2999 | | |
| 81460 | 81460 - Whole mitochondrial genome (eg Leigh syndrome mitochondrial encephalomyopathy lactic acidosis and stroke-like episodes [MELAS] myoclonic epilepsy with ragged-red fibers [MERFF] neuropathy ataxia and retinitis pigmentosa [NARP] Leber hereditary optic neuropathy [LHON]) genomic sequence must include sequence analysis of entire mitochondrial genome with heteroplasmy detection | 81460 - WHOLE MITOCHONDRIAL GENOME | 81460 - WHOLE MITOCHONDRIAL GENOME | '01/01/2017 | 12/31/2999 |
| 81465 | 81465 - Whole mitochondrial genome large deletion analysis panel (eg Kearns-Sayre syndrome chronic progressive external ophthalmoplegia) including heteroplasmy detection if performed | 81465 - WHOLE MITOCHONDRIAL GENOME ANALYSIS PANEL | 81465 - WHOLE MITOCHONDRIAL GENOME | '01/01/2017 | 12/31/2999 |
| 81470 | 81470 - X-linked intellectual disability (XLID) (eg syndromic and non-syndromic XLID); genomic sequence analysis panel must include sequencing of at least 60 genes including ARX ATRX CDKL5 FGD1 FMR1 HUWE1 IL1RAPL KDM5C L1CAM MECP2 MED12 MID1 OCRL RPS6KA3 and SLC16A2 | 81470 - X-LINKED INTELLECTUAL DBLT GENOMIC SEQ ANALYS | 81470 - X-LINKED INTELLECTUAL DBLT | '01/01/2017 | 12/31/2999 |
| 81471 | 81471 - X-linked intellectual disability (XLID) (eg syndromic and non-syndromic XLID); duplication/deletion gene analysis must include analysis of at least 60 genes including ARX ATRX CDKL5 FGD1 FMR1 HUWE1 IL1RAPL KDM5C L1CAM MECP2 MED12 MID1 OCRL RPS6KA3 and SLC16A2 | 81471 - X-LINKED INTELLECTUAL DBLT DUP/DEL GENE ANALYS | 81471 - X-LINKED INTELLECTUAL DBLT | '01/01/2017 | 12/31/2999 |
| 81479 | 81479 - Unlisted molecular pathology procedure | 81479 - UNLISTED MOLECULAR PATHOLOGY PROCEDURE | 81479 - UNLISTED MOLECULAR PATHOLOGY | '01/01/2020 | 12/31/2999 |
| 81490 | 81490 - Autoimmune (rheumatoid arthritis) analysis of 12 biomarkers using immunoassays utilizing serum prognostic algorithm reported as a disease activity score | 81490 - AUTOIMMUNE RHEUMATOID ARTHRTS ANALYS 12 BIOMRKRS | 81490 - AUTOIMMUNE RHEUMATOID ARTHR | '01/01/2017 | 12/31/2999 |
| 81493 | 81493 - Coronary artery disease mRNA gene expression profiling by real-time RT-PCR of 23 genes utilizing whole peripheral blood algorithm reported as a risk score | 81493 - COR ART DISEASE MRNA GENE EXPRESSION 23 GENES | 81493 - COR ARTERY DISEASE MRNA | '01/01/2017 | 12/31/2999 |
| 81500 | 81500 - Oncology (ovarian) biochemical assays of two proteins (CA-125 and HE4) utilizing serum with menopausal status algorithm reported as a risk score | 81500 - ONCO (OVARIAN) BIOCHEMICAL ASSAY TWO PROTEINS | 81500 - ONCO (OVAR) TWO PROTEINS | '01/01/2017 | 12/31/2999 |
| 81503 | 81503 - Oncology (ovarian) biochemical assays of five proteins (CA-125 apolipoprotein A1 beta-2 microglobulin transferrin and pre-albumin) utilizing serum algorithm reported as a risk score | 81503 - ONCO (OVARIAN) BIOCHEMICAL ASSAY FIVE PROTEINS | 81503 - ONCO (OVAR) FIVE PROTEINS | '01/01/2017 | 12/31/2999 |
| 81504 | 81504 - Oncology (tissue of origin) microarray gene expression profiling of > 2000 genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as tissue similarity scores | 81504 - ONCOLOGY TISSUE OF ORIGIN SIMILAR SCOR ALGORITHM | 81504 - ONCOLOGY TISSUE OF ORIGIN | '01/01/2017 | 12/31/2999 |
| 81506 | 81506 - Endocrinology (type 2 diabetes) biochemical assays of seven analytes (glucose HbA1c insulin hs-CRP adiponectin ferritin interleukin 2-receptor alpha) utilizing serum or plasma algorithm reporting a risk score | 81506 - ENDOCRINOLOGY BIOCHEMICAL ASSAY SEVEN ANAL | 81506 - ENDO ASSAY SEVEN ANAL | '01/01/2017 | 12/31/2999 |
| 81507 | 81507 - Fetal aneuploidy (trisomy 21 18 and 13) DNA sequence analysis of selected regions using maternal plasma algorithm reported as a risk score for each trisomy | 81507 - FETAL ANEUPLOIDY 21 18 13 SEQ ANALY TRISOM RISK | 81507 - FETAL ANEUPLOIDY TRISOM RISK | '01/01/2017 | 12/31/2999 |
| 81508 | 81508 - Fetal congenital abnormalities biochemical assays of two proteins (PAPP-A hCG [any form]) utilizing maternal serum algorithm reported as a risk score | 81508 - FETAL CONGENITAL ABNOR ASSAY TWO PROTEINS | 81508 - FTL CGEN ABNOR TWO PROTEINS | '01/01/2017 | 12/31/2999 |
| 81509 | 81509 - Fetal congenital abnormalities biochemical assays of three proteins (PAPP-A hCG [any form] DIA) utilizing maternal serum algorithm reported as a risk score | 81509 - FETAL CONGENITAL ABNOR ASSAY 3 PROTEINS | 81509 - FTL CGEN ABNOR 3 PROTEINS | '01/01/2017 | 12/31/2999 |
| 81510 | 81510 - Fetal congenital abnormalities biochemical assays of three analytes (AFP uE3 hCG [any form]) utilizing maternal serum algorithm reported as a risk score | 81510 - FETAL CONGENITAL ABNOR ASSAY THREE ANAL | 81510 - FTL CGEN ABNOR THREE ANAL | '01/01/2017 | 12/31/2999 |
| 81511 | 81511 - Fetal congenital abnormalities biochemical assays of four analytes (AFP uE3 hCG [any form] DIA) utilizing maternal serum algorithm reported as a risk score (may include additional results from previous biochemical testing) | 81511 - FETAL CONGENITAL ABNOR ASSAY FOUR ANAL | 81511 - FTL CGEN ABNOR FOUR ANAL | '01/01/2017 | 12/31/2999 |
| 81512 | 81512 - Fetal congenital abnormalities biochemical assays of five analytes (AFP uE3 total hCG hyperglycosylated hCG DIA) utilizing maternal serum algorithm reported as a risk score | 81512 - FETAL CONGENITAL ABNOR ASSAY FIVE ANAL | 81512 - FTL CGEN ABNOR FIVE ANAL | '01/01/2017 | 12/31/2999 |
| 81513 | 81513 - Infectious disease bacterial vaginosis quantitative real-time amplification of RNA markers for Atopobium vaginae Gardnerella vaginalis and Lactobacillus species utilizing vaginal-fluid specimens algorithm reported as a positive or negative result for bacterial vaginosis | 81513 - NFCT DS BACTERAL VAGINOSIS RNA VAGINAL-FLUID ALG | 81513 - NFCT DS BV RNA VAG FLU ALG | '01/01/2021 | 12/31/2999 |
| 81514 | 81514 - Infectious disease bacterial vaginosis and vaginitis quantitative real-time amplification of DNA markers for Gardnerella vaginalis Atopobium vaginae Megasphaera type 1 Bacterial Vaginosis Associated Bacteria-2 (BVAB-2) and Lactobacillus species (L. crispatus and L. jensenii) utilizing vaginal-fluid specimens algorithm reported as a positive or negative for high likelihood of bacterial vaginosis includes separate detection of Trichomonas vaginalis and/or Candida species (C. albicans C. tropicalis C. parapsilosis C. dubliniensis) Candida glabrata Candida krusei when reported | 81514 - NFCT DS BCT VAGINOSIS&VAGINITIS DNA VAG FLU ALG | 81514 - NFCT DS BV&VAGINITIS DNA ALG | '01/01/2021 | 12/31/2999 |
| 81518 | 81518 - Oncology (breast) mRNA gene expression profiling by real-time RT-PCR of 11 genes (7 content and 4 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithms reported as percentage risk for metastatic recurrence and likelihood of benefit from extended endocrine therapy | 81518 - ONCOLOGY BREAST MRNA GENE EXPRESSION 11 GENES | 81518 - ONC BRST MRNA 11 GENES | '01/01/2019 | 12/31/2999 |
| 81519 | 81519 - Oncology (breast) mRNA gene expression profiling by real-time RT-PCR of 21 genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as recurrence score | 81519 - ONCOLOGY BREAST MRNA GENE EXPRESSION 21 GENES | 81519 - ONCOLOGY BREAST MRNA | '01/01/2018 | 12/31/2999 |
| 81520 | 81520 - Oncology (breast) mRNA gene expression profiling by hybrid capture of 58 genes (50 content and 8 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a recurrence risk score | 81520 - ONC BREAST MRNA GENE XPRSN PRFL HYBRD 58 GENES | 81520 - ONC BREAST MRNA 58 GENES | '01/01/2018 | 12/31/2999 |
| 81521 | 81521 - Oncology (breast) mRNA microarray gene expression profiling of 70 content genes and 465 housekeeping genes utilizing fresh frozen or formalin-fixed paraffin-embedded tissue algorithm reported as index related to risk of distant metastasis | 81521 - ONC BREAST MRNA MICRORA GENE XPRSN PRFL 70 GENES | 81521 - ONC BREAST MRNA 70 GENES | '01/01/2018 | 12/31/2999 |
| 81522 | 81522 - Oncology (breast) mRNA gene expression profiling by RT-PCR of 12 genes (8 content and 4 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as recurrence risk score | 81522 - ONCOLOGY BREAST MRNA GENE XPRSN PRFL 12 GENES | 81522 - ONC BREAST MRNA 12 GENES | '01/01/2020 | 12/31/2999 |
| 81523 | 81523 - Oncology (breast) mRNA next-generation sequencing gene expression profiling of 70 content genes and 31 housekeeping genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as index related to risk to distant metastasis | 81523 - ONC BRST MRNA NEXT GNRJ SEQ GEN XPRSN 70 CNT&31 | 81523 - ONC BRST MRNA 70 CNT 31 GENE | '01/01/2022 | 12/31/2999 |
| 81525 | 81525 - Oncology (colon) mRNA gene expression profiling by real-time RT-PCR of 12 genes (7 content and 5 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a recurrence score | 81525 - ONCOLOGY COLON MRNA GENE EXPRESSION 12 GENES | 81525 - ONCOLOGY COLON MRNA | '01/01/2017 | 12/31/2999 |
| 81528 | 81528 - Oncology (colorectal) screening quantitative real-time target and signal amplification of 10 DNA markers (KRAS mutations promoter methylation of NDRG4 and BMP3) and fecal hemoglobin utilizing stool algorithm reported as a positive or negative result | 81528 - ONCOLOGY COLORECTAL SCREENING QUAN 10 DNA MARKRS | 81528 - ONCOLOGY COLORECTAL SCR | '01/01/2017 | 12/31/2999 |
| 81529 | 81529 - Oncology (cutaneous melanoma) mRNA gene expression profiling by real-time RT-PCR of 31 genes (28 content and 3 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as recurrence risk including likelihood of sentinel lymph node metastasis | 81529 - ONC CUTAN MLNMA MRNA GENE XPRS PRFL 31 GENES ALG | 81529 - ONC CUTAN MLNMA MRNA 31 GENE | '01/01/2021 | 12/31/2999 |
| 81535 | 81535 - Oncology (gynecologic) live tumor cell culture and chemotherapeutic response by DAPI stain and morphology predictive algorithm reported as a drug response score; first single drug or drug combination | 81535 - ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP 1ST | 81535 - ONCOLOGY GYNECOLOGIC | '01/01/2017 | 12/31/2999 |
| 81536 | 81536 - Oncology (gynecologic) live tumor cell culture and chemotherapeutic response by DAPI stain and morphology predictive algorithm reported as a drug response score; each additional single drug or drug combination (List separately in addition to code for primary procedure) | 81536 - ONCOLOGY GYNE LIVE TUM CELL CLTR&CHEMO RESP ADD | 81536 - ONCOLOGY GYNECOLOGIC | '01/01/2017 | 12/31/2999 |
| 81538 | 81538 - Oncology (lung) mass spectrometric 8-protein signature including amyloid A utilizing serum prognostic and predictive algorithm reported as good versus poor overall survival | 81538 - ONCOLOGY LUNG MS 8-PROTEIN SIGNATURE | 81538 - ONCOLOGY LUNG | '01/01/2017 | 12/31/2999 |
| 81539 | 81539 - Oncology (high-grade prostate cancer) biochemical assay of four proteins (Total PSA Free PSA Intact PSA and human kallikrein-2 [hK2]) utilizing plasma or serum prognostic algorithm reported as a probability score | 81539 - ONCOLOGY PROSTATE BIOCHEMICAL ASSAY 4 PROTEINS | 81539 - ONCOLOGY PROSTATE PROB SCORE | '01/01/2017 | 12/31/2999 |
| 81540 | 81540 - Oncology (tumor of unknown origin) mRNA gene expression profiling by real-time RT-PCR of 92 genes (87 content and 5 housekeeping) to classify tumor into main cancer type and subtype utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a probability of a predicted main cancer type and subtype | 81540 - ONCOLOGY TUM UNKNOWN ORIGIN MRNA 92 GENES | 81540 - ONCOLOGY TUM UNKNOWN ORIGIN | '01/01/2017 | 12/31/2999 |
| 81541 | 81541 - Oncology (prostate) mRNA gene expression profiling by real-time RT-PCR of 46 genes (31 content and 15 housekeeping) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a disease-specific mortality risk score | 81541 - ONC PRST8 MRNA GENE XPRSN PRFL RT-PCR 46 GENES | 81541 - ONC PROSTATE MRNA 46 GENES | '01/01/2018 | 12/31/2999 |
| 81542 | 81542 - Oncology (prostate) mRNA microarray gene expression profiling of 22 content genes utilizing formalin-fixed paraffin-embedded tissue algorithm reported as metastasis risk score | 81542 - ONC PRST8 MRNA MICRORA GENE XPRSN PRFL 22 GENES | 81542 - ONC PROSTATE MRNA 22 CNT GEN | '01/01/2020 | 12/31/2999 |
| 81546 | 81546 - Oncology (thyroid) mRNA gene expression analysis of 10 196 genes utilizing fine needle aspirate algorithm reported as a categorical result (eg benign or suspicious) | 81546 - ONC THYR MRNA 10 196 GENES FINE NDL ASPIRATE ALG | 81546 - ONC THYR MRNA 10 196 GEN ALG | '01/01/2021 | 12/31/2999 |
| 81551 | 81551 - Oncology (prostate) promoter methylation profiling by real-time PCR of 3 genes (GSTP1 APC RASSF1) utilizing formalin-fixed paraffin-embedded tissue algorithm reported as a likelihood of prostate cancer detection on repeat biopsy | 81551 - ONC PRST8 PRMTR METHYLATION PRFL R-T PCR 3 GENES | 81551 - ONC PROSTATE 3 GENES | '01/01/2018 | 12/31/2999 |
| 81552 | 81552 - Oncology (uveal melanoma) mRNA gene expression profiling by real-time RT-PCR of 15 genes (12 content and 3 housekeeping) utilizing fine needle aspirate or formalin-fixed paraffin-embedded tissue algorithm reported as risk of metastasis | 81552 - ONC UVEAL MLNMA MRNA GENE XPRSN PRFL 15 GENES | 81552 - ONC UVEAL MLNMA MRNA 15 GENE | '01/01/2020 | 12/31/2999 |
| 81554 | 81554 - Pulmonary disease (idiopathic pulmonary fibrosis [IPF]) mRNA gene expression analysis of 190 genes utilizing transbronchial biopsies diagnostic algorithm reported as categorical result (eg positive or negative for high probability of usual interstitial pneumonia [UIP]) | 81554 - PULM DS IPF MRNA 190 GENE TRANSBRONCHIAL BX ALG | 81554 - PULM DS IPF MRNA 190 GEN ALG | '01/01/2021 | 12/31/2999 |
| 81560 | 81560 - Transplantation medicine (allograft rejection pediatric liver and small bowel) measurement of donor and third-party-induced CD154+T-cytotoxic memory cells utilizing whole peripheral blood algorithm reported as a rejection risk score | 81560 - TRNSPLJ PED LVR&BWL MES CD154+T CLL WHL PRPH BLD | 81560 - TRNSPLJ PD LVR&BWL CD154+CLL | '01/01/2022 | 12/31/2999 |
| 81595 | 81595 - Cardiology (heart transplant) mRNA gene expression profiling by real-time quantitative PCR of 20 genes (11 content and 9 housekeeping) utilizing subfraction of peripheral blood algorithm reported as a rejection risk score | 81595 - CARDIOLOGY HRT TRNSPL MRNA GENE EXPRESS 20 GENES | 81595 - CARDIOLOGY HRT TRNSPL MRNA | '01/01/2017 | 12/31/2999 |
| 81596 | 81596 - Infectious disease chronic hepatitis C virus (HCV) infection six biochemical assays (ALT A2-macroglobulin apolipoprotein A-1 total bilirubin GGT and haptoglobin) utilizing serum prognostic algorithm reported as scores for fibrosis and necroinflammatory activity in liver | 81596 - NFCT DS CHRNC HCV 6 BIOCHEM ASSAY SRM ALG LVR | 81596 - NFCT DS CHRNC HCV 6 ASSAYS | '01/01/2019 | 12/31/2999 |
| 81599 | 81599 - Unlisted multianalyte assay with algorithmic analysis | 81599 - UNLISTED MULTIANALYTE ASSAY ALGORITHMIC ANALYSIS | 81599 - UNLISTED MAAA | '01/01/2017 | 12/31/2999 |
| 82009 | 82009 - Ketone body(s) (eg acetone acetoacetic acid beta-hydroxybutyrate); qualitative | 82009 - KETONE BODIES SERUM QUALITATIVE | 82009 - TEST FOR ACETONE/KETONES | '01/01/2017 | 12/31/2999 |
| 82010 | 82010 - Ketone body(s) (eg acetone acetoacetic acid beta-hydroxybutyrate); quantitative | 82010 - KETONE BODIES SERUM QUANTITATIVE | 82010 - ACETONE ASSAY | '01/01/2017 | 12/31/2999 |
| 82013 | 82013 - Acetylcholinesterase | 82013 - ASSAY OF ACETYLCHOLINESTERASE | 82013 - ACETYLCHOLINESTERASE ASSAY | '01/01/2017 | 12/31/2999 |
| 82016 | 82016 - Acylcarnitines; qualitative each specimen | 82016 - ACYLCARNITINES QUALITATIVE EACH SPECIMEN | 82016 - ACYLCARNITINES QUAL | '01/01/2017 | 12/31/2999 |
| 82017 | 82017 - Acylcarnitines; quantitative each specimen | 82017 - ACYLCARNITINES QUANTIATIVE EACH SPECIMEN | 82017 - ACYLCARNITINES QUANT | '01/01/2017 | 12/31/2999 |
| 82024 | 82024 - Adrenocorticotropic hormone (ACTH) | 82024 - ADRENOCORTICOTROPIC HORMONE ACTH | 82024 - ASSAY OF ACTH | '01/01/2017 | 12/31/2999 |
| 82030 | 82030 - Adenosine 5-monophosphate cyclic (cyclic AMP) | 82030 - ADENOSINE 5-MONOPHOSPHATE CYCLIC | 82030 - ASSAY OF ADP & AMP | '01/01/2017 | 12/31/2999 |
| 82040 | 82040 - Albumin; serum plasma or whole blood | 82040 - ALBUMIN SERUM PLASMA/WHOLE BLOOD | 82040 - ASSAY OF SERUM ALBUMIN | '01/01/2017 | 12/31/2999 |
| 82042 | 82042 - Albumin; other source quantitative each specimen | 82042 - OTHER SOURCE ALBUMIN QUANTITATIVE EACH SPECIMEN | 82042 - OTHER SOURCE ALBUMIN QUAN EA | '01/01/2018 | 12/31/2999 |
| 82043 | 82043 - Albumin; urine (eg microalbumin) quantitative | 82043 - URINE ALBUMIN QUANTITATIVE | 82043 - UR ALBUMIN QUANTITATIVE | '01/01/2018 | 12/31/2999 |
| 82044 | 82044 - Albumin; urine (eg microalbumin) semiquantitative (eg reagent strip assay) | 82044 - URINE ALBUMIN SEMIQUANTITATIVE | 82044 - UR ALBUMIN SEMIQUANTITATIVE | '01/01/2018 | 12/31/2999 |
| 82045 | 82045 - Albumin; ischemia modified | 82045 - ALBUMIN ISCHEMIA MODIFIED | 82045 - ALBUMIN ISCHEMIA MODIFIED | '01/01/2017 | 12/31/2999 |
| 82075 | 82075 - Alcohol (ethanol); breath | 82075 - ASSAY OF ALCOHOL (ETHANOL) BREATH | 82075 - ASSAY OF BREATH ETHANOL | '01/01/2021 | 12/31/2999 |
| 82077 | 82077 - Alcohol (ethanol); any specimen except urine and breath immunoassay (eg IA EIA ELISA RIA EMIT FPIA) and enzymatic methods (eg alcohol dehydrogenase) | 82077 - ASSAY OF ALCOHOL (ETHANOL) SPEC XCP UR&BREATH IA | 82077 - ASSAY SPEC XCP UR&BREATH IA | '01/01/2021 | 12/31/2999 |
| 82085 | 82085 - Aldolase | 82085 - ASSAY OF ALDOLASE | 82085 - ASSAY OF ALDOLASE | '01/01/2017 | 12/31/2999 |
| 82088 | 82088 - Aldosterone | 82088 - ASSAY OF ALDOSTERONE | 82088 - ASSAY OF ALDOSTERONE | '01/01/2017 | 12/31/2999 |
| 82103 | 82103 - Alpha-1-antitrypsin; total | 82103 - ALPHA-1-ANTITRYPSIN TOTAL | 82103 - ALPHA-1-ANTITRYPSIN TOTAL | '01/01/2017 | 12/31/2999 |
| 82104 | 82104 - Alpha-1-antitrypsin; phenotype | 82104 - ALPHA-1-ANTITRYPSIN PHENOTYPE | 82104 - ALPHA-1-ANTITRYPSIN PHENO | '01/01/2017 | 12/31/2999 |
| 82105 | 82105 - Alpha-fetoprotein (AFP); serum | 82105 - ALPHA-FETOPROTEIN SERUM | 82105 - ALPHA-FETOPROTEIN SERUM | '01/01/2017 | 12/31/2999 |
| 82106 | 82106 - Alpha-fetoprotein (AFP); amniotic fluid | 82106 - ALPHA-FETOPROTEIN AMNIOTIC FLUID | 82106 - ALPHA-FETOPROTEIN AMNIOTIC | '01/01/2017 | 12/31/2999 |
| 82107 | 82107 - Alpha-fetoprotein (AFP); AFP-L3 fraction isoform and total AFP (including ratio) | 82107 - AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO | 82107 - ALPHA-FETOPROTEIN L3 | '01/01/2017 | 12/31/2999 |
| 82108 | 82108 - Aluminum | 82108 - ASSAY OF ALUMINUM | 82108 - ASSAY OF ALUMINUM | '01/01/2017 | 12/31/2999 |
| 82120 | 82120 - Amines vaginal fluid qualitative | 82120 - AMINES VAGINAL FLUID QUALITATIVE | 82120 - AMINES VAGINAL FLUID QUAL | '01/01/2017 | 12/31/2999 |
| 82127 | 82127 - Amino acids; single qualitative each specimen | 82127 - AMINO ACIDS 1 QUALITATIVE EACH SPECIMEN | 82127 - AMINO ACID SINGLE QUAL | '01/01/2017 | 12/31/2999 |
| 82128 | 82128 - Amino acids; multiple qualitative each specimen | 82128 - AMINO ACIDS MULTIPLE QUALITATIVE EACH SPECIMEN | 82128 - AMINO ACIDS MULT QUAL | '01/01/2017 | 12/31/2999 |
| 82131 | 82131 - Amino acids; single quantitative each specimen | 82131 - AMINO ACIDS 1 QUANTITATIVE EACH SPECIMEN | 82131 - AMINO ACIDS SINGLE QUANT | '01/01/2017 | 12/31/2999 |
| 82135 | 82135 - Aminolevulinic acid delta (ALA) | 82135 - AMINOLEVULINIC ACID DELTA | 82135 - ASSAY AMINOLEVULINIC ACID | '01/01/2017 | 12/31/2999 |
| 82136 | 82136 - Amino acids 2 to 5 amino acids quantitative each specimen | 82136 - AMINO ACIDS 2-5 AMINO ACIDS QUANTITATIVE EA SPEC | 82136 - AMINO ACIDS QUANT 2-5 | '01/01/2017 | 12/31/2999 |
| 82139 | 82139 - Amino acids 6 or more amino acids quantitative each specimen | 82139 - AMINO ACIDS 6/> AMINO ACIDS QUANTITATIVE EA SPE | 82139 - AMINO ACIDS QUAN 6 OR MORE | '01/01/2017 | 12/31/2999 |
| 82140 | 82140 - Ammonia | 82140 - ASSAY OF AMMONIA | 82140 - ASSAY OF AMMONIA | '01/01/2017 | 12/31/2999 |
| 82143 | 82143 - Amniotic fluid scan (spectrophotometric) | 82143 - AMNIOTIC FLU SCAN | 82143 - AMNIOTIC FLUID SCAN | '01/01/2017 | 12/31/2999 |
| 82150 | 82150 - Amylase | 82150 - ASSAY OF AMYLASE | 82150 - ASSAY OF AMYLASE | '01/01/2017 | 12/31/2999 |
| 82154 | 82154 - Androstanediol glucuronide | 82154 - ANDROSTANEDIOL GLUCURONIDE | 82154 - ANDROSTANEDIOL GLUCURONIDE | '01/01/2017 | 12/31/2999 |
| 82157 | 82157 - Androstenedione | 82157 - ANDROSTENEDIONE | 82157 - ASSAY OF ANDROSTENEDIONE | '01/01/2017 | 12/31/2999 |
| 82160 | 82160 - Androsterone | 82160 - ANDROSTERONE | 82160 - ASSAY OF ANDROSTERONE | '01/01/2017 | 12/31/2999 |
| 82163 | 82163 - Angiotensin II | 82163 - ANGIOTENSIN II | 82163 - ASSAY OF ANGIOTENSIN II | '01/01/2017 | 12/31/2999 |
| 82164 | 82164 - Angiotensin I - converting enzyme (ACE) | 82164 - ANGIOTENSIN I-CONVERTING ENZYME | 82164 - ANGIOTENSIN I ENZYME TEST | '01/01/2017 | 12/31/2999 |
| 82172 | 82172 - Apolipoprotein each | 82172 - APOLIPOPROTEIN EACH | 82172 - ASSAY OF APOLIPOPROTEIN | '01/01/2017 | 12/31/2999 |
| 82175 | 82175 - Arsenic | 82175 - ASSAY OF ARSENIC | 82175 - ASSAY OF ARSENIC | '01/01/2017 | 12/31/2999 |
| 82180 | 82180 - Ascorbic acid (Vitamin C) blood | 82180 - ASSAY OF ASCORBIC ACID BLOOD | 82180 - ASSAY OF ASCORBIC ACID | '01/01/2017 | 12/31/2999 |
| 82190 | 82190 - Atomic absorption spectroscopy each analyte | 82190 - ATOMIC ABSRPJ SPECTROSCOPY EA ANALYTE | 82190 - ATOMIC ABSORPTION | '01/01/2017 | 12/31/2999 |
| 82232 | 82232 - Beta-2 microglobulin | 82232 - BETA-2 MICROGLOBULIN | 82232 - ASSAY OF BETA-2 PROTEIN | '01/01/2017 | 12/31/2999 |
| 82239 | 82239 - Bile acids; total | 82239 - BILE ACIDS TOTAL | 82239 - BILE ACIDS TOTAL | '01/01/2017 | 12/31/2999 |
| 82240 | 82240 - Bile acids; cholylglycine | 82240 - BILE ACIDS CHOLYLGLYCINE | 82240 - BILE ACIDS CHOLYLGLYCINE | '01/01/2017 | 12/31/2999 |
| 82247 | 82247 - Bilirubin; total | 82247 - BILIRUBIN TOTAL | 82247 - BILIRUBIN TOTAL | '01/01/2017 | 12/31/2999 |
| 82248 | 82248 - Bilirubin; direct | 82248 - BILIRUBIN DIRECT | 82248 - BILIRUBIN DIRECT | '01/01/2017 | 12/31/2999 |
| 82252 | 82252 - Bilirubin; feces qualitative | 82252 - BILIRUBIN FECES QUALITATIVE | 82252 - FECAL BILIRUBIN TEST | '01/01/2017 | 12/31/2999 |
| 82261 | 82261 - Biotinidase each specimen | 82261 - BIOTINIDASE EACH SPECIMEN | 82261 - ASSAY OF BIOTINIDASE | '01/01/2017 | 12/31/2999 |
| 82270 | 82270 - Blood occult by peroxidase activity (eg guaiac) qualitative; feces consecutive collected specimens with single determination for colorectal neoplasm screening (ie patient was provided 3 cards or single triple card for consecutive collection) | 82270 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1 DETER | 82270 - OCCULT BLOOD FECES | '01/01/2017 | 12/31/2999 |
| 82271 | 82271 - Blood occult by peroxidase activity (eg guaiac) qualitative; other sources | 82271 - BLOOD OCCULT PEROXIDASE ACTV QUAL OTHER SOURCES | 82271 - OCCULT BLOOD OTHER SOURCES | '01/01/2017 | 12/31/2999 |
| 82272 | 82272 - Blood occult by peroxidase activity (eg guaiac) qualitative feces 1-3 simultaneous determinations performed for other than colorectal neoplasm screening | 82272 - BLOOD OCCULT PEROXIDASE ACTV QUAL FECES 1-3 SPEC | 82272 - OCCULT BLD FECES 1-3 TESTS | '01/01/2017 | 12/31/2999 |
| 82274 | 82274 - Blood occult by fecal hemoglobin determination by immunoassay qualitative feces 1-3 simultaneous determinations | 82274 - BLOOD OCCULT FECAL HGB DETER IA QUAL FECES 1-3 | 82274 - ASSAY TEST FOR BLOOD FECAL | '01/01/2017 | 12/31/2999 |
| 82286 | 82286 - Bradykinin | 82286 - BRADYKININ | 82286 - ASSAY OF BRADYKININ | '01/01/2017 | 12/31/2999 |
| 82300 | 82300 - Cadmium | 82300 - CADMIUM | 82300 - ASSAY OF CADMIUM | '01/01/2017 | 12/31/2999 |
| 82306 | 82306 - Vitamin D; 25 hydroxy includes fraction(s) if performed | 82306 - 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED | 82306 - VITAMIN D 25 HYDROXY | '01/01/2017 | 12/31/2999 |
| 82308 | 82308 - Calcitonin | 82308 - CALCITONIN | 82308 - ASSAY OF CALCITONIN | '01/01/2017 | 12/31/2999 |
| 82310 | 82310 - Calcium; total | 82310 - CALCIUM TOTAL | 82310 - ASSAY OF CALCIUM | '01/01/2017 | 12/31/2999 |
| 82330 | 82330 - Calcium; ionized | 82330 - CALCIUM IONIZED | 82330 - ASSAY OF CALCIUM | '01/01/2017 | 12/31/2999 |
| 82331 | 82331 - Calcium; after calcium infusion test | 82331 - CALCIUM AFTER CALCIUM INFUSION TEST | 82331 - CALCIUM INFUSION TEST | '01/01/2017 | 12/31/2999 |
| 82340 | 82340 - Calcium; urine quantitative timed specimen | 82340 - CALCIUM URINE QUANTITATIVE TIMED SPECIMEN | 82340 - ASSAY OF CALCIUM IN URINE | '01/01/2017 | 12/31/2999 |
| 82355 | 82355 - Calculus; qualitative analysis | 82355 - CALCULUS QUALITATIVE ANALYSIS | 82355 - CALCULUS ANALYSIS QUAL | '01/01/2017 | 12/31/2999 |
| 82360 | 82360 - Calculus; quantitative analysis chemical | 82360 - CALCULUS QUANTITATIVE CHEMICAL | 82360 - CALCULUS ASSAY QUANT | '01/01/2017 | 12/31/2999 |
| 82365 | 82365 - Calculus; infrared spectroscopy | 82365 - CALCULUS INFRARED SPECTROSCOPY | 82365 - CALCULUS SPECTROSCOPY | '01/01/2017 | 12/31/2999 |
| 82370 | 82370 - Calculus; X-ray diffraction | 82370 - CALCULUS XRAY DIFFRACTION | 82370 - X-RAY ASSAY CALCULUS | '01/01/2017 | 12/31/2999 |
| 82373 | 82373 - Carbohydrate deficient transferrin | 82373 - CARBOHYDRATE DEFICIENT TRANSFERRIN | 82373 - ASSAY C-D TRANSFER MEASURE | '01/01/2017 | 12/31/2999 |
| 82374 | 82374 - Carbon dioxide (bicarbonate) | 82374 - CARBON DIOXIDE BICARBONATE | 82374 - ASSAY BLOOD CARBON DIOXIDE | '01/01/2017 | 12/31/2999 |
| 82375 | 82375 - Carboxyhemoglobin; quantitative | 82375 - CARBOXYHEMOGLOBIN QUANTITATIVE | 82375 - ASSAY CARBOXYHB QUANT | '01/01/2017 | 12/31/2999 |
| 82376 | 82376 - Carboxyhemoglobin; qualitative | 82376 - CARBOXYHEMOGLOBIN QUALITATIVE | 82376 - ASSAY CARBOXYHB QUAL | '01/01/2017 | 12/31/2999 |
| 82378 | 82378 - Carcinoembryonic antigen (CEA) | 82378 - CARCINOEMBRYONIC ANTIGEN CEA | 82378 - CARCINOEMBRYONIC ANTIGEN | '01/01/2017 | 12/31/2999 |
| 82379 | 82379 - Carnitine (total and free) quantitative each specimen | 82379 - CARNITINE QUANTITATIVE EACH SPECIMEN | 82379 - ASSAY OF CARNITINE | '01/01/2017 | 12/31/2999 |
| 82380 | 82380 - Carotene | 82380 - CAROTENE | 82380 - ASSAY OF CAROTENE | '01/01/2017 | 12/31/2999 |
| 82382 | 82382 - Catecholamines; total urine | 82382 - CATECHOLAMINES TOTAL URINE | 82382 - ASSAY URINE CATECHOLAMINES | '01/01/2017 | 12/31/2999 |
| 82383 | 82383 - Catecholamines; blood | 82383 - CATECHOLAMINES BLOOD | 82383 - ASSAY BLOOD CATECHOLAMINES | '01/01/2017 | 12/31/2999 |
| 82384 | 82384 - Catecholamines; fractionated | 82384 - CATECHOLAMINES FRACTIONATED | 82384 - ASSAY THREE CATECHOLAMINES | '01/01/2017 | 12/31/2999 |
| 82387 | 82387 - Cathepsin-D | 82387 - CATHEPSIN-D | 82387 - ASSAY OF CATHEPSIN-D | '01/01/2017 | 12/31/2999 |
| 82390 | 82390 - Ceruloplasmin | 82390 - CERULOPLASMIN | 82390 - ASSAY OF CERULOPLASMIN | '01/01/2017 | 12/31/2999 |
| 82397 | 82397 - Chemiluminescent assay | 82397 - CHEMILUMINESCENT ASSAY | 82397 - CHEMILUMINESCENT ASSAY | '01/01/2017 | 12/31/2999 |
| 82415 | 82415 - Chloramphenicol | 82415 - CHLORAMPHENICOL | 82415 - ASSAY OF CHLORAMPHENICOL | '01/01/2017 | 12/31/2999 |
| 82435 | 82435 - Chloride; blood | 82435 - CHLORIDE BLD | 82435 - ASSAY OF BLOOD CHLORIDE | '01/01/2017 | 12/31/2999 |
| 82436 | 82436 - Chloride; urine | 82436 - CHLORIDE URINE | 82436 - ASSAY OF URINE CHLORIDE | '01/01/2017 | 12/31/2999 |
| 82438 | 82438 - Chloride; other source | 82438 - CHLORIDE OTHER SOURCE | 82438 - ASSAY OTHER FLUID CHLORIDES | '01/01/2017 | 12/31/2999 |
| 82441 | 82441 - Chlorinated hydrocarbons screen | 82441 - CHLORINATED HYDROCARBONS SCREEN | 82441 - TEST FOR CHLOROHYDROCARBONS | '01/01/2017 | 12/31/2999 |
| 82465 | 82465 - Cholesterol serum or whole blood total | 82465 - CHOLESTEROL SERUM/WHOLE BLOOD TOTAL | 82465 - ASSAY BLD/SERUM CHOLESTEROL | '01/01/2017 | 12/31/2999 |
| 82480 | 82480 - Cholinesterase; serum | 82480 - CHOLINESTERASE SERUM | 82480 - ASSAY SERUM CHOLINESTERASE | '01/01/2017 | 12/31/2999 |
| 82482 | 82482 - Cholinesterase; RBC | 82482 - CHOLINESTERASE RBC | 82482 - ASSAY RBC CHOLINESTERASE | '01/01/2017 | 12/31/2999 |
| 82485 | 82485 - Chondroitin B sulfate quantitative | 82485 - CHONDROITIN B SULFATE QUANTITATIVE | 82485 - ASSAY CHONDROITIN SULFATE | '01/01/2017 | 12/31/2999 |
| 82495 | 82495 - Chromium | 82495 - ASSAY OF CHROMIUM | 82495 - ASSAY OF CHROMIUM | '01/01/2017 | 12/31/2999 |
| 82507 | 82507 - Citrate | 82507 - ASSAY OF CITRATE | 82507 - ASSAY OF CITRATE | '01/01/2017 | 12/31/2999 |
| 82523 | 82523 - Collagen cross links any method | 82523 - COLLAGEN CROSS LINKS ANY METHOD | 82523 - COLLAGEN CROSSLINKS | '01/01/2017 | 12/31/2999 |
| 82525 | 82525 - Copper | 82525 - ASSAY OF COPPER | 82525 - ASSAY OF COPPER | '01/01/2017 | 12/31/2999 |
| 82528 | 82528 - Corticosterone | 82528 - CORTICOSTERONE | 82528 - ASSAY OF CORTICOSTERONE | '01/01/2017 | 12/31/2999 |
| 82530 | 82530 - Cortisol; free | 82530 - CORTISOL FREE | 82530 - CORTISOL FREE | '01/01/2017 | 12/31/2999 |
| 82533 | 82533 - Cortisol; total | 82533 - CORTISOL TOTAL | 82533 - TOTAL CORTISOL | '01/01/2017 | 12/31/2999 |
| 82540 | 82540 - Creatine | 82540 - ASSAY OF CREATINE | 82540 - ASSAY OF CREATINE | '01/01/2017 | 12/31/2999 |
| 82542 | 82542 - Column chromatography includes mass spectrometry if performed (eg HPLC LC LC/MS LC/MS-MS GC GC/MS-MS GC/MS HPLC/MS) non-drug analyte(s) not elsewhere specified qualitative or quantitative each specimen | 82542 - COL-CHR/MS NONDRUG ANALYTE NES QUAL/QUAN EA SPEC | 82542 - COL CHROMOTOGRAPHY QUAL/QUAN | '01/01/2017 | 12/31/2999 |
| 82550 | 82550 - Creatine kinase (CK) (CPK); total | 82550 - CREATINE KINASE TOTAL | 82550 - ASSAY OF CK (CPK) | '01/01/2017 | 12/31/2999 |
| 82552 | 82552 - Creatine kinase (CK) (CPK); isoenzymes | 82552 - CREATINE KINASE ISOENZYMES | 82552 - ASSAY OF CPK IN BLOOD | '01/01/2017 | 12/31/2999 |
| 82553 | 82553 - Creatine kinase (CK) (CPK); MB fraction only | 82553 - CREATINE KINASE MB FRACTION ONLY | 82553 - CREATINE MB FRACTION | '01/01/2017 | 12/31/2999 |
| 82554 | 82554 - Creatine kinase (CK) (CPK); isoforms | 82554 - CREATINE KINASE ISOFORMS | 82554 - CREATINE ISOFORMS | '01/01/2017 | 12/31/2999 |
| 82565 | 82565 - Creatinine; blood | 82565 - CREATININE BLOOD | 82565 - ASSAY OF CREATININE | '01/01/2017 | 12/31/2999 |
| 82570 | 82570 - Creatinine; other source | 82570 - CREATININE OTHER SOURCE | 82570 - ASSAY OF URINE CREATININE | '01/01/2017 | 12/31/2999 |
| 82575 | 82575 - Creatinine; clearance | 82575 - CREATININE CLEARANCE | 82575 - CREATININE CLEARANCE TEST | '01/01/2017 | 12/31/2999 |
| 82585 | 82585 - Cryofibrinogen | 82585 - ASSAY OF CRYOFIBRN | 82585 - ASSAY OF CRYOFIBRINOGEN | '01/01/2017 | 12/31/2999 |
| 82595 | 82595 - Cryoglobulin qualitative or semi-quantitative (eg cryocrit) | 82595 - CRYOGLOBULIN QUALITATIVE/SEMI-QUANTITATIVE | 82595 - ASSAY OF CRYOGLOBULIN | '01/01/2017 | 12/31/2999 |
| 82600 | 82600 - Cyanide | 82600 - ASSAY OF CYANIDE | 82600 - ASSAY OF CYANIDE | '01/01/2017 | 12/31/2999 |
| 82607 | 82607 - Cyanocobalamin (Vitamin B-12); | 82607 - CYANOCOBALAMIN VITAMIN B-12 | 82607 - VITAMIN B-12 | '01/01/2017 | 12/31/2999 |
| 82608 | 82608 - Cyanocobalamin (Vitamin B-12); unsaturated binding capacity | 82608 - CYANOCOBALAMIN VIT B-12 UNSAT BINDING CAPACITY | 82608 - B-12 BINDING CAPACITY | '01/01/2017 | 12/31/2999 |
| 82610 | 82610 - Cystatin C | 82610 - CYSTATIN C | 82610 - CYSTATIN C | '01/01/2017 | 12/31/2999 |
| 82615 | 82615 - Cystine and homocystine urine qualitative | 82615 - CSTINE&HOMOCSTINE URINE QUALITATIVE | 82615 - TEST FOR URINE CYSTINES | '01/01/2017 | 12/31/2999 |
| 82626 | 82626 - Dehydroepiandrosterone (DHEA) | 82626 - DEHYDROEPIANDROSTERONE | 82626 - DEHYDROEPIANDROSTERONE | '01/01/2017 | 12/31/2999 |
| 82627 | 82627 - Dehydroepiandrosterone-sulfate (DHEA-S) | 82627 - DEHYDROEPIANDROSTERONE-SULFATE | 82627 - DEHYDROEPIANDROSTERONE | '01/01/2017 | 12/31/2999 |
| 82633 | 82633 - Desoxycorticosterone 11- | 82633 - DESOXYCORTICOSTERONE 11- | 82633 - DESOXYCORTICOSTERONE | '01/01/2017 | 12/31/2999 |
| 82634 | 82634 - Deoxycortisol 11- | 82634 - DEOXYCORTISOL 11- | 82634 - DEOXYCORTISOL | '01/01/2017 | 12/31/2999 |
| 82638 | 82638 - Dibucaine number | 82638 - ASSAY OF DIBUCAINE NUMBER | 82638 - ASSAY OF DIBUCAINE NUMBER | '01/01/2017 | 12/31/2999 |
| 82642 | 82642 - Dihydrotestosterone (DHT) | 82642 - DIHYDROTESTOSTERONE (DHT) | 82642 - DIHYDROTESTOSTERONE | '01/01/2019 | 12/31/2999 |
| 82652 | 82652 - Vitamin D; 1 25 dihydroxy includes fraction(s) if performed | 82652 - 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED | 82652 - VIT D 1 25-DIHYDROXY | '01/01/2017 | 12/31/2999 |
| 82653 | 82653 - Elastase pancreatic (EL-1) fecal; quantitative | 82653 - ELASTASE PANCREATIC FECAL QUANTITATIVE | 82653 - EL-1 FECAL QUANTITATIVE | '01/01/2022 | 12/31/2999 |
| 82656 | 82656 - Elastase pancreatic (EL-1) fecal; qualitative or semi-quantitative | 82656 - ELASTASE PANCREATIC FECAL QUAL/SEMI-QUANTITATIVE | 82656 - EL-1 FECAL QUAL/SEMIQ | '01/01/2022 | 12/31/2999 |
| 82657 | 82657 - Enzyme activity in blood cells cultured cells or tissue not elsewhere specified; nonradioactive substrate each specimen | 82657 - NZYM ACTIV BLD CELLS/TISS NONRADACT SUBSTRATE EA | 82657 - ENZYME CELL ACTIVITY | '01/01/2017 | 12/31/2999 |
| 82658 | 82658 - Enzyme activity in blood cells cultured cells or tissue not elsewhere specified; radioactive substrate each specimen | 82658 - NZYM ACTV BLOOD CELLS/TISS RADACT SUBSTRATE EA | 82658 - ENZYME CELL ACTIVITY RA | '01/01/2017 | 12/31/2999 |
| 82664 | 82664 - Electrophoretic technique not elsewhere specified | 82664 - ELCTROPHORETIC TECHNIQUE NOT ELSEWHERE SPECIFIED | 82664 - ELECTROPHORETIC TEST | '01/01/2017 | 12/31/2999 |
| 82668 | 82668 - Erythropoietin | 82668 - ASSAY OF ERYTHROPOIETIN | 82668 - ASSAY OF ERYTHROPOIETIN | '01/01/2017 | 12/31/2999 |
| 82670 | 82670 - Estradiol; total | 82670 - ASSAY OF TOTAL ESTRADIOL | 82670 - ASSAY OF TOTAL ESTRADIOL | '01/01/2021 | 12/31/2999 |
| 82671 | 82671 - Estrogens; fractionated | 82671 - ASSAY OF ESTROGENS FRACTIONATED | 82671 - ASSAY OF ESTROGENS | '01/01/2017 | 12/31/2999 |
| 82672 | 82672 - Estrogens; total | 82672 - ASSAY OF ESTROGENS TOTAL | 82672 - ASSAY OF ESTROGEN | '01/01/2017 | 12/31/2999 |
| 82677 | 82677 - Estriol | 82677 - ASSAY OF ESTRIOL | 82677 - ASSAY OF ESTRIOL | '01/01/2017 | 12/31/2999 |
| 82679 | 82679 - Estrone | 82679 - ASSAY OF ESTRONE | 82679 - ASSAY OF ESTRONE | '01/01/2017 | 12/31/2999 |
| 82681 | 82681 - Estradiol; free direct measurement (eg equilibrium dialysis) | 82681 - ASSAY OF DIRECT MEASUREMENT FREE ESTRADIOL | 82681 - ASSAY DIR MEAS FR ESTRADIOL | '01/01/2021 | 12/31/2999 |
| 82693 | 82693 - Ethylene glycol | 82693 - ASSAY OF ETHYLENE GLYCOL | 82693 - ASSAY OF ETHYLENE GLYCOL | '01/01/2017 | 12/31/2999 |
| 82696 | 82696 - Etiocholanolone | 82696 - ASSAY OF ETIOCHOLANOLONE | 82696 - ASSAY OF ETIOCHOLANOLONE | '01/01/2017 | 12/31/2999 |
| 82705 | 82705 - Fat or lipids feces; qualitative | 82705 - FAT/LIPIDS FECES QUALITATIVE | 82705 - FATS/LIPIDS FECES QUAL | '01/01/2017 | 12/31/2999 |
| 82710 | 82710 - Fat or lipids feces; quantitative | 82710 - FAT/LIPIDS FECES QUANTITATIVE | 82710 - FATS/LIPIDS FECES QUANT | '01/01/2017 | 12/31/2999 |
| 82715 | 82715 - Fat differential feces quantitative | 82715 - FAT DIFFIAL FECES QUANTITATIVE | 82715 - ASSAY OF FECAL FAT | '01/01/2017 | 12/31/2999 |
| 82725 | 82725 - Fatty acids nonesterified | 82725 - FATTY ACIDS NONESTERIFIED | 82725 - ASSAY OF BLOOD FATTY ACIDS | '01/01/2017 | 12/31/2999 |
| 82726 | 82726 - Very long chain fatty acids | 82726 - VERY LONG CHAIN FATTY ACIDS | 82726 - LONG CHAIN FATTY ACIDS | '01/01/2017 | 12/31/2999 |
| 82728 | 82728 - Ferritin | 82728 - ASSAY OF FERRITIN | 82728 - ASSAY OF FERRITIN | '01/01/2017 | 12/31/2999 |
| 82731 | 82731 - Fetal fibronectin cervicovaginal secretions semi-quantitative | 82731 - FTL FIBRONECTIN CERVICOVAG SECRETIONS SEMI-QUAN | 82731 - ASSAY OF FETAL FIBRONECTIN | '01/01/2017 | 12/31/2999 |
| 82735 | 82735 - Fluoride | 82735 - ASSAY OF FLUORIDE | 82735 - ASSAY OF FLUORIDE | '01/01/2017 | 12/31/2999 |
| 82746 | 82746 - Folic acid; serum | 82746 - ASSAY OF FOLIC ACID SERUM | 82746 - ASSAY OF FOLIC ACID SERUM | '01/01/2017 | 12/31/2999 |
| 82747 | 82747 - Folic acid; RBC | 82747 - ASSAY OF FOLIC ACID RBC | 82747 - ASSAY OF FOLIC ACID RBC | '01/01/2017 | 12/31/2999 |
| 82757 | 82757 - Fructose semen | 82757 - ASSAY OF FRUCTOSE SEMEN | 82757 - ASSAY OF SEMEN FRUCTOSE | '01/01/2017 | 12/31/2999 |
| 82759 | 82759 - Galactokinase RBC | 82759 - ASSAY OF GALACTOKINASE RBC | 82759 - ASSAY OF RBC GALACTOKINASE | '01/01/2017 | 12/31/2999 |
| 82760 | 82760 - Galactose | 82760 - ASSAY OF GALACTOSE | 82760 - ASSAY OF GALACTOSE | '01/01/2017 | 12/31/2999 |
| 82775 | 82775 - Galactose-1-phosphate uridyl transferase; quantitative | 82775 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE QUAN | 82775 - ASSAY GALACTOSE TRANSFERASE | '01/01/2017 | 12/31/2999 |
| 82776 | 82776 - Galactose-1-phosphate uridyl transferase; screen | 82776 - GALACTOSE-1-PHOSPHATE URIDYL TRANSFERASE SCREEN | 82776 - GALACTOSE TRANSFERASE TEST | '01/01/2017 | 12/31/2999 |
| 82777 | 82777 - Galectin-3 | 82777 - GALECTIN-3 | 82777 - GALECTIN-3 | '01/01/2017 | 12/31/2999 |
| 82784 | 82784 - Gammaglobulin (immunoglobulin); IgA IgD IgG IgM each | 82784 - ASSAY OF GAMMAGLOBULIN IGA IGD IGG IGM EACH | 82784 - ASSAY IGA/IGD/IGG/IGM EACH | '01/01/2017 | 12/31/2999 |
| 82785 | 82785 - Gammaglobulin (immunoglobulin); IgE | 82785 - ASSAY OF GAMMAGLOBULIN IGE | 82785 - ASSAY OF IGE | '01/01/2017 | 12/31/2999 |
| 82787 | 82787 - Gammaglobulin (immunoglobulin); immunoglobulin subclasses (eg IgG1 2 3 or 4) each | 82787 - GAMMAGLOBULIN IMMUNOGLOBULIN SUBCLASSES | 82787 - IGG 1 2 3 OR 4 EACH | '01/01/2017 | 12/31/2999 |
| 82800 | 82800 - Gases blood pH only | 82800 - GASES BLOOD PH ONLY | 82800 - BLOOD PH | '01/01/2017 | 12/31/2999 |
| 82803 | 82803 - Gases blood any combination of pH pCO2 pO2 CO2 HCO3 (including calculated O2 saturation); | 82803 - BLOOD GASES ANY COMBINATION PH PCO2 PO2 CO2 HCO3 | 82803 - BLOOD GASES ANY COMBINATION | '01/01/2017 | 12/31/2999 |
| 82805 | 82805 - Gases blood any combination of pH pCO2 pO2 CO2 HCO3 (including calculated O2 saturation); with O2 saturation by direct measurement except pulse oximetry | 82805 - GASES BLOOD PH DIRECT MEAS XCPT PULSE OXIMITRY | 82805 - BLOOD GASES W/O2 SATURATION | '01/01/2017 | 12/31/2999 |
| 82810 | 82810 - Gases blood O2 saturation only by direct measurement except pulse oximetry | 82810 - GASES BLOOD O2 SATURATION ONLY DIRECT MEAS | 82810 - BLOOD GASES O2 SAT ONLY | '01/01/2017 | 12/31/2999 |
| 82820 | 82820 - Hemoglobin-oxygen affinity (pO2 for 50% hemoglobin saturation with oxygen) | 82820 - HGB-O2 AFFINITY PO2 50% SATURATION OXYGEN | 82820 - HEMOGLOBIN-OXYGEN AFFINITY | '01/01/2017 | 12/31/2999 |
| 82930 | 82930 - Gastric acid analysis includes pH if performed each specimen | 82930 - GASTRIC ACID ANALYIS W/PH EACH SPECIMEN | 82930 - GASTRIC ANALY W/PH EA SPEC | '01/01/2017 | 12/31/2999 |
| 82938 | 82938 - Gastrin after secretin stimulation | 82938 - GASTRIN AFTER SECRETIN STIMULATION | 82938 - GASTRIN TEST | '01/01/2017 | 12/31/2999 |
| 82941 | 82941 - Gastrin | 82941 - ASSAY OF GASTRIN | 82941 - ASSAY OF GASTRIN | '01/01/2017 | 12/31/2999 |
| 82943 | 82943 - Glucagon | 82943 - ASSAY OF GLUCAGON | 82943 - ASSAY OF GLUCAGON | '01/01/2017 | 12/31/2999 |
| 82945 | 82945 - Glucose body fluid other than blood | 82945 - GLUCOSE BODY FLUID OTHER THAN BLOOD | 82945 - GLUCOSE OTHER FLUID | '01/01/2017 | 12/31/2999 |
| 82946 | 82946 - Glucagon tolerance test | 82946 - GLUCOSE TOLERANCE TEST | 82946 - GLUCAGON TOLERANCE TEST | '01/01/2017 | 12/31/2999 |
| 82947 | 82947 - Glucose; quantitative blood (except reagent strip) | 82947 - GLUCOSE QUANTITATIVE BLOOD XCPT REAGENT STRIP | 82947 - ASSAY GLUCOSE BLOOD QUANT | '01/01/2017 | 12/31/2999 |
| 82948 | 82948 - Glucose; blood reagent strip | 82948 - GLUCOSE BLOOD REAGENT STRIP | 82948 - REAGENT STRIP/BLOOD GLUCOSE | '01/01/2017 | 12/31/2999 |
| 82950 | 82950 - Glucose; post glucose dose (includes glucose) | 82950 - GLUCOSE POST GLUCOSE DOSE | 82950 - GLUCOSE TEST | '01/01/2017 | 12/31/2999 |
| 82951 | 82951 - Glucose; tolerance test (GTT) 3 specimens (includes glucose) | 82951 - GLUCOSE TOLERANCE TEST GTT 3 SPECIMENS | 82951 - GLUCOSE TOLERANCE TEST (GTT) | '01/01/2017 | 12/31/2999 |
| 82952 | 82952 - Glucose; tolerance test each additional beyond 3 specimens (List separately in addition to code for primary procedure) | 82952 - GLUCOSE TOLERANCE EA ADDL BEYOND 3 SPECIMENS | 82952 - GTT-ADDED SAMPLES | '01/01/2017 | 12/31/2999 |
| 82955 | 82955 - Glucose-6-phosphate dehydrogenase (G6PD); quantitative | 82955 - GLUC-6-PHOSPHATE DEHYDROGENASE QUANTITATIVE | 82955 - ASSAY OF G6PD ENZYME | '01/01/2017 | 12/31/2999 |
| 82960 | 82960 - Glucose-6-phosphate dehydrogenase (G6PD); screen | 82960 - GLUC-6-PHOSPHATE DEHYDROGENASE SCREEN | 82960 - TEST FOR G6PD ENZYME | '01/01/2017 | 12/31/2999 |
| 82962 | 82962 - Glucose blood by glucose monitoring device(s) cleared by the FDA specifically for home use | 82962 - GLUC BLD GLUC MNTR DEV CLEARED FDA SPEC HOME USE | 82962 - GLUCOSE BLOOD TEST | '01/01/2017 | 12/31/2999 |
| 82963 | 82963 - Glucosidase beta | 82963 - ASSAY OF GLUCOSIDASE BETA | 82963 - ASSAY OF GLUCOSIDASE | '01/01/2017 | 12/31/2999 |
| 82965 | 82965 - Glutamate dehydrogenase | 82965 - ASSAY OF GLUTAMATE DEHYDROGENASE | 82965 - ASSAY OF GDH ENZYME | '01/01/2017 | 12/31/2999 |
| 82977 | 82977 - Glutamyltransferase gamma (GGT) | 82977 - ASSAY OF GLUTAMYLTRASE GAMMA | 82977 - ASSAY OF GGT | '01/01/2017 | 12/31/2999 |
| 82978 | 82978 - Glutathione | 82978 - ASSAY OF GLUTATHIONE | 82978 - ASSAY OF GLUTATHIONE | '01/01/2017 | 12/31/2999 |
| 82979 | 82979 - Glutathione reductase RBC | 82979 - ASSAY OF GLUTATHIONE REDUCTASE RBC | 82979 - ASSAY RBC GLUTATHIONE | '01/01/2017 | 12/31/2999 |
| 82985 | 82985 - Glycated protein | 82985 - ASSAY OF GLYCATED PROTEIN | 82985 - ASSAY OF GLYCATED PROTEIN | '01/01/2017 | 12/31/2999 |
| 83001 | 83001 - Gonadotropin; follicle stimulating hormone (FSH) | 83001 - GONADOTROPIN FOLLICLE STIMULATING HORMONE | 83001 - ASSAY OF GONADOTROPIN (FSH) | '01/01/2017 | 12/31/2999 |
| 83002 | 83002 - Gonadotropin; luteinizing hormone (LH) | 83002 - GONADOTROPIN LUTEINIZING HORMONE | 83002 - ASSAY OF GONADOTROPIN (LH) | '01/01/2017 | 12/31/2999 |
| 83003 | 83003 - Growth hormone human (HGH) (somatotropin) | 83003 - ASSAY OF GROWTH HORMONE HUMAN | 83003 - ASSAY GROWTH HORMONE (HGH) | '01/01/2017 | 12/31/2999 |
| 83006 | 83006 - Growth stimulation expressed gene 2 (ST2 Interleukin 1 receptor like-1) | 83006 - GROWTH STIMULATION EXPRESSED GENE 2 | 83006 - GROWTH STIMULATION GENE 2 | '01/01/2017 | 12/31/2999 |
| 83009 | 83009 - Helicobacter pylori blood test analysis for urease activity non-radioactive isotope (eg C-13) | 83009 - HPYLORI BLOOD ANAL UREASE ACT NON-RADACT ISOTOPE | 83009 - H PYLORI (C-13) BLOOD | '01/01/2017 | 12/31/2999 |
| 83010 | 83010 - Haptoglobin; quantitative | 83010 - ASSAY OF HAPTOGLOBIN QUANTITATIVE | 83010 - ASSAY OF HAPTOGLOBIN QUANT | '01/01/2017 | 12/31/2999 |
| 83012 | 83012 - Haptoglobin; phenotypes | 83012 - ASSAY OF HAPTOGLOBIN PHENOTYPES | 83012 - ASSAY OF HAPTOGLOBINS | '01/01/2017 | 12/31/2999 |
| 83013 | 83013 - Helicobacter pylori; breath test analysis for urease activity non-radioactive isotope (eg C-13) | 83013 - HPYLORI BREATH ANAL UREASE ACT NON-RADACT ISTOPE | 83013 - H PYLORI (C-13) BREATH | '01/01/2017 | 12/31/2999 |
| 83014 | 83014 - Helicobacter pylori; drug administration | 83014 - HPYLORI DRUG ADMINISTRATION | 83014 - H PYLORI DRUG ADMIN | '01/01/2017 | 12/31/2999 |
| 83015 | 83015 - Heavy metal (eg arsenic barium beryllium bismuth antimony mercury); qualitative any number of analytes | 83015 - HEAVY METAL QUALITATIVE ANY ANALYTES | 83015 - HEAVY METAL QUAL ANY ANAL | '01/01/2017 | 12/31/2999 |
| 83018 | 83018 - Heavy metal (eg arsenic barium beryllium bismuth antimony mercury); quantitative each not elsewhere specified | 83018 - HEAVY METAL QUANTIATIVE EACH NES | 83018 - HEAVY METAL QUANT EACH NES | '01/01/2017 | 12/31/2999 |
| 83020 | 83020 - Hemoglobin fractionation and quantitation; electrophoresis (eg A2 S C and/or F) | 83020 - HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS | 83020 - HEMOGLOBIN ELECTROPHORESIS | '01/01/2017 | 12/31/2999 |
| 83021 | 83021 - Hemoglobin fractionation and quantitation; chromatography (eg A2 S C and/or F) | 83021 - HEMOGLOBIN FRACTJ/QUANTJ CHROMOTOGRAPHY | 83021 - HEMOGLOBIN CHROMOTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 83026 | 83026 - Hemoglobin; by copper sulfate method non-automated | 83026 - HEMOGLOBIN COPPER SULFATE METHOD NON-AUTOMATED | 83026 - HEMOGLOBIN COPPER SULFATE | '01/01/2017 | 12/31/2999 |
| 83030 | 83030 - Hemoglobin; F (fetal) chemical | 83030 - HEMOGLOBIN F FETAL CHEMICAL | 83030 - HEMOGLOBIN F FETAL CHEMICAL | '01/01/2023 | 12/31/2999 |
| 83033 | 83033 - Hemoglobin; F (fetal) qualitative | 83033 - HEMOGLOBIN F FETAL QUALITATIVE | 83033 - HEMOGLOBIN FTL F ASSAY QUAL | '01/01/2023 | 12/31/2999 |
| 83036 | 83036 - Hemoglobin; glycosylated (A1C) | 83036 - HEMOGLOBIN GLYCOSYLATED A1C | 83036 - HEMOGLOBIN GLYCOSYLATED A1C | '01/01/2023 | 12/31/2999 |
| 83037 | 83037 - Hemoglobin; glycosylated (A1C) by device cleared by FDA for home use | 83037 - HGB GLYCOSYLATED A1C DEVICE CLEARED FDA HOME USE | 83037 - HB GLYCOSYLATED A1C HOME DEV | '01/01/2023 | 12/31/2999 |
| 83045 | 83045 - Hemoglobin; methemoglobin qualitative | 83045 - HEMOGLOBIN METHEMOGLOBIN QUALITATIVE | 83045 - HGB METHEMOGLOBIN QUAL | '01/01/2023 | 12/31/2999 |
| 83050 | 83050 - Hemoglobin; methemoglobin quantitative | 83050 - HEMOGLOBIN METHEMOGLOBIN QUANTITATIVE | 83050 - HGB METHEMOGLOBIN QUAN | '01/01/2023 | 12/31/2999 |
| 83051 | 83051 - Hemoglobin; plasma | 83051 - HEMOGLOBIN PLASMA | 83051 - HEMOGLOBIN PLASMA | '01/01/2023 | 12/31/2999 |
| 83060 | 83060 - Hemoglobin; sulfhemoglobin quantitative | 83060 - HEMOGLOBIN SULFHEMOGLOBIN QUANTITATIVE | 83060 - HGB SULFHEMOGLOBIN QUAN | '01/01/2023 | 12/31/2999 |
| 83065 | 83065 - Hemoglobin; thermolabile | 83065 - HEMOGLOBIN THERMOLABILE | 83065 - HEMOGLOBIN THERMOLABILE | '01/01/2023 | 12/31/2999 |
| 83068 | 83068 - Hemoglobin; unstable screen | 83068 - HEMOGLOBIN UNSTABLE SCREEN | 83068 - HEMOGLOBIN UNSTABLE SCREEN | '01/01/2023 | 12/31/2999 |
| 83069 | 83069 - Hemoglobin; urine | 83069 - HEMOGLOBIN URINE | 83069 - HEMOGLOBIN URINE | '01/01/2023 | 12/31/2999 |
| 83070 | 83070 - Hemosiderin qualitative | 83070 - ASSAY OF HEMOSIDERIN QUALITATIVE | 83070 - ASSAY OF HEMOSIDERIN QUAL | '01/01/2017 | 12/31/2999 |
| 83080 | 83080 - b-Hexosaminidase each assay | 83080 - ASSAY OF B-HEXOSAMINIDASE EACH ASSAY | 83080 - ASSAY OF B HEXOSAMINIDASE EA | '01/01/2023 | 12/31/2999 |
| 83088 | 83088 - Histamine | 83088 - ASSAY OF HISTAMINE | 83088 - ASSAY OF HISTAMINE | '01/01/2017 | 12/31/2999 |
| 83090 | 83090 - Homocysteine | 83090 - ASSAY OF HOMOCYSTEINE | 83090 - ASSAY OF HOMOCYSTEINE | '01/01/2023 | 12/31/2999 |
| 83150 | 83150 - Homovanillic acid (HVA) | 83150 - ASSAY OF HOMOVANILLIC ACID | 83150 - ASSAY OF HOMOVANILLIC ACID | '01/01/2017 | 12/31/2999 |
| 83491 | 83491 - Hydroxycorticosteroids 17- (17-OHCS) | 83491 - ASSAY OF HYDROXYCORTICOSTEROIDS 17 | 83491 - ASY HYDROXYCORTICOSTEROIDS17 | '01/01/2023 | 12/31/2999 |
| 83497 | 83497 - Hydroxyindolacetic acid 5-(HIAA) | 83497 - ASSAY OF HYDROXYINDOLACETIC ACID 5-HIAA | 83497 - ASSAY OF 5-HIAA | '01/01/2017 | 12/31/2999 |
| 83498 | 83498 - Hydroxyprogesterone 17-d | 83498 - ASSAY OF HYDROXYPROGESTERONE 17-D | 83498 - ASY HYDROXYPROGESTERONE 17-D | '01/01/2023 | 12/31/2999 |
| 83500 | 83500 - Hydroxyproline; free | 83500 - ASSAY OF FREE HYDROXYPROLINE | 83500 - ASSAY FREE HYDROXYPROLINE | '01/01/2023 | 12/31/2999 |
| 83505 | 83505 - Hydroxyproline; total | 83505 - ASSAY OF TOTAL HYDROXYPROLINE | 83505 - ASSAY TOTAL HYDROXYPROLINE | '01/01/2023 | 12/31/2999 |
| 83516 | 83516 - Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative multiple step method | 83516 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAN MULTIPLE STEP | 83516 - IMMUNOASSAY NONANTIBODY | '01/01/2023 | 12/31/2999 |
| 83518 | 83518 - Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; qualitative or semiquantitative single step method (eg reagent strip) | 83518 - IMMUNOASSAY ANALYTE QUAL/SEMIQUAL SINGLE STEP | 83518 - IMMUNOASSAY DIPSTICK | '01/01/2017 | 12/31/2999 |
| 83519 | 83519 - Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative by radioimmunoassay (eg RIA) | 83519 - IMMUNOASSAY ANALYTE QUANT RADIOIMMUNOASSAY | 83519 - RIA NONANTIBODY | '01/01/2017 | 12/31/2999 |
| 83520 | 83520 - Immunoassay for analyte other than infectious agent antibody or infectious agent antigen; quantitative not otherwise specified | 83520 - IMMUNOASSAY ANALYTE QUANTITATIVE NOS | 83520 - IMMUNOASSAY QUANT NOS NONAB | '01/01/2017 | 12/31/2999 |
| 83521 | 83521 - Immunoglobulin light chains (ie kappa lambda) free each | 83521 - IMMUNOGLOBULIN LIGHT CHAINS FREE EACH | 83521 - IG LIGHT CHAINS FREE EACH | '01/01/2022 | 12/31/2999 |
| 83525 | 83525 - Insulin; total | 83525 - ASSAY OF INSULIN TOTAL | 83525 - ASSAY OF INSULIN | '01/01/2017 | 12/31/2999 |
| 83527 | 83527 - Insulin; free | 83527 - ASSAY OF INSULIN FREE | 83527 - ASSAY OF INSULIN | '01/01/2017 | 12/31/2999 |
| 83528 | 83528 - Intrinsic factor | 83528 - ASSAY OF INTRINSIC FACTOR | 83528 - ASSAY OF INTRINSIC FACTOR | '01/01/2017 | 12/31/2999 |
| 83529 | 83529 - Interleukin-6 (IL-6) | 83529 - ASSAY OF INTERLEUKIN-6 (IL-6) | 83529 - ASAY OF INTERLEUKIN-6 (IL-6) | '01/01/2022 | 12/31/2999 |
| 83540 | 83540 - Iron | 83540 - ASSAY OF IRON | 83540 - ASSAY OF IRON | '01/01/2017 | 12/31/2999 |
| 83550 | 83550 - Iron binding capacity | 83550 - IRON BINDING CAPACITY | 83550 - IRON BINDING TEST | '01/01/2017 | 12/31/2999 |
| 83570 | 83570 - Isocitric dehydrogenase (IDH) | 83570 - ISOCITRIC DEHYDROGENASE | 83570 - ASSAY OF IDH ENZYME | '01/01/2017 | 12/31/2999 |
| 83582 | 83582 - Ketogenic steroids fractionation | 83582 - ASSAY OF KETOGENIC STEROIDS FRACTIONATION | 83582 - ASSAY OF KETOGENIC STEROIDS | '01/01/2017 | 12/31/2999 |
| 83586 | 83586 - Ketosteroids 17- (17-KS); total | 83586 - ASSAY OF KETOSTEROIDS 17- TOTAL | 83586 - ASSAY 17- KETOSTEROIDS | '01/01/2017 | 12/31/2999 |
| 83593 | 83593 - Ketosteroids 17- (17-KS); fractionation | 83593 - KETOSTEROIDS 17- FRACTIONATION | 83593 - FRACTIONATION KETOSTEROIDS | '01/01/2017 | 12/31/2999 |
| 83605 | 83605 - Lactate (lactic acid) | 83605 - ASSAY OF LACTATE | 83605 - ASSAY OF LACTIC ACID | '01/01/2017 | 12/31/2999 |
| 83615 | 83615 - Lactate dehydrogenase (LD) (LDH); | 83615 - LACTATE DEHYDROGENASE LDH | 83615 - LACTATE (LD) (LDH) ENZYME | '01/01/2017 | 12/31/2999 |
| 83625 | 83625 - Lactate dehydrogenase (LD) (LDH); isoenzymes separation and quantitation | 83625 - LACTATE DEHYDROGENASE ISOENZYMES SEP&QUAN | 83625 - ASSAY OF LDH ENZYMES | '01/01/2017 | 12/31/2999 |
| 83630 | 83630 - Lactoferrin fecal; qualitative | 83630 - LACTOFERRIN FECAL QUALITATIVE | 83630 - LACTOFERRIN FECAL (QUAL) | '01/01/2017 | 12/31/2999 |
| 83631 | 83631 - Lactoferrin fecal; quantitative | 83631 - LACTOFERRIN FECAL QUANTITATIVE | 83631 - LACTOFERRIN FECAL (QUANT) | '01/01/2017 | 12/31/2999 |
| 83632 | 83632 - Lactogen human placental (HPL) human chorionic somatomammotropin | 83632 - LACTOGEN HPL HUMAN CHORIONIC SOMATOMAMMOTROPIN | 83632 - PLACENTAL LACTOGEN | '01/01/2017 | 12/31/2999 |
| 83633 | 83633 - Lactose urine qualitative | 83633 - LACTOSE URINE QUALITATIVE | 83633 - TEST URINE FOR LACTOSE | '01/01/2017 | 12/31/2999 |
| 83655 | 83655 - Lead | 83655 - ASSAY OF LEAD | 83655 - ASSAY OF LEAD | '01/01/2017 | 12/31/2999 |
| 83661 | 83661 - Fetal lung maturity assessment; lecithin sphingomyelin (L/S) ratio | 83661 - FETAL LUNG MATURITY LECITHIN SPHINGOMYELIN RATIO | 83661 - L/S RATIO FETAL LUNG | '01/01/2017 | 12/31/2999 |
| 83662 | 83662 - Fetal lung maturity assessment; foam stability test | 83662 - FETAL LUNG MATURITY FOAM STABILITY TEST | 83662 - FOAM STABILITY FETAL LUNG | '01/01/2017 | 12/31/2999 |
| 83663 | 83663 - Fetal lung maturity assessment; fluorescence polarization | 83663 - FETAL LUNG MATURITY FLUORESCENCE POLARIZATION | 83663 - FLUORO POLARIZE FETAL LUNG | '01/01/2017 | 12/31/2999 |
| 83664 | 83664 - Fetal lung maturity assessment; lamellar body density | 83664 - FETAL LUNG MATURITY LAMELLAR BODY DENSITY | 83664 - LAMELLAR BDY FETAL LUNG | '01/01/2017 | 12/31/2999 |
| 83670 | 83670 - Leucine aminopeptidase (LAP) | 83670 - LEUCINE AMINOPEPTIDASE LAP | 83670 - ASSAY OF LAP ENZYME | '01/01/2017 | 12/31/2999 |
| 83690 | 83690 - Lipase | 83690 - ASSAY OF LIPASE | 83690 - ASSAY OF LIPASE | '01/01/2017 | 12/31/2999 |
| 83695 | 83695 - Lipoprotein (a) | 83695 - LIPOPROTEIN (A) | 83695 - ASSAY OF LIPOPROTEIN(A) | '01/01/2017 | 12/31/2999 |
| 83698 | 83698 - Lipoprotein-associated phospholipase A2 (Lp-PLA2) | 83698 - LIPOPROTEIN-ASSOCIATED PHOSPHOLIPASE A2 | 83698 - ASSAY LIPOPROTEIN PLA2 | '01/01/2017 | 12/31/2999 |
| 83700 | 83700 - Lipoprotein blood; electrophoretic separation and quantitation | 83700 - LIPOPROTEIN BLOOD ELECTROPHORECTIC SEP&QUAN | 83700 - LIPOPRO BLD ELECTROPHORETIC | '01/01/2017 | 12/31/2999 |
| 83701 | 83701 - Lipoprotein blood; high resolution fractionation and quantitation of lipoproteins including lipoprotein subclasses when performed (eg electrophoresis ultracentrifugation) | 83701 - LIPOPROTEIN BLOOD HIGH RESOLTJ&QUANTJ SUBCLASS | 83701 - LIPOPROTEIN BLD HR FRACTION | '01/01/2017 | 12/31/2999 |
| 83704 | 83704 - Lipoprotein blood; quantitation of lipoprotein particle number(s) (eg by nuclear magnetic resonance spectroscopy) includes lipoprotein particle subclass(es) when performed | 83704 - LIPOPROTEIN BLOOD QUAN NUMBERS & SUBCLASSES | 83704 - LIPOPROTEIN BLD QUAN PART | '01/01/2017 | 12/31/2999 |
| 83718 | 83718 - Lipoprotein direct measurement; high density cholesterol (HDL cholesterol) | 83718 - LIPOPROTEIN DIR MEAS HIGH DENSITY CHOLESTEROL | 83718 - ASSAY OF LIPOPROTEIN | '01/01/2017 | 12/31/2999 |
| 83719 | 83719 - Lipoprotein direct measurement; VLDL cholesterol | 83719 - LIPOPROTEIN DIRECT MEASUREMENT VLDL CHOLESTEROL | 83719 - ASSAY OF BLOOD LIPOPROTEIN | '01/01/2017 | 12/31/2999 |
| 83721 | 83721 - Lipoprotein direct measurement; LDL cholesterol | 83721 - LIPOPROTEIN DIRECT MEASUREMENT LDL CHOLESTEROL | 83721 - ASSAY OF BLOOD LIPOPROTEIN | '01/01/2017 | 12/31/2999 |
| 83722 | 83722 - Lipoprotein direct measurement; small dense LDL cholesterol | 83722 - DIR MEAS LIPOPROTEIN SMALL DENSE LDL CHOLESTEROL | 83722 - LIPOPRTN DIR MEAS SD LDL CHL | '01/01/2019 | 12/31/2999 |
| 83727 | 83727 - Luteinizing releasing factor (LRH) | 83727 - LUTEINIZING RELEASING FACTOR | 83727 - ASSAY OF LRH HORMONE | '01/01/2017 | 12/31/2999 |
| 83735 | 83735 - Magnesium | 83735 - ASSAY OF MAGNESIUM | 83735 - ASSAY OF MAGNESIUM | '01/01/2017 | 12/31/2999 |
| 83775 | 83775 - Malate dehydrogenase | 83775 - ASSAY OF MALATE DEHYDROGENASE | 83775 - ASSAY MALATE DEHYDROGENASE | '01/01/2017 | 12/31/2999 |
| 83785 | 83785 - Manganese | 83785 - ASSAY OF MANGANESE | 83785 - ASSAY OF MANGANESE | '01/01/2017 | 12/31/2999 |
| 83789 | 83789 - Mass spectrometry and tandem mass spectrometry (eg MS MS/MS MALDI MS-TOF QTOF) non-drug analyte(s) not elsewhere specified qualitative or quantitative each specimen | 83789 - MASS SPECT&TANDEM MASS SPECT NONDRG ANAL NES EA | 83789 - MASS SPECTROMETRY QUAL/QUAN | '01/01/2017 | 12/31/2999 |
| 83825 | 83825 - Mercury quantitative | 83825 - ASSAY OF MERCURY QUANTITATIVE | 83825 - ASSAY OF MERCURY | '01/01/2017 | 12/31/2999 |
| 83835 | 83835 - Metanephrines | 83835 - METANEPHRINES | 83835 - ASSAY OF METANEPHRINES | '01/01/2017 | 12/31/2999 |
| 83857 | 83857 - Methemalbumin | 83857 - METHEMALBUMIN | 83857 - ASSAY OF METHEMALBUMIN | '01/01/2017 | 12/31/2999 |
| 83861 | 83861 - Microfluidic analysis utilizing an integrated collection and analysis device tear osmolarity | 83861 - MICROFLUIDIC ANALYSIS TEAR OSMOLARITY | 83861 - MICROFLUID ANALY TEARS | '01/01/2017 | 12/31/2999 |
| 83864 | 83864 - Mucopolysaccharides acid quantitative | 83864 - MUCOPOLYSACCHARIDES ACID QUANTITATIVE | 83864 - MUCOPOLYSACCHARIDES | '01/01/2017 | 12/31/2999 |
| 83872 | 83872 - Mucin synovial fluid (Ropes test) | 83872 - MUCIN SYNOVIAL FLUID ROPES TEST | 83872 - ASSAY SYNOVIAL FLUID MUCIN | '01/01/2017 | 12/31/2999 |
| 83873 | 83873 - Myelin basic protein cerebrospinal fluid | 83873 - MYELIN BASIC PROTEIN CEREBROSPINAL FLUID | 83873 - ASSAY OF CSF PROTEIN | '01/01/2017 | 12/31/2999 |
| 83874 | 83874 - Myoglobin | 83874 - MYOGLOBIN | 83874 - ASSAY OF MYOGLOBIN | '01/01/2017 | 12/31/2999 |
| 83876 | 83876 - Myeloperoxidase (MPO) | 83876 - MYELOPEROXIDASE MPO | 83876 - ASSAY MYELOPEROXIDASE | '01/01/2017 | 12/31/2999 |
| 83880 | 83880 - Natriuretic peptide | 83880 - NATRIURETIC PEPTIDE | 83880 - ASSAY OF NATRIURETIC PEPTIDE | '01/01/2017 | 12/31/2999 |
| 83883 | 83883 - Nephelometry each analyte not elsewhere specified | 83883 - ASSAY OF NEPHELOMETRY EACH ANALYTE NES | 83883 - ASSAY NEPHELOMETRY NOT SPEC | '01/01/2017 | 12/31/2999 |
| 83885 | 83885 - Nickel | 83885 - ASSAY OF NICKEL | 83885 - ASSAY OF NICKEL | '01/01/2017 | 12/31/2999 |
| 83915 | 83915 - Nucleotidase 5'- | 83915 - ASSAY OF NUCLEOTIDASE 5'- | 83915 - ASSAY OF NUCLEOTIDASE | '01/01/2017 | 12/31/2999 |
| 83916 | 83916 - Oligoclonal immune (oligoclonal bands) | 83916 - OLIGOCLONAL IMMUNE | 83916 - OLIGOCLONAL BANDS | '01/01/2017 | 12/31/2999 |
| 83918 | 83918 - Organic acids; total quantitative each specimen | 83918 - ORGANIC ACIDS TOTAL QUANTITATIVE EACH SPECIMEN | 83918 - ORGANIC ACIDS TOTAL QUANT | '01/01/2017 | 12/31/2999 |
| 83919 | 83919 - Organic acids; qualitative each specimen | 83919 - ORGANIC ACIDS QUALITATIVE EACH SPECIMEN | 83919 - ORGANIC ACIDS QUAL EACH | '01/01/2017 | 12/31/2999 |
| 83921 | 83921 - Organic acid single quantitative | 83921 - ORGANIC ACID 1 QUANTITATIVE | 83921 - ORGANIC ACID SINGLE QUANT | '01/01/2017 | 12/31/2999 |
| 83930 | 83930 - Osmolality; blood | 83930 - ASSAY OF OSMOLALITY BLOOD | 83930 - ASSAY OF BLOOD OSMOLALITY | '01/01/2017 | 12/31/2999 |
| 83935 | 83935 - Osmolality; urine | 83935 - ASSAY OF OSMOLALITY URINE | 83935 - ASSAY OF URINE OSMOLALITY | '01/01/2017 | 12/31/2999 |
| 83937 | 83937 - Osteocalcin (bone g1a protein) | 83937 - ASSAY OF OSTEOCALCIN | 83937 - ASSAY OF OSTEOCALCIN | '01/01/2017 | 12/31/2999 |
| 83945 | 83945 - Oxalate | 83945 - ASSAY OF OXALATE | 83945 - ASSAY OF OXALATE | '01/01/2017 | 12/31/2999 |
| 83950 | 83950 - Oncoprotein; HER-2/neu | 83950 - ONCOPROTEIN HER-2/NEU | 83950 - ONCOPROTEIN HER-2/NEU | '01/01/2017 | 12/31/2999 |
| 83951 | 83951 - Oncoprotein; des-gamma-carboxy-prothrombin (DCP) | 83951 - ONCOPROTEIN DES-GAMMA-CARBOXY-PROTHROMBIN DCP | 83951 - ONCOPROTEIN DCP | '01/01/2017 | 12/31/2999 |
| 83970 | 83970 - Parathormone (parathyroid hormone) | 83970 - ASSAY OF PARATHORMONE | 83970 - ASSAY OF PARATHORMONE | '01/01/2017 | 12/31/2999 |
| 83986 | 83986 - pH; body fluid not otherwise specified | 83986 - PH BODY FLUID NOT ELSEWHERE SPECIFIED | 83986 - ASSAY PH BODY FLUID NOS | '01/01/2017 | 12/31/2999 |
| 83987 | 83987 - pH; exhaled breath condensate | 83987 - PH EXHALED BREATH CONDENSATE | 83987 - EXHALED BREATH CONDENSATE | '01/01/2017 | 12/31/2999 |
| 83992 | 83992 - Phencyclidine (PCP) | 83992 - ASSAY OF PHENCYCLIDINE | 83992 - ASSAY FOR PHENCYCLIDINE | '01/01/2017 | 12/31/2999 |
| 83993 | 83993 - Calprotectin fecal | 83993 - ASSAY OF CALPROTECTIN FECAL | 83993 - ASSAY FOR CALPROTECTIN FECAL | '01/01/2017 | 12/31/2999 |
| 84030 | 84030 - Phenylalanine (PKU) blood | 84030 - ASSAY OF PHENYLALANINE BLOOD | 84030 - ASSAY OF BLOOD PKU | '01/01/2017 | 12/31/2999 |
| 84035 | 84035 - Phenylketones qualitative | 84035 - ASSAY OF PHENYLKETONES QUALITATIVE | 84035 - ASSAY OF PHENYLKETONES | '01/01/2017 | 12/31/2999 |
| 84060 | 84060 - Phosphatase acid; total | 84060 - ASSAY OF PHOSPHATASE ACID TOTAL | 84060 - ASSAY ACID PHOSPHATASE | '01/01/2017 | 12/31/2999 |
| 84066 | 84066 - Phosphatase acid; prostatic | 84066 - ASSAY OF PHOSPHATASE ACID PROSTATIC | 84066 - ASSAY PROSTATE PHOSPHATASE | '01/01/2017 | 12/31/2999 |
| 84075 | 84075 - Phosphatase alkaline; | 84075 - ASSAY OF PHOSPHATASE ALKALINE | 84075 - ASSAY ALKALINE PHOSPHATASE | '01/01/2017 | 12/31/2999 |
| 84078 | 84078 - Phosphatase alkaline; heat stable (total not included) | 84078 - ASSAY OF PHOSPHATASE ALKALINE HEAT STABLE | 84078 - ASSAY ALKALINE PHOSPHATASE | '01/01/2017 | 12/31/2999 |
| 84080 | 84080 - Phosphatase alkaline; isoenzymes | 84080 - ASSAY OF PHOSPHATASE ALKALINE ISOENZYMES | 84080 - ASSAY ALKALINE PHOSPHATASES | '01/01/2017 | 12/31/2999 |
| 84081 | 84081 - Phosphatidylglycerol | 84081 - PHOSPHATIDYLGLYCEROL | 84081 - ASSAY PHOSPHATIDYLGLYCEROL | '01/01/2017 | 12/31/2999 |
| 84085 | 84085 - Phosphogluconate 6- dehydrogenase RBC | 84085 - PHOSPHOGLUCONATE 6-DEHYD RBC | 84085 - ASSAY OF RBC PG6D ENZYME | '01/01/2017 | 12/31/2999 |
| 84087 | 84087 - Phosphohexose isomerase | 84087 - ASSAY OF PHOSPHOHEXOSE ISOMERASE | 84087 - ASSAY PHOSPHOHEXOSE ENZYMES | '01/01/2017 | 12/31/2999 |
| 84100 | 84100 - Phosphorus inorganic (phosphate); | 84100 - ASSAY OF PHOSPHORUS INORGANIC | 84100 - ASSAY OF PHOSPHORUS | '01/01/2017 | 12/31/2999 |
| 84105 | 84105 - Phosphorus inorganic (phosphate); urine | 84105 - ASSAY OF PHOSPHORUS INORGANIC URINE | 84105 - ASSAY OF URINE PHOSPHORUS | '01/01/2017 | 12/31/2999 |
| 84106 | 84106 - Porphobilinogen urine; qualitative | 84106 - PORPHOBILINOGEN URINE QUALITATIVE | 84106 - TEST FOR PORPHOBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84110 | 84110 - Porphobilinogen urine; quantitative | 84110 - ASSAY OF PORPHOBILINOGEN URINE QUANTITATIVE | 84110 - ASSAY OF PORPHOBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84112 | 84112 - Evaluation of cervicovaginal fluid for specific amniotic fluid protein(s) (eg placental alpha microglobulin-1 [PAMG-1] placental protein 12 [PP12] alpha-fetoprotein) qualitative each specimen | 84112 - EVAL C/V AMNIOTIC FLUID PROTEIN QUAL EA SPECIMEN | 84112 - EVAL AMNIOTIC FLUID PROTEIN | '01/01/2017 | 12/31/2999 |
| 84119 | 84119 - Porphyrins urine; qualitative | 84119 - PORPHYRINS URINE QUALITATAIVE | 84119 - TEST URINE FOR PORPHYRINS | '01/01/2017 | 12/31/2999 |
| 84120 | 84120 - Porphyrins urine; quantitation and fractionation | 84120 - PORPHYRINS URINE QUANTITATION & FRACTIONATION | 84120 - ASSAY OF URINE PORPHYRINS | '01/01/2017 | 12/31/2999 |
| 84126 | 84126 - Porphyrins feces quantitative | 84126 - PORPHYRINS FECES QUANTITATIVE | 84126 - ASSAY OF FECES PORPHYRINS | '01/01/2017 | 12/31/2999 |
| 84132 | 84132 - Potassium; serum plasma or whole blood | 84132 - POTASSIUM SERUM PLASMA/WHOLE BLOOD | 84132 - ASSAY OF SERUM POTASSIUM | '01/01/2017 | 12/31/2999 |
| 84133 | 84133 - Potassium; urine | 84133 - POTASSIUM URINE | 84133 - ASSAY OF URINE POTASSIUM | '01/01/2017 | 12/31/2999 |
| 84134 | 84134 - Prealbumin | 84134 - PREALBUMIN | 84134 - ASSAY OF PREALBUMIN | '01/01/2017 | 12/31/2999 |
| 84135 | 84135 - Pregnanediol | 84135 - PREGNANEDIOL | 84135 - ASSAY OF PREGNANEDIOL | '01/01/2017 | 12/31/2999 |
| 84138 | 84138 - Pregnanetriol | 84138 - PREGNANETRIOL | 84138 - ASSAY OF PREGNANETRIOL | '01/01/2017 | 12/31/2999 |
| 84140 | 84140 - Pregnenolone | 84140 - PREGNENOLONE | 84140 - ASSAY OF PREGNENOLONE | '01/01/2017 | 12/31/2999 |
| 84143 | 84143 - 17-hydroxypregnenolone | 84143 - 17-HYDROXYPREGNENOLONE | 84143 - ASSAY OF 17-HYDROXYPREGNENO | '01/01/2017 | 12/31/2999 |
| 84144 | 84144 - Progesterone | 84144 - ASSAY OF PROGESTERONE | 84144 - ASSAY OF PROGESTERONE | '01/01/2017 | 12/31/2999 |
| 84145 | 84145 - Procalcitonin (PCT) | 84145 - PROCALCITONIN (PCT) | 84145 - PROCALCITONIN (PCT) | '01/01/2017 | 12/31/2999 |
| 84146 | 84146 - Prolactin | 84146 - ASSAY OF PROLACTIN | 84146 - ASSAY OF PROLACTIN | '01/01/2017 | 12/31/2999 |
| 84150 | 84150 - Prostaglandin each | 84150 - ASSAY OF PROSTAGLNDIN EACH | 84150 - ASSAY OF PROSTAGLANDIN | '01/01/2017 | 12/31/2999 |
| 84152 | 84152 - Prostate specific antigen (PSA); complexed (direct measurement) | 84152 - ASSAY OF PROSTATE SPECIFIC ANTIGEN COMPLEXED | 84152 - ASSAY OF PSA COMPLEXED | '01/01/2017 | 12/31/2999 |
| 84153 | 84153 - Prostate specific antigen (PSA); total | 84153 - ASSAY OF PROSTATE SPECIFIC ANTIGEN TOTAL | 84153 - ASSAY OF PSA TOTAL | '01/01/2017 | 12/31/2999 |
| 84154 | 84154 - Prostate specific antigen (PSA); free | 84154 - ASSAY OF PROSTATE SPECIFIC ANTIGEN FREE | 84154 - ASSAY OF PSA FREE | '01/01/2017 | 12/31/2999 |
| 84155 | 84155 - Protein total except by refractometry; serum plasma or whole blood | 84155 - PROTEIN XCPT REFRACTOMETRY SERUM PLASMA/WHL BLD | 84155 - ASSAY OF PROTEIN SERUM | '01/01/2017 | 12/31/2999 |
| 84156 | 84156 - Protein total except by refractometry; urine | 84156 - PROTEIN TOTAL XCPT REFRACTOMETRY URINE | 84156 - ASSAY OF PROTEIN URINE | '01/01/2017 | 12/31/2999 |
| 84157 | 84157 - Protein total except by refractometry; other source (eg synovial fluid cerebrospinal fluid) | 84157 - PROTEIN TOTAL XCPT REFRACTOMETRY OTH SRC | 84157 - ASSAY OF PROTEIN OTHER | '01/01/2017 | 12/31/2999 |
| 84160 | 84160 - Protein total by refractometry any source | 84160 - PROTEIN TOTAL REFRACTOMETRY ANY SRC | 84160 - ASSAY OF PROTEIN ANY SOURCE | '01/01/2017 | 12/31/2999 |
| 84163 | 84163 - Pregnancy-associated plasma protein-A (PAPP-A) | 84163 - PREGNANCY-ASSOCIATED PLASMA PROTEIN-A | 84163 - PAPPA SERUM | '01/01/2017 | 12/31/2999 |
| 84165 | 84165 - Protein; electrophoretic fractionation and quantitation serum | 84165 - PROTEIN ELECTROPHORETIC FRACTJ&QUANTJ SERUM | 84165 - PROTEIN E-PHORESIS SERUM | '01/01/2017 | 12/31/2999 |
| 84166 | 84166 - Protein; electrophoretic fractionation and quantitation other fluids with concentration (eg urine CSF) | 84166 - PROTEIN ELECTROP FXJ&QUAN OTH FLUS CONCENTRATI | 84166 - PROTEIN E-PHORESIS/URINE/CSF | '01/01/2017 | 12/31/2999 |
| 84181 | 84181 - Protein; Western Blot with interpretation and report blood or other body fluid | 84181 - PROTEIN WESTRN BLOT I&R BLOOD/OTHER FLUID | 84181 - WESTERN BLOT TEST | '01/01/2017 | 12/31/2999 |
| 84182 | 84182 - Protein; Western Blot with interpretation and report blood or other body fluid immunological probe for band identification each | 84182 - PROTEIN WESTRN BLOT BLOOD/OTH FLU IMMUNOLOGICAL | 84182 - PROTEIN WESTERN BLOT TEST | '01/01/2017 | 12/31/2999 |
| 84202 | 84202 - Protoporphyrin RBC; quantitative | 84202 - PROTOPORPHYRIN RBC QUANTITATIVE | 84202 - ASSAY RBC PROTOPORPHYRIN | '01/01/2017 | 12/31/2999 |
| 84203 | 84203 - Protoporphyrin RBC; screen | 84203 - PROTOPORPHYRIN RBC SCREEN | 84203 - TEST RBC PROTOPORPHYRIN | '01/01/2017 | 12/31/2999 |
| 84206 | 84206 - Proinsulin | 84206 - ASSAY OF PROINSULIN | 84206 - ASSAY OF PROINSULIN | '01/01/2017 | 12/31/2999 |
| 84207 | 84207 - Pyridoxal phosphate (Vitamin B-6) | 84207 - ASSAY OF PYRIDOXAL PHOSPHATE | 84207 - ASSAY OF VITAMIN B-6 | '01/01/2017 | 12/31/2999 |
| 84210 | 84210 - Pyruvate | 84210 - ASSAY OF PYRUVATE | 84210 - ASSAY OF PYRUVATE | '01/01/2017 | 12/31/2999 |
| 84220 | 84220 - Pyruvate kinase | 84220 - ASSAY OF PYRUVATE KINASE | 84220 - ASSAY OF PYRUVATE KINASE | '01/01/2017 | 12/31/2999 |
| 84228 | 84228 - Quinine | 84228 - ASSAY OF QUININE | 84228 - ASSAY OF QUININE | '01/01/2017 | 12/31/2999 |
| 84233 | 84233 - Receptor assay; estrogen | 84233 - ASSAY OF RECEPTOR ASSAY ESTROGEN | 84233 - ASSAY OF ESTROGEN | '01/01/2017 | 12/31/2999 |
| 84234 | 84234 - Receptor assay; progesterone | 84234 - ASSAY OF RECEPTOR ASSAY PROGESTERONE | 84234 - ASSAY OF PROGESTERONE | '01/01/2017 | 12/31/2999 |
| 84235 | 84235 - Receptor assay; endocrine other than estrogen or progesterone (specify hormone) | 84235 - RECEPTOR ASSAY ENDOCRINE OTH/THN ESTRGN/PROGST | 84235 - ASSAY OF ENDOCRINE HORMONE | '01/01/2017 | 12/31/2999 |
| 84238 | 84238 - Receptor assay; non-endocrine (specify receptor) | 84238 - RECEPTOR ASSAY NON-ENDOCRINE SPECIFY RECEPTOR | 84238 - ASSAY NONENDOCRINE RECEPTOR | '01/01/2017 | 12/31/2999 |
| 84244 | 84244 - Renin | 84244 - ASSAY OF RENIN | 84244 - ASSAY OF RENIN | '01/01/2017 | 12/31/2999 |
| 84252 | 84252 - Riboflavin (Vitamin B-2) | 84252 - ASSAY OF RIBOFLAVIN-VITAMIN B-2 | 84252 - ASSAY OF VITAMIN B-2 | '01/01/2017 | 12/31/2999 |
| 84255 | 84255 - Selenium | 84255 - ASSAY OF SELENIUM | 84255 - ASSAY OF SELENIUM | '01/01/2017 | 12/31/2999 |
| 84260 | 84260 - Serotonin | 84260 - ASSAY OF SEROTONIN | 84260 - ASSAY OF SEROTONIN | '01/01/2017 | 12/31/2999 |
| 84270 | 84270 - Sex hormone binding globulin (SHBG) | 84270 - ASSAY OF SEX HORMONE BINDING GLOBULIN | 84270 - ASSAY OF SEX HORMONE GLOBUL | '01/01/2017 | 12/31/2999 |
| 84275 | 84275 - Sialic acid | 84275 - ASSAY OF SIALIC ACID | 84275 - ASSAY OF SIALIC ACID | '01/01/2017 | 12/31/2999 |
| 84285 | 84285 - Silica | 84285 - ASSAY OF SILICA | 84285 - ASSAY OF SILICA | '01/01/2017 | 12/31/2999 |
| 84295 | 84295 - Sodium; serum plasma or whole blood | 84295 - SODIUM SERUM PLASMA OR WHOLE BLOOD | 84295 - ASSAY OF SERUM SODIUM | '01/01/2017 | 12/31/2999 |
| 84300 | 84300 - Sodium; urine | 84300 - ASSAY OF URINE SODIUM | 84300 - ASSAY OF URINE SODIUM | '01/01/2017 | 12/31/2999 |
| 84302 | 84302 - Sodium; other source | 84302 - ASSAY OF SODIUM OTHER SOURCE | 84302 - ASSAY OF SWEAT SODIUM | '01/01/2017 | 12/31/2999 |
| 84305 | 84305 - Somatomedin | 84305 - ASSAY OF SOMATOMEDIN | 84305 - ASSAY OF SOMATOMEDIN | '01/01/2017 | 12/31/2999 |
| 84307 | 84307 - Somatostatin | 84307 - ASSAY OF SOMATOSTATIN | 84307 - ASSAY OF SOMATOSTATIN | '01/01/2017 | 12/31/2999 |
| 84311 | 84311 - Spectrophotometry analyte not elsewhere specified | 84311 - SPECTROPHOTOMETRY ANALYT NOT ELSEWHERE SPECIFIED | 84311 - SPECTROPHOTOMETRY | '01/01/2017 | 12/31/2999 |
| 84315 | 84315 - Specific gravity (except urine) | 84315 - SPECIFIC GRAVITY EXCEPT URINE | 84315 - BODY FLUID SPECIFIC GRAVITY | '01/01/2017 | 12/31/2999 |
| 84375 | 84375 - Sugars chromatographic TLC or paper chromatography | 84375 - SUGARS CHROMATOGRAPHIC TLC/PAPER CHROMATOGRAPHY | 84375 - CHROMATOGRAM ASSAY SUGARS | '01/01/2017 | 12/31/2999 |
| 84376 | 84376 - Sugars (mono- di- and oligosaccharides); single qualitative each specimen | 84376 - SUGARS MONO DI&OLIGOS 1 QUALITATAIVE EACH SPEC | 84376 - SUGARS SINGLE QUAL | '01/01/2017 | 12/31/2999 |
| 84377 | 84377 - Sugars (mono- di- and oligosaccharides); multiple qualitative each specimen | 84377 - SUGARS MONO DI&OLIGOS MLT QUALITATIVE EACH SPE | 84377 - SUGARS MULTIPLE QUAL | '01/01/2017 | 12/31/2999 |
| 84378 | 84378 - Sugars (mono- di- and oligosaccharides); single quantitative each specimen | 84378 - SUGARS MONO DI&OLIGOS 1 QUANTITATIVE EACH SPEC | 84378 - SUGARS SINGLE QUANT | '01/01/2017 | 12/31/2999 |
| 84379 | 84379 - Sugars (mono- di- and oligosaccharides); multiple quantitative each specimen | 84379 - SUGARS MONO DI&OLIGOS MLT QUANTITATIVE EA SPEC | 84379 - SUGARS MULTIPLE QUANT | '01/01/2017 | 12/31/2999 |
| 84392 | 84392 - Sulfate urine | 84392 - ASSAY OF SULFATE URINE | 84392 - ASSAY OF URINE SULFATE | '01/01/2017 | 12/31/2999 |
| 84402 | 84402 - Testosterone; free | 84402 - ASSAY OF TESTOSTERONE FREE | 84402 - ASSAY OF FREE TESTOSTERONE | '01/01/2017 | 12/31/2999 |
| 84403 | 84403 - Testosterone; total | 84403 - ASSAY OF TESTOSTERONE TOTAL | 84403 - ASSAY OF TOTAL TESTOSTERONE | '01/01/2017 | 12/31/2999 |
| 84410 | 84410 - Testosterone; bioavailable direct measurement (eg differential precipitation) | 84410 - ASSAY BIOVLBL TESTOSTERONE DIRECT MEASUREMENT | 84410 - TESTOSTERONE BIOAVAILABLE | '01/01/2017 | 12/31/2999 |
| 84425 | 84425 - Thiamine (Vitamin B-1) | 84425 - ASSAY OF THIAMINE-VITAMIN B-1 | 84425 - ASSAY OF VITAMIN B-1 | '01/01/2017 | 12/31/2999 |
| 84430 | 84430 - Thiocyanate | 84430 - ASSAY OF THIOCYANATE | 84430 - ASSAY OF THIOCYANATE | '01/01/2017 | 12/31/2999 |
| 84431 | 84431 - Thromboxane metabolite(s) including thromboxane if performed urine | 84431 - THROMBOXANE METABOLITE W/WO THROMBOXANE URINE | 84431 - THROMBOXANE URINE | '01/01/2017 | 12/31/2999 |
| 84432 | 84432 - Thyroglobulin | 84432 - ASSAY OF THYROGLOBULIN | 84432 - ASSAY OF THYROGLOBULIN | '01/01/2017 | 12/31/2999 |
| 84433 | 84433 - Thiopurine S-methyltransferase (TPMT) | 84433 - ASSAY THIOPURINE S-METHYLTRANSFERASE | 84433 - ASY THIOPURIN S-MTHYLTRNSFRS | '01/01/2023 | 12/31/2999 |
| 84436 | 84436 - Thyroxine; total | 84436 - ASSAY OF THYROXINE TOTAL | 84436 - ASSAY OF TOTAL THYROXINE | '01/01/2017 | 12/31/2999 |
| 84437 | 84437 - Thyroxine; requiring elution (eg neonatal) | 84437 - ASSAY OF THYROXINE REQUIRING ELUTION | 84437 - ASSAY OF NEONATAL THYROXINE | '01/01/2017 | 12/31/2999 |
| 84439 | 84439 - Thyroxine; free | 84439 - ASSAY OF FREE THYROXINE | 84439 - ASSAY OF FREE THYROXINE | '01/01/2017 | 12/31/2999 |
| 84442 | 84442 - Thyroxine binding globulin (TBG) | 84442 - ASSAY OF THYROXINE BINDING GLOBULIN | 84442 - ASSAY OF THYROID ACTIVITY | '01/01/2017 | 12/31/2999 |
| 84443 | 84443 - Thyroid stimulating hormone (TSH) | 84443 - ASSAY OF THYROID STIMULATING HORMONE TSH | 84443 - ASSAY THYROID STIM HORMONE | '01/01/2017 | 12/31/2999 |
| 84445 | 84445 - Thyroid stimulating immune globulins (TSI) | 84445 - THYROID STIMULATING IMMUNE GLOBULINS TSI | 84445 - ASSAY OF TSI GLOBULIN | '01/01/2017 | 12/31/2999 |
| 84446 | 84446 - Tocopherol alpha (Vitamin E) | 84446 - ASSAY OF TOCOPHEROL ALPHA VITAMIN E | 84446 - ASSAY OF VITAMIN E | '01/01/2017 | 12/31/2999 |
| 84449 | 84449 - Transcortin (cortisol binding globulin) | 84449 - ASSAY OF TRANSCORTIN CORTISOL BINDING GLOBULIN | 84449 - ASSAY OF TRANSCORTIN | '01/01/2017 | 12/31/2999 |
| 84450 | 84450 - Transferase; aspartate amino (AST) (SGOT) | 84450 - TRANSFERASE ASPARTATE AMINO AST SGOT | 84450 - TRANSFERASE (AST) (SGOT) | '01/01/2017 | 12/31/2999 |
| 84460 | 84460 - Transferase; alanine amino (ALT) (SGPT) | 84460 - TRANSFERASE ALANINE AMINO ALT SGPT | 84460 - ALANINE AMINO (ALT) (SGPT) | '01/01/2017 | 12/31/2999 |
| 84466 | 84466 - Transferrin | 84466 - ASSAY OF L7383TRANSFERRIN | 84466 - ASSAY OF TRANSFERRIN | '01/01/2017 | 12/31/2999 |
| 84478 | 84478 - Triglycerides | 84478 - ASSAY OF TRIGLYCERIDES | 84478 - ASSAY OF TRIGLYCERIDES | '01/01/2017 | 12/31/2999 |
| 84479 | 84479 - Thyroid hormone (T3 or T4) uptake or thyroid hormone binding ratio (THBR) | 84479 - THYROID HORM UPTK/THYROID HORMONE BINDING RATIO | 84479 - ASSAY OF THYROID (T3 OR T4) | '01/01/2017 | 12/31/2999 |
| 84480 | 84480 - Triiodothyronine T3; total (TT-3) | 84480 - ASSAY OF TRIIODOTHYRONINE T3 TOTAL TT3 | 84480 - ASSAY TRIIODOTHYRONINE (T3) | '01/01/2017 | 12/31/2999 |
| 84481 | 84481 - Triiodothyronine T3; free | 84481 - ASSAY OF TRIIODOTHYRONINE T3 FREE | 84481 - FREE ASSAY (FT-3) | '01/01/2017 | 12/31/2999 |
| 84482 | 84482 - Triiodothyronine T3; reverse | 84482 - TRIIODOTHYRONINE T3 REVERSE | 84482 - T3 REVERSE | '01/01/2017 | 12/31/2999 |
| 84484 | 84484 - Troponin quantitative | 84484 - ASSAY OF TROPONIN QUANTITATIVE | 84484 - ASSAY OF TROPONIN QUANT | '01/01/2017 | 12/31/2999 |
| 84485 | 84485 - Trypsin; duodenal fluid | 84485 - ASSAY OF TRYPSIN DUODENAL FLUID | 84485 - ASSAY DUODENAL FLUID TRYPSIN | '01/01/2017 | 12/31/2999 |
| 84488 | 84488 - Trypsin; feces qualitative | 84488 - ASSAY OF TRYPSIN FECES QUALITATIVE | 84488 - TEST FECES FOR TRYPSIN | '01/01/2017 | 12/31/2999 |
| 84490 | 84490 - Trypsin; feces quantitative 24-hour collection | 84490 - TRYPSIN FECES QUANTITATIVE 24-HR COLLECTION | 84490 - ASSAY OF FECES FOR TRYPSIN | '01/01/2017 | 12/31/2999 |
| 84510 | 84510 - Tyrosine | 84510 - ASSAY OF TYROSINE | 84510 - ASSAY OF TYROSINE | '01/01/2017 | 12/31/2999 |
| 84512 | 84512 - Troponin qualitative | 84512 - ASSAY OF TROPONIN QUALITATIVE | 84512 - ASSAY OF TROPONIN QUAL | '01/01/2017 | 12/31/2999 |
| 84520 | 84520 - Urea nitrogen; quantitative | 84520 - ASSAY OF UREA NITROGEN QUANTITATIVE | 84520 - ASSAY OF UREA NITROGEN | '01/01/2017 | 12/31/2999 |
| 84525 | 84525 - Urea nitrogen; semiquantitative (eg reagent strip test) | 84525 - ASSAY OF UREA NITROGEN SEMIQUANTITATIVE | 84525 - UREA NITROGEN SEMI-QUANT | '01/01/2017 | 12/31/2999 |
| 84540 | 84540 - Urea nitrogen urine | 84540 - ASSAY OF UREA NITROGEN URINE | 84540 - ASSAY OF URINE/UREA-N | '01/01/2017 | 12/31/2999 |
| 84545 | 84545 - Urea nitrogen clearance | 84545 - UREA NITROGEN CLEARANCE | 84545 - UREA-N CLEARANCE TEST | '01/01/2017 | 12/31/2999 |
| 84550 | 84550 - Uric acid; blood | 84550 - ASSAY OF BLOOD/URIC ACID | 84550 - ASSAY OF BLOOD/URIC ACID | '01/01/2017 | 12/31/2999 |
| 84560 | 84560 - Uric acid; other source | 84560 - ASSAY OF URIC ACID OTHER SOURCE | 84560 - ASSAY OF URINE/URIC ACID | '01/01/2017 | 12/31/2999 |
| 84577 | 84577 - Urobilinogen feces quantitative | 84577 - ASSAY OF UROBILINOGEN FECES QUANTITATIVE | 84577 - ASSAY OF FECES/UROBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84578 | 84578 - Urobilinogen urine; qualitative | 84578 - ASSAY OF UROBILINOGEN URINE QUALITATIVE | 84578 - TEST URINE UROBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84580 | 84580 - Urobilinogen urine; quantitative timed specimen | 84580 - UROBILINOGEN URINE QUANTITATIVE TIMED SPECIMEN | 84580 - ASSAY OF URINE UROBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84583 | 84583 - Urobilinogen urine; semiquantitative | 84583 - ASSAY OF UROBILINOGEN URINE SEMIQUANTITATIVE | 84583 - ASSAY OF URINE UROBILINOGEN | '01/01/2017 | 12/31/2999 |
| 84585 | 84585 - Vanillylmandelic acid (VMA) urine | 84585 - ASSAY OF VANILLYLMANDELIC ACID URINE | 84585 - ASSAY OF URINE VMA | '01/01/2017 | 12/31/2999 |
| 84586 | 84586 - Vasoactive intestinal peptide (VIP) | 84586 - ASSAY OF VASOACTIVE INTESTINAL PEPTIDE | 84586 - ASSAY OF VIP | '01/01/2017 | 12/31/2999 |
| 84588 | 84588 - Vasopressin (antidiuretic hormone ADH) | 84588 - ASSAY OF VASOPRESSIN ANTI-DIURETIC HORMONE | 84588 - ASSAY OF VASOPRESSIN | '01/01/2017 | 12/31/2999 |
| 84590 | 84590 - Vitamin A | 84590 - ASSAY OF VITAMIN A | 84590 - ASSAY OF VITAMIN A | '01/01/2017 | 12/31/2999 |
| 84591 | 84591 - Vitamin not otherwise specified | 84591 - ASSAY OF VITAMIN NOT OTHERWISE SPECIFIED | 84591 - ASSAY OF NOS VITAMIN | '01/01/2017 | 12/31/2999 |
| 84597 | 84597 - Vitamin K | 84597 - ASSAY OF VITAMIN K | 84597 - ASSAY OF VITAMIN K | '01/01/2017 | 12/31/2999 |
| 84600 | 84600 - Volatiles (eg acetic anhydride diethylether) | 84600 - ASSAY OF VOLATILES | 84600 - ASSAY OF VOLATILES | '01/01/2017 | 12/31/2999 |
| 84620 | 84620 - Xylose absorption test blood and/or urine | 84620 - XYLOSE ABSORPTION TEST BLOOD &/URINE | 84620 - XYLOSE TOLERANCE TEST | '01/01/2017 | 12/31/2999 |
| 84630 | 84630 - Zinc | 84630 - ASSAY OF ZINC | 84630 - ASSAY OF ZINC | '01/01/2017 | 12/31/2999 |
| 84681 | 84681 - C-peptide | 84681 - ASSAY OF C-PEPTIDE | 84681 - ASSAY OF C-PEPTIDE | '01/01/2017 | 12/31/2999 |
| 84702 | 84702 - Gonadotropin chorionic (hCG); quantitative | 84702 - GONADOTROPIN CHORIONIC QUANTITATIVE | 84702 - CHORIONIC GONADOTROPIN TEST | '01/01/2017 | 12/31/2999 |
| 84703 | 84703 - Gonadotropin chorionic (hCG); qualitative | 84703 - GONADOTROPIN CHORIONIC QUALITATIVE | 84703 - CHORIONIC GONADOTROPIN ASSAY | '01/01/2017 | 12/31/2999 |
| 84704 | 84704 - Gonadotropin chorionic (hCG); free beta chain | 84704 - GONADOTROPIN CHORIONIC HCG FREE BETA CHAIN | 84704 - HCG FREE BETACHAIN TEST | '01/01/2017 | 12/31/2999 |
| 84830 | 84830 - Ovulation tests by visual color comparison methods for human luteinizing hormone | 84830 - OVULATION TEST VISUAL COLOR COMPARISON HLH | 84830 - OVULATION TESTS | '01/01/2017 | 12/31/2999 |
| 84999 | 84999 - Unlisted chemistry procedure | 84999 - UNLISTED CHEMISTRY PROCEDURE | 84999 - UNLISTED CHEMISTRY PROCEDURE | '01/01/2023 | 12/31/2999 |
| 85002 | 85002 - Bleeding time | 85002 - BLEEDING TIME TEST | 85002 - BLEEDING TIME TEST | '01/01/2017 | 12/31/2999 |
| 85004 | 85004 - Blood count; automated differential WBC count | 85004 - BLOOD COUNT AUTOMATED DIFFERENTIAL WBC COUNT | 85004 - AUTOMATED DIFF WBC COUNT | '01/01/2017 | 12/31/2999 |
| 85007 | 85007 - Blood count; blood smear microscopic examination with manual differential WBC count | 85007 - BLOOD COUNT SMEAR MCRSCP W/MNL DIFRNTL WBC COUNT | 85007 - BL SMEAR W/DIFF WBC COUNT | '01/01/2017 | 12/31/2999 |
| 85008 | 85008 - Blood count; blood smear microscopic examination without manual differential WBC count | 85008 - BLD COUNT SMEAR MCRSCP W/O MNL DIFRNTL WBC COUNT | 85008 - BL SMEAR W/O DIFF WBC COUNT | '01/01/2017 | 12/31/2999 |
| 85009 | 85009 - Blood count; manual differential WBC count buffy coat | 85009 - BLOOD COUNT MANUAL DIFRNTL WBC COUNT BUFFY COAT | 85009 - MANUAL DIFF WBC COUNT B-COAT | '01/01/2017 | 12/31/2999 |
| 85013 | 85013 - Blood count; spun microhematocrit | 85013 - BLOOD COUNT SPUN MICROHEMATOCRIT | 85013 - SPUN MICROHEMATOCRIT | '01/01/2017 | 12/31/2999 |
| 85014 | 85014 - Blood count; hematocrit (Hct) | 85014 - BLOOD COUNT HEMATOCRIT | 85014 - HEMATOCRIT | '01/01/2017 | 12/31/2999 |
| 85018 | 85018 - Blood count; hemoglobin (Hgb) | 85018 - BLOOD COUNT HEMOGLOBIN | 85018 - HEMOGLOBIN | '01/01/2017 | 12/31/2999 |
| 85025 | 85025 - Blood count; complete (CBC) automated (Hgb Hct RBC WBC and platelet count) and automated differential WBC count | 85025 - BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC | 85025 - COMPLETE CBC W/AUTO DIFF WBC | '01/01/2017 | 12/31/2999 |
| 85027 | 85027 - Blood count; complete (CBC) automated (Hgb Hct RBC WBC and platelet count) | 85027 - BLOOD COUNT COMPLETE AUTOMATED | 85027 - COMPLETE CBC AUTOMATED | '01/01/2017 | 12/31/2999 |
| 85032 | 85032 - Blood count; manual cell count (erythrocyte leukocyte or platelet) each | 85032 - BLOOD COUNT MANUAL CELL COUNT EACH | 85032 - MANUAL CELL COUNT EACH | '01/01/2017 | 12/31/2999 |
| 85041 | 85041 - Blood count; red blood cell (RBC) automated | 85041 - BLOOD COUNT RED BLOOD CELL AUTOMATED | 85041 - AUTOMATED RBC COUNT | '01/01/2017 | 12/31/2999 |
| 85044 | 85044 - Blood count; reticulocyte manual | 85044 - BLOOD COUNT RETICULOCYTE MANUAL | 85044 - MANUAL RETICULOCYTE COUNT | '01/01/2023 | 12/31/2999 |
| 85045 | 85045 - Blood count; reticulocyte automated | 85045 - BLOOD COUNT RETICULOCYTE AUTOMATED | 85045 - AUTOMATED RETICULOCYTE COUNT | '01/01/2017 | 12/31/2999 |
| 85046 | 85046 - Blood count; reticulocytes automated including 1 or more cellular parameters (eg reticulocyte hemoglobin content [CHr] immature reticulocyte fraction [IRF] reticulocyte volume [MRV] RNA content) direct measurement | 85046 - BLOOD COUNT RETICULOCYTES AUTO 1/> CELL MEAS | 85046 - RETICYTE/HGB CONCENTRATE | '01/01/2017 | 12/31/2999 |
| 85048 | 85048 - Blood count; leukocyte (WBC) automated | 85048 - BLOOD COUNT LEUKOCYTE WBC AUTOMATED | 85048 - AUTOMATED LEUKOCYTE COUNT | '01/01/2017 | 12/31/2999 |
| 85049 | 85049 - Blood count; platelet automated | 85049 - BLOOD COUNT PLATELET AUTOMATED | 85049 - AUTOMATED PLATELET COUNT | '01/01/2017 | 12/31/2999 |
| 85055 | 85055 - Reticulated platelet assay | 85055 - RETICULATED PLATELET ASSAY | 85055 - RETICULATED PLATELET ASSAY | '01/01/2017 | 12/31/2999 |
| 85060 | 85060 - Blood smear peripheral interpretation by physician with written report | 85060 - BLOOD SMEAR PERIPHERAL INTERP PHYS W/WRIT REPORT | 85060 - BLOOD SMEAR INTERPRETATION | '01/01/2017 | 12/31/2999 |
| 85097 | 85097 - Bone marrow smear interpretation | 85097 - BONE MARROW SMEAR INTERPRETATION | 85097 - BONE MARROW INTERPRETATION | '01/01/2017 | 12/31/2999 |
| 85130 | 85130 - Chromogenic substrate assay | 85130 - CHROMOGENIC SUBSTRATE ASSAY | 85130 - CHROMOGENIC SUBSTRATE ASSAY | '01/01/2017 | 12/31/2999 |
| 85170 | 85170 - Clot retraction | 85170 - BLOOD CLOT RETRACTION | 85170 - BLOOD CLOT RETRACTION | '01/01/2017 | 12/31/2999 |
| 85175 | 85175 - Clot lysis time whole blood dilution | 85175 - CLOT LYSIS TIME WHOLE BLOOD DILUTION | 85175 - BLOOD CLOT LYSIS TIME | '01/01/2017 | 12/31/2999 |
| 85210 | 85210 - Clotting; factor II prothrombin specific | 85210 - CLOTTING FACTOR II PROTHROMBIN SPECIFIC | 85210 - CLOT FACTOR II PROTHROM SPEC | '01/01/2017 | 12/31/2999 |
| 85220 | 85220 - Clotting; factor V (AcG or proaccelerin) labile factor | 85220 - CLOTTING FACTOR V ACG/PROACCELERIN LABILE FACTOR | 85220 - BLOOC CLOT FACTOR V TEST | '01/01/2017 | 12/31/2999 |
| 85230 | 85230 - Clotting; factor VII (proconvertin stable factor) | 85230 - CLOTTING FACTOR VII PROCONVERTIN STABLE FACTOR | 85230 - CLOT FACTOR VII PROCONVERTIN | '01/01/2017 | 12/31/2999 |
| 85240 | 85240 - Clotting; factor VIII (AHG) 1-stage | 85240 - CLOTTING FACTOR VIII AHG 1 STAGE | 85240 - CLOT FACTOR VIII AHG 1 STAGE | '01/01/2017 | 12/31/2999 |
| 85244 | 85244 - Clotting; factor VIII related antigen | 85244 - CLOTTING FACTOR VIII RELATED ANTIGEN | 85244 - CLOT FACTOR VIII RELTD ANTGN | '01/01/2017 | 12/31/2999 |
| 85245 | 85245 - Clotting; factor VIII VW factor ristocetin cofactor | 85245 - CLOTTING FACTOR VIII VW FACTOR RISTOCETIN COFACT | 85245 - CLOT FACTOR VIII VW RISTOCTN | '01/01/2017 | 12/31/2999 |
| 85246 | 85246 - Clotting; factor VIII VW factor antigen | 85246 - CLOTTING FACTOR VIII VW FACTOR ANTIGEN | 85246 - CLOT FACTOR VIII VW ANTIGEN | '01/01/2017 | 12/31/2999 |
| 85247 | 85247 - Clotting; factor VIII von Willebrand factor multimetric analysis | 85247 - CLOTTING FACTOR VIII MULTIMETRIC ANALYSIS | 85247 - CLOT FACTOR VIII MULTIMETRIC | '01/01/2017 | 12/31/2999 |
| 85250 | 85250 - Clotting; factor IX (PTC or Christmas) | 85250 - CLOTTING FACTOR IX PTC/CHRISTMAS | 85250 - CLOT FACTOR IX PTC/CHRSTMAS | '01/01/2017 | 12/31/2999 |
| 85260 | 85260 - Clotting; factor X (Stuart-Prower) | 85260 - CLOTTING FACTOR X STUART-PROWER | 85260 - CLOT FACTOR X STUART-POWER | '01/01/2017 | 12/31/2999 |
| 85270 | 85270 - Clotting; factor XI (PTA) | 85270 - CLOTTING FACTOR XI PTA | 85270 - CLOT FACTOR XI PTA | '01/01/2017 | 12/31/2999 |
| 85280 | 85280 - Clotting; factor XII (Hageman) | 85280 - CLOTTING FACTOR XII HAGEMAN | 85280 - CLOT FACTOR XII HAGEMAN | '01/01/2017 | 12/31/2999 |
| 85290 | 85290 - Clotting; factor XIII (fibrin stabilizing) | 85290 - CLOTTING FACTOR XIII FIBRIN STABILIZING | 85290 - CLOT FACTOR XIII FIBRIN STAB | '01/01/2017 | 12/31/2999 |
| 85291 | 85291 - Clotting; factor XIII (fibrin stabilizing) screen solubility | 85291 - CLOTTING FACTOR XIII FIBRN STABILIZ SCREEN SOLUB | 85291 - CLOT FACTOR XIII FIBRIN SCRN | '01/01/2017 | 12/31/2999 |
| 85292 | 85292 - Clotting; prekallikrein assay (Fletcher factor assay) | 85292 - CLOTTING PREKALLIKREIN ASSAY FLETCHER FACT ASSAY | 85292 - CLOT FACTOR FLETCHER FACT | '01/01/2017 | 12/31/2999 |
| 85293 | 85293 - Clotting; high molecular weight kininogen assay (Fitzgerald factor assay) | 85293 - CLOTTING HI MOLEC WEIGHT KININOGEN ASSAY | 85293 - CLOT FACTOR WGHT KININOGEN | '01/01/2017 | 12/31/2999 |
| 85300 | 85300 - Clotting inhibitors or anticoagulants; antithrombin III activity | 85300 - CLOTTING INHIBITORS ANTITHROMBIN III ACTIVITY | 85300 - ANTITHROMBIN III ACTIVITY | '01/01/2017 | 12/31/2999 |
| 85301 | 85301 - Clotting inhibitors or anticoagulants; antithrombin III antigen assay | 85301 - CLOTTING INHIBITRS ANTITHROMBN III ANTIGEN ASSAY | 85301 - ANTITHROMBIN III ANTIGEN | '01/01/2017 | 12/31/2999 |
| 85302 | 85302 - Clotting inhibitors or anticoagulants; protein C antigen | 85302 - CLOTTING INHIBITORS PROTEIN C ANTIGEN | 85302 - CLOT INHIBIT PROT C ANTIGEN | '01/01/2017 | 12/31/2999 |
| 85303 | 85303 - Clotting inhibitors or anticoagulants; protein C activity | 85303 - CLOTTING INHIBITORS PROTEIN C ACTIVITY | 85303 - CLOT INHIBIT PROT C ACTIVITY | '01/01/2017 | 12/31/2999 |
| 85305 | 85305 - Clotting inhibitors or anticoagulants; protein S total | 85305 - CLOTTING INHIBITORS PROTEIN S TOTAL | 85305 - CLOT INHIBIT PROT S TOTAL | '01/01/2017 | 12/31/2999 |
| 85306 | 85306 - Clotting inhibitors or anticoagulants; protein S free | 85306 - CLOTTING INHIBITORS PROTEIN S FREE | 85306 - CLOT INHIBIT PROT S FREE | '01/01/2017 | 12/31/2999 |
| 85307 | 85307 - Activated Protein C (APC) resistance assay | 85307 - ACTIVATED PROTEIN C APC RESISTANCE ASSAY | 85307 - ASSAY ACTIVATED PROTEIN C | '01/01/2017 | 12/31/2999 |
| 85335 | 85335 - Factor inhibitor test | 85335 - FACTOR INHIBITOR TEST | 85335 - FACTOR INHIBITOR TEST | '01/01/2017 | 12/31/2999 |
| 85337 | 85337 - Thrombomodulin | 85337 - THROMBOMODULIN | 85337 - THROMBOMODULIN | '01/01/2017 | 12/31/2999 |
| 85345 | 85345 - Coagulation time; Lee and White | 85345 - COAGULATION TIME LEE AND WHITE | 85345 - COAGULATION TIME LEE & WHITE | '01/01/2017 | 12/31/2999 |
| 85347 | 85347 - Coagulation time; activated | 85347 - COAGULATION TIME ACTIVATED | 85347 - COAGULATION TIME ACTIVATED | '01/01/2017 | 12/31/2999 |
| 85348 | 85348 - Coagulation time; other methods | 85348 - COAGULATION TIME OTHER METHODS | 85348 - COAGULATION TIME OTR METHOD | '01/01/2017 | 12/31/2999 |
| 85360 | 85360 - Euglobulin lysis | 85360 - EUGLOBULIN LYSIS | 85360 - EUGLOBULIN LYSIS | '01/01/2017 | 12/31/2999 |
| 85362 | 85362 - Fibrin(ogen) degradation (split) products (FDP) (FSP); agglutination slide semiquantitative | 85362 - FIBRIN DGRADJ SPLT PRODUXS AGGLUJ SLIDE SEMIQUAN | 85362 - FIBRIN DEGRADATION PRODUCTS | '01/01/2017 | 12/31/2999 |
| 85366 | 85366 - Fibrin(ogen) degradation (split) products (FDP) (FSP); paracoagulation | 85366 - FIBRIN DGRADJ SPLT PRODUXS PARACOAGJ | 85366 - FIBRINOGEN TEST | '01/01/2017 | 12/31/2999 |
| 85370 | 85370 - Fibrin(ogen) degradation (split) products (FDP) (FSP); quantitative | 85370 - FIBRIN DGRADJ SPLT PRODUCTS QUANTITATIVE | 85370 - FIBRINOGEN TEST | '01/01/2017 | 12/31/2999 |
| 85378 | 85378 - Fibrin degradation products D-dimer; qualitative or semiquantitative | 85378 - FIBRIN DGRADJ PRODUCTS D-DIMER QUAL/SEMIQUAN | 85378 - FIBRIN DEGRADE SEMIQUANT | '01/01/2017 | 12/31/2999 |
| 85379 | 85379 - Fibrin degradation products D-dimer; quantitative | 85379 - FIBRIN DGRADJ PRODUCTS D-DIMER QUANTITATIVE | 85379 - FIBRIN DEGRADATION QUANT | '01/01/2017 | 12/31/2999 |
| 85380 | 85380 - Fibrin degradation products D-dimer; ultrasensitive (eg for evaluation for venous thromboembolism) qualitative or semiquantitative | 85380 - FIBRIN DGRADJ PRODUCTS D-DIMER ULTRASENSITIVE | 85380 - FIBRIN DEGRADJ D-DIMER | '01/01/2017 | 12/31/2999 |
| 85384 | 85384 - Fibrinogen; activity | 85384 - FIBRINOGEN ACTIVITY | 85384 - FIBRINOGEN ACTIVITY | '01/01/2017 | 12/31/2999 |
| 85385 | 85385 - Fibrinogen; antigen | 85385 - FIBRINOGEN ANTIGEN | 85385 - FIBRINOGEN ANTIGEN | '01/01/2017 | 12/31/2999 |
| 85390 | 85390 - Fibrinolysins or coagulopathy screen interpretation and report | 85390 - FIBRINOLYSINS/COAGULOPATHY SCREEN INTERP&REPOR | 85390 - FIBRINOLYSINS SCREEN I&R | '01/01/2017 | 12/31/2999 |
| 85396 | 85396 - Coagulation/fibrinolysis assay whole blood (eg viscoelastic clot assessment) including use of any pharmacologic additive(s) as indicated including interpretation and written report per day | 85396 - COAGJ/FBRNLYS ASSAY WHOLE BLOOD ADDITIVE PER DAY | 85396 - CLOTTING ASSAY WHOLE BLOOD | '01/01/2017 | 12/31/2999 |
| 85397 | 85397 - Coagulation and fibrinolysis functional activity not otherwise specified (eg ADAMTS-13) each analyte | 85397 - COAGJ&FIBRINOLYSIS FUNCTIONAL ACTV NOS EA ANAL | 85397 - CLOTTING FUNCT ACTIVITY | '01/01/2017 | 12/31/2999 |
| 85400 | 85400 - Fibrinolytic factors and inhibitors; plasmin | 85400 - FIBRINOLYTIC FACTORS & INHIBITORS PLASMIN | 85400 - FIBRINOLYTIC PLASMIN | '01/01/2017 | 12/31/2999 |
| 85410 | 85410 - Fibrinolytic factors and inhibitors; alpha-2 antiplasmin | 85410 - FBRNLYC FACTORS&INHIBITORS ALPHA-2 ANTIPLASMIN | 85410 - FIBRINOLYTIC ANTIPLASMIN | '01/01/2017 | 12/31/2999 |
| 85415 | 85415 - Fibrinolytic factors and inhibitors; plasminogen activator | 85415 - FBRNLYC FACTORS&INHIBITORS PLSMNG ACTIVATOR | 85415 - FIBRINOLYTIC PLASMINOGEN | '01/01/2017 | 12/31/2999 |
| 85420 | 85420 - Fibrinolytic factors and inhibitors; plasminogen except antigenic assay | 85420 - FBRNLYC FACTORS&INHIBITRS PLSMNG XCPT AGIC ASS | 85420 - FIBRINOLYTIC PLASMINOGEN | '01/01/2017 | 12/31/2999 |
| 85421 | 85421 - Fibrinolytic factors and inhibitors; plasminogen antigenic assay | 85421 - FBRNLYC FACTORS&INHIBITORS PLSMNG AGIC ASSAY | 85421 - FIBRINOLYTIC PLASMINOGEN | '01/01/2017 | 12/31/2999 |
| 85441 | 85441 - Heinz bodies; direct | 85441 - HEINZ BODIES DIRECT | 85441 - HEINZ BODIES DIRECT | '01/01/2017 | 12/31/2999 |
| 85445 | 85445 - Heinz bodies; induced acetyl phenylhydrazine | 85445 - HEINZ BODIES INDUCED ACETYL PHENYLHYDRAZINE | 85445 - HEINZ BODIES INDUCED | '01/01/2017 | 12/31/2999 |
| 85460 | 85460 - Hemoglobin or RBCs fetal for fetomaternal hemorrhage; differential lysis (Kleihauer-Betke) | 85460 - HGB/RBCS FETAL FETOMATERNAL HEMRRG DIFRNTL LYSIS | 85460 - HEMOGLOBIN FETAL | '01/01/2017 | 12/31/2999 |
| 85461 | 85461 - Hemoglobin or RBCs fetal for fetomaternal hemorrhage; rosette | 85461 - HGB/RBCS FETAL FETOMATERNAL HEMRRG ROSETTE | 85461 - HEMOGLOBIN FETAL | '01/01/2017 | 12/31/2999 |
| 85475 | 85475 - Hemolysin acid | 85475 - HEMOLYSIN ACID | 85475 - HEMOLYSIN ACID | '01/01/2017 | 12/31/2999 |
| 85520 | 85520 - Heparin assay | 85520 - HEPARIN ASSAY | 85520 - HEPARIN ASSAY | '01/01/2017 | 12/31/2999 |
| 85525 | 85525 - Heparin neutralization | 85525 - HEPARIN NEUTRALIZATION | 85525 - HEPARIN NEUTRALIZATION | '01/01/2017 | 12/31/2999 |
| 85530 | 85530 - Heparin-protamine tolerance test | 85530 - HEPARIN-PROTAMINE TOLERANCE TST | 85530 - HEPARIN-PROTAMINE TOLERANCE | '01/01/2017 | 12/31/2999 |
| 85536 | 85536 - Iron stain peripheral blood | 85536 - IRON STAIN PERIPHERAL BLOOD | 85536 - IRON STAIN PERIPHERAL BLOOD | '01/01/2017 | 12/31/2999 |
| 85540 | 85540 - Leukocyte alkaline phosphatase with count | 85540 - WBC ALKALINE PHOSPHATASE COUNT | 85540 - WBC ALKALINE PHOSPHATASE | '01/01/2017 | 12/31/2999 |
| 85547 | 85547 - Mechanical fragility RBC | 85547 - MECHANICAL FRAGILITY RBC | 85547 - RBC MECHANICAL FRAGILITY | '01/01/2017 | 12/31/2999 |
| 85549 | 85549 - Muramidase | 85549 - MURAMIDASE | 85549 - MURAMIDASE | '01/01/2017 | 12/31/2999 |
| 85555 | 85555 - Osmotic fragility RBC; unincubated | 85555 - OSMOTIC FRAGILITY RBC UNINCUBATED | 85555 - RBC OSMOTIC FRAGILITY | '01/01/2017 | 12/31/2999 |
| 85557 | 85557 - Osmotic fragility RBC; incubated | 85557 - OSMOTIC FRAGILITY RBC INCUBATED | 85557 - RBC OSMOTIC FRAGILITY | '01/01/2017 | 12/31/2999 |
| 85576 | 85576 - Platelet aggregation (in vitro) each agent | 85576 - PLATELET AGGREGATION IN VITRO EACH AGENT | 85576 - BLOOD PLATELET AGGREGATION | '01/01/2017 | 12/31/2999 |
| 85597 | 85597 - Phospholipid neutralization; platelet | 85597 - PHOSPHOLIPID NEUTRALIZATION PLATELET | 85597 - PHOSPHOLIPID PLTLT NEUTRALIZ | '01/01/2017 | 12/31/2999 |
| 85598 | 85598 - Phospholipid neutralization; hexagonal phospholipid | 85598 - PHOSPHOLIPID NEUTRALIZATION HEXAGONAL | 85598 - HEXAGNAL PHOSPH PLTLT NEUTRL | '01/01/2017 | 12/31/2999 |
| 85610 | 85610 - Prothrombin time; | 85610 - PROTHROMBIN TIME | 85610 - PROTHROMBIN TIME | '01/01/2017 | 12/31/2999 |
| 85611 | 85611 - Prothrombin time; substitution plasma fractions each | 85611 - PROTHROMBIN TIME SUBSTITUTION PLASMA FRCTJ EACH | 85611 - PROTHROMBIN TEST | '01/01/2017 | 12/31/2999 |
| 85612 | 85612 - Russell viper venom time (includes venom); undiluted | 85612 - RUSSELL VIPER VENON TIME UNDILUTED | 85612 - VIPER VENOM PROTHROMBIN TIME | '01/01/2017 | 12/31/2999 |
| 85613 | 85613 - Russell viper venom time (includes venom); diluted | 85613 - RUSSELL VIPER VENOM TIME DILUTED | 85613 - RUSSELL VIPER VENOM DILUTED | '01/01/2017 | 12/31/2999 |
| 85635 | 85635 - Reptilase test | 85635 - REPTILASE TEST | 85635 - REPTILASE TEST | '01/01/2017 | 12/31/2999 |
| 85651 | 85651 - Sedimentation rate erythrocyte; non-automated | 85651 - SEDIMENTATION RATE RBC NON-AUTOMATED | 85651 - RBC SED RATE NONAUTOMATED | '01/01/2017 | 12/31/2999 |
| 85652 | 85652 - Sedimentation rate erythrocyte; automated | 85652 - SEDIMENTATION RATE RBC AUTOMATED | 85652 - RBC SED RATE AUTOMATED | '01/01/2017 | 12/31/2999 |
| 85660 | 85660 - Sickling of RBC reduction | 85660 - SICKLING RBC REDUCTION | 85660 - RBC SICKLE CELL TEST | '01/01/2017 | 12/31/2999 |
| 85670 | 85670 - Thrombin time; plasma | 85670 - THROMBIN TIME PLASMA | 85670 - THROMBIN TIME PLASMA | '01/01/2017 | 12/31/2999 |
| 85675 | 85675 - Thrombin time; titer | 85675 - THROMBIN TIME TITER | 85675 - THROMBIN TIME TITER | '01/01/2017 | 12/31/2999 |
| 85705 | 85705 - Thromboplastin inhibition tissue | 85705 - THROMBOPLASTIN INHIBITION TISSUE | 85705 - THROMBOPLASTIN INHIBITION | '01/01/2017 | 12/31/2999 |
| 85730 | 85730 - Thromboplastin time partial (PTT); plasma or whole blood | 85730 - THROMBOPLASTIN TIME PARTIAL PLASMA/WHOLE BLOOD | 85730 - THROMBOPLASTIN TIME PARTIAL | '01/01/2017 | 12/31/2999 |
| 85732 | 85732 - Thromboplastin time partial (PTT); substitution plasma fractions each | 85732 - THROMBOPLASTIN TIME PRTL SUBSTIT PLASMA FRCTJ EA | 85732 - THROMBOPLASTIN TIME PARTIAL | '01/01/2017 | 12/31/2999 |
| 85810 | 85810 - Viscosity | 85810 - VISCOSITY | 85810 - BLOOD VISCOSITY EXAMINATION | '01/01/2017 | 12/31/2999 |
| 85999 | 85999 - Unlisted hematology and coagulation procedure | 85999 - UNLISTED HEMATOLOGY & COAGULATION PROCEDURE | 85999 - UNLISTED HEMATOLOGY&COAGJ PX | '01/01/2023 | 12/31/2999 |
| 86000 | 86000 - Agglutinins febrile (eg Brucella Francisella Murine typhus Q fever Rocky Mountain spotted fever scrub typhus) each antigen | 86000 - AGGLUTININS FEBRILE EACH ANTIGEN | 86000 - AGGLUTININS FEBRILE ANTIGEN | '01/01/2017 | 12/31/2999 |
| 86001 | 86001 - Allergen specific IgG quantitative or semiquantitative each allergen | 86001 - ALLERGEN SPECIFIC IGG QUAN/SEMIQUAN EA ALLERGEN | 86001 - ALLERGEN SPECIFIC IGG | '01/01/2017 | 12/31/2999 |
| 86003 | 86003 - Allergen specific IgE; quantitative or semiquantitative crude allergen extract each | 86003 - ALLERGEN SPEC IGE CRUDE ALLERGEN EXTRACT EACH | 86003 - ALLG SPEC IGE CRUDE XTRC EA | '01/01/2018 | 12/31/2999 |
| 86005 | 86005 - Allergen specific IgE; qualitative multiallergen screen (eg disk sponge card) | 86005 - ALLERGEN SPEC IGE QUAL MULTIALLERGEN SCREEN | 86005 - ALLG SPEC IGE MULTIALLG SCR | '01/01/2018 | 12/31/2999 |
| 86008 | 86008 - Allergen specific IgE; quantitative or semiquantitative recombinant or purified component each | 86008 - ALLERGEN SPEC IGE RECOMBINANT/PURIFIED COMPNT EA | 86008 - ALLG SPEC IGE RECOMB EA | '01/01/2018 | 12/31/2999 |
| 86015 | 86015 - Actin (smooth muscle) antibody (ASMA) each | 86015 - ACTIN SMOOTH MUSCLE ANTIBODY EACH | 86015 - ACTIN ANTIBODY EACH | '01/01/2022 | 12/31/2999 |
| 86021 | 86021 - Antibody identification; leukocyte antibodies | 86021 - ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES | 86021 - WBC ANTIBODY IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 86022 | 86022 - Antibody identification; platelet antibodies | 86022 - ANTIBODY IDENTIFICATION PLATELET ANTIBODIES | 86022 - PLATELET ANTIBODIES | '01/01/2017 | 12/31/2999 |
| 86023 | 86023 - Antibody identification; platelet associated immunoglobulin assay | 86023 - ANTIBODY IDENTIFICATION PLATELET IMMUNOGL ASSAY | 86023 - IMMUNOGLOBULIN ASSAY | '01/01/2017 | 12/31/2999 |
| 86036 | 86036 - Antineutrophil cytoplasmic antibody (ANCA); screen each antibody | 86036 - ANTINEUTROPHIL CYTOPLASMIC ANTB SCREEN EA ANTB | 86036 - ANCA SCREEN EACH ANTIBODY | '01/01/2022 | 12/31/2999 |
| 86037 | 86037 - Antineutrophil cytoplasmic antibody (ANCA); titer each antibody | 86037 - ANTINEUTROPHIL CYTOPLASMIC ANTB TITER EA ANTB | 86037 - ANCA TITER EACH ANTIBODY | '01/01/2022 | 12/31/2999 |
| 86038 | 86038 - Antinuclear antibodies (ANA); | 86038 - ANTINUCLEAR ANTIBODIES ANA | 86038 - ANTINUCLEAR ANTIBODIES | '01/01/2017 | 12/31/2999 |
| 86039 | 86039 - Antinuclear antibodies (ANA); titer | 86039 - ANTINUCLEAR ANTIBODIES ANA TITER | 86039 - ANTINUCLEAR ANTIBODIES (ANA) | '01/01/2017 | 12/31/2999 |
| 86051 | 86051 - Aquaporin-4 (neuromyelitis optica [NMO]) antibody; enzyme-linked immunosorbent immunoassay (ELISA) | 86051 - AQUAPORIN-4 ANTIBODY ELISA | 86051 - AQUAPORIN-4 ANTB ELISA | '01/01/2022 | 12/31/2999 |
| 86052 | 86052 - Aquaporin-4 (neuromyelitis optica [NMO]) antibody; cell-based immunofluorescence assay (CBA) each | 86052 - AQUAPORIN-4 ANTIBODY CELL-BASED IMFLUOR ASSAY EA | 86052 - AQUAPORIN-4 ANTB CBA EACH | '01/01/2022 | 12/31/2999 |
| 86053 | 86053 - Aquaporin-4 (neuromyelitis optica [NMO]) antibody; flow cytometry (ie fluorescence-activated cell sorting [FACS]) each | 86053 - AQUAPORIN-4 ANTIBODY FLOW CYTOMETRY EACH | 86053 - AQAPRN-4 ANTB FLO CYTMTRY EA | '01/01/2022 | 12/31/2999 |
| 86060 | 86060 - Antistreptolysin 0; titer | 86060 - ANTISTREPTOLYSIN O TITER | 86060 - ANTISTREPTOLYSIN O TITER | '01/01/2017 | 12/31/2999 |
| 86063 | 86063 - Antistreptolysin 0; screen | 86063 - ANTISTREPTOLYSIN O SCREEN | 86063 - ANTISTREPTOLYSIN O SCREEN | '01/01/2017 | 12/31/2999 |
| 86077 | 86077 - Blood bank physician services; difficult cross match and/or evaluation of irregular antibody(s) interpretation and written report | 86077 - BLD BANK PHYS SVCS DIFFC CROSS MATCH&/EVAL REP | 86077 - PHYS BLOOD BANK SERV XMATCH | '01/01/2017 | 12/31/2999 |
| 86078 | 86078 - Blood bank physician services; investigation of transfusion reaction including suspicion of transmissible disease interpretation and written report | 86078 - BLD BANK PHYS SVCS INVSTGJ TFUJ RXN REPRT | 86078 - PHYS BLOOD BANK SERV REACTJ | '01/01/2017 | 12/31/2999 |
| 86079 | 86079 - Blood bank physician services; authorization for deviation from standard blood banking procedures (eg use of outdated blood transfusion of Rh incompatible units) with written report | 86079 - BLD BANK PHYS SVCS AUTHJ DEVIJ STANDARD REPRT | 86079 - PHYS BLOOD BANK SERV AUTHRJ | '01/01/2017 | 12/31/2999 |
| 86140 | 86140 - C-reactive protein; | 86140 - C-REACTIVE PROTEIN | 86140 - C-REACTIVE PROTEIN | '01/01/2017 | 12/31/2999 |
| 86141 | 86141 - C-reactive protein; high sensitivity (hsCRP) | 86141 - C-REACTIVE PROTEIN HIGH SENSITIVITY | 86141 - C-REACTIVE PROTEIN HS | '01/01/2017 | 12/31/2999 |
| 86146 | 86146 - Beta 2 Glycoprotein I antibody each | 86146 - BETA 2 GLYCOPROTEIN I ANTIBODY EACH | 86146 - BETA-2 GLYCOPROTEIN ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86147 | 86147 - Cardiolipin (phospholipid) antibody each Ig class | 86147 - CARDIOLIPIN ANTIBODY EACH IG CLASS | 86147 - CARDIOLIPIN ANTIBODY EA IG | '01/01/2017 | 12/31/2999 |
| 86148 | 86148 - Anti-phosphatidylserine (phospholipid) antibody | 86148 - ANTI-PHOSPHATIDYLSERINE ANTIBODY | 86148 - ANTI-PHOSPHOLIPID ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86152 | 86152 - Cell enumeration using immunologic selection and identification in fluid specimen (eg circulating tumor cells in blood); | 86152 - CELL ENUMERATION IMMUNE SELECTJ & ID FLUID SPEC | 86152 - CELL ENUMERATION & ID | '01/01/2017 | 12/31/2999 |
| 86153 | 86153 - Cell enumeration using immunologic selection and identification in fluid specimen (eg circulating tumor cells in blood); physician interpretation and report when required | 86153 - CELL ENUMERATION IMMUNE SELECTJ & ID PHYS INTERP | 86153 - CELL ENUMERATION PHYS INTERP | '01/01/2017 | 12/31/2999 |
| 86155 | 86155 - Chemotaxis assay specify method | 86155 - CHEMOTAXIS ASSAY SPECIFY METHOD | 86155 - CHEMOTAXIS ASSAY | '01/01/2017 | 12/31/2999 |
| 86156 | 86156 - Cold agglutinin; screen | 86156 - COLD AGGLUTININ SCREEN | 86156 - COLD AGGLUTININ SCREEN | '01/01/2017 | 12/31/2999 |
| 86157 | 86157 - Cold agglutinin; titer | 86157 - COLD AGGLUTININ TITER | 86157 - COLD AGGLUTININ TITER | '01/01/2017 | 12/31/2999 |
| 86160 | 86160 - Complement; antigen each component | 86160 - COMPLEMENT ANTIGEN EACH COMPONENT | 86160 - COMPLEMENT ANTIGEN | '01/01/2017 | 12/31/2999 |
| 86161 | 86161 - Complement; functional activity each component | 86161 - COMPLEMENT FUNCTIONAL ACTIVITY EACH COMPONENT | 86161 - COMPLEMENT/FUNCTION ACTIVITY | '01/01/2017 | 12/31/2999 |
| 86162 | 86162 - Complement; total hemolytic (CH50) | 86162 - COMPLEMENT TOTAL HEMOLYTIC | 86162 - COMPLEMENT TOTAL (CH50) | '01/01/2017 | 12/31/2999 |
| 86171 | 86171 - Complement fixation tests each antigen | 86171 - COMPLEMENT FIXATION TESTS EACH ANTIGEN | 86171 - COMPLEMENT FIXATION EACH | '01/01/2017 | 12/31/2999 |
| 86200 | 86200 - Cyclic citrullinated peptide (CCP) antibody | 86200 - CYCLIC CITRULLINATED PEPTIDE ANTIBODY | 86200 - CCP ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86215 | 86215 - Deoxyribonuclease antibody | 86215 - DEOXYRIBONUCLEASE ANTIBODY | 86215 - DEOXYRIBONUCLEASE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86225 | 86225 - Deoxyribonucleic acid (DNA) antibody; native or double stranded | 86225 - DNA ANTIBODY NATIVE/DOUBLE STRANDED | 86225 - DNA ANTIBODY NATIVE | '01/01/2017 | 12/31/2999 |
| 86226 | 86226 - Deoxyribonucleic acid (DNA) antibody; single stranded | 86226 - DNA ANTIBODY SINGLE STRANDED | 86226 - DNA ANTIBODY SINGLE STRAND | '01/01/2017 | 12/31/2999 |
| 86231 | 86231 - Endomysial antibody (EMA) each immunoglobulin (Ig) class | 86231 - ENDOMYSIAL ANTIBODY EACH IMMUNOGLOBULIN CLASS | 86231 - EMA EACH IG CLASS | '01/01/2022 | 12/31/2999 |
| 86235 | 86235 - Extractable nuclear antigen antibody to any method (eg nRNP SS-A SS-B Sm RNP Sc170 J01) each antibody | 86235 - EXTRACTABLE NUCLEAR ANTIGEN ANTIBODY ANY METHOD | 86235 - NUCLEAR ANTIGEN ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86255 | 86255 - Fluorescent noninfectious agent antibody; screen each antibody | 86255 - FLUORESCENT NONNFCT AGT ANTB SCREEN EA ANTIBODY | 86255 - FLUORESCENT ANTIBODY SCREEN | '01/01/2017 | 12/31/2999 |
| 86256 | 86256 - Fluorescent noninfectious agent antibody; titer each antibody | 86256 - FLUORESCENT NONNFCT AGT ANTB TITER EA ANTIBODY | 86256 - FLUORESCENT ANTIBODY TITER | '01/01/2017 | 12/31/2999 |
| 86258 | 86258 - Gliadin (deamidated) (DGP) antibody each immunoglobulin (Ig) class | 86258 - GLIADIN ANTIBODY EACH IMMUNOGLOBULIN CLASS | 86258 - DGP ANTIBODY EACH IG CLASS | '01/01/2022 | 12/31/2999 |
| 86277 | 86277 - Growth hormone human (HGH) antibody | 86277 - GROWTH HORMONE HUMAN ANTIBODY | 86277 - GROWTH HORMONE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86280 | 86280 - Hemagglutination inhibition test (HAI) | 86280 - HEMAGGLUTINATION INHIBITION TEST HAI | 86280 - HEMAGGLUTINATION INHIBITION | '01/01/2017 | 12/31/2999 |
| 86294 | 86294 - Immunoassay for tumor antigen qualitative or semiquantitative (eg bladder tumor antigen) | 86294 - IMMUNOASSAY TUMOR ANTIGEN QUAL/SEMIQUANTITATIVE | 86294 - IMMUNOASSAY TUMOR QUAL | '01/01/2017 | 12/31/2999 |
| 86300 | 86300 - Immunoassay for tumor antigen quantitative; CA 15-3 (27.29) | 86300 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 15-3 | 86300 - IMMUNOASSAY TUMOR CA 15-3 | '01/01/2017 | 12/31/2999 |
| 86301 | 86301 - Immunoassay for tumor antigen quantitative; CA 19-9 | 86301 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 19-9 | 86301 - IMMUNOASSAY TUMOR CA 19-9 | '01/01/2017 | 12/31/2999 |
| 86304 | 86304 - Immunoassay for tumor antigen quantitative; CA 125 | 86304 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE CA 125 | 86304 - IMMUNOASSAY TUMOR CA 125 | '01/01/2017 | 12/31/2999 |
| 86305 | 86305 - Human epididymis protein 4 (HE4) | 86305 - HUMAN EPIDIDYMIS PROTEIN 4 (HE4) | 86305 - HUMAN EPIDIDYMIS PROTEIN 4 | '01/01/2017 | 12/31/2999 |
| 86308 | 86308 - Heterophile antibodies; screening | 86308 - HETEROPHILE ANTIBODIES SCREEN | 86308 - HETEROPHILE ANTIBODY SCREEN | '01/01/2017 | 12/31/2999 |
| 86309 | 86309 - Heterophile antibodies; titer | 86309 - HETEROPHILE ANTIBODIES TITER | 86309 - HETEROPHILE ANTIBODY TITER | '01/01/2017 | 12/31/2999 |
| 86310 | 86310 - Heterophile antibodies; titers after absorption with beef cells and guinea pig kidney | 86310 - HETEROPHILE ANTIBODIES TITER AFTER ABSORPTION | 86310 - HETEROPHILE ANTIBODY ABSRBJ | '01/01/2017 | 12/31/2999 |
| 86316 | 86316 - Immunoassay for tumor antigen other antigen quantitative (eg CA 50 72-4 549) each | 86316 - IMMUNOASSAY TUMOR ANTIGEN QUANTITATIVE | 86316 - IMMUNOASSAY TUMOR OTHER | '01/01/2017 | 12/31/2999 |
| 86317 | 86317 - Immunoassay for infectious agent antibody quantitative not otherwise specified | 86317 - IMMUNOASSAY INFECTIOUS AGENT ANTIBODY QUAN NOS | 86317 - IMMUNOASSAY INFECTIOUS AGENT | '01/01/2017 | 12/31/2999 |
| 86318 | 86318 - Immunoassay for infectious agent antibody(ies) qualitative or semiquantitative single-step method (eg reagent strip); | 86318 - IA INFECTIOUS AGT ANTIBODY QUAL/SEMIQ 1STEP METH | 86318 - IA INFECTIOUS AGENT ANTIBODY | '01/01/2021 | 12/31/2999 |
| 86320 | 86320 - Immunoelectrophoresis; serum | 86320 - IMMUNOELECTROPHORESIS SERUM | 86320 - SERUM IMMUNOELECTROPHORESIS | '01/01/2017 | 12/31/2999 |
| 86325 | 86325 - Immunoelectrophoresis; other fluids (eg urine cerebrospinal fluid) with concentration | 86325 - IMMUNOELECTROPHORESIS OTHER FLUIDS CONCENTRATION | 86325 - OTHER IMMUNOELECTROPHORESIS | '01/01/2017 | 12/31/2999 |
| 86327 | 86327 - Immunoelectrophoresis; crossed (2-dimensional assay) | 86327 - IMMUNOELECTROPHORESIS CROSSED | 86327 - IMMUNOELECTROPHORESIS ASSAY | '01/01/2017 | 12/31/2999 |
| 86328 | 86328 - Immunoassay for infectious agent antibody(ies) qualitative or semiquantitative single-step method (eg reagent strip); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) | 86328 - IA INFECTIOUS AGT ANTIBODY SARS-COV-2 COVID-19 | 86328 - IA NFCT AB SARSCOV2 COVID19 | '01/01/2022 | 12/31/2999 |
| 86329 | 86329 - Immunodiffusion; not elsewhere specified | 86329 - IMMUNODIFFUSION NOT ELSEWHERE SPECIFIED | 86329 - IMMUNODIFFUSION NES | '01/01/2017 | 12/31/2999 |
| 86331 | 86331 - Immunodiffusion; gel diffusion qualitative (Ouchterlony) each antigen or antibody | 86331 - IMMUNODIFFUSION GEL DIFFUSION QUAL EA AG/ANTBDY | 86331 - IMMUNODIFFUSION OUCHTERLONY | '01/01/2017 | 12/31/2999 |
| 86332 | 86332 - Immune complex assay | 86332 - IMMUNE COMPLEX ASSAY | 86332 - IMMUNE COMPLEX ASSAY | '01/01/2017 | 12/31/2999 |
| 86334 | 86334 - Immunofixation electrophoresis; serum | 86334 - IMMUNOFIXJ ELECTROPHORESIS SERUM | 86334 - IMMUNOFIX E-PHORESIS SERUM | '01/01/2017 | 12/31/2999 |
| 86335 | 86335 - Immunofixation electrophoresis; other fluids with concentration (eg urine CSF) | 86335 - IMMUNOFIXJ ELECTROPHORESIS OTHER FLUIDS | 86335 - IMMUNFIX E-PHORSIS/URINE/CSF | '01/01/2017 | 12/31/2999 |
| 86336 | 86336 - Inhibin A | 86336 - INHIBIN A | 86336 - INHIBIN A | '01/01/2017 | 12/31/2999 |
| 86337 | 86337 - Insulin antibodies | 86337 - INSULIN ANTIBODIES | 86337 - INSULIN ANTIBODIES | '01/01/2017 | 12/31/2999 |
| 86340 | 86340 - Intrinsic factor antibodies | 86340 - INTRINSIC FACTOR ANTIBODIES | 86340 - INTRINSIC FACTOR ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86341 | 86341 - Islet cell antibody | 86341 - ISLET CELL ANTIBODY | 86341 - ISLET CELL ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86343 | 86343 - Leukocyte histamine release test (LHR) | 86343 - LEUKOCYTE HISTAMINE RELEASE TEST LHR | 86343 - LEUKOCYTE HISTAMINE RELEASE | '01/01/2017 | 12/31/2999 |
| 86344 | 86344 - Leukocyte phagocytosis | 86344 - LEUKOCYTE PHAGOCYTOSIS | 86344 - LEUKOCYTE PHAGOCYTOSIS | '01/01/2017 | 12/31/2999 |
| 86352 | 86352 - Cellular function assay involving stimulation (eg mitogen or antigen) and detection of biomarker (eg ATP) | 86352 - CELLULAR FUNCTION ASSAY STIMUL&DETECT BIOMARKE | 86352 - CELL FUNCTION ASSAY W/STIM | '01/01/2017 | 12/31/2999 |
| 86353 | 86353 - Lymphocyte transformation mitogen (phytomitogen) or antigen induced blastogenesis | 86353 - LYMPHOCYTE TR MITOGEN/AG INDUCED BLASTOGENESIS | 86353 - LYMPHOCYTE TRANSFORMATION | '01/01/2017 | 12/31/2999 |
| 86355 | 86355 - B cells total count | 86355 - B CELLS TOTAL COUNT | 86355 - B CELLS TOTAL COUNT | '01/01/2017 | 12/31/2999 |
| 86356 | 86356 - Mononuclear cell antigen quantitative (eg flow cytometry) not otherwise specified each antigen | 86356 - MONONUCLEAR CELL ANTIGEN QUANTITATIVE NOS EA | 86356 - MONONUCLEAR CELL ANTIGEN | '01/01/2017 | 12/31/2999 |
| 86357 | 86357 - Natural killer (NK) cells total count | 86357 - NATURAL KILLER CELLS TOTAL COUNT | 86357 - NK CELLS TOTAL COUNT | '01/01/2017 | 12/31/2999 |
| 86359 | 86359 - T cells; total count | 86359 - T CELLS TOTAL COUNT | 86359 - T CELLS TOTAL COUNT | '01/01/2017 | 12/31/2999 |
| 86360 | 86360 - T cells; absolute CD4 and CD8 count including ratio | 86360 - T CELLS ABSOLUTE CD4&CD8 COUNT RATIO | 86360 - T CELL ABSOLUTE COUNT/RATIO | '01/01/2017 | 12/31/2999 |
| 86361 | 86361 - T cells; absolute CD4 count | 86361 - T CELLS ABSOLUTE CD4 COUNT | 86361 - T CELL ABSOLUTE COUNT | '01/01/2017 | 12/31/2999 |
| 86362 | 86362 - Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; cell-based immunofluorescence assay (CBA) each | 86362 - MOG-IGG1 ANTIBODY CELL-BASED IMFLUOR ASSAY EACH | 86362 - MOG-IGG1 ANTB CBA EACH | '01/01/2022 | 12/31/2999 |
| 86363 | 86363 - Myelin oligodendrocyte glycoprotein (MOG-IgG1) antibody; flow cytometry (ie fluorescence-activated cell sorting [FACS]) each | 86363 - MOG-IGG1 ANTIBODY FLOW CYTOMETRY EACH | 86363 - MOG-IGG1 ANTB FLO CYTMTRY EA | '01/01/2022 | 12/31/2999 |
| 86364 | 86364 - Tissue transglutaminase each immunoglobulin (Ig) class | 86364 - TISSUE TRANSGLUTAMINASE EA IMMUNOGLOBULIN CLASS | 86364 - TISS TRNSGLTMNASE EA IG CLAS | '01/01/2022 | 12/31/2999 |
| 86367 | 86367 - Stem cells (ie CD34) total count | 86367 - STEM CELLS TOTAL COUNT | 86367 - STEM CELLS TOTAL COUNT | '01/01/2017 | 12/31/2999 |
| 86376 | 86376 - Microsomal antibodies (eg thyroid or liver-kidney) each | 86376 - MICROSOMAL ANTIBODIES EACH | 86376 - MICROSOMAL ANTIBODY EACH | '01/01/2017 | 12/31/2999 |
| 86381 | 86381 - Mitochondrial antibody (eg M2) each | 86381 - MITOCHONDRIAL ANTIBODY EACH | 86381 - MITOCHONDRIAL ANTIBODY EACH | '01/01/2022 | 12/31/2999 |
| 86382 | 86382 - Neutralization test viral | 86382 - NEUTRALIZATION TEST VIRAL | 86382 - NEUTRALIZATION TEST VIRAL | '01/01/2017 | 12/31/2999 |
| 86384 | 86384 - Nitroblue tetrazolium dye test (NTD) | 86384 - NITROBLUE TETRAZOLIUM DYE TEST NTD | 86384 - NITROBLUE TETRAZOLIUM DYE | '01/01/2017 | 12/31/2999 |
| 86386 | 86386 - Nuclear Matrix Protein 22 (NMP22) qualitative | 86386 - NUCLEAR MATRIX PROTEIN 22 NMP22 QUALITATIVE | 86386 - NUCLEAR MATRIX PROTEIN 22 | '01/01/2017 | 12/31/2999 |
| 86403 | 86403 - Particle agglutination; screen each antibody | 86403 - PARTICLE AGGLUTINATION SCREEN EACH ANTIBODY | 86403 - PARTICLE AGGLUT ANTBDY SCRN | '01/01/2017 | 12/31/2999 |
| 86406 | 86406 - Particle agglutination; titer each antibody | 86406 - PARTICLE AGGLUTINATION TITER EACH ANTIBODY | 86406 - PARTICLE AGGLUT ANTBDY TITR | '01/01/2017 | 12/31/2999 |
| 86408 | 86408 - Neutralizing antibody severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]); screen | 86408 - NEUTRALIZING ANTIBODY SARS-COV-2 SCREEN | 86408 - NEUTRLZG ANTB SARSCOV2 SCR | '01/01/2022 | 12/31/2999 |
| 86409 | 86409 - Neutralizing antibody severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]); titer | 86409 - NEUTRALIZING ANTIBODY SARS-COV-2 TITER | 86409 - NEUTRLZG ANTB SARSCOV2 TITER | '01/01/2022 | 12/31/2999 |
| 86413 | 86413 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) antibody quantitative | 86413 - SEV AQT RESPIR SYND CORONAVIRUS 2 ANTIBODY QUAN | 86413 - SARS-COV-2 ANTB QUANTITATIVE | '01/01/2022 | 12/31/2999 |
| 86430 | 86430 - Rheumatoid factor; qualitative | 86430 - RHEUMATOID FACTOR QUALITATIVE | 86430 - RHEUMATOID FACTOR TEST QUAL | '01/01/2017 | 12/31/2999 |
| 86431 | 86431 - Rheumatoid factor; quantitative | 86431 - RHEUMATOID FACTOR QUANTITATIVE | 86431 - RHEUMATOID FACTOR QUANT | '01/01/2017 | 12/31/2999 |
| 86480 | 86480 - Tuberculosis test cell mediated immunity antigen response measurement; gamma interferon | 86480 - TB CELL MEDIATED ANTIGN RESPNSE GAMMA INTERFERON | 86480 - TB TEST CELL IMMUN MEASURE | '01/01/2017 | 12/31/2999 |
| 86481 | 86481 - Tuberculosis test cell mediated immunity antigen response measurement; enumeration of gamma interferon-producing T-cells in cell suspension | 86481 - TB ANTIGEN RESPONSE GAMMA INTERFERON T-CELL SUSP | 86481 - TB AG RESPONSE T-CELL SUSP | '01/01/2017 | 12/31/2999 |
| 86485 | 86485 - Skin test; candida | 86485 - SKIN TEST CANDIDA | 86485 - SKIN TEST CANDIDA | '01/01/2017 | 12/31/2999 |
| 86486 | 86486 - Skin test; unlisted antigen each | 86486 - SKIN TEST UNLISTED ANTIGEN EACH | 86486 - SKIN TEST UNLISTED ANTIGN EA | '01/01/2023 | 12/31/2999 |
| 86490 | 86490 - Skin test; coccidioidomycosis | 86490 - SKIN TEST COCCIDIOIDOMYCOSIS | 86490 - COCCIDIOIDOMYCOSIS SKIN TEST | '01/01/2017 | 12/31/2999 |
| 86510 | 86510 - Skin test; histoplasmosis | 86510 - SKIN TEST HISTOPLASMOSIS | 86510 - HISTOPLASMOSIS SKIN TEST | '01/01/2017 | 12/31/2999 |
| 86580 | 86580 - Skin test; tuberculosis intradermal | 86580 - SKIN TEST TUBERCULOSIS INTRADERMAL | 86580 - TB INTRADERMAL TEST | '01/01/2017 | 12/31/2999 |
| 86590 | 86590 - Streptokinase antibody | 86590 - STREPTOKINASE ANTIBODY | 86590 - STREPTOKINASE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86592 | 86592 - Syphilis test non-treponemal antibody; qualitative (eg VDRL RPR ART) | 86592 - SYPHILIS TEST NON-TREPONEMAL ANTIBODY QUAL | 86592 - SYPHILIS TEST NON-TREP QUAL | '01/01/2017 | 12/31/2999 |
| 86593 | 86593 - Syphilis test non-treponemal antibody; quantitative | 86593 - SYPHILIS TEST QUANTITATIVE | 86593 - SYPHILIS TEST NON-TREP QUANT | '01/01/2017 | 12/31/2999 |
| 86596 | 86596 - Voltage-gated calcium channel antibody each | 86596 - VOLTAGE-GATED CALCIUM CHANNEL ANTIBODY EACH | 86596 - VOLTAGE-GTD CA CHNL ANTB EA | '01/01/2022 | 12/31/2999 |
| 86602 | 86602 - Antibody; actinomyces | 86602 - ANTIBODY ACTINOMYCES | 86602 - ANTINOMYCES ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86603 | 86603 - Antibody; adenovirus | 86603 - ANTIBODY ADENOVIRUS | 86603 - ADENOVIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86606 | 86606 - Antibody; Aspergillus | 86606 - ANTIBODY ASPERGILLUS | 86606 - ASPERGILLUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86609 | 86609 - Antibody; bacterium not elsewhere specified | 86609 - ANTIBODY BACTERIUM NOT ELSEWHERE SPECIFIED | 86609 - BACTERIUM ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86611 | 86611 - Antibody; Bartonella | 86611 - ANTIBODY BARTONELLA | 86611 - BARTONELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86612 | 86612 - Antibody; Blastomyces | 86612 - ANTIBODY BLASTOMYCES | 86612 - BLASTOMYCES ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86615 | 86615 - Antibody; Bordetella | 86615 - ANTIBODY BORDETELLA | 86615 - BORDETELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86617 | 86617 - Antibody; Borrelia burgdorferi (Lyme disease) confirmatory test (eg Western Blot or immunoblot) | 86617 - ANTIBODY BORRELIA BURGDORFERI CONFIRMATORY TST | 86617 - LYME DISEASE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86618 | 86618 - Antibody; Borrelia burgdorferi (Lyme disease) | 86618 - ANTIBODY BORRELIA BURGDORFERI LYME DISEASE | 86618 - LYME DISEASE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86619 | 86619 - Antibody; Borrelia (relapsing fever) | 86619 - ANTIBODY BORRELIA RELAPSING FEVER | 86619 - BORRELIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86622 | 86622 - Antibody; Brucella | 86622 - ANTIBODY BRUCELLA | 86622 - BRUCELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86625 | 86625 - Antibody; Campylobacter | 86625 - ANTIBODY CAMPYLOBACTER | 86625 - CAMPYLOBACTER ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86628 | 86628 - Antibody; Candida | 86628 - ANTIBODY CANDIDA | 86628 - CANDIDA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86631 | 86631 - Antibody; Chlamydia | 86631 - ANTIBODY CHLAMYDIA | 86631 - CHLAMYDIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86632 | 86632 - Antibody; Chlamydia IgM | 86632 - ANTIBODY CHLAMYDIA IGM | 86632 - CHLAMYDIA IGM ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86635 | 86635 - Antibody; Coccidioides | 86635 - ANTIBODY COCCIDIOIDES | 86635 - COCCIDIOIDES ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86638 | 86638 - Antibody; Coxiella burnetii (Q fever) | 86638 - ANTIBODY COXIELLA BURNETII Q FEVER | 86638 - Q FEVER ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86641 | 86641 - Antibody; Cryptococcus | 86641 - ANTIBODY CRYPTOCOCCUS | 86641 - CRYPTOCOCCUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86644 | 86644 - Antibody; cytomegalovirus (CMV) | 86644 - ANTIBODY CYTOMEGALOVIRUS CMV | 86644 - CMV ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86645 | 86645 - Antibody; cytomegalovirus (CMV) IgM | 86645 - ANTIBODY CYTOMEGALOVIRUS CMV IGM | 86645 - CMV ANTIBODY IGM | '01/01/2017 | 12/31/2999 |
| 86648 | 86648 - Antibody; Diphtheria | 86648 - ANTIBODY DIPHTHERIA | 86648 - DIPHTHERIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86651 | 86651 - Antibody; encephalitis California (La Crosse) | 86651 - ANTIBODY ENCEPHALITIS CALIFORNIA LA CROSSE | 86651 - ENCEPHALITIS CALIFORN ANTBDY | '01/01/2017 | 12/31/2999 |
| 86652 | 86652 - Antibody; encephalitis Eastern equine | 86652 - ANTIBODY ENCEPHALITIS EASTERN EQUINE | 86652 - ENCEPHALTIS EAST EQNE ANBDY | '01/01/2017 | 12/31/2999 |
| 86653 | 86653 - Antibody; encephalitis St. Louis | 86653 - ANTIBODY ENCEPHALITIS ST. LOUIS | 86653 - ENCEPHALTIS ST LOUIS ANTBODY | '01/01/2017 | 12/31/2999 |
| 86654 | 86654 - Antibody; encephalitis Western equine | 86654 - ANTIBODY ENCEPHALITIS WESTRN EQUINE | 86654 - ENCEPHALTIS WEST EQNE ANTBDY | '01/01/2017 | 12/31/2999 |
| 86658 | 86658 - Antibody; enterovirus (eg coxsackie echo polio) | 86658 - ANTIBODY ENTEROVIRUS | 86658 - ENTEROVIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86663 | 86663 - Antibody; Epstein-Barr (EB) virus early antigen (EA) | 86663 - ANTIBODY EPSTEIN-BARR EB VIRUS EARLY ANTIGEN EA | 86663 - EPSTEIN-BARR ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86664 | 86664 - Antibody; Epstein-Barr (EB) virus nuclear antigen (EBNA) | 86664 - ANTIBODY EPSTEIN-BARR EB VIRUS NUCLEAR AG EBNA | 86664 - EPSTEIN-BARR NUCLEAR ANTIGEN | '01/01/2017 | 12/31/2999 |
| 86665 | 86665 - Antibody; Epstein-Barr (EB) virus viral capsid (VCA) | 86665 - ANTIBODY EPSTEIN-BARR EB VIRUS VIRAL CAPSID VCA | 86665 - EPSTEIN-BARR CAPSID VCA | '01/01/2017 | 12/31/2999 |
| 86666 | 86666 - Antibody; Ehrlichia | 86666 - ANTIBODY EHRLICHIA | 86666 - EHRLICHIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86668 | 86668 - Antibody; Francisella tularensis | 86668 - ANTIBODY FRANCISELLA TULARENSIS | 86668 - FRANCISELLA TULARENSIS | '01/01/2017 | 12/31/2999 |
| 86671 | 86671 - Antibody; fungus not elsewhere specified | 86671 - ANTIBODY FUNGUS NOT ELSEWHERE SPECIFIED | 86671 - FUNGUS NES ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86674 | 86674 - Antibody; Giardia lamblia | 86674 - ANTIBODY GIARDIA LAMBLIA | 86674 - GIARDIA LAMBLIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86677 | 86677 - Antibody; Helicobacter pylori | 86677 - ANTIBODY HELICOBACTER PYLORI | 86677 - HELICOBACTER PYLORI ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86682 | 86682 - Antibody; helminth not elsewhere specified | 86682 - ANTIBODY HELMINTH NOT ELSEWHERE SPECIFIED | 86682 - HELMINTH ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86684 | 86684 - Antibody; Haemophilus influenza | 86684 - ANTIBODY HAEMOPHILUS INFLUENZA | 86684 - HEMOPHILUS INFLUENZA ANTIBDY | '01/01/2017 | 12/31/2999 |
| 86687 | 86687 - Antibody; HTLV-I | 86687 - ANTIBODY HTLV-I | 86687 - HTLV-I ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86688 | 86688 - Antibody; HTLV-II | 86688 - ANTIBODY HTLV-II | 86688 - HTLV-II ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86689 | 86689 - Antibody; HTLV or HIV antibody confirmatory test (eg Western Blot) | 86689 - ANTIBODY HTLV/HIV ANTIBODY CONFIRMATORY TEST | 86689 - HTLV/HIV CONFIRMJ ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86692 | 86692 - Antibody; hepatitis delta agent | 86692 - ANTIBODY HEP DELTA AGENT | 86692 - HEPATITIS DELTA AGENT ANTBDY | '01/01/2017 | 12/31/2999 |
| 86694 | 86694 - Antibody; herpes simplex non-specific type test | 86694 - ANTIBODY HERPES SMPLX NON-SPECIFIC TYPE TEST | 86694 - HERPES SIMPLEX NES ANTBDY | '01/01/2017 | 12/31/2999 |
| 86695 | 86695 - Antibody; herpes simplex type 1 | 86695 - ANTIBODY HERPES SMPLX TYPE 1 | 86695 - HERPES SIMPLEX TYPE 1 TEST | '01/01/2017 | 12/31/2999 |
| 86696 | 86696 - Antibody; herpes simplex type 2 | 86696 - ANTIBODY HERPES SMPLX TYPE 2 | 86696 - HERPES SIMPLEX TYPE 2 TEST | '01/01/2017 | 12/31/2999 |
| 86698 | 86698 - Antibody; histoplasma | 86698 - ANTIBODY HISTOPLASMA | 86698 - HISTOPLASMA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86701 | 86701 - Antibody; HIV-1 | 86701 - ANTIBODY HIV-1 | 86701 - HIV-1ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86702 | 86702 - Antibody; HIV-2 | 86702 - ANTIBODY HIV-2 | 86702 - HIV-2 ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86703 | 86703 - Antibody; HIV-1 and HIV-2 single result | 86703 - ANTIBODY HIV-1&HIV-2 SINGLE RESULT | 86703 - HIV-1/HIV-2 1 RESULT ANTBDY | '01/01/2017 | 12/31/2999 |
| 86704 | 86704 - Hepatitis B core antibody (HBcAb); total | 86704 - HEPATITIS B CORE ANTIBODY HBCAB TOTAL | 86704 - HEP B CORE ANTIBODY TOTAL | '01/01/2017 | 12/31/2999 |
| 86705 | 86705 - Hepatitis B core antibody (HBcAb); IgM antibody | 86705 - HEPATITIS B CORE ANTIBODY HBCAB IGM ANTIBODY | 86705 - HEP B CORE ANTIBODY IGM | '01/01/2017 | 12/31/2999 |
| 86706 | 86706 - Hepatitis B surface antibody (HBsAb) | 86706 - HEPATITIS B SURF ANTIBODY HBSAB | 86706 - HEP B SURFACE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86707 | 86707 - Hepatitis Be antibody (HBeAb) | 86707 - HEPATITIS BE ANTIBODY HBEAB | 86707 - HEPATITIS BE ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86708 | 86708 - Hepatitis A antibody (HAAb) | 86708 - HEPATITIS A ANTIBODY HAAB | 86708 - HEPATITIS A ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86709 | 86709 - Hepatitis A antibody (HAAb) IgM antibody | 86709 - HEPATITIS ANTIBODY HAAB IGM ANTIBODY | 86709 - HEPATITIS A IGM ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86710 | 86710 - Antibody; influenza virus | 86710 - ANTIBODY INFLUENZA VIRUS | 86710 - INFLUENZA VIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86711 | 86711 - Antibody; JC (John Cunningham) virus | 86711 - ANTIBODY JOHN CUNNINGHAM VIRUS | 86711 - JOHN CUNNINGHAM ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86713 | 86713 - Antibody; Legionella | 86713 - ANTIBODY LEGIONELLA | 86713 - LEGIONELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86717 | 86717 - Antibody; Leishmania | 86717 - ANTIBODY LEISHMANIA | 86717 - LEISHMANIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86720 | 86720 - Antibody; Leptospira | 86720 - ANTIBODY LEPTOSPIRA | 86720 - LEPTOSPIRA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86723 | 86723 - Antibody; Listeria monocytogenes | 86723 - ANTIBODY LISTERIA MONOCYTOGENES | 86723 - LISTERIA MONOCYTOGENES | '01/01/2017 | 12/31/2999 |
| 86727 | 86727 - Antibody; lymphocytic choriomeningitis | 86727 - ANTIBODY LYMPHOCYTIC CHORIOMENINGITIS | 86727 - LYMPH CHORIOMENINGITIS AB | '01/01/2017 | 12/31/2999 |
| 86732 | 86732 - Antibody; mucormycosis | 86732 - ANTIBODY MUCORMYCOSIS | 86732 - MUCORMYCOSIS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86735 | 86735 - Antibody; mumps | 86735 - ANTIBODY MUMPS | 86735 - MUMPS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86738 | 86738 - Antibody; mycoplasma | 86738 - ANTIBODY MYCOPLSM | 86738 - MYCOPLASMA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86741 | 86741 - Antibody; Neisseria meningitidis | 86741 - ANTIBODY NEISSERIA MENINGITIDIS | 86741 - NEISSERIA MENINGITIDIS | '01/01/2017 | 12/31/2999 |
| 86744 | 86744 - Antibody; Nocardia | 86744 - ANTIBODY NOCARDIA | 86744 - NOCARDIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86747 | 86747 - Antibody; parvovirus | 86747 - ANTIBODY PARVOVIRUS | 86747 - PARVOVIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86750 | 86750 - Antibody; Plasmodium (malaria) | 86750 - ANTIBODY PLASMODIUM MALARIA | 86750 - MALARIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86753 | 86753 - Antibody; protozoa not elsewhere specified | 86753 - ANTIBODY PROTOZOA NES | 86753 - PROTOZOA ANTIBODY NOS | '01/01/2017 | 12/31/2999 |
| 86756 | 86756 - Antibody; respiratory syncytial virus | 86756 - ANTIBODY RESPIRATORY SYNCTIAL VIRUS | 86756 - RESPIRATORY VIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86757 | 86757 - Antibody; Rickettsia | 86757 - ANTIBODY RICKETTSIA | 86757 - RICKETTSIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86759 | 86759 - Antibody; rotavirus | 86759 - ANTIBODY ROTAVIRUS | 86759 - ROTAVIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86762 | 86762 - Antibody; rubella | 86762 - ANTIBODY RUBELLA | 86762 - RUBELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86765 | 86765 - Antibody; rubeola | 86765 - ANTIBODY RUBEOLA | 86765 - RUBEOLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86768 | 86768 - Antibody; Salmonella | 86768 - ANTIBODY SALMONELLA | 86768 - SALMONELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86769 | 86769 - Antibody; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) | 86769 - ANTB SEVERE AQT RESPIR SYND SARS-COV-2 COVID-19 | 86769 - SARS-COV-2 COVID-19 ANTIBODY | '01/01/2022 | 12/31/2999 |
| 86771 | 86771 - Antibody; Shigella | 86771 - ANTIBODY SHIGELLA | 86771 - SHIGELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86774 | 86774 - Antibody; tetanus | 86774 - ANTIBODY TETANUS | 86774 - TETANUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86777 | 86777 - Antibody; Toxoplasma | 86777 - ANTIBODY TOXOPLASMA | 86777 - TOXOPLASMA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86778 | 86778 - Antibody; Toxoplasma IgM | 86778 - ANTIBODY TOXOPLASMA IGM | 86778 - TOXOPLASMA ANTIBODY IGM | '01/01/2017 | 12/31/2999 |
| 86780 | 86780 - Antibody; Treponema pallidum | 86780 - ANTIBODY TREPONEMA PALLIDUM | 86780 - TREPONEMA PALLIDUM | '01/01/2017 | 12/31/2999 |
| 86784 | 86784 - Antibody; Trichinella | 86784 - ANTIBODY TRICHINELLA | 86784 - TRICHINELLA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86787 | 86787 - Antibody; varicella-zoster | 86787 - ANTIBODY VARICELLA-ZOSTER | 86787 - VARICELLA-ZOSTER ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86788 | 86788 - Antibody; West Nile virus IgM | 86788 - ANTIBODY WEST NILE VIRUS IGM | 86788 - WEST NILE VIRUS AB IGM | '01/01/2017 | 12/31/2999 |
| 86789 | 86789 - Antibody; West Nile virus | 86789 - ANTIBODY WEST NILE VIRUS | 86789 - WEST NILE VIRUS ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86790 | 86790 - Antibody; virus not elsewhere specified | 86790 - ANTIBODY VIRUS NOT ELSEWHERE SPECIFIFED | 86790 - VIRUS ANTIBODY NOS | '01/01/2017 | 12/31/2999 |
| 86793 | 86793 - Antibody; Yersinia | 86793 - ANTIBODY YERSINIA | 86793 - YERSINIA ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86794 | 86794 - Antibody; Zika virus IgM | 86794 - ZIKA VIRUS IGM ANTIBODY | 86794 - ZIKA VIRUS IGM ANTIBODY | '01/01/2018 | 12/31/2999 |
| 86800 | 86800 - Thyroglobulin antibody | 86800 - THYROGLOBULIN ANTIBODY | 86800 - THYROGLOBULIN ANTIBODY | '01/01/2017 | 12/31/2999 |
| 86803 | 86803 - Hepatitis C antibody; | 86803 - HEPATITIS C ANTIBODY | 86803 - HEPATITIS C AB TEST | '01/01/2017 | 12/31/2999 |
| 86804 | 86804 - Hepatitis C antibody; confirmatory test (eg immunoblot) | 86804 - HEPATITIS C ANTIBODY CONFIRMATORY TEST | 86804 - HEP C AB TEST CONFIRM | '01/01/2017 | 12/31/2999 |
| 86805 | 86805 - Lymphocytotoxicity assay visual crossmatch; with titration | 86805 - LYMPHOCYTOTOXICITY ASSAY VIS CROSSMATCH TITRATJ | 86805 - LYMPHOCYTOTOXICITY ASSAY | '01/01/2017 | 12/31/2999 |
| 86806 | 86806 - Lymphocytotoxicity assay visual crossmatch; without titration | 86806 - LMPHOCYTOTOXICITY ASSAY VIS CROSSMTCH W/O TITRAT | 86806 - LYMPHOCYTOTOXICITY ASSAY | '01/01/2017 | 12/31/2999 |
| 86807 | 86807 - Serum screening for cytotoxic percent reactive antibody (PRA); standard method | 86807 - SERUM SCREENING % REACTIVE ANTIBODY STANDRD METH | 86807 - CYTOTOXIC ANTIBODY SCREENING | '01/01/2017 | 12/31/2999 |
| 86808 | 86808 - Serum screening for cytotoxic percent reactive antibody (PRA); quick method | 86808 - SERUM SCREENING % REACTIVE ANTIBODY QUICK METH | 86808 - CYTOTOXIC ANTIBODY SCREENING | '01/01/2017 | 12/31/2999 |
| 86812 | 86812 - HLA typing; A B or C (eg A10 B7 B27) single antigen | 86812 - HLA TYPING A/B/C SINGLE ANTIGEN | 86812 - HLA TYPING A B OR C | '01/01/2017 | 12/31/2999 |
| 86813 | 86813 - HLA typing; A B or C multiple antigens | 86813 - HLA TYPING A/B/C MULTIPLE ANTIGENS | 86813 - HLA TYPING A B OR C | '01/01/2017 | 12/31/2999 |
| 86816 | 86816 - HLA typing; DR/DQ single antigen | 86816 - HLA TYPING DR/DQ SINGLE ANTIGEN | 86816 - HLA TYPING DR/DQ | '01/01/2017 | 12/31/2999 |
| 86817 | 86817 - HLA typing; DR/DQ multiple antigens | 86817 - HLA TYPING DR/DQ MULTIPLE ANTIGENS | 86817 - HLA TYPING DR/DQ | '01/01/2017 | 12/31/2999 |
| 86821 | 86821 - HLA typing; lymphocyte culture mixed (MLC) | 86821 - HLA TYPING LYMPHOCYTE CULTURE MIXED | 86821 - LYMPHOCYTE CULTURE MIXED | '01/01/2017 | 12/31/2999 |
| 86825 | 86825 - Human leukocyte antigen (HLA) crossmatch non-cytotoxic (eg using flow cytometry); first serum sample or dilution | 86825 - HLA CROSSMATCH NONCYTOTOXIC 1ST SERUM/DILUTION | 86825 - HLA X-MATH NON-CYTOTOXIC | '01/01/2017 | 12/31/2999 |
| 86826 | 86826 - Human leukocyte antigen (HLA) crossmatch non-cytotoxic (eg using flow cytometry); each additional serum sample or sample dilution (List separately in addition to primary procedure) | 86826 - HLA CROSSMATCH NONCYTOTOXIC ADDL SERUM/DILUTION | 86826 - HLA X-MATCH NONCYTOTOXC ADDL | '01/01/2017 | 12/31/2999 |
| 86828 | 86828 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I and Class II HLA antigens | 86828 - ANTIBODY HLA CLASS I & CLASS II ANTIGENS QUAL | 86828 - HLA CLASS I&II ANTIBODY QUAL | '01/01/2017 | 12/31/2999 |
| 86829 | 86829 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); qualitative assessment of the presence or absence of antibody(ies) to HLA Class I or Class II HLA antigens | 86829 - ANTIBODY HLA CLASS I OR CLASS II ANTIGENS QUAL | 86829 - HLA CLASS I/II ANTIBODY QUAL | '01/01/2017 | 12/31/2999 |
| 86830 | 86830 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes HLA Class I | 86830 - ANTIBODY HLA CLASS I PHENOTYPE PANEL QUALITATIVE | 86830 - HLA CLASS I PHENOTYPE QUAL | '01/01/2017 | 12/31/2999 |
| 86831 | 86831 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); antibody identification by qualitative panel using complete HLA phenotypes HLA Class II | 86831 - ANTIBODY HLA CLASS II PHENOTYPE PANEL QUAL | 86831 - HLA CLASS II PHENOTYPE QUAL | '01/01/2017 | 12/31/2999 |
| 86832 | 86832 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg individual antigen per bead methodology) HLA Class I | 86832 - ANTIBODY HLA CLASS I HIGH DEFINITION PANEL QUAL | 86832 - HLA CLASS I HIGH DEFIN QUAL | '01/01/2017 | 12/31/2999 |
| 86833 | 86833 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); high definition qualitative panel for identification of antibody specificities (eg individual antigen per bead methodology) HLA Class II | 86833 - ANTIBODY HLA CLASS II HIGH DEFINITION PANEL QUAL | 86833 - HLA CLASS II HIGH DEFIN QUAL | '01/01/2017 | 12/31/2999 |
| 86834 | 86834 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); semi-quantitative panel (eg titer) HLA Class I | 86834 - ANTIBODY HLA CLASS I SEMIQUANTITATIVE PANEL | 86834 - HLA CLASS I SEMIQUANT PANEL | '01/01/2017 | 12/31/2999 |
| 86835 | 86835 - Antibody to human leukocyte antigens (HLA) solid phase assays (eg microspheres or beads ELISA Flow cytometry); semi-quantitative panel (eg titer) HLA Class II | 86835 - ANTIBODY HLA CLASS II SEMIQUANTITATIVE PANEL | 86835 - HLA CLASS II SEMIQUANT PANEL | '01/01/2017 | 12/31/2999 |
| 86849 | 86849 - Unlisted immunology procedure | 86849 - UNLISTED IMMUNOLOGY | 86849 - IMMUNOLOGY PROCEDURE | '01/01/2017 | 12/31/2999 |
| 86850 | 86850 - Antibody screen RBC each serum technique | 86850 - ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE | 86850 - RBC ANTIBODY SCREEN | '01/01/2017 | 12/31/2999 |
| 86860 | 86860 - Antibody elution (RBC) each elution | 86860 - ANTIBODY ELUTION RBC EACH ELUTION | 86860 - RBC ANTIBODY ELUTION | '01/01/2017 | 12/31/2999 |
| 86870 | 86870 - Antibody identification RBC antibodies each panel for each serum technique | 86870 - ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ | 86870 - RBC ANTIBODY IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 86880 | 86880 - Antihuman globulin test (Coombs test); direct each antiserum | 86880 - ANTIHUMAN GLOBULIN DIRECT EACH ANTISERUM | 86880 - COOMBS TEST DIRECT | '01/01/2017 | 12/31/2999 |
| 86885 | 86885 - Antihuman globulin test (Coombs test); indirect qualitative each reagent red cell | 86885 - ANTIHUMAN GLOBULIN INDIR QUAL EA REAGENT CELL | 86885 - COOMBS TEST INDIRECT QUAL | '01/01/2017 | 12/31/2999 |
| 86886 | 86886 - Antihuman globulin test (Coombs test); indirect each antibody titer | 86886 - ANTIHUMAN GLOBULIN INDIRECT EACH ANTIBODY TITER | 86886 - COOMBS TEST INDIRECT TITER | '01/01/2017 | 12/31/2999 |
| 86890 | 86890 - Autologous blood or component collection processing and storage; predeposited | 86890 - AUTOL BLD/COMPONENT COLLJ STORAGE PREDEPOSITED | 86890 - AUTOLOGOUS BLOOD PROCESS | '01/01/2017 | 12/31/2999 |
| 86891 | 86891 - Autologous blood or component collection processing and storage; intra- or postoperative salvage | 86891 - AUTOL BLD/COMPONENT COLLJ STORAGE SALVAGE | 86891 - AUTOLOGOUS BLOOD OP SALVAGE | '01/01/2017 | 12/31/2999 |
| 86900 | 86900 - Blood typing serologic; ABO | 86900 - BLOOD TYPING SEROLOGIC ABO | 86900 - BLOOD TYPING SEROLOGIC ABO | '01/01/2017 | 12/31/2999 |
| 86901 | 86901 - Blood typing serologic; Rh (D) | 86901 - BLOOD TYPING SEROLOGIC RH (D) | 86901 - BLOOD TYPING SEROLOGIC RH(D) | '01/01/2017 | 12/31/2999 |
| 86902 | 86902 - Blood typing serologic; antigen testing of donor blood using reagent serum each antigen test | 86902 - BLOOD TYPE ANTIGEN DONOR REAGENT SERUM EACH | 86902 - BLOOD TYPE ANTIGEN DONOR EA | '01/01/2017 | 12/31/2999 |
| 86904 | 86904 - Blood typing serologic; antigen screening for compatible unit using patient serum per unit screened | 86904 - BLOOD TYPING ANTIGEN SCREEN PATIENT SERUM/UNIT | 86904 - BLOOD TYPING PATIENT SERUM | '01/01/2017 | 12/31/2999 |
| 86905 | 86905 - Blood typing serologic; RBC antigens other than ABO or Rh (D) each | 86905 - BLOOD TYPING RBC ANTIGENS OTH/THN ABO/RH D EACH | 86905 - BLOOD TYPING RBC ANTIGENS | '01/01/2017 | 12/31/2999 |
| 86906 | 86906 - Blood typing serologic; Rh phenotyping complete | 86906 - BLOOD TYPING SEROLOGIC RH PHENOTYPING COMPLETE | 86906 - BLD TYPING SEROLOGIC RH PHNT | '01/01/2017 | 12/31/2999 |
| 86910 | 86910 - Blood typing for paternity testing per individual; ABO Rh and MN | 86910 - BLOOD TYPING PATERNITY PR INDIV ABO RH&MN | 86910 - BLOOD TYPING PATERNITY TEST | '01/01/2017 | 12/31/2999 |
| 86911 | 86911 - Blood typing for paternity testing per individual; each additional antigen system | 86911 - BLOOD TYPING PATERNITY INDIV ADDL ANTIGEN SYS | 86911 - BLOOD TYPING ANTIGEN SYSTEM | '01/01/2017 | 12/31/2999 |
| 86920 | 86920 - Compatibility test each unit; immediate spin technique | 86920 - COMPATIBILITY EACH UNIT IMMEDIATE SPIN TECHNIQUE | 86920 - COMPATIBILITY TEST SPIN | '01/01/2017 | 12/31/2999 |
| 86921 | 86921 - Compatibility test each unit; incubation technique | 86921 - COMPATIBILITY EACH UNIT INCUBATION | 86921 - COMPATIBILITY TEST INCUBATE | '01/01/2017 | 12/31/2999 |
| 86922 | 86922 - Compatibility test each unit; antiglobulin technique | 86922 - COMPATIBILITY EACH UNIT ANTIGLOBULIN | 86922 - COMPATIBILITY TEST ANTIGLOB | '01/01/2017 | 12/31/2999 |
| 86923 | 86923 - Compatibility test each unit; electronic | 86923 - COMPATIBILITY EACH UNIT ELECTRONIC | 86923 - COMPATIBILITY TEST ELECTRIC | '01/01/2017 | 12/31/2999 |
| 86927 | 86927 - Fresh frozen plasma thawing each unit | 86927 - FRESH FROZEN PLASMA THAWING EACH UNIT | 86927 - PLASMA FRESH FROZEN | '01/01/2017 | 12/31/2999 |
| 86930 | 86930 - Frozen blood each unit; freezing (includes preparation) | 86930 - FROZEN BLOOD EACH UNIT FREEZING | 86930 - FROZEN BLOOD PREP | '01/01/2017 | 12/31/2999 |
| 86931 | 86931 - Frozen blood each unit; thawing | 86931 - FROZEN BLOOD EACH UNIT THAWING | 86931 - FROZEN BLOOD THAW | '01/01/2017 | 12/31/2999 |
| 86932 | 86932 - Frozen blood each unit; freezing (includes preparation) and thawing | 86932 - FROZEN BLOOD EACH UNIT FREEZING & THAWING | 86932 - FROZEN BLOOD FREEZE/THAW | '01/01/2017 | 12/31/2999 |
| 86940 | 86940 - Hemolysins and agglutinins; auto screen each | 86940 - HEMOLYSINS&AGGLUTININS AUTO SCREEN EACH | 86940 - HEMOLYSINS/AGGLUTININS AUTO | '01/01/2017 | 12/31/2999 |
| 86941 | 86941 - Hemolysins and agglutinins; incubated | 86941 - HEMOLYSINS&AGGLUTININS INCUBATED | 86941 - HEMOLYSINS/AGGLUTININS | '01/01/2017 | 12/31/2999 |
| 86945 | 86945 - Irradiation of blood product each unit | 86945 - IRRADIATION BLOOD PRODUCT EACH UNIT | 86945 - BLOOD PRODUCT/IRRADIATION | '01/01/2017 | 12/31/2999 |
| 86950 | 86950 - Leukocyte transfusion | 86950 - LEUKOCYTE TRANSFUSION | 86950 - LEUKACYTE TRANSFUSION | '01/01/2017 | 12/31/2999 |
| 86960 | 86960 - Volume reduction of blood or blood product (eg red blood cells or platelets) each unit | 86960 - VOLUME REDUCTION BLOOD/BLOOD PRODUCT EACH UNIT | 86960 - VOL REDUCTION OF BLOOD/PROD | '01/01/2017 | 12/31/2999 |
| 86965 | 86965 - Pooling of platelets or other blood products | 86965 - POOLING PLATELETS/OTHER BLOOD PRODUCTS | 86965 - POOLING BLOOD PLATELETS | '01/01/2017 | 12/31/2999 |
| 86970 | 86970 - Pretreatment of RBCs for use in RBC antibody detection identification and/or compatibility testing; incubation with chemical agents or drugs each | 86970 - PRETX RBC ANTIBODY INCUBAT W/CHEM AGNTS/DRUGS EA | 86970 - RBC PRETX INCUBATJ W/CHEMICL | '01/01/2017 | 12/31/2999 |
| 86971 | 86971 - Pretreatment of RBCs for use in RBC antibody detection identification and/or compatibility testing; incubation with enzymes each | 86971 - PRETX RBC ANTIBODY INCUBAT W/ENZYMES EACH | 86971 - RBC PRETX INCUBATJ W/ENZYMES | '01/01/2017 | 12/31/2999 |
| 86972 | 86972 - Pretreatment of RBCs for use in RBC antibody detection identification and/or compatibility testing; by density gradient separation | 86972 - PRETX RBC ANTIBODY INCUBAT W/DENSITY GRAD SEP | 86972 - RBC PRETX INCUBATJ W/DENSITY | '01/01/2017 | 12/31/2999 |
| 86975 | 86975 - Pretreatment of serum for use in RBC antibody identification; incubation with drugs each | 86975 - PRETX SERUM RBC ANTIBODY INCUBATION DRUGS EACH | 86975 - RBC SERUM PRETX INCUBJ DRUGS | '01/01/2017 | 12/31/2999 |
| 86976 | 86976 - Pretreatment of serum for use in RBC antibody identification; by dilution | 86976 - PRETX SERUM RBC ANTIBODY IDENTIFICATION DILUTION | 86976 - RBC SERUM PRETX ID DILUTION | '01/01/2017 | 12/31/2999 |
| 86977 | 86977 - Pretreatment of serum for use in RBC antibody identification; incubation with inhibitors each | 86977 - PRETX SERUM RBC ANTB ID INCUBATION INHIBITORS EA | 86977 - RBC SERUM PRETX INCUBJ/INHIB | '01/01/2017 | 12/31/2999 |
| 86978 | 86978 - Pretreatment of serum for use in RBC antibody identification; by differential red cell absorption using patient RBCs or RBCs of known phenotype each absorption | 86978 - PRETX SERUM RBC ANTIBODY ID DIFFIAL EACH ABSRPJ | 86978 - RBC PRETREATMENT SERUM | '01/01/2017 | 12/31/2999 |
| 86985 | 86985 - Splitting of blood or blood products each unit | 86985 - SPLITTING BLOOD/BLOOD PRODUCTS EACH UNIT | 86985 - SPLIT BLOOD OR PRODUCTS | '01/01/2017 | 12/31/2999 |
| 86999 | 86999 - Unlisted transfusion medicine procedure | 86999 - UNLISTED TRANSFUSION MEDICINE PROCEDURE | 86999 - UNLISTED TRANSFUSION MED PX | '01/01/2023 | 12/31/2999 |
| 87003 | 87003 - Animal inoculation small animal with observation and dissection | 87003 - ANIMAL INOCULATION SMALL ANIMAL W/OBS&DSJ | 87003 - SMALL ANIMAL INOCULATION | '01/01/2017 | 12/31/2999 |
| 87015 | 87015 - Concentration (any type) for infectious agents | 87015 - CONCENTRATION INFECTIOUS AGENTS | 87015 - SPECIMEN INFECT AGNT CONCNTJ | '01/01/2017 | 12/31/2999 |
| 87040 | 87040 - Culture bacterial; blood aerobic with isolation and presumptive identification of isolates (includes anaerobic culture if appropriate) | 87040 - CULTURE BACTERIAL BLOOD AEROBIC W/ID ISOLATES | 87040 - BLOOD CULTURE FOR BACTERIA | '01/01/2017 | 12/31/2999 |
| 87045 | 87045 - Culture bacterial; stool aerobic with isolation and preliminary examination (eg KIA LIA) Salmonella and Shigella species | 87045 - CUL BACT STOOL AEROBIC ISOL SALMONELLA&SHIGELL | 87045 - FECES CULTURE AEROBIC BACT | '01/01/2017 | 12/31/2999 |
| 87046 | 87046 - Culture bacterial; stool aerobic additional pathogens isolation and presumptive identification of isolates each plate | 87046 - CUL BACT STOOL AEROBIC ADDL PATHOGENS&ID EA | 87046 - STOOL CULTR AEROBIC BACT EA | '01/01/2017 | 12/31/2999 |
| 87070 | 87070 - Culture bacterial; any other source except urine blood or stool aerobic with isolation and presumptive identification of isolates | 87070 - CUL BACT XCPT URINE BLOOD/STOOL AEROBIC ISOL | 87070 - CULTURE OTHR SPECIMN AEROBIC | '01/01/2017 | 12/31/2999 |
| 87071 | 87071 - Culture bacterial; quantitative aerobic with isolation and presumptive identification of isolates any source except urine blood or stool | 87071 - CUL BACT QUAN AEROBIC ISOL XCPT UR BLOOD/STOOL | 87071 - CULTURE AEROBIC QUANT OTHER | '01/01/2017 | 12/31/2999 |
| 87073 | 87073 - Culture bacterial; quantitative anaerobic with isolation and presumptive identification of isolates any source except urine blood or stool | 87073 - CUL BACT QUAN ANAERC ISOL XCPT UR BLOOD/STOOL | 87073 - CULTURE BACTERIA ANAEROBIC | '01/01/2017 | 12/31/2999 |
| 87075 | 87075 - Culture bacterial; any source except blood anaerobic with isolation and presumptive identification of isolates | 87075 - CULTURE BACTERIAL ANY SOURCE ANAEROBIC ISO&ID | 87075 - CULTR BACTERIA EXCEPT BLOOD | '01/01/2017 | 12/31/2999 |
| 87076 | 87076 - Culture bacterial; anaerobic isolate additional methods required for definitive identification each isolate | 87076 - CUL BACT ANAEROBIC ADDL METHS DEFINITIVE EA ISOL | 87076 - CULTURE ANAEROBE IDENT EACH | '01/01/2017 | 12/31/2999 |
| 87077 | 87077 - Culture bacterial; aerobic isolate additional methods required for definitive identification each isolate | 87077 - CUL BACT AEROBIC ADDL METHS DEFINITIVE EA ISOL | 87077 - CULTURE AEROBIC IDENTIFY | '01/01/2017 | 12/31/2999 |
| 87081 | 87081 - Culture presumptive pathogenic organisms screening only; | 87081 - CUL PRSMPTV PTHGNC ORGANISM SCRN W/COLONY ESTIMJ | 87081 - CULTURE SCREEN ONLY | '01/01/2017 | 12/31/2999 |
| 87084 | 87084 - Culture presumptive pathogenic organisms screening only; with colony estimation from density chart | 87084 - CUL PRSMPTV PTHGNC ORGANISMS SCR DNS CHART | 87084 - CULTURE OF SPECIMEN BY KIT | '01/01/2017 | 12/31/2999 |
| 87086 | 87086 - Culture bacterial; quantitative colony count urine | 87086 - CULTURE BACTERIAL QUANTTATIVE COLONY COUNT URINE | 87086 - URINE CULTURE/COLONY COUNT | '01/01/2017 | 12/31/2999 |
| 87088 | 87088 - Culture bacterial; with isolation and presumptive identification of each isolate urine | 87088 - CULTURE BCT ISOL&PRSMPTV ID ISOLATE EA URINE | 87088 - URINE BACTERIA CULTURE | '01/01/2017 | 12/31/2999 |
| 87101 | 87101 - Culture fungi (mold or yeast) isolation with presumptive identification of isolates; skin hair or nail | 87101 - CUL FNGI MOLD/YEAST PRSMPTV ID SKN HAIR/NAIL | 87101 - SKIN FUNGI CULTURE | '01/01/2017 | 12/31/2999 |
| 87102 | 87102 - Culture fungi (mold or yeast) isolation with presumptive identification of isolates; other source (except blood) | 87102 - CULTURE FNGI MOLD/YEAST PRSMPTV OTH XCPT BLOOD | 87102 - FUNGUS ISOLATION CULTURE | '01/01/2017 | 12/31/2999 |
| 87103 | 87103 - Culture fungi (mold or yeast) isolation with presumptive identification of isolates; blood | 87103 - CULTURE FNGI MOLD/YEAST ISOL PRSMPTV ISOL BLOOD | 87103 - BLOOD FUNGUS CULTURE | '01/01/2017 | 12/31/2999 |
| 87106 | 87106 - Culture fungi definitive identification each organism; yeast | 87106 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM YEAST | 87106 - FUNGI IDENTIFICATION YEAST | '01/01/2017 | 12/31/2999 |
| 87107 | 87107 - Culture fungi definitive identification each organism; mold | 87107 - CULTURE FUNGI DEFINITIVE ID EACH ORGANISM MOLD | 87107 - FUNGI IDENTIFICATION MOLD | '01/01/2017 | 12/31/2999 |
| 87109 | 87109 - Culture mycoplasma any source | 87109 - CULTURE MYCOPLASMA ANY SOURCE | 87109 - MYCOPLASMA | '01/01/2017 | 12/31/2999 |
| 87110 | 87110 - Culture chlamydia any source | 87110 - CULTURE CHLAMYDIA ANY SOURCE | 87110 - CHLAMYDIA CULTURE | '01/01/2017 | 12/31/2999 |
| 87116 | 87116 - Culture tubercle or other acid-fast bacilli (eg TB AFB mycobacteria) any source with isolation and presumptive identification of isolates | 87116 - CULTURE TUBERCLE/OTH ACID-FAST BACILLI ANY ISOL | 87116 - MYCOBACTERIA CULTURE | '01/01/2017 | 12/31/2999 |
| 87118 | 87118 - Culture mycobacterial definitive identification each isolate | 87118 - CULTURE MYCOBACTERIAL DEFINITIVE ID EA ISOL | 87118 - MYCOBACTERIC IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 87140 | 87140 - Culture typing; immunofluorescent method each antiserum | 87140 - CULTURE TYPING IMMUNOFLUORESCENT EACH ANTISERUM | 87140 - CULTURE TYPE IMMUNOFLUORESC | '01/01/2017 | 12/31/2999 |
| 87143 | 87143 - Culture typing; gas liquid chromatography (GLC) or high pressure liquid chromatography (HPLC) method | 87143 - CULTURE TYPING GAS/HIGH PRES LIQ CHROMATOGRAPHY | 87143 - CULTURE TYPING GLC/HPLC | '01/01/2017 | 12/31/2999 |
| 87147 | 87147 - Culture typing; immunologic method other than immunofluorescence (eg agglutination grouping) per antiserum | 87147 - CULTURE TYPING IMMUNOLOGIC OTH/THN IMMUNOFLUORES | 87147 - CULTURE TYPE IMMUNOLOGIC | '01/01/2017 | 12/31/2999 |
| 87149 | 87149 - Culture typing; identification by nucleic acid (DNA or RNA) probe direct probe technique per culture or isolate each organism probed | 87149 - CULTURE TYPING NUCLEIC ACID PROBE DIR EA ORGANSM | 87149 - DNA/RNA DIRECT PROBE | '01/01/2017 | 12/31/2999 |
| 87150 | 87150 - Culture typing; identification by nucleic acid (DNA or RNA) probe amplified probe technique per culture or isolate each organism probed | 87150 - CULTYP NUC ACID AMP PRB CULT/ISOLATE EA ORGNISM | 87150 - DNA/RNA AMPLIFIED PROBE | '01/01/2017 | 12/31/2999 |
| 87152 | 87152 - Culture typing; identification by pulse field gel typing | 87152 - CULTURE TYPING IDENTIFJ PULSE FIELD GEL TYPING | 87152 - CULTURE TYPE PULSE FIELD GEL | '01/01/2017 | 12/31/2999 |
| 87153 | 87153 - Culture typing; identification by nucleic acid sequencing method each isolate (eg sequencing of the 16S rRNA gene) | 87153 - CULTYP NUCLEIC ACID SEQUENCING METH EA ISOLATE | 87153 - DNA/RNA SEQUENCING | '01/01/2017 | 12/31/2999 |
| 87154 | 87154 - Culture typing; identification of blood pathogen and resistance typing when performed by nucleic acid (DNA or RNA) probe multiplexed amplified probe technique including multiplex reverse transcription when performed per culture or isolate 6 or more targets | 87154 - CULTURE TYPING ID BLD PTHGN&RESIST TYPING 6+TRGT | 87154 - CUL TYP ID BLD PTHGN 6+ TRGT | '01/01/2022 | 12/31/2999 |
| 87158 | 87158 - Culture typing; other methods | 87158 - CULTURE TYPING OTHER METHODS | 87158 - CULTURE TYPING ADDED METHOD | '01/01/2017 | 12/31/2999 |
| 87164 | 87164 - Dark field examination any source (eg penile vaginal oral skin); includes specimen collection | 87164 - DARK FIELD EXAM ANY SOURCE W/SPECIMEN COLLECTION | 87164 - DARK FIELD EXAMINATION | '01/01/2017 | 12/31/2999 |
| 87166 | 87166 - Dark field examination any source (eg penile vaginal oral skin); without collection | 87166 - DARK FIELD EXAM ANY SOURCE W/O SPECIMEN COLLECT | 87166 - DARK FIELD EXAMINATION | '01/01/2017 | 12/31/2999 |
| 87168 | 87168 - Macroscopic examination; arthropod | 87168 - MACROSCOPIC EXAMINATION ARTHROPOD | 87168 - MACROSCOPIC EXAM ARTHROPOD | '01/01/2017 | 12/31/2999 |
| 87169 | 87169 - Macroscopic examination; parasite | 87169 - MACROSCOPIC EXAMINATION PARASITE | 87169 - MACROSCOPIC EXAM PARASITE | '01/01/2017 | 12/31/2999 |
| 87172 | 87172 - Pinworm exam (eg cellophane tape prep) | 87172 - PINWORM EXAMINATION | 87172 - PINWORM EXAM | '01/01/2017 | 12/31/2999 |
| 87176 | 87176 - Homogenization tissue for culture | 87176 - HOMOGENIZATION TISSUE CULTURE | 87176 - TISSUE HOMOGENIZATION CULTR | '01/01/2017 | 12/31/2999 |
| 87177 | 87177 - Ova and parasites direct smears concentration and identification | 87177 - OVA&PARASITES DIRECT SMEARS CONCENTRATION & ID | 87177 - OVA AND PARASITES SMEARS | '01/01/2017 | 12/31/2999 |
| 87181 | 87181 - Susceptibility studies antimicrobial agent; agar dilution method per agent (eg antibiotic gradient strip) | 87181 - SUSCEPTBILTY STDY ANTIMICRBIAL AGNT AGAR DILUTJ | 87181 - MICROBE SUSCEPTIBLE DIFFUSE | '01/01/2017 | 12/31/2999 |
| 87184 | 87184 - Susceptibility studies antimicrobial agent; disk method per plate (12 or fewer agents) | 87184 - SUSCEPTIBILITY STUDY ANTIMICROBIAL DISK METHOD | 87184 - MICROBE SUSCEPTIBLE DISK | '01/01/2017 | 12/31/2999 |
| 87185 | 87185 - Susceptibility studies antimicrobial agent; enzyme detection (eg beta lactamase) per enzyme | 87185 - SUSCEPTIBILITY STUDY ANTIMICROBIAL ENZYME DETCJ | 87185 - MICROBE SUSCEPTIBLE ENZYME | '01/01/2017 | 12/31/2999 |
| 87186 | 87186 - Susceptibility studies antimicrobial agent; microdilution or agar dilution (minimum inhibitory concentration [MIC] or breakpoint) each multi-antimicrobial per plate | 87186 - SUSCEPTIBLTY STDY ANTIMICRBIAL MICRO/AGAR DILUTJ | 87186 - MICROBE SUSCEPTIBLE MIC | '01/01/2017 | 12/31/2999 |
| 87187 | 87187 - Susceptibility studies antimicrobial agent; microdilution or agar dilution minimum lethal concentration (MLC) each plate (List separately in addition to code for primary procedure) | 87187 - SUSCEPTIBLTY STDY ANTMCRB MICRO/AGAR DILUTJ EA | 87187 - MICROBE SUSCEPTIBLE MLC | '01/01/2017 | 12/31/2999 |
| 87188 | 87188 - Susceptibility studies antimicrobial agent; macrobroth dilution method each agent | 87188 - SC STD ANTMCRB AGT MACROBROTH DIL METH EA AGT | 87188 - MICROBE SUSCEPT MACROBROTH | '01/01/2017 | 12/31/2999 |
| 87190 | 87190 - Susceptibility studies antimicrobial agent; mycobacteria proportion method each agent | 87190 - SUSCEPTIBLTY STDY ANTMCRB MYCOBACT PROPORJ MTHD | 87190 - MICROBE SUSCEPT MYCOBACTERI | '01/01/2017 | 12/31/2999 |
| 87197 | 87197 - Serum bactericidal titer (Schlichter test) | 87197 - SERUM BACTERICIDAL TITER | 87197 - BACTERICIDAL LEVEL SERUM | '01/01/2017 | 12/31/2999 |
| 87205 | 87205 - Smear primary source with interpretation; Gram or Giemsa stain for bacteria fungi or cell types | 87205 - SMR PRIM SRC GRAM/GIEMSA STAIN BCT FUNGI/CELL | 87205 - SMEAR GRAM STAIN | '01/01/2017 | 12/31/2999 |
| 87206 | 87206 - Smear primary source with interpretation; fluorescent and/or acid fast stain for bacteria fungi parasites viruses or cell types | 87206 - SMR PRIM SRC FLUORESCENT&/AFS BCT FNGI PARASIT | 87206 - SMEAR FLUORESCENT/ACID STAI | '01/01/2017 | 12/31/2999 |
| 87207 | 87207 - Smear primary source with interpretation; special stain for inclusion bodies or parasites (eg malaria coccidia microsporidia trypanosomes herpes viruses) | 87207 - SMR PRIM SRC SPEC STAIN BODIES/PARASITS | 87207 - SMEAR SPECIAL STAIN | '01/01/2017 | 12/31/2999 |
| 87209 | 87209 - Smear primary source with interpretation; complex special stain (eg trichrome iron hemotoxylin) for ova and parasites | 87209 - SMR PRIM SRC CPLX SPEC STAIN OVA&PARASITS | 87209 - SMEAR COMPLEX STAIN | '01/01/2017 | 12/31/2999 |
| 87210 | 87210 - Smear primary source with interpretation; wet mount for infectious agents (eg saline India ink KOH preps) | 87210 - SMR PRIM SRC WET MOUNT NFCT AGT | 87210 - SMEAR WET MOUNT SALINE/INK | '01/01/2017 | 12/31/2999 |
| 87220 | 87220 - Tissue examination by KOH slide of samples from skin hair or nails for fungi or ectoparasite ova or mites (eg scabies) | 87220 - TISS KOH SLIDE SAMPS SKN/HR/NLS FNGI/ECTOPARASIT | 87220 - TISSUE EXAM FOR FUNGI | '01/01/2017 | 12/31/2999 |
| 87230 | 87230 - Toxin or antitoxin assay tissue culture (eg Clostridium difficile toxin) | 87230 - TOXIN/ANTITOXIN ASSAY TISSUE CULTURE | 87230 - ASSAY TOXIN OR ANTITOXIN | '01/01/2017 | 12/31/2999 |
| 87250 | 87250 - Virus isolation; inoculation of embryonated eggs or small animal includes observation and dissection | 87250 - VIRUS INOCULATION EGGS/SM ANIMAL OBS&DSJ | 87250 - VIRUS INOCULATE EGGS/ANIMAL | '01/01/2017 | 12/31/2999 |
| 87252 | 87252 - Virus isolation; tissue culture inoculation observation and presumptive identification by cytopathic effect | 87252 - VIRUS TISS CUL INOCULATION CYTOPATHIC EFFECT | 87252 - VIRUS INOCULATION TISSUE | '01/01/2017 | 12/31/2999 |
| 87253 | 87253 - Virus isolation; tissue culture additional studies or definitive identification (eg hemabsorption neutralization immunofluorescence stain) each isolate | 87253 - VIRUS TISSUE CULTURE ADDL STDY/ID EACH ISOLATE | 87253 - VIRUS INOCULATE TISSUE ADDL | '01/01/2017 | 12/31/2999 |
| 87254 | 87254 - Virus isolation; centrifuge enhanced (shell vial) technique includes identification with immunofluorescence stain each virus | 87254 - VIRUS CENTRIFUGE ENHNCD ID IMFLUOR STAIN EA | 87254 - VIRUS INOCULATION SHELL VIA | '01/01/2017 | 12/31/2999 |
| 87255 | 87255 - Virus isolation; including identification by non-immunologic method other than by cytopathic effect (eg virus specific enzymatic activity) | 87255 - VIRUS ID NON-IMMUNOLOGIC OTH/THN CYTOPATHIC | 87255 - GENET VIRUS ISOLATE HSV | '01/01/2017 | 12/31/2999 |
| 87260 | 87260 - Infectious agent antigen detection by immunofluorescent technique; adenovirus | 87260 - IAADI ADENOVIRUS | 87260 - ADENOVIRUS AG IF | '01/01/2017 | 12/31/2999 |
| 87265 | 87265 - Infectious agent antigen detection by immunofluorescent technique; Bordetella pertussis/parapertussis | 87265 - IAADI BORDETELLA PRTUSSIS/PARAPRTUSSIS | 87265 - PERTUSSIS AG IF | '01/01/2017 | 12/31/2999 |
| 87267 | 87267 - Infectious agent antigen detection by immunofluorescent technique; Enterovirus direct fluorescent antibody (DFA) | 87267 - IAADI ENTEROVIRUS DIRECT FLUORESCENT ANTIBODY | 87267 - ENTEROVIRUS ANTIBODY DFA | '01/01/2017 | 12/31/2999 |
| 87269 | 87269 - Infectious agent antigen detection by immunofluorescent technique; giardia | 87269 - IAADI GIARDIA | 87269 - GIARDIA AG IF | '01/01/2017 | 12/31/2999 |
| 87270 | 87270 - Infectious agent antigen detection by immunofluorescent technique; Chlamydia trachomatis | 87270 - IAADI CHLAMYDIA TRACHOMATIS | 87270 - CHLAMYDIA TRACHOMATIS AG IF | '01/01/2017 | 12/31/2999 |
| 87271 | 87271 - Infectious agent antigen detection by immunofluorescent technique; Cytomegalovirus direct fluorescent antibody (DFA) | 87271 - IAADI CYTOMEGALOVIRUS DIR FLUORESCENT ANTIBODY | 87271 - CYTOMEGALOVIRUS DFA | '01/01/2017 | 12/31/2999 |
| 87272 | 87272 - Infectious agent antigen detection by immunofluorescent technique; cryptosporidium | 87272 - IAADI CRYPTOSPORIDIUM | 87272 - CRYPTOSPORIDIUM AG IF | '01/01/2017 | 12/31/2999 |
| 87273 | 87273 - Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 2 | 87273 - IAADI HERPES SMPLX VIRUS TYPE 2 | 87273 - HERPES SIMPLEX 2 AG IF | '01/01/2017 | 12/31/2999 |
| 87274 | 87274 - Infectious agent antigen detection by immunofluorescent technique; Herpes simplex virus type 1 | 87274 - IAADI HERPES SMPLX VIRUS TYPE 1 | 87274 - HERPES SIMPLEX 1 AG IF | '01/01/2017 | 12/31/2999 |
| 87275 | 87275 - Infectious agent antigen detection by immunofluorescent technique; influenza B virus | 87275 - IAADI INFLUENZA B VIRUS | 87275 - INFLUENZA B AG IF | '01/01/2017 | 12/31/2999 |
| 87276 | 87276 - Infectious agent antigen detection by immunofluorescent technique; influenza A virus | 87276 - IAADI INFFLUENZA A VIRUS | 87276 - INFLUENZA A AG IF | '01/01/2017 | 12/31/2999 |
| 87278 | 87278 - Infectious agent antigen detection by immunofluorescent technique; Legionella pneumophila | 87278 - IAADI LEGIONELLA PNEUMOPHILA | 87278 - LEGION PNEUMOPHILIA AG IF | '01/01/2017 | 12/31/2999 |
| 87279 | 87279 - Infectious agent antigen detection by immunofluorescent technique; Parainfluenza virus each type | 87279 - IAADI PARAINFLUENZA VIRUS EACH TYPE | 87279 - PARAINFLUENZA AG IF | '01/01/2017 | 12/31/2999 |
| 87280 | 87280 - Infectious agent antigen detection by immunofluorescent technique; respiratory syncytial virus | 87280 - IAADI RESPIRATORY SYNCTIAL VIRUS | 87280 - RESPIRATORY SYNCYTIAL AG IF | '01/01/2017 | 12/31/2999 |
| 87281 | 87281 - Infectious agent antigen detection by immunofluorescent technique; Pneumocystis carinii | 87281 - IAADI PNEUMOCUSTIS CARINII | 87281 - PNEUMOCYSTIS CARINII AG IF | '01/01/2017 | 12/31/2999 |
| 87283 | 87283 - Infectious agent antigen detection by immunofluorescent technique; Rubeola | 87283 - IAADI RUBEOLA | 87283 - RUBEOLA AG IF | '01/01/2017 | 12/31/2999 |
| 87285 | 87285 - Infectious agent antigen detection by immunofluorescent technique; Treponema pallidum | 87285 - IAADI TREPONEMA PALLIDUM | 87285 - TREPONEMA PALLIDUM AG IF | '01/01/2017 | 12/31/2999 |
| 87290 | 87290 - Infectious agent antigen detection by immunofluorescent technique; Varicella zoster virus | 87290 - IAADI VARICELLA ZOSTER VIRUS | 87290 - VARICELLA ZOSTER AG IF | '01/01/2017 | 12/31/2999 |
| 87299 | 87299 - Infectious agent antigen detection by immunofluorescent technique; not otherwise specified each organism | 87299 - IAADI NOT OTHERWISE SPECIFIED EACH ORGANISM | 87299 - ANTIBODY DETECTION NOS IF | '01/01/2017 | 12/31/2999 |
| 87300 | 87300 - Infectious agent antigen detection by immunofluorescent technique polyvalent for multiple organisms each polyvalent antiserum | 87300 - IAADI POLYV MLT ORGANISMS EA POLYV ANTISERUM | 87300 - AG DETECTION POLYVAL IF | '01/01/2017 | 12/31/2999 |
| 87301 | 87301 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; adenovirus enteric types 40/41 | 87301 - IAAD IA ADENOVIRUS ENTERIC TYP 40/41 | 87301 - ADENOVIRUS AG IA | '01/01/2022 | 12/31/2999 |
| 87305 | 87305 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Aspergillus | 87305 - IAAD IA ASPERGILLUS | 87305 - ASPERGILLUS AG IA | '01/01/2022 | 12/31/2999 |
| 87320 | 87320 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Chlamydia trachomatis | 87320 - IAAD IA CHLAMYDIA TRACHOMATIS | 87320 - CHLMYD TRACH AG IA | '01/01/2022 | 12/31/2999 |
| 87324 | 87324 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Clostridium difficile toxin(s) | 87324 - IAAD IA CLOSTRIDIUM DIFFICILE TOXIN | 87324 - CLOSTRIDIUM AG IA | '01/01/2022 | 12/31/2999 |
| 87327 | 87327 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Cryptococcus neoformans | 87327 - IAAD IA CRYPTOCOCCUS NEOFORMANS | 87327 - CRYPTOCOCCUS NEOFORM AG IA | '01/01/2022 | 12/31/2999 |
| 87328 | 87328 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; cryptosporidium | 87328 - IAAD IA CRYPTOSPORIDIUM | 87328 - CRYPTOSPORIDIUM AG IA | '01/01/2022 | 12/31/2999 |
| 87329 | 87329 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; giardia | 87329 - IAAD IA GIARDIA | 87329 - GIARDIA AG IA | '01/01/2022 | 12/31/2999 |
| 87332 | 87332 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; cytomegalovirus | 87332 - IAAD IA CYTOMEGALOVIRUS | 87332 - CYTOMEGALOVIRUS AG IA | '01/01/2022 | 12/31/2999 |
| 87335 | 87335 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Escherichia coli 0157 | 87335 - IAAD IA ESCHERICHIA COLI 0157 | 87335 - E COLI 0157 AG IA | '01/01/2022 | 12/31/2999 |
| 87336 | 87336 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Entamoeba histolytica dispar group | 87336 - IAAD IA ENTAMOEBA HISTOLYTICA DISPAR GRP | 87336 - ENTAMOEB HIST DISPR AG IA | '01/01/2022 | 12/31/2999 |
| 87337 | 87337 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Entamoeba histolytica group | 87337 - IAAD IA ENTAMOEBA HISTOLYTICA GRP | 87337 - ENTAMOEB HIST GROUP AG IA | '01/01/2022 | 12/31/2999 |
| 87338 | 87338 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylori stool | 87338 - IAAD IA HPYLORI STOOL | 87338 - HPYLORI STOOL AG IA | '01/01/2022 | 12/31/2999 |
| 87339 | 87339 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Helicobacter pylori | 87339 - IAAD IA HPYLORI | 87339 - H PYLORI AG IA | '01/01/2022 | 12/31/2999 |
| 87340 | 87340 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) | 87340 - IAAD IA HEPATITIS B SURFACE ANTIGEN | 87340 - HEPATITIS B SURFACE AG IA | '01/01/2022 | 12/31/2999 |
| 87341 | 87341 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis B surface antigen (HBsAg) neutralization | 87341 - IAAD IA HEPATITIS B SURFACE AG NEUTRALIZATION | 87341 - HEP B SURFACE AG NEUTRLZJ IA | '01/01/2022 | 12/31/2999 |
| 87350 | 87350 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis Be antigen (HBeAg) | 87350 - IAAD IA HEPATITIS BE ANTIGEN | 87350 - HEPATITIS BE AG IA | '01/01/2022 | 12/31/2999 |
| 87380 | 87380 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; hepatitis delta agent | 87380 - IAAD IA HEPATITIS DELTA ANTIGEN | 87380 - HEPATITIS DELTA AGENT AG IA | '01/01/2022 | 12/31/2999 |
| 87385 | 87385 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Histoplasma capsulatum | 87385 - IAAD IA HISTOPLASM CAPSULATUM | 87385 - HISTOPLASMA CAPSUL AG IA | '01/01/2022 | 12/31/2999 |
| 87389 | 87389 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies single result | 87389 - IAAD IA HIV-1 AG W/HIV-1 & HIV-2 ANTBDY SINGLE | 87389 - HIV-1 AG W/HIV-1&-2 AB AG IA | '01/01/2022 | 12/31/2999 |
| 87390 | 87390 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; HIV-1 | 87390 - IAAD IA HIV-1 | 87390 - HIV-1 AG IA | '01/01/2022 | 12/31/2999 |
| 87391 | 87391 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; HIV-2 | 87391 - IAAD IA HIV-2 | 87391 - HIV-2 AG IA | '01/01/2022 | 12/31/2999 |
| 87400 | 87400 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Influenza A or B each | 87400 - IAAD IA INFLUENZA A/B EACH | 87400 - INFLUENZA A/B EACH AG IA | '01/01/2022 | 12/31/2999 |
| 87420 | 87420 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; respiratory syncytial virus | 87420 - IAAD IA RESPIRATORY SYNCTIAL VIRUS | 87420 - RESP SYNCYTIAL VIRUS AG IA | '01/01/2022 | 12/31/2999 |
| 87425 | 87425 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; rotavirus | 87425 - IAAD IA ROTAVIRUS | 87425 - ROTAVIRUS AG IA | '01/01/2022 | 12/31/2999 |
| 87426 | 87426 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg SARS-CoV SARS-CoV-2 [COVID-19]) | 87426 - IAAD IA SEVERE AQT RESPIR SYND CORONAVIRUS | 87426 - SARSCOV CORONAVIRUS AG IA | '01/01/2022 | 12/31/2999 |
| 87427 | 87427 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Shiga-like toxin | 87427 - IAAD IA SHIGA-LIKE TOXIN | 87427 - SHIGA-LIKE TOXIN AG IA | '01/01/2022 | 12/31/2999 |
| 87428 | 87428 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; severe acute respiratory syndrome coronavirus (eg SARS-CoV SARS-CoV-2 [COVID-19]) and influenza virus types A and B | 87428 - IAAD IA SARSCOV & INFLUENZA VIRUS TYPES A&B | 87428 - SARSCOV & INF VIR A&B AG IA | '01/01/2022 | 12/31/2999 |
| 87430 | 87430 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; Streptococcus group A | 87430 - IAAD IA STREPTOCOCCUS GROUP A | 87430 - STREP A AG IA | '01/01/2022 | 12/31/2999 |
| 87449 | 87449 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; not otherwise specified each organism | 87449 - IAAD IA NOT OTHERWISE SPECIFIED EACH ORGANISM | 87449 - NOS EACH ORGANISM AG IA | '01/01/2022 | 12/31/2999 |
| 87451 | 87451 - Infectious agent antigen detection by immunoassay technique (eg enzyme immunoassay [EIA] enzyme-linked immunosorbent assay [ELISA] fluorescence immunoassay [FIA] immunochemiluminometric assay [IMCA]) qualitative or semiquantitative; polyvalent for multiple organisms each polyvalent antiserum | 87451 - IAAD IA POLYV MLT ORGANISMS EA POLYV ANTISERUM | 87451 - POLYVALENT MULT ORG EA AG IA | '01/01/2022 | 12/31/2999 |
| 87467 | 87467 - Hepatitis B surface antigen (HBsAg) quantitative | 87467 - HEPATITIS B SURFACE ANTIGEN QUANTITATIVE | 87467 - HEPATITIS B SURFACE AG QUAN | '01/01/2023 | 12/31/2999 |
| 87468 | 87468 - Infectious agent detection by nucleic acid (DNA or RNA); Anaplasma phagocytophilum amplified probe technique | 87468 - IADNA ANAPLASMA PHAGOCYTOPHILUM AMPLIFED PRB TQ | 87468 - ANAPLSMA PHGCYTOPHLM AMP PRB | '01/01/2023 | 12/31/2999 |
| 87469 | 87469 - Infectious agent detection by nucleic acid (DNA or RNA); Babesia microti amplified probe technique | 87469 - IADNA BABESIA MICROTI AMPLIFIED PROBE TECHNIQUE | 87469 - BABESIA MICROTI AMP PRB | '01/01/2023 | 12/31/2999 |
| 87471 | 87471 - Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana amplified probe technique | 87471 - IADNA BARTONELLA AMPLIFIED PROBE TECHNIQUE | 87471 - BARTONELLA DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87472 | 87472 - Infectious agent detection by nucleic acid (DNA or RNA); Bartonella henselae and Bartonella quintana quantification | 87472 - IADNA BARTONELLA HENSELAE&QUINTANA QUANTJ | 87472 - BARTONELLA DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87475 | 87475 - Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi direct probe technique | 87475 - IADNA BORRELIA BURGDORFERI DIRECT PROBE TQ | 87475 - LYME DIS DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87476 | 87476 - Infectious agent detection by nucleic acid (DNA or RNA); Borrelia burgdorferi amplified probe technique | 87476 - IADNA BORRELIA BURGDORFERI AMPLIFIED PROBE TQ | 87476 - LYME DIS DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87478 | 87478 - Infectious agent detection by nucleic acid (DNA or RNA); Borrelia miyamotoi amplified probe technique | 87478 - IADNA BORRELIA MIYAMOTOI AMPLIFIED PRB TECHNIQUE | 87478 - BORRELIA MIYAMOTOI AMP PRB | '01/01/2023 | 12/31/2999 |
| 87480 | 87480 - Infectious agent detection by nucleic acid (DNA or RNA); Candida species direct probe technique | 87480 - IADNA CANDIDA SPECIES DIRECT PROBE TQ | 87480 - CANDIDA DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87481 | 87481 - Infectious agent detection by nucleic acid (DNA or RNA); Candida species amplified probe technique | 87481 - IADNA CANDIDA SPECIES AMPLIFIED PROBE TQ | 87481 - CANDIDA DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87482 | 87482 - Infectious agent detection by nucleic acid (DNA or RNA); Candida species quantification | 87482 - IADNA CANDIDA SPECIES QUANTIFICATION | 87482 - CANDIDA DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87483 | 87483 - Infectious agent detection by nucleic acid (DNA or RNA); central nervous system pathogen (eg Neisseria meningitidis Streptococcus pneumoniae Listeria Haemophilus influenzae E. coli Streptococcus agalactiae enterovirus human parechovirus herpes simplex virus type 1 and 2 human herpesvirus 6 cytomegalovirus varicella zoster virus Cryptococcus) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 12-25 targets | 87483 - CNS DNA/RNA AMP PROBE MULTIPLE SUBTYPES 12-25 | 87483 - CNS DNA AMP PROBE TYPE 12-25 | '01/01/2017 | 12/31/2999 |
| 87484 | 87484 - Infectious agent detection by nucleic acid (DNA or RNA); Ehrlichia chaffeensis amplified probe technique | 87484 - IADNA EHRLICHIA CHAFFEENSIS AMPLIFIED PROBE TQ | 87484 - EHRLICHA CHAFFEENSIS AMP PRB | '01/01/2023 | 12/31/2999 |
| 87485 | 87485 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae direct probe technique | 87485 - IADNA CHLAMYDIA PNEUMONIAE DIRECT PROBE TQ | 87485 - CHLMYD PNEUM DNA DIR PROBE | '01/01/2022 | 12/31/2999 |
| 87486 | 87486 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae amplified probe technique | 87486 - IADNA CHLAMYDIA PNEUMONIAE AMPLIFIED PROBE TQ | 87486 - CHLMYD PNEUM DNA AMP PROBE | '01/01/2022 | 12/31/2999 |
| 87487 | 87487 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia pneumoniae quantification | 87487 - IADNA CHLAMYDIA PNEUMONIAE QUANTIFICATION | 87487 - CHLMYD PNEUM DNA QUANT | '01/01/2022 | 12/31/2999 |
| 87490 | 87490 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis direct probe technique | 87490 - IADNA CHLAMYDIA TRACHOMATIS DIRECT PROBE TQ | 87490 - CHLMYD TRACH DNA DIR PROBE | '01/01/2022 | 12/31/2999 |
| 87491 | 87491 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis amplified probe technique | 87491 - IADNA CHLAMYDIA TRACHOMATIS AMPLIFIED PROBE TQ | 87491 - CHLMYD TRACH DNA AMP PROBE | '01/01/2022 | 12/31/2999 |
| 87492 | 87492 - Infectious agent detection by nucleic acid (DNA or RNA); Chlamydia trachomatis quantification | 87492 - IADNA CHLAMYDIA TRACHOMATIS QUANTIFICATION | 87492 - CHLMYD TRACH DNA QUANT | '01/01/2022 | 12/31/2999 |
| 87493 | 87493 - Infectious agent detection by nucleic acid (DNA or RNA); Clostridium difficile toxin gene(s) amplified probe technique | 87493 - INF AGENT DET NUCLEIC ACID CLOSTRIDIUM AMP PROBE | 87493 - C DIFF AMPLIFIED PROBE | '01/01/2017 | 12/31/2999 |
| 87495 | 87495 - Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus direct probe technique | 87495 - IADNA CYTOMEGALOVIRUS DIRECT PROBE TQ | 87495 - CYTOMEG DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87496 | 87496 - Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus amplified probe technique | 87496 - IADNA CYTOMEGALOVIRUS AMPLIFIED PROBE TQ | 87496 - CYTOMEG DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87497 | 87497 - Infectious agent detection by nucleic acid (DNA or RNA); cytomegalovirus quantification | 87497 - IADNA CYTOMEGALOVIRUS QUANTIFICATION | 87497 - CYTOMEG DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87498 | 87498 - Infectious agent detection by nucleic acid (DNA or RNA); enterovirus amplified probe technique includes reverse transcription when performed | 87498 - IADNA ENTEROVIRUS AMPLIF PROBE & REVRSE TRNSCRIP | 87498 - ENTEROVIRUS PROBE&REVRS TRNS | '01/01/2017 | 12/31/2999 |
| 87500 | 87500 - Infectious agent detection by nucleic acid (DNA or RNA); vancomycin resistance (eg enterococcus species van A van B) amplified probe technique | 87500 - INFECTIOUS AGENT DNA/RNA VANCOMYCIN RESISTANCE | 87500 - VANOMYCIN DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87501 | 87501 - Infectious agent detection by nucleic acid (DNA or RNA); influenza virus includes reverse transcription when performed and amplified probe technique each type or subtype | 87501 - INFECTIOUS AGENT DNA/RNA INFLUENZA EA TYPE | 87501 - INFLUENZA DNA AMP PROB 1+ | '01/01/2017 | 12/31/2999 |
| 87502 | 87502 - Infectious agent detection by nucleic acid (DNA or RNA); influenza virus for multiple types or sub-types includes multiplex reverse transcription when performed and multiplex amplified probe technique first 2 types or sub-types | 87502 - INFECTIOUS AGENT DNA/RNA INFLUENZA 1ST 2 TYPES | 87502 - INFLUENZA DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87503 | 87503 - Infectious agent detection by nucleic acid (DNA or RNA); influenza virus for multiple types or sub-types includes multiplex reverse transcription when performed and multiplex amplified probe technique each additional influenza virus type or sub-type beyond 2 (List separately in addition to code for primary procedure) | 87503 - NFCT AGENT DNA/RNA INFLUENZA >2 TYPES EA ADDL | 87503 - INFLUENZA DNA AMP PROB ADDL | '01/01/2017 | 12/31/2999 |
| 87505 | 87505 - Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg Clostridium difficile E. coli Salmonella Shigella norovirus Giardia) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 3-5 targets | 87505 - NFCT AGENT DNA/RNA GASTROINTESTINAL PATHOGEN | 87505 - NFCT AGENT DETECTION GI | '01/01/2017 | 12/31/2999 |
| 87506 | 87506 - Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg Clostridium difficile E. coli Salmonella Shigella norovirus Giardia) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 6-11 targets | 87506 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 6-11 | 87506 - IADNA-DNA/RNA PROBE TQ 6-11 | '01/01/2017 | 12/31/2999 |
| 87507 | 87507 - Infectious agent detection by nucleic acid (DNA or RNA); gastrointestinal pathogen (eg Clostridium difficile E. coli Salmonella Shigella norovirus Giardia) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 12-25 targets | 87507 - IADNA-DNA/RNA GI PTHGN MULTIPLEX PROBE TQ 12-25 | 87507 - IADNA-DNA/RNA PROBE TQ 12-25 | '01/01/2017 | 12/31/2999 |
| 87510 | 87510 - Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis direct probe technique | 87510 - IADNA GARDNERELLA VAGINALIS DIRECT PROBE TQ | 87510 - GARDNER VAG DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87511 | 87511 - Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis amplified probe technique | 87511 - IADNA GARDNERELLA VAGINALIS AMPLIFIED PROBE TQ | 87511 - GARDNER VAG DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87512 | 87512 - Infectious agent detection by nucleic acid (DNA or RNA); Gardnerella vaginalis quantification | 87512 - IADNA GARDNERELLA VAGINALIS QUANTIFICATION | 87512 - GARDNER VAG DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87516 | 87516 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus amplified probe technique | 87516 - IADNA HEPATITIS B VIRUS AMPLIFIED PROBE TQ | 87516 - HEPATITIS B DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87517 | 87517 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis B virus quantification | 87517 - IADNA HEPATITIS B VIRUS QUANTIFICATION | 87517 - HEPATITIS B DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87520 | 87520 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C direct probe technique | 87520 - IADNA HEPATITIS C DIRECT PROBE TECHNIQUE | 87520 - HEPATITIS C RNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87521 | 87521 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C amplified probe technique includes reverse transcription when performed | 87521 - IADNA HEPATITIS C AMPLIFIED PROBE&REVRSE TRANSCR | 87521 - HEPATITIS C PROBE&RVRS TRNSC | '01/01/2017 | 12/31/2999 |
| 87522 | 87522 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis C quantification includes reverse transcription when performed | 87522 - IADNA HEPATITIS C QUANT & REVERSE TRANSCRIPTION | 87522 - HEPATITIS C REVRS TRNSCRPJ | '01/01/2017 | 12/31/2999 |
| 87525 | 87525 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G direct probe technique | 87525 - IADNA HEPATITIS G DIRECT PROBE TECHNIQUE | 87525 - HEPATITIS G DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87526 | 87526 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G amplified probe technique | 87526 - IADNA HEPATITIS G AMPLIFIED PROBE TECHNIQUE | 87526 - HEPATITIS G DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87527 | 87527 - Infectious agent detection by nucleic acid (DNA or RNA); hepatitis G quantification | 87527 - IADNA HEPATITIS G QUANTIFICATION | 87527 - HEPATITIS G DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87528 | 87528 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus direct probe technique | 87528 - IADNA HERPES SIMPLX VIRUS DIRECT PROBE TQ | 87528 - HSV DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87529 | 87529 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus amplified probe technique | 87529 - IADNA HERPES SOMPLX VIRUS AMPLIFIED PROBE TQ | 87529 - HSV DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87530 | 87530 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes simplex virus quantification | 87530 - IADNA HERPES SOMPLX VIRUS QUANTIFICATION | 87530 - HSV DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87531 | 87531 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6 direct probe technique | 87531 - IADNA HERPES VIRUS-6 DIRECT PROBE TQ | 87531 - HHV-6 DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87532 | 87532 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6 amplified probe technique | 87532 - IADNA HERPES VIRUS-6 AMPLIFIED PROBE TQ | 87532 - HHV-6 DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87533 | 87533 - Infectious agent detection by nucleic acid (DNA or RNA); Herpes virus-6 quantification | 87533 - IADNA HERPES VIRUS-6 QUANTIFICATION | 87533 - HHV-6 DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87534 | 87534 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-1 direct probe technique | 87534 - IADNA HIV-1 DIRECT PROBE TECHNIQUE | 87534 - HIV-1 DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87535 | 87535 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-1 amplified probe technique includes reverse transcription when performed | 87535 - IADNA HIV-1 AMPLIFIED PROBE & REVERSE TRANSCRPJ | 87535 - HIV-1 PROBE&REVERSE TRNSCRPJ | '01/01/2017 | 12/31/2999 |
| 87536 | 87536 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-1 quantification includes reverse transcription when performed | 87536 - IADNA HIV-1 QUANT & REVERSE TRANSCRIPTION | 87536 - HIV-1 QUANT&REVRSE TRNSCRPJ | '01/01/2017 | 12/31/2999 |
| 87537 | 87537 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-2 direct probe technique | 87537 - IADNA HIV-2 DIRECT PROBE TECHNIQUE | 87537 - HIV-2 DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87538 | 87538 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-2 amplified probe technique includes reverse transcription when performed | 87538 - IADNA HIV-2 AMPLIFIED PROBE & REVERSE TRANSCRIPJ | 87538 - HIV-2 PROBE&REVRSE TRNSCRIPJ | '01/01/2017 | 12/31/2999 |
| 87539 | 87539 - Infectious agent detection by nucleic acid (DNA or RNA); HIV-2 quantification includes reverse transcription when performed | 87539 - IADNA HIV-2 QUANT & REVERSE TRANSCRIPTION | 87539 - HIV-2 QUANT&REVRSE TRNSCRIPJ | '01/01/2017 | 12/31/2999 |
| 87540 | 87540 - Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila direct probe technique | 87540 - IADNA LEGIONELLA PNEUMOPHILA DIRECT PROBE TQ | 87540 - LEGION PNEUMO DNA DIR PROB | '01/01/2017 | 12/31/2999 |
| 87541 | 87541 - Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila amplified probe technique | 87541 - IADNA LEGIONELLA PNEUMOPHILA AMPLIFIED PROBE TQ | 87541 - LEGION PNEUMO DNA AMP PROB | '01/01/2017 | 12/31/2999 |
| 87542 | 87542 - Infectious agent detection by nucleic acid (DNA or RNA); Legionella pneumophila quantification | 87542 - IADNA LEGIONELLA PNEUMOPHILA QUANTIFICATION | 87542 - LEGION PNEUMO DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87550 | 87550 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species direct probe technique | 87550 - IADNA MYCOBACTERIA SPECIES DIRECT PROBE TQ | 87550 - MYCOBACTERIA DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87551 | 87551 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species amplified probe technique | 87551 - IADNA MYCOBACTERIA SPECIES AMPLIFIED PROBE TQ | 87551 - MYCOBACTERIA DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87552 | 87552 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria species quantification | 87552 - IADNA MYCOBACTERIA SPECIES QUANTIFICATION | 87552 - MYCOBACTERIA DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87555 | 87555 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis direct probe technique | 87555 - IADNA MYCOBACTERIA TUBERCULOSIS DIR PRB | 87555 - M.TUBERCULO DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87556 | 87556 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis amplified probe technique | 87556 - IADNA MYCOBACTERIA TUBERCULOSIS AMP PRB | 87556 - M.TUBERCULO DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87557 | 87557 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria tuberculosis quantification | 87557 - IADNA MYCOBACTERIA TUBERCULOSIS QUANTIFICATION | 87557 - M.TUBERCULO DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87560 | 87560 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare direct probe technique | 87560 - IADNA MYCOBACTERIA AVIUM-INTRACLRE DIR PRB | 87560 - M.AVIUM-INTRA DNA DIR PROB | '01/01/2017 | 12/31/2999 |
| 87561 | 87561 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare amplified probe technique | 87561 - IADNA MYCOBACTERIA AVIUM-INTRACLRE AMP PRB | 87561 - M.AVIUM-INTRA DNA AMP PROB | '01/01/2017 | 12/31/2999 |
| 87562 | 87562 - Infectious agent detection by nucleic acid (DNA or RNA); Mycobacteria avium-intracellulare quantification | 87562 - IADNA MYCOBACTERIA AVIUM-INTRACELLULARE QUANT | 87562 - M.AVIUM-INTRA DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87563 | 87563 - Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma genitalium amplified probe technique | 87563 - IADNA MYCOPLASMA GENITALIUM AMPLIFIED PROBE TECH | 87563 - M. GENITALIUM AMP PROBE | '01/01/2020 | 12/31/2999 |
| 87580 | 87580 - Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae direct probe technique | 87580 - IADNA MYCOPLSM PNEUMONIAE DIRECT PROBE TQ | 87580 - M.PNEUMON DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87581 | 87581 - Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae amplified probe technique | 87581 - IADNA MYCOPLSM PNEUMONIAE AMPLIFIED PROBE TQ | 87581 - M.PNEUMON DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87582 | 87582 - Infectious agent detection by nucleic acid (DNA or RNA); Mycoplasma pneumoniae quantification | 87582 - IADNA MYCOPLSM PNEUMONIAE QUANTIFICATION | 87582 - M.PNEUMON DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87590 | 87590 - Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae direct probe technique | 87590 - IADNA NEISSERIA GONORRHOEAE DIRECT PROBE TQ | 87590 - N.GONORRHOEAE DNA DIR PROB | '01/01/2017 | 12/31/2999 |
| 87591 | 87591 - Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae amplified probe technique | 87591 - IADNA NEISSERIA GONORRHOEAE AMPLIFIED PROBE TQ | 87591 - N.GONORRHOEAE DNA AMP PROB | '01/01/2017 | 12/31/2999 |
| 87592 | 87592 - Infectious agent detection by nucleic acid (DNA or RNA); Neisseria gonorrhoeae quantification | 87592 - IADNA NEISSERIA GONORRHOEAE QUANTIFICATION | 87592 - N.GONORRHOEAE DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87593 | 87593 - Infectious agent detection by nucleic acid (DNA or RNA); orthopoxvirus (eg monkeypox virus cowpox virus vaccinia virus) amplified probe technique each | 87593 - IADNA ORTHOPOXVIRUS AMPLIFIED PROBE TECHNIQUE EA | 87593 - ORTHOPOXVIRUS AMP PRB EACH | '07/26/2022 | 12/31/2999 |
| 87623 | 87623 - Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV) low-risk types (eg 6 11 42 43 44) | 87623 - IADNA HUMAN PAPILLOMAVIRUS LOW-RISK TYPES | 87623 - HPV LOW-RISK TYPES | '01/01/2017 | 12/31/2999 |
| 87624 | 87624 - Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV) high-risk types (eg 16 18 31 33 35 39 45 51 52 56 58 59 68) | 87624 - IADNA HUMAN PAPILLOMAVIRUS HIGH-RISK TYPES | 87624 - HPV HIGH-RISK TYPES | '01/01/2017 | 12/31/2999 |
| 87625 | 87625 - Infectious agent detection by nucleic acid (DNA or RNA); Human Papillomavirus (HPV) types 16 and 18 only includes type 45 if performed | 87625 - IADNA HUMAN PAPILLOMAVIRUS TYPES 16 & 18 ONLY | 87625 - HPV TYPES 16 & 18 ONLY | '01/01/2017 | 12/31/2999 |
| 87631 | 87631 - Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg adenovirus influenza virus coronavirus metapneumovirus parainfluenza virus respiratory syncytial virus rhinovirus) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 3-5 targets | 87631 - IADNA RESPIRATRY PROBE & REV TRNSCR 3-5 TARGETS | 87631 - RESP VIRUS 3-5 TARGETS | '01/01/2017 | 12/31/2999 |
| 87632 | 87632 - Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg adenovirus influenza virus coronavirus metapneumovirus parainfluenza virus respiratory syncytial virus rhinovirus) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 6-11 targets | 87632 - IADNA RESPIRATRY PROBE & REV TRNSCR 6-11 TARGETS | 87632 - RESP VIRUS 6-11 TARGETS | '01/01/2017 | 12/31/2999 |
| 87633 | 87633 - Infectious agent detection by nucleic acid (DNA or RNA); respiratory virus (eg adenovirus influenza virus coronavirus metapneumovirus parainfluenza virus respiratory syncytial virus rhinovirus) includes multiplex reverse transcription when performed and multiplex amplified probe technique multiple types or subtypes 12-25 targets | 87633 - IADNA RESPIRATRY PROBE & REV TRNSCR 12-25 TARGET | 87633 - RESP VIRUS 12-25 TARGETS | '01/01/2017 | 12/31/2999 |
| 87634 | 87634 - Infectious agent detection by nucleic acid (DNA or RNA); respiratory syncytial virus amplified probe technique | 87634 - IADNA DNA/RNA RSV AMPLIFIED PROBE TECHNIQUE | 87634 - RSV DNA/RNA AMP PROBE | '01/01/2018 | 12/31/2999 |
| 87635 | 87635 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) amplified probe technique | 87635 - IADNA SARS-COV-2 COVID-19 AMPLIFIED PROBE TQ | 87635 - SARS-COV-2 COVID-19 AMP PRB | '01/01/2022 | 12/31/2999 |
| 87636 | 87636 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) and influenza virus types A and B multiplex amplified probe technique | 87636 - IADNA SARSCOV2& INF A&B MULT AMPLIFIED PROBE TQ | 87636 - SARSCOV2 & INF A&B AMP PRB | '01/01/2022 | 12/31/2999 |
| 87637 | 87637 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) influenza virus types A and B and respiratory syncytial virus multiplex amplified probe technique | 87637 - IADNA SARSCOV2 & INF A&B & RSV MULT AMP PROBE TQ | 87637 - SARSCOV2&INF A&B&RSV AMP PRB | '01/01/2022 | 12/31/2999 |
| 87640 | 87640 - Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus amplified probe technique | 87640 - IADNA S AUREUS AMPLIFIED PROBE TQ | 87640 - STAPH A DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87641 | 87641 - Infectious agent detection by nucleic acid (DNA or RNA); Staphylococcus aureus methicillin resistant amplified probe technique | 87641 - IADNA S AUREUS METHICILLIN RESIST AMP PROBE TQ | 87641 - MR-STAPH DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87650 | 87650 - Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus group A direct probe technique | 87650 - IADNA STREPTOCOCCUS GROUP A DIRECT PROBE TQ | 87650 - STREP A DNA DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87651 | 87651 - Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus group A amplified probe technique | 87651 - IADNA STREPTOCOCCUS GROUP A AMPLIFIED PROBE TQ | 87651 - STREP A DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87652 | 87652 - Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus group A quantification | 87652 - IADNA STREPTOCOCCUS GROUP A QUANTIFICATION | 87652 - STREP A DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87653 | 87653 - Infectious agent detection by nucleic acid (DNA or RNA); Streptococcus group B amplified probe technique | 87653 - IADNA STREPTOCOCCUS GROUP B AMPLIFIED PROBE TQ | 87653 - STREP B DNA AMP PROBE | '01/01/2017 | 12/31/2999 |
| 87660 | 87660 - Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis direct probe technique | 87660 - IADNA TRICHOMONAS VAGINALIS DIRECT PROBE TQ | 87660 - TRICHOMONAS VAGIN DIR PROBE | '01/01/2017 | 12/31/2999 |
| 87661 | 87661 - Infectious agent detection by nucleic acid (DNA or RNA); Trichomonas vaginalis amplified probe technique | 87661 - IADNA TRICHOMONAS VAGINALIS AMPLIFIED PROBE TECH | 87661 - TRICHOMONAS VAGINALIS AMPLIF | '01/01/2017 | 12/31/2999 |
| 87662 | 87662 - Infectious agent detection by nucleic acid (DNA or RNA); Zika virus amplified probe technique | 87662 - IADNA DNA/RNA ZIKA VIRUS AMPLIFIED PROBE TQ | 87662 - ZIKA VIRUS DNA/RNA AMP PROBE | '01/01/2018 | 12/31/2999 |
| 87797 | 87797 - Infectious agent detection by nucleic acid (DNA or RNA) not otherwise specified; direct probe technique each organism | 87797 - IADNA NOS DIRECT PROBE TQ EACH ORGANISM | 87797 - DETECT AGENT NOS DNA DIR | '01/01/2017 | 12/31/2999 |
| 87798 | 87798 - Infectious agent detection by nucleic acid (DNA or RNA) not otherwise specified; amplified probe technique each organism | 87798 - IADNA NOS AMPLIFIED PROBE TQ EACH ORGANISM | 87798 - DETECT AGENT NOS DNA AMP | '01/01/2017 | 12/31/2999 |
| 87799 | 87799 - Infectious agent detection by nucleic acid (DNA or RNA) not otherwise specified; quantification each organism | 87799 - IADNA NOS QUANTIFICATION EACH ORGANISM | 87799 - DETECT AGENT NOS DNA QUANT | '01/01/2017 | 12/31/2999 |
| 87800 | 87800 - Infectious agent detection by nucleic acid (DNA or RNA) multiple organisms; direct probe(s) technique | 87800 - IADNA MULTIPLE ORGANISMS DIRECT PROBE TQ | 87800 - DETECT AGNT MULT DNA DIREC | '01/01/2017 | 12/31/2999 |
| 87801 | 87801 - Infectious agent detection by nucleic acid (DNA or RNA) multiple organisms; amplified probe(s) technique | 87801 - IADNA MULTIPLE ORGANISMS AMPLIFIED PROBE TQ | 87801 - DETECT AGNT MULT DNA AMPLI | '01/01/2017 | 12/31/2999 |
| 87802 | 87802 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Streptococcus group B | 87802 - IAADIADOO STREPTOCOCCUS GROUP B | 87802 - STREP B ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87803 | 87803 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Clostridium difficile toxin A | 87803 - IAADIADOO CLOSTRIDIUM DIFFICILE TOXIN A | 87803 - CLOSTRIDIUM TOXIN A W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87804 | 87804 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Influenza | 87804 - IAADIADOO INFLUENZA | 87804 - INFLUENZA ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87806 | 87806 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; HIV-1 antigen(s) with HIV-1 and HIV-2 antibodies | 87806 - IAADIADOO HIV1 ANTIGEN W/HIV1 & HIV2 ANTIBODIES | 87806 - HIV AG W/HIV1&2 ANTB W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87807 | 87807 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; respiratory syncytial virus | 87807 - IAADIADOO RESPIRATORY SYNCTIAL VIRUS | 87807 - RSV ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87808 | 87808 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Trichomonas vaginalis | 87808 - IAADIADOO TRICHOMONAS VAGINALIS | 87808 - TRICHOMONAS ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87809 | 87809 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; adenovirus | 87809 - IAADIADOO ADENOVIRUS | 87809 - ADENOVIRUS ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87810 | 87810 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Chlamydia trachomatis | 87810 - IAADIADOO CHLAMYDIA TRACHOMATIS | 87810 - CHLMYD TRACH ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87811 | 87811 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) | 87811 - IAADIADOO SEVERE AQT RESPIR SYND CORONAVIRUS | 87811 - SARS-COV-2 COVID19 W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87850 | 87850 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Neisseria gonorrhoeae | 87850 - IAADIADOO NEISSERIA GONORRHOEAE | 87850 - N. GONORRHOEAE ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87880 | 87880 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; Streptococcus group A | 87880 - IAADIADOO STREPTOCOCCUS GROUP A | 87880 - STREP A ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87899 | 87899 - Infectious agent antigen detection by immunoassay with direct optical (ie visual) observation; not otherwise specified | 87899 - IAADIADOO NOT OTHERWISE SPECIFIED | 87899 - AGENT NOS ASSAY W/OPTIC | '01/01/2022 | 12/31/2999 |
| 87900 | 87900 - Infectious agent drug susceptibility phenotype prediction using regularly updated genotypic bioinformatics | 87900 - NFCT AGT DRUG SUSCEPT PHENOTYPE PREDICTION | 87900 - PHENOTYPE INFECT AGENT DRUG | '01/01/2017 | 12/31/2999 |
| 87901 | 87901 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1 reverse transcriptase and protease regions | 87901 - NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 REV TRNSCRPT | 87901 - NFCT AGT GNTYP ALYS HIV1 REV | '01/01/2023 | 12/31/2999 |
| 87902 | 87902 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis C virus | 87902 - NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP C VIRUS | 87902 - NFCT AGT GNTYP ALYS HEP C | '01/01/2023 | 12/31/2999 |
| 87903 | 87903 - Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis HIV 1; first through 10 drugs tested | 87903 - NFCT PHEXYP RESIST TISS CUL HIV FIRST 1-10 DRUGS | 87903 - PHENOTYPE DNA HIV W/CULTURE | '01/01/2017 | 12/31/2999 |
| 87904 | 87904 - Infectious agent phenotype analysis by nucleic acid (DNA or RNA) with drug resistance tissue culture analysis HIV 1; each additional drug tested (List separately in addition to code for primary procedure) | 87904 - NFCT PHEXYP RESIST TISS CUL HIV EA ADDL DRUG | 87904 - PHENOTYPE DNA HIV W/CLT ADD | '01/01/2017 | 12/31/2999 |
| 87905 | 87905 - Infectious agent enzymatic activity other than virus (eg sialidase activity in vaginal fluid) | 87905 - INFECTIOUS AGENT ENZYMATIC ACTV OTH/THN VIRUS | 87905 - SIALIDASE ENZYME ASSAY | '01/01/2017 | 12/31/2999 |
| 87906 | 87906 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); HIV-1 other region (eg integrase fusion) | 87906 - NFCT AGT GNOTYP ALYS NUCLE ACD HIV1 OTHER REGION | 87906 - NFCT AGT GNTYP ALYS HIV1 | '01/01/2023 | 12/31/2999 |
| 87910 | 87910 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); cytomegalovirus | 87910 - NFCT AGT GENOTYPE ALYS NUCLEIC ACID CMV | 87910 - NFCT AGT GNTYP ALYS CMV | '01/01/2023 | 12/31/2999 |
| 87912 | 87912 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); Hepatitis B virus | 87912 - NFCT AGENT GENOTYPE ALYS NUCLEIC ACD HEP B VIRUS | 87912 - NFCT AGT GNTYP ALYS HEP B | '01/01/2023 | 12/31/2999 |
| 87913 | 87913 - Infectious agent genotype analysis by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) mutation identification in targeted region(s) | 87913 - NFCT AGENT GENOTYPE ALYS NUCLEIC ACID SARSCOV2 | 87913 - NFCT AGT GNTYP ALYS SARSCOV2 | '02/21/2022 | 12/31/2999 |
| 87999 | 87999 - Unlisted microbiology procedure | 87999 - UNLISTED MICROBIOLOGY PROCEDURE | 87999 - UNLISTED MICROBIOLOGY PX | '01/01/2023 | 12/31/2999 |
| 88000 | 88000 - Necropsy (autopsy) gross examination only; without CNS | 88000 - NECROPSY GROSS EXAMINATION ONLY W/O CNS | 88000 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88005 | 88005 - Necropsy (autopsy) gross examination only; with brain | 88005 - NECROPSY GROSS EXAMINATION W/BRAIN | 88005 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88007 | 88007 - Necropsy (autopsy) gross examination only; with brain and spinal cord | 88007 - NECROPSY GROSS EXAMINATION W/BRAIN&SPINAL CORD | 88007 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88012 | 88012 - Necropsy (autopsy) gross examination only; infant with brain | 88012 - NECROPSY GROSS EXAMINATION INFANT W/BRAIN | 88012 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88014 | 88014 - Necropsy (autopsy) gross examination only; stillborn or newborn with brain | 88014 - NECROPSY GROSS EXAM STILLBORN/NEWBORN W/BRAIN | 88014 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88016 | 88016 - Necropsy (autopsy) gross examination only; macerated stillborn | 88016 - NECROPSY GROSS EXAM MACERATED STILLBORN | 88016 - AUTOPSY (NECROPSY) GROSS | '01/01/2017 | 12/31/2999 |
| 88020 | 88020 - Necropsy (autopsy) gross and microscopic; without CNS | 88020 - NECROPSY GROSS & MICROSCOPIC W/O CNS | 88020 - AUTOPSY (NECROPSY) COMPLETE | '01/01/2017 | 12/31/2999 |
| 88025 | 88025 - Necropsy (autopsy) gross and microscopic; with brain | 88025 - NECROPSY GROSS & MICROSCOPIC W/BRAIN | 88025 - AUTOPSY (NECROPSY) COMPLETE | '01/01/2017 | 12/31/2999 |
| 88027 | 88027 - Necropsy (autopsy) gross and microscopic; with brain and spinal cord | 88027 - NECROPSY GROSS&MCRSCP BRAIN & SPINAL CORD | 88027 - AUTOPSY (NECROPSY) COMPLETE | '01/01/2017 | 12/31/2999 |
| 88028 | 88028 - Necropsy (autopsy) gross and microscopic; infant with brain | 88028 - NECROPSY GROSS & MICROSCOPIC INFANT W/BRAIN | 88028 - AUTOPSY (NECROPSY) COMPLETE | '01/01/2017 | 12/31/2999 |
| 88029 | 88029 - Necropsy (autopsy) gross and microscopic; stillborn or newborn with brain | 88029 - NECROPSY GROSS&MCRSCP STILLBORN/NEWBORN BRAIN | 88029 - AUTOPSY (NECROPSY) COMPLETE | '01/01/2017 | 12/31/2999 |
| 88036 | 88036 - Necropsy (autopsy) limited gross and/or microscopic; regional | 88036 - NECROPSY LIMITED GROSS&/MCRSCP REGIONAL | 88036 - LIMITED AUTOPSY | '01/01/2017 | 12/31/2999 |
| 88037 | 88037 - Necropsy (autopsy) limited gross and/or microscopic; single organ | 88037 - NECROPSY LIMITD GROSS&/MCRSCP SINGLE ORGAN | 88037 - LIMITED AUTOPSY | '01/01/2017 | 12/31/2999 |
| 88040 | 88040 - Necropsy (autopsy); forensic examination | 88040 - NECROPSY FORENSIC EXAMINATION | 88040 - FORENSIC AUTOPSY (NECROPSY) | '01/01/2017 | 12/31/2999 |
| 88045 | 88045 - Necropsy (autopsy); coroner's call | 88045 - NECROPSY CORONER CALL | 88045 - CORONERS AUTOPSY (NECROPSY) | '01/01/2017 | 12/31/2999 |
| 88099 | 88099 - Unlisted necropsy (autopsy) procedure | 88099 - UNLISTED NECROPSY (AUTOPSY) PROCEDURE | 88099 - UNLISTED NECROPSY (AUTOPSY) | '01/01/2023 | 12/31/2999 |
| 88104 | 88104 - Cytopathology fluids washings or brushings except cervical or vaginal; smears with interpretation | 88104 - CYTP FLU WASHGS/BRUSHINGS XCPT C/V SMRS INTERPJ | 88104 - CYTOPATH FL NONGYN SMEARS | '01/01/2017 | 12/31/2999 |
| 88106 | 88106 - Cytopathology fluids washings or brushings except cervical or vaginal; simple filter method with interpretation | 88106 - CYTP FLU BR/WA XCPT C/V FILTER METH ONLY INTERPJ | 88106 - CYTOPATH FL NONGYN FILTER | '01/01/2017 | 12/31/2999 |
| 88108 | 88108 - Cytopathology concentration technique smears and interpretation (eg Saccomanno technique) | 88108 - CYTP CONCENTRATION SMEARS & INTERPRETATION | 88108 - CYTOPATH CONCENTRATE TECH | '01/01/2017 | 12/31/2999 |
| 88112 | 88112 - Cytopathology selective cellular enhancement technique with interpretation (eg liquid based slide preparation method) except cervical or vaginal | 88112 - CYTP SLCTV CELL ENHANCEMENT INTERPJ XCPT C/V | 88112 - CYTOPATH CELL ENHANCE TECH | '01/01/2017 | 12/31/2999 |
| 88120 | 88120 - Cytopathology in situ hybridization (eg FISH) urinary tract specimen with morphometric analysis 3-5 molecular probes each specimen; manual | 88120 - CYTP INSITU HYBRID URINE SPEC 3-5 PROBES EA MNL | 88120 - CYTP URNE 3-5 PROBES EA SPEC | '01/01/2017 | 12/31/2999 |
| 88121 | 88121 - Cytopathology in situ hybridization (eg FISH) urinary tract specimen with morphometric analysis 3-5 molecular probes each specimen; using computer-assisted technology | 88121 - CYTP INSITU HYBRID URNE SPEC 3-5 PROBES CPTR EA | 88121 - CYTP URINE 3-5 PROBES CMPTR | '01/01/2017 | 12/31/2999 |
| 88125 | 88125 - Cytopathology forensic (eg sperm) | 88125 - CYTOPATHOLOGY FORENSIC | 88125 - FORENSIC CYTOPATHOLOGY | '01/01/2017 | 12/31/2999 |
| 88130 | 88130 - Sex chromatin identification; Barr bodies | 88130 - SEX CHROMATIN IDENTIFICATION BARR BODIES | 88130 - SEX CHROMATIN IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 88140 | 88140 - Sex chromatin identification; peripheral blood smear polymorphonuclear drumsticks | 88140 - SEX CHROMATIN IDENTJ PERIPHERAL BLOOD SMEAR | 88140 - SEX CHROMATIN IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 88141 | 88141 - Cytopathology cervical or vaginal (any reporting system) requiring interpretation by physician | 88141 - CYTP CERVICAL/VAGINAL REQ INTERP PHYSICIAN | 88141 - CYTOPATH C/V INTERPRET | '01/01/2017 | 12/31/2999 |
| 88142 | 88142 - Cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation; manual screening under physician supervision | 88142 - CYTP CERV/VAG AUTO THIN LAYER PREP MNL SCREEN | 88142 - CYTOPATH C/V THIN LAYER | '01/01/2017 | 12/31/2999 |
| 88143 | 88143 - Cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation; with manual screening and rescreening under physician supervision | 88143 - CYTP C/V FLU AUTO THIN MNL SCR&RESCR PHYS | 88143 - CYTOPATH C/V THIN LAYER REDO | '01/01/2017 | 12/31/2999 |
| 88147 | 88147 - Cytopathology smears cervical or vaginal; screening by automated system under physician supervision | 88147 - CYTP SMRS C/V SCR AUTOMATED SYSTEM PHYS SUPV | 88147 - CYTOPATH C/V AUTOMATED | '01/01/2017 | 12/31/2999 |
| 88148 | 88148 - Cytopathology smears cervical or vaginal; screening by automated system with manual rescreening under physician supervision | 88148 - CYTP SMRS C/V SCR AUTO SYS MNL RESCR PHYS | 88148 - CYTOPATH C/V AUTO RESCREEN | '01/01/2017 | 12/31/2999 |
| 88150 | 88150 - Cytopathology slides cervical or vaginal; manual screening under physician supervision | 88150 - CYTP SLIDES C/V MNL SCR UNDER PHYS | 88150 - CYTOPATH C/V MANUAL | '01/01/2017 | 12/31/2999 |
| 88152 | 88152 - Cytopathology slides cervical or vaginal; with manual screening and computer-assisted rescreening under physician supervision | 88152 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS | 88152 - CYTOPATH C/V AUTO REDO | '01/01/2017 | 12/31/2999 |
| 88153 | 88153 - Cytopathology slides cervical or vaginal; with manual screening and rescreening under physician supervision | 88153 - CYTP SLIDES C/V MNL SCR&RESCR PHYS | 88153 - CYTOPATH C/V REDO | '01/01/2017 | 12/31/2999 |
| 88155 | 88155 - Cytopathology slides cervical or vaginal definitive hormonal evaluation (eg maturation index karyopyknotic index estrogenic index) (List separately in addition to code[s] for other technical and interpretation services) | 88155 - CYTP SLIDES C/V DEFINITIVE HORMONAL EVAL | 88155 - CYTOPATH C/V INDEX ADD-ON | '01/01/2017 | 12/31/2999 |
| 88160 | 88160 - Cytopathology smears any other source; screening and interpretation | 88160 - CYTP SMRS ANY OTH SRC SCR&INTERPJ | 88160 - CYTOPATH SMEAR OTHER SOURCE | '01/01/2017 | 12/31/2999 |
| 88161 | 88161 - Cytopathology smears any other source; preparation screening and interpretation | 88161 - CYTP SMRS ANY OTH SRC PREPJ SCR&INTERPJ | 88161 - CYTOPATH SMEAR OTHER SOURCE | '01/01/2017 | 12/31/2999 |
| 88162 | 88162 - Cytopathology smears any other source; extended study involving over 5 slides and/or multiple stains | 88162 - CYTP SMRS ANY OTH SRC EXTND STD > 5 SLIDES | 88162 - CYTOPATH SMEAR OTHER SOURCE | '01/01/2017 | 12/31/2999 |
| 88164 | 88164 - Cytopathology slides cervical or vaginal (the Bethesda System); manual screening under physician supervision | 88164 - CYTP SLIDES CERV/VAG MNL SCRN PHYSICIAN SUPV | 88164 - CYTOPATH TBS C/V MANUAL | '01/01/2017 | 12/31/2999 |
| 88165 | 88165 - Cytopathology slides cervical or vaginal (the Bethesda System); with manual screening and rescreening under physician supervision | 88165 - CYTP SLIDES C/V MNL SCR&RESCR PHYS SUPV | 88165 - CYTOPATH TBS C/V REDO | '01/01/2017 | 12/31/2999 |
| 88166 | 88166 - Cytopathology slides cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening under physician supervision | 88166 - CYTP SLIDES C/V MNL SCR&CPTR RESCR PHYS SUPV | 88166 - CYTOPATH TBS C/V AUTO REDO | '01/01/2017 | 12/31/2999 |
| 88167 | 88167 - Cytopathology slides cervical or vaginal (the Bethesda System); with manual screening and computer-assisted rescreening using cell selection and review under physician supervision | 88167 - CYTP SLIDES C/V MNL SCR&CPTR RESCR CELL S&I | 88167 - CYTOPATH TBS C/V SELECT | '01/01/2017 | 12/31/2999 |
| 88172 | 88172 - Cytopathology evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis first evaluation episode each site | 88172 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD DX 1ST | 88172 - CYTP DX EVAL FNA 1ST EA SITE | '01/01/2017 | 12/31/2999 |
| 88173 | 88173 - Cytopathology evaluation of fine needle aspirate; interpretation and report | 88173 - CYTP EVAL FINE NEEDLE ASPIRATE INTERP & REPORT | 88173 - CYTOPATH EVAL FNA REPORT | '01/01/2017 | 12/31/2999 |
| 88174 | 88174 - Cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation; screening by automated system under physician supervision | 88174 - CYTP C/V AUTO THIN LYR PREPJ SCR SYS PHYS | 88174 - CYTOPATH C/V AUTO IN FLUID | '01/01/2017 | 12/31/2999 |
| 88175 | 88175 - Cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation; with screening by automated system and manual rescreening or review under physician supervision | 88175 - CYTP C/V AUTO THIN LYR PREPJ SCR MNL RESCR PHYS | 88175 - CYTOPATH C/V AUTO FLUID REDO | '01/01/2017 | 12/31/2999 |
| 88177 | 88177 - Cytopathology evaluation of fine needle aspirate; immediate cytohistologic study to determine adequacy for diagnosis each separate additional evaluation episode same site (List separately in addition to code for primary procedure) | 88177 - CYTP FINE NDL ASPIRATE IMMT CYTOHIST STD EA EVAL | 88177 - CYTP FNA EVAL EA ADDL | '01/01/2017 | 12/31/2999 |
| 88182 | 88182 - Flow cytometry cell cycle or DNA analysis | 88182 - FLOW CYTOMETRY CELL CYCLE/DNA ANALYSIS | 88182 - CELL MARKER STUDY | '01/01/2017 | 12/31/2999 |
| 88184 | 88184 - Flow cytometry cell surface cytoplasmic or nuclear marker technical component only; first marker | 88184 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY 1ST | 88184 - FLOWCYTOMETRY/ TC 1 MARKER | '01/01/2017 | 12/31/2999 |
| 88185 | 88185 - Flow cytometry cell surface cytoplasmic or nuclear marker technical component only; each additional marker (List separately in addition to code for first marker) | 88185 - FLOW CYTOMETRY CELL SURF MARKER TECHL ONLY EA | 88185 - FLOWCYTOMETRY/TC ADD-ON | '01/01/2017 | 12/31/2999 |
| 88187 | 88187 - Flow cytometry interpretation; 2 to 8 markers | 88187 - FLOW CYTOMETRY INTERPJ 2-8 MARKERS | 88187 - FLOWCYTOMETRY/READ 2-8 | '01/01/2017 | 12/31/2999 |
| 88188 | 88188 - Flow cytometry interpretation; 9 to 15 markers | 88188 - FLOW CYTOMETRY INTERPJ 9-15 MARKERS | 88188 - FLOWCYTOMETRY/READ 9-15 | '01/01/2017 | 12/31/2999 |
| 88189 | 88189 - Flow cytometry interpretation; 16 or more markers | 88189 - FLOW CYTOMETRY INTERPRETATION 16/> MARKERS | 88189 - FLOWCYTOMETRY/READ 16 & > | '01/01/2017 | 12/31/2999 |
| 88199 | 88199 - Unlisted cytopathology procedure | 88199 - UNLISTED CYTOPATHOLOGY PROCEDURE | 88199 - UNLISTED CYTOPATHOLOGY PX | '01/01/2023 | 12/31/2999 |
| 88230 | 88230 - Tissue culture for non-neoplastic disorders; lymphocyte | 88230 - TISS CUL NON-NEO DISORDERS LYMPHOCYTE | 88230 - TISSUE CULTURE LYMPHOCYTE | '01/01/2017 | 12/31/2999 |
| 88233 | 88233 - Tissue culture for non-neoplastic disorders; skin or other solid tissue biopsy | 88233 - TISS CUL NON-NEO DISORDERS SKN/OTH SOLID TISS BX | 88233 - TISSUE CULTURE SKIN/BIOPSY | '01/01/2017 | 12/31/2999 |
| 88235 | 88235 - Tissue culture for non-neoplastic disorders; amniotic fluid or chorionic villus cells | 88235 - TISS CUL NON-NEO DISORDERS AMNIOTIC/CHORNC CELLS | 88235 - TISSUE CULTURE PLACENTA | '01/01/2017 | 12/31/2999 |
| 88237 | 88237 - Tissue culture for neoplastic disorders; bone marrow blood cells | 88237 - TISS CUL NEO DISORDERS BONE MARROW BLOOD CELLS | 88237 - TISSUE CULTURE BONE MARROW | '01/01/2017 | 12/31/2999 |
| 88239 | 88239 - Tissue culture for neoplastic disorders; solid tumor | 88239 - TISS CUL NEO DISORDERS SOLID TUMOR | 88239 - TISSUE CULTURE TUMOR | '01/01/2017 | 12/31/2999 |
| 88240 | 88240 - Cryopreservation freezing and storage of cells each cell line | 88240 - CRYOPRSRV FRZING&STORAGE CELLS EA CELL LINE | 88240 - CELL CRYOPRESERVE/STORAGE | '01/01/2017 | 12/31/2999 |
| 88241 | 88241 - Thawing and expansion of frozen cells each aliquot | 88241 - THAWING&EXPANSION FROZEN CELLS EACH ALIQUOT | 88241 - FROZEN CELL PREPARATION | '01/01/2017 | 12/31/2999 |
| 88245 | 88245 - Chromosome analysis for breakage syndromes; baseline Sister Chromatid Exchange (SCE) 20-25 cells | 88245 - CHRMSM BREAKAGE BASELINE SISTER 20-25 CLL | 88245 - CHROMOSOME ANALYSIS 20-25 | '01/01/2017 | 12/31/2999 |
| 88248 | 88248 - Chromosome analysis for breakage syndromes; baseline breakage score 50-100 cells count 20 cells 2 karyotypes (eg for ataxia telangiectasia Fanconi anemia fragile X) | 88248 - CHRMSM BREAKAGE BASELINE BREAKAGE 50-100 CLL | 88248 - CHROMOSOME ANALYSIS 50-100 | '01/01/2017 | 12/31/2999 |
| 88249 | 88249 - Chromosome analysis for breakage syndromes; score 100 cells clastogen stress (eg diepoxybutane mitomycin C ionizing radiation UV radiation) | 88249 - CHRMSM BREAKAGE SYNDS SCORE 100 CLL | 88249 - CHROMOSOME ANALYSIS 100 | '01/01/2017 | 12/31/2999 |
| 88261 | 88261 - Chromosome analysis; count 5 cells 1 karyotype with banding | 88261 - CHRMSM COUNT 5 CELL 1KARYOTYPE BANDING | 88261 - CHROMOSOME ANALYSIS 5 | '01/01/2017 | 12/31/2999 |
| 88262 | 88262 - Chromosome analysis; count 15-20 cells 2 karyotypes with banding | 88262 - CHRMSM COUNT 15-20 CLL 2KARYOTYP BANDING | 88262 - CHROMOSOME ANALYSIS 15-20 | '01/01/2017 | 12/31/2999 |
| 88263 | 88263 - Chromosome analysis; count 45 cells for mosaicism 2 karyotypes with banding | 88263 - CHRMSM COUNT 45 CELL MOSAICISM 2KARYOTYPE | 88263 - CHROMOSOME ANALYSIS 45 | '01/01/2017 | 12/31/2999 |
| 88264 | 88264 - Chromosome analysis; analyze 20-25 cells | 88264 - CHRMSM ANALYZE 20-25 CELLS | 88264 - CHROMOSOME ANALYSIS 20-25 | '01/01/2017 | 12/31/2999 |
| 88267 | 88267 - Chromosome analysis amniotic fluid or chorionic villus count 15 cells 1 karyotype with banding | 88267 - CHRMSM ALYS AMNIOTIC/VILLUS 15 CELL 1KARYOTYPE | 88267 - CHROMOSOME ANALYS PLACENTA | '01/01/2017 | 12/31/2999 |
| 88269 | 88269 - Chromosome analysis in situ for amniotic fluid cells count cells from 6-12 colonies 1 karyotype with banding | 88269 - CHRMSM SITU AMNIOTIC CLL 6-12 COLONIES 1KARYOTYP | 88269 - CHROMOSOME ANALYS AMNIOTIC | '01/01/2017 | 12/31/2999 |
| 88271 | 88271 - Molecular cytogenetics; DNA probe each (eg FISH) | 88271 - MOLECULAR CYTOGENETICS DNA PROBE EACH | 88271 - CYTOGENETICS DNA PROBE | '01/01/2017 | 12/31/2999 |
| 88272 | 88272 - Molecular cytogenetics; chromosomal in situ hybridization analyze 3-5 cells (eg for derivatives and markers) | 88272 - MOLECULAR CYTOGENETICS CHRMOML ISH 3-5 CELLS | 88272 - CYTOGENETICS 3-5 | '01/01/2017 | 12/31/2999 |
| 88273 | 88273 - Molecular cytogenetics; chromosomal in situ hybridization analyze 10-30 cells (eg for microdeletions) | 88273 - MOLECULAR CYTOGENETICS CHRMOML ISH 10-30 CLL | 88273 - CYTOGENETICS 10-30 | '01/01/2017 | 12/31/2999 |
| 88274 | 88274 - Molecular cytogenetics; interphase in situ hybridization analyze 25-99 cells | 88274 - MOLECULAR CYTOGENETICS INTERPHASE ISH 25-99 CLL | 88274 - CYTOGENETICS 25-99 | '01/01/2017 | 12/31/2999 |
| 88275 | 88275 - Molecular cytogenetics; interphase in situ hybridization analyze 100-300 cells | 88275 - MOLEC CYTG INTERPHASE ISH ANALYZE 100-300 CLL | 88275 - CYTOGENETICS 100-300 | '01/01/2017 | 12/31/2999 |
| 88280 | 88280 - Chromosome analysis; additional karyotypes each study | 88280 - CHRMSM ANALYSIS ADDL KARYOTYP EACH STUDY | 88280 - CHROMOSOME KARYOTYPE STUDY | '01/01/2017 | 12/31/2999 |
| 88283 | 88283 - Chromosome analysis; additional specialized banding technique (eg NOR C-banding) | 88283 - CHRMSM ANALYSIS ADDL SPECIALIZED BANDING | 88283 - CHROMOSOME BANDING STUDY | '01/01/2017 | 12/31/2999 |
| 88285 | 88285 - Chromosome analysis; additional cells counted each study | 88285 - CHRMSM ANALYSIS ADDL CELLS COUNTED EACH STUDY | 88285 - CHROMOSOME COUNT ADDITIONAL | '01/01/2017 | 12/31/2999 |
| 88289 | 88289 - Chromosome analysis; additional high resolution study | 88289 - CHRMSM ANALYSIS ADDL HIGH RESOLUTION STUDY | 88289 - CHROMOSOME STUDY ADDITIONAL | '01/01/2017 | 12/31/2999 |
| 88291 | 88291 - Cytogenetics and molecular cytogenetics interpretation and report | 88291 - CYTOGENETICS&MOLEC CYTOGENETICS INTERP&REP | 88291 - CYTO/MOLECULAR REPORT | '01/01/2017 | 12/31/2999 |
| 88299 | 88299 - Unlisted cytogenetic study | 88299 - UNLISTED CYTOGENETIC STUDY | 88299 - UNLISTED CYTOGENETIC STUDY | '01/01/2023 | 12/31/2999 |
| 88300 | 88300 - Level I - Surgical pathology gross examination only | 88300 - LEVEL I SURG PATHOLOGY GROSS EXAMINATION ONLY | 88300 - SURGICAL PATH GROSS | '01/01/2017 | 12/31/2999 |
| 88302 | 88302 - Level II - Surgical pathology gross and microscopic examination Appendix incidental Fallopian tube sterilization Fingers/toes amputation traumatic Foreskin newborn Hernia sac any location Hydrocele sac Nerve Skin plastic repair Sympathetic ganglion Testis castration Vaginal mucosa incidental Vas deferens sterilization | 88302 - LEVEL II SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | 88302 - TISSUE EXAM BY PATHOLOGIST | '01/01/2017 | 12/31/2999 |
| 88304 | 88304 - Level III - Surgical pathology gross and microscopic examination Abortion induced Abscess Aneurysm - arterial/ventricular Anus tag Appendix other than incidental Artery atheromatous plaque Bartholin's gland cyst Bone fragment(s) other than pathologic fracture Bursa/synovial cyst Carpal tunnel tissue Cartilage shavings Cholesteatoma Colon colostomy stoma Conjunctiva - biopsy/pterygium Cornea Diverticulum - esophagus/small intestine Dupuytren's contracture tissue Femoral head other than fracture Fissure/fistula Foreskin other than newborn Gallbladder Ganglion cyst Hematoma Hemorrhoids Hydatid of Morgagni Intervertebral disc Joint loose body Meniscus Mucocele salivary Neuroma - Morton's/traumatic Pilonidal cyst/sinus Polyps inflammatory - nasal/sinusoidal Skin - cyst/tag/debridement Soft tissue debridement Soft tissue lipoma Spermatocele Tendon/tendon sheath Testicular appendage Thrombus or embolus Tonsil and/or adenoids Varicocele Vas deferens other than sterilization Vein varicosity | 88304 - LEVEL III SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | 88304 - TISSUE EXAM BY PATHOLOGIST | '01/01/2017 | 12/31/2999 |
| 88305 | 88305 - Level IV - Surgical pathology gross and microscopic examination Abortion - spontaneous/missed Artery biopsy Bone marrow biopsy Bone exostosis Brain/meninges other than for tumor resection Breast biopsy not requiring microscopic evaluation of surgical margins Breast reduction mammoplasty Bronchus biopsy Cell block any source Cervix biopsy Colon biopsy Duodenum biopsy Endocervix curettings/biopsy Endometrium curettings/biopsy Esophagus biopsy Extremity amputation traumatic Fallopian tube biopsy Fallopian tube ectopic pregnancy Femoral head fracture Fingers/toes amputation non-traumatic Gingiva/oral mucosa biopsy Heart valve Joint resection Kidney biopsy Larynx biopsy Leiomyoma(s) uterine myomectomy - without uterus Lip biopsy/wedge resection Lung transbronchial biopsy Lymph node biopsy Muscle biopsy Nasal mucosa biopsy Nasopharynx/oropharynx biopsy Nerve biopsy Odontogenic/dental cyst Omentum biopsy Ovary with or without tube non-neoplastic Ovary biopsy/wedge resection Parathyroid gland Peritoneum biopsy Pituitary tumor Placenta other than third trimester Pleura/pericardium - biopsy/tissue Polyp cervical/endometrial Polyp colorectal Polyp stomach/small intestine Prostate needle biopsy Prostate TUR Salivary gland biopsy Sinus paranasal biopsy Skin other than cyst/tag/debridement/plastic repair Small intestine biopsy Soft tissue other than tumor/mass/lipoma/debridement Spleen Stomach biopsy Synovium Testis other than tumor/biopsy/castration Thyroglossal duct/brachial cleft cyst Tongue biopsy Tonsil biopsy Trachea biopsy Ureter biopsy Urethra biopsy Urinary bladder biopsy Uterus with or without tubes and ovaries for prolapse Vagina biopsy Vulva/labia biopsy | 88305 - LEVEL IV SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | 88305 - TISSUE EXAM BY PATHOLOGIST | '01/01/2017 | 12/31/2999 |
| 88307 | 88307 - Level V - Surgical pathology gross and microscopic examination Adrenal resection Bone - biopsy/curettings Bone fragment(s) pathologic fracture Brain biopsy Brain/meninges tumor resection Breast excision of lesion requiring microscopic evaluation of surgical margins Breast mastectomy - partial/simple Cervix conization Colon segmental resection other than for tumor Extremity amputation non-traumatic Eye enucleation Kidney partial/total nephrectomy Larynx partial/total resection Liver biopsy - needle/wedge Liver partial resection Lung wedge biopsy Lymph nodes regional resection Mediastinum mass Myocardium biopsy Odontogenic tumor Ovary with or without tube neoplastic Pancreas biopsy Placenta third trimester Prostate except radical resection Salivary gland Sentinel lymph node Small intestine resection other than for tumor Soft tissue mass (except lipoma) - biopsy/simple excision Stomach - subtotal/total resection other than for tumor Testis biopsy Thymus tumor Thyroid total/lobe Ureter resection Urinary bladder TUR Uterus with or without tubes and ovaries other than neoplastic/prolapse | 88307 - LEVEL V SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | 88307 - TISSUE EXAM BY PATHOLOGIST | '01/01/2017 | 12/31/2999 |
| 88309 | 88309 - Level VI - Surgical pathology gross and microscopic examination Bone resection Breast mastectomy - with regional lymph nodes Colon segmental resection for tumor Colon total resection Esophagus partial/total resection Extremity disarticulation Fetus with dissection Larynx partial/total resection - with regional lymph nodes Lung - total/lobe/segment resection Pancreas total/subtotal resection Prostate radical resection Small intestine resection for tumor Soft tissue tumor extensive resection Stomach - subtotal/total resection for tumor Testis tumor Tongue/tonsil -resection for tumor Urinary bladder partial/total resection Uterus with or without tubes and ovaries neoplastic Vulva total/subtotal resection | 88309 - LEVEL VI SURG PATHOLOGY GROSS&MICROSCOPIC EXAM | 88309 - TISSUE EXAM BY PATHOLOGIST | '01/01/2017 | 12/31/2999 |
| 88311 | 88311 - Decalcification procedure (List separately in addition to code for surgical pathology examination) | 88311 - DECALCIFICATION PROCEDURE | 88311 - DECALCIFY TISSUE | '01/01/2017 | 12/31/2999 |
| 88312 | 88312 - Special stain including interpretation and report; Group I for microorganisms (eg acid fast methenamine silver) | 88312 - SPECIAL STAIN GROUP 1 MICROORGANISMS I&R | 88312 - SPECIAL STAINS GROUP 1 | '01/01/2017 | 12/31/2999 |
| 88313 | 88313 - Special stain including interpretation and report; Group II all other (eg iron trichrome) except stain for microorganisms stains for enzyme constituents or immunocytochemistry and immunohistochemistry | 88313 - SPCL STN 2 I&R EXCPT MICROORG/ENZYME/IMCYT | 88313 - SPECIAL STAINS GROUP 2 | '01/01/2017 | 12/31/2999 |
| 88314 | 88314 - Special stain including interpretation and report; histochemical stain on frozen tissue block (List separately in addition to code for primary procedure) | 88314 - SPECIAL STAIN I&R HISTOCHEMICAL W/FROZEN TISSU | 88314 - HISTOCHEMICAL STAINS ADD-ON | '01/01/2017 | 12/31/2999 |
| 88319 | 88319 - Special stain including interpretation and report; Group III for enzyme constituents | 88319 - SPECIAL STAIN I&R GROUP III ENZYME CONSITUENTS | 88319 - ENZYME HISTOCHEMISTRY | '01/01/2017 | 12/31/2999 |
| 88321 | 88321 - Consultation and report on referred slides prepared elsewhere | 88321 - CONSLTJ&REPRT SLIDES PREPARED ELSEWHERE | 88321 - MICROSLIDE CONSULTATION | '01/01/2017 | 12/31/2999 |
| 88323 | 88323 - Consultation and report on referred material requiring preparation of slides | 88323 - CONSLTJ&REPRT MATERIAL REQUIRING PREPJ SLIDES | 88323 - MICROSLIDE CONSULTATION | '01/01/2017 | 12/31/2999 |
| 88325 | 88325 - Consultation comprehensive with review of records and specimens with report on referred material | 88325 - CONSLTJ COMPRE REVIEW REPRT REFERRED MATRL | 88325 - COMPREHENSIVE REVIEW OF DATA | '01/01/2017 | 12/31/2999 |
| 88329 | 88329 - Pathology consultation during surgery; | 88329 - PATHOLOGY CONSULTATION DURING SURGERY | 88329 - PATH CONSULT INTROP | '01/01/2017 | 12/31/2999 |
| 88331 | 88331 - Pathology consultation during surgery; first tissue block with frozen section(s) single specimen | 88331 - PATH CONSLTJ SURG 1ST BLK FROZEN SCTJ 1 SPEC | 88331 - PATH CONSULT INTRAOP 1 BLOC | '01/01/2017 | 12/31/2999 |
| 88332 | 88332 - Pathology consultation during surgery; each additional tissue block with frozen section(s) (List separately in addition to code for primary procedure) | 88332 - PATH CONSLTJ SURG EA ADDL BLK FROZEN SECTION | 88332 - PATH CONSULT INTRAOP ADDL | '01/01/2017 | 12/31/2999 |
| 88333 | 88333 - Pathology consultation during surgery; cytologic examination (eg touch prep squash prep) initial site | 88333 - PATH CONSLTJ SURG CYTOLOGIC EXAM INITIAL SITE | 88333 - INTRAOP CYTO PATH CONSULT 1 | '01/01/2017 | 12/31/2999 |
| 88334 | 88334 - Pathology consultation during surgery; cytologic examination (eg touch prep squash prep) each additional site (List separately in addition to code for primary procedure) | 88334 - PATH CONSLTJ SURG CYTOLOGIC EXAM ADDL SITE | 88334 - INTRAOP CYTO PATH CONSULT 2 | '01/01/2017 | 12/31/2999 |
| 88341 | 88341 - Immunohistochemistry or immunocytochemistry per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) | 88341 - IMHISTOCHEM/CYTCHM EA ADDL ANTIBODY SLIDE | 88341 - IMMUNOHISTO ANTB ADDL SLIDE | '01/01/2017 | 12/31/2999 |
| 88342 | 88342 - Immunohistochemistry or immunocytochemistry per specimen; initial single antibody stain procedure | 88342 - IMHISTOCHEM/CYTCHM 1ST ANTIBODY STAIN PROCEDURE | 88342 - IMMUNOHISTO ANTB 1ST STAIN | '01/01/2017 | 12/31/2999 |
| 88344 | 88344 - Immunohistochemistry or immunocytochemistry per specimen; each multiplex antibody stain procedure | 88344 - IMHISTOCHEM/CYTCHM EA MULTIPLEX ANTIBODY SLIDE | 88344 - IMMUNOHISTO ANTIBODY SLIDE | '01/01/2017 | 12/31/2999 |
| 88346 | 88346 - Immunofluorescence per specimen; initial single antibody stain procedure | 88346 - IMMUNOFLUORESCENCE PER SPEC 1ST SINGL ANTB STAIN | 88346 - IMMUNOFLUOR ANTB 1ST STAIN | '01/01/2017 | 12/31/2999 |
| 88348 | 88348 - Electron microscopy diagnostic | 88348 - ELECTRON MICROSCOPY DIAGNOSTIC | 88348 - ELECTRON MICROSCOPY | '01/01/2017 | 12/31/2999 |
| 88350 | 88350 - Immunofluorescence per specimen; each additional single antibody stain procedure (List separately in addition to code for primary procedure) | 88350 - IMMUNOFLUORESCENCE PER SPEC ADD SINGL ANTB STAIN | 88350 - IMMUNOFLUOR ANTB ADDL STAIN | '01/01/2017 | 12/31/2999 |
| 88355 | 88355 - Morphometric analysis; skeletal muscle | 88355 - MORPHOMETRIC ANALYSIS SKELETAL MUSCLE | 88355 - ANALYSIS SKELETAL MUSCLE | '01/01/2017 | 12/31/2999 |
| 88356 | 88356 - Morphometric analysis; nerve | 88356 - MORPHOMETRIC ANALYSIS NERVE | 88356 - ANALYSIS NERVE | '01/01/2017 | 12/31/2999 |
| 88358 | 88358 - Morphometric analysis; tumor (eg DNA ploidy) | 88358 - MORPHOMETRIC ANALYSIS TUMOR | 88358 - ANALYSIS TUMOR | '01/01/2017 | 12/31/2999 |
| 88360 | 88360 - Morphometric analysis tumor immunohistochemistry (eg Her-2/neu estrogen receptor/progesterone receptor) quantitative or semiquantitative per specimen each single antibody stain procedure; manual | 88360 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTIBODY MANUAL | 88360 - TUMOR IMMUNOHISTOCHEM/MANUAL | '01/01/2017 | 12/31/2999 |
| 88361 | 88361 - Morphometric analysis tumor immunohistochemistry (eg Her-2/neu estrogen receptor/progesterone receptor) quantitative or semiquantitative per specimen each single antibody stain procedure; using computer-assisted technology | 88361 - M/PHMTRC ALYS TUMOR IMHCHEM EA ANTBDY CMPTR ASST | 88361 - TUMOR IMMUNOHISTOCHEM/COMPUT | '01/01/2017 | 12/31/2999 |
| 88362 | 88362 - Nerve teasing preparations | 88362 - NERVE TEASING PREPARATIONS | 88362 - NERVE TEASING PREPARATIONS | '01/01/2017 | 12/31/2999 |
| 88363 | 88363 - Examination and selection of retrieved archival (ie previously diagnosed) tissue(s) for molecular analysis (eg KRAS mutational analysis) | 88363 - EXAM & SELECT ARCHIVE TISSUE MOLECULAR ANALYSI | 88363 - XM ARCHIVE TISSUE MOLEC ANAL | '01/01/2017 | 12/31/2999 |
| 88364 | 88364 - In situ hybridization (eg FISH) per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) | 88364 - IN SITU HYBRIDIZATION EA ADDL PROBE STAIN | 88364 - INSITU HYBRIDIZATION (FISH) | '01/01/2017 | 12/31/2999 |
| 88365 | 88365 - In situ hybridization (eg FISH) per specimen; initial single probe stain procedure | 88365 - IN SITU HYBRIDIZATION 1ST PROBE STAIN | 88365 - INSITU HYBRIDIZATION (FISH) | '01/01/2017 | 12/31/2999 |
| 88366 | 88366 - In situ hybridization (eg FISH) per specimen; each multiplex probe stain procedure | 88366 - IN SITU HYBRIDIZATION EA MULTIPLEX PROBE STAIN | 88366 - INSITU HYBRIDIZATION (FISH) | '01/01/2017 | 12/31/2999 |
| 88367 | 88367 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) using computer-assisted technology per specimen; initial single probe stain procedure | 88367 - M/PHMTRC ALYS ISH CPTR-ASST TECH 1ST PROBE STAIN | 88367 - INSITU HYBRIDIZATION AUTO | '01/01/2017 | 12/31/2999 |
| 88368 | 88368 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) manual per specimen; initial single probe stain procedure | 88368 - M/PHMTRC ALYS IN SITU HYBRIDIZATION EA PROBE MNL | 88368 - INSITU HYBRIDIZATION MANUAL | '01/01/2017 | 12/31/2999 |
| 88369 | 88369 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) manual per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) | 88369 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL PER SPEC EACH | 88369 - M/PHMTRC ALYSISHQUANT/SEMIQ | '01/01/2017 | 12/31/2999 |
| 88371 | 88371 - Protein analysis of tissue by Western Blot with interpretation and report; | 88371 - PROTEIN ANAL TISSUE WESTERN BLOT W/INTERP&REPO | 88371 - PROTEIN WESTERN BLOT TISSUE | '01/01/2017 | 12/31/2999 |
| 88372 | 88372 - Protein analysis of tissue by Western Blot with interpretation and report; immunological probe for band identification each | 88372 - PROTEIN ALYS WSTRN BLOT I&R IMMUNOLOGICAL EA | 88372 - PROTEIN ANALYSIS W/PROBE | '01/01/2017 | 12/31/2999 |
| 88373 | 88373 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) using computer-assisted technology per specimen; each additional single probe stain procedure (List separately in addition to code for primary procedure) | 88373 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR PER SPEC EACH | 88373 - M/PHMTRC ALYS ISHQUANT/SEMIQ | '01/01/2017 | 12/31/2999 |
| 88374 | 88374 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) using computer-assisted technology per specimen; each multiplex probe stain procedure | 88374 - M/PHMTRC ALYS ISH QUANT/SEMIQ CPTR EACH MULTIPRB | 88374 - M/PHMTRC ALYS ISHQUANT/SEMIQ | '01/01/2017 | 12/31/2999 |
| 88375 | 88375 - Optical endomicroscopic image(s) interpretation and report real-time or referred each endoscopic session | 88375 - OPTICAL ENDOMICROSCOPIC IMAGE INTERP & REPORT | 88375 - OPTICAL ENDOMICROSCPY INTERP | '01/01/2017 | 12/31/2999 |
| 88377 | 88377 - Morphometric analysis in situ hybridization (quantitative or semi-quantitative) manual per specimen; each multiplex probe stain procedure | 88377 - M/PHMTRC ALYS ISH QUANT/SEMIQ MNL EACH MULTIPRB | 88377 - M/PHMTRC ALYS ISHQUANT/SEMIQ | '01/01/2017 | 12/31/2999 |
| 88380 | 88380 - Microdissection (ie sample preparation of microscopically identified target); laser capture | 88380 - MICRODISSECTION PREP IDENTIFIED TARGET LASER | 88380 - MICRODISSECTION LASER | '01/01/2017 | 12/31/2999 |
| 88381 | 88381 - Microdissection (ie sample preparation of microscopically identified target); manual | 88381 - MICRODISSECTION PREP IDENTIFIED TARGET MANUAL | 88381 - MICRODISSECTION MANUAL | '01/01/2017 | 12/31/2999 |
| 88387 | 88387 - Macroscopic examination dissection and preparation of tissue for non-microscopic analytical studies (eg nucleic acid-based molecular studies); each tissue preparation (eg a single lymph node) | 88387 - MACRO EXAM DISSECT&PREP TISS NONMICRO STD EA | 88387 - TISS EXAM MOLECULAR STUDY | '01/01/2017 | 12/31/2999 |
| 88388 | 88388 - Macroscopic examination dissection and preparation of tissue for non-microscopic analytical studies (eg nucleic acid-based molecular studies); in conjunction with a touch imprint intraoperative consultation or frozen section each tissue preparation (eg a single lymph node) (List separately in addition to code for primary procedure) | 88388 - MACR EXM DISS&PRP NONMICR IMPRNT/CONSLT/FRZ SE | 88388 - TISS EX MOLECUL STUDY ADD-ON | '01/01/2017 | 12/31/2999 |
| 88399 | 88399 - Unlisted surgical pathology procedure | 88399 - UNLISTED SURGICAL PATHOLOGY PROCEDURE | 88399 - UNLISTED SURGICAL PATH PX | '01/01/2023 | 12/31/2999 |
| 88720 | 88720 - Bilirubin total transcutaneous | 88720 - BILIRUBIN TOTAL TRANSCUTANEOUS | 88720 - BILIRUBIN TOTAL TRANSCUT | '01/01/2017 | 12/31/2999 |
| 88738 | 88738 - Hemoglobin (Hgb) quantitative transcutaneous | 88738 - HGB QUANTITATIVE TRANSCUTANEOUS | 88738 - HGB QUANT TRANSCUTANEOUS | '01/01/2017 | 12/31/2999 |
| 88740 | 88740 - Hemoglobin quantitative transcutaneous per day; carboxyhemoglobin | 88740 - HEMOGLOBIN QUAN TC PER DAY CARBOXYHEMOGLOBIN | 88740 - TRANSCUTANEOUS CARBOXYHB | '01/01/2017 | 12/31/2999 |
| 88741 | 88741 - Hemoglobin quantitative transcutaneous per day; methemoglobin | 88741 - HEMOGLOBIN QUANTITATIVE TC PER DAY METHEMOGLOBIN | 88741 - TRANSCUTANEOUS METHB | '01/01/2017 | 12/31/2999 |
| 88749 | 88749 - Unlisted in vivo (eg transcutaneous) laboratory service | 88749 - UNLISTED IN VIVO LABORTORY SERVICE | 88749 - UNLISTED IN VIVO LAB SERVICE | '01/01/2023 | 12/31/2999 |
| 89049 | 89049 - Caffeine halothane contracture test (CHCT) for malignant hyperthermia susceptibility including interpretation and report | 89049 - CAFFEINE HALOTHANE CONTRACTURE TEST | 89049 - CHCT FOR MAL HYPERTHERMIA | '01/01/2017 | 12/31/2999 |
| 89050 | 89050 - Cell count miscellaneous body fluids (eg cerebrospinal fluid joint fluid) except blood; | 89050 - CELL COUNT MISCELLANEOUS BODY FLUIDS | 89050 - BODY FLUID CELL COUNT | '01/01/2017 | 12/31/2999 |
| 89051 | 89051 - Cell count miscellaneous body fluids (eg cerebrospinal fluid joint fluid) except blood; with differential count | 89051 - CELL COUNT MISC BODY FLUIDS W/DIFFERENTIAL COUNT | 89051 - BODY FLUID CELL COUNT | '01/01/2017 | 12/31/2999 |
| 89055 | 89055 - Leukocyte assessment fecal qualitative or semiquantitative | 89055 - LEUKOCYTE ASSMT FECAL QUAL/SEMIQUANTITATIVE | 89055 - LEUKOCYTE ASSESSMENT FECAL | '01/01/2017 | 12/31/2999 |
| 89060 | 89060 - Crystal identification by light microscopy with or without polarizing lens analysis tissue or any body fluid (except urine) | 89060 - CRYSTAL ID LIGHT MICROSCOPY ALYS TISS/ANY FLUID | 89060 - EXAM SYNOVIAL FLUID CRYSTALS | '01/01/2017 | 12/31/2999 |
| 89125 | 89125 - Fat stain feces urine or respiratory secretions | 89125 - FAT STAIN FECES URINE/RESPIR SECRETIONS | 89125 - SPECIMEN FAT STAIN | '01/01/2017 | 12/31/2999 |
| 89160 | 89160 - Meat fibers feces | 89160 - MEAT FIBERS FECES | 89160 - EXAM FECES FOR MEAT FIBERS | '01/01/2017 | 12/31/2999 |
| 89190 | 89190 - Nasal smear for eosinophils | 89190 - NASAL SMEAR EOSINOPHILS | 89190 - NASAL SMEAR FOR EOSINOPHILS | '01/01/2017 | 12/31/2999 |
| 89220 | 89220 - Sputum obtaining specimen aerosol induced technique (separate procedure) | 89220 - SPUTUM OBTAINING SPEC AEROSOL INDUCED TX SPX | 89220 - SPUTUM SPECIMEN COLLECTION | '01/01/2017 | 12/31/2999 |
| 89230 | 89230 - Sweat collection by iontophoresis | 89230 - SWEAT COLLECTION IONTOPHORESIS | 89230 - COLLECT SWEAT FOR TEST | '01/01/2017 | 12/31/2999 |
| 89240 | 89240 - Unlisted miscellaneous pathology test | 89240 - UNLISTED MISCELLANEOUS PATHOLOGY TEST | 89240 - UNLISTED MISC PATH TEST | '01/01/2023 | 12/31/2999 |
| 89250 | 89250 - Culture of oocyte(s)/embryo(s) less than 4 days; | 89250 - CUL OOCYTE/EMBRYO <4 DAYS | 89250 - CULTR OOCYTE/EMBRYO <4 DAYS | '01/01/2017 | 12/31/2999 |
| 89251 | 89251 - Culture of oocyte(s)/embryo(s) less than 4 days; with co-culture of oocyte(s)/embryos | 89251 - CUL OOCYTE/EMBRYO < 4 D CO-CULT OCYTE/EMBRY | 89251 - CULTR OOCYTE/EMBRYO <4 DAYS | '01/01/2017 | 12/31/2999 |
| 89253 | 89253 - Assisted embryo hatching microtechniques (any method) | 89253 - ASSTD EMBRYO HATCHING MICROTQS ANY METH | 89253 - EMBRYO HATCHING | '01/01/2017 | 12/31/2999 |
| 89254 | 89254 - Oocyte identification from follicular fluid | 89254 - OOCYTE ID FROM FOLLICULAR FLU | 89254 - OOCYTE IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 89255 | 89255 - Preparation of embryo for transfer (any method) | 89255 - PREPJ EMBRYO TR | 89255 - PREPARE EMBRYO FOR TRANSFER | '01/01/2017 | 12/31/2999 |
| 89257 | 89257 - Sperm identification from aspiration (other than seminal fluid) | 89257 - SPRM ID FROM ASPIR OTH/THN SEMINAL | 89257 - SPERM IDENTIFICATION | '01/01/2017 | 12/31/2999 |
| 89258 | 89258 - Cryopreservation; embryo(s) | 89258 - CRYOPRSRV EMBRYO | 89258 - CRYOPRESERVATION EMBRYO(S) | '01/01/2017 | 12/31/2999 |
| 89259 | 89259 - Cryopreservation; sperm | 89259 - CRYOPRSRV SPRM | 89259 - CRYOPRESERVATION SPERM | '01/01/2017 | 12/31/2999 |
| 89260 | 89260 - Sperm isolation; simple prep (eg sperm wash and swim-up) for insemination or diagnosis with semen analysis | 89260 - SPRM ISOL SMPL PREP INSEMINATION/DX SEMEN ALYS | 89260 - SPERM ISOLATION SIMPLE | '01/01/2017 | 12/31/2999 |
| 89261 | 89261 - Sperm isolation; complex prep (eg Percoll gradient albumin gradient) for insemination or diagnosis with semen analysis | 89261 - SPRM ISOL CPLX PREP INSEMINATION/DX SEMEN ALYS | 89261 - SPERM ISOLATION COMPLEX | '01/01/2017 | 12/31/2999 |
| 89264 | 89264 - Sperm identification from testis tissue fresh or cryopreserved | 89264 - SPRM ID FROM TSTIS TISS FRSH/CRYOPRSRVD | 89264 - IDENTIFY SPERM TISSUE | '01/01/2017 | 12/31/2999 |
| 89268 | 89268 - Insemination of oocytes | 89268 - INSEMINATION OOCYTES | 89268 - INSEMINATION OF OOCYTES | '01/01/2017 | 12/31/2999 |
| 89272 | 89272 - Extended culture of oocyte(s)/embryo(s) 4-7 days | 89272 - EXTND CUL OOCYTE/EMBRYO 4-7 DAYS | 89272 - EXTENDED CULTURE OF OOCYTES | '01/01/2017 | 12/31/2999 |
| 89280 | 89280 - Assisted oocyte fertilization microtechnique; less than or equal to 10 oocytes | 89280 - ASSTD FERTILIZATION MICROTQ 89280 - ASSIST OOCYTE FERTILIZATION | '01/01/2017 | 12/31/2999 | |
| 89281 | 89281 - Assisted oocyte fertilization microtechnique; greater than 10 oocytes | 89281 - ASSTD FERTILIZATION MICROTQ > 10 OOCYTES | 89281 - ASSIST OOCYTE FERTILIZATION | '01/01/2017 | 12/31/2999 |
| 89290 | 89290 - Biopsy oocyte polar body or embryo blastomere microtechnique (for pre-implantation genetic diagnosis); less than or equal to 5 embryos | 89290 - BX OOCYTE MICROTQ <= 5 EMBRY | 89290 - BIOPSY OOCYTE POLAR BODY | '01/01/2020 | 12/31/2999 |
| 89291 | 89291 - Biopsy oocyte polar body or embryo blastomere microtechnique (for pre-implantation genetic diagnosis); greater than 5 embryos | 89291 - BX OOCYTE MICROTQ >5 EMBRY | 89291 - BIOPSY OOCYTE POLAR BODY | '01/01/2017 | 12/31/2999 |
| 89300 | 89300 - Semen analysis; presence and/or motility of sperm including Huhner test (post coital) | 89300 - SEMEN ALYS PRESENCE&/MOTILITY SPRM HUHNER | 89300 - SEMEN ANALYSIS W/HUHNER | '01/01/2017 | 12/31/2999 |
| 89310 | 89310 - Semen analysis; motility and count (not including Huhner test) | 89310 - SEMEN ALYS MOTILITY&CNT X W/HUHNER TST | 89310 - SEMEN ANALYSIS W/COUNT | '01/01/2017 | 12/31/2999 |
| 89320 | 89320 - Semen analysis; volume count motility and differential | 89320 - SEMEN ANALYSIS VOLUME COUNT MOTILITY DIFFERENT | 89320 - SEMEN ANAL VOL/COUNT/MOT | '01/01/2017 | 12/31/2999 |
| 89321 | 89321 - Semen analysis; sperm presence and motility of sperm if performed | 89321 - SEMEN ANALYSIS SPERM PRESENCE&/MOTILITY SPRM | 89321 - SEMEN ANAL SPERM DETECTION | '01/01/2017 | 12/31/2999 |
| 89322 | 89322 - Semen analysis; volume count motility and differential using strict morphologic criteria (eg Kruger) | 89322 - SEMEN ANALYSIS STRICT MORPHOLOGIC CRITERIA | 89322 - SEMEN ANAL STRICT CRITERIA | '01/01/2017 | 12/31/2999 |
| 89325 | 89325 - Sperm antibodies | 89325 - SPERM ANTIBODIES | 89325 - SPERM ANTIBODY TEST | '01/01/2017 | 12/31/2999 |
| 89329 | 89329 - Sperm evaluation; hamster penetration test | 89329 - SPERM EVALUATION HAMSTER PENETRATION TEST | 89329 - SPERM EVALUATION TEST | '01/01/2017 | 12/31/2999 |
| 89330 | 89330 - Sperm evaluation; cervical mucus penetration test with or without spinnbarkeit test | 89330 - SPERM EVALUATION CERVICAL MUCOUS PENETRATION | 89330 - EVALUATION CERVICAL MUCUS | '01/01/2017 | 12/31/2999 |
| 89331 | 89331 - Sperm evaluation for retrograde ejaculation urine (sperm concentration motility and morphology as indicated) | 89331 - SPERM EVALUATION RETROGRADE EJACULATION URINE | 89331 - RETROGRADE EJACULATION ANAL | '01/01/2017 | 12/31/2999 |
| 89335 | 89335 - Cryopreservation reproductive tissue testicular | 89335 - CRYOPRSRV REPRODUCTIVE TISSUE TESTICULAR | 89335 - CRYOPRESERVE TESTICULAR TISS | '01/01/2017 | 12/31/2999 |
| 89337 | 89337 - Cryopreservation mature oocyte(s) | 89337 - CRYOPRESERVATION MATURE OOCYTE(S) | 89337 - CRYOPRESERVATION OOCYTE(S) | '01/01/2017 | 12/31/2999 |
| 89342 | 89342 - Storage (per year); embryo(s) | 89342 - STORAGE PER YEAR EMBRYO | 89342 - STORAGE/YEAR EMBRYO(S) | '01/01/2017 | 12/31/2999 |
| 89343 | 89343 - Storage (per year); sperm/semen | 89343 - STORAGE PER YEAR SPERM/SEMEN | 89343 - STORAGE/YEAR SPERM/SEMEN | '01/01/2017 | 12/31/2999 |
| 89344 | 89344 - Storage (per year); reproductive tissue testicular/ovarian | 89344 - STORAGE PER YR REPRDTVE TISS TSTICULAR/OVARIAN | 89344 - STORAGE/YEAR REPROD TISSUE | '01/01/2017 | 12/31/2999 |
| 89346 | 89346 - Storage (per year); oocyte(s) | 89346 - STORAGE PER YEAR OOCYTE | 89346 - STORAGE/YEAR OOCYTE(S) | '01/01/2017 | 12/31/2999 |
| 89352 | 89352 - Thawing of cryopreserved; embryo(s) | 89352 - THAWING CRYOPRESERVED EMBRYO | 89352 - THAWING CRYOPRESRVED EMBRYO | '01/01/2017 | 12/31/2999 |
| 89353 | 89353 - Thawing of cryopreserved; sperm/semen each aliquot | 89353 - THAWING CRYOPRESERVED SPERM/SEMEN EACH ALIQUOT | 89353 - THAWING CRYOPRESRVED SPERM | '01/01/2017 | 12/31/2999 |
| 89354 | 89354 - Thawing of cryopreserved; reproductive tissue testicular/ovarian | 89354 - THAWING CRYOPRESERVED TESTICULAR/OVARIAN | 89354 - THAW CRYOPRSVRD REPROD TISS | '01/01/2017 | 12/31/2999 |
| 89356 | 89356 - Thawing of cryopreserved; oocytes each aliquot | 89356 - THAWING CRYOPRESERVED OOCYTES EACH ALIQUOT | 89356 - THAWING CRYOPRESRVED OOCYTE | '01/01/2017 | 12/31/2999 |
| 89398 | 89398 - Unlisted reproductive medicine laboratory procedure | 89398 - UNLISTED REPRODUCTIVE MEDICINE LAB PROCEDURE | 89398 - UNLISTED REPROD MED LAB PROC | '01/01/2017 | 12/31/2999 |
| 9001F | 9001F - Aortic aneurysm less than 5.0 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT (NMA-No Measure Associated) | 9001F - AORTIC ANEURYSM<5CM MAX DIAM CENTERLINE/AXIAL CT | 9001F - AORTIC ANEURYSM<5CM DIAM CT | '01/01/2017 | 12/31/2999 |
| 9002F | 9002F - Aortic aneurysm 5.0 - 5.4 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT (NMA-No Measure Associated) | 9002F - AORTIC ANEURYSM 5-5.4CM MAX DIAM CTRLN/AXIAL CT | 9002F - AORTIC ANEURYSM 5-5.4CM DIAM | '01/01/2017 | 12/31/2999 |
| 9003F | 9003F - Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted CT or minor diameter on axial formatted CT (NMA-No Measure Associated) | 9003F - AORTIC ARYSM 5.5-5.9CM MAX DIAM CTRLN/AXIAL CT | 9003F - AORTIC ANRYSM5.5-5.9CM DIAM | '01/01/2017 | 12/31/2999 |
| 9004F | 9004F - Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted CT or minor diameter on axial formatted CT (NMA-No Measure Associated) | 9004F - AORTIC ANEURYSM 6/> CM MAX DIAM CTRLN/AXIAL CT | 9004F - AORTIC ANRYSM 6/> CM DIAM | '01/01/2017 | 12/31/2999 |
| 9005F | 9005F - Asymptomatic carotid stenosis: No history of any transient ischemic attack or stroke in any carotid or vertebrobasilar territory (NMA-No Measure Associated) | 9005F - ASYMPT CAROT STEN NO ISCHEM/STRK CAROT/VRTBROBAS | 9005F - ASYMPT CAROT/VRTBRBAS STEN | '01/01/2017 | 12/31/2999 |
| 9006F | 9006F - Symptomatic carotid stenosis: Ipsilateral carotid territory TIA or stroke less than 120 days prior to procedure (NMA-No Measure Associated) | 9006F - SYMPT CAROT STENOS IPSIL CAROT TIA/STRK<120DAYS | 9006F - SYMPT STEN-TIA/STRK<120DAYS | '01/01/2017 | 12/31/2999 |
| 9007F | 9007F - Other carotid stenosis: Ipsilateral TIA or stroke 120 days or greater prior to procedure or any prior contralateral carotid territory or vertebrobasilar TIA or stroke (NMA-No Measure Associated) | 9007F - OTHER CAROTID STENT IPSIL TIA/STRK 120 DAYS/> | 9007F - OTHER CAROT STEN 120 DAYS/> | '01/01/2017 | 12/31/2999 |
| 90281 | 90281 - Immune globulin (Ig) human for intramuscular use | 90281 - IMMUNE GLOBULIN IG HUMAN IM USE | 90281 - HUMAN IG IM | '01/01/2017 | 12/31/2999 |
| 90283 | 90283 - Immune globulin (IgIV) human for intravenous use | 90283 - IMMUNE GLOBULIN IGIV HUMAN IV USE | 90283 - HUMAN IG IV | '01/01/2017 | 12/31/2999 |
| 90284 | 90284 - Immune globulin (SCIg) human for use in subcutaneous infusions 100 mg each | 90284 - IMMUNE GLOBULIN HUMAN SUBQ INFUSION 100 MG EA | 90284 - HUMAN IG SC | '01/01/2017 | 12/31/2999 |
| 90287 | 90287 - Botulinum antitoxin equine any route | 90287 - BOTULINUM ANTITOXIN EQUINE ANY ROUTE | 90287 - BOTULINUM ANTITOXIN | '01/01/2017 | 12/31/2999 |
| 90288 | 90288 - Botulism immune globulin human for intravenous use | 90288 - BOTULISM IMMUNE GLOBULIN HUMAN INTRAVENOUS USE | 90288 - BOTULISM IG IV | '01/01/2017 | 12/31/2999 |
| 90291 | 90291 - Cytomegalovirus immune globulin (CMV-IgIV) human for intravenous use | 90291 - CYTOMEGALOVIRUS IMMUNE GLOBULIN HUMAN IV | 90291 - CMV IG IV | '01/01/2017 | 12/31/2999 |
| 90296 | 90296 - Diphtheria antitoxin equine any route | 90296 - DIPHTHERIA ANTITOXIN EQUINE ANY ROUTE | 90296 - DIPHTHERIA ANTITOXIN | '01/01/2017 | 12/31/2999 |
| 90371 | 90371 - Hepatitis B immune globulin (HBIg) human for intramuscular use | 90371 - HEPATITIS B IMMUNE GLOBULIN HBIG HUMAN IM | 90371 - HEP B IG IM | '01/01/2017 | 12/31/2999 |
| 90375 | 90375 - Rabies immune globulin (RIg) human for intramuscular and/or subcutaneous use | 90375 - RABIES IMMUNE GLOBULIN RIG HUMAN IM/SUBQ | 90375 - RABIES IG IM/SC | '01/01/2017 | 12/31/2999 |
| 90376 | 90376 - Rabies immune globulin heat-treated (RIg-HT) human for intramuscular and/or subcutaneous use | 90376 - RABIES IG HEAT-TREATED HUMAN IM/SUBQ | 90376 - RABIES IG HEAT TREATED | '01/01/2017 | 12/31/2999 |
| 90377 | 90377 - Rabies immune globulin heat- and solvent/detergent-treated (RIg-HT S/D) human for intramuscular and/or subcutaneous use | 90377 - RABIES IG HEAT&SOLVENT/DETERGENT HUMAN IM&/SUBQ | 90377 - RABIES IG HT&SOL HUMAN IM/SC | '01/01/2021 | 12/31/2999 |
| 90378 | 90378 - Respiratory syncytial virus monoclonal antibody recombinant for intramuscular use 50 mg each | 90378 - RESPIRATORY SYNCYTIAL VIRUS IG IM 50 MG E | 90378 - RSV MAB IM 50MG | '01/01/2017 | 12/31/2999 |
| 90384 | 90384 - Rho(D) immune globulin (RhIg) human full-dose for intramuscular use | 90384 - RHO(D) IMMUNE GLOBULIN HUMAN FULL-DOSE IM | 90384 - RH IG FULL-DOSE IM | '01/01/2017 | 12/31/2999 |
| 90385 | 90385 - Rho(D) immune globulin (RhIg) human mini-dose for intramuscular use | 90385 - RHO(D) IMMUNE GLOBULIN HUMAN MINI-DOSE IM | 90385 - RH IG MINIDOSE IM | '01/01/2017 | 12/31/2999 |
| 90386 | 90386 - Rho(D) immune globulin (RhIgIV) human for intravenous use | 90386 - RHO(D) IMMUNE GLOBULIN HUMAN IV | 90386 - RH IG IV | '01/01/2017 | 12/31/2999 |
| 90389 | 90389 - Tetanus immune globulin (TIg) human for intramuscular use | 90389 - TETANUS IMMUNE GLOBULIN TIG HUMAN IM | 90389 - TETANUS IG IM | '01/01/2017 | 12/31/2999 |
| 90393 | 90393 - Vaccinia immune globulin human for intramuscular use | 90393 - VACCINIA IMMUNE GLOBULIN HUMAN IM | 90393 - VACCINA IG IM | '01/01/2017 | 12/31/2999 |
| 90396 | 90396 - Varicella-zoster immune globulin human for intramuscular use | 90396 - VARICELLA-ZOSTER IMMUNE GLOBULIN HUMAN IM | 90396 - VARICELLA-ZOSTER IG IM | '01/01/2017 | 12/31/2999 |
| 90399 | 90399 - Unlisted immune globulin | 90399 - UNLISTED IMMUNE GLOBULIN | 90399 - UNLISTED IMMUNE GLOBULIN | '01/01/2023 | 12/31/2999 |
| 90460 | 90460 - Immunization administration through 18 years of age via any route of administration with counseling by physician or other qualified health care professional; first or only component of each vaccine or toxoid administered | 90460 - IM ADM THRU 18YR ANY RTE 1ST/ONLY COMPT VAC/TOX | 90460 - IM ADMIN 1ST/ONLY COMPONENT | '01/01/2017 | 12/31/2999 |
| 90461 | 90461 - Immunization administration through 18 years of age via any route of administration with counseling by physician or other qualified health care professional; each additional vaccine or toxoid component administered (List separately in addition to code for primary procedure) | 90461 - IM ADM THRU 18YR ANY RTE ADDL VAC/TOX COMPT | 90461 - IM ADMIN EACH ADDL COMPONENT | '01/01/2017 | 12/31/2999 |
| 90471 | 90471 - Immunization administration (includes percutaneous intradermal subcutaneous or intramuscular injections); 1 vaccine (single or combination vaccine/toxoid) | 90471 - IM ADM PRQ ID SUBQ/IM NJXS 1 VACCINE | 90471 - IMMUNIZATION ADMIN | '01/01/2017 | 12/31/2999 |
| 90472 | 90472 - Immunization administration (includes percutaneous intradermal subcutaneous or intramuscular injections); each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) | 90472 - IM ADM PRQ ID SUBQ/IM NJXS EA VACCINE | 90472 - IMMUNIZATION ADMIN EACH ADD | '01/01/2017 | 12/31/2999 |
| 90473 | 90473 - Immunization administration by intranasal or oral route; 1 vaccine (single or combination vaccine/toxoid) | 90473 - IM ADM INTRANSL/ORAL 1 VACCINE | 90473 - IMMUNE ADMIN ORAL/NASAL | '01/01/2017 | 12/31/2999 |
| 90474 | 90474 - Immunization administration by intranasal or oral route; each additional vaccine (single or combination vaccine/toxoid) (List separately in addition to code for primary procedure) | 90474 - IM ADM INTRANSL/ORAL EA VACCINE | 90474 - IMMUNE ADMIN ORAL/NASAL ADDL | '01/01/2017 | 12/31/2999 |
| 90476 | 90476 - Adenovirus vaccine type 4 live for oral use | 90476 - ADENOVIRUS VACCINE TYPE 4 LIVE ORAL | 90476 - ADENOVIRUS VACCINE TYPE 4 | '01/01/2017 | 12/31/2999 |
| 90477 | 90477 - Adenovirus vaccine type 7 live for oral use | 90477 - ADENOVIRUS VACCINE TYPE 7 LIVE FOR ORAL | 90477 - ADENOVIRUS VACCINE TYPE 7 | '01/01/2017 | 12/31/2999 |
| 90581 | 90581 - Anthrax vaccine for subcutaneous or intramuscular use | 90581 - ANTHRAX VACCINE SUBCUTANEOUS/IM USE | 90581 - ANTHRAX VACCINE SC OR IM | '01/01/2017 | 12/31/2999 |
| 90584 | 90584 - Dengue vaccine quadrivalent live 2 dose schedule for subcutaneous use | 90584 - DENGUE VACC QUAD LIVE 2 DOSE SCHEDULE SUBQ USE | 90584 - DENGUE VACC QUAD 2 DOSE SUBQ | '07/01/2022 | 12/31/2999 |
| 90585 | 90585 - Bacillus Calmette-Guerin vaccine (BCG) for tuberculosis live for percutaneous use | 90585 - BACILLUS CALMETTE-GUERIN VACC FOR TB LIVE PERQ | 90585 - BCG VACCINE PERCUT | '01/01/2017 | 12/31/2999 |
| 90586 | 90586 - Bacillus Calmette-Guerin vaccine (BCG) for bladder cancer live for intravesical use | 90586 - BACILLUS CALMETTE-GUERIN VACCINE INTRAVESICAL | 90586 - BCG VACCINE INTRAVESICAL | '01/01/2017 | 12/31/2999 |
| 90587 | 90587 - Dengue vaccine quadrivalent live 3 dose schedule for subcutaneous use | 90587 - DENGUE VACC QUAD LIVE 3 DOSE SCHEDULE SUBQ USE | 90587 - DENGUE VACC QUAD 3 DOSE SUBQ | '07/01/2017 | 12/31/2999 |
| 90611 | 90611 - Smallpox and monkeypox vaccine attenuated vaccinia virus live non-replicating preservative free 0.5 mL dosage suspension for subcutaneous use | 90611 - SMALLPOXandMONKEYPOX VACC 0.5ML DOS FOR SUBQ USE | 90611 - SMALLPOXandMONKEYPOX VAC 0.5ML | '07/26/2022 | 12/31/2999 |
| 90619 | 90619 - Meningococcal conjugate vaccine serogroups A C W Y quadrivalent tetanus toxoid carrier (MenACWY-TT) for intramuscular use | 90619 - MENACWY-TT CONJ VACC SEROGROUPS ACWY FOR IM USE | 90619 - MENACWY-TT VACCINE IM | '07/01/2019 | 12/31/2999 |
| 90620 | 90620 - Meningococcal recombinant protein and outer membrane vesicle vaccine serogroup B (MenB-4C) 2 dose schedule for intramuscular use | 90620 - MENB-4C RECOMBNT PROT & OUTER MEMB VESIC VACC IM | 90620 - MENB-4C VACC 2 DOSE IM | '07/01/2017 | 12/31/2999 |
| 90621 | 90621 - Meningococcal recombinant lipoprotein vaccine serogroup B (MenB-FHbp) 2 or 3 dose schedule for intramuscular use | 90621 - MENB-FHBP RECOMBNT LIPOPROTEIN VACC 2/3 DOSE IM | 90621 - MENB-FHBP VACC 2/3 DOSE IM | '01/01/2018 | 12/31/2999 |
| 90622 | 90622 - Vaccinia (smallpox) virus vaccine live lyophilized 0.3 mL dosage for percutaneous use | 90622 - VACCINIA VIRUS VACC LIVE 0.3 ML DOS FOR PERQ USE | 90622 - VACCINIA VRS VAC 0.3 ML PERQ | '07/26/2022 | 12/31/2999 |
| 90625 | 90625 - Cholera vaccine live adult dosage 1 dose schedule for oral use | 90625 - CHOLERA VACCINE ADULT 1 DOSE LIVE FOR ORAL USE | 90625 - CHOLERA VACCINE LIVE ORAL | '01/01/2017 | 12/31/2999 |
| 90626 | 90626 - Tick-borne encephalitis virus vaccine inactivated; 0.25 mL dosage for intramuscular use | 90626 - TICK-BORNE ENCEPH VACC INACTIVATED 0.25ML IM USE | 90626 - TIC-BRN ENCEPH VAC 0.25ML IM | '01/01/2022 | 12/31/2999 |
| 90627 | 90627 - Tick-borne encephalitis virus vaccine inactivated; 0.5 mL dosage for intramuscular use | 90627 - TICK-BORNE ENCEPH VACC INACTIVATED 0.5ML IM USE | 90627 - TIC-BRN ENCEPH VAC 0.5ML IM | '01/01/2022 | 12/31/2999 |
| 90630 | 90630 - Influenza virus vaccine quadrivalent (IIV4) split virus preservative free for intradermal use | 90630 - INFLUENZA VACC IIV4 SPLIT VIRUS PRSRV FREE ID | 90630 - FLU VACC IIV4 NO PRESERV ID | '01/01/2017 | 12/31/2999 |
| 90632 | 90632 - Hepatitis A vaccine (HepA) adult dosage for intramuscular use | 90632 - HEPA VACCINE ADULT DOSE FOR INTRAMUSCULAR USE | 90632 - HEPA VACCINE ADULT IM | '01/01/2017 | 12/31/2999 |
| 90633 | 90633 - Hepatitis A vaccine (HepA) pediatric/adolescent dosage-2 dose schedule for intramuscular use | 90633 - HEPA VACCINE 2 DOSE SCHEDULE PED/ADOLESC IM USE | 90633 - HEPA VACC PED/ADOL 2 DOSE IM | '01/01/2017 | 12/31/2999 |
| 90634 | 90634 - Hepatitis A vaccine (HepA) pediatric/adolescent dosage-3 dose schedule for intramuscular use | 90634 - HEPA VACCINE 3 DOSE SCHEDULE PED/ADOLESC IM USE | 90634 - HEPA VACC PED/ADOL 3 DOSE | '01/01/2017 | 12/31/2999 |
| 90636 | 90636 - Hepatitis A and hepatitis B vaccine (HepA-HepB) adult dosage for intramuscular use | 90636 - HEPATITIS A & B VACCINE HEPA-HEPB ADULT IM | 90636 - HEP A/HEP B VACC ADULT IM | '01/01/2017 | 12/31/2999 |
| 90644 | 90644 - Meningococcal conjugate vaccine serogroups C & Y and Haemophilus influenzae type b vaccine (Hib-MenCY) 4 dose schedule when administered to children 6 weeks-18 months of age for intramuscular use | 90644 - HIB-MENCY VACC 4 DOSE SCHED 6 WKS-18 MONTHS IM | 90644 - HIB-MENCY VACC 6WK-18M0 IM | '01/01/2017 | 12/31/2999 |
| 90647 | 90647 - Haemophilus influenzae type b vaccine (Hib) PRP-OMP conjugate 3 dose schedule for intramuscular use | 90647 - HIB PRP-OMP VACCINE 3 DOSE SCHEDULE IM USE | 90647 - HIB PRP-OMP VACC 3 DOSE IM | '01/01/2017 | 12/31/2999 |
| 90648 | 90648 - Haemophilus influenzae type b vaccine (Hib) PRP-T conjugate 4 dose schedule for intramuscular use | 90648 - HIB PRP-T VACCINE 4 DOSE SCHEDULE IM USE | 90648 - HIB PRP-T VACCINE 4 DOSE IM | '01/01/2017 | 12/31/2999 |
| 90649 | 90649 - Human Papillomavirus vaccine types 6 11 16 18 quadrivalent (4vHPV) 3 dose schedule for intramuscular use | 90649 - 4VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE | 90649 - 4VHPV VACCINE 3 DOSE IM | '01/01/2017 | 12/31/2999 |
| 90650 | 90650 - Human Papillomavirus vaccine types 16 18 bivalent (2vHPV) 3 dose schedule for intramuscular use | 90650 - 2VHPV VACCINE 3 DOSE SCHEDULE FOR IM USE | 90650 - 2VHPV VACCINE 3 DOSE IM | '01/01/2017 | 12/31/2999 |
| 90651 | 90651 - Human Papillomavirus vaccine types 6 11 16 18 31 33 45 52 58 nonavalent (9vHPV) 2 or 3 dose schedule for intramuscular use | 90651 - 9VHPV VACC 2/3 DOSE SCHED IM USE | 90651 - 9VHPV VACCINE 2/3 DOSE IM | '07/01/2017 | 12/31/2999 |
| 90653 | 90653 - Influenza vaccine inactivated (IIV) subunit adjuvanted for intramuscular use | 90653 - IIV ADJUVANTED VACCINE FOR INTRAMUSCULAR USE | 90653 - IIV ADJUVANT VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90654 | 90654 - Influenza virus vaccine trivalent (IIV3) split virus preservative-free for intradermal use | 90654 - INFLUENZA VACC IIV3 SPLIT VIRUS PRSRV FREE ID | 90654 - FLU VACC IIV3 NO PRESERV ID | '01/01/2017 | 12/31/2999 |
| 90655 | 90655 - Influenza virus vaccine trivalent (IIV3) split virus preservative free 0.25 mL dosage for intramuscular use | 90655 - IIV3 VACC PRESRV FREE 0.25 ML DOSAGE IM USE | 90655 - IIV3 VACC NO PRSV 0.25 ML IM | '01/01/2017 | 12/31/2999 |
| 90656 | 90656 - Influenza virus vaccine trivalent (IIV3) split virus preservative free 0.5 mL dosage for intramuscular use | 90656 - IIV3 VACC PRESERVATIVE FREE 0.5 ML DOSAGE IM USE | 90656 - IIV3 VACC NO PRSV 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90657 | 90657 - Influenza virus vaccine trivalent (IIV3) split virus 0.25 mL dosage for intramuscular use | 90657 - IIV3 VACCINE SPLIT VIRUS 0.25 ML DOSAGE IM USE | 90657 - IIV3 VACCINE SPLT 0.25 ML IM | '01/01/2017 | 12/31/2999 |
| 90658 | 90658 - Influenza virus vaccine trivalent (IIV3) split virus 0.5 mL dosage for intramuscular use | 90658 - IIV3 VACCINE SPLIT VIRUS 0.5 ML DOSAGE IM USE | 90658 - IIV3 VACCINE SPLT 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90660 | 90660 - Influenza virus vaccine trivalent live (LAIV3) for intranasal use | 90660 - LAIV3 VACCINE LIVE FOR INTRANASAL USE | 90660 - LAIV3 VACCINE INTRANASAL | '01/01/2017 | 12/31/2999 |
| 90661 | 90661 - Influenza virus vaccine trivalent (ccIIV3) derived from cell cultures subunit preservative and antibiotic free 0.5 mL dosage for intramuscular use | 90661 - CCIIV3 VACCINE PRESERVATIVE FREE 0.5 ML IM USE | 90661 - CCIIV3 VAC NO PRSV 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90662 | 90662 - Influenza virus vaccine (IIV) split virus preservative free enhanced immunogenicity via increased antigen content for intramuscular use | 90662 - IIV VACCINE PRESERV FREE INCREASED AG CONTENT IM | 90662 - IIV NO PRSV INCREASED AG IM | '01/01/2019 | 12/31/2999 |
| 90664 | 90664 - Influenza virus vaccine live (LAIV) pandemic formulation for intranasal use | 90664 - LAIV VACCINE PANDEMIC FORMULA FOR INTRANASAL USE | 90664 - LAIV VACC PANDEMIC INTRANASL | '01/01/2017 | 12/31/2999 |
| 90666 | 90666 - Influenza virus vaccine (IIV) pandemic formulation split virus preservative free for intramuscular use | 90666 - INFLUENZA VACCINE PANDEMIC SPLT PRSRV FREE IM | 90666 - FLU VAC PANDEM PRSRV FREE IM | '01/01/2017 | 12/31/2999 |
| 90667 | 90667 - Influenza virus vaccine (IIV) pandemic formulation split virus adjuvanted for intramuscular use | 90667 - IIV VACCINE PANDEMIC ADJUVANT FOR IM USE | 90667 - IIV VACC PANDEMIC ADJUVT IM | '01/01/2017 | 12/31/2999 |
| 90668 | 90668 - Influenza virus vaccine (IIV) pandemic formulation split virus for intramuscular use | 90668 - IIV VACCINE PANDEMIC FOR INTRAMUSCULAR USE | 90668 - IIV VACCINE PANDEMIC IM | '01/01/2017 | 12/31/2999 |
| 90670 | 90670 - Pneumococcal conjugate vaccine 13 valent (PCV13) for intramuscular use | 90670 - PCV13 VACCINE FOR INTRAMUSCULAR USE | 90670 - PCV13 VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90671 | 90671 - Pneumococcal conjugate vaccine 15 valent (PCV15) for intramuscular use | 90671 - PCV15 VACCINE FOR INTRAMUSCULAR USE | 90671 - PCV15 VACCINE IM | '07/01/2021 | 12/31/2999 |
| 90672 | 90672 - Influenza virus vaccine quadrivalent live (LAIV4) for intranasal use | 90672 - LAIV4 VACCINE FOR INTRANASAL USE | 90672 - LAIV4 VACCINE INTRANASAL | '01/01/2017 | 12/31/2999 |
| 90673 | 90673 - Influenza virus vaccine trivalent (RIV3) derived from recombinant DNA hemagglutinin (HA) protein only preservative and antibiotic free for intramuscular use | 90673 - RIV3 VACCINE PRESERVATIVE FREE FOR IM USE | 90673 - RIV3 VACCINE NO PRESERV IM | '01/01/2017 | 12/31/2999 |
| 90674 | 90674 - Influenza virus vaccine quadrivalent (ccIIV4) derived from cell cultures subunit preservative and antibiotic free 0.5 mL dosage for intramuscular use | 90674 - CCIIV4 VACCINE PRESERVATIVE FREE 0.5 ML IM USE | 90674 - CCIIV4 VAC NO PRSV 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90675 | 90675 - Rabies vaccine for intramuscular use | 90675 - RABIES VACCINE INTRAMUSCULAR | 90675 - RABIES VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90676 | 90676 - Rabies vaccine for intradermal use | 90676 - RABIES VACCINE INTRADERMAL | 90676 - RABIES VACCINE ID | '01/01/2017 | 12/31/2999 |
| 90677 | 90677 - Pneumococcal conjugate vaccine 20 valent (PCV20) for intramuscular use | 90677 - PCV20 VACCINE FOR INTRAMUSCULAR USE | 90677 - PCV20 VACCINE IM | '07/01/2021 | 12/31/2999 |
| 90678 | 90678 - Respiratory syncytial virus vaccine preF subunit bivalent for intramuscular use | 90678 - RSV VACCINE PREF SUBUNIT BIVALENT FOR IM USE | 90678 - RSV VACC PREF BIVALENT IM | '01/01/2023 | 12/31/2999 |
| 90680 | 90680 - Rotavirus vaccine pentavalent (RV5) 3 dose schedule live for oral use | 90680 - RV5 VACCINE 3 DOSE SCHEDULE LIVE FOR ORAL USE | 90680 - RV5 VACC 3 DOSE LIVE ORAL | '01/01/2017 | 12/31/2999 |
| 90681 | 90681 - Rotavirus vaccine human attenuated (RV1) 2 dose schedule live for oral use | 90681 - RV1 VACCINE 2 DOSE SCHEDULE LIVE FOR ORAL USE | 90681 - RV1 VACC 2 DOSE LIVE ORAL | '01/01/2017 | 12/31/2999 |
| 90682 | 90682 - Influenza virus vaccine quadrivalent (RIV4) derived from recombinant DNA hemagglutinin (HA) protein only preservative and antibiotic free for intramuscular use | 90682 - RIV4 VACC RECOMBINANT DNA PRSRV ANTIBIO FREE IM | 90682 - RIV4 VACC RECOMBINANT DNA IM | '01/01/2018 | 12/31/2999 |
| 90685 | 90685 - Influenza virus vaccine quadrivalent (IIV4) split virus preservative free 0.25 mL dosage for intramuscular use | 90685 - IIV4 VACC PRSRV FREE 0.25 ML DOS FOR IM USE | 90685 - IIV4 VACC NO PRSV 0.25 ML IM | '01/01/2017 | 12/31/2999 |
| 90686 | 90686 - Influenza virus vaccine quadrivalent (IIV4) split virus preservative free 0.5 mL dosage for intramuscular use | 90686 - IIV4 VACC PRESRV FREE 0.5 ML DOS FOR IM USE | 90686 - IIV4 VACC NO PRSV 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90687 | 90687 - Influenza virus vaccine quadrivalent (IIV4) split virus 0.25 mL dosage for intramuscular use | 90687 - IIV4 VACC SPLIT VIRUS 0.25 ML DOS FOR IM USE | 90687 - IIV4 VACCINE SPLT 0.25 ML IM | '01/01/2017 | 12/31/2999 |
| 90688 | 90688 - Influenza virus vaccine quadrivalent (IIV4) split virus 0.5 mL dosage for intramuscular use | 90688 - IIV4 VACC SPLIT VIRUS 0.5 ML DOS FOR IM USE | 90688 - IIV4 VACCINE SPLT 0.5 ML IM | '01/01/2017 | 12/31/2999 |
| 90689 | 90689 - Influenza virus vaccine quadrivalent (IIV4) inactivated adjuvanted preservative free 0.25 mL dosage for intramuscular use | 90689 - IIV4 VACC INACTIVATED PRSRV FR 0.25ML DOS IM USE | 90689 - VACC IIV4 NO PRSRV 0.25ML IM | '01/01/2019 | 12/31/2999 |
| 90690 | 90690 - Typhoid vaccine live oral | 90690 - TYPHOID VACCINE LIVE ORAL | 90690 - TYPHOID VACCINE ORAL | '01/01/2017 | 12/31/2999 |
| 90691 | 90691 - Typhoid vaccine Vi capsular polysaccharide (ViCPs) for intramuscular use | 90691 - TYPHOID VACCINE VI CAPSULAR POLYSACCHARIDE IM | 90691 - TYPHOID VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90694 | 90694 - Influenza virus vaccine quadrivalent (aIIV4) inactivated adjuvanted preservative free 0.5 mL dosage for intramuscular use | 90694 - AIIV4 VACC INACTIVATED PRSRV FR 0.5ML DOS IM USE | 90694 - VACC AIIV4 NO PRSRV 0.5ML IM | '01/01/2020 | 12/31/2999 |
| 90696 | 90696 - Diphtheria tetanus toxoids acellular pertussis vaccine and inactivated poliovirus vaccine (DTaP-IPV) when administered to children 4 through 6 years of age for intramuscular use | 90696 - DTAP-IPV VACCINE CHILD 4-6 YRS FOR IM USE | 90696 - DTAP-IPV VACCINE 4-6 YRS IM | '01/01/2017 | 12/31/2999 |
| 90697 | 90697 - Diphtheria tetanus toxoids acellular pertussis vaccine inactivated poliovirus vaccine Haemophilus influenzae type b PRP-OMP conjugate vaccine and hepatitis B vaccine (DTaP-IPV-Hib-HepB) for intramuscular use | 90697 - DTAP-IPV-HIB-HEPB VACCINE INTRAMUSCULAR | 90697 - DTAP-IPV-HIB-HEPB VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90698 | 90698 - Diphtheria tetanus toxoids acellular pertussis vaccine Haemophilus influenzae type b and inactivated poliovirus vaccine (DTaP-IPV/Hib) for intramuscular use | 90698 - DTAP-IPV/HIB VACCINE FOR INTRAMUSCULAR USE | 90698 - DTAP-IPV/HIB VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90700 | 90700 - Diphtheria tetanus toxoids and acellular pertussis vaccine (DTaP) when administered to individuals younger than 7 years for intramuscular use | 90700 - DIPHTH TETANUS TOX ACELL PERTUSSIS VACC<7 YR IM | 90700 - DTAP VACCINE < 7 YRS IM | '01/01/2017 | 12/31/2999 |
| 90702 | 90702 - Diphtheria and tetanus toxoids adsorbed (DT) when administered to individuals younger than 7 years for intramuscular use | 90702 - DT VACCINE YOUNGER THAN 7 YRS FOR IM USE | 90702 - DT VACCINE UNDER 7 YRS IM | '01/01/2017 | 12/31/2999 |
| 90707 | 90707 - Measles mumps and rubella virus vaccine (MMR) live for subcutaneous use | 90707 - MEASLES MUMPS RUBELLA VIRUS VACCINE LIVE SUBQ | 90707 - MMR VACCINE SC | '01/01/2017 | 12/31/2999 |
| 90710 | 90710 - Measles mumps rubella and varicella vaccine (MMRV) live for subcutaneous use | 90710 - MEASLES MUMPS RUBELLA VARICELLA VACC LIVE SUBQ | 90710 - MMRV VACCINE SC | '01/01/2017 | 12/31/2999 |
| 90713 | 90713 - Poliovirus vaccine inactivated (IPV) for subcutaneous or intramuscular use | 90713 - POLIOVIRUS VACCINE INACTIVATED SUBQ/IM | 90713 - POLIOVIRUS IPV SC/IM | '01/01/2017 | 12/31/2999 |
| 90714 | 90714 - Tetanus and diphtheria toxoids adsorbed (Td) preservative free when administered to individuals 7 years or older for intramuscular use | 90714 - TD VACCINE PRSRV FREE 7 YRS OR OLDER FOR IM USE | 90714 - TD VACC NO PRESV 7 YRS+ IM | '01/01/2017 | 12/31/2999 |
| 90715 | 90715 - Tetanus diphtheria toxoids and acellular pertussis vaccine (Tdap) when administered to individuals 7 years or older for intramuscular use | 90715 - TDAP VACCINE 7 YRS/> IM | 90715 - TDAP VACCINE 7 YRS/> IM | '01/01/2017 | 12/31/2999 |
| 90716 | 90716 - Varicella virus vaccine (VAR) live for subcutaneous use | 90716 - VAR VACCINE LIVE FOR SUBCUTANEOUS USE | 90716 - VAR VACCINE LIVE SUBQ | '01/01/2017 | 12/31/2999 |
| 90717 | 90717 - Yellow fever vaccine live for subcutaneous use | 90717 - YELLOW FEVER VACCINE LIVE SUBQ | 90717 - YELLOW FEVER VACCINE SUBQ | '01/01/2017 | 12/31/2999 |
| 90723 | 90723 - Diphtheria tetanus toxoids acellular pertussis vaccine hepatitis B and inactivated poliovirus vaccine (DTaP-HepB-IPV) for intramuscular use | 90723 - DTAP-HEPB-IPV VACCINE INTRAMUSCULAR | 90723 - DTAP-HEP B-IPV VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90732 | 90732 - Pneumococcal polysaccharide vaccine 23-valent (PPSV23) adult or immunosuppressed patient dosage when administered to individuals 2 years or older for subcutaneous or intramuscular use | 90732 - PPSV23 VACCINE 2 YRS OR OLDER FOR SUBQ/IM USE | 90732 - PPSV23 VACC 2 YRS+ SUBQ/IM | '01/01/2017 | 12/31/2999 |
| 90733 | 90733 - Meningococcal polysaccharide vaccine serogroups A C Y W-135 quadrivalent (MPSV4) for subcutaneous use | 90733 - MPSV4 VACCINE GROUPS ACYW-135 SUBQ USE | 90733 - MPSV4 VACCINE SUBQ | '01/01/2017 | 12/31/2999 |
| 90734 | 90734 - Meningococcal conjugate vaccine serogroups A C W Y quadrivalent diphtheria toxoid carrier (MenACWY-D) or CRM197 carrier (MenACWY-CRM) for intramuscular use | 90734 - MENACWYD/MENACWY-CRM CONJ VACC GRPS ACWY IM USE | 90734 - MENACWYD/MENACWYCRM VACC IM | '01/01/2020 | 12/31/2999 |
| 90736 | 90736 - Zoster (shingles) vaccine (HZV) live for subcutaneous injection | 90736 - ZOSTER VACCINE HZV LIVE FOR SUBCUTANEOUS USE | 90736 - HZV VACCINE LIVE SUBQ | '01/01/2017 | 12/31/2999 |
| 90738 | 90738 - Japanese encephalitis virus vaccine inactivated for intramuscular use | 90738 - JAPANESE ENCEPHALITIS VACCINE INACTIVATED IM | 90738 - INACTIVATED JE VACC IM | '01/01/2017 | 12/31/2999 |
| 90739 | 90739 - Hepatitis B vaccine (HepB) CpG-adjuvanted adult dosage 2 dose or 4 dose schedule for intramuscular use | 90739 - HEPB VACCINE ADULT 2/4 DOSE SCHEDULE FOR IM USE | 90739 - HEPB VACC 2/4 DOSE ADULT IM | '01/01/2023 | 12/31/2999 |
| 90740 | 90740 - Hepatitis B vaccine (HepB) dialysis or immunosuppressed patient dosage 3 dose schedule for intramuscular use | 90740 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 3 DOSE IM | 90740 - HEPB VACC 3 DOSE IMMUNSUP IM | '01/01/2017 | 12/31/2999 |
| 90743 | 90743 - Hepatitis B vaccine (HepB) adolescent 2 dose schedule for intramuscular use | 90743 - HEPB VACCINE ADOLESCENT 2 DOSE SCHEDULE IM | 90743 - HEPB VACC 2 DOSE ADOLESC IM | '01/01/2017 | 12/31/2999 |
| 90744 | 90744 - Hepatitis B vaccine (HepB) pediatric/adolescent dosage 3 dose schedule for intramuscular use | 90744 - HEPB VACCINE PED/ADOLESC 3 DOSE SCHEDULE IM | 90744 - HEPB VACC 3 DOSE PED/ADOL IM | '01/01/2017 | 12/31/2999 |
| 90746 | 90746 - Hepatitis B vaccine (HepB) adult dosage 3 dose schedule for intramuscular use | 90746 - HEPB VACCINE ADULT 3 DOSE SCHEDULE FOR IM USE | 90746 - HEPB VACCINE 3 DOSE ADULT IM | '01/01/2017 | 12/31/2999 |
| 90747 | 90747 - Hepatitis B vaccine (HepB) dialysis or immunosuppressed patient dosage 4 dose schedule for intramuscular use | 90747 - HEPB VACCINE DIALYSIS/IMMUNSUP PAT 4 DOSE IM | 90747 - HEPB VACC 4 DOSE IMMUNSUP IM | '01/01/2017 | 12/31/2999 |
| 90748 | 90748 - Hepatitis B and Haemophilus influenzae type b vaccine (Hib-HepB) for intramuscular use | 90748 - HIB-HEPB VACCINE FOR INTRAMUSCULAR USE | 90748 - HIB-HEPB VACCINE IM | '01/01/2017 | 12/31/2999 |
| 90749 | 90749 - Unlisted vaccine/toxoid | 90749 - UNLISTED VACCINE/TOXOID | 90749 - UNLISTED VACCINE/TOXOID | '01/01/2023 | 12/31/2999 |
| 90750 | 90750 - Zoster (shingles) vaccine (HZV) recombinant subunit adjuvanted for intramuscular use | 90750 - HZV ZOSTER VACC RECOMBINANT ADJUVANTED IM NJX | 90750 - HZV VACC RECOMBINANT IM | '01/01/2019 | 12/31/2999 |
| 90756 | 90756 - Influenza virus vaccine quadrivalent (ccIIV4) derived from cell cultures subunit antibiotic free 0.5 mL dosage for intramuscular use | 90756 - CCIIV4 VACCINE ANTIBIOTIC FREE 0.5 ML DOS IM USE | 90756 - CCIIV4 VACC ABX FREE IM | '01/01/2018 | 12/31/2999 |
| 90758 | 90758 - Zaire ebolavirus vaccine live for intramuscular use | 90758 - ZAIRE EBOLAVIRUS VACCINE LIVE FOR IM USE | 90758 - ZAIRE EBOLAVIRUS VAC LIVE IM | '07/01/2021 | 12/31/2999 |
| 90759 | 90759 - Hepatitis B vaccine (HepB) 3-antigen (S Pre-S1 Pre-S2) 10 mcg dosage 3 dose schedule for intramuscular use | 90759 - HEP B VACC 3 AG 10 MCG 3 DOSE SCHED FOR IM USE | 90759 - HEP B VAC 3AG 10MCG 3 DOS IM | '01/01/2022 | 12/31/2999 |
| 90785 | 90785 - Interactive complexity (List separately in addition to the code for primary procedure) | 90785 - PSYCHOTHERAPY COMPLEX INTERACTIVE | 90785 - PSYTX COMPLEX INTERACTIVE | '01/01/2017 | 12/31/2999 |
| 90791 | 90791 - Psychiatric diagnostic evaluation | 90791 - PSYCHIATRIC DIAGNOSTIC EVALUATION | 90791 - PSYCH DIAGNOSTIC EVALUATION | '01/01/2017 | 12/31/2999 |
| 90792 | 90792 - Psychiatric diagnostic evaluation with medical services | 90792 - PSYCHIATRIC DIAGNOSTIC EVAL W/MEDICAL SERVICES | 90792 - PSYCH DIAG EVAL W/MED SRVCS | '01/01/2017 | 12/31/2999 |
| 90832 | 90832 - Psychotherapy 30 minutes with patient | 90832 - PSYCHOTHERAPY W/PATIENT 30 MINUTES | 90832 - PSYTX W PT 30 MINUTES | '01/01/2017 | 12/31/2999 |
| 90833 | 90833 - Psychotherapy 30 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90833 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 30 MIN | 90833 - PSYTX W PT W E/M 30 MIN | '01/01/2017 | 12/31/2999 |
| 90834 | 90834 - Psychotherapy 45 minutes with patient | 90834 - PSYCHOTHERAPY W/PATIENT 45 MINUTES | 90834 - PSYTX W PT 45 MINUTES | '01/01/2017 | 12/31/2999 |
| 90836 | 90836 - Psychotherapy 45 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90836 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 45 MIN | 90836 - PSYTX W PT W E/M 45 MIN | '01/01/2017 | 12/31/2999 |
| 90837 | 90837 - Psychotherapy 60 minutes with patient | 90837 - PSYCHOTHERAPY W/PATIENT 60 MINUTES | 90837 - PSYTX W PT 60 MINUTES | '01/01/2017 | 12/31/2999 |
| 90838 | 90838 - Psychotherapy 60 minutes with patient when performed with an evaluation and management service (List separately in addition to the code for primary procedure) | 90838 - PSYCHOTHERAPY W/PATIENT W/E&M SRVCS 60 MIN | 90838 - PSYTX W PT W E/M 60 MIN | '01/01/2017 | 12/31/2999 |
| 90839 | 90839 - Psychotherapy for crisis; first 60 minutes | 90839 - PSYCHOTHERAPY FOR CRISIS INITIAL 60 MINUTES | 90839 - PSYTX CRISIS INITIAL 60 MIN | '01/01/2017 | 12/31/2999 |
| 90840 | 90840 - Psychotherapy for crisis; each additional 30 minutes (List separately in addition to code for primary service) | 90840 - PSYCHOTHERAPY FOR CRISIS EACH ADDL 30 MINUTES | 90840 - PSYTX CRISIS EA ADDL 30 MIN | '01/01/2017 | 12/31/2999 |
| 90845 | 90845 - Psychoanalysis | 90845 - PSYCHOANALYSIS | 90845 - PSYCHOANALYSIS | '01/01/2017 | 12/31/2999 |
| 90846 | 90846 - Family psychotherapy (without the patient present) 50 minutes | 90846 - FAMILY PSYCHOTHERAPY W/O PATIENT PRESENT 50 MINS | 90846 - FAMILY PSYTX W/O PT 50 MIN | '01/01/2017 | 12/31/2999 |
| 90847 | 90847 - Family psychotherapy (conjoint psychotherapy) (with patient present) 50 minutes | 90847 - FAMILY PSYCHOTHERAPY W/PATIENT PRESENT 50 MINS | 90847 - FAMILY PSYTX W/PT 50 MIN | '01/01/2017 | 12/31/2999 |
| 90849 | 90849 - Multiple-family group psychotherapy | 90849 - MULTIPLE FAMILY GROUP PSYCHOTHERAPY | 90849 - MULTIPLE FAMILY GROUP PSYTX | '01/01/2017 | 12/31/2999 |
| 90853 | 90853 - Group psychotherapy (other than of a multiple-family group) | 90853 - GROUP PSYCHOTHERAPY | 90853 - GROUP PSYCHOTHERAPY | '01/01/2017 | 12/31/2999 |
| 90863 | 90863 - Pharmacologic management including prescription and review of medication when performed with psychotherapy services (List separately in addition to the code for primary procedure) | 90863 - PHARMACOLOGIC MANAGEMENT W/PSYCHOTHERAPY | 90863 - PHARMACOLOGIC MGMT W/PSYTX | '01/01/2017 | 12/31/2999 |
| 90865 | 90865 - Narcosynthesis for psychiatric diagnostic and therapeutic purposes (eg sodium amobarbital (Amytal) interview) | 90865 - NARCOSYNTHESIS PSYC DX&THER PURPOSES | 90865 - NARCOSYNTHESIS | '01/01/2017 | 12/31/2999 |
| 90867 | 90867 - Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; initial including cortical mapping motor threshold determination delivery and management | 90867 - REPET TMS TX INITIAL W/MAP/MOTR THRESHLD/DEL&M | 90867 - TCRANIAL MAGN STIM TX PLAN | '01/01/2017 | 12/31/2999 |
| 90868 | 90868 - Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent delivery and management per session | 90868 - THERAP REPETITIVE TMS TX SUBSEQ DELIVERY & MNG | 90868 - TCRANIAL MAGN STIM TX DELI | '01/01/2017 | 12/31/2999 |
| 90869 | 90869 - Therapeutic repetitive transcranial magnetic stimulation (TMS) treatment; subsequent motor threshold re-determination with delivery and management | 90869 - REPET TMS TX SUBSEQ MOTR THRESHLD W/DELIV & MN | 90869 - TCRAN MAGN STIM REDETEMINE | '01/01/2017 | 12/31/2999 |
| 90870 | 90870 - Electroconvulsive therapy (includes necessary monitoring) | 90870 - ELECTROCONVULSIVE THERAPY | 90870 - ELECTROCONVULSIVE THERAPY | '01/01/2017 | 12/31/2999 |
| 90875 | 90875 - Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient) with psychotherapy (eg insight oriented behavior modifying or supportive psychotherapy); 30 minutes | 90875 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 30 MIN | 90875 - PSYCHOPHYSIOLOGICAL THERAPY | '01/01/2017 | 12/31/2999 |
| 90876 | 90876 - Individual psychophysiological therapy incorporating biofeedback training by any modality (face-to-face with the patient) with psychotherapy (eg insight oriented behavior modifying or supportive psychotherapy); 45 minutes | 90876 - INDIV PSYCHOPHYS BIOFEED TRAIN W/PSYTX 45 MIN | 90876 - PSYCHOPHYSIOLOGICAL THERAPY | '01/01/2017 | 12/31/2999 |
| 90880 | 90880 - Hypnotherapy | 90880 - HYPNOTHERAPY | 90880 - HYPNOTHERAPY | '01/01/2017 | 12/31/2999 |
| 90882 | 90882 - Environmental intervention for medical management purposes on a psychiatric patient's behalf with agencies employers or institutions | 90882 - ENVIRONMENTAL IVNTJ MGMT PURPOSES PSYC PT | 90882 - ENVIRONMENTAL MANIPULATION | '01/01/2017 | 12/31/2999 |
| 90885 | 90885 - Psychiatric evaluation of hospital records other psychiatric reports psychometric and/or projective tests and other accumulated data for medical diagnostic purposes | 90885 - PSYCHIATRIC EVAL HOSPITAL RECORDS DX PURPOSES | 90885 - PSY EVALUATION OF RECORDS | '01/01/2017 | 12/31/2999 |
| 90887 | 90887 - Interpretation or explanation of results of psychiatric other medical examinations and procedures or other accumulated data to family or other responsible persons or advising them how to assist patient | 90887 - INTERPJ/EXPLNAJ RESULTS PSYCHIATRIC EXAM FAMILY | 90887 - CONSULTATION WITH FAMILY | '01/01/2017 | 12/31/2999 |
| 90889 | 90889 - Preparation of report of patient's psychiatric status history treatment or progress (other than for legal or consultative purposes) for other individuals agencies or insurance carriers | 90889 - PREP REPORT PT PSYCH STATUS AGENCY/PAYER | 90889 - PREPARATION OF REPORT | '01/01/2017 | 12/31/2999 |
| 90899 | 90899 - Unlisted psychiatric service or procedure | 90899 - UNLISTED PSYCHIATRIC SERVICE/PROCEDURE | 90899 - UNLISTED PSYC SVC/THERAPY | '01/01/2023 | 12/31/2999 |
| 90901 | 90901 - Biofeedback training by any modality | 90901 - BIOFEEDBACK TRAINING ANY MODALITY | 90901 - BIOFEEDBACK TRAIN ANY METH | '01/01/2017 | 12/31/2999 |
| 90912 | 90912 - Biofeedback training perineal muscles anorectal or urethral sphincter including EMG and/or manometry when performed; initial 15 minutes of one-on-one physician or other qualified health care professional contact with the patient | 90912 - BFB TRAING W/EMG &/MANOMETRY 1ST 15 MIN CNTCT | 90912 - BFB TRAINING 1ST 15 MIN | '01/01/2020 | 12/31/2999 |
| 90913 | 90913 - Biofeedback training perineal muscles anorectal or urethral sphincter including EMG and/or manometry when performed; each additional 15 minutes of one-on-one physician or other qualified health care professional contact with the patient (List separately in addition to code for primary procedure) | 90913 - BFB TRAING W/EMG&/MANOMETRY EA ADDL 15 MIN CNTCT | 90913 - BFB TRAINING EA ADDL 15 MIN | '01/01/2020 | 12/31/2999 |
| 90935 | 90935 - Hemodialysis procedure with single evaluation by a physician or other qualified health care professional | 90935 - HEMODIALYSIS PROCEDURE W/ PHYS/QHP EVALUATION | 90935 - HEMODIALYSIS ONE EVALUATION | '01/01/2017 | 12/31/2999 |
| 90937 | 90937 - Hemodialysis procedure requiring repeated evaluation(s) with or without substantial revision of dialysis prescription | 90937 - HEMODIALYSIS PX REPEAT EVAL W/WO REVJ DIALYS RX | 90937 - HEMODIALYSIS REPEATED EVAL | '01/01/2017 | 12/31/2999 |
| 90940 | 90940 - Hemodialysis access flow study to determine blood flow in grafts and arteriovenous fistulae by an indicator method | 90940 - HEMODIALYSIS ACCESS FLOW STUDY | 90940 - HEMODIALYSIS ACCESS STUDY | '01/01/2017 | 12/31/2999 |
| 90945 | 90945 - Dialysis procedure other than hemodialysis (eg peritoneal dialysis hemofiltration or other continuous renal replacement therapies) with single evaluation by a physician or other qualified health care professional | 90945 - DIALYSIS OTHER/THAN HEMODIALYSIS 1 PHYS/QHP EVAL | 90945 - DIALYSIS ONE EVALUATION | '01/01/2017 | 12/31/2999 |
| 90947 | 90947 - Dialysis procedure other than hemodialysis (eg peritoneal dialysis hemofiltration or other continuous renal replacement therapies) requiring repeated evaluations by a physician or other qualified health care professional with or without substantial revision of dialysis prescription | 90947 - DIALYSIS OTH/THN HEMODIALY REPEAT PHYS/QHP EVALS | 90947 - DIALYSIS REPEATED EVAL | '01/01/2017 | 12/31/2999 |
| 90951 | 90951 - End-stage renal disease (ESRD) related services monthly for patients younger than 2 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 90951 - ESRD RELATED SVC MONTHLY & <2 YR OLD 4/> VISITS | 90951 - ESRD SERV 4 VISITS P MO <2YR | '01/01/2017 | 12/31/2999 |
| 90952 | 90952 - End-stage renal disease (ESRD) related services monthly for patients younger than 2 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 90952 - ESRD RELATED SVC MONTHLY <2 YR OLD 2/3 VISITS | 90952 - ESRD SERV 2-3 VSTS P MO <2YR | '01/01/2017 | 12/31/2999 |
| 90953 | 90953 - End-stage renal disease (ESRD) related services monthly for patients younger than 2 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month | 90953 - ESRD RELATED SVC MONTHLY <2 YR OLD 1 VISIT | 90953 - ESRD SERV 1 VISIT P MO <2YRS | '01/01/2017 | 12/31/2999 |
| 90954 | 90954 - End-stage renal disease (ESRD) related services monthly for patients 2-11 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 90954 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 4/> VISITS | 90954 - ESRD SERV 4 VSTS P MO 2-11 | '01/01/2017 | 12/31/2999 |
| 90955 | 90955 - End-stage renal disease (ESRD) related services monthly for patients 2-11 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 90955 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 2/3 VISITS | 90955 - ESRD SRV 2-3 VSTS P MO 2-11 | '01/01/2017 | 12/31/2999 |
| 90956 | 90956 - End-stage renal disease (ESRD) related services monthly for patients 2-11 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month | 90956 - ESRD RELATED SVC MONTHLY 2-11 YR OLD 1 VISIT | 90956 - ESRD SRV 1 VISIT P MO 2-11 | '01/01/2017 | 12/31/2999 |
| 90957 | 90957 - End-stage renal disease (ESRD) related services monthly for patients 12-19 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 90957 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 4/> VISITS | 90957 - ESRD SRV 4 VSTS P MO 12-19 | '01/01/2017 | 12/31/2999 |
| 90958 | 90958 - End-stage renal disease (ESRD) related services monthly for patients 12-19 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 90958 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 2/3 VISITS | 90958 - ESRD SRV 2-3 VSTS P MO 12-19 | '01/01/2017 | 12/31/2999 |
| 90959 | 90959 - End-stage renal disease (ESRD) related services monthly for patients 12-19 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents; with 1 face-to-face visit by a physician or other qualified health care professional per month | 90959 - ESRD RELATED SVC MONTHLY 12-19 YR OLD 1 VISIT | 90959 - ESRD SERV 1 VST P MO 12-19 | '01/01/2017 | 12/31/2999 |
| 90960 | 90960 - End-stage renal disease (ESRD) related services monthly for patients 20 years of age and older; with 4 or more face-to-face visits by a physician or other qualified health care professional per month | 90960 - ESRD RELATED SVC MONTHLY 20&/> YR OLD 4/> VISITS | 90960 - ESRD SRV 4 VISITS P MO 20+ | '01/01/2017 | 12/31/2999 |
| 90961 | 90961 - End-stage renal disease (ESRD) related services monthly for patients 20 years of age and older; with 2-3 face-to-face visits by a physician or other qualified health care professional per month | 90961 - ESRD RELATED SVC MONTHLY 20/>YR OLD 2/3 VISITS | 90961 - ESRD SRV 2-3 VSTS P MO 20+ | '01/01/2017 | 12/31/2999 |
| 90962 | 90962 - End-stage renal disease (ESRD) related services monthly for patients 20 years of age and older; with 1 face-to-face visit by a physician or other qualified health care professional per month | 90962 - ESRD RELATED SVC MONTHLY 20&/>YR OLD 1 VISIT | 90962 - ESRD SERV 1 VISIT P MO 20+ | '01/01/2017 | 12/31/2999 |
| 90963 | 90963 - End-stage renal disease (ESRD) related services for home dialysis per full month for patients younger than 2 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents | 90963 - ESRD SVC HOME DIALYSIS FULL MONTH <2YR OLD | 90963 - ESRD HOME PT SERV P MO <2YRS | '01/01/2017 | 12/31/2999 |
| 90964 | 90964 - End-stage renal disease (ESRD) related services for home dialysis per full month for patients 2-11 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents | 90964 - ESRD SVC HOME DIALYSIS FULL MONTH 2-11 YR OLD | 90964 - ESRD HOME PT SERV P MO 2-11 | '01/01/2017 | 12/31/2999 |
| 90965 | 90965 - End-stage renal disease (ESRD) related services for home dialysis per full month for patients 12-19 years of age to include monitoring for the adequacy of nutrition assessment of growth and development and counseling of parents | 90965 - ESRD SVC HOME DIALYSIS FULL MONTH 12-19 YR OLD | 90965 - ESRD HOME PT SERV P MO 12-19 | '01/01/2017 | 12/31/2999 |
| 90966 | 90966 - End-stage renal disease (ESRD) related services for home dialysis per full month for patients 20 years of age and older | 90966 - ESRD SVC HOME DIALYSIS FULL MONTH 20 YR OLD | 90966 - ESRD HOME PT SERV P MO 20+ | '01/01/2017 | 12/31/2999 |
| 90967 | 90967 - End-stage renal disease (ESRD) related services for dialysis less than a full month of service per day; for patients younger than 2 years of age | 90967 - ESRD RELATED SVC | '01/01/2019 | 12/31/2999 | | |
| 90968 | 90968 - End-stage renal disease (ESRD) related services for dialysis less than a full month of service per day; for patients 2-11 years of age | 90968 - ESRD RELATED SVC | '01/01/2019 | 12/31/2999 | | |
| 90969 | 90969 - End-stage renal disease (ESRD) related services for dialysis less than a full month of service per day; for patients 12-19 years of age | 90969 - ESRD RELATED SVC | '01/01/2019 | 12/31/2999 | | |
| 90970 | 90970 - End-stage renal disease (ESRD) related services for dialysis less than a full month of service per day; for patients 20 years of age and older | 90970 - ESRD RELATED SVC | 90970 - ESRD SVC PR DAY PT 20+ | '01/01/2019 | 12/31/2999 |
| 90989 | 90989 - Dialysis training patient including helper where applicable any mode completed course | 90989 - DIALYSIS TRAINING PATIENT COMPLETED COURSE | 90989 - DIALYSIS TRAINING COMPLETE | '01/01/2017 | 12/31/2999 |
| 90993 | 90993 - Dialysis training patient including helper where applicable any mode course not completed per training session | 90993 - DIALYSIS TRAINING PATIENT PER TRAINING SESSION | 90993 - DIALYSIS TRAINING INCOMPL | '01/01/2017 | 12/31/2999 |
| 90997 | 90997 - Hemoperfusion (eg with activated charcoal or resin) | 90997 - HEMOPERFUSION | 90997 - HEMOPERFUSION | '01/01/2017 | 12/31/2999 |
| 90999 | 90999 - Unlisted dialysis procedure inpatient or outpatient | 90999 - UNLISTED DIALYSIS PROCEDURE INPATIENT/OUTPATIENT | 90999 - UNLISTED DIALYSIS PROCEDURE | '01/01/2023 | 12/31/2999 |
| 91010 | 91010 - Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; | 91010 - ESOPHAGEAL MOTILITY STUDY W/INTERP&RPT | 91010 - ESOPHAGUS MOTILITY STUDY | '01/01/2017 | 12/31/2999 |
| 91013 | 91013 - Esophageal motility (manometric study of the esophagus and/or gastroesophageal junction) study with interpretation and report; with stimulation or perfusion (eg stimulant acid or alkali perfusion) (List separately in addition to code for primary procedure) | 91013 - ESOPHAGEAL MOTILITY STD W/I&R STIM/PERFUSION | 91013 - ESOPHGL MOTIL W/STIM/PERFUS | '01/01/2017 | 12/31/2999 |
| 91020 | 91020 - Gastric motility (manometric) studies | 91020 - GASTRIC MOTILITY MANOMETRIC STUDIES | 91020 - GASTRIC MOTILITY STUDIES | '01/01/2017 | 12/31/2999 |
| 91022 | 91022 - Duodenal motility (manometric) study | 91022 - DUODENAL MOTILITY MANOMETRIC STUDY | 91022 - DUODENAL MOTILITY STUDY | '01/01/2017 | 12/31/2999 |
| 91030 | 91030 - Esophagus acid perfusion (Bernstein) test for esophagitis | 91030 - ESOPHAGUS ACID PERFUSION TEST ESOPHAGITIS | 91030 - ACID PERFUSION OF ESOPHAGUS | '01/01/2017 | 12/31/2999 |
| 91034 | 91034 - Esophagus gastroesophageal reflux test; with nasal catheter pH electrode(s) placement recording analysis and interpretation | 91034 - GASTROESOPHAG REFLX TEST W/CATH PH ELTRD PLCMT | 91034 - GASTROESOPHAGEAL REFLUX TEST | '01/01/2017 | 12/31/2999 |
| 91035 | 91035 - Esophagus gastroesophageal reflux test; with mucosal attached telemetry pH electrode placement recording analysis and interpretation | 91035 - GASTROESOPHAG REFLX TEST W/TELEMTRY PH ELTRD | 91035 - G-ESOPH REFLX TST W/ELECTROD | '01/01/2017 | 12/31/2999 |
| 91037 | 91037 - Esophageal function test gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement recording analysis and interpretation; | 91037 - GASTROESOPHAG REFLX TEST W/INTRLUML IMPED ELTRD | 91037 - ESOPH IMPED FUNCTION TEST | '01/01/2017 | 12/31/2999 |
| 91038 | 91038 - Esophageal function test gastroesophageal reflux test with nasal catheter intraluminal impedance electrode(s) placement recording analysis and interpretation; prolonged (greater than 1 hour up to 24 hours) | 91038 - ESOPHGL FUNCJ G-ESOP RFLX IMPD ELTRD PROLNG | 91038 - ESOPH IMPED FUNCT TEST > 1HR | '01/01/2017 | 12/31/2999 |
| 91040 | 91040 - Esophageal balloon distension study diagnostic with provocation when performed | 91040 - ESOPHGL BALO DISTENSION DX STD W/PROVOCATION | 91040 - ESOPH BALLOON DISTENSION TST | '01/01/2017 | 12/31/2999 |
| 91065 | 91065 - Breath hydrogen or methane test (eg for detection of lactase deficiency fructose intolerance bacterial overgrowth or oro-cecal gastrointestinal transit) | 91065 - BREATH HYDROGEN/METHANE TEST | 91065 - BREATH HYDROGEN/METHANE TEST | '01/01/2017 | 12/31/2999 |
| 91110 | 91110 - Gastrointestinal tract imaging intraluminal (eg capsule endoscopy) esophagus through ileum with interpretation and report | 91110 - GI TRC IMG INTRALUMINAL ESOPHAGUS-ILEUM W/I&R | 91110 - GI TRC IMG INTRAL ESOPH-ILE | '01/01/2022 | 12/31/2999 |
| 91111 | 91111 - Gastrointestinal tract imaging intraluminal (eg capsule endoscopy) esophagus with interpretation and report | 91111 - GI TRACT IMAGING INTRALUMINAL ESOPHAGUS WI&R | 91111 - GI TRC IMG INTRAL ESOPHAGUS | '01/01/2022 | 12/31/2999 |
| 91112 | 91112 - Gastrointestinal transit and pressure measurement stomach through colon wireless capsule with interpretation and report | 91112 - GI TRANSIT & PRES MEAS WIRELESS CAPSULE W/INTERP | 91112 - GI WIRELESS CAPSULE MEASURE | '01/01/2017 | 12/31/2999 |
| 91113 | 91113 - Gastrointestinal tract imaging intraluminal (eg capsule endoscopy) colon with interpretation and report | 91113 - GI TRACT IMAGING INTRALUMINAL COLON I&R | 91113 - GI TRC IMG INTRAL COLON I&R | '01/01/2022 | 12/31/2999 |
| 91117 | 91117 - Colon motility (manometric) study minimum 6 hours continuous recording (including provocation tests eg meal intracolonic balloon distension pharmacologic agents if performed) with interpretation and report | 91117 - COLON MOTILITY STDY MIN 6 HR CONT RECORD W/I&R | 91117 - COLON MOTILITY 6 HR STUDY | '01/01/2017 | 12/31/2999 |
| 91120 | 91120 - Rectal sensation tone and compliance test (ie response to graded balloon distention) | 91120 - RECTAL SESATION TONE & COMPLIANCE TEST | 91120 - RECTAL SENSATION TEST | '01/01/2017 | 12/31/2999 |
| 91122 | 91122 - Anorectal manometry | 91122 - ANORECTAL MANOMETRY | 91122 - ANAL PRESSURE RECORD | '01/01/2017 | 12/31/2999 |
| 91132 | 91132 - Electrogastrography diagnostic transcutaneous; | 91132 - ELECTROGASTROGRAPHY DX TRANSCUTANEOUS | 91132 - ELECTROGASTROGRAPHY | '01/01/2017 | 12/31/2999 |
| 91133 | 91133 - Electrogastrography diagnostic transcutaneous; with provocative testing | 91133 - ELECTROGASTROGRAPHY DX TRANSCUT W/PROVOCTVE TSTG | 91133 - ELECTROGASTROGRAPHY W/TEST | '01/01/2017 | 12/31/2999 |
| 91200 | 91200 - Liver elastography mechanically induced shear wave (eg vibration) without imaging with interpretation and report | 91200 - LIVER ELASTOGRAPHY W/O IMAG W/I&R | 91200 - LIVER ELASTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 91299 | 91299 - Unlisted diagnostic gastroenterology procedure | 91299 - UNLISTED DIAGNOSTIC GASTROENTEROLOGY PROCEDURE | 91299 - UNLISTED DX GI PROCEDURE | '01/01/2023 | 12/31/2999 |
| 91300 | 91300 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage diluent reconstituted for intramuscular use | 91300 - SARSCOV2 VACCINE DIL RECON 30 MCG/0.3 ML IM USE | 91300 - SARSCOV2 VAC 30MCG/0.3ML IM | '01/01/2022 | 12/31/2999 |
| 91301 | 91301 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 100 mcg/0.5 mL dosage for intramuscular use | 91301 - SARSCOV2 VACCINE 100 MCG/0.5 ML IM USE | 91301 - SARSCOV2 VAC 100MCG/0.5ML IM | '01/01/2022 | 12/31/2999 |
| 91303 | 91303 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine DNA spike protein adenovirus type 26 (Ad26) vector preservative free 5x1010 viral particles/0.5 mL dosage for intramuscular use | 91303 - SARSCOV2 VACCINE AD26 5X1010VP/0.5ML IM USE | 91303 - SARSCOV2 VAC AD26 .5ML IM | '01/01/2022 | 12/31/2999 |
| 91304 | 91304 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine recombinant spike protein nanoparticle saponin-based adjuvant preservative free 5 mcg/0.5 mL dosage for intramuscular use | 91304 - SARSCOV2 VACC SAPONIN-BSD ADJT 5MCG/0.5ML IM USE | 91304 - SARSCOV2 VAC 5MCG/0.5ML IM | '01/01/2023 | 12/31/2999 |
| 91305 | 91305 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation for intramuscular use | 91305 - SARSCOV2 VACCINE 30MCG/0.3ML TRIS-SUCROSE IM USE | 91305 - SARSCOV2 VAC 30 MCG TRS-SUCR | '01/01/2023 | 12/31/2999 |
| 91306 | 91306 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.25 mL dosage for intramuscular use | 91306 - SARSCOV2 VACCINE 50 MCG/0.25 ML IM USE | 91306 - SARSCOV2 VAC 50MCG/0.25ML IM | '01/01/2023 | 12/31/2999 |
| 91307 | 91307 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation for intramuscular use | 91307 - SARSCOV2 VACCINE 10MCG/0.2ML TRIS-SUCROSE IM USE | 91307 - SARSCOV2 VAC 10 MCG TRS-SUCR | 10/29/2021 | 12/31/2999 |
| 91308 | 91308 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation for intramuscular use | 91308 - SARSCOV2 VACCINE 3MCG/0.2ML TRIS-SUCROSE IM USE | 91308 - SARSCOV2 VAC 3 MCG TRS-SUCR | '01/01/2023 | 12/31/2999 |
| 91309 | 91309 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 50 mcg/0.5 mL dosage for intramuscular use | 91309 - SARSCOV2 VACCINE 50 MCG/0.5 ML IM USE | 91309 - SARSCOV2 VAC 50MCG/0.5ML IM | '01/01/2023 | 12/31/2999 |
| 91311 | 91311 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein preservative free 25 mcg/0.25 mL dosage for intramuscular use | 91311 - SARSCOV2 VACCINE 25 MCG/0.25 ML IM USE | 91311 - SARSCOV2 VAC 25MCG/0.25ML IM | '01/01/2023 | 12/31/2999 |
| 91312 | 91312 - Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 30 mcg/0.3 mL dosage tris-sucrose formulation for intramuscular use | 91312 - SARSCOV2 VACCINE BIVALENT 30 MCG/0.3 ML IM USE | 91312 - SARSCOV2 VAC BVL 30MCG/0.3ML | '08/31/2022 | 12/31/2999 |
| 91313 | 91313 - Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein bivalent preservative free 50 mcg/0.5 mL dosage for intramuscular use | 91313 - SARSCOV2 VACCINE BIVALENT 50 MCG/0.5 ML IM USE | 91313 - SARSCOV2 VAC BVL 50MCG/0.5ML | '08/31/2022 | 12/31/2999 |
| 91314 | 91314 - Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP spike protein bivalent preservative free 25 mcg/0.25 mL dosage for intramuscular use | 91314 - SARSCOV2 VACCINE BIVALENT 25 MCG/0.25 ML IM USE | 91314 - SARSCOV2 VAC BVL 25MCG/.25ML | 12-10-2022 | 12/31/2999 |
| 91315 | 91315 - Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 10 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation for intramuscular use | 91315 - SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE | 91315 - SARSCOV2 VAC BVL 10MCG/0.2ML | 12-10-2022 | 12/31/2999 |
| 91316 | 91316 - Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]) vaccine mRNA-LNP spike protein bivalent preservative free 10 mcg/0.2 mL dosage for intramuscular use | 91316 - SARSCOV2 VACCINE BIVALENT 10 MCG/0.2 ML IM USE | 91316 - SARSCOV2 VAC BVL 10MCG/0.2ML | 08-12-2022 | 12/31/2999 |
| 91317 | 91317 - Severe acute respiratory syndrome coronavirus 2 (SARSCoV-2) (coronavirus disease [COVID-19]) vaccine mRNALNP bivalent spike protein preservative free 3 mcg/0.2 mL dosage diluent reconstituted tris-sucrose formulation for intramuscular use | 91317 - SARSCOV2 VACCINE BIVALENT 3 MCG/0.2 ML IM USE | 91317 - SARSCOV2 VAC BVL 3MCG/0.2ML | 08-12-2022 | 12/31/2999 |
| 92002 | 92002 - Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; intermediate new patient | 92002 - OPHTH MEDICAL XM&EVAL INTERMEDIATE NEW PT | 92002 - EYE EXAM NEW PATIENT | '01/01/2017 | 12/31/2999 |
| 92004 | 92004 - Ophthalmological services: medical examination and evaluation with initiation of diagnostic and treatment program; comprehensive new patient 1 or more visits | 92004 - OPHTH MEDICAL XM&EVAL COMPRE NEW PT 1/> VST | 92004 - EYE EXAM NEW PATIENT | '01/01/2017 | 12/31/2999 |
| 92012 | 92012 - Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program; intermediate established patient | 92012 - OPHTH MEDICAL XM&EVAL INTERMEDIATE ESTAB PT | 92012 - EYE EXAM ESTABLISH PATIENT | '01/01/2017 | 12/31/2999 |
| 92014 | 92014 - Ophthalmological services: medical examination and evaluation with initiation or continuation of diagnostic and treatment program; comprehensive established patient 1 or more visits | 92014 - OPHTH MEDICAL XM&EVAL COMPRHNSV ESTAB PT 1/> | 92014 - EYE EXAM&TX ESTAB PT 1/>VST | '01/01/2017 | 12/31/2999 |
| 92015 | 92015 - Determination of refractive state | 92015 - DETERMINATION REFRACTIVE STATE | 92015 - DETERMINE REFRACTIVE STATE | '01/01/2017 | 12/31/2999 |
| 92018 | 92018 - Ophthalmological examination and evaluation under general anesthesia with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; complete | 92018 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE COMPL | 92018 - NEW EYE EXAM & TREATMENT | '01/01/2017 | 12/31/2999 |
| 92019 | 92019 - Ophthalmological examination and evaluation under general anesthesia with or without manipulation of globe for passive range of motion or other manipulation to facilitate diagnostic examination; limited | 92019 - OPHTH XM&EVAL ANES W/WO MANJ GLOBE LMTD | 92019 - EYE EXAM & TREATMENT | '01/01/2017 | 12/31/2999 |
| 92020 | 92020 - Gonioscopy (separate procedure) | 92020 - GONIOSCOPY SEPARATE PROCEDURE | 92020 - SPECIAL EYE EVALUATION | '01/01/2017 | 12/31/2999 |
| 92025 | 92025 - Computerized corneal topography unilateral or bilateral with interpretation and report | 92025 - COMPUTERIZED CORNEAL TOPOGRAPHY UNI/BI | 92025 - CORNEAL TOPOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92060 | 92060 - Sensorimotor examination with multiple measurements of ocular deviation (eg restrictive or paretic muscle with diplopia) with interpretation and report (separate procedure) | 92060 - SENSORMOTOR XM W/MLT MEAS OCULAR DEVIJ W/I&R SPX | 92060 - SPECIAL EYE EVALUATION | '01/01/2017 | 12/31/2999 |
| 92065 | 92065 - Orthoptic training; performed by a physician or other qualified health care professional | 92065 - ORTHOPTIC TRAINING PERFORMED BY PHYS/OTHER QHP | 92065 - ORTHOP TRAING PFRMD PHYS/QHP | '01/01/2023 | 12/31/2999 |
| 92066 | 92066 - Orthoptic training; under supervision of a physician or other qualified health care professional | 92066 - ORTHOPTIC TRAINING UNDER SUPERVISION OF PHYS/QHP | 92066 - ORTHOP TRAING SUPVJ PHYS/QHP | '01/01/2023 | 12/31/2999 |
| 92071 | 92071 - Fitting of contact lens for treatment of ocular surface disease | 92071 - FIT CONTACT LENS TX OCULAR SURFACE DISEASE | 92071 - CONTACT LENS FITTING FOR TX | '01/01/2017 | 12/31/2999 |
| 92072 | 92072 - Fitting of contact lens for management of keratoconus initial fitting | 92072 - FITTING CONTACT LENS FOR MNGT OF KERATOCONUS | 92072 - FIT CONTAC LENS FOR MANAGMNT | '01/01/2017 | 12/31/2999 |
| 92081 | 92081 - Visual field examination unilateral or bilateral with interpretation and report; limited examination (eg tangent screen Autoplot arc perimeter or single stimulus level automated test such as Octopus 3 or 7 equivalent) | 92081 - VISUAL FIELD XM UNI/BI W/INTERPRETJ LIMITED EXAM | 92081 - VISUAL FIELD EXAMINATION(S) | '01/01/2017 | 12/31/2999 |
| 92082 | 92082 - Visual field examination unilateral or bilateral with interpretation and report; intermediate examination (eg at least 2 isopters on Goldmann perimeter or semiquantitative automated suprathreshold screening program Humphrey suprathreshold automatic diagnostic test Octopus program 33) | 92082 - VISUAL FIELD XM UNI/BI W/INTERP INTERMED EXAM | 92082 - VISUAL FIELD EXAMINATION(S) | '01/01/2017 | 12/31/2999 |
| 92083 | 92083 - Visual field examination unilateral or bilateral with interpretation and report; extended examination (eg Goldmann visual fields with at least 3 isopters plotted and static determination within the central 30 deg or quantitative automated threshold perimetry Octopus program G-1 32 or 42 Humphrey visual field analyzer full threshold programs 30-2 24-2 or 30/60-2) | 92083 - VISUAL FIELD XM UNI/BI W/INTERP EXTENDED EXAM | 92083 - VISUAL FIELD EXAMINATION(S) | '01/01/2017 | 12/31/2999 |
| 92100 | 92100 - Serial tonometry (separate procedure) with multiple measurements of intraocular pressure over an extended time period with interpretation and report same day (eg diurnal curve or medical treatment of acute elevation of intraocular pressure) | 92100 - SERIAL TONOMETRY SPX W/MLT MEAS INTRAOCULAR PRES | 92100 - SERIAL TONOMETRY EXAM(S) | '01/01/2017 | 12/31/2999 |
| 92132 | 92132 - Scanning computerized ophthalmic diagnostic imaging anterior segment with interpretation and report unilateral or bilateral | 92132 - CMPTR OPHTHALMIC DX IMG ANT SEGMT W/I&R UNI/BI | 92132 - CMPTR OPHTH DX IMG ANT SEGMT | '01/01/2017 | 12/31/2999 |
| 92133 | 92133 - Scanning computerized ophthalmic diagnostic imaging posterior segment with interpretation and report unilateral or bilateral; optic nerve | 92133 - COMPUTERIZED OPHTHALMIC IMAGING OPTIC NERVE | 92133 - CMPTR OPHTH IMG OPTIC NERVE | '01/01/2017 | 12/31/2999 |
| 92134 | 92134 - Scanning computerized ophthalmic diagnostic imaging posterior segment with interpretation and report unilateral or bilateral; retina | 92134 - COMPUTERIZED OPHTHALMIC IMAGING RETINA | 92134 - CPTR OPHTH DX IMG POST SEGMT | '01/01/2017 | 12/31/2999 |
| 92136 | 92136 - Ophthalmic biometry by partial coherence interferometry with intraocular lens power calculation | 92136 - OPH BMTRY PRTL COHER INTRFRMTRY IO LENS PWR CAL | 92136 - OPHTHALMIC BIOMETRY | '01/01/2017 | 12/31/2999 |
| 92145 | 92145 - Corneal hysteresis determination by air impulse stimulation unilateral or bilateral with interpretation and report | 92145 - CORNEA HYSTERESIS DETERMIN IMPULSE STIMJ UNI/BI | 92145 - CORNEAL HYSTERESIS DETER | '01/01/2017 | 12/31/2999 |
| 92201 | 92201 - Ophthalmoscopy extended; with retinal drawing and scleral depression of peripheral retinal disease (eg for retinal tear retinal detachment retinal tumor) with interpretation and report unilateral or bilateral | 92201 - OPSCPY EXTND RTA DRAWING & SCL DEPRSN I&R UNI/BI | 92201 - OPSCPY EXTND RTA DRAW UNI/BI | '01/01/2020 | 12/31/2999 |
| 92202 | 92202 - Ophthalmoscopy extended; with drawing of optic nerve or macula (eg for glaucoma macular pathology tumor) with interpretation and report unilateral or bilateral | 92202 - OPSCPY EXTND OPTIC NRV/MACULA DRAWING I&R UNI/BI | 92202 - OPSCPY EXTND ON/MAC DRAW | '01/01/2020 | 12/31/2999 |
| 92227 | 92227 - Imaging of retina for detection or monitoring of disease; with remote clinical staff review and report unilateral or bilateral | 92227 - IMG RETINA DETCJ/MNTR DS REM CLIN STAFF UNI/BI | 92227 - IMG RTA DETCJ/MNTR DS STAFF | '01/01/2021 | 12/31/2999 |
| 92228 | 92228 - Imaging of retina for detection or monitoring of disease; with remote physician or other qualified health care professional interpretation and report unilateral or bilateral | 92228 - IMG RETINA DETCJ/MNTR DS REM PHYS/QHP I&R UNI/BI | 92228 - IMG RTA DETC/MNTR DS PHY/QHP | '01/01/2021 | 12/31/2999 |
| 92229 | 92229 - Imaging of retina for detection or monitoring of disease; point-of-care autonomous analysis and report unilateral or bilateral | 92229 - IMG RETINA DETCJ/MNTR DS POC AUTON A/R UNI/BI | 92229 - IMG RTA DETC/MNTR DS POC ALY | '01/01/2023 | 12/31/2999 |
| 92230 | 92230 - Fluorescein angioscopy with interpretation and report | 92230 - FLUORESCEIN ANGIOSCOPY INTERPRETATION & REPORT | 92230 - EYE EXAM WITH PHOTOS | '01/01/2017 | 12/31/2999 |
| 92235 | 92235 - Fluorescein angiography (includes multiframe imaging) with interpretation and report unilateral or bilateral | 92235 - FLUORESCEIN ANGRPH W/MULTIFRAME I&R UNI/BI | 92235 - FLUORESCEIN ANGRPH UNI/BI | '01/01/2017 | 12/31/2999 |
| 92240 | 92240 - Indocyanine-green angiography (includes multiframe imaging) with interpretation and report unilateral or bilateral | 92240 - INDOCYANINE-GREEN ANGRPH W/MULTIFRAME I&R UNI/BI | 92240 - ICG ANGIOGRAPHY UNI/BI | '01/01/2017 | 12/31/2999 |
| 92242 | 92242 - Fluorescein angiography and indocyanine-green angiography (includes multiframe imaging) performed at the same patient encounter with interpretation and report unilateral or bilateral | 92242 - FLUORESCEIN ICG ANGRPH W/MULTIFRAME I&R UNI/BI | 92242 - FLUORESCEIN ICG ANGIOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92250 | 92250 - Fundus photography with interpretation and report | 92250 - FUNDUS PHOTOGRAPHY W/INTERPRETATION & REPORT | 92250 - EYE EXAM WITH PHOTOS | '01/01/2017 | 12/31/2999 |
| 92260 | 92260 - Ophthalmodynamometry | 92260 - OPHTHALMODYNAMOMETRY | 92260 - OPHTHALMOSCOPY/DYNAMOMETRY | '01/01/2017 | 12/31/2999 |
| 92265 | 92265 - Needle oculoelectromyography 1 or more extraocular muscles 1 or both eyes with interpretation and report | 92265 - NEEDLE OCULOGRAPHY 1/ XOC MUSC 1/BOTH EYE W/I&R | 92265 - EYE MUSCLE EVALUATION | '01/01/2017 | 12/31/2999 |
| 92270 | 92270 - Electro-oculography with interpretation and report | 92270 - ELECTRO-OCULOGRAPY W/INTERPRETATION & REPORT | 92270 - ELECTRO-OCULOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92273 | 92273 - Electroretinography (ERG) with interpretation and report; full field (ie ffERG flash ERG Ganzfeld ERG) | 92273 - FULL FIELD ELECTRORETINOGRAPHY W/I&R | 92273 - FULL FIELD ERG W/I&R | '01/01/2019 | 12/31/2999 |
| 92274 | 92274 - Electroretinography (ERG) with interpretation and report; multifocal (mfERG) | 92274 - MULTIFOCAL ELECTRORETINOGRAPHY W/I&R | 92274 - MULTIFOCAL ERG W/I&R | '01/01/2019 | 12/31/2999 |
| 92283 | 92283 - Color vision examination extended eg anomaloscope or equivalent | 92283 - COLOR VISION XM EXTENDED ANOMALOSCOPE/EQUIV | 92283 - COLOR VISION EXAMINATION | '01/01/2017 | 12/31/2999 |
| 92284 | 92284 - Diagnostic dark adaptation examination with interpretation and report | 92284 - DX DARK ADAPTATION EXAM INTERPRETATION & REPORT | 92284 - DX DARK ADAPTATION EXAM I&R | '01/01/2023 | 12/31/2999 |
| 92285 | 92285 - External ocular photography with interpretation and report for documentation of medical progress (eg close-up photography slit lamp photography goniophotography stereo-photography) | 92285 - XTRNL OCULAR PHOTOG W/I&R DOCMT MEDICAL PROGRE | 92285 - EYE PHOTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92286 | 92286 - Anterior segment imaging with interpretation and report; with specular microscopy and endothelial cell analysis | 92286 - ANT SGM IMAGING W/MICROSCOPY ENDOTHELIAL ANALY | 92286 - INTERNAL EYE PHOTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92287 | 92287 - Anterior segment imaging with interpretation and report; with fluorescein angiography | 92287 - ANT SGM IMAGING W/FLUOROSCEIN ANGIO & I&R | 92287 - INTERNAL EYE PHOTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92310 | 92310 - Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation; corneal lens both eyes except for aphakia | 92310 - RX&FITG C-LENS SUPVJ CRNL LENS OU XCPT APHK | 92310 - CONTACT LENS FITTING | '01/01/2017 | 12/31/2999 |
| 92311 | 92311 - Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation; corneal lens for aphakia 1 eye | 92311 - RX&FITG CONTACT CORNEAL LENS APHAKIA 1 EYE | 92311 - CONTACT LENS FITTING | '01/01/2017 | 12/31/2999 |
| 92312 | 92312 - Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation; corneal lens for aphakia both eyes | 92312 - RX&FITG CONTACT CORNEAL LENS APHAKIA BOTH EYES | 92312 - CONTACT LENS FITTING | '01/01/2017 | 12/31/2999 |
| 92313 | 92313 - Prescription of optical and physical characteristics of and fitting of contact lens with medical supervision of adaptation; corneoscleral lens | 92313 - RX&FITG CORNEOSCLERAL LENS | 92313 - CONTACT LENS FITTING | '01/01/2017 | 12/31/2999 |
| 92314 | 92314 - Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician; corneal lens both eyes except for aphakia | 92314 - RX&FTG CONTACT CORNEAL LENS EYES XCPT APHAKIA | 92314 - PRESCRIPTION OF CONTACT LENS | '01/01/2017 | 12/31/2999 |
| 92315 | 92315 - Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia 1 eye | 92315 - RX CONTACT CORNEAL LENS APHAKIA 1 EYE | 92315 - RX CNTACT LENS APHAKIA 1 EYE | '01/01/2017 | 12/31/2999 |
| 92316 | 92316 - Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician; corneal lens for aphakia both eyes | 92316 - RX CONTACT CORNEAL LENS APHAKIA BOTH EYES | 92316 - RX CNTACT LENS APHAKIA 2 EYE | '01/01/2017 | 12/31/2999 |
| 92317 | 92317 - Prescription of optical and physical characteristics of contact lens with medical supervision of adaptation and direction of fitting by independent technician; corneoscleral lens | 92317 - RX CONTACT CORNEOSCLERAL LENS | 92317 - RX CORNEOSCLERAL CNTACT LENS | '01/01/2017 | 12/31/2999 |
| 92325 | 92325 - Modification of contact lens (separate procedure) with medical supervision of adaptation | 92325 - MODIFICAJ CONTACT LENX SPX SUPVJ ADAPTATION | 92325 - MODIFICATION OF CONTACT LENS | '01/01/2017 | 12/31/2999 |
| 92326 | 92326 - Replacement of contact lens | 92326 - REPLACEMENT CONTACT LENS | 92326 - REPLACEMENT OF CONTACT LENS | '01/01/2017 | 12/31/2999 |
| 92340 | 92340 - Fitting of spectacles except for aphakia; monofocal | 92340 - FITTING SPECTACLES XCPT APHAKIA MONOFOCAL | 92340 - FIT SPECTACLES MONOFOCAL | '01/01/2017 | 12/31/2999 |
| 92341 | 92341 - Fitting of spectacles except for aphakia; bifocal | 92341 - FITTING SPECTACLES XCPT APHAKIA BIFOCAL | 92341 - FIT SPECTACLES BIFOCAL | '01/01/2017 | 12/31/2999 |
| 92342 | 92342 - Fitting of spectacles except for aphakia; multifocal other than bifocal | 92342 - FITTING SPECTACLES XCPT APHAKIA MULTIFOCAL | 92342 - FIT SPECTACLES MULTIFOCAL | '01/01/2017 | 12/31/2999 |
| 92352 | 92352 - Fitting of spectacle prosthesis for aphakia; monofocal | 92352 - FITTING SPECTACLE PROSTH APHAKIA MONOFOCAL | 92352 - FIT APHAKIA SPECTCL MONOFOCL | '01/01/2017 | 12/31/2999 |
| 92353 | 92353 - Fitting of spectacle prosthesis for aphakia; multifocal | 92353 - FITTING SPECTACLE PROSTH APHAKIA MULTIFOCAL | 92353 - FIT APHAKIA SPECTCL MULTIFOC | '01/01/2017 | 12/31/2999 |
| 92354 | 92354 - Fitting of spectacle mounted low vision aid; single element system | 92354 - FITTING SPECTACLE MOUNTED LW VIS AID 1 ELMNT | 92354 - FIT SPECTACLES SINGLE SYSTEM | '01/01/2017 | 12/31/2999 |
| 92355 | 92355 - Fitting of spectacle mounted low vision aid; telescopic or other compound lens system | 92355 - FITTING SPECTACLE MOUNTED LW VIS AID TLSCP | 92355 - FIT SPECTACLES COMPOUND LENS | '01/01/2017 | 12/31/2999 |
| 92358 | 92358 - Prosthesis service for aphakia temporary (disposable or loan including materials) | 92358 - PROSTHESIS SERVICE APHAKIA TEMPORARY | 92358 - APHAKIA PROSTH SERVICE TEMP | '01/01/2017 | 12/31/2999 |
| 92370 | 92370 - Repair and refitting spectacles; except for aphakia | 92370 - RPR&REFITG SPECTACLES EXCEPT APHAKIA | 92370 - REPAIR & ADJUST SPECTACLES | '01/01/2017 | 12/31/2999 |
| 92371 | 92371 - Repair and refitting spectacles; spectacle prosthesis for aphakia | 92371 - RPR&REFITG SPECTACLE PROSTHESIS APHAKIA | 92371 - REPAIR & ADJUST SPECTACLES | '01/01/2017 | 12/31/2999 |
| 92499 | 92499 - Unlisted ophthalmological service or procedure | 92499 - UNLISTED OPHTHALMOLOGICAL SERVICE/PROCEDURE | 92499 - UNLISTED OPH SVC/PROCEDURE | '01/01/2023 | 12/31/2999 |
| 92502 | 92502 - Otolaryngologic examination under general anesthesia | 92502 - OTOLARYNGOLOGIC EXAM UNDER GENERAL ANESTHESIA | 92502 - EAR AND THROAT EXAMINATION | '01/01/2017 | 12/31/2999 |
| 92504 | 92504 - Binocular microscopy (separate diagnostic procedure) | 92504 - BINOCULAR MICROSCOPY SEPARATE DX PROCEDURE | 92504 - EAR MICROSCOPY EXAMINATION | '01/01/2017 | 12/31/2999 |
| 92507 | 92507 - Treatment of speech language voice communication and/or auditory processing disorder; individual | 92507 - TX SPEECH LANG VOICE COMMJ &/AUDITORY PROC IND | 92507 - SPEECH/HEARING THERAPY | '01/01/2017 | 12/31/2999 |
| 92508 | 92508 - Treatment of speech language voice communication and/or auditory processing disorder; group 2 or more individuals | 92508 - TX SPEECH LANGUAGE VOICE COMMJ AUDITRY 2/>INDIV | 92508 - SPEECH/HEARING THERAPY | '01/01/2017 | 12/31/2999 |
| 92511 | 92511 - Nasopharyngoscopy with endoscope (separate procedure) | 92511 - NASOPHARYNGOSCOPY W/ENDOSCOPE SPX | 92511 - NASOPHARYNGOSCOPY | '01/01/2017 | 12/31/2999 |
| 92512 | 92512 - Nasal function studies (eg rhinomanometry) | 92512 - NASAL FUNCTION STUDIES | 92512 - NASAL FUNCTION STUDIES | '01/01/2017 | 12/31/2999 |
| 92516 | 92516 - Facial nerve function studies (eg electroneuronography) | 92516 - FACIAL NERVE FUNCTION STUDIES | 92516 - FACIAL NERVE FUNCTION TEST | '01/01/2017 | 12/31/2999 |
| 92517 | 92517 - Vestibular evoked myogenic potential (VEMP) testing with interpretation and report; cervical (cVEMP) | 92517 - CERVICAL VEMP TESTING W/I&R | 92517 - VEMP TEST I&R CERVICAL | '01/01/2021 | 12/31/2999 |
| 92518 | 92518 - Vestibular evoked myogenic potential (VEMP) testing with interpretation and report; ocular (oVEMP) | 92518 - OCULAR VEMP TESTING W/I&R | 92518 - VEMP TEST I&R OCULAR | '01/01/2021 | 12/31/2999 |
| 92519 | 92519 - Vestibular evoked myogenic potential (VEMP) testing with interpretation and report; cervical (cVEMP) and ocular (oVEMP) | 92519 - CERVICAL & OCULAR VEMP TESTING W/I&R | 92519 - VEMP TST I&R CERVICAL&OCULAR | '01/01/2021 | 12/31/2999 |
| 92520 | 92520 - Laryngeal function studies (ie aerodynamic testing and acoustic testing) | 92520 - LARYNGEAL FUNCTION STUDIES | 92520 - LARYNGEAL FUNCTION STUDIES | '01/01/2017 | 12/31/2999 |
| 92521 | 92521 - Evaluation of speech fluency (eg stuttering cluttering) | 92521 - EVALUATION OF SPEECH FLUENCY (STUTTER CLUTTER) | 92521 - EVALUATION OF SPEECH FLUENCY | '01/01/2017 | 12/31/2999 |
| 92522 | 92522 - Evaluation of speech sound production (eg articulation phonological process apraxia dysarthria); | 92522 - EVALUATION OF SPEECH SOUND PRODUCTION ARTICULATE | 92522 - EVALUATE SPEECH PRODUCTION | '01/01/2017 | 12/31/2999 |
| 92523 | 92523 - Evaluation of speech sound production (eg articulation phonological process apraxia dysarthria); with evaluation of language comprehension and expression (eg receptive and expressive language) | 92523 - EVAL SPEECH SOUND PRODUCT LANGUAGE COMPREHENSION | 92523 - SPEECH SOUND LANG COMPREHEN | '01/01/2017 | 12/31/2999 |
| 92524 | 92524 - Behavioral and qualitative analysis of voice and resonance | 92524 - BEHAVIORAL & QUALIT ANALYSIS VOICE AND RESONANCE | 92524 - BEHAVRAL QUALIT ANALYS VOICE | '01/01/2017 | 12/31/2999 |
| 92526 | 92526 - Treatment of swallowing dysfunction and/or oral function for feeding | 92526 - TX SWALLOWING DYSFUNCTION&/ORAL FUNCJ FEEDING | 92526 - ORAL FUNCTION THERAPY | '01/01/2017 | 12/31/2999 |
| 92531 | 92531 - Spontaneous nystagmus including gaze | 92531 - SPONTANEOUS NYSTAGMUS W/GAZE | 92531 - SPONTANEOUS NYSTAGMUS STUDY | '01/01/2017 | 12/31/2999 |
| 92532 | 92532 - Positional nystagmus test | 92532 - POSITIONAL NYSTAGMUS TEST | 92532 - POSITIONAL NYSTAGMUS TEST | '01/01/2017 | 12/31/2999 |
| 92533 | 92533 - Caloric vestibular test each irrigation (binaural bithermal stimulation constitutes 4 tests) | 92533 - CALORIC VESTIBULAR TEST EACH IRRIGATION | 92533 - CALORIC VESTIBULAR TEST | '01/01/2017 | 12/31/2999 |
| 92534 | 92534 - Optokinetic nystagmus test | 92534 - OPTOKINETIC NYSTAGMUS TEST | 92534 - OPTOKINETIC NYSTAGMUS TEST | '01/01/2017 | 12/31/2999 |
| 92537 | 92537 - Caloric vestibular test with recording bilateral; bithermal (ie one warm and one cool irrigation in each ear for a total of four irrigations) | 92537 - CALORIC VESTIBULAR TEST W/REC BI BITHERMAL | 92537 - CALORIC VSTBLR TEST W/REC | '01/01/2017 | 12/31/2999 |
| 92538 | 92538 - Caloric vestibular test with recording bilateral; monothermal (ie one irrigation in each ear for a total of two irrigations) | 92538 - CALORIC VESTIBULAR TEST W/REC BI MONOTHERMAL | 92538 - CALORIC VSTBLR TEST W/REC | '01/01/2017 | 12/31/2999 |
| 92540 | 92540 - Basic vestibular evaluation includes spontaneous nystagmus test with eccentric gaze fixation nystagmus with recording positional nystagmus test minimum of 4 positions with recording optokinetic nystagmus test bidirectional foveal and peripheral stimulation with recording and oscillating tracking test with recording | 92540 - VSTBLR FUNCJ NYSTAG FOVL&PERPH STIMJ OSCIL TRK | 92540 - BASIC VESTIBULAR EVALUATION | '01/01/2017 | 12/31/2999 |
| 92541 | 92541 - Spontaneous nystagmus test including gaze and fixation nystagmus with recording | 92541 - SPONTANEOUS NYSTAGMUS TEST | 92541 - SPONTANEOUS NYSTAGMUS TEST | '01/01/2017 | 12/31/2999 |
| 92542 | 92542 - Positional nystagmus test minimum of 4 positions with recording | 92542 - POSITIONAL NYSTAGMUS TEST | 92542 - POSITIONAL NYSTAGMUS TEST | '01/01/2017 | 12/31/2999 |
| 92544 | 92544 - Optokinetic nystagmus test bidirectional foveal or peripheral stimulation with recording | 92544 - OPTKINETIC NYSTAG BIDIR/FOVEAL/PERIPH STIM W/REC | 92544 - OPTOKINETIC NYSTAGMUS TEST | '01/01/2017 | 12/31/2999 |
| 92545 | 92545 - Oscillating tracking test with recording | 92545 - OSCILLATING TRACKING TEST W/RECORDING | 92545 - OSCILLATING TRACKING TEST | '01/01/2017 | 12/31/2999 |
| 92546 | 92546 - Sinusoidal vertical axis rotational testing | 92546 - SINUSOIDAL VERTICAL AXIS ROTATIONAL TESTING | 92546 - SINUSOIDAL ROTATIONAL TEST | '01/01/2017 | 12/31/2999 |
| 92547 | 92547 - Use of vertical electrodes (List separately in addition to code for primary procedure) | 92547 - USE VERTICAL ELECTRODES | 92547 - SUPPLEMENTAL ELECTRICAL TEST | '01/01/2017 | 12/31/2999 |
| 92548 | 92548 - Computerized dynamic posturography sensory organization test (CDP-SOT) 6 conditions (ie eyes open eyes closed visual sway platform sway eyes closed platform sway platform and visual sway) including interpretation and report; | 92548 - CDP-SOT 6 CONDITIONS W/INTERPRETATION & REPORT | 92548 - CDP-SOT 6 COND W/I&R | '01/01/2020 | 12/31/2999 |
| 92549 | 92549 - Computerized dynamic posturography sensory organization test (CDP-SOT) 6 conditions (ie eyes open eyes closed visual sway platform sway eyes closed platform sway platform and visual sway) including interpretation and report; with motor control test (MCT) and adaptation test (ADT) | 92549 - CDP-SOT 6 CONDITIONS W/I&R W/MCT & ADT | 92549 - CDP-SOT 6 COND W/I&R MCT&ADT | '01/01/2020 | 12/31/2999 |
| 92550 | 92550 - Tympanometry and reflex threshold measurements | 92550 - TYMPANOMETRY AND REFLEX THRESHOLD MEASUREMENTS | 92550 - TYMPANOMETRY & REFLEX THRESH | '01/01/2017 | 12/31/2999 |
| 92551 | 92551 - Screening test pure tone air only | 92551 - SCREENING TEST PURE TONE AIR ONLY | 92551 - PURE TONE HEARING TEST AIR | '01/01/2017 | 12/31/2999 |
| 92552 | 92552 - Pure tone audiometry (threshold); air only | 92552 - PURE TONE AUDIOMETRY AIR ONLY | 92552 - PURE TONE AUDIOMETRY AIR | '01/01/2017 | 12/31/2999 |
| 92553 | 92553 - Pure tone audiometry (threshold); air and bone | 92553 - PURE TONE AUDIOMETRY AIR & BONE | 92553 - AUDIOMETRY AIR & BONE | '01/01/2017 | 12/31/2999 |
| 92555 | 92555 - Speech audiometry threshold; | 92555 - SPEECH AUDIOMETRY THRESHOLD | 92555 - SPEECH THRESHOLD AUDIOMETRY | '01/01/2017 | 12/31/2999 |
| 92556 | 92556 - Speech audiometry threshold; with speech recognition | 92556 - SPEECH AUDIOMETRY THRESHOLD SPEECH RECOGNIJ | 92556 - SPEECH AUDIOMETRY COMPLETE | '01/01/2017 | 12/31/2999 |
| 92557 | 92557 - Comprehensive audiometry threshold evaluation and speech recognition (92553 and 92556 combined) | 92557 - COMPRE AUDIOMETRY THRESHOLD EVAL SP RECOGNIJ | 92557 - COMPREHENSIVE HEARING TEST | '01/01/2017 | 12/31/2999 |
| 92558 | 92558 - Evoked otoacoustic emissions screening (qualitative measurement of distortion product or transient evoked otoacoustic emissions) automated analysis | 92558 - EVOKED OTOACOUSTIC EMISSIONS SCREEN AUTO ANALYS | 92558 - EVOKED AUDITORY TEST QUAL | '01/01/2017 | 12/31/2999 |
| 92562 | 92562 - Loudness balance test alternate binaural or monaural | 92562 - LOUDNESS BALANCE BINAURAL/MONAURAL | 92562 - LOUDNESS BALANCE TEST | '01/01/2017 | 12/31/2999 |
| 92563 | 92563 - Tone decay test | 92563 - TONE DECAY TEST | 92563 - TONE DECAY HEARING TEST | '01/01/2017 | 12/31/2999 |
| 92565 | 92565 - Stenger test pure tone | 92565 - STENGER TEST PURE TONE | 92565 - STENGER TEST PURE TONE | '01/01/2017 | 12/31/2999 |
| 92567 | 92567 - Tympanometry (impedance testing) | 92567 - TYMPANOMETRY | 92567 - TYMPANOMETRY | '01/01/2017 | 12/31/2999 |
| 92568 | 92568 - Acoustic reflex testing threshold | 92568 - ACOUSTIC REFLEX THRESHOLD | 92568 - ACOUSTIC REFL THRESHOLD TST | '01/01/2017 | 12/31/2999 |
| 92570 | 92570 - Acoustic immittance testing includes tympanometry (impedance testing) acoustic reflex threshold testing and acoustic reflex decay testing | 92570 - ACOUSTIC IMMIT TEST TYMPANOM/ACOUST REFLX/DECAY | 92570 - ACOUSTIC IMMITANCE TESTING | '01/01/2017 | 12/31/2999 |
| 92571 | 92571 - Filtered speech test | 92571 - FILTERED SPEECH TEST | 92571 - FILTERED SPEECH HEARING TEST | '01/01/2017 | 12/31/2999 |
| 92572 | 92572 - Staggered spondaic word test | 92572 - STAGGERED SPONDAIC WORD | 92572 - STAGGERED SPONDAIC WORD TEST | '01/01/2017 | 12/31/2999 |
| 92575 | 92575 - Sensorineural acuity level test | 92575 - SENSORINEURAL ACUITY LEVEL | 92575 - SENSORINEURAL ACUITY TEST | '01/01/2017 | 12/31/2999 |
| 92576 | 92576 - Synthetic sentence identification test | 92576 - SYNTHETIC SENTENCE IDENTIFICATION TEST | 92576 - SYNTHETIC SENTENCE TEST | '01/01/2017 | 12/31/2999 |
| 92577 | 92577 - Stenger test speech | 92577 - STENGER TEST SPEECH | 92577 - STENGER TEST SPEECH | '01/01/2017 | 12/31/2999 |
| 92579 | 92579 - Visual reinforcement audiometry (VRA) | 92579 - VISUAL REINFORCEMENT AUDIOMETRY | 92579 - VISUAL AUDIOMETRY (VRA) | '01/01/2017 | 12/31/2999 |
| 92582 | 92582 - Conditioning play audiometry | 92582 - CONDITIONING PLAY AUDIOMETRY | 92582 - CONDITIONING PLAY AUDIOMETRY | '01/01/2017 | 12/31/2999 |
| 92583 | 92583 - Select picture audiometry | 92583 - SELECT PICTURE AUDIOMETRY | 92583 - SELECT PICTURE AUDIOMETRY | '01/01/2017 | 12/31/2999 |
| 92584 | 92584 - Electrocochleography | 92584 - ELECTROCOCHLEOGRAPHY | 92584 - ELECTROCOCHLEOGRAPHY | '01/01/2017 | 12/31/2999 |
| 92587 | 92587 - Distortion product evoked otoacoustic emissions; limited evaluation (to confirm the presence or absence of hearing disorder 3-6 frequencies) or transient evoked otoacoustic emissions with interpretation and report | 92587 - DISTORT PRODUCT EVOKED OTOACOUSTIC EMISNS LIMITD | 92587 - EVOKED AUDITORY TEST LIMITED | '01/01/2017 | 12/31/2999 |
| 92588 | 92588 - Distortion product evoked otoacoustic emissions; comprehensive diagnostic evaluation (quantitative analysis of outer hair cell function by cochlear mapping minimum of 12 frequencies) with interpretation and report | 92588 - DISTRT PROD EVOKD OTOACOUSTIC EMSNS COMP/DX EVAL | 92588 - EVOKED AUDITORY TST COMPLETE | '01/01/2017 | 12/31/2999 |
| 92590 | 92590 - Hearing aid examination and selection; monaural | 92590 - HEARING AID EXAMINATION & SELECTION MONAURAL | 92590 - HEARING AID EXAM ONE EAR | '01/01/2017 | 12/31/2999 |
| 92591 | 92591 - Hearing aid examination and selection; binaural | 92591 - HEARING AID EXAMINATION & SELECTION BINAURAL | 92591 - HEARING AID EXAM BOTH EARS | '01/01/2017 | 12/31/2999 |
| 92592 | 92592 - Hearing aid check; monaural | 92592 - HEARING AID CHECK MONAURAL | 92592 - HEARING AID CHECK ONE EAR | '01/01/2017 | 12/31/2999 |
| 92593 | 92593 - Hearing aid check; binaural | 92593 - HEARING AID CHECK BINAURAL | 92593 - HEARING AID CHECK BOTH EARS | '01/01/2017 | 12/31/2999 |
| 92594 | 92594 - Electroacoustic evaluation for hearing aid; monaural | 92594 - ELECTROACOUS EVAL HEARING AID MONAURAL | 92594 - ELECTRO HEARNG AID TEST ONE | '01/01/2017 | 12/31/2999 |
| 92595 | 92595 - Electroacoustic evaluation for hearing aid; binaural | 92595 - ELECTROACOUS EVAL HEARING AID BINAURAL | 92595 - ELECTRO HEARNG AID TST BOTH | '01/01/2017 | 12/31/2999 |
| 92596 | 92596 - Ear protector attenuation measurements | 92596 - EAR PROTECTOR ATTENUATION MEASUREMENTS | 92596 - EAR PROTECTOR EVALUATION | '01/01/2017 | 12/31/2999 |
| 92597 | 92597 - Evaluation for use and/or fitting of voice prosthetic device to supplement oral speech | 92597 - EVAL&/FITG VOICE PROSTC DEV SUPLMNT ORAL SPEEC | 92597 - ORAL SPEECH DEVICE EVAL | '01/01/2017 | 12/31/2999 |
| 92601 | 92601 - Diagnostic analysis of cochlear implant patient younger than 7 years of age; with programming | 92601 - ANALYSIS COCHLEAR IMPLT PT <7 YR PRGRMG | 92601 - COCHLEAR IMPLT F/UP EXAM <7 | '01/01/2017 | 12/31/2999 |
| 92602 | 92602 - Diagnostic analysis of cochlear implant patient younger than 7 years of age; subsequent reprogramming | 92602 - ANALYSIS COCHLEAR IMPLT PT <7 YR SBSQ REPRGRMG | 92602 - REPROGRAM COCHLEAR IMPLT <7 | '01/01/2018 | 12/31/2999 |
| 92603 | 92603 - Diagnostic analysis of cochlear implant age 7 years or older; with programming | 92603 - ANALYSIS COCHLEAR IMPLT 7 YR/> PRGRMG | 92603 - COCHLEAR IMPLT F/UP EXAM 7/> | '01/01/2017 | 12/31/2999 |
| 92604 | 92604 - Diagnostic analysis of cochlear implant age 7 years or older; subsequent reprogramming | 92604 - ANALYSIS COCHLEAR IMPLT 7 YR/> SBSQ REPRGRMG | 92604 - REPROGRAM COCHLEAR IMPLT 7/> | '01/01/2017 | 12/31/2999 |
| 92605 | 92605 - Evaluation for prescription of non-speech-generating augmentative and alternative communication device face-to-face with the patient; first hour | 92605 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV F2F 1ST HR | 92605 - EX FOR NONSPEECH DEVICE RX | '01/01/2017 | 12/31/2999 |
| 92606 | 92606 - Therapeutic service(s) for the use of non-speech-generating device including programming and modification | 92606 - THER SVC N-SP-GENRATJ DEV PRGRMG&MODIFICAJ | 92606 - NON-SPEECH DEVICE SERVICE | '01/01/2017 | 12/31/2999 |
| 92607 | 92607 - Evaluation for prescription for speech-generating augmentative and alternative communication device face-to-face with the patient; first hour | 92607 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV 1ST HR | 92607 - EX FOR SPEECH DEVICE RX 1HR | '01/01/2017 | 12/31/2999 |
| 92608 | 92608 - Evaluation for prescription for speech-generating augmentative and alternative communication device face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure) | 92608 - RX SP-GENRATJ AUGMNT&COMUNICAJ DEV EA 30 MIN | 92608 - EX FOR SPEECH DEVICE RX ADDL | '01/01/2017 | 12/31/2999 |
| 92609 | 92609 - Therapeutic services for the use of speech-generating device including programming and modification | 92609 - THER SP-GENRATJ DEV PRGRMG&MODIFICAJ | 92609 - USE OF SPEECH DEVICE SERVICE | '01/01/2017 | 12/31/2999 |
| 92610 | 92610 - Evaluation of oral and pharyngeal swallowing function | 92610 - EVAL ORAL&PHARYNGEAL SWLNG FUNCJ | 92610 - EVALUATE SWALLOWING FUNCTION | '01/01/2017 | 12/31/2999 |
| 92611 | 92611 - Motion fluoroscopic evaluation of swallowing function by cine or video recording | 92611 - MOTION FLUOR EVAL SWLNG FUNCJ C/V REC | 92611 - MOTION FLUOROSCOPY/SWALLOW | '01/01/2017 | 12/31/2999 |
| 92612 | 92612 - Flexible endoscopic evaluation of swallowing by cine or video recording; | 92612 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC | 92612 - ENDOSCOPY SWALLOW (FEES) VID | '01/01/2017 | 12/31/2999 |
| 92613 | 92613 - Flexible endoscopic evaluation of swallowing by cine or video recording; interpretation and report only | 92613 - FLEXIBLE ENDOSCOPIC EVAL SWALLOW C/V REC I&R | 92613 - ENDOSCOPY SWALLOW (FEES) I&R | '01/01/2017 | 12/31/2999 |
| 92614 | 92614 - Flexible endoscopic evaluation laryngeal sensory testing by cine or video recording; | 92614 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENSORY C/V REC | 92614 - LARYNGOSCOPIC SENSORY VID | '01/01/2017 | 12/31/2999 |
| 92615 | 92615 - Flexible endoscopic evaluation laryngeal sensory testing by cine or video recording; interpretation and report only | 92615 - FLEXIBLE ENDOSCOPIC EVAL LARYN SENS C/V REC I&R | 92615 - LARYNGOSCOPIC SENSORY I&R | '01/01/2017 | 12/31/2999 |
| 92616 | 92616 - Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; | 92616 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V REC | 92616 - FEES W/LARYNGEAL SENSE TEST | '01/01/2017 | 12/31/2999 |
| 92617 | 92617 - Flexible endoscopic evaluation of swallowing and laryngeal sensory testing by cine or video recording; interpretation and report only | 92617 - FLEXIBLE NDSC EVAL SWLNG&LARYN SENS C/V I&R | 92617 - FEES W/LARYNGEAL SENSE I&R | '01/01/2017 | 12/31/2999 |
| 92618 | 92618 - Evaluation for prescription of non-speech-generating augmentative and alternative communication device face-to-face with the patient; each additional 30 minutes (List separately in addition to code for primary procedure) | 92618 - EVAL RX N-SP-GEN AUGMT ALT COMMUN DEV ADD 30 MIN | 92618 - EX FOR NONSPEECH DEV RX ADD | '01/01/2017 | 12/31/2999 |
| 92620 | 92620 - Evaluation of central auditory function with report; initial 60 minutes | 92620 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT 1ST 60 MIN | 92620 - AUDITORY FUNCTION 60 MIN | '01/01/2017 | 12/31/2999 |
| 92621 | 92621 - Evaluation of central auditory function with report; each additional 15 minutes (List separately in addition to code for primary procedure) | 92621 - EVAL CENTRAL AUDITORY FUNCJ W/REPRT EA 15 MIN | 92621 - AUDITORY FUNCTION + 15 MIN | '01/01/2017 | 12/31/2999 |
| 92625 | 92625 - Assessment of tinnitus (includes pitch loudness matching and masking) | 92625 - ASSESSMENT TINNITUS | 92625 - TINNITUS ASSESSMENT | '01/01/2017 | 12/31/2999 |
| 92626 | 92626 - Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); first hour | 92626 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV 1ST HR | 92626 - EVAL AUD FUNCJ 1ST HOUR | '01/01/2020 | 12/31/2999 |
| 92627 | 92627 - Evaluation of auditory function for surgically implanted device(s) candidacy or postoperative status of a surgically implanted device(s); each additional 15 minutes (List separately in addition to code for primary procedure) | 92627 - EVAL AUD FUNCJ CAND/PO SURG IMPLT DEV EA ADDL 15 | 92627 - EVAL AUD FUNCJ EA ADDL 15 | '01/01/2020 | 12/31/2999 |
| 92630 | 92630 - Auditory rehabilitation; prelingual hearing loss | 92630 - AUDITORY REHABILITATION PRELINGUAL HEARING LOSS | 92630 - AUD REHAB PRE-LING HEAR LOSS | '01/01/2017 | 12/31/2999 |
| 92633 | 92633 - Auditory rehabilitation; postlingual hearing loss | 92633 - AUDITORY REHABILITATION POSTLINGUAL HEARING LOSS | 92633 - AUD REHAB POSTLING HEAR LOSS | '01/01/2017 | 12/31/2999 |
| 92640 | 92640 - Diagnostic analysis with programming of auditory brainstem implant per hour | 92640 - ANALYSIS W/PRGRMG AUD BRAINSTEM IMPLANT PR HR | 92640 - AUD BRAINSTEM IMPLT PROGRAMG | '01/01/2017 | 12/31/2999 |
| 92650 | 92650 - Auditory evoked potentials; screening of auditory potential with broadband stimuli automated analysis | 92650 - AEP SCR AUDITORY POTENTIAL W/STIMULI AUTO ALYS | 92650 - AEP SCR AUDITORY POTENTIAL | '01/01/2021 | 12/31/2999 |
| 92651 | 92651 - Auditory evoked potentials; for hearing status determination broadband stimuli with interpretation and report | 92651 - AEP HEARING STATUS DETER BROADBAND STIMULI I&R | 92651 - AEP HEARING STATUS DETER I&R | '01/01/2021 | 12/31/2999 |
| 92652 | 92652 - Auditory evoked potentials; for threshold estimation at multiple frequencies with interpretation and report | 92652 - AEP THRESHOLD ESTIMATION MLT FREQUENCIES I&R | 92652 - AEP THRSHLD EST MLT FREQ I&R | '01/01/2021 | 12/31/2999 |
| 92653 | 92653 - Auditory evoked potentials; neurodiagnostic with interpretation and report | 92653 - AEP NEURODIAGNOSTIC INTERPRETATION AND REPORT | 92653 - AEP NEURODIAGNOSTIC I&R | '01/01/2021 | 12/31/2999 |
| 92700 | 92700 - Unlisted otorhinolaryngological service or procedure | 92700 - UNLISTED OTORHINOLARYNGOLOGICAL SERVICE/PX | 92700 - UNLISTED ORL SERVICE/PX | '01/01/2023 | 12/31/2999 |
| 92920 | 92920 - Percutaneous transluminal coronary angioplasty; single major coronary artery or branch | 92920 - PRQ TRLUML CORONARY ANGIOPLASTY ONE ART/BRANCH | 92920 - PRQ CARDIAC ANGIOPLAST 1 ART | '01/01/2017 | 12/31/2999 |
| 92921 | 92921 - Percutaneous transluminal coronary angioplasty; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) | 92921 - PRQ TRLUML CORONARY ANGIOPLASTY ADDL BRANCH | 92921 - PRQ CARDIAC ANGIO ADDL ART | '01/01/2017 | 12/31/2999 |
| 92924 | 92924 - Percutaneous transluminal coronary atherectomy with coronary angioplasty when performed; single major coronary artery or branch | 92924 - PRQ TRLUML CORONARY ANGIO/ATHERECT ONE ART/BRNCH | 92924 - PRQ CARD ANGIO/ATHRECT 1 ART | '01/01/2017 | 12/31/2999 |
| 92925 | 92925 - Percutaneous transluminal coronary atherectomy with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) | 92925 - PRQ TRLUML CORONARY ANGIO/ATHEREC ADDL ART/BRNCH | 92925 - PRQ CARD ANGIO/ATHRECT ADDL | '01/01/2017 | 12/31/2999 |
| 92928 | 92928 - Percutaneous transcatheter placement of intracoronary stent(s) with coronary angioplasty when performed; single major coronary artery or branch | 92928 - PRQ TRLUML CORONARY STENT W/ANGIO ONE ART/BRNCH | 92928 - PRQ CARD STENT W/ANGIO 1 VSL | '01/01/2017 | 12/31/2999 |
| 92929 | 92929 - Percutaneous transcatheter placement of intracoronary stent(s) with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) | 92929 - PRQ TRLUML CORONARY STENT W/ANGIO ADDL ART/BRNCH | 92929 - PRQ CARD STENT W/ANGIO ADDL | '01/01/2017 | 12/31/2999 |
| 92933 | 92933 - Percutaneous transluminal coronary atherectomy with intracoronary stent with coronary angioplasty when performed; single major coronary artery or branch | 92933 - PRQ TRLUML CORONRY STENT/ATH/ANGIO ONE ART/BRNCH | 92933 - PRQ CARD STENT/ATH/ANGIO | '01/01/2017 | 12/31/2999 |
| 92934 | 92934 - Percutaneous transluminal coronary atherectomy with intracoronary stent with coronary angioplasty when performed; each additional branch of a major coronary artery (List separately in addition to code for primary procedure) | 92934 - PRQ TRLUML CORONARY STENT/ATH/ANGIO ADDL BRANCH | 92934 - PRQ CARD STENT/ATH/ANGIO | '01/01/2017 | 12/31/2999 |
| 92937 | 92937 - Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary free arterial venous) any combination of intracoronary stent atherectomy and angioplasty including distal protection when performed; single vessel | 92937 - PRQ TRLUML CORONARY BYP GRFT REVASC ONE VESSEL | 92937 - PRQ REVASC BYP GRAFT 1 VSL | '01/01/2017 | 12/31/2999 |
| 92938 | 92938 - Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary free arterial venous) any combination of intracoronary stent atherectomy and angioplasty including distal protection when performed; each additional branch subtended by the bypass graft (List separately in addition to code for primary procedure) | 92938 - PRQ TRLUML CORONARY BYP GRFT REVASC ADDL VESSEL | 92938 - PRQ REVASC BYP GRAFT ADDL | '01/01/2017 | 12/31/2999 |
| 92941 | 92941 - Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction coronary artery or coronary artery bypass graft any combination of intracoronary stent atherectomy and angioplasty including aspiration thrombectomy when performed single vessel | 92941 - PRQ TRLUML CORONRY TOT OCCLUS REVASC MI ONE VSL | 92941 - PRQ CARD REVASC MI 1 VSL | '01/01/2017 | 12/31/2999 |
| 92943 | 92943 - Percutaneous transluminal revascularization of chronic total occlusion coronary artery coronary artery branch or coronary artery bypass graft any combination of intracoronary stent atherectomy and angioplasty; single vessel | 92943 - PRQ TRLUML CORONRY CHRONIC OCCLUS REVASC ONE VSL | 92943 - PRQ CARD REVASC CHRONIC 1VSL | '01/01/2017 | 12/31/2999 |
| 92944 | 92944 - Percutaneous transluminal revascularization of chronic total occlusion coronary artery coronary artery branch or coronary artery bypass graft any combination of intracoronary stent atherectomy and angioplasty; each additional coronary artery coronary artery branch or bypass graft (List separately in addition to code for primary procedure) | 92944 - PRQ TRLUML CORONRY CHRNIC OCCLUS REVASC ADDL VSL | 92944 - PRQ CARD REVASC CHRONIC ADDL | '01/01/2017 | 12/31/2999 |
| 92950 | 92950 - Cardiopulmonary resuscitation (eg in cardiac arrest) | 92950 - CARDIOPULMONARY RESUSCITATION | 92950 - HEART/LUNG RESUSCITATION CPR | '01/01/2017 | 12/31/2999 |
| 92953 | 92953 - Temporary transcutaneous pacing | 92953 - TEMPORARY TRANSCUTANEOUS PACING | 92953 - TEMPORARY EXTERNAL PACING | '01/01/2017 | 12/31/2999 |
| 92960 | 92960 - Cardioversion elective electrical conversion of arrhythmia; external | 92960 - CARDIOVERSION ELECTIVE ARRHYTHMIA EXTERNAL | 92960 - CARDIOVERSION ELECTRIC EXT | '01/01/2017 | 12/31/2999 |
| 92961 | 92961 - Cardioversion elective electrical conversion of arrhythmia; internal (separate procedure) | 92961 - CARDIOVERSION ELECTIVE ARRHYTHMIA INTERNAL SPX | 92961 - CARDIOVERSION ELECTRIC INT | '01/01/2017 | 12/31/2999 |
| 92970 | 92970 - Cardioassist-method of circulatory assist; internal | 92970 - CARDIOASSIST-METH CIRCULATORY ASSIST INTERNAL | 92970 - CARDIOASSIST INTERNAL | '01/01/2017 | 12/31/2999 |
| 92971 | 92971 - Cardioassist-method of circulatory assist; external | 92971 - CARDIOASSIST-METH CIRCULATORY ASSIST EXTERNAL | 92971 - CARDIOASSIST EXTERNAL | '01/01/2017 | 12/31/2999 |
| 92973 | 92973 - Percutaneous transluminal coronary thrombectomy mechanical (List separately in addition to code for primary procedure) | 92973 - PRQ TRANSLUMINAL CORONARY MECHANICL THROMBECTOMY | 92973 - PRQ CORONARY MECH THROMBECT | '01/01/2017 | 12/31/2999 |
| 92974 | 92974 - Transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy (List separately in addition to code for primary procedure) | 92974 - TCAT PLACEMENT RADJ DLVR DEV SBSQ C IV BRACHYTX | 92974 - CATH PLACE CARDIO BRACHYTX | '01/01/2017 | 12/31/2999 |
| 92975 | 92975 - Thrombolysis coronary; by intracoronary infusion including selective coronary angiography | 92975 - THROMBOLYSIS INTRACORONARY NFS SLCTV ANGRPH | 92975 - DISSOLVE CLOT HEART VESSEL | '01/01/2017 | 12/31/2999 |
| 92977 | 92977 - Thrombolysis coronary; by intravenous infusion | 92977 - THROMBOLYSIS CORONARY INTRAVENOUS INFUSION | 92977 - DISSOLVE CLOT HEART VESSEL | '01/01/2017 | 12/31/2999 |
| 92978 | 92978 - Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report; initial vessel (List separately in addition to code for primary procedure) | 92978 - ENDOLUMINAL CORONARY IVUS OCT I&R INITIAL VESSEL | 92978 - ENDOLUMINL IVUS OCT C 1ST | '01/01/2017 | 12/31/2999 |
| 92979 | 92979 - Endoluminal imaging of coronary vessel or graft using intravascular ultrasound (IVUS) or optical coherence tomography (OCT) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report; each additional vessel (List separately in addition to code for primary procedure) | 92979 - ENDOLUMINAL CORONARY IVUS OCT I&R ADDL VESSEL | 92979 - ENDOLUMINL IVUS OCT C EA | '01/01/2017 | 12/31/2999 |
| 92986 | 92986 - Percutaneous balloon valvuloplasty; aortic valve | 92986 - PRQ BALLOON VALVULOPLASTY AORTIC VALVE | 92986 - REVISION OF AORTIC VALVE | '01/01/2017 | 12/31/2999 |
| 92987 | 92987 - Percutaneous balloon valvuloplasty; mitral valve | 92987 - PRQ BALLOON VALVULOPLASTY MITRAL VALVE | 92987 - REVISION OF MITRAL VALVE | '01/01/2017 | 12/31/2999 |
| 92990 | 92990 - Percutaneous balloon valvuloplasty; pulmonary valve | 92990 - PRQ BALLOON VALVULOPLASTY PULMONARY VALVE | 92990 - REVISION OF PULMONARY VALVE | '01/01/2017 | 12/31/2999 |
| 92997 | 92997 - Percutaneous transluminal pulmonary artery balloon angioplasty; single vessel | 92997 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP 1 VSL | 92997 - PUL ART BALLOON REPR PERCUT | '01/01/2017 | 12/31/2999 |
| 92998 | 92998 - Percutaneous transluminal pulmonary artery balloon angioplasty; each additional vessel (List separately in addition to code for primary procedure) | 92998 - PRQ TRLUML PULMONARY ART BALLOON ANGIOP EA VSL | 92998 - PUL ART BALLOON REPR PERCUT | '01/01/2017 | 12/31/2999 |
| 93000 | 93000 - Electrocardiogram routine ECG with at least 12 leads; with interpretation and report | 93000 - ECG ROUTINE ECG W/LEAST 12 LDS W/I&R | 93000 - ELECTROCARDIOGRAM COMPLETE | '01/01/2017 | 12/31/2999 |
| 93005 | 93005 - Electrocardiogram routine ECG with at least 12 leads; tracing only without interpretation and report | 93005 - ECG ROUTINE ECG W/LEAST 12 LDS TRCG ONLY W/O I&R | 93005 - ELECTROCARDIOGRAM TRACING | '01/01/2017 | 12/31/2999 |
| 93010 | 93010 - Electrocardiogram routine ECG with at least 12 leads; interpretation and report only | 93010 - ECG ROUTINE ECG W/LEAST 12 LDS I&R ONLY | 93010 - ELECTROCARDIOGRAM REPORT | '01/01/2017 | 12/31/2999 |
| 93015 | 93015 - Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise continuous electrocardiographic monitoring and/or pharmacological stress; with supervision interpretation and report | 93015 - CV STRS TST XERS&/OR RX CONT ECG W/SI&R | 93015 - CARDIOVASCULAR STRESS TEST | '01/01/2017 | 12/31/2999 |
| 93016 | 93016 - Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise continuous electrocardiographic monitoring and/or pharmacological stress; supervision only without interpretation and report | 93016 - CV STRS TST XERS&/OR RX CONT ECG W/O I&R | 93016 - CARDIOVASCULAR STRESS TEST | '01/01/2017 | 12/31/2999 |
| 93017 | 93017 - Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise continuous electrocardiographic monitoring and/or pharmacological stress; tracing only without interpretation and report | 93017 - CV STRS TST XERS&/OR RX CONT ECG TRCG ONLY | 93017 - CARDIOVASCULAR STRESS TEST | '01/01/2017 | 12/31/2999 |
| 93018 | 93018 - Cardiovascular stress test using maximal or submaximal treadmill or bicycle exercise continuous electrocardiographic monitoring and/or pharmacological stress; interpretation and report only | 93018 - CV STRS TST XERS&/OR RX CONT ECG I&R ONLY | 93018 - CARDIOVASCULAR STRESS TEST | '01/01/2017 | 12/31/2999 |
| 93024 | 93024 - Ergonovine provocation test | 93024 - ERGONOVINE PROVOCATION TST | 93024 - CARDIAC DRUG STRESS TEST | '01/01/2017 | 12/31/2999 |
| 93025 | 93025 - Microvolt T-wave alternans for assessment of ventricular arrhythmias | 93025 - MICROVOLT T-WAVE ASSESS VENTRICULAR ARRHYTHMIAS | 93025 - MICROVOLT T-WAVE ASSESS | '01/01/2017 | 12/31/2999 |
| 93040 | 93040 - Rhythm ECG 1-3 leads; with interpretation and report | 93040 - RHYTHM ECG 1-3 LEADS W/INTERPRETATION & REPORT | 93040 - RHYTHM ECG WITH REPORT | '01/01/2017 | 12/31/2999 |
| 93041 | 93041 - Rhythm ECG 1-3 leads; tracing only without interpretation and report | 93041 - RHYTHM ECG 1-3 LEADS TRACING ONLY W/O I&R | 93041 - RHYTHM ECG TRACING | '01/01/2017 | 12/31/2999 |
| 93042 | 93042 - Rhythm ECG 1-3 leads; interpretation and report only | 93042 - RHYTHM ECG 1-3 LEADS INTERPRETATION & REPRT ON | 93042 - RHYTHM ECG REPORT | '01/01/2017 | 12/31/2999 |
| 93050 | 93050 - Arterial pressure waveform analysis for assessment of central arterial pressures includes obtaining waveform(s) digitization and application of nonlinear mathematical transformations to determine central arterial pressures and augmentation index with interpretation and report upper extremity artery non-invasive | 93050 - ART PRESS WAVEFORM ANALYS CENTRAL ART PRESSURE | 93050 - ART PRESSURE WAVEFORM ANALYS | '01/01/2017 | 12/31/2999 |
| 93224 | 93224 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; includes recording scanning analysis with report review and interpretation by a physician or other qualified health care professional | 93224 - XTRNL ECG & 48 HR RECORD SCAN STOR W/R&I | 93224 - ECG MONIT/REPRT UP TO 48 HRS | '01/01/2017 | 12/31/2999 |
| 93225 | 93225 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; recording (includes connection recording and disconnection) | 93225 - XTRNL ECG & 48 HR RECORDING | 93225 - ECG MONIT/REPRT UP TO 48 HRS | '01/01/2017 | 12/31/2999 |
| 93226 | 93226 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; scanning analysis with report | 93226 - EXTERNAL ECG SCANNING ANALYSIS REPORT | 93226 - ECG MONIT/REPRT UP TO 48 HRS | '01/01/2017 | 12/31/2999 |
| 93227 | 93227 - External electrocardiographic recording up to 48 hours by continuous rhythm recording and storage; review and interpretation by a physician or other qualified health care professional | 93227 - XTRNL ECG CONTINUOUS RHYTHM W/I&R UP TO 48 HRS | 93227 - ECG MONIT/REPRT UP TO 48 HRS | '01/01/2017 | 12/31/2999 |
| 93228 | 93228 - External mobile cardiovascular telemetry with electrocardiographic recording concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; review and interpretation with report by a physician or other qualified health care professional | 93228 - XTRNL MOBILE CV TELEMETRY W/I&REPORT 30 DAYS | 93228 - REMOTE 30 DAY ECG REV/REPORT | '01/01/2017 | 12/31/2999 |
| 93229 | 93229 - External mobile cardiovascular telemetry with electrocardiographic recording concurrent computerized real time data analysis and greater than 24 hours of accessible ECG data storage (retrievable with query) with ECG triggered and patient selected events transmitted to a remote attended surveillance center for up to 30 days; technical support for connection and patient instructions for use attended surveillance analysis and transmission of daily and emergent data reports as prescribed by a physician or other qualified health care professional | 93229 - XTRNL MOBILE CV TELEMETRY W/TECHNICAL SUPPORT | 93229 - REMOTE 30 DAY ECG TECH SUPP | '01/01/2017 | 12/31/2999 |
| 93241 | 93241 - External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; includes recording scanning analysis with report review and interpretation | 93241 - EXTERNAL ECG REC>48HR<7D SCAN ALYS REPORT R&I | 93241 - EXT ECG>48HR<7D REC SCAN A/R | '01/01/2021 | 12/31/2999 |
| 93242 | 93242 - External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; recording (includes connection and initial recording) | 93242 - EXTERNAL ECG REC>48HR<7D RECORDING | 93242 - EXT ECG>48HR<7D RECORDING | '01/01/2021 | 12/31/2999 |
| 93243 | 93243 - External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; scanning analysis with report | 93243 - EXTERNAL ECG REC>48HR<7D SCANNING ALYS W/REPORT | 93243 - EXT ECG>48HR<7D SCAN A/R | '01/01/2021 | 12/31/2999 |
| 93244 | 93244 - External electrocardiographic recording for more than 48 hours up to 7 days by continuous rhythm recording and storage; review and interpretation | 93244 - EXTERNAL ECG REC>48HR<7D REVIEW & INTERPRETATION | 93244 - EXT ECG>48HR<7D REV&INTERPJ | '01/01/2021 | 12/31/2999 |
| 93245 | 93245 - External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; includes recording scanning analysis with report review and interpretation | 93245 - EXTERNAL ECG REC>7D<15D SCAN ALYS REPORT R&I | 93245 - EXT ECG>7D<15D REC SCAN A/R | '01/01/2021 | 12/31/2999 |
| 93246 | 93246 - External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; recording (includes connection and initial recording) | 93246 - EXTERNAL ECG REC>7D<15D RECORDING | 93246 - EXT ECG>7D<15D RECORDING | '01/01/2021 | 12/31/2999 |
| 93247 | 93247 - External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; scanning analysis with report | 93247 - EXTERNAL ECG REC>7D<15D SCANNING ALYS W/REPORT | 93247 - EXT ECG>7D<15D SCAN A/R | '01/01/2021 | 12/31/2999 |
| 93248 | 93248 - External electrocardiographic recording for more than 7 days up to 15 days by continuous rhythm recording and storage; review and interpretation | 93248 - EXTERNAL ECG REC>7D<15D REVIEW & INTERPRETATION | 93248 - EXT ECG>7D<15D REV&INTERPJ | '01/01/2021 | 12/31/2999 |
| 93260 | 93260 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; implantable subcutaneous lead defibrillator system | 93260 - PRGRMG DEV EVAL IMPLANTABLE SUBQ LEAD DFB SYSTEM | 93260 - PRGRMG DEV EVAL IMPLTBL SYS | '01/01/2017 | 12/31/2999 |
| 93261 | 93261 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; implantable subcutaneous lead defibrillator system | 93261 - INTERROGATION EVAL F2F IMPLANT SUBQ LEAD DEFIB | 93261 - INTERROGATE SUBQ DEFIB | '01/01/2017 | 12/31/2999 |
| 93264 | 93264 - Remote monitoring of a wireless pulmonary artery pressure sensor for up to 30 days including at least weekly downloads of pulmonary artery pressure recordings interpretation(s) trend analysis and report(s) by a physician or other qualified health care professional | 93264 - REMOTE MNTR WIRELESS P-ART PRS SNR UP TO 30 D | 93264 - REM MNTR WRLS P-ART PRS SNR | '01/01/2019 | 12/31/2999 |
| 93268 | 93268 - External patient and when performed auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days 24-hour attended monitoring; includes transmission review and interpretation by a physician or other qualified health care professional | 93268 - XTRNL PT ACTIV ECG TRANSMIS W/R&I 93268 - ECG RECORD/REVIEW | '01/01/2017 | 12/31/2999 | |
| 93270 | 93270 - External patient and when performed auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days 24-hour attended monitoring; recording (includes connection recording and disconnection) | 93270 - XTRNL PT ACTIVATED ECG RECORD MONITOR 30 DAYS | 93270 - REMOTE 30 DAY ECG REV/REPORT | '01/01/2017 | 12/31/2999 |
| 93271 | 93271 - External patient and when performed auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days 24-hour attended monitoring; transmission and analysis | 93271 - XTRNL PT ACTIVATED ECG REC DWNLD 30 DAYS | 93271 - ECG/MONITORING AND ANALYSIS | '01/01/2017 | 12/31/2999 |
| 93272 | 93272 - External patient and when performed auto activated electrocardiographic rhythm derived event recording with symptom-related memory loop with remote download capability up to 30 days 24-hour attended monitoring; review and interpretation by a physician or other qualified health care professional | 93272 - XTRNL PT ACTIVTD ECG DWNLD W/R&I 93272 - ECG/REVIEW INTERPRET ONLY | '01/01/2017 | 12/31/2999 | |
| 93278 | 93278 - Signal-averaged electrocardiography (SAECG) with or without ECG | 93278 - SIGNAL AVERAGED ELECTROCARDIOGRAPHY W/WO ECG | 93278 - ECG/SIGNAL-AVERAGED | '01/01/2017 | 12/31/2999 |
| 93279 | 93279 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; single lead pacemaker system or leadless pacemaker system in one cardiac chamber | 93279 - PRGRMG DEV EVAL 1 LEAD PM/LDLS PM 1 CAR CHMBR IP | 93279 - PRGRMG DEV EVAL PM/LDLS PM | '01/01/2019 | 12/31/2999 |
| 93280 | 93280 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; dual lead pacemaker system | 93280 - PROGRAM EVAL IMPLANTABLE IN PERSN DUAL LD PACER | 93280 - PM DEVICE PROGR EVAL DUAL | '01/01/2017 | 12/31/2999 |
| 93281 | 93281 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; multiple lead pacemaker system | 93281 - PROGRAM EVAL IMPLANTABLE IN PRSN MULTI LD PACER | 93281 - PM DEVICE PROGR EVAL MULTI | '01/01/2017 | 12/31/2999 |
| 93282 | 93282 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; single lead transvenous implantable defibrillator system | 93282 - PRGRMNG DEV EVAL IMPLANTABLE IN PERSN 1 LD DFB | 93282 - PRGRMG EVAL IMPLANTABLE DFB | '01/01/2017 | 12/31/2999 |
| 93283 | 93283 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; dual lead transvenous implantable defibrillator system | 93283 - PRGRMG EVAL IMPLANTABLE IN PRSN DUAL LEAD DFB | 93283 - PRGRMG EVAL IMPLANTABLE DFB | '01/01/2017 | 12/31/2999 |
| 93284 | 93284 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; multiple lead transvenous implantable defibrillator system | 93284 - PRGRMG EVAL IMPLANTABLE IN PERSON MULTI LEAD DFB | 93284 - PRGRMG EVAL IMPLANTABLE DFB | '01/01/2017 | 12/31/2999 |
| 93285 | 93285 - Programming device evaluation (in person) with iterative adjustment of the implantable device to test the function of the device and select optimal permanent programmed values with analysis review and report by a physician or other qualified health care professional; subcutaneous cardiac rhythm monitor system | 93285 - PRGRMG DEV EVAL SCRMS PHYS/QHP IN PERSON | 93285 - PRGRMG DEV EVAL SCRMS IP | '01/01/2019 | 12/31/2999 |
| 93286 | 93286 - Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery procedure or test with analysis review and report by a physician or other qualified health care professional; single dual or multiple lead pacemaker system or leadless pacemaker system | 93286 - PERI-PX DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON | 93286 - PERI-PX EVAL PM/LDLS PM IP | '01/01/2019 | 12/31/2999 |
| 93287 | 93287 - Peri-procedural device evaluation (in person) and programming of device system parameters before or after a surgery procedure or test with analysis review and report by a physician or other qualified health care professional; single dual or multiple lead implantable defibrillator system | 93287 - PERI-PX DEV EVAL & PROG SING/DUAL/MULTI LEAD DFB | 93287 - PERI-PX DEVICE EVAL & PRGR | '01/01/2017 | 12/31/2999 |
| 93288 | 93288 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; single dual or multiple lead pacemaker system or leadless pacemaker system | 93288 - INTERROG DEV EVAL PM/LDLS PM PHYS/QHP IN PERSON | 93288 - INTERROG EVL PM/LDLS PM IP | '01/01/2019 | 12/31/2999 |
| 93289 | 93289 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; single dual or multiple lead transvenous implantable defibrillator system including analysis of heart rhythm derived data elements | 93289 - INTERROG EVAL F2F 1/DUAL/MLT LEADS IMPLTBL DFB | 93289 - INTERROG DEVICE EVAL HEART | '01/01/2017 | 12/31/2999 |
| 93290 | 93290 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; implantable cardiovascular physiologic monitor system including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors | 93290 - INTERROG DEV EVAL ICPMS PHYS/QHP IN PERSON | 93290 - INTERROG DEV EVAL ICPMS IP | '01/01/2019 | 12/31/2999 |
| 93291 | 93291 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; subcutaneous cardiac rhythm monitor system including heart rhythm derived data analysis | 93291 - INTERROG DEV EVAL SCRMS PHYS/QHP IN PERSON | 93291 - INTERROG DEV EVAL SCRMS IP | '01/01/2019 | 12/31/2999 |
| 93292 | 93292 - Interrogation device evaluation (in person) with analysis review and report by a physician or other qualified health care professional includes connection recording and disconnection per patient encounter; wearable defibrillator system | 93292 - INTERROGATION EVAL IN PERSON WR DEFIBRILLATOR | 93292 - WCD DEVICE INTERROGATE | '01/01/2017 | 12/31/2999 |
| 93293 | 93293 - Transtelephonic rhythm strip pacemaker evaluation(s) single dual or multiple lead pacemaker system includes recording with and without magnet application with analysis review and report(s) by a physician or other qualified health care professional up to 90 days | 93293 - TRANSTELEPHONIC RHYTHM STRIP PACEMAKER EVAL | 93293 - PM PHONE R-STRIP DEVICE EVAL | '01/01/2017 | 12/31/2999 |
| 93294 | 93294 - Interrogation device evaluation(s) (remote) up to 90 days; single dual or multiple lead pacemaker system or leadless pacemaker system with interim analysis review(s) and report(s) by a physician or other qualified health care professional | 93294 - REM INTERROG PM/LDLS PM <90 D PHYS/QHP | 93294 - REM INTERROG EVL PM/LDLS PM | '01/01/2019 | 12/31/2999 |
| 93295 | 93295 - Interrogation device evaluation(s) (remote) up to 90 days; single dual or multiple lead implantable defibrillator system with interim analysis review(s) and report(s) by a physician or other qualified health care professional | 93295 - INTERROGATION EVAL REMOTE 93295 - DEV INTERROG REMOTE 1/2/MLT | '01/01/2017 | 12/31/2999 | |
| 93296 | 93296 - Interrogation device evaluation(s) (remote) up to 90 days; single dual or multiple lead pacemaker system leadless pacemaker system or implantable defibrillator system remote data acquisition(s) receipt of transmissions and technician review technical support and distribution of results | 93296 - REM INTERROG PM/LDLS PM/IDS <90 D TECH REVIEW | 93296 - REM INTERROG EVL PM/IDS | '01/01/2020 | 12/31/2999 |
| 93297 | 93297 - Interrogation device evaluation(s) (remote) up to 30 days; implantable cardiovascular physiologic monitor system including analysis of 1 or more recorded physiologic cardiovascular data elements from all internal and external sensors analysis review(s) and report(s) by a physician or other qualified health care professional | 93297 - REM INTERROG ICPMS <30 D PHYS/QHP | 93297 - REM INTERROG DEV EVAL ICPMS | '01/01/2019 | 12/31/2999 |
| 93298 | 93298 - Interrogation device evaluation(s) (remote) up to 30 days; subcutaneous cardiac rhythm monitor system including analysis of recorded heart rhythm data analysis review(s) and report(s) by a physician or other qualified health care professional | 93298 - REM INTERROG SCRMS <30 D PHYS/QHP | 93298 - REM INTERROG DEV EVAL SCRMS | '01/01/2019 | 12/31/2999 |
| 93303 | 93303 - Transthoracic echocardiography for congenital cardiac anomalies; complete | 93303 - COMPLETE TTHRC ECHO CONGENITAL CARDIAC ANOMALY | 93303 - ECHO TRANSTHORACIC | '01/01/2017 | 12/31/2999 |
| 93304 | 93304 - Transthoracic echocardiography for congenital cardiac anomalies; follow-up or limited study | 93304 - F-UP/LIMITED TTHRC ECHO CONGENITAL CAR ANOMALY | 93304 - ECHO TRANSTHORACIC | '01/01/2017 | 12/31/2999 |
| 93306 | 93306 - Echocardiography transthoracic real-time with image documentation (2D) includes M-mode recording when performed complete with spectral Doppler echocardiography and with color flow Doppler echocardiography | 93306 - ECHO TTHRC R-T 2D W/WOM-MODE COMPL SPEC&COLR D | 93306 - TTE W/DOPPLER COMPLETE | '01/01/2017 | 12/31/2999 |
| 93307 | 93307 - Echocardiography transthoracic real-time with image documentation (2D) includes M-mode recording when performed complete without spectral or color Doppler echocardiography | 93307 - ECHO TRANSTHORAC R-T 2D W/WO M-MODE REC COMP | 93307 - TTE W/O DOPPLER COMPLETE | '01/01/2017 | 12/31/2999 |
| 93308 | 93308 - Echocardiography transthoracic real-time with image documentation (2D) includes M-mode recording when performed follow-up or limited study | 93308 - ECHO TRANSTHORC R-T 2D W/WO M-MODE REC F-UP/LMTD | 93308 - TTE F-UP OR LMTD | '01/01/2017 | 12/31/2999 |
| 93312 | 93312 - Echocardiography transesophageal real-time with image documentation (2D) (with or without M-mode recording); including probe placement image acquisition interpretation and report | 93312 - ECHO TRANSESOPHAG R-T 2D W/PRB IMG ACQUISJ I&R | 93312 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93313 | 93313 - Echocardiography transesophageal real-time with image documentation (2D) (with or without M-mode recording); placement of transesophageal probe only | 93313 - ECHO R-T 2D W/PROBE PLACEMENT ONLY | 93313 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93314 | 93314 - Echocardiography transesophageal real-time with image documentation (2D) (with or without M-mode recording); image acquisition interpretation and report only | 93314 - ECHO TRANSESOPHAG R-T 2D IMG ACQUISJ I&R ONLY | 93314 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93315 | 93315 - Transesophageal echocardiography for congenital cardiac anomalies; including probe placement image acquisition interpretation and report | 93315 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT IMGNG I&R | 93315 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93316 | 93316 - Transesophageal echocardiography for congenital cardiac anomalies; placement of transesophageal probe only | 93316 - ECHO TRANSESOPHAG CONGEN PROBE PLCMT ONLY | 93316 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93317 | 93317 - Transesophageal echocardiography for congenital cardiac anomalies; image acquisition interpretation and report only | 93317 - ECHO TRANSESOPHAG IMAGE ACQUISJ INTERP&REPORT | 93317 - ECHO TRANSESOPHAGEAL | '01/01/2017 | 12/31/2999 |
| 93318 | 93318 - Echocardiography transesophageal (TEE) for monitoring purposes including probe placement real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis | 93318 - ECHO TRANSESOPHAG MONTR CARDIAC PUMP FUNCTJ | 93318 - ECHO TRANSESOPHAGEAL INTRAOP | '01/01/2017 | 12/31/2999 |
| 93319 | 93319 - 3D echocardiographic imaging and postprocessing during transesophageal echocardiography or during transthoracic echocardiography for congenital cardiac anomalies for the assessment of cardiac structure(s) (eg cardiac chambers and valves left atrial appendage interatrial septum interventricular septum) and function when performed (List separately in addition to code for echocardiographic imaging) | 93319 - 3D ECHO IMG&PST-PXESSING TEE/TTE CGEN CAR ANOMAL | 93319 - 3D ECHO IMG CGEN CAR ANOMAL | '01/01/2022 | 12/31/2999 |
| 93320 | 93320 - Doppler echocardiography pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); complete | 93320 - DOPPLER ECHOCARD PULSE WAVE W/SPECTRAL DISPLAY | 93320 - DOPPLER ECHO EXAM HEART | '01/01/2017 | 12/31/2999 |
| 93321 | 93321 - Doppler echocardiography pulsed wave and/or continuous wave with spectral display (List separately in addition to codes for echocardiographic imaging); follow-up or limited study (List separately in addition to codes for echocardiographic imaging) | 93321 - DOP ECHOCARD PULSE WAVE W/SPECTRAL F-UP/LMTD STD | 93321 - DOPPLER ECHO EXAM HEART | '01/01/2017 | 12/31/2999 |
| 93325 | 93325 - Doppler echocardiography color flow velocity mapping (List separately in addition to codes for echocardiography) | 93325 - DOP ECHOCARD COLOR FLOW VELOCITY MAPPING | 93325 - DOPPLER COLOR FLOW ADD-ON | '01/01/2017 | 12/31/2999 |
| 93350 | 93350 - Echocardiography transthoracic real-time with image documentation (2D) includes M-mode recording when performed during rest and cardiovascular stress test using treadmill bicycle exercise and/or pharmacologically induced stress with interpretation and report; | 93350 - ECHO TTHRC R-T 2D W/WO M-MODE COMPLETE REST&ST | 93350 - STRESS TTE ONLY | '01/01/2017 | 12/31/2999 |
| 93351 | 93351 - Echocardiography transthoracic real-time with image documentation (2D) includes M-mode recording when performed during rest and cardiovascular stress test using treadmill bicycle exercise and/or pharmacologically induced stress with interpretation and report; including performance of continuous electrocardiographic monitoring with supervision by a physician or other qualified health care professional | 93351 - ECHO TTHRC R-T 2D W/WO M-MODE REST&STRS CONT ECG | 93351 - STRESS TTE COMPLETE | '01/01/2017 | 12/31/2999 |
| 93352 | 93352 - Use of echocardiographic contrast agent during stress echocardiography (List separately in addition to code for primary procedure) | 93352 - USE OF ECHO CONTRAST AGENT DURING STRESS ECHO | 93352 - ADMIN ECG CONTRAST AGENT | '01/01/2017 | 12/31/2999 |
| 93355 | 93355 - Echocardiography transesophageal (TEE) for guidance of a transcatheter intracardiac or great vessel(s) structural intervention(s) (eg TAVR transcatheter pulmonary valve replacement mitral valve repair paravalvular regurgitation repair left atrial appendage occlusion/closure ventricular septal defect closure) (peri-and intra-procedural) real-time image acquisition and documentation guidance with quantitative measurements probe manipulation interpretation and report including diagnostic transesophageal echocardiography and when performed administration of ultrasound contrast Doppler color flow and 3D | 93355 - ECHO TEE GUID TCAT ICAR/VESSEL STRUCTURAL INTVN | 93355 - ECHO TRANSESOPHAGEAL (TEE) | '01/01/2019 | 12/31/2999 |
| 93356 | 93356 - Myocardial strain imaging using speckle tracking-derived assessment of myocardial mechanics (List separately in addition to codes for echocardiography imaging) | 93356 - MYOCRD STRAIN IMG SPECKLE TRCK ASSMT MYOCRD MECH | 93356 - MYOCRD STRAIN IMG SPCKL TRCK | '01/01/2020 | 12/31/2999 |
| 93451 | 93451 - Right heart catheterization including measurement(s) of oxygen saturation and cardiac output when performed | 93451 - RIGHT HEART CATH O2 SATURATION & CARDIAC OUTPUT | 93451 - RIGHT HEART CATH | '01/01/2017 | 12/31/2999 |
| 93452 | 93452 - Left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and interpretation when performed | 93452 - L HRT CATH W/NJX L VENTRICULOGRAPHY IMG S&I | 93452 - LEFT HRT CATH W/VENTRCLGRPHY | '01/01/2017 | 12/31/2999 |
| 93453 | 93453 - Combined right and left heart catheterization including intraprocedural injection(s) for left ventriculography imaging supervision and interpretation when performed | 93453 - R & L HRT CATH W/NJX L VENTRICULOG IMG S&I | 93453 - R&L HRT CATH W/VENTRICLGRPHY | '01/01/2017 | 12/31/2999 |
| 93454 | 93454 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; | 93454 - CATH PLACEMENT & NJX CORONARY ART ANGIO IMG S&I | 93454 - CORONARY ARTERY ANGIO S&I | '01/01/2017 | 12/31/2999 |
| 93455 | 93455 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography | 93455 - CATH PLMT & NJX CORONARY ART/GRFT ANGIO IMG S&I | 93455 - CORONARY ART/GRFT ANGIO S&I | '01/01/2017 | 12/31/2999 |
| 93456 | 93456 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with right heart catheterization | 93456 - CATH PLMT R HRT & ARTS W/NJX & ANGIO IMG S&I | 93456 - R HRT CORONARY ARTERY ANGIO | '01/01/2017 | 12/31/2999 |
| 93457 | 93457 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization | 93457 - CATH PLMT R HRT/ARTS/GRFTS W/NJX& ANGIO IMG S&I | 93457 - R HRT ART/GRFT ANGIO | '01/01/2017 | 12/31/2999 |
| 93458 | 93458 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed | 93458 - CATH PLMT L HRT & ARTS W/NJX & ANGIO IMG S&I | 93458 - L HRT ARTERY/VENTRICLE ANGIO | '01/01/2017 | 12/31/2999 |
| 93459 | 93459 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography | 93459 - CATH PLMT L HRT/ARTS/GRFTS WNJX & ANGIO IMG S&I | 93459 - L HRT ART/GRFT ANGIO | '01/01/2017 | 12/31/2999 |
| 93460 | 93460 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed | 93460 - R & L HRT CATH WINJX HRT ART& L VENTR IMG | 93460 - R&L HRT ART/VENTRICLE ANGIO | '01/01/2017 | 12/31/2999 |
| 93461 | 93461 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography | 93461 - R& L HRT CATH W/INJEC HRT ART/GRFT& L VENT I | 93461 - R&L HRT ART/VENTRICLE ANGIO | '01/01/2017 | 12/31/2999 |
| 93462 | 93462 - Left heart catheterization by transseptal puncture through intact septum or by transapical puncture (List separately in addition to code for primary procedure) | 93462 - LEFT HEART CATH BY TRANSEPTAL PUNCTURE | 93462 - L HRT CATH TRNSPTL PUNCTURE | '01/01/2017 | 12/31/2999 |
| 93463 | 93463 - Pharmacologic agent administration (eg inhaled nitric oxide intravenous infusion of nitroprusside dobutamine milrinone or other agent) including assessing hemodynamic measurements before during after and repeat pharmacologic agent administration when performed (List separately in addition to code for primary procedure) | 93463 - MEDICATION ADMIN & HEMODYNAMIC MEASURMENT | 93463 - DRUG ADMIN & HEMODYNMIC MEAS | '01/01/2017 | 12/31/2999 |
| 93464 | 93464 - Physiologic exercise study (eg bicycle or arm ergometry) including assessing hemodynamic measurements before and after (List separately in addition to code for primary procedure) | 93464 - PHYSIOLOGIC EXERCISE STUDY & HEMODYNAMIC MEASU | 93464 - EXERCISE W/HEMODYNAMIC MEAS | '01/01/2017 | 12/31/2999 |
| 93503 | 93503 - Insertion and placement of flow directed catheter (eg Swan-Ganz) for monitoring purposes | 93503 - INSERTION FLOW DIRECTED CATHETER FOR MONITORING | 93503 - INSERT/PLACE HEART CATHETER | '01/01/2017 | 12/31/2999 |
| 93505 | 93505 - Endomyocardial biopsy | 93505 - ENDOMYOCARDIAL BIOPSY | 93505 - BIOPSY OF HEART LINING | '01/01/2017 | 12/31/2999 |
| 93563 | 93563 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective coronary angiography during congenital heart catheterization (List separately in addition to code for primary procedure) | 93563 - NJX DRG CGEN C-CATHJ SLCTV CORONARY ANGRPH S&I | 93563 - NJX CGEN CAR CTH SLCTV C ANG | '01/01/2023 | 12/31/2999 |
| 93564 | 93564 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective opacification of aortocoronary venous or arterial bypass graft(s) (eg aortocoronary saphenous vein free radial artery or free mammary artery graft) to one or more coronary arteries and in situ arterial conduits (eg internal mammary) whether native or used for bypass to one or more coronary arteries during congenital heart catheterization when performed (List separately in addition to code for primary procedure) | 93564 - NJX DRG CGEN C-CATHJ SLCTV OPACIFICATION S&I | 93564 - NJX CGEN CAR CATH SLCTV OPAC | '01/01/2023 | 12/31/2999 |
| 93565 | 93565 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective left ventricular or left atrial angiography (List separately in addition to code for primary procedure) | 93565 - NJX DRG C-CATHJ SLCTV L VNTRC/R ATRIAL ANGRPHS&I | 93565 - NJX CAR CTH SLCTV LV/LA ANG | '01/01/2023 | 12/31/2999 |
| 93566 | 93566 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective right ventricular or right atrial angiography (List separately in addition to code for primary procedure) | 93566 - NJX DRG C-CATHJ SLCTV R VNTRC/R ATRIAL ANGRPHS&I | 93566 - NJX CAR CTH SLCTV RV/RA ANG | '01/01/2023 | 12/31/2999 |
| 93567 | 93567 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for supravalvular aortography (List separately in addition to code for primary procedure) | 93567 - NJX DRG C-CATHJ SUPRAVALVULAR AORTOGRAPHY S&I | 93567 - NJX CAR CTH SPRVLV AORTGRPHY | '01/01/2023 | 12/31/2999 |
| 93568 | 93568 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for nonselective pulmonary arterial angiography (List separately in addition to code for primary procedure) | 93568 - NJX DRG C-CATHJ NSLCTV P-ART ANGIOGRAPHY | 93568 - NJX CAR CTH NSLC P-ART ANGRP | '01/01/2023 | 12/31/2999 |
| 93569 | 93569 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective pulmonary arterial angiography unilateral (List separately in addition to code for primary procedure) | 93569 - NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY UNI | 93569 - NJX CTH SLCT P-ART ANGRP UNI | '01/01/2023 | 12/31/2999 |
| 93571 | 93571 - Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; initial vessel (List separately in addition to code for primary procedure) | 93571 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS 1ST VSL | 93571 - HEART FLOW RESERVE MEASURE | '01/01/2017 | 12/31/2999 |
| 93572 | 93572 - Intravascular Doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress; each additional vessel (List separately in addition to code for primary procedure) | 93572 - IV DOP VEL&/OR PRESS C/FLO RSRV MEAS ADDL VSL | 93572 - HEART FLOW RESERVE MEASURE | '01/01/2017 | 12/31/2999 |
| 93573 | 93573 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective pulmonary arterial angiography bilateral (List separately in addition to code for primary procedure) | 93573 - NJX DRG C-CATHJ SLCTV P-ART ANGIOGRAPHY BI | 93573 - NJX CATH SLCT P-ART ANGRP BI | '01/01/2023 | 12/31/2999 |
| 93574 | 93574 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective pulmonary venous angiography of each distinct pulmonary vein during cardiac catheterization (List separately in addition to code for primary procedure) | 93574 - NJX DRG C-CATHJ SLCTV PULM VEN ANGIOGRAPHY | 93574 - NJX CATH SLCT PULM VN ANGRPH | '01/01/2023 | 12/31/2999 |
| 93575 | 93575 - Injection procedure during cardiac catheterization including imaging supervision interpretation and report; for selective pulmonary angiography of major aortopulmonary collateral arteries (MAPCAs) arising off the aorta or its systemic branches during cardiac catheterization for congenital heart defects each distinct vessel (List separately in addition to code for primary procedure) | 93575 - NJX DRG C-CATHJ SLCTV PULM ANGRPH MAPCA CHD EA | 93575 - NJX CATH SLCT P ANGRPH MAPCA | '01/01/2023 | 12/31/2999 |
| 93580 | 93580 - Percutaneous transcatheter closure of congenital interatrial communication (ie Fontan fenestration atrial septal defect) with implant | 93580 - PRQ TCAT CLSR CGEN INTRATRL COMUNICAJ W/IMPLT | 93580 - TRANSCATH CLOSURE OF ASD | '01/01/2017 | 12/31/2999 |
| 93581 | 93581 - Percutaneous transcatheter closure of a congenital ventricular septal defect with implant | 93581 - PRQ TCAT CLSR CGEN VENTR SEPTAL DFCT W/IMPLT | 93581 - TRANSCATH CLOSURE OF VSD | '01/01/2017 | 12/31/2999 |
| 93582 | 93582 - Percutaneous transcatheter closure of patent ductus arteriosus | 93582 - PERCUTAN TRANSCATH CLOSURE PAT DUCT ARTERIOSUS | 93582 - PERQ TRANSCATH CLOSURE PDA | '01/01/2017 | 12/31/2999 |
| 93583 | 93583 - Percutaneous transcatheter septal reduction therapy (eg alcohol septal ablation) including temporary pacemaker insertion when performed | 93583 - PERCUTANEOUS TRANSCATHETER SEPTAL REDUCTION THER | 93583 - PERQ TRANSCATH SEPTAL REDUXN | '01/01/2017 | 12/31/2999 |
| 93590 | 93590 - Percutaneous transcatheter closure of paravalvular leak; initial occlusion device mitral valve | 93590 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 MITRAL VALVE | 93590 - PERQ TRANSCATH CLS MITRAL | '01/01/2017 | 12/31/2999 |
| 93591 | 93591 - Percutaneous transcatheter closure of paravalvular leak; initial occlusion device aortic valve | 93591 - PERQ TRANSCATH CLS PARAVALVR LEAK 1 AORTIC VALVE | 93591 - PERQ TRANSCATH CLS AORTIC | '01/01/2017 | 12/31/2999 |
| 93592 | 93592 - Percutaneous transcatheter closure of paravalvular leak; each additional occlusion device (List separately in addition to code for primary procedure) | 93592 - PERQ TRANSCATH CLS PARAVALVR LEAK EACH OCCLS DEV | 93592 - PERQ TRANSCATH CLOSURE EACH | '01/01/2017 | 12/31/2999 |
| 93593 | 93593 - Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; normal native connections | 93593 - R HRT CATH CHD W/IMG CATH TRGT ZONE NML NT CONNJ | 93593 - R HRT CATH CHD NML NT CNJ | '01/01/2022 | 12/31/2999 |
| 93594 | 93594 - Right heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone; abnormal native connections | 93594 - R HRT CATH CHD W/IMG CATH TRGT ZON ABNL NT CONNJ | 93594 - R HRT CATH CHD ABNL NT CNJ | '01/01/2022 | 12/31/2999 |
| 93595 | 93595 - Left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone normal or abnormal native connections | 93595 - L HRT CATH CHD IMG CATH TRGT ZON NML/ABNL NT CNJ | 93595 - L HRT CATH CHD NM/ABN NT CNJ | '01/01/2022 | 12/31/2999 |
| 93596 | 93596 - Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); normal native connections | 93596 - R&L HRT CATH CHD IMG CATH TRGT ZONE NML NT CONNJ | 93596 - R&L HRT CATH CHD NML NT CNJ | '01/01/2022 | 12/31/2999 |
| 93597 | 93597 - Right and left heart catheterization for congenital heart defect(s) including imaging guidance by the proceduralist to advance the catheter to the target zone(s); abnormal native connections | 93597 - R&L HRT CATH CHD IMG CATH TRGT ZON ABNL NT CONNJ | 93597 - R&L HRT CATH CHD ABNL NT CNJ | '01/01/2022 | 12/31/2999 |
| 93598 | 93598 - Cardiac output measurement(s) thermodilution or other indicator dilution method performed during cardiac catheterization for the evaluation of congenital heart defects (List separately in addition to code for primary procedure) | 93598 - CAR OUTP MEAS DRG CAR CATH EVAL CGEN HRT DEFECT | 93598 - CAR OUTP MEAS DRG CATH CHD | '01/01/2022 | 12/31/2999 |
| 93600 | 93600 - Bundle of His recording | 93600 - BUNDLE OF HIS RECORDING | 93600 - BUNDLE OF HIS RECORDING | '01/01/2017 | 12/31/2999 |
| 93602 | 93602 - Intra-atrial recording | 93602 - INTRA-ATRIAL RECORDING | 93602 - INTRA-ATRIAL RECORDING | '01/01/2017 | 12/31/2999 |
| 93603 | 93603 - Right ventricular recording | 93603 - RIGHT VENTRICULAR RECORDING | 93603 - RIGHT VENTRICULAR RECORDING | '01/01/2017 | 12/31/2999 |
| 93609 | 93609 - Intraventricular and/or intra-atrial mapping of tachycardia site(s) with catheter manipulation to record from multiple sites to identify origin of tachycardia (List separately in addition to code for primary procedure) | 93609 - INTRA-VENTRIC&/ATRIAL MAPG TACHYCARD W/CATH MA | 93609 - MAP TACHYCARDIA ADD-ON | '01/01/2017 | 12/31/2999 |
| 93610 | 93610 - Intra-atrial pacing | 93610 - INTRA-ATRIAL PACING | 93610 - INTRA-ATRIAL PACING | '01/01/2017 | 12/31/2999 |
| 93612 | 93612 - Intraventricular pacing | 93612 - INTRAVENTRICULAR PACING | 93612 - INTRAVENTRICULAR PACING | '01/01/2017 | 12/31/2999 |
| 93613 | 93613 - Intracardiac electrophysiologic 3-dimensional mapping (List separately in addition to code for primary procedure) | 93613 - INTRACARDIAC ELECTROPHYSIOLOGIC 3D MAPPING | 93613 - ELECTROPHYS MAP 3D ADD-ON | '01/01/2017 | 12/31/2999 |
| 93615 | 93615 - Esophageal recording of atrial electrogram with or without ventricular electrogram(s); | 93615 - ESOPHGL REC ATRIAL W/WO VENTRICULAR ELECTROGRAMS | 93615 - ESOPHAGEAL RECORDING | '01/01/2017 | 12/31/2999 |
| 93616 | 93616 - Esophageal recording of atrial electrogram with or without ventricular electrogram(s); with pacing | 93616 - ESOPHGL REC ATRIAL W/WO VENTR ELECTRGRAMS W/PACG | 93616 - ESOPHAGEAL RECORDING | '01/01/2017 | 12/31/2999 |
| 93618 | 93618 - Induction of arrhythmia by electrical pacing | 93618 - INDUCTION ARRHYTHMIA ELECTRICAL PACING | 93618 - HEART RHYTHM PACING | '01/01/2017 | 12/31/2999 |
| 93619 | 93619 - Comprehensive electrophysiologic evaluation with right atrial pacing and recording right ventricular pacing and recording His bundle recording including insertion and repositioning of multiple electrode catheters without induction or attempted induction of arrhythmia | 93619 - COMPRE ELECTROPHYSIOLOGIC W/O ARRHYT INDUCTION | 93619 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93620 | 93620 - Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with right atrial pacing and recording right ventricular pacing and recording His bundle recording | 93620 - COMPRE ELECTROPHYSIOLOGIC ARRHYTHMIA INDUCTION | 93620 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93621 | 93621 - Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left atrial pacing and recording from coronary sinus or left atrium (List separately in addition to code for primary procedure) | 93621 - COMPRE ELECTROPHYSIOL XM W/LEFT ATRIAL PACNG/REC | 93621 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93622 | 93622 - Comprehensive electrophysiologic evaluation including insertion and repositioning of multiple electrode catheters with induction or attempted induction of arrhythmia; with left ventricular pacing and recording (List separately in addition to code for primary procedure) | 93622 - COMPRE ELECTROPHYSIOL XM W/LEFT VENTR PACNG/REC | 93622 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93623 | 93623 - Programmed stimulation and pacing after intravenous drug infusion (List separately in addition to code for primary procedure) | 93623 - PROGRAMMED STIMJ & PACG AFTER IV DRUG NFS | 93623 - STIMULATION PACING HEART | '01/01/2017 | 12/31/2999 |
| 93624 | 93624 - Electrophysiologic follow-up study with pacing and recording to test effectiveness of therapy including induction or attempted induction of arrhythmia | 93624 - ELECTROPHYSIOLOGIC FOLLOW-UP W/PAC/REC W/ARRHYT | 93624 - ELECTROPHYSIOLOGIC STUDY | '01/01/2017 | 12/31/2999 |
| 93631 | 93631 - Intra-operative epicardial and endocardial pacing and mapping to localize the site of tachycardia or zone of slow conduction for surgical correction | 93631 - INTRAOP EPICAR& ENDOCAR PACG& MAPG | 93631 - HEART PACING MAPPING | '01/01/2017 | 12/31/2999 |
| 93640 | 93640 - Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; | 93640 - EPHYS EVAL PACG CVDFB LDS INITIAL IMPLAN/REPLACE | 93640 - EVALUATION HEART DEVICE | '01/01/2017 | 12/31/2999 |
| 93641 | 93641 - Electrophysiologic evaluation of single or dual chamber pacing cardioverter-defibrillator leads including defibrillation threshold evaluation (induction of arrhythmia evaluation of sensing and pacing for arrhythmia termination) at time of initial implantation or replacement; with testing of single or dual chamber pacing cardioverter-defibrillator pulse generator | 93641 - EPHYS EVAL PACG CVDFB LDS W/TSTG OF PULSE GEN | 93641 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93642 | 93642 - Electrophysiologic evaluation of single or dual chamber transvenous pacing cardioverter-defibrillator (includes defibrillation threshold evaluation induction of arrhythmia evaluation of sensing and pacing for arrhythmia termination and programming or reprogramming of sensing or therapeutic parameters) | 93642 - EPHYS EVAL PACG CVDFB PRGRMG/REPRGRMG PARAMETERS | 93642 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93644 | 93644 - Electrophysiologic evaluation of subcutaneous implantable defibrillator (includes defibrillation threshold evaluation induction of arrhythmia evaluation of sensing for arrhythmia termination and programming or reprogramming of sensing or therapeutic parameters) | 93644 - EPHYS EVAL SUBQ IMPLANTABLE DEFIBRILLATOR | 93644 - ELECTROPHYSIOLOGY EVALUATION | '01/01/2017 | 12/31/2999 |
| 93650 | 93650 - Intracardiac catheter ablation of atrioventricular node function atrioventricular conduction for creation of complete heart block with or without temporary pacemaker placement | 93650 - ICAR CATHETER ABLATION ATRIOVENTR NODE FUNCTION | 93650 - ABLATE HEART DYSRHYTHM FOCUS | '01/01/2017 | 12/31/2999 |
| 93653 | 93653 - Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus including intracardiac electrophysiologic 3-dimensional mapping right ventricular pacing and recording left atrial pacing and recording from coronary sinus or left atrium and His bundle recording when performed; with treatment of supraventricular tachycardia by ablation of fast or slow atrioventricular pathway accessory atrioventricular connection cavo-tricuspid isthmus or other single atrial focus or source of atrial re-entry | 93653 - COMPRE EP EVAL ABLTJ 3D MAPG TX SVT | 93653 - COMPRE EP EVAL TX SVT | '01/01/2022 | 12/31/2999 |
| 93654 | 93654 - Comprehensive electrophysiologic evaluation with insertion and repositioning of multiple electrode catheters induction or attempted induction of an arrhythmia with right atrial pacing and recording and catheter ablation of arrhythmogenic focus including intracardiac electrophysiologic 3-dimensional mapping right ventricular pacing and recording left atrial pacing and recording from coronary sinus or left atrium and His bundle recording when performed; with treatment of ventricular tachycardia or focus of ventricular ectopy including left ventricular pacing and recording when performed | 93654 - COMPRE EP EVAL ABLTJ 3D MAPG TX VT | 93654 - COMPRE EP EVAL TX VT | '01/01/2022 | 12/31/2999 |
| 93655 | 93655 - Intracardiac catheter ablation of a discrete mechanism of arrhythmia which is distinct from the primary ablated mechanism including repeat diagnostic maneuvers to treat a spontaneous or induced arrhythmia (List separately in addition to code for primary procedure) | 93655 - ICAR CATHETER ABLATION ARRHYTHMIA ADD ON | 93655 - ABLATE ARRHYTHMIA ADD ON | '09/01/2017 | 12/31/2999 |
| 93656 | 93656 - Comprehensive electrophysiologic evaluation including transseptal catheterizations insertion and repositioning of multiple electrode catheters with intracardiac catheter ablation of atrial fibrillation by pulmonary vein isolation including intracardiac electrophysiologic 3-dimensional mapping intracardiac echocardiography including imaging supervision and interpretation induction or attempted induction of an arrhythmia including left or right atrial pacing/recording right ventricular pacing/recording and His bundle recording when performed | 93656 - COMPRE EP EVAL ABLTJ ATR FIB PULM VEIN ISOLATION | 93656 - COMPRE EP EVAL ABLTJ ATR FIB | '01/01/2022 | 12/31/2999 |
| 93657 | 93657 - Additional linear or focal intracardiac catheter ablation of the left or right atrium for treatment of atrial fibrillation remaining after completion of pulmonary vein isolation (List separately in addition to code for primary procedure) | 93657 - ABLATE L/R ATRIAL FIBRIL W/ISOLATED PULM VEIN | 93657 - TX L/R ATRIAL FIB ADDL | '01/01/2017 | 12/31/2999 |
| 93660 | 93660 - Evaluation of cardiovascular function with tilt table evaluation with continuous ECG monitoring and intermittent blood pressure monitoring with or without pharmacological intervention | 93660 - CARDIOVASCULAR FUNCTION EVAL W/TILT TABLE W/MNTR | 93660 - TILT TABLE EVALUATION | '01/01/2017 | 12/31/2999 |
| 93662 | 93662 - Intracardiac echocardiography during therapeutic/diagnostic intervention including imaging supervision and interpretation (List separately in addition to code for primary procedure) | 93662 - INTRACARD ECHOCARD W/THER/DX IVNTJ INCL IMG S&I | 93662 - INTRACARDIAC ECG (ICE) | '01/01/2017 | 12/31/2999 |
| 93668 | 93668 - Peripheral arterial disease (PAD) rehabilitation per session | 93668 - PERIPHERAL ARTERIAL DISEASE REHAB PER SESSION | 93668 - PERIPHERAL VASCULAR REHAB | '01/01/2017 | 12/31/2999 |
| 93701 | 93701 - Bioimpedance-derived physiologic cardiovascular analysis | 93701 - BIOMPEDANCE-DERIVED PHYSIOLOGIC CV ANALYSIS | 93701 - BIOIMPEDANCE CV ANALYSIS | '01/01/2017 | 12/31/2999 |
| 93702 | 93702 - Bioimpedance spectroscopy (BIS) extracellular fluid analysis for lymphedema assessment(s) | 93702 - BIS EXTRACELLULAR FLUID ALYS LYMPHEDEMA ASSMNT | 93702 - BIS XTRACELL FLUID ANALYSIS | '01/01/2017 | 12/31/2999 |
| 93724 | 93724 - Electronic analysis of antitachycardia pacemaker system (includes electrocardiographic recording programming of device induction and termination of tachycardia via implanted pacemaker and interpretation of recordings) | 93724 - ELECTRONIC ANALYSIS ANTITACHY PACEMAKER SYSTEM | 93724 - ANALYZE PACEMAKER SYSTEM | '01/01/2017 | 12/31/2999 |
| 93740 | 93740 - Temperature gradient studies | 93740 - TEMPRATURE GRADIENT STUDY | 93740 - TEMPERATURE GRADIENT STUDIES | '01/01/2017 | 12/31/2999 |
| 93745 | 93745 - Initial set-up and programming by a physician or other qualified health care professional of wearable cardioverter-defibrillator includes initial programming of system establishing baseline electronic ECG transmission of data to data repository patient instruction in wearing system and patient reporting of problems or events | 93745 - 1ST SET-UP & PRGRMG PHYS/QHP OF WEARABLE CVDFB | 93745 - SET-UP CARDIOVERT-DEFIBRILL | '01/01/2017 | 12/31/2999 |
| 93750 | 93750 - Interrogation of ventricular assist device (VAD) in person with physician or other qualified health care professional analysis of device parameters (eg drivelines alarms power surges) review of device function (eg flow and volume status septum status recovery) with programming if performed and report | 93750 - INTERROGATION VAD IN PRSON W/PHYS/QHP ANALYSIS | 93750 - INTERROGATION VAD IN PERSON | '01/01/2017 | 12/31/2999 |
| 93770 | 93770 - Determination of venous pressure | 93770 - DERMINATION OF VENOUS PRESSUE | 93770 - MEASURE VENOUS PRESSURE | '01/01/2017 | 12/31/2999 |
| 93784 | 93784 - Ambulatory blood pressure monitoring utilizing report-generating software automated worn continuously for 24 hours or longer; including recording scanning analysis interpretation and report | 93784 - AMBULATORY BP MNTR W/SW 24 HR+ REC SCAN ALYS I&R | 93784 - AMBL BP MNTR W/SOFTWARE | '01/01/2020 | 12/31/2999 |
| 93786 | 93786 - Ambulatory blood pressure monitoring utilizing report-generating software automated worn continuously for 24 hours or longer; recording only | 93786 - AMBULATORY BP MNTR W/SW 24 HR+ RECORDING ONLY | 93786 - AMBL BP MNTR W/SW REC ONLY | '01/01/2020 | 12/31/2999 |
| 93788 | 93788 - Ambulatory blood pressure monitoring utilizing report-generating software automated worn continuously for 24 hours or longer; scanning analysis with report | 93788 - AMBULATORY BP MNTR W/SW 24 HR+ SCANNING A/R | 93788 - AMBL BP MNTR W/SW A/R | '01/01/2020 | 12/31/2999 |
| 93790 | 93790 - Ambulatory blood pressure monitoring utilizing report-generating software automated worn continuously for 24 hours or longer; review with interpretation and report | 93790 - AMBULATORY BP MNTR W/SW 24 HR+ REVIEW W/I&R | 93790 - AMBL BP MNTR W/SW I&R | '01/01/2020 | 12/31/2999 |
| 93792 | 93792 - Patient/caregiver training for initiation of home international normalized ratio (INR) monitoring under the direction of a physician or other qualified health care professional face-to-face including use and care of the INR monitor obtaining blood sample instructions for reporting home INR test results and documentation of patient's/caregiver's ability to perform testing and report results | 93792 - PT/CAREGIVER TRAING FOR INITIATION HOME INR MNTR | 93792 - PT/CAREGIVER TRAING HOME INR | '01/01/2020 | 12/31/2999 |
| 93793 | 93793 - Anticoagulant management for a patient taking warfarin must include review and interpretation of a new home office or lab international normalized ratio (INR) test result patient instructions dosage adjustment (as needed) and scheduling of additional test(s) when performed | 93793 - ANTICOAGULANT MGMT FOR PT TAKING WARFARIN | 93793 - ANTICOAG MGMT PT WARFARIN | '01/01/2018 | 12/31/2999 |
| 93797 | 93797 - Physician or other qualified health care professional services for outpatient cardiac rehabilitation; without continuous ECG monitoring (per session) | 93797 - OUTPATIENT CARDIAC REHAB W/O CONT ECG MONITOR | 93797 - CARDIAC REHAB | '01/01/2017 | 12/31/2999 |
| 93798 | 93798 - Physician or other qualified health care professional services for outpatient cardiac rehabilitation; with continuous ECG monitoring (per session) | 93798 - OUTPATIENT CARDIAC REHAB W/CONT ECG MONITORING | 93798 - CARDIAC REHAB/MONITOR | '01/01/2017 | 12/31/2999 |
| 93799 | 93799 - Unlisted cardiovascular service or procedure | 93799 - UNLISTED CARDIOVASCULAR SERVICE/PROCEDURE | 93799 - UNLISTED CV SVC/PROCEDURE | '01/01/2023 | 12/31/2999 |
| 93880 | 93880 - Duplex scan of extracranial arteries; complete bilateral study | 93880 - DUPLEX SCAN EXTRACRANIAL ART COMPL BI STUDY | 93880 - EXTRACRANIAL BILAT STUDY | '01/01/2017 | 12/31/2999 |
| 93882 | 93882 - Duplex scan of extracranial arteries; unilateral or limited study | 93882 - DUPLEX SCAN EXTRACRANIAL ART UNI/LMTD STUDY | 93882 - EXTRACRANIAL UNI/LTD STUDY | '01/01/2017 | 12/31/2999 |
| 93886 | 93886 - Transcranial Doppler study of the intracranial arteries; complete study | 93886 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART COMPL | 93886 - INTRACRANIAL COMPLETE STUDY | '01/01/2017 | 12/31/2999 |
| 93888 | 93888 - Transcranial Doppler study of the intracranial arteries; limited study | 93888 - TRANSCRANIAL DOPPLER STDY INTRACRANIAL ART LMTD | 93888 - INTRACRANIAL LIMITED STUDY | '01/01/2017 | 12/31/2999 |
| 93890 | 93890 - Transcranial Doppler study of the intracranial arteries; vasoreactivity study | 93890 - TRANSCRANIAL DOPPLER INTRACRAN ART VASOREAC STDY | 93890 - TCD VASOREACTIVITY STUDY | '01/01/2017 | 12/31/2999 |
| 93892 | 93892 - Transcranial Doppler study of the intracranial arteries; emboli detection without intravenous microbubble injection | 93892 - TRANSCRANIAL DOPPLER INTRACRAN ART EMBOLI DETECT | 93892 - TCD EMBOLI DETECT W/O INJ | '01/01/2017 | 12/31/2999 |
| 93893 | 93893 - Transcranial Doppler study of the intracranial arteries; emboli detection with intravenous microbubble injection | 93893 - TRANSCRAN DOPPLER INTRACRAN ART MICROBUBBLE INJ | 93893 - TCD EMBOLI DETECT W/INJ | '01/01/2017 | 12/31/2999 |
| 93895 | 93895 - Quantitative carotid intima media thickness and carotid atheroma evaluation bilateral | 93895 - CAROTID INTIMA MEDIA & CAROTID ATHEROMA EVAL BI | 93895 - CAROTID INTIMA ATHEROMA EVAL | '01/01/2017 | 12/31/2999 |
| 93922 | 93922 - Limited bilateral noninvasive physiologic studies of upper or lower extremity arteries (eg for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus bidirectional Doppler waveform recording and analysis at 1-2 levels or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus volume plethysmography at 1-2 levels or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries with transcutaneous oxygen tension measurement at 1-2 levels) | 93922 - NON-INVAS PHYSIOLOGIC STD EXTREMITY ART 2 LEVEL | 93922 - UPR/L XTREMITY ART 2 LEVELS | '01/01/2017 | 12/31/2999 |
| 93923 | 93923 - Complete bilateral noninvasive physiologic studies of upper or lower extremity arteries 3 or more levels (eg for lower extremity: ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental blood pressure measurements with bidirectional Doppler waveform recording and analysis at 3 or more levels or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental volume plethysmography at 3 or more levels or ankle/brachial indices at distal posterior tibial and anterior tibial/dorsalis pedis arteries plus segmental transcutaneous oxygen tension measurements at 3 or more levels) or single level study with provocative functional maneuvers (eg measurements with postural provocative tests or measurements with reactive hyperemia) | 93923 - NON-INVASIVE PHYSIOLOGIC STUDY EXTREMITY 3 LEVLS | 93923 - UPR/LXTR ART STDY 3+ LVLS | '01/01/2017 | 12/31/2999 |
| 93924 | 93924 - Noninvasive physiologic studies of lower extremity arteries at rest and following treadmill stress testing (ie bidirectional Doppler waveform or volume plethysmography recording and analysis at rest with ankle/brachial indices immediately after and at timed intervals following performance of a standardized protocol on a motorized treadmill plus recording of time of onset of claudication or other symptoms maximal walking time and time to recovery) complete bilateral study | 93924 - N-INVAS PHYSIOLOGIC STD LXTR ART COMPL BI | 93924 - LWR XTR VASC STDY BILAT | '01/01/2017 | 12/31/2999 |
| 93925 | 93925 - Duplex scan of lower extremity arteries or arterial bypass grafts; complete bilateral study | 93925 - DUP-SCAN LXTR ART/ARTL BPGS COMPL BI STUDY | 93925 - LOWER EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93926 | 93926 - Duplex scan of lower extremity arteries or arterial bypass grafts; unilateral or limited study | 93926 - DUP-SCAN LXTR ART/ARTL BPGS UNI/LMTD STUDY | 93926 - LOWER EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93930 | 93930 - Duplex scan of upper extremity arteries or arterial bypass grafts; complete bilateral study | 93930 - DUP-SCAN UXTR ART/ARTL BPGS COMPL BI STUDY | 93930 - UPPER EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93931 | 93931 - Duplex scan of upper extremity arteries or arterial bypass grafts; unilateral or limited study | 93931 - DUP-SCAN UXTR ART/ARTL BPGS UNI/LMTD STUDY | 93931 - UPPER EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93970 | 93970 - Duplex scan of extremity veins including responses to compression and other maneuvers; complete bilateral study | 93970 - DUP-SCAN XTR VEINS COMPLETE BILATERAL STUDY | 93970 - EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93971 | 93971 - Duplex scan of extremity veins including responses to compression and other maneuvers; unilateral or limited study | 93971 - DUP-SCAN XTR VEINS UNILATERAL/LIMITED STUDY | 93971 - EXTREMITY STUDY | '01/01/2017 | 12/31/2999 |
| 93975 | 93975 - Duplex scan of arterial inflow and venous outflow of abdominal pelvic scrotal contents and/or retroperitoneal organs; complete study | 93975 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN COM | 93975 - VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93976 | 93976 - Duplex scan of arterial inflow and venous outflow of abdominal pelvic scrotal contents and/or retroperitoneal organs; limited study | 93976 - DUP-SCAN ARTL FLO ABDL/PEL/SCROT&/RPR ORGN LMT | 93976 - VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93978 | 93978 - Duplex scan of aorta inferior vena cava iliac vasculature or bypass grafts; complete study | 93978 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS COMPLETE | 93978 - VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93979 | 93979 - Duplex scan of aorta inferior vena cava iliac vasculature or bypass grafts; unilateral or limited study | 93979 - DUP-SCAN AORTA IVC ILIAC VASCL/BPGS UNI/LMTD | 93979 - VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93980 | 93980 - Duplex scan of arterial inflow and venous outflow of penile vessels; complete study | 93980 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL COMPL | 93980 - PENILE VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93981 | 93981 - Duplex scan of arterial inflow and venous outflow of penile vessels; follow-up or limited study | 93981 - DUP-SCAN ARTL INFL&VEN O/F PEN VSL F-UP/LMTD STD | 93981 - PENILE VASCULAR STUDY | '01/01/2017 | 12/31/2999 |
| 93985 | 93985 - Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete bilateral study | 93985 - DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL BI STD | 93985 - DUP-SCAN HEMO COMPL BI STD | '01/01/2020 | 12/31/2999 |
| 93986 | 93986 - Duplex scan of arterial inflow and venous outflow for preoperative vessel assessment prior to creation of hemodialysis access; complete unilateral study | 93986 - DUPLEX SCAN ARTL INFL&VEN O/F HEMO COMPL UNI STD | 93986 - DUP-SCAN HEMO COMPL UNI STD | '01/01/2020 | 12/31/2999 |
| 93990 | 93990 - Duplex scan of hemodialysis access (including arterial inflow body of access and venous outflow) | 93990 - DUPLEX SCAN HEMODIALYSIS ACCESS | 93990 - DOPPLER FLOW TESTING | '01/01/2017 | 12/31/2999 |
| 93998 | 93998 - Unlisted noninvasive vascular diagnostic study | 93998 - UNLISTED NONINVASIVE VASCULAR DIAGNOSTIC STUDY | 93998 - UNLISTD NONINVAS VASC DX STD | '01/01/2023 | 12/31/2999 |
| 94002 | 94002 - Ventilation assist and management initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation initial day | 94002 - VENTILATION ASSIST & MGMT INPATIENT 1ST DAY | 94002 - VENT MGMT INPAT INIT DAY | '01/01/2017 | 12/31/2999 |
| 94003 | 94003 - Ventilation assist and management initiation of pressure or volume preset ventilators for assisted or controlled breathing; hospital inpatient/observation each subsequent day | 94003 - VENTILATION ASSIST & MGMT INPATIENT EA SBSQ DA | 94003 - VENT MGMT INPAT SUBQ DAY | '01/01/2017 | 12/31/2999 |
| 94004 | 94004 - Ventilation assist and management initiation of pressure or volume preset ventilators for assisted or controlled breathing; nursing facility per day | 94004 - VENTILATION ASSIST & MGMT NURSING FAC PR DAY | 94004 - VENT MGMT NF PER DAY | '01/01/2017 | 12/31/2999 |
| 94005 | 94005 - Home ventilator management care plan oversight of a patient (patient not present) in home domiciliary or rest home (eg assisted living) requiring review of status review of laboratories and other studies and revision of orders and respiratory care plan (as appropriate) within a calendar month 30 minutes or more | 94005 - HOME VENTILATOR MGMT CARE OVERSIGHT 30 MIN/> | 94005 - HOME VENT MGMT SUPERVISION | '01/01/2017 | 12/31/2999 |
| 94010 | 94010 - Spirometry including graphic record total and timed vital capacity expiratory flow rate measurement(s) with or without maximal voluntary ventilation | 94010 - SPMTRY W/VC EXPIRATORY FLO W/WO MXML VOL VNTJ | 94010 - BREATHING CAPACITY TEST | '01/01/2017 | 12/31/2999 |
| 94011 | 94011 - Measurement of spirometric forced expiratory flows in an infant or child through 2 years of age | 94011 - MEAS SPIROMTRC FORCD EXPIRATORY FLO INFANT&/2 Y | 94011 - SPIROMETRY UP TO 2 YRS OLD | '01/01/2017 | 12/31/2999 |
| 94012 | 94012 - Measurement of spirometric forced expiratory flows before and after bronchodilator in an infant or child through 2 years of age | 94012 - MEAS SPIRO FRCD EXP FLO PRE&POST BRONCH INF/2YRS | 94012 - SPIRMTRY W/BRNCHDIL INF-2 YR | '01/01/2017 | 12/31/2999 |
| 94013 | 94013 - Measurement of lung volumes (ie functional residual capacity [FRC] forced vital capacity [FVC] and expiratory reserve volume [ERV]) in an infant or child through 2 years of age | 94013 - MEASUREMENT LUNG VOLUMES INFANT/CHILD/2 YRS | 94013 - MEAS LUNG VOL THRU 2 YRS | '01/01/2017 | 12/31/2999 |
| 94014 | 94014 - Patient-initiated spirometric recording per 30-day period of time; includes reinforced education transmission of spirometric tracing data capture analysis of transmitted data periodic recalibration and review and interpretation by a physician or other qualified health care professional | 94014 - PT-INITIATE SPIROMETRIC RECORDING PHYS/QHP R&I | 94014 - PATIENT RECORDED SPIROMETRY | '01/01/2017 | 12/31/2999 |
| 94015 | 94015 - Patient-initiated spirometric recording per 30-day period of time; recording (includes hook-up reinforced education data transmission data capture trend analysis and periodic recalibration) | 94015 - PATIENT-INITIATED SPIROMETRIC RECORDING | 94015 - PATIENT RECORDED SPIROMETRY | '01/01/2017 | 12/31/2999 |
| 94016 | 94016 - Patient-initiated spirometric recording per 30-day period of time; review and interpretation only by a physician or other qualified health care professional | 94016 - PATIENT-INITIATED SPIROMETRIC PHYS/QHP R&I ONLY | 94016 - REVIEW PATIENT SPIROMETRY | '01/01/2017 | 12/31/2999 |
| 94060 | 94060 - Bronchodilation responsiveness spirometry as in 94010 pre- and post-bronchodilator administration | 94060 - BRNCDILAT RSPSE SPMTRY PRE&POST-BRNCDILAT ADMN | 94060 - EVALUATION OF WHEEZING | '01/01/2017 | 12/31/2999 |
| 94070 | 94070 - Bronchospasm provocation evaluation multiple spirometric determinations as in 94010 with administered agents (eg antigen[s] cold air methacholine) | 94070 - BRNCSPSM PROVOCATION EVAL MLT SPMTRY W/ADMN AGT | 94070 - EVALUATION OF WHEEZING | '01/01/2017 | 12/31/2999 |
| 94150 | 94150 - Vital capacity total (separate procedure) | 94150 - VITAL CAPACITY TOTAL SEPARATE PROCEDURE | 94150 - VITAL CAPACITY TEST | '01/01/2017 | 12/31/2999 |
| 94200 | 94200 - Maximum breathing capacity maximal voluntary ventilation | 94200 - MAX BREATHING CAPACITY MAXIMAL VOLUNTARY VENTJ | 94200 - LUNG FUNCTION TEST (MBC/MVV) | '01/01/2017 | 12/31/2999 |
| 94375 | 94375 - Respiratory flow volume loop | 94375 - RESPIRATORY FLOW VOLUME LOOP | 94375 - RESPIRATORY FLOW VOLUME LOOP | '01/01/2017 | 12/31/2999 |
| 94450 | 94450 - Breathing response to hypoxia (hypoxia response curve) | 94450 - BREATHING RESPONSE TO HYPOXIA | 94450 - HYPOXIA RESPONSE CURVE | '01/01/2017 | 12/31/2999 |
| 94452 | 94452 - High altitude simulation test (HAST) with interpretation and report by a physician or other qualified health care professional; | 94452 - HIGH ALTITUDE SIMULATJ TEST W/PHYS INTERP&REPORT | 94452 - HAST W/REPORT | '01/01/2017 | 12/31/2999 |
| 94453 | 94453 - High altitude simulation test (HAST) with interpretation and report by a physician or other qualified health care professional; with supplemental oxygen titration | 94453 - HIGH ALTITUDE SIMULATJ W/PHYS I&R W/O2 TITRATION | 94453 - HAST W/OXYGEN TITRATE | '01/01/2017 | 12/31/2999 |
| 94610 | 94610 - Intrapulmonary surfactant administration by a physician or other qualified health care professional through endotracheal tube | 94610 - INTRAPULMONARY SURFACTANT ADMINISTJ PHYS/QHP | 94610 - SURFACTANT ADMIN THRU TUBE | '01/01/2017 | 12/31/2999 |
| 94617 | 94617 - Exercise test for bronchospasm including pre- and post-spirometry and pulse oximetry; with electrocardiographic recording(s) | 94617 - XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX W/ECG | 94617 - EXERCISE TST BRNCSPSM W/ECG | '01/01/2021 | 12/31/2999 |
| 94618 | 94618 - Pulmonary stress testing (eg 6-minute walk test) including measurement of heart rate oximetry and oxygen titration when performed | 94618 - PULMONARY STRESS TESTING | 94618 - PULMONARY STRESS TESTING | '01/01/2018 | 12/31/2999 |
| 94619 | 94619 - Exercise test for bronchospasm including pre- and post-spirometry and pulse oximetry; without electrocardiographic recording(s) | 94619 - XERS TST BRNCSPSM PRE&POST SPMTRY&PLS OX WO /ECG | 94619 - EXERCISE TST BRNCSPSM WO ECG | '01/01/2021 | 12/31/2999 |
| 94621 | 94621 - Cardiopulmonary exercise testing including measurements of minute ventilation CO2 production O2 uptake and electrocardiographic recordings | 94621 - CARDIOPULMONARY EXERCISE TESTING | 94621 - CARDIOPULM EXERCISE TESTING | '01/01/2018 | 12/31/2999 |
| 94625 | 94625 - Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session) | 94625 - PHYS/QHP SVCS OP PULM REHAB WO CONT OXIMTRY MNTR | 94625 - PHY/QHP OP PULM RHB W/O MNTR | '01/01/2022 | 12/31/2999 |
| 94626 | 94626 - Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session) | 94626 - PHYS/QHP SVCS OP PULM REHAB W/CONT OXIMTRY MNTR | 94626 - PHY/QHP OP PULM RHB W/MNTR | '01/01/2022 | 12/31/2999 |
| 94640 | 94640 - Pressurized or nonpressurized inhalation treatment for acute airway obstruction for therapeutic purposes and/or for diagnostic purposes such as sputum induction with an aerosol generator nebulizer metered dose inhaler or intermittent positive pressure breathing (IPPB) device | 94640 - PRESSURIZED/NONPRESSURIZED INHALATION TREATMENT | 94640 - AIRWAY INHALATION TREATMENT | '01/01/2017 | 12/31/2999 |
| 94642 | 94642 - Aerosol inhalation of pentamidine for pneumocystis carinii pneumonia treatment or prophylaxis | 94642 - PENTAMIDINE AERSL INHALATION PNEUMOCYSTIS/PROPH | 94642 - AEROSOL INHALATION TREATMENT | '01/01/2017 | 12/31/2999 |
| 94644 | 94644 - Continuous inhalation treatment with aerosol medication for acute airway obstruction; first hour | 94644 - CONTINUOUS INHALATION TREATMENT 1ST HR | 94644 - CBT 1ST HOUR | '01/01/2017 | 12/31/2999 |
| 94645 | 94645 - Continuous inhalation treatment with aerosol medication for acute airway obstruction; each additional hour (List separately in addition to code for primary procedure) | 94645 - CONTINUOUS INHALATION TREATMENT EA ADDL HR | 94645 - CBT EACH ADDL HOUR | '01/01/2017 | 12/31/2999 |
| 94660 | 94660 - Continuous positive airway pressure ventilation (CPAP) initiation and management | 94660 - CPAP VENTILATION CPAP INITIATION&MGMT | 94660 - POS AIRWAY PRESSURE CPAP | '01/01/2017 | 12/31/2999 |
| 94662 | 94662 - Continuous negative pressure ventilation (CNP) initiation and management | 94662 - CONTINUOUS NEGATIVE PRESSURE VENTJ INITIAT&MGM | 94662 - NEG PRESS VENTILATION CNP | '01/01/2017 | 12/31/2999 |
| 94664 | 94664 - Demonstration and/or evaluation of patient utilization of an aerosol generator nebulizer metered dose inhaler or IPPB device | 94664 - DEMO&/EVAL OF PT UTILIZ AERSL GEN/NEB/INHLR/IP | 94664 - EVALUATE PT USE OF INHALER | '01/01/2017 | 12/31/2999 |
| 94667 | 94667 - Manipulation chest wall such as cupping percussing and vibration to facilitate lung function; initial demonstration and/or evaluation | 94667 - MANJ CH WALL FACILITATE LNG FUNCJ 1 DEMO&/EVAL | 94667 - CHEST WALL MANIPULATION | '01/01/2017 | 12/31/2999 |
| 94668 | 94668 - Manipulation chest wall such as cupping percussing and vibration to facilitate lung function; subsequent | 94668 - MANJ CHEST WALL FACILITATE LUNG FUNCTION SUBSQ | 94668 - CHEST WALL MANIPULATION | '01/01/2017 | 12/31/2999 |
| 94669 | 94669 - Mechanical chest wall oscillation to facilitate lung function per session | 94669 - MECHANICAL CHEST WALL OSCILLATION LUNG FUNCTION | 94669 - MECHANICAL CHEST WALL OSCILL | '01/01/2017 | 12/31/2999 |
| 94680 | 94680 - Oxygen uptake expired gas analysis; rest and exercise direct simple | 94680 - O2 UPTK EXP GAS ANALYSIS REST&XERS DIRECT SIMP | 94680 - EXHALED AIR ANALYSIS O2 | '01/01/2017 | 12/31/2999 |
| 94681 | 94681 - Oxygen uptake expired gas analysis; including CO2 output percentage oxygen extracted | 94681 - O2 UPTK EXP GAS ALYS W/CO2 OUTPUT % O2 XTRC | 94681 - EXHALED AIR ANALYSIS O2/CO2 | '01/01/2017 | 12/31/2999 |
| 94690 | 94690 - Oxygen uptake expired gas analysis; rest indirect (separate procedure) | 94690 - O2 UPTAKE EXP GAS ANALYSIS REST INDIRECT SPX | 94690 - EXHALED AIR ANALYSIS | '01/01/2017 | 12/31/2999 |
| 94726 | 94726 - Plethysmography for determination of lung volumes and when performed airway resistance | 94726 - PLETHYSMOGRAPHY LUNG VOLUMES W/WO AIRWAY RESIST | 94726 - PULM FUNCT TST PLETHYSMOGRAP | '01/01/2017 | 12/31/2999 |
| 94727 | 94727 - Gas dilution or washout for determination of lung volumes and when performed distribution of ventilation and closing volumes | 94727 - GAS DILUT/WASHOUT LUNG VOL W/WO DISTRIB VENT&V | 94727 - PULM FUNCTION TEST BY GAS | '01/01/2017 | 12/31/2999 |
| 94728 | 94728 - Airway resistance by oscillometry | 94728 - AIRWAY RESISTANCE BY OSCILLOMETRY | 94728 - AIRWY RESIST BY OSCILLOMETRY | '01/01/2020 | 12/31/2999 |
| 94729 | 94729 - Diffusing capacity (eg carbon monoxide membrane) (List separately in addition to code for primary procedure) | 94729 - CO DIFFUSING CAPACITY | 94729 - CO/MEMBANE DIFFUSE CAPACITY | '01/01/2017 | 12/31/2999 |
| 94760 | 94760 - Noninvasive ear or pulse oximetry for oxygen saturation; single determination | 94760 - NONINVASIVE EAR/PULSE OXIMETRY SINGLE DETER | 94760 - MEASURE BLOOD OXYGEN LEVEL | '01/01/2017 | 12/31/2999 |
| 94761 | 94761 - Noninvasive ear or pulse oximetry for oxygen saturation; multiple determinations (eg during exercise) | 94761 - NONINVASIVE EAR/PULSE OXIMETRY MULTIPLE DETER | 94761 - MEASURE BLOOD OXYGEN LEVEL | '01/01/2017 | 12/31/2999 |
| 94762 | 94762 - Noninvasive ear or pulse oximetry for oxygen saturation; by continuous overnight monitoring (separate procedure) | 94762 - NONINVASIVE EAR/PULSE OXIMETRY OVERNIGHT MONITOR | 94762 - MEASURE BLOOD OXYGEN LEVEL | '01/01/2017 | 12/31/2999 |
| 94772 | 94772 - Circadian respiratory pattern recording (pediatric pneumogram) 12-24 hour continuous recording infant | 94772 - CIRCADIAN RESPIRATRY PATTERN REC 12-24 HR INFANT | 94772 - BREATH RECORDING INFANT | '01/01/2017 | 12/31/2999 |
| 94774 | 94774 - Pediatric home apnea monitoring event recording including respiratory rate pattern and heart rate per 30-day period of time; includes monitor attachment download of data review interpretation and preparation of a report by a physician or other qualified health care professional | 94774 - PEDIATRIC APNEA MONITOR ATTACHMENT PHYS I&R | 94774 - PED HOME APNEA REC COMPL | '01/01/2017 | 12/31/2999 |
| 94775 | 94775 - Pediatric home apnea monitoring event recording including respiratory rate pattern and heart rate per 30-day period of time; monitor attachment only (includes hook-up initiation of recording and disconnection) | 94775 - PEDIATRIC APNEA MONITOR ATTACHMENT | 94775 - PED HOME APNEA REC HK-UP | '01/01/2017 | 12/31/2999 |
| 94776 | 94776 - Pediatric home apnea monitoring event recording including respiratory rate pattern and heart rate per 30-day period of time; monitoring download of information receipt of transmission(s) and analyses by computer only | 94776 - PEDIATRIC APNEA MONITOR ANALYSES COMPUTER | 94776 - PED HOME APNEA REC DOWNLD | '01/01/2017 | 12/31/2999 |
| 94777 | 94777 - Pediatric home apnea monitoring event recording including respiratory rate pattern and heart rate per 30-day period of time; review interpretation and preparation of report only by a physician or other qualified health care professional | 94777 - PEDIATRIC APNEA MONITOR PHYS/QHP REVIEW | 94777 - PED HOME APNEA REC REPORT | '01/01/2017 | 12/31/2999 |
| 94780 | 94780 - Car seat/bed testing for airway integrity for infants through 12 months of age with continual clinical staff observation and continuous recording of pulse oximetry heart rate and respiratory rate with interpretation and report; 60 minutes | 94780 - CAR SEAT/BED TEST INFT THRU 12 MO 60 MIN | 94780 - CARS/BD TST INFT-12MO 60 MIN | '01/01/2019 | 12/31/2999 |
| 94781 | 94781 - Car seat/bed testing for airway integrity for infants through 12 months of age with continual clinical staff observation and continuous recording of pulse oximetry heart rate and respiratory rate with interpretation and report; each additional full 30 minutes (List separately in addition to code for primary procedure) | 94781 - CAR SEAT/BED TEST INFT THRU 12 MO EA ADDL 30 MIN | 94781 - CARS/BD TST INFT-12MO +30MIN | '01/01/2019 | 12/31/2999 |
| 94799 | 94799 - Unlisted pulmonary service or procedure | 94799 - UNLISTED PULMONARY SERVICE/PROCEDURE | 94799 - UNLISTED PULMONARY SVC/PX | '01/01/2023 | 12/31/2999 |
| 95004 | 95004 - Percutaneous tests (scratch puncture prick) with allergenic extracts immediate type reaction including test interpretation and report specify number of tests | 95004 - PERCUTANEOUS TESTS W/ALLERGENIC EXTRACTS | 95004 - PERCUT ALLERGY SKIN TESTS | '01/01/2017 | 12/31/2999 |
| 95012 | 95012 - Nitric oxide expired gas determination | 95012 - NITRIC OXIDE EXPIRED GAS DETERMINATION | 95012 - EXHALED NITRIC OXIDE MEAS | '01/01/2017 | 12/31/2999 |
| 95017 | 95017 - Allergy testing any combination of percutaneous (scratch puncture prick) and intracutaneous (intradermal) sequential and incremental with venoms immediate type reaction including test interpretation and report specify number of tests | 95017 - ALLG TSTG PERQ & IC VENOMS IMMED REACT W/I&R | 95017 - PERQ & ICUT ALLG TEST VENOMS | '01/01/2017 | 12/31/2999 |
| 95018 | 95018 - Allergy testing any combination of percutaneous (scratch puncture prick) and intracutaneous (intradermal) sequential and incremental with drugs or biologicals immediate type reaction including test interpretation and report specify number of tests | 95018 - ALLG TEST PERQ & IC DRUG/BIOL IMMED REACT W/I&R | 95018 - PERQ&IC ALLG TEST DRUGS/BIOL | '01/01/2017 | 12/31/2999 |
| 95024 | 95024 - Intracutaneous (intradermal) tests with allergenic extracts immediate type reaction including test interpretation and report specify number of tests | 95024 - INTRACUTANEOUS TESTS W/ALLERGENIC EXTRACTS | 95024 - ICUT ALLERGY TEST DRUG/BUG | '01/01/2017 | 12/31/2999 |
| 95027 | 95027 - Intracutaneous (intradermal) tests sequential and incremental with allergenic extracts for airborne allergens immediate type reaction including test interpretation and report specify number of tests | 95027 - INTRACUTANEOUS TESTS W/ALLERGENIC XTRCS AIRBORNE | 95027 - ICUT ALLERGY TITRATE-AIRBORN | '01/01/2017 | 12/31/2999 |
| 95028 | 95028 - Intracutaneous (intradermal) tests with allergenic extracts delayed type reaction including reading specify number of tests | 95028 - IC TSTS W/ALLGIC XTRCS DLYD TYP RXN W/READING | 95028 - ICUT ALLERGY TEST-DELAYED | '01/01/2017 | 12/31/2999 |
| 95044 | 95044 - Patch or application test(s) (specify number of tests) | 95044 - PATCH/APPLICATION TEST SPECIFY NUMBER TESTS | 95044 - ALLERGY PATCH TESTS | '01/01/2017 | 12/31/2999 |
| 95052 | 95052 - Photo patch test(s) (specify number of tests) | 95052 - PHOTO PATCH TEST SPECIFY NUMBER TSTS | 95052 - PHOTO PATCH TEST | '01/01/2017 | 12/31/2999 |
| 95056 | 95056 - Photo tests | 95056 - PHOTO TESTS | 95056 - PHOTOSENSITIVITY TESTS | '01/01/2017 | 12/31/2999 |
| 95060 | 95060 - Ophthalmic mucous membrane tests | 95060 - OPHTHALMIC MUCOUS MEMBRANE TESTS | 95060 - EYE ALLERGY TESTS | '01/01/2017 | 12/31/2999 |
| 95065 | 95065 - Direct nasal mucous membrane test | 95065 - DIRECT NASAL MUCOUS MEMBRANE TEST | 95065 - NOSE ALLERGY TEST | '01/01/2017 | 12/31/2999 |
| 95070 | 95070 - Inhalation bronchial challenge testing (not including necessary pulmonary function tests) with histamine methacholine or similar compounds | 95070 - INHLJ BRNCL CHALLENGE TSTG W/HISTAM/METHACHOL | 95070 - BRONCHIAL ALLERGY TESTS | '01/01/2021 | 12/31/2999 |
| 95076 | 95076 - Ingestion challenge test (sequential and incremental ingestion of test items eg food drug or other substance); initial 120 minutes of testing | 95076 - INGESTION CHALLENGE TEST INITIAL 120 MINUTES | 95076 - INGEST CHALLENGE INI 120 MIN | '01/01/2017 | 12/31/2999 |
| 95079 | 95079 - Ingestion challenge test (sequential and incremental ingestion of test items eg food drug or other substance); each additional 60 minutes of testing (List separately in addition to code for primary procedure) | 95079 - INGESTION CHALLENGE TEST EACH ADDL 60 MINUTES | 95079 - INGEST CHALLENGE ADDL 60 MIN | '01/01/2017 | 12/31/2999 |
| 95115 | 95115 - Professional services for allergen immunotherapy not including provision of allergenic extracts; single injection | 95115 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS 1 NJX | 95115 - IMMUNOTHERAPY ONE INJECTION | '01/01/2017 | 12/31/2999 |
| 95117 | 95117 - Professional services for allergen immunotherapy not including provision of allergenic extracts; 2 or more injections | 95117 - PROF SVCS ALLG IMMNTX X W/PRV ALLGIC XTRCS NJXS | 95117 - IMMUNOTHERAPY INJECTIONS | '01/01/2017 | 12/31/2999 |
| 95120 | 95120 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; single injection | 95120 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 1 NJX | 95120 - IMMUNOTHERAPY ONE INJECTION | '01/01/2017 | 12/31/2999 |
| 95125 | 95125 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; 2 or more injections | 95125 - PROF SVCS ALLG IMMNTX W/PRV ALLGIC XTRC 2/> NJX | 95125 - IMMUNOTHERAPY 2/> INJECTIONS | '01/01/2017 | 12/31/2999 |
| 95130 | 95130 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; single stinging insect venom | 95130 - PROF SVCS ALLG IMMNTX W/PRV XTRC 1 STING INSECT | 95130 - IMMNTX 1 STING INSECT | '01/01/2017 | 12/31/2999 |
| 95131 | 95131 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; 2 stinging insect venoms | 95131 - PROF SVCS ALLG IMMNTX W/PRV XTRC 2 STING INSECT | 95131 - IMMNTX 2 STING INSECTS | '01/01/2017 | 12/31/2999 |
| 95132 | 95132 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; 3 stinging insect venoms | 95132 - PROF SVCS ALLG IMMNTX W/PRV XTRC 3 STING INSECT | 95132 - IMMNTX 3 STING INSECTS | '01/01/2017 | 12/31/2999 |
| 95133 | 95133 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; 4 stinging insect venoms | 95133 - PROF SVCS ALLG IMMNTX W/PRV XTRC 4 STING INSECT | 95133 - IMMNTX 4 STING INSECTS | '01/01/2017 | 12/31/2999 |
| 95134 | 95134 - Professional services for allergen immunotherapy in the office or institution of the prescribing physician or other qualified health care professional including provision of allergenic extract; 5 stinging insect venoms | 95134 - PROF SVCS ALLG IMMNTX W/PRV XTRC 5 STING INSECT | 95134 - IMMNTX 5 STING INSECTS | '01/01/2017 | 12/31/2999 |
| 95144 | 95144 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy single dose vial(s) (specify number of vials) | 95144 - PREPJ& ANTIGEN PRV ALLERGEN IMMUNOTHERAPY 1 DO | 95144 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95145 | 95145 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); single stinging insect venom | 95145 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 1 INSECT | 95145 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95146 | 95146 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 2 single stinging insect venoms | 95146 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 2 INSECT | 95146 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95147 | 95147 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 3 single stinging insect venoms | 95147 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 3 INSECT | 95147 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95148 | 95148 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 4 single stinging insect venoms | 95148 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 4 INSECT | 95148 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95149 | 95149 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy (specify number of doses); 5 single stinging insect venoms | 95149 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY 5 INSECT | 95149 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95165 | 95165 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; single or multiple antigens (specify number of doses) | 95165 - PREPJ& ALLERGEN IMMUNOTHERAPY 1/MLT ANTIGEN | 95165 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95170 | 95170 - Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy; whole body extract of biting insect or other arthropod (specify number of doses) | 95170 - PREPJ& ANTIGEN ALLERGEN IMMUNOTHERAPY WHL INSE | 95170 - ANTIGEN THERAPY SERVICES | '01/01/2017 | 12/31/2999 |
| 95180 | 95180 - Rapid desensitization procedure each hour (eg insulin penicillin equine serum) | 95180 - RAPID DESENSITIZATION PROCEDURE EACH HOUR | 95180 - RAPID DESENSITIZATION | '01/01/2017 | 12/31/2999 |
| 95199 | 95199 - Unlisted allergy/clinical immunologic service or procedure | 95199 - UNLISTED ALLERGY/CLINICAL IMMUNOLOGIC SVC/PX | 95199 - UNLISTED ALL/IMMLG SVC/PX | '01/01/2023 | 12/31/2999 |
| 95249 | 95249 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; patient-provided equipment sensor placement hook-up calibration of monitor patient training and printout of recording | 95249 - CONT GLUC MONITORING PATIENT PROVIDED EQUIPMENT | 95249 - CONT GLUC MNTR PT PROV EQP | '01/01/2023 | 12/31/2999 |
| 95250 | 95250 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; physician or other qualified health care professional (office) provided equipment sensor placement hook-up calibration of monitor patient training removal of sensor and printout of recording | 95250 - CONT GLUC MNTR PHYSICIAN/QHP PROVIDED EQUIPMENT | 95250 - CONT GLUC MNTR PHYS/QHP EQP | '01/01/2023 | 12/31/2999 |
| 95251 | 95251 - Ambulatory continuous glucose monitoring of interstitial tissue fluid via a subcutaneous sensor for a minimum of 72 hours; analysis interpretation and report | 95251 - CONTINUOUS GLUCOSE MONITORING ANALYSIS I&R | 95251 - CONT GLUC MNTR ANALYSIS I&R | '01/01/2018 | 12/31/2999 |
| 95700 | 95700 - Electroencephalogram (EEG) continuous recording with video when performed setup patient education and takedown when performed administered in person by EEG technologist minimum of 8 channels | 95700 - EEG CONT REC W/VIDEO BY TECH MIN 8 CHANNELS | 95700 - EEG CONT REC W/VID EEG TECH | '01/01/2020 | 12/31/2999 |
| 95705 | 95705 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist 2-12 hours; unmonitored | 95705 - EEG W/O VIDEO BY TECH 2-12 HR UNMONITORED | 95705 - EEG W/O VID 2-12 HR UNMNTR | '01/01/2020 | 12/31/2999 |
| 95706 | 95706 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist 2-12 hours; with intermittent monitoring and maintenance | 95706 - EEG W/O VIDEO BY TECH 2-12 HR INTERMITTENT MNTR | 95706 - EEG WO VID 2-12HR INTMT MNTR | '01/01/2020 | 12/31/2999 |
| 95707 | 95707 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist 2-12 hours; with continuous real-time monitoring and maintenance | 95707 - EEG W/O VIDEO BY TECH 2-12HR CONTINUOUS R-T MNTR | 95707 - EEG W/O VID 2-12HR CONT MNTR | '01/01/2020 | 12/31/2999 |
| 95708 | 95708 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist each increment of 12-26 hours; unmonitored | 95708 - EEG W/O VID BY TECH EA INCR 12-26HR UNMONITORED | 95708 - EEG WO VID EA 12-26HR UNMNTR | '01/01/2020 | 12/31/2999 |
| 95709 | 95709 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist each increment of 12-26 hours; with intermittent monitoring and maintenance | 95709 - EEG W/O VID BY TECH EA INCR 12-26 HR INTMT MNTR | 95709 - EEG W/O VID EA 12-26HR INTMT | '01/01/2020 | 12/31/2999 |
| 95710 | 95710 - Electroencephalogram (EEG) without video review of data technical description by EEG technologist each increment of 12-26 hours; with continuous real-time monitoring and maintenance | 95710 - EEG W/O VID TECH EA INCR 12-26 HR CONT R-T MNTR | 95710 - EEG W/O VID EA 12-26HR CONT | '01/01/2020 | 12/31/2999 |
| 95711 | 95711 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist 2-12 hours; unmonitored | 95711 - VEEG BY TECH 2-12 HOURS UNMONITORED | 95711 - VEEG 2-12 HR UNMONITORED | '01/01/2020 | 12/31/2999 |
| 95712 | 95712 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist 2-12 hours; with intermittent monitoring and maintenance | 95712 - VEEG BY TECH 2-12 HR INTERMITTENT MONITORING | 95712 - VEEG 2-12 HR INTMT MNTR | '01/01/2020 | 12/31/2999 |
| 95713 | 95713 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist 2-12 hours; with continuous real-time monitoring and maintenance | 95713 - VEEG BY TECH 2-12 HR CONTINUOUS R-T MONITORING | 95713 - VEEG 2-12 HR CONT MNTR | '01/01/2020 | 12/31/2999 |
| 95714 | 95714 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist each increment of 12-26 hours; unmonitored | 95714 - VEEG BY TECH EA INCR 12-26 HR UNMONITORED | 95714 - VEEG EA 12-26 HR UNMNTR | '01/01/2020 | 12/31/2999 |
| 95715 | 95715 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist each increment of 12-26 hours; with intermittent monitoring and maintenance | 95715 - VEEG BY TECH EA INCR 12-26 HR INTERMITTENT MNTR | 95715 - VEEG EA 12-26HR INTMT MNTR | '01/01/2020 | 12/31/2999 |
| 95716 | 95716 - Electroencephalogram with video (VEEG) review of data technical description by EEG technologist each increment of 12-26 hours; with continuous real-time monitoring and maintenance | 95716 - VEEG BY TECH EA INCR 12-26 HR CONT R-T MNTR | 95716 - VEEG EA 12-26HR CONT MNTR | '01/01/2020 | 12/31/2999 |
| 95717 | 95717 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and report 2-12 hours of EEG recording; without video | 95717 - EEG PHYS/QHP 2-12 HR WITHOUT VIDEO | 95717 - EEG PHYS/QHP 2-12 HR W/O VID | '01/01/2020 | 12/31/2999 |
| 95718 | 95718 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and report 2-12 hours of EEG recording; with video (VEEG) | 95718 - EEG PHYS/QHP 2-12 HR WITH VEEG | 95718 - EEG PHYS/QHP 2-12 HR W/VEEG | '01/01/2020 | 12/31/2999 |
| 95719 | 95719 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection each increment of greater than 12 hours up to 26 hours of EEG recording interpretation and report after each 24-hour period; without video | 95719 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR WO VID | 95719 - EEG PHYS/QHP EA INCR W/O VID | '01/01/2020 | 12/31/2999 |
| 95720 | 95720 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection each increment of greater than 12 hours up to 26 hours of EEG recording interpretation and report after each 24-hour period; with video (VEEG) | 95720 - EEG PHYS/QHP EA INCR>12HR<26HR AFTER 24HR W/VEEG | 95720 - EEG PHY/QHP EA INCR W/VEEG | '01/01/2020 | 12/31/2999 |
| 95721 | 95721 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 36 hours up to 60 hours of EEG recording without video | 95721 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/O VIDEO | 95721 - EEG PHY/QHP>36<60 HR W/O VID | '01/01/2020 | 12/31/2999 |
| 95722 | 95722 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 36 hours up to 60 hours of EEG recording with video (VEEG) | 95722 - EEG COMPLETE STD PHYS/QHP>36 HR<60 HR W/VEEG | 95722 - EEG PHY/QHP>36<60 HR W/VEEG | '01/01/2020 | 12/31/2999 |
| 95723 | 95723 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 60 hours up to 84 hours of EEG recording without video | 95723 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/O VIDEO | 95723 - EEG PHY/QHP>60<84 HR W/O VID | '01/01/2020 | 12/31/2999 |
| 95724 | 95724 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 60 hours up to 84 hours of EEG recording with video (VEEG) | 95724 - EEG COMPLETE STD PHYS/QHP>60 HR<84 HR W/VEEG | 95724 - EEG PHY/QHP>60<84 HR W/VEEG | '01/01/2020 | 12/31/2999 |
| 95725 | 95725 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 84 hours of EEG recording without video | 95725 - EEG COMPLETE STD PHYS/QHP>84 HR W/O VID | 95725 - EEG PHY/QHP>84 HR W/O VID | '01/01/2020 | 12/31/2999 |
| 95726 | 95726 - Electroencephalogram (EEG) continuous recording physician or other qualified health care professional review of recorded events analysis of spike and seizure detection interpretation and summary report complete study; greater than 84 hours of EEG recording with video (VEEG) | 95726 - EEG COMPLETE STD PHYS/QHP>84 HR W/VEEG | 95726 - EEG PHY/QHP>84 HR W/VEEG | '01/01/2020 | 12/31/2999 |
| 95782 | 95782 - Polysomnography; younger than 6 years sleep staging with 4 or more additional parameters of sleep attended by a technologist | 95782 - POLYSOM <6 YRS SLEEP STAGE 4/> ADDL PARAM ATTND | 95782 - POLYSOM <6 YRS 4/> PARAMTRS | '01/01/2017 | 12/31/2999 |
| 95783 | 95783 - Polysomnography; younger than 6 years sleep staging with 4 or more additional parameters of sleep with initiation of continuous positive airway pressure therapy or bi-level ventilation attended by a technologist | 95783 - POLYSOM <6 YRS SLEEP W/CPAP/BILVL VENT 4/> PARAM | 95783 - POLYSOM <6 YRS CPAP/BILVL | '01/01/2017 | 12/31/2999 |
| 95800 | 95800 - Sleep study unattended simultaneous recording; heart rate oxygen saturation respiratory analysis (eg by airflow or peripheral arterial tone) and sleep time | 95800 - SLP STDY UNATND W/HRT RATE/O2 SAT/RESP/SLP TIME | 95800 - SLP STDY UNATTENDED | '01/01/2017 | 12/31/2999 |
| 95801 | 95801 - Sleep study unattended simultaneous recording; minimum of heart rate oxygen saturation and respiratory analysis (eg by airflow or peripheral arterial tone) | 95801 - SLP STDY UNATND W/MIN HRT RATE/O2 SAT/RESP ANAL | 95801 - SLP STDY UNATND W/ANAL | '01/01/2017 | 12/31/2999 |
| 95803 | 95803 - Actigraphy testing recording analysis interpretation and report (minimum of 72 hours to 14 consecutive days of recording) | 95803 - ACTIGRAPHY TESTING RECORDING ANALYSIS I&R | 95803 - ACTIGRAPHY TESTING | '01/01/2017 | 12/31/2999 |
| 95805 | 95805 - Multiple sleep latency or maintenance of wakefulness testing recording analysis and interpretation of physiological measurements of sleep during multiple trials to assess sleepiness | 95805 - MLT SLEEP LATENCY/MAINT OF WAKEFULNESS TSTG | 95805 - MULTIPLE SLEEP LATENCY TEST | '01/01/2017 | 12/31/2999 |
| 95806 | 95806 - Sleep study unattended simultaneous recording of heart rate oxygen saturation respiratory airflow and respiratory effort (eg thoracoabdominal movement) | 95806 - SLEEP STD AIRFLOW HRT RATE&O2 SAT EFFORT UNATT | 95806 - SLEEP STUDY UNATT&RESP EFFT | '01/01/2017 | 12/31/2999 |
| 95807 | 95807 - Sleep study simultaneous recording of ventilation respiratory effort ECG or heart rate and oxygen saturation attended by a technologist | 95807 - SLEEP STD REC VNTJ RESPIR ECG/HRT RATE&O2 ATTN | 95807 - SLEEP STUDY ATTENDED | '01/01/2017 | 12/31/2999 |
| 95808 | 95808 - Polysomnography; any age sleep staging with 1-3 additional parameters of sleep attended by a technologist | 95808 - POLYSOM ANY AGE SLEEP STAGE 1-3 ADDL PARAM ATTND | 95808 - POLYSOM ANY AGE 1-3> PARAM | '01/01/2017 | 12/31/2999 |
| 95810 | 95810 - Polysomnography; age 6 years or older sleep staging with 4 or more additional parameters of sleep attended by a technologist | 95810 - POLYSOM 6/>YRS SLEEP 4/> ADDL PARAM ATTND | 95810 - POLYSOM 6/> YRS 4/> PARAM | '01/01/2017 | 12/31/2999 |
| 95811 | 95811 - Polysomnography; age 6 years or older sleep staging with 4 or more additional parameters of sleep with initiation of continuous positive airway pressure therapy or bilevel ventilation attended by a technologist | 95811 - POLYSOM 6/>YRS SLEEP W/CPAP 4/> ADDL PARAM ATTND | 95811 - POLYSOM 6/>YRS CPAP 4/> PARM | '01/01/2017 | 12/31/2999 |
| 95812 | 95812 - Electroencephalogram (EEG) extended monitoring; 41-60 minutes | 95812 - ELECTROENCEPHALOGRAM EXTEND MONITORING 41-60 MIN | 95812 - EEG 41-60 MINUTES | '01/01/2017 | 12/31/2999 |
| 95813 | 95813 - Electroencephalogram (EEG) extended monitoring; 61-119 minutes | 95813 - EEG EXTENDED MONITORING 61-119 MINUTES | 95813 - EEG EXTND MNTR 61-119 MIN | '01/01/2020 | 12/31/2999 |
| 95816 | 95816 - Electroencephalogram (EEG); including recording awake and drowsy | 95816 - ELECTROENCEPHALOGRAM W/REC AWAKE&DROWSY | 95816 - EEG AWAKE AND DROWSY | '01/01/2017 | 12/31/2999 |
| 95819 | 95819 - Electroencephalogram (EEG); including recording awake and asleep | 95819 - ELECTROENCEPHALOGRAM W/REC AWAKE&ASLEEP | 95819 - EEG AWAKE AND ASLEEP | '01/01/2017 | 12/31/2999 |
| 95822 | 95822 - Electroencephalogram (EEG); recording in coma or sleep only | 95822 - ELECTROENCEPHALOGRAM REC COMA/SLEEP ONLY | 95822 - EEG COMA OR SLEEP ONLY | '01/01/2017 | 12/31/2999 |
| 95824 | 95824 - Electroencephalogram (EEG); cerebral death evaluation only | 95824 - ELECTROENCEPHALOGRAM CERE DEATH EVAL ONLY | 95824 - EEG CEREBRAL DEATH ONLY | '01/01/2017 | 12/31/2999 |
| 95829 | 95829 - Electrocorticogram at surgery (separate procedure) | 95829 - ELECTROCORTICOGRAM SURGERY SPX | 95829 - SURGERY ELECTROCORTICOGRAM | '01/01/2017 | 12/31/2999 |
| 95830 | 95830 - Insertion by physician or other qualified health care professional of sphenoidal electrodes for electroencephalographic (EEG) recording | 95830 - INSERTION SPHENOIDAL ELECTRODES EEG PHYS/QHP | 95830 - INSERT ELECTRODES FOR EEG | '01/01/2017 | 12/31/2999 |
| 95836 | 95836 - Electrocorticogram from an implanted brain neurostimulator pulse generator/transmitter including recording with interpretation and written report up to 30 days | 95836 - ECOG IMPLANTED BRAIN NPGT W/REC I&R <30 DAYS | 95836 - ECOG IMPLTD BRN NPGT <30 D | '01/01/2019 | 12/31/2999 |
| 95851 | 95851 - Range of motion measurements and report (separate procedure); each extremity (excluding hand) or each trunk section (spine) | 95851 - ROM MEAS&REPRT EA XTR EX HAND/EA TRNK SCTJ SPI | 95851 - RANGE OF MOTION MEASUREMENTS | '01/01/2017 | 12/31/2999 |
| 95852 | 95852 - Range of motion measurements and report (separate procedure); hand with or without comparison with normal side | 95852 - ROM MEAS&REPRT HAND W/WO COMPARISON NORMAL SID | 95852 - RANGE OF MOTION MEASUREMENTS | '01/01/2017 | 12/31/2999 |
| 95857 | 95857 - Cholinesterase inhibitor challenge test for myasthenia gravis | 95857 - CHOLINESTERASE INHIBITOR CHALLENGE TEST | 95857 - CHOLINESTERASE CHALLENGE | '01/01/2017 | 12/31/2999 |
| 95860 | 95860 - Needle electromyography; 1 extremity with or without related paraspinal areas | 95860 - NDL EMG 1 XTR W/WO RELATED PARASPINAL AREAS | 95860 - MUSCLE TEST ONE LIMB | '01/01/2017 | 12/31/2999 |
| 95861 | 95861 - Needle electromyography; 2 extremities with or without related paraspinal areas | 95861 - NDL EMG 2 XTR W/WO RELATED PARASPINAL AREAS | 95861 - MUSCLE TEST 2 LIMBS | '01/01/2017 | 12/31/2999 |
| 95863 | 95863 - Needle electromyography; 3 extremities with or without related paraspinal areas | 95863 - NDL EMG 3 XTR W/WO RELATED PARASPINAL AREAS | 95863 - MUSCLE TEST 3 LIMBS | '01/01/2017 | 12/31/2999 |
| 95864 | 95864 - Needle electromyography; 4 extremities with or without related paraspinal areas | 95864 - NDL EMG 4 XTR W/WO RELATED PARASPINAL AREAS | 95864 - MUSCLE TEST 4 LIMBS | '01/01/2017 | 12/31/2999 |
| 95865 | 95865 - Needle electromyography; larynx | 95865 - NEEDLE ELECTROMYOGRAPHY LARYNX | 95865 - MUSCLE TEST LARYNX | '01/01/2017 | 12/31/2999 |
| 95866 | 95866 - Needle electromyography; hemidiaphragm | 95866 - NEEDLE ELECTROMYOGRAPHY HEMIDIAPHRAGM | 95866 - MUSCLE TEST HEMIDIAPHRAGM | '01/01/2017 | 12/31/2999 |
| 95867 | 95867 - Needle electromyography; cranial nerve supplied muscle(s) unilateral | 95867 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE UNI | 95867 - MUSCLE TEST CRAN NERV UNILAT | '01/01/2017 | 12/31/2999 |
| 95868 | 95868 - Needle electromyography; cranial nerve supplied muscles bilateral | 95868 - NEEDLE ELECTROMYOGRAPHY CRANIAL NRV MUSCLE BI | 95868 - MUSCLE TEST CRAN NERVE BILAT | '01/01/2017 | 12/31/2999 |
| 95869 | 95869 - Needle electromyography; thoracic paraspinal muscles (excluding T1 or T12) | 95869 - NEEDLE EMG THRC PARASPI MUSC EXCLUDING T1/T12 | 95869 - MUSCLE TEST THOR PARASPINAL | '01/01/2017 | 12/31/2999 |
| 95870 | 95870 - Needle electromyography; limited study of muscles in 1 extremity or non-limb (axial) muscles (unilateral or bilateral) other than thoracic paraspinal cranial nerve supplied muscles or sphincters | 95870 - NEEDLE EMG LMTD STD MUSC 1 XTR/NON-LIMB UNI/BI | 95870 - MUSCLE TEST NONPARASPINAL | '01/01/2017 | 12/31/2999 |
| 95872 | 95872 - Needle electromyography using single fiber electrode with quantitative measurement of jitter blocking and/or fiber density any/all sites of each muscle studied | 95872 - NEEDLE EMG W/1 FIBER ELECTRODE QUAN MEAS JITTER | 95872 - MUSCLE TEST ONE FIBER | '01/01/2017 | 12/31/2999 |
| 95873 | 95873 - Electrical stimulation for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) | 95873 - ELECTRICAL STIMULATION GUID W/CHEMODENERVATION | 95873 - GUIDE NERV DESTR ELEC STIM | '01/01/2017 | 12/31/2999 |
| 95874 | 95874 - Needle electromyography for guidance in conjunction with chemodenervation (List separately in addition to code for primary procedure) | 95874 - NEEDLE EMG GUID W/CHEMODENERVATION | 95874 - GUIDE NERV DESTR NEEDLE EMG | '01/01/2017 | 12/31/2999 |
| 95875 | 95875 - Ischemic limb exercise test with serial specimen(s) acquisition for muscle(s) metabolite(s) | 95875 - ISCHEMIC LIMB XERS TST SPEC ACQUISJ METAB | 95875 - LIMB EXERCISE TEST | '01/01/2017 | 12/31/2999 |
| 95885 | 95885 - Needle electromyography each extremity with related paraspinal areas when performed done with nerve conduction amplitude and latency/velocity study; limited (List separately in addition to code for primary procedure) | 95885 - NEEDLE EMG EA EXTREMITY W/PARASPINL AREA LIMITED | 95885 - MUSC TST DONE W/NERV TST LIM | '01/01/2017 | 12/31/2999 |
| 95886 | 95886 - Needle electromyography each extremity with related paraspinal areas when performed done with nerve conduction amplitude and latency/velocity study; complete five or more muscles studied innervated by three or more nerves or four or more spinal levels (List separately in addition to code for primary procedure) | 95886 - NEEDLE EMG EA EXTREMTY W/PARASPINL AREA COMPLETE | 95886 - MUSC TEST DONE W/N TEST COMP | '01/01/2017 | 12/31/2999 |
| 95887 | 95887 - Needle electromyography non-extremity (cranial nerve supplied or axial) muscle(s) done with nerve conduction amplitude and latency/velocity study (List separately in addition to code for primary procedure) | 95887 - NEEDLE EMG NONEXTREMTY MSCLES W/NERVE CONDUCTION | 95887 - MUSC TST DONE W/N TST NONEXT | '01/01/2017 | 12/31/2999 |
| 95905 | 95905 - Motor and/or sensory nerve conduction using preconfigured electrode array(s) amplitude and latency/velocity study each limb includes F-wave study when performed with interpretation and report | 95905 - MOTOR &/SENS NRV CNDJ PRECONF ELTRD ARRAY LIMB | 95905 - MOTOR &/ SENS NRVE CNDJ TEST | '01/01/2017 | 12/31/2999 |
| 95907 | 95907 - Nerve conduction studies; 1-2 studies | 95907 - NERVE CONDUCTION STUDIES 1-2 STUDIES | 95907 - NVR CNDJ TST 1-2 STUDIES | '01/01/2017 | 12/31/2999 |
| 95908 | 95908 - Nerve conduction studies; 3-4 studies | 95908 - NERVE CONDUCTION STUDIES 3-4 STUDIES | 95908 - NRV CNDJ TST 3-4 STUDIES | '01/01/2017 | 12/31/2999 |
| 95909 | 95909 - Nerve conduction studies; 5-6 studies | 95909 - NERVE CONDUCTION STUDIES 5-6 STUDIES | 95909 - NRV CNDJ TST 5-6 STUDIES | '01/01/2017 | 12/31/2999 |
| 95910 | 95910 - Nerve conduction studies; 7-8 studies | 95910 - NERVE CONDUCTION STUDIES 7-8 STUDIES | 95910 - NRV CNDJ TEST 7-8 STUDIES | '01/01/2017 | 12/31/2999 |
| 95911 | 95911 - Nerve conduction studies; 9-10 studies | 95911 - NERVE CONDUCTION STUDIES 9-10 STUDIES | 95911 - NRV CNDJ TEST 9-10 STUDIES | '01/01/2017 | 12/31/2999 |
| 95912 | 95912 - Nerve conduction studies; 11-12 studies | 95912 - NERVE CONDUCTION STUDIES 11-12 STUDIES | 95912 - NRV CNDJ TEST 11-12 STUDIES | '01/01/2017 | 12/31/2999 |
| 95913 | 95913 - Nerve conduction studies; 13 or more studies | 95913 - NERVE CONDUCTION STUDIES 13/> STUDIES | 95913 - NRV CNDJ TEST 13/> STUDIES | '01/01/2017 | 12/31/2999 |
| 95919 | 95919 - Quantitative pupillometry with physician or other qualified health care professional interpretation and report unilateral or bilateral | 95919 - QUANTITATIVE PUPILLOMETRY PHYS/QHP I&R UNI/BI | 95919 - QUAN PUPLMTRY PHY/QHP UNI/BI | '01/01/2023 | 12/31/2999 |
| 95921 | 95921 - Testing of autonomic nervous system function; cardiovagal innervation (parasympathetic function) including 2 or more of the following: heart rate response to deep breathing with recorded R-R interval Valsalva ratio and 30:15 ratio | 95921 - TSTG ANS FUNCJ CARDIOVAGAL INNERVAJ PARASYMP | 95921 - AUTONOMIC NRV PARASYM INERVJ | '01/01/2017 | 12/31/2999 |
| 95922 | 95922 - Testing of autonomic nervous system function; vasomotor adrenergic innervation (sympathetic adrenergic function) including beat-to-beat blood pressure and R-R interval changes during Valsalva maneuver and at least 5 minutes of passive tilt | 95922 - TSTG ANS FUNCJ VASOMOTOR ADRENERGIC INNERVAJ | 95922 - AUTONOMIC NRV ADRENRG INERVJ | '01/01/2017 | 12/31/2999 |
| 95923 | 95923 - Testing of autonomic nervous system function; sudomotor including 1 or more of the following: quantitative sudomotor axon reflex test (QSART) silastic sweat imprint thermoregulatory sweat test and changes in sympathetic skin potential | 95923 - TESTING AUTONOMIC NERVOUS SYSTEM FUNCTION | 95923 - AUTONOMIC NRV SYST FUNJ TEST | '01/01/2017 | 12/31/2999 |
| 95924 | 95924 - Testing of autonomic nervous system function; combined parasympathetic and sympathetic adrenergic function testing with at least 5 minutes of passive tilt | 95924 - TSTG ANS FUNCJ PARASYMP&SYMP W/5 MIN PASIVE TILT | 95924 - ANS PARASYMP & SYMP W/TILT | '01/01/2017 | 12/31/2999 |
| 95925 | 95925 - Short-latency somatosensory evoked potential study stimulation of any/all peripheral nerves or skin sites recording from the central nervous system; in upper limbs | 95925 - SHORT-LATENCY SOMATOSENS EP STD UPR LIMBS | 95925 - SOMATOSENSORY TESTING | '01/01/2017 | 12/31/2999 |
| 95926 | 95926 - Short-latency somatosensory evoked potential study stimulation of any/all peripheral nerves or skin sites recording from the central nervous system; in lower limbs | 95926 - SHORT-LATENCY SOMATOSENS EP STD LWR LIMBS | 95926 - SOMATOSENSORY TESTING | '01/01/2017 | 12/31/2999 |
| 95927 | 95927 - Short-latency somatosensory evoked potential study stimulation of any/all peripheral nerves or skin sites recording from the central nervous system; in the trunk or head | 95927 - SHORT-LATENCY SOMATOSENS EP STD TRNK/HEAD | 95927 - SOMATOSENSORY TESTING | '01/01/2017 | 12/31/2999 |
| 95928 | 95928 - Central motor evoked potential study (transcranial motor stimulation); upper limbs | 95928 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ UPR LIMBS | 95928 - C MOTOR EVOKED UPPR LIMBS | '01/01/2017 | 12/31/2999 |
| 95929 | 95929 - Central motor evoked potential study (transcranial motor stimulation); lower limbs | 95929 - CTR MOTOR EP STD TRANSCRNL MOTOR STIMJ LWR LIMBS | 95929 - C MOTOR EVOKED LWR LIMBS | '01/01/2017 | 12/31/2999 |
| 95930 | 95930 - Visual evoked potential (VEP) checkerboard or flash testing central nervous system except glaucoma with interpretation and report | 95930 - VISUAL EP TESTING CNS EXCEPT GLAUCOMA W/I&R | 95930 - VISUAL EP TEST CNS W/I&R | '01/01/2018 | 12/31/2999 |
| 95933 | 95933 - Orbicularis oculi (blink) reflex by electrodiagnostic testing | 95933 - ORBICULARIS OCULI REFLX ELECTRODIAGNOSTIC TEST | 95933 - BLINK REFLEX TEST | '01/01/2017 | 12/31/2999 |
| 95937 | 95937 - Neuromuscular junction testing (repetitive stimulation paired stimuli) each nerve any 1 method | 95937 - NEUROMUSCULAR JUNCT TSTG EA NRV ANY 1 METH | 95937 - NEUROMUSCULAR JUNCTION TEST | '01/01/2017 | 12/31/2999 |
| 95938 | 95938 - Short-latency somatosensory evoked potential study stimulation of any/all peripheral nerves or skin sites recording from the central nervous system; in upper and lower limbs | 95938 - SHORT-LATENCY SOMATOSENS EP STD UPR & LOW LIMB | 95938 - SOMATOSENSORY TESTING | '01/01/2017 | 12/31/2999 |
| 95939 | 95939 - Central motor evoked potential study (transcranial motor stimulation); in upper and lower limbs | 95939 - CTR MOTR EP STD TRANSCRNL MOTR STIM UPR&LOW LI | 95939 - C MOTOR EVOKED UPR&LWR LIMBS | '01/01/2017 | 12/31/2999 |
| 95940 | 95940 - Continuous intraoperative neurophysiology monitoring in the operating room one on one monitoring requiring personal attendance each 15 minutes (List separately in addition to code for primary procedure) | 95940 - IONM 1 ON 1 IN OR W/ATTENDANCE EACH 15 MINUTES | 95940 - IONM IN OPERATNG ROOM 15 MIN | '01/01/2017 | 12/31/2999 |
| 95941 | 95941 - Continuous intraoperative neurophysiology monitoring from outside the operating room (remote or nearby) or for monitoring of more than one case while in the operating room per hour (List separately in addition to code for primary procedure) | 95941 - IONM REMOTE/NEARBY/>1 PATIENT IN OR PER HOUR | 95941 - IONM REMOTE/>1 PT OR PER HR | '01/01/2017 | 12/31/2999 |
| 95954 | 95954 - Pharmacological or physical activation requiring physician or other qualified health care professional attendance during EEG recording of activation phase (eg thiopental activation test) | 95954 - RX/PHYSICAL EEG ACTIVAJ PHYS/QHP ATTENDANCE | 95954 - EEG MONITORING/GIVING DRUGS | '01/01/2017 | 12/31/2999 |
| 95955 | 95955 - Electroencephalogram (EEG) during nonintracranial surgery (eg carotid surgery) | 95955 - EEG NONINTRACRANIAL SURGERY | 95955 - EEG DURING SURGERY | '01/01/2017 | 12/31/2999 |
| 95957 | 95957 - Digital analysis of electroencephalogram (EEG) (eg for epileptic spike analysis) | 95957 - DIGITAL ANALYSIS ELECTROENCEPHALOGRAM | 95957 - EEG DIGITAL ANALYSIS | '01/01/2017 | 12/31/2999 |
| 95958 | 95958 - Wada activation test for hemispheric function including electroencephalographic (EEG) monitoring | 95958 - WADA ACTIVATION TEST HEMISPHERIC FUNCTION W/EEG | 95958 - EEG MONITORING/FUNCTION TEST | '01/01/2017 | 12/31/2999 |
| 95961 | 95961 - Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface or of depth electrodes to provoke seizures or identify vital brain structures; initial hour of attendance by a physician or other qualified health care professional | 95961 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND INIT HR | 95961 - ELECTRODE STIMULATION BRAIN | '01/01/2017 | 12/31/2999 |
| 95962 | 95962 - Functional cortical and subcortical mapping by stimulation and/or recording of electrodes on brain surface or of depth electrodes to provoke seizures or identify vital brain structures; each additional hour of attendance by a physician or other qualified health care professional (List separately in addition to code for primary procedure) | 95962 - FUNCJAL CORT&SUBCORT MAPG PHYS/QHP ATTND ADDL HR | 95962 - ELECTRODE STIM BRAIN ADD-ON | '01/01/2017 | 12/31/2999 |
| 95965 | 95965 - Magnetoencephalography (MEG) recording and analysis; for spontaneous brain magnetic activity (eg epileptic cerebral cortex localization) | 95965 - MAGNETOENCEPHALOGRAPHY SPON BRAIN ACTIVITY | 95965 - MEG SPONTANEOUS | '01/01/2017 | 12/31/2999 |
| 95966 | 95966 - Magnetoencephalography (MEG) recording and analysis; for evoked magnetic fields single modality (eg sensory motor language or visual cortex localization) | 95966 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS 1 MODALITY | 95966 - MEG EVOKED SINGLE | '01/01/2017 | 12/31/2999 |
| 95967 | 95967 - Magnetoencephalography (MEG) recording and analysis; for evoked magnetic fields each additional modality (eg sensory motor language or visual cortex localization) (List separately in addition to code for primary procedure) | 95967 - MAGNETOENCEPHALOGRAPY EVOKED FIELDS EACH ADDL | 95967 - MEG EVOKED EACH ADDL | '01/01/2017 | 12/31/2999 |
| 95970 | 95970 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with brain cranial nerve spinal cord peripheral nerve or sacral nerve neurostimulator pulse generator/transmitter without programming | 95970 - ELEC ALYS IMPLT NPGT PHYS/QHP W/O PROGRAMMING | 95970 - ALYS NPGT W/O PRGRMG | '01/01/2019 | 12/31/2999 |
| 95971 | 95971 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with simple spinal cord or peripheral nerve (eg sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional | 95971 - ELEC ALYS IMPLT NPGT SMPL SP/PN NPGT PRGRMG | 95971 - ALYS SMPL SP/PN NPGT W/PRGRM | '01/01/2019 | 12/31/2999 |
| 95972 | 95972 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with complex spinal cord or peripheral nerve (eg sacral nerve) neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional | 95972 - ELEC ALYS IMPLT NPGT CPLX SP/PN PRGRMG | 95972 - ALYS CPLX SP/PN NPGT W/PRGRM | '01/01/2019 | 12/31/2999 |
| 95976 | 95976 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with simple cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional | 95976 - ELEC ALYS IMPLT SMPL CN NPGT PRGRMG | 95976 - ALYS SMPL CN NPGT PRGRMG | '01/01/2019 | 12/31/2999 |
| 95977 | 95977 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with complex cranial nerve neurostimulator pulse generator/transmitter programming by physician or other qualified health care professional | 95977 - ELEC ALYS IMPLT CPLX CN NPGT PRGRMG | 95977 - ALYS CPLX CN NPGT PRGRMG | '01/01/2019 | 12/31/2999 |
| 95980 | 95980 - Electronic analysis of implanted neurostimulator pulse generator system (eg rate pulse amplitude and duration configuration of wave form battery status electrode selectability output modulation cycling impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; intraoperative with programming | 95980 - ELEC ALYS NSTIM PLS GEN GASTRIC INTRAOP W/PRGRMG | 95980 - IO ANAL GAST N-STIM INIT | '01/01/2017 | 12/31/2999 |
| 95981 | 95981 - Electronic analysis of implanted neurostimulator pulse generator system (eg rate pulse amplitude and duration configuration of wave form battery status electrode selectability output modulation cycling impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; subsequent without reprogramming | 95981 - ELEC ALYS NSTIM GEN GASTRIC SBSQ W/O REPRGRMG | 95981 - IO ANAL GAST N-STIM SUBSQ | '01/01/2017 | 12/31/2999 |
| 95982 | 95982 - Electronic analysis of implanted neurostimulator pulse generator system (eg rate pulse amplitude and duration configuration of wave form battery status electrode selectability output modulation cycling impedance and patient measurements) gastric neurostimulator pulse generator/transmitter; subsequent with reprogramming | 95982 - ELEC ALYS NSTIM PLS GEN GASTRIC SBSQ W/REPRGRMG | 95982 - IO GA N-STIM SUBSQ W/REPROG | '01/01/2017 | 12/31/2999 |
| 95983 | 95983 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming first 15 minutes face-to-face time with physician or other qualified health care professional | 95983 - ELEC ALYS IMPLT BRN NPGT PRGRMG 1ST 15 MIN | 95983 - ALYS BRN NPGT PRGRMG 15 MIN | '01/01/2019 | 12/31/2999 |
| 95984 | 95984 - Electronic analysis of implanted neurostimulator pulse generator/transmitter (eg contact group[s] interleaving amplitude pulse width frequency [Hz] on/off cycling burst magnet mode dose lockout patient selectable parameters responsive neurostimulation detection algorithms closed loop parameters and passive parameters) by physician or other qualified health care professional; with brain neurostimulator pulse generator/transmitter programming each additional 15 minutes face-to-face time with physician or other qualified health care professional (List separately in addition to code for primary procedure) | 95984 - ELEC ALYS IMPLT BRN NPGT PRGRMG EA ADDL 15 MIN | 95984 - ALYS BRN NPGT PRGRMG ADDL 15 | '01/01/2019 | 12/31/2999 |
| 95990 | 95990 - Refilling and maintenance of implantable pump or reservoir for drug delivery spinal (intrathecal epidural) or brain (intraventricular) includes electronic analysis of pump when performed; | 95990 - REFILL&MAINTENANCE PUMP DRUG DLVR SPINAL/BRAIN | 95990 - SPIN/BRAIN PUMP REFIL & MAIN | '01/01/2017 | 12/31/2999 |
| 95991 | 95991 - Refilling and maintenance of implantable pump or reservoir for drug delivery spinal (intrathecal epidural) or brain (intraventricular) includes electronic analysis of pump when performed; requiring skill of a physician or other qualified health care professional | 95991 - RFL&MAIN IMPLT PMP/RSVR DLVR SPI/BRN PHY/QHP | 95991 - SPIN/BRAIN PUMP REFIL & MAIN | '01/01/2017 | 12/31/2999 |
| 95992 | 95992 - Canalith repositioning procedure(s) (eg Epley maneuver Semont maneuver) per day | 95992 - CANALITH REPOSITIONING PROCEDURE | 95992 - CANALITH REPOSITIONING PROC | '01/01/2017 | 12/31/2999 |
| 95999 | 95999 - Unlisted neurological or neuromuscular diagnostic procedure | 95999 - UNLISTED NEUROLOGICAL/NEUROMUSCULAR DX PX | 95999 - UNLISTED NEUROLOGICAL DX PX | '01/01/2023 | 12/31/2999 |
| 96000 | 96000 - Comprehensive computer-based motion analysis by video-taping and 3D kinematics; | 96000 - COMPRE CPTR MTN ALYS VIDEO TAPING 3D KINEMATICS | 96000 - MOTION ANALYSIS VIDEO/3D | '01/01/2017 | 12/31/2999 |
| 96001 | 96001 - Comprehensive computer-based motion analysis by video-taping and 3D kinematics; with dynamic plantar pressure measurements during walking | 96001 - COMPRE CPTR MTN ALYS W/DYN PLNTR PRES MEAS WALKG | 96001 - MOTION TEST W/FT PRESS MEAS | '01/01/2017 | 12/31/2999 |
| 96002 | 96002 - Dynamic surface electromyography during walking or other functional activities 1-12 muscles | 96002 - DYN SURF EMG WALKG/FUNCJAL ACTV 1-12 MUSC | 96002 - DYNAMIC SURFACE EMG | '01/01/2017 | 12/31/2999 |
| 96003 | 96003 - Dynamic fine wire electromyography during walking or other functional activities 1 muscle | 96003 - DYN FINE WIRE EMG WALKG/FUNCJAL ACTV 1 MUSC | 96003 - DYNAMIC FINE WIRE EMG | '01/01/2017 | 12/31/2999 |
| 96004 | 96004 - Review and interpretation by physician or other qualified health care professional of comprehensive computer-based motion analysis dynamic plantar pressure measurements dynamic surface electromyography during walking or other functional activities and dynamic fine wire electromyography with written report | 96004 - PHYS/QHP R&I CPTR MTN ALYS WALK/FUNCJL ACTV REPR | 96004 - PHYS REVIEW OF MOTION TESTS | '01/01/2017 | 12/31/2999 |
| 96020 | 96020 - Neurofunctional testing selection and administration during noninvasive imaging functional brain mapping with test administered entirely by a physician or other qualified health care professional (ie psychologist) with review of test results and report | 96020 - TEST SELECT & ADMN FUNCTL BRAIN MAP PHYS/QHP | 96020 - FUNCTIONAL BRAIN MAPPING | '01/01/2017 | 12/31/2999 |
| 96040 | 96040 - Medical genetics and genetic counseling services each 30 minutes face-to-face with patient/family | 96040 - MEDICAL GENETICS COUNSELING EACH 30 MINUTES | 96040 - GENETIC COUNSELING 30 MIN | '01/01/2017 | 12/31/2999 |
| 96105 | 96105 - Assessment of aphasia (includes assessment of expressive and receptive speech and language function language comprehension speech production ability reading spelling writing eg by Boston Diagnostic Aphasia Examination) with interpretation and report per hour | 96105 - ASSESSMENT APHASIA W/INTERP & REPORT PER HOUR | 96105 - ASSESSMENT OF APHASIA | '01/01/2017 | 12/31/2999 |
| 96110 | 96110 - Developmental screening (eg developmental milestone survey speech and language delay screen) with scoring and documentation per standardized instrument | 96110 - DEVELOPMENTAL SCREEN W/SCORING & DOC STD INSTRM | 96110 - DEVELOPMENTAL SCREEN W/SCORE | '01/01/2017 | 12/31/2999 |
| 96112 | 96112 - Developmental test administration (including assessment of fine and/or gross motor language cognitive level social memory and/or executive functions by standardized developmental instruments when performed) by physician or other qualified health care professional with interpretation and report; first hour | 96112 - DEVELOPMENTAL TST ADMIN PHYS/QHP 1ST HOUR | 96112 - DEVEL TST PHYS/QHP 1ST HR | '01/01/2019 | 12/31/2999 |
| 96113 | 96113 - Developmental test administration (including assessment of fine and/or gross motor language cognitive level social memory and/or executive functions by standardized developmental instruments when performed) by physician or other qualified health care professional with interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure) | 96113 - DEVELOPMENTAL TST ADMIN PHYS/QHP EA ADDL 30 MIN | 96113 - DEVEL TST PHYS/QHP EA ADDL | '01/01/2019 | 12/31/2999 |
| 96116 | 96116 - Neurobehavioral status exam (clinical assessment of thinking reasoning and judgment [eg acquired knowledge attention language memory planning and problem solving and visual spatial abilities]) by physician or other qualified health care professional both face-to-face time with the patient and time interpreting test results and preparing the report; first hour | 96116 - NEUROBEHAVIORAL STATUS XM PHYS/QHP 1ST HOUR | 96116 - NUBHVL XM PHYS/QHP 1ST HR | '01/01/2019 | 12/31/2999 |
| 96121 | 96121 - Neurobehavioral status exam (clinical assessment of thinking reasoning and judgment [eg acquired knowledge attention language memory planning and problem solving and visual spatial abilities]) by physician or other qualified health care professional both face-to-face time with the patient and time interpreting test results and preparing the report; each additional hour (List separately in addition to code for primary procedure) | 96121 - NEUROBEHAVIORAL STATUS XM PHYS/QHP EA ADDL HOUR | 96121 - NUBHVL XM PHY/QHP EA ADDL HR | '01/01/2019 | 12/31/2999 |
| 96125 | 96125 - Standardized cognitive performance testing (eg Ross Information Processing Assessment) per hour of a qualified health care professional's time both face-to-face time administering tests to the patient and time interpreting these test results and preparing the report | 96125 - STANDARDIZED COGNITIVE PERFORMANCE TESTING | 96125 - COGNITIVE TEST BY HC PRO | '01/01/2017 | 12/31/2999 |
| 96127 | 96127 - Brief emotional/behavioral assessment (eg depression inventory attention-deficit/hyperactivity disorder [ADHD] scale) with scoring and documentation per standardized instrument | 96127 - BEHAV ASSMT W/SCORE & DOCD/STAND INSTRUMENT | 96127 - BRIEF EMOTIONAL/BEHAV ASSMT | '01/01/2017 | 12/31/2999 |
| 96130 | 96130 - Psychological testing evaluation services by physician or other qualified health care professional including integration of patient data interpretation of standardized test results and clinical data clinical decision making treatment planning and report and interactive feedback to the patient family member(s) or caregiver(s) when performed; first hour | 96130 - PSYCHOLOGICAL TST EVAL SVC PHYS/QHP FIRST HOUR | 96130 - PSYCL TST EVAL PHYS/QHP 1ST | '01/01/2019 | 12/31/2999 |
| 96131 | 96131 - Psychological testing evaluation services by physician or other qualified health care professional including integration of patient data interpretation of standardized test results and clinical data clinical decision making treatment planning and report and interactive feedback to the patient family member(s) or caregiver(s) when performed; each additional hour (List separately in addition to code for primary procedure) | 96131 - PSYCHOLOGICAL TST EVAL SVC PHYS/QHP EA ADDL HOUR | 96131 - PSYCL TST EVAL PHYS/QHP EA | '01/01/2019 | 12/31/2999 |
| 96132 | 96132 - Neuropsychological testing evaluation services by physician or other qualified health care professional including integration of patient data interpretation of standardized test results and clinical data clinical decision making treatment planning and report and interactive feedback to the patient family member(s) or caregiver(s) when performed; first hour | 96132 - NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP 1ST HOUR | 96132 - NRPSYC TST EVAL PHYS/QHP 1ST | '01/01/2019 | 12/31/2999 |
| 96133 | 96133 - Neuropsychological testing evaluation services by physician or other qualified health care professional including integration of patient data interpretation of standardized test results and clinical data clinical decision making treatment planning and report and interactive feedback to the patient family member(s) or caregiver(s) when performed; each additional hour (List separately in addition to code for primary procedure) | 96133 - NEUROPSYCHOLOGICAL TST EVAL PHYS/QHP EA ADDL HR | 96133 - NRPSYC TST EVAL PHYS/QHP EA | '01/01/2019 | 12/31/2999 |
| 96136 | 96136 - Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional two or more tests any method; first 30 minutes | 96136 - PSYL/NRPSYCL TST PHYS/QHP 2+ TST 1ST 30 MIN | 96136 - PSYCL/NRPSYC TST PHY/QHP 1ST | '01/01/2019 | 12/31/2999 |
| 96137 | 96137 - Psychological or neuropsychological test administration and scoring by physician or other qualified health care professional two or more tests any method; each additional 30 minutes (List separately in addition to code for primary procedure) | 96137 - PSYCL/NRPSYCL TST PHYS/QHP 2+ TST EA ADDL 30 MIN | 96137 - PSYCL/NRPSYC TST PHY/QHP EA | '01/01/2019 | 12/31/2999 |
| 96138 | 96138 - Psychological or neuropsychological test administration and scoring by technician two or more tests any method; first 30 minutes | 96138 - PSYCL/NRPSYCL TST TECH 2+ TST 1ST 30 MIN | 96138 - PSYCL/NRPSYC TECH 1ST | '01/01/2019 | 12/31/2999 |
| 96139 | 96139 - Psychological or neuropsychological test administration and scoring by technician two or more tests any method; each additional 30 minutes (List separately in addition to code for primary procedure) | 96139 - PSYCL/NRPSYCL TST TECH 2+ TST EA ADDL 30 MIN | 96139 - PSYCL/NRPSYC TST TECH EA | '01/01/2019 | 12/31/2999 |
| 96146 | 96146 - Psychological or neuropsychological test administration with single automated standardized instrument via electronic platform with automated result only | 96146 - PSYCL/NRPSYCL TST ELEC PLATFORM AUTO RESULT | 96146 - PSYCL/NRPSYC TST AUTO RESULT | '01/01/2019 | 12/31/2999 |
| 96156 | 96156 - Health behavior assessment or re-assessment (ie health-focused clinical interview behavioral observations clinical decision making) | 96156 - HEALTH BEHAVIOR ASSESSMENT/RE-ASSESSMENT | 96156 - HLTH BHV ASSMT/REASSESSMENT | '01/01/2020 | 12/31/2999 |
| 96158 | 96158 - Health behavior intervention individual face-to-face; initial 30 minutes | 96158 - HEALTH BEHAVIOR IVNTJ INDIV F2F 1ST 30 MIN | 96158 - HLTH BHV IVNTJ INDIV 1ST 30 | '01/01/2020 | 12/31/2999 |
| 96159 | 96159 - Health behavior intervention individual face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96159 - HEALTH BEHAVIOR IVNTJ INDIV F2F EA ADDL 15 MIN | 96159 - HLTH BHV IVNTJ INDIV EA ADDL | '01/01/2020 | 12/31/2999 |
| 96160 | 96160 - Administration of patient-focused health risk assessment instrument (eg health hazard appraisal) with scoring and documentation per standardized instrument | 96160 - PT-FOCUSED HLTH RISK ASSMT SCORE DOC STND INSTRM | 96160 - PT-FOCUSED HLTH RISK ASSMT | '01/01/2017 | 12/31/2999 |
| 96161 | 96161 - Administration of caregiver-focused health risk assessment instrument (eg depression inventory) for the benefit of the patient with scoring and documentation per standardized instrument | 96161 - CAREGIVER HLTH RISK ASSMT SCORE DOC STND INSTRM | 96161 - CAREGIVER HEALTH RISK ASSMT | '01/01/2017 | 12/31/2999 |
| 96164 | 96164 - Health behavior intervention group (2 or more patients) face-to-face; initial 30 minutes | 96164 - HEALTH BEHAVIOR IVNTJ GROUP F2F 1ST 30 MIN | 96164 - HLTH BHV IVNTJ GRP 1ST 30 | '01/01/2020 | 12/31/2999 |
| 96165 | 96165 - Health behavior intervention group (2 or more patients) face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96165 - HEALTH BEHAVIOR IVNTJ GROUP F2F EA ADDL 15 MIN | 96165 - HLTH BHV IVNTJ GRP EA ADDL | '01/01/2020 | 12/31/2999 |
| 96167 | 96167 - Health behavior intervention family (with the patient present) face-to-face; initial 30 minutes | 96167 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F 1ST 30 MIN | 96167 - HLTH BHV IVNTJ FAM 1ST 30 | '01/01/2020 | 12/31/2999 |
| 96168 | 96168 - Health behavior intervention family (with the patient present) face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96168 - HEALTH BEHAVIOR IVNTJ FAM W/PT F2F EA ADD 15 MIN | 96168 - HLTH BHV IVNTJ FAM EA ADDL | '01/01/2020 | 12/31/2999 |
| 96170 | 96170 - Health behavior intervention family (without the patient present) face-to-face; initial 30 minutes | 96170 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F 1ST 30 MIN | 96170 - HLTH BHV IVNTJ FAM WO PT 1ST | '01/01/2020 | 12/31/2999 |
| 96171 | 96171 - Health behavior intervention family (without the patient present) face-to-face; each additional 15 minutes (List separately in addition to code for primary service) | 96171 - HEALTH BEHAVIOR IVNTJ FAM W/O PT F2F EA ADDL 15 | 96171 - HLTH BHV IVNTJ FAM W/O PT EA | '01/01/2020 | 12/31/2999 |
| 96202 | 96202 - Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis administered by physician or other qualified health care professional (without the patient present) face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); initial 60 minutes | 96202 - MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING 1ST 60 | 96202 - MLT FAM GRP BHV TRAIN 1ST 60 | '01/01/2023 | 12/31/2999 |
| 96203 | 96203 - Multiple-family group behavior management/modification training for parent(s)/guardian(s)/caregiver(s) of patients with a mental or physical health diagnosis administered by physician or other qualified health care professional (without the patient present) face-to-face with multiple sets of parent(s)/guardian(s)/caregiver(s); each additional 15 minutes (List separately in addition to code for primary service) | 96203 - MLT FAM GROUP BHV MGMT/MODIFICAJ TRAING EA ADDL | 96203 - MLT FAM GRP BHV TRAIN EA ADD | '01/01/2023 | 12/31/2999 |
| 96360 | 96360 - Intravenous infusion hydration; initial 31 minutes to 1 hour | 96360 - IV INFUSION HYDRATION INITIAL 31 MIN-1 HOUR | 96360 - HYDRATION IV INFUSION INIT | '01/01/2017 | 12/31/2999 |
| 96361 | 96361 - Intravenous infusion hydration; each additional hour (List separately in addition to code for primary procedure) | 96361 - IV INFUSION HYDRATION EACH ADDITIONAL HOUR | 96361 - HYDRATE IV INFUSION ADD-ON | '01/01/2017 | 12/31/2999 |
| 96365 | 96365 - Intravenous infusion for therapy prophylaxis or diagnosis (specify substance or drug); initial up to 1 hour | 96365 - IV INFUSION THERAPY/PROPHYLAXIS /DX 1ST TO 1 HR | 96365 - THER/PROPH/DIAG IV INF INIT | '01/01/2017 | 12/31/2999 |
| 96366 | 96366 - Intravenous infusion for therapy prophylaxis or diagnosis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) | 96366 - IV INFUSION THERAPY PROPHYLAXIS/DX EA HOUR | 96366 - THER/PROPH/DIAG IV INF ADDON | '01/01/2017 | 12/31/2999 |
| 96367 | 96367 - Intravenous infusion for therapy prophylaxis or diagnosis (specify substance or drug); additional sequential infusion of a new drug/substance up to 1 hour (List separately in addition to code for primary procedure) | 96367 - IV INFUSION THER PROPH ADDL SEQUENTIAL TO 1 HR | 96367 - TX/PROPH/DG ADDL SEQ IV INF | '01/01/2017 | 12/31/2999 |
| 96368 | 96368 - Intravenous infusion for therapy prophylaxis or diagnosis (specify substance or drug); concurrent infusion (List separately in addition to code for primary procedure) | 96368 - IV NFS THERAPY PROPHYLAXIS/DX CONCURRENT NFS | 96368 - THER/DIAG CONCURRENT INF | '01/01/2017 | 12/31/2999 |
| 96369 | 96369 - Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); initial up to 1 hour including pump set-up and establishment of subcutaneous infusion site(s) | 96369 - SUBCUTANEOUS INFUSION INITIAL 1 HR W/PUMP SET-UP | 96369 - SC THER INFUSION UP TO 1 HR | '01/01/2017 | 12/31/2999 |
| 96370 | 96370 - Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); each additional hour (List separately in addition to code for primary procedure) | 96370 - SUBCUTANEOUS INFUSION EACH ADDITIONAL HOUR | 96370 - SC THER INFUSION ADDL HR | '01/01/2017 | 12/31/2999 |
| 96371 | 96371 - Subcutaneous infusion for therapy or prophylaxis (specify substance or drug); additional pump set-up with establishment of new subcutaneous infusion site(s) (List separately in addition to code for primary procedure) | 96371 - SUBQ INFUSION ADDITIONAL PUMP INFUSION SITE | 96371 - SC THER INFUSION RESET PUMP | '01/01/2017 | 12/31/2999 |
| 96372 | 96372 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); subcutaneous or intramuscular | 96372 - THERAPEUTIC PROPHYLACTIC/DX INJECTION SUBQ/IM | 96372 - THER/PROPH/DIAG INJ SC/IM | '01/01/2017 | 12/31/2999 |
| 96373 | 96373 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); intra-arterial | 96373 - THERAPEUTIC PROPHYLACTIC/DX NJX INTRA-ARTERIAL | 96373 - THER/PROPH/DIAG INJ IA | '01/01/2017 | 12/31/2999 |
| 96374 | 96374 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); intravenous push single or initial substance/drug | 96374 - THER PROPH/DX NJX IV PUSH SINGLE/1ST SBST/DRUG | 96374 - THER/PROPH/DIAG INJ IV PUSH | '01/01/2017 | 12/31/2999 |
| 96375 | 96375 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure) | 96375 - THERAPEUTIC INJECTION IV PUSH EACH NEW DRUG | 96375 - TX/PRO/DX INJ NEW DRUG ADDON | '01/01/2017 | 12/31/2999 |
| 96376 | 96376 - Therapeutic prophylactic or diagnostic injection (specify substance or drug); each additional sequential intravenous push of the same substance/drug provided in a facility (List separately in addition to code for primary procedure) | 96376 - THER PROPH/DX NJX EA SEQL IV PUSH SBST/DRUG FAC | 96376 - TX/PRO/DX INJ SAME DRUG ADON | '01/01/2017 | 12/31/2999 |
| 96377 | 96377 - Application of on-body injector (includes cannula insertion) for timed subcutaneous injection | 96377 - APPL ON-BODY INJECTOR FOR TIMED SUBQ INJECTION | 96377 - APPLICATON ON-BODY INJECTOR | '01/01/2017 | 12/31/2999 |
| 96379 | 96379 - Unlisted therapeutic prophylactic or diagnostic intravenous or intra-arterial injection or infusion | 96379 - UNLISTED THERAPEUTIC PROPH/DX IV/IA NJX/NFS | 96379 - UNL THER/PROP/DIAG INJ/INF | '01/01/2023 | 12/31/2999 |
| 96401 | 96401 - Chemotherapy administration subcutaneous or intramuscular; non-hormonal anti-neoplastic | 96401 - CHEMOTX ADMN SUBQ/IM NON-HORMONAL ANTI-NEO | 96401 - CHEMO ANTI-NEOPL SQ/IM | '01/01/2017 | 12/31/2999 |
| 96402 | 96402 - Chemotherapy administration subcutaneous or intramuscular; hormonal anti-neoplastic | 96402 - CHEMOTX ADMN SUBQ/IM HORMONAL ANTI-NEO | 96402 - CHEMO HORMON ANTINEOPL SQ/IM | '01/01/2017 | 12/31/2999 |
| 96405 | 96405 - Chemotherapy administration; intralesional up to and including 7 lesions | 96405 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL 96405 - CHEMO INTRALESIONAL UP TO 7 | '01/01/2017 | 12/31/2999 | |
| 96406 | 96406 - Chemotherapy administration; intralesional more than 7 lesions | 96406 - CHEMOTHERAPY ADMINISTRATION INTRALESIONAL >7 | 96406 - CHEMO INTRALESIONAL OVER 7 | '01/01/2017 | 12/31/2999 |
| 96409 | 96409 - Chemotherapy administration; intravenous push technique single or initial substance/drug | 96409 - CHEMOTX ADMN IV PUSH TQ 1/1ST SBST/DRUG | 96409 - CHEMO IV PUSH SNGL DRUG | '01/01/2017 | 12/31/2999 |
| 96411 | 96411 - Chemotherapy administration; intravenous push technique each additional substance/drug (List separately in addition to code for primary procedure) | 96411 - CHEMOTX ADMN IV PUSH TQ EA SBST/DRUG | 96411 - CHEMO IV PUSH ADDL DRUG | '01/01/2017 | 12/31/2999 |
| 96413 | 96413 - Chemotherapy administration intravenous infusion technique; up to 1 hour single or initial substance/drug | 96413 - CHEMOTX ADMN IV NFS TQ UP 1 HR 1/1ST SBST/DRUG | 96413 - CHEMO IV INFUSION 1 HR | '01/01/2017 | 12/31/2999 |
| 96415 | 96415 - Chemotherapy administration intravenous infusion technique; each additional hour (List separately in addition to code for primary procedure) | 96415 - CHEMOTHERAPY ADMN IV INFUSION TQ EA HR | 96415 - CHEMO IV INFUSION ADDL HR | '01/01/2017 | 12/31/2999 |
| 96416 | 96416 - Chemotherapy administration intravenous infusion technique; initiation of prolonged chemotherapy infusion (more than 8 hours) requiring use of a portable or implantable pump | 96416 - CHEMOTX ADMN TQ INIT PROLNG CHEMOTX NFUS PMP | 96416 - CHEMO PROLONG INFUSE W/PUMP | '01/01/2017 | 12/31/2999 |
| 96417 | 96417 - Chemotherapy administration intravenous infusion technique; each additional sequential infusion (different substance/drug) up to 1 hour (List separately in addition to code for primary procedure) | 96417 - CHEMOTX ADMN IV NFS TQ EA SEQL NFS TO 1 HR | 96417 - CHEMO IV INFUS EACH ADDL SEQ | '01/01/2017 | 12/31/2999 |
| 96420 | 96420 - Chemotherapy administration intra-arterial; push technique | 96420 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL PUSH TQ | 96420 - CHEMO IA PUSH TECNIQUE | '01/01/2017 | 12/31/2999 |
| 96422 | 96422 - Chemotherapy administration intra-arterial; infusion technique up to 1 hour | 96422 - CHEMOTHERAPY ADMIN INTRA-ARTERIAL INFUS 96422 - CHEMO IA INFUSION UP TO 1 HR | '01/01/2017 | 12/31/2999 | |
| 96423 | 96423 - Chemotherapy administration intra-arterial; infusion technique each additional hour (List separately in addition to code for primary procedure) | 96423 - CHEMOTHERAPY ADMN INTRAARTERIAL INFUSION EA HR | 96423 - CHEMO IA INFUSE EACH ADDL HR | '01/01/2017 | 12/31/2999 |
| 96425 | 96425 - Chemotherapy administration intra-arterial; infusion technique initiation of prolonged infusion (more than 8 hours) requiring the use of a portable or implantable pump | 96425 - CHEMOTX ADMN IA NFS >8 HR PRTBLE IMPLTBL PMP | 96425 - CHEMOTHERAPY INFUSION METHOD | '01/01/2017 | 12/31/2999 |
| 96440 | 96440 - Chemotherapy administration into pleural cavity requiring and including thoracentesis | 96440 - CHEMOTX ADMN PLEURAL CAVITY REQ&W/THORACNTS | 96440 - CHEMOTHERAPY INTRACAVITARY | '01/01/2017 | 12/31/2999 |
| 96446 | 96446 - Chemotherapy administration into the peritoneal cavity via indwelling port or catheter | 96446 - CHEMOTX ADMN PRTL CAVITY PORT/CATH | 96446 - CHEMOTX ADMN PRTL CAVITY | '01/01/2017 | 12/31/2999 |
| 96450 | 96450 - Chemotherapy administration into CNS (eg intrathecal) requiring and including spinal puncture | 96450 - CHEMOTX ADMN CNS REQ SPINAL PUNCTURE | 96450 - CHEMOTHERAPY INTO CNS | '01/01/2017 | 12/31/2999 |
| 96521 | 96521 - Refilling and maintenance of portable pump | 96521 - REFILLING & MAINTENANCE PORTABLE PUMP | 96521 - REFILL/MAINT PORTABLE PUMP | '01/01/2017 | 12/31/2999 |
| 96522 | 96522 - Refilling and maintenance of implantable pump or reservoir for drug delivery systemic (eg intravenous intra-arterial) | 96522 - REFILL&MAINTENANCE PUMP DRUG DLVR SYSTEMIC | 96522 - REFILL/MAINT PUMP/RESVR SYST | '01/01/2017 | 12/31/2999 |
| 96523 | 96523 - Irrigation of implanted venous access device for drug delivery systems | 96523 - IRRIGAJ IMPLNTD VENOUS ACCESS DRUG DELIVERY SYST | 96523 - IRRIG DRUG DELIVERY DEVICE | '01/01/2017 | 12/31/2999 |
| 96542 | 96542 - Chemotherapy injection subarachnoid or intraventricular via subcutaneous reservoir single or multiple agents | 96542 - CHEMOTX NJX SUBARACHND/INTRAVENTR RSVR 1/MULT | 96542 - CHEMOTHERAPY INJECTION | '01/01/2017 | 12/31/2999 |
| 96549 | 96549 - Unlisted chemotherapy procedure | 96549 - UNLISTED CHEMOTHERAPY PROCEDURE | 96549 - UNLISTED CHEMOTHERAPY PX | '01/01/2023 | 12/31/2999 |
| 96567 | 96567 - Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitive drug(s) per day | 96567 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ PER DAY | 96567 - PDT DSTR PRMLG LES SKN | '01/01/2018 | 12/31/2999 |
| 96570 | 96570 - Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); first 30 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract) | 96570 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX 30 MIN | 96570 - PHOTODYNMC TX 30 MIN ADD-ON | '01/01/2017 | 12/31/2999 |
| 96571 | 96571 - Photodynamic therapy by endoscopic application of light to ablate abnormal tissue via activation of photosensitive drug(s); each additional 15 minutes (List separately in addition to code for endoscopy or bronchoscopy procedures of lung and gastrointestinal tract) | 96571 - PDT NDSC ABL ABNOR TISS VIA ACTIVJ RX A 15 MIN | 96571 - PHOTODYNAMIC TX ADDL 15 MIN | '01/01/2017 | 12/31/2999 |
| 96573 | 96573 - Photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional per day | 96573 - PDT DSTR PRMLG LES SKN ILLUM/ACTIVJ BY PHYS/QHP | 96573 - PDT DSTR PRMLG LES PHYS/QHP | '01/01/2018 | 12/31/2999 |
| 96574 | 96574 - Debridement of premalignant hyperkeratotic lesion(s) (ie targeted curettage abrasion) followed with photodynamic therapy by external application of light to destroy premalignant lesions of the skin and adjacent mucosa with application and illumination/activation of photosensitizing drug(s) provided by a physician or other qualified health care professional per day | 96574 - DEBRIDEMENT PRMLG HYPERKERATOTIC LES W/PDT | 96574 - DBRDMT PRMLG LES W/PDT | '01/01/2018 | 12/31/2999 |
| 96900 | 96900 - Actinotherapy (ultraviolet light) | 96900 - ACTINOTHERAPY ULTRAVIOLET LIGHT | 96900 - ULTRAVIOLET LIGHT THERAPY | '01/01/2017 | 12/31/2999 |
| 96902 | 96902 - Microscopic examination of hairs plucked or clipped by the examiner (excluding hair collected by the patient) to determine telogen and anagen counts or structural hair shaft abnormality | 96902 - MCRSCP XM HAIR PLUCK/CLIP FOR CNTS/STRUCT ABNORM | 96902 - TRICHOGRAM | '01/01/2017 | 12/31/2999 |
| 96904 | 96904 - Whole body integumentary photography for monitoring of high risk patients with dysplastic nevus syndrome or a history of dysplastic nevi or patients with a personal or familial history of melanoma | 96904 - WHOLE BODY INTEGUMENTARY PHOTOGRAPHY | 96904 - WHOLE BODY PHOTOGRAPHY | '01/01/2017 | 12/31/2999 |
| 96910 | 96910 - Photochemotherapy; tar and ultraviolet B (Goeckerman treatment) or petrolatum and ultraviolet B | 96910 - PHOTOCHEMOTX TAR&UVB/PETROLATUM/UVB | 96910 - PHOTOCHEMOTHERAPY WITH UV-B | '01/01/2017 | 12/31/2999 |
| 96912 | 96912 - Photochemotherapy; psoralens and ultraviolet A (PUVA) | 96912 - PHOTOCHEMOTX PSORALENS&ULTRAVIOLET PUVA | 96912 - PHOTOCHEMOTHERAPY WITH UV-A | '01/01/2017 | 12/31/2999 |
| 96913 | 96913 - Photochemotherapy (Goeckerman and/or PUVA) for severe photoresponsive dermatoses requiring at least 4-8 hours of care under direct supervision of the physician (includes application of medication and dressings) | 96913 - PHOTOCHEMOTHERAPY DERMATOSES 4-8 HRS SUPERVISION | 96913 - PHOTOCHEMOTHERAPY UV-A OR B | '01/01/2017 | 12/31/2999 |
| 96920 | 96920 - Laser treatment for inflammatory skin disease (psoriasis); total area less than 250 sq cm | 96920 - LASER SKIN DISEASE PSORIASIS TOT AREA <250 SQ CM | 96920 - LASER TX SKIN < 250 SQ CM | '01/01/2017 | 12/31/2999 |
| 96921 | 96921 - Laser treatment for inflammatory skin disease (psoriasis); 250 sq cm to 500 sq cm | 96921 - LASER SKIN DISEASE PSORIASIS 250-500 SQ CM | 96921 - LASER TX SKIN 250-500 SQ CM | '01/01/2017 | 12/31/2999 |
| 96922 | 96922 - Laser treatment for inflammatory skin disease (psoriasis); over 500 sq cm | 96922 - LASER SKIN DISEASE PSORIASIS >500 SQ CM | 96922 - LASER TX SKIN >500 SQ CM | '01/01/2017 | 12/31/2999 |
| 96931 | 96931 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report first lesion | 96931 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R 1ST | 96931 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96932 | 96932 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only first lesion | 96932 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQUISITION | 96932 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96933 | 96933 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only first lesion | 96933 - RCM CELULR & SUBCELULR SKN IMGNG I&R 1ST LES | 96933 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96934 | 96934 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition and interpretation and report each additional lesion (List separately in addition to code for primary procedure) | 96934 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ I&R ADD | 96934 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96935 | 96935 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; image acquisition only each additional lesion (List separately in addition to code for primary procedure) | 96935 - RCM CELULR & SUBCELULR SKN IMGNG IMG ACQ EA ADDL | 96935 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96936 | 96936 - Reflectance confocal microscopy (RCM) for cellular and sub-cellular imaging of skin; interpretation and report only each additional lesion (List separately in addition to code for primary procedure) | 96936 - RCM CELULR & SUBCELULR SKN IMGNG I&R EA ADDL | 96936 - RCM CELULR SUBCELULR IMG SKN | '01/01/2017 | 12/31/2999 |
| 96999 | 96999 - Unlisted special dermatological service or procedure | 96999 - UNLISTED SPECIAL DERMATOLOGICAL SERVICE/PX | 96999 - UNLISTED SPEC DERM SVC/PX | '01/01/2023 | 12/31/2999 |
| 97010 | 97010 - Application of a modality to 1 or more areas; hot or cold packs | 97010 - APPLICATION MODALITY 1/> AREAS HOT/COLD PACKS | 97010 - HOT OR COLD PACKS THERAPY | '01/01/2017 | 12/31/2999 |
| 97012 | 97012 - Application of a modality to 1 or more areas; traction mechanical | 97012 - APPL MODALITY 1/> AREAS TRACTION MECHANICAL | 97012 - MECHANICAL TRACTION THERAPY | '01/01/2017 | 12/31/2999 |
| 97014 | 97014 - Application of a modality to 1 or more areas; electrical stimulation (unattended) | 97014 - APPL MODALITY 1/> AREAS ELEC STIMJ UNATTENDED | 97014 - ELECTRIC STIMULATION THERAPY | '01/01/2017 | 12/31/2999 |
| 97016 | 97016 - Application of a modality to 1 or more areas; vasopneumatic devices | 97016 - APPL MODALITY 1/> AREAS VASOPNEUMATIC DEVICES | 97016 - VASOPNEUMATIC DEVICE THERAPY | '01/01/2017 | 12/31/2999 |
| 97018 | 97018 - Application of a modality to 1 or more areas; paraffin bath | 97018 - APPL MODALITY 1/> AREAS PARAFFIN BATH | 97018 - PARAFFIN BATH THERAPY | '01/01/2017 | 12/31/2999 |
| 9701A | 9701A - NON-PRESCRIPTION DRUGS | 9701A - | 9701A - | '01/01/1950 | 12/31/2999 |
| 9701D | 9701D - ' BANKING ' | 9701D - | 9701D - | '01/01/1950 | 12/31/2999 |
| 97022 | 97022 - Application of a modality to 1 or more areas; whirlpool | 97022 - APPLICATION MODALITY 1/> AREAS WHIRLPOOL | 97022 - WHIRLPOOL THERAPY | '01/01/2017 | 12/31/2999 |
| 97024 | 97024 - Application of a modality to 1 or more areas; diathermy (eg microwave) | 97024 - APPLICATION MODALITY 1/> AREAS DIATHERMY | 97024 - DIATHERMY EG MICROWAVE | '01/01/2017 | 12/31/2999 |
| 97026 | 97026 - Application of a modality to 1 or more areas; infrared | 97026 - APPLICATION MODALITY 1/> AREAS INFRARED | 97026 - INFRARED THERAPY | '01/01/2017 | 12/31/2999 |
| 97028 | 97028 - Application of a modality to 1 or more areas; ultraviolet | 97028 - APPL MODALITY 1/> AREAS ULTRAVIOLET | 97028 - ULTRAVIOLET THERAPY | '01/01/2017 | 12/31/2999 |
| 97032 | 97032 - Application of a modality to 1 or more areas; electrical stimulation (manual) each 15 minutes | 97032 - APPL MODALITY 1/> AREAS ELEC STIMJ EA 15 MIN | 97032 - ELECTRICAL STIMULATION | '01/01/2017 | 12/31/2999 |
| 97033 | 97033 - Application of a modality to 1 or more areas; iontophoresis each 15 minutes | 97033 - APPL MODALITY 1/> AREAS IONTOPHORESIS EA 15 MIN | 97033 - ELECTRIC CURRENT THERAPY | '01/01/2017 | 12/31/2999 |
| 97034 | 97034 - Application of a modality to 1 or more areas; contrast baths each 15 minutes | 97034 - APPL MODALITY 1/> AREAS CONTRAST BATHS EA 15 MIN | 97034 - CONTRAST BATH THERAPY | '01/01/2017 | 12/31/2999 |
| 97035 | 97035 - Application of a modality to 1 or more areas; ultrasound each 15 minutes | 97035 - APPL MODALITY 1/> AREAS ULTRASOUND EA 15 MIN | 97035 - ULTRASOUND THERAPY | '01/01/2017 | 12/31/2999 |
| 97036 | 97036 - Application of a modality to 1 or more areas; Hubbard tank each 15 minutes | 97036 - APPL MODALITY 1/> AREAS HUBBARD TANK EA 15 MIN | 97036 - HYDROTHERAPY | '01/01/2017 | 12/31/2999 |
| 97039 | 97039 - Unlisted modality (specify type and time if constant attendance) | 97039 - UNLISTED MODALITY SPEC TYPE&TIME CONSTANT ATTN | 97039 - UNLISTED MODALITY | '01/01/2023 | 12/31/2999 |
| 97110 | 97110 - Therapeutic procedure 1 or more areas each 15 minutes; therapeutic exercises to develop strength and endurance range of motion and flexibility | 97110 - THERAPEUTIC PX 1/> AREAS EACH 15 MIN EXERCISES | 97110 - THERAPEUTIC EXERCISES | '01/01/2017 | 12/31/2999 |
| 97112 | 97112 - Therapeutic procedure 1 or more areas each 15 minutes; neuromuscular reeducation of movement balance coordination kinesthetic sense posture and/or proprioception for sitting and/or standing activities | 97112 - THER PX 1/> AREAS EACH 15 MIN NEUROMUSC REEDUCA | 97112 - NEUROMUSCULAR REEDUCATION | '01/01/2017 | 12/31/2999 |
| 97113 | 97113 - Therapeutic procedure 1 or more areas each 15 minutes; aquatic therapy with therapeutic exercises | 97113 - THER PX 1/> AREAS EACH 15 MIN AQUA THER W/XERSS | 97113 - AQUATIC THERAPY/EXERCISES | '01/01/2017 | 12/31/2999 |
| 97116 | 97116 - Therapeutic procedure 1 or more areas each 15 minutes; gait training (includes stair climbing) | 97116 - THER PX 1/> AREAS EA 15 MIN GAIT TRAING W/STAIR | 97116 - GAIT TRAINING THERAPY | '01/01/2020 | 12/31/2999 |
| 97124 | 97124 - Therapeutic procedure 1 or more areas each 15 minutes; massage including effleurage petrissage and/or tapotement (stroking compression percussion) | 97124 - THER PX 1/> AREAS EACH 15 MINUTES MASSAGE | 97124 - MASSAGE THERAPY | '01/01/2017 | 12/31/2999 |
| 97129 | 97129 - Therapeutic interventions that focus on cognitive function (eg attention memory reasoning executive function problem solving and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg managing time or schedules initiating organizing and sequencing tasks) direct (one-on-one) patient contact; initial 15 minutes | 97129 - THER IVNTJ COG FUNCJ CNTCT 1ST 15 MINUTES | 97129 - THER IVNTJ 1ST 15 MIN | '01/01/2020 | 12/31/2999 |
| 97130 | 97130 - Therapeutic interventions that focus on cognitive function (eg attention memory reasoning executive function problem solving and/or pragmatic functioning) and compensatory strategies to manage the performance of an activity (eg managing time or schedules initiating organizing and sequencing tasks) direct (one-on-one) patient contact; each additional 15 minutes (List separately in addition to code for primary procedure) | 97130 - THER IVNTJ COG FUNCJ CNTCT EA ADDL 15 MINUTES | 97130 - THER IVNTJ EA ADDL 15 MIN | '01/01/2020 | 12/31/2999 |
| 97139 | 97139 - Unlisted therapeutic procedure (specify) | 97139 - UNLISTED THERAPEUTIC PROCEDURE SPECIFY | 97139 - UNLISTED THERAPEUTIC PX | '01/01/2023 | 12/31/2999 |
| 97140 | 97140 - Manual therapy techniques (eg mobilization/ manipulation manual lymphatic drainage manual traction) 1 or more regions each 15 minutes | 97140 - MANUAL THERAPY TQS 1/> REGIONS EACH 15 MINUTES | 97140 - MANUAL THERAPY 1/> REGIONS | '01/01/2017 | 12/31/2999 |
| 97150 | 97150 - Therapeutic procedure(s) group (2 or more individuals) | 97150 - THERAPEUTIC PROCEDURES GROUP 2/> INDIVIDUALS | 97150 - GROUP THERAPEUTIC PROCEDURES | '01/01/2017 | 12/31/2999 |
| 97151 | 97151 - Behavior identification assessment administered by a physician or other qualified health care professional each 15 minutes of the physician's or other qualified health care professional's time face-to-face with patient and/or guardian(s)/caregiver(s) administering assessments and discussing findings and recommendations and non-face-to-face analyzing past data scoring/interpreting the assessment and preparing the report/treatment plan | 97151 - BEHAVIOR ID ASSESSMENT BY PHYS/QHP EA 15 MIN | 97151 - BHV ID ASSMT BY PHYS/QHP | '01/01/2019 | 12/31/2999 |
| 97152 | 97152 - Behavior identification-supporting assessment administered by one technician under the direction of a physician or other qualified health care professional face-to-face with the patient each 15 minutes | 97152 - BEHAVIOR ID SUPPORT ASSMT BY 1 TECH EA 15 MIN | 97152 - BHV ID SUPRT ASSMT BY 1 TECH | '01/01/2019 | 12/31/2999 |
| 97153 | 97153 - Adaptive behavior treatment by protocol administered by technician under the direction of a physician or other qualified health care professional face-to-face with one patient each 15 minutes | 97153 - ADAPTIVE BEHAVIOR TX BY PROTOCOL TECH EA 15 MIN | 97153 - ADAPTIVE BEHAVIOR TX BY TECH | '01/01/2019 | 12/31/2999 |
| 97154 | 97154 - Group adaptive behavior treatment by protocol administered by technician under the direction of a physician or other qualified health care professional face-to-face with two or more patients each 15 minutes | 97154 - GROUP ADAPTIVE BHV TX BY PROTOCOL TECH EA 15 MIN | 97154 - GRP ADAPT BHV TX BY TECH | '01/01/2019 | 12/31/2999 |
| 97155 | 97155 - Adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional which may include simultaneous direction of technician face-to-face with one patient each 15 minutes | 97155 - ADAPT BHV TX PRTCL MODIFICAJ PHYS/QHP EA 15 MIN | 97155 - ADAPT BEHAVIOR TX PHYS/QHP | '01/01/2019 | 12/31/2999 |
| 97156 | 97156 - Family adaptive behavior treatment guidance administered by physician or other qualified health care professional (with or without the patient present) face-to-face with guardian(s)/caregiver(s) each 15 minutes | 97156 - FAMILY ADAPT BHV TX GDN PHYS/QHP EA 15 MIN | 97156 - FAM ADAPT BHV TX GDN PHY/QHP | '01/01/2019 | 12/31/2999 |
| 97157 | 97157 - Multiple-family group adaptive behavior treatment guidance administered by physician or other qualified health care professional (without the patient present) face-to-face with multiple sets of guardians/caregivers each 15 minutes | 97157 - MULTIPLE FAM GROUP BHV TX GDN PHYS/QHP EA 15 MIN | 97157 - MULT FAM ADAPT BHV TX GDN | '01/01/2019 | 12/31/2999 |
| 97158 | 97158 - Group adaptive behavior treatment with protocol modification administered by physician or other qualified health care professional face-to-face with multiple patients each 15 minutes | 97158 - GRP ADAPT BHV PRTCL MODIFCAJ PHYS/QHP EA 15 MIN | 97158 - GRP ADAPT BHV TX BY PHY/QHP | '01/01/2019 | 12/31/2999 |
| 97161 | 97161 - Physical therapy evaluation: low complexity requiring these components: A history with no personal factors and/or comorbidities that impact the plan of care; An examination of body system(s) using standardized tests and measures addressing 1-2 elements from any of the following: body structures and functions activity limitations and/or participation restrictions; A clinical presentation with stable and/or uncomplicated characteristics; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 20 minutes are spent face-to-face with the patient and/or family. | 97161 - PHYSICAL THERAPY EVALUATION LOW COMPLEX 20 MINS | 97161 - PT EVAL LOW COMPLEX 20 MIN | '01/01/2017 | 12/31/2999 |
| 97162 | 97162 - Physical therapy evaluation: moderate complexity requiring these components: A history of present problem with 1-2 personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures in addressing a total of 3 or more elements from any of the following: body structures and functions activity limitations and/or participation restrictions; An evolving clinical presentation with changing characteristics; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 30 minutes are spent face-to-face with the patient and/or family. | 97162 - PHYSICAL THERAPY EVALUATION MOD COMPLEX 30 MINS | 97162 - PT EVAL MOD COMPLEX 30 MIN | '01/01/2017 | 12/31/2999 |
| 97163 | 97163 - Physical therapy evaluation: high complexity requiring these components: A history of present problem with 3 or more personal factors and/or comorbidities that impact the plan of care; An examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures and functions activity limitations and/or participation restrictions; A clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 45 minutes are spent face-to-face with the patient and/or family. | 97163 - PHYSICAL THERAPY EVALUATION HIGH COMPLEX 45 MINS | 97163 - PT EVAL HIGH COMPLEX 45 MIN | '01/01/2017 | 12/31/2999 |
| 97164 | 97164 - Re-evaluation of physical therapy established plan of care requiring these components: An examination including a review of history and use of standardized tests and measures is required; and Revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome Typically 20 minutes are spent face-to-face with the patient and/or family. | 97164 - PHYSICAL THERAPY RE-EVAL EST PLAN CARE 20 MINS | 97164 - PT RE-EVAL EST PLAN CARE | '01/01/2017 | 12/31/2999 |
| 97165 | 97165 - Occupational therapy evaluation low complexity requiring these components: An occupational profile and medical and therapy history which includes a brief history including review of medical and/or therapy records relating to the presenting problem; An assessment(s) that identifies 1-3 performance deficits (ie relating to physical cognitive or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of low complexity which includes an analysis of the occupational profile analysis of data from problem-focused assessment(s) and consideration of a limited number of treatment options. Patient presents with no comorbidities that affect occupational performance. Modification of tasks or assistance (eg physical or verbal) with assessment(s) is not necessary to enable completion of evaluation component. Typically 30 minutes are spent face-to-face with the patient and/or family. | 97165 - OCCUPATIONAL THERAPY EVAL LOW COMPLEX 30 MINS | 97165 - OT EVAL LOW COMPLEX 30 MIN | '01/01/2017 | 12/31/2999 |
| 97166 | 97166 - Occupational therapy evaluation moderate complexity requiring these components: An occupational profile and medical and therapy history which includes an expanded review of medical and/or therapy records and additional review of physical cognitive or psychosocial history related to current functional performance; An assessment(s) that identifies 3-5 performance deficits (ie relating to physical cognitive or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of moderate analytic complexity which includes an analysis of the occupational profile analysis of data from detailed assessment(s) and consideration of several treatment options. Patient may present with comorbidities that affect occupational performance. Minimal to moderate modification of tasks or assistance (eg physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically 45 minutes are spent face-to-face with the patient and/or family. | 97166 - OCCUPATIONAL THERAPY EVAL MOD COMPLEX 45 MINS | 97166 - OT EVAL MOD COMPLEX 45 MIN | '01/01/2017 | 12/31/2999 |
| 97167 | 97167 - Occupational therapy evaluation high complexity requiring these components: An occupational profile and medical and therapy history which includes review of medical and/or therapy records and extensive additional review of physical cognitive or psychosocial history related to current functional performance; An assessment(s) that identifies 5 or more performance deficits (ie relating to physical cognitive or psychosocial skills) that result in activity limitations and/or participation restrictions; and Clinical decision making of high analytic complexity which includes an analysis of the patient profile analysis of data from comprehensive assessment(s) and consideration of multiple treatment options. Patient presents with comorbidities that affect occupational performance. Significant modification of tasks or assistance (eg physical or verbal) with assessment(s) is necessary to enable patient to complete evaluation component. Typically 60 minutes are spent face-to-face with the patient and/or family. | 97167 - OCCUPATIONAL THERAPY EVAL HIGH COMPLEX 60 MINS | 97167 - OT EVAL HIGH COMPLEX 60 MIN | '01/01/2017 | 12/31/2999 |
| 97168 | 97168 - Re-evaluation of occupational therapy established plan of care requiring these components: An assessment of changes in patient functional or medical status with revised plan of care; An update to the initial occupational profile to reflect changes in condition or environment that affect future interventions and/or goals; and A revised plan of care. A formal reevaluation is performed when there is a documented change in functional status or a significant change to the plan of care is required. Typically 30 minutes are spent face-to-face with the patient and/or family. | 97168 - OCCUPATIONAL THER RE-EVAL EST PLAN CARE 30 MINS | 97168 - OT RE-EVAL EST PLAN CARE | '01/01/2017 | 12/31/2999 |
| 97169 | 97169 - Athletic training evaluation low complexity requiring these components: A history and physical activity profile with no comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressing 1-2 elements from any of the following: body structures physical activity and/or participation deficiencies; and Clinical decision making of low complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 15 minutes are spent face-to-face with the patient and/or family. | 97169 - ATHLETIC TRAINING EVAL LOW COMPLEX 15 MINS | 97169 - ATHLETIC TRN EVAL LOW CMPLX | '01/01/2017 | 12/31/2999 |
| 97170 | 97170 - Athletic training evaluation moderate complexity requiring these components: A medical history and physical activity profile with 1-2 comorbidities that affect physical activity; An examination of affected body area and other symptomatic or related systems addressing a total of 3 or more elements from any of the following: body structures physical activity and/or participation deficiencies; and Clinical decision making of moderate complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 30 minutes are spent face-to-face with the patient and/or family. | 97170 - ATHLETIC TRAINING EVAL MOD COMPLEX 30 MINS | 97170 - ATHLETIC TRN EVAL MOD CMPLX | '01/01/2017 | 12/31/2999 |
| 97171 | 97171 - Athletic training evaluation high complexity requiring these components: A medical history and physical activity profile with 3 or more comorbidities that affect physical activity; A comprehensive examination of body systems using standardized tests and measures addressing a total of 4 or more elements from any of the following: body structures physical activity and/or participation deficiencies; Clinical presentation with unstable and unpredictable characteristics; and Clinical decision making of high complexity using standardized patient assessment instrument and/or measurable assessment of functional outcome. Typically 45 minutes are spent face-to-face with the patient and/or family. | 97171 - ATHLETIC TRAINING EVAL HIGH COMPLEX 45 MINS | 97171 - ATHLETIC TRN EVAL HIGH CMPLX | '01/01/2017 | 12/31/2999 |
| 97172 | 97172 - Re-evaluation of athletic training established plan of care requiring these components: An assessment of patient's current functional status when there is a documented change; and A revised plan of care using a standardized patient assessment instrument and/or measurable assessment of functional outcome with an update in management options goals and interventions. Typically 20 minutes are spent face-to-face with the patient and/or family. | 97172 - ATHLETIC TRAINING RE-EVAL EST PLAN CARE 20 MINS | 97172 - ATHLETIC TRN RE-EVAL PLAN CR | '01/01/2017 | 12/31/2999 |
| 97530 | 97530 - Therapeutic activities direct (one-on-one) patient contact (use of dynamic activities to improve functional performance) each 15 minutes | 97530 - THERAPEUT ACTVITY DIRECT PT CONTACT EACH 15 MIN | 97530 - THERAPEUTIC ACTIVITIES | '01/01/2017 | 12/31/2999 |
| 97533 | 97533 - Sensory integrative techniques to enhance sensory processing and promote adaptive responses to environmental demands direct (one-on-one) patient contact each 15 minutes | 97533 - SENSORY INTEGRATIVE TECHNIQUES EACH 15 MINUTES | 97533 - SENSORY INTEGRATION | '01/01/2017 | 12/31/2999 |
| 97535 | 97535 - Self-care/home management training (eg activities of daily living (ADL) and compensatory training meal preparation safety procedures and instructions in use of assistive technology devices/adaptive equipment) direct one-on-one contact each 15 minutes | 97535 - SELF-CARE/HOME MGMT TRAINING EACH 15 MINUTES | 97535 - SELF CARE MNGMENT TRAINING | '01/01/2017 | 12/31/2999 |
| 97537 | 97537 - Community/work reintegration training (eg shopping transportation money management avocational activities and/or work environment/modification analysis work task analysis use of assistive technology device/adaptive equipment) direct one-on-one contact each 15 minutes | 97537 - COMMUNITY/WORK REINTEGRATION TRAING EA 15 MIN | 97537 - COMMUNITY/WORK REINTEGRATION | '01/01/2020 | 12/31/2999 |
| 97542 | 97542 - Wheelchair management (eg assessment fitting training) each 15 minutes | 97542 - WHEELCHAIR MGMT EA 15 MIN | 97542 - WHEELCHAIR MNGMENT TRAINING | '01/01/2017 | 12/31/2999 |
| 97545 | 97545 - Work hardening/conditioning; initial 2 hours | 97545 - WORK HARDENING/CONDITIONING 1ST 2 HR | 97545 - WORK HARDENING | '01/01/2017 | 12/31/2999 |
| 97546 | 97546 - Work hardening/conditioning; each additional hour (List separately in addition to code for primary procedure) | 97546 - WORK HARDENING/CONDITIONING EACH HOUR | 97546 - WORK HARDENING ADD-ON | '01/01/2017 | 12/31/2999 |
| 97597 | 97597 - Debridement (eg high pressure waterjet with/without suction sharp selective debridement with scissors scalpel and forceps) open wound (eg fibrin devitalized epidermis and/or dermis exudate debris biofilm) including topical application(s) wound assessment use of a whirlpool when performed and instruction(s) for ongoing care per session total wound(s) surface area; first 20 sq cm or less | 97597 - DEBRIDEMENT OPEN WOUND 20 SQ CM/< | 97597 - RMVL DEVITAL TIS 20 CM/< | '01/01/2017 | 12/31/2999 |
| 97598 | 97598 - Debridement (eg high pressure waterjet with/without suction sharp selective debridement with scissors scalpel and forceps) open wound (eg fibrin devitalized epidermis and/or dermis exudate debris biofilm) including topical application(s) wound assessment use of a whirlpool when performed and instruction(s) for ongoing care per session total wound(s) surface area; each additional 20 sq cm or part thereof (List separately in addition to code for primary procedure) | 97598 - DEBRIDEMENT OPEN WOUND EACH ADDITIONAL 20 SQ CM | 97598 - RMVL DEVITAL TIS ADDL 20CM/< | '01/01/2017 | 12/31/2999 |
| 97602 | 97602 - Removal of devitalized tissue from wound(s) non-selective debridement without anesthesia (eg wet-to-moist dressings enzymatic abrasion larval therapy) including topical application(s) wound assessment and instruction(s) for ongoing care per session | 97602 - RMVL DEVITAL TISS N-SLCTV DBRDMT W/O ANES 1 SESS | 97602 - WOUND(S) CARE NON-SELECTIVE | '01/01/2017 | 12/31/2999 |
| 97605 | 97605 - Negative pressure wound therapy (eg vacuum assisted drainage collection) utilizing durable medical equipment (DME) including topical application(s) wound assessment and instruction(s) for ongoing care per session; total wound(s) surface area less than or equal to 50 square centimeters | 97605 - NEGATIVE PRESSURE WOUND THERAPY DME <= 50 SQ CM | 97605 - NEG PRESS WOUND TX <=50 CM | '01/01/2020 | 12/31/2999 |
| 97606 | 97606 - Negative pressure wound therapy (eg vacuum assisted drainage collection) utilizing durable medical equipment (DME) including topical application(s) wound assessment and instruction(s) for ongoing care per session; total wound(s) surface area greater than 50 square centimeters | 97606 - NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM | 97606 - NEG PRESS WOUND TX >50 CM | '01/01/2017 | 12/31/2999 |
| 97607 | 97607 - Negative pressure wound therapy (eg vacuum assisted drainage collection) utilizing disposable non-durable medical equipment including provision of exudate management collection system topical application(s) wound assessment and instructions for ongoing care per session; total wound(s) surface area less than or equal to 50 square centimeters | 97607 - NEG PRESSURE WOUND THERAPY NON DME <= 50 SQ CM | 97607 - NEG PRESS WND TX <=50 SQ CM | '01/01/2020 | 12/31/2999 |
| 97608 | 97608 - Negative pressure wound therapy (eg vacuum assisted drainage collection) utilizing disposable non-durable medical equipment including provision of exudate management collection system topical application(s) wound assessment and instructions for ongoing care per session; total wound(s) surface area greater than 50 square centimeters | 97608 - NEG PRESSURE WOUND THERAPY NON DME >50 SQ CM | 97608 - NEG PRESS WOUND TX >50 CM | '01/01/2017 | 12/31/2999 |
| 97610 | 97610 - Low frequency non-contact non-thermal ultrasound including topical application(s) when performed wound assessment and instruction(s) for ongoing care per day | 97610 - LOW FREQUENCY NON-THERMAL ULTRASOUND PER DAY | 97610 - LOW FREQUENCY NON-THERMAL US | '01/01/2017 | 12/31/2999 |
| 97750 | 97750 - Physical performance test or measurement (eg musculoskeletal functional capacity) with written report each 15 minutes | 97750 - PHYSICAL PERFORMANCE TEST/MEAS W/REPRT EA 15 MIN | 97750 - PHYSICAL PERFORMANCE TEST | '01/01/2017 | 12/31/2999 |
| 97755 | 97755 - Assistive technology assessment (eg to restore augment or compensate for existing function optimize functional tasks and/or maximize environmental accessibility) direct one-on-one contact with written report each 15 minutes | 97755 - ASSTV TECHNOL ASSMT DIR CNTCT W/REPRT EA 15 MIN | 97755 - ASSISTIVE TECHNOLOGY ASSESS | '01/01/2017 | 12/31/2999 |
| 97760 | 97760 - Orthotic(s) management and training (including assessment and fitting when not otherwise reported) upper extremity(ies) lower extremity(ies) and/or trunk initial orthotic(s) encounter each 15 minutes | 97760 - ORTHOTICS MGMT & TRAING INITIAL ENCTR EA 15 MINS | 97760 - ORTHOTIC MGMT&TRAING 1ST ENC | '01/01/2020 | 12/31/2999 |
| 97761 | 97761 - Prosthetic(s) training upper and/or lower extremity(ies) initial prosthetic(s) encounter each 15 minutes | 97761 - PROSTHETICS TRAINING INITIAL ENCTR EA 15 MINS | 97761 - PROSTHETIC TRAING 1ST ENC | '01/01/2020 | 12/31/2999 |
| 97763 | 97763 - Orthotic(s)/prosthetic(s) management and/or training upper extremity(ies) lower extremity(ies) and/or trunk subsequent orthotic(s)/prosthetic(s) encounter each 15 minutes | 97763 - ORTHOTICS/PROSTH MGMT &/TRAING SBSQ ENCTR 15 MIN | 97763 - ORTHC/PROSTC MGMT SBSQ ENC | '01/01/2020 | 12/31/2999 |
| 97799 | 97799 - Unlisted physical medicine/rehabilitation service or procedure | 97799 - UNLISTED PHYSICAL MEDICINE/REHAB SERVICE/PX | 97799 - UNLISTED PHYSCL MED/REHAB PX | '01/01/2023 | 12/31/2999 |
| 97802 | 97802 - Medical nutrition therapy; initial assessment and intervention individual face-to-face with the patient each 15 minutes | 97802 - MEDICAL NUTRITION ASSMT&IVNTJ INDIV EACH 15 MI | 97802 - MEDICAL NUTRITION INDIV IN | '01/01/2017 | 12/31/2999 |
| 97803 | 97803 - Medical nutrition therapy; re-assessment and intervention individual face-to-face with the patient each 15 minutes | 97803 - MEDICAL NUTRITION RE-ASSMT&IVNTJ INDIV EA 15 M | 97803 - MED NUTRITION INDIV SUBSEQ | '01/01/2017 | 12/31/2999 |
| 97804 | 97804 - Medical nutrition therapy; group (2 or more individual(s)) each 30 minutes | 97804 - MEDICAL NUTRITION THERAPY GRP2/ INDIV EA 30 MI | 97804 - MEDICAL NUTRITION GROUP | '01/01/2017 | 12/31/2999 |
| 97810 | 97810 - Acupuncture 1 or more needles; without electrical stimulation initial 15 minutes of personal one-on-one contact with the patient | 97810 - ACUPUNCTURE 1/> NDLES W/O ELEC STIMJ INIT 15 MIN | 97810 - ACUPUNCT W/O STIMUL 15 MIN | '01/01/2017 | 12/31/2999 |
| 97811 | 97811 - Acupuncture 1 or more needles; without electrical stimulation each additional 15 minutes of personal one-on-one contact with the patient with re-insertion of needle(s) (List separately in addition to code for primary procedure) | 97811 - ACUPUNCTURE 1/> NDLS W/O ELEC STIMJ EA 15 MIN | 97811 - ACUPUNCT W/O STIMUL ADDL 15M | '01/01/2017 | 12/31/2999 |
| 97813 | 97813 - Acupuncture 1 or more needles; with electrical stimulation initial 15 minutes of personal one-on-one contact with the patient | 97813 - ACUPUNCTURE 1/> NDLS W/ELEC STIMJ 1ST 15 MIN | 97813 - ACUPUNCT W/STIMUL 15 MIN | '01/01/2017 | 12/31/2999 |
| 97814 | 97814 - Acupuncture 1 or more needles; with electrical stimulation each additional 15 minutes of personal one-on-one contact with the patient with re-insertion of needle(s) (List separately in addition to code for primary procedure) | 97814 - ACUP 1/> NDLS W/ELEC STIMJ EA 15 MIN W/RE-INSJ | 97814 - ACUPUNCT W/STIMUL ADDL 15M | '01/01/2017 | 12/31/2999 |
| 98925 | 98925 - Osteopathic manipulative treatment (OMT); 1-2 body regions involved | 98925 - OSTEOPATHIC MANIPULATIVE TX 1-2 BODY REGIONS | 98925 - OSTEOPATH MANJ 1-2 REGIONS | '01/01/2017 | 12/31/2999 |
| 98926 | 98926 - Osteopathic manipulative treatment (OMT); 3-4 body regions involved | 98926 - OSTEOPATHIC MANIPULATIVE TX 3-4 BODY REGIONS | 98926 - OSTEOPATH MANJ 3-4 REGIONS | '01/01/2017 | 12/31/2999 |
| 98927 | 98927 - Osteopathic manipulative treatment (OMT); 5-6 body regions involved | 98927 - OSTEOPATHIC MANIPULATIVE TX 5-6 BODY REGIONS | 98927 - OSTEOPATH MANJ 5-6 REGIONS | '01/01/2017 | 12/31/2999 |
| 98928 | 98928 - Osteopathic manipulative treatment (OMT); 7-8 body regions involved | 98928 - OSTEOPATHIC MANIPULATIVE TX 7-8 BODY REGIONS | 98928 - OSTEOPATH MANJ 7-8 REGIONS | '01/01/2017 | 12/31/2999 |
| 98929 | 98929 - Osteopathic manipulative treatment (OMT); 9-10 body regions involved | 98929 - OSTEOPATHIC MANIPULATIVE TX 9-10 BODY REGIONS | 98929 - OSTEOPATH MANJ 9-10 REGIONS | '01/01/2017 | 12/31/2999 |
| 98940 | 98940 - Chiropractic manipulative treatment (CMT); spinal 1-2 regions | 98940 - CHIROPRACTIC MANIPULATIVE TX SPINAL 1-2 REGIONS | 98940 - CHIROPRACT MANJ 1-2 REGIONS | '01/01/2017 | 12/31/2999 |
| 98941 | 98941 - Chiropractic manipulative treatment (CMT); spinal 3-4 regions | 98941 - CHIROPRACTIC MANIPULATIVE TX SPINAL 3-4 REGIONS | 98941 - CHIROPRACT MANJ 3-4 REGIONS | '01/01/2017 | 12/31/2999 |
| 98942 | 98942 - Chiropractic manipulative treatment (CMT); spinal 5 regions | 98942 - CHIROPRACTIC MANIPULATIVE TX SPINAL 5 REGIONS | 98942 - CHIROPRACTIC MANJ 5 REGIONS | '01/01/2017 | 12/31/2999 |
| 98943 | 98943 - Chiropractic manipulative treatment (CMT); extraspinal 1 or more regions | 98943 - CHIROPRACTIC MANIPLTV TX EXTRASPINAL 1/> REGION | 98943 - CHIROPRACT MANJ XTRSPINL 1/> | '01/01/2017 | 12/31/2999 |
| 98960 | 98960 - Education and training for patient self-management by a qualified nonphysician health care professional using a standardized curriculum face-to-face with the patient (could include caregiver/family) each 30 minutes; individual patient | 98960 - EDUCATION&TRAINING SELF-MGMT NONPHYS 1 PT | 98960 - SELF-MGMT EDUC & TRAIN 1 PT | '01/01/2017 | 12/31/2999 |
| 98961 | 98961 - Education and training for patient self-management by a qualified nonphysician health care professional using a standardized curriculum face-to-face with the patient (could include caregiver/family) each 30 minutes; 2-4 patients | 98961 - EDUCATION&TRAINING SELF-MGMT NONPHYS 2-4 PTS | 98961 - SELF-MGMT EDUC/TRAIN 2-4 PT | '01/01/2017 | 12/31/2999 |
| 98962 | 98962 - Education and training for patient self-management by a qualified nonphysician health care professional using a standardized curriculum face-to-face with the patient (could include caregiver/family) each 30 minutes; 5-8 patients | 98962 - EDUCATION&TRAINING SELF-MGMT NONPHYS 5-8 PTS | 98962 - SELF-MGMT EDUC/TRAIN 5-8 PT | '01/01/2017 | 12/31/2999 |
| 98966 | 98966 - Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient parent or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 98966 - NONPHYSICIAN TELEPHONE ASSESSMENT 5-10 MIN | 98966 - HC PRO PHONE CALL 5-10 MIN | '01/01/2017 | 12/31/2999 |
| 98967 | 98967 - Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient parent or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 98967 - NONPHYSICIAN TELEPHONE ASSESSMENT 11-20 MIN | 98967 - HC PRO PHONE CALL 11-20 MIN | '01/01/2017 | 12/31/2999 |
| 98968 | 98968 - Telephone assessment and management service provided by a qualified nonphysician health care professional to an established patient parent or guardian not originating from a related assessment and management service provided within the previous 7 days nor leading to an assessment and management service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion | 98968 - NONPHYSICIAN TELEPHONE ASSESSMENT 21-30 MIN | 98968 - HC PRO PHONE CALL 21-30 MIN | '01/01/2017 | 12/31/2999 |
| 98970 | 98970 - Qualified nonphysician health care professional online digital assessment and management for an established patient for up to 7 days cumulative time during the 7 days; 5-10 minutes | 98970 - QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 5-10 MIN | 98970 - QNHP OL DIG ASSMT&MGMT 5-10 | '01/01/2021 | 12/31/2999 |
| 98971 | 98971 - Qualified nonphysician health care professional online digital assessment and management for an established patient for up to 7 days cumulative time during the 7 days; 11-20 minutes | 98971 - QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 11-20 MIN | 98971 - QNHP OL DIG ASSMT&MGMT 11-20 | '01/01/2021 | 12/31/2999 |
| 98972 | 98972 - Qualified nonphysician health care professional online digital assessment and management for an established patient for up to 7 days cumulative time during the 7 days; 21 or more minutes | 98972 - QNHP OL DIGITAL ASSMT&MGMT EST PT <7 D 21+ MIN | 98972 - QNHP OL DIG ASSMT&MGMT 21+ | '01/01/2021 | 12/31/2999 |
| 98975 | 98975 - Remote therapeutic monitoring (eg therapy adherence therapy response); initial set-up and patient education on use of equipment | 98975 - REMOTE THERAPEUTIC MNTR 1ST SETUP&PT EDUCAJ EQP | 98975 - REM THER MNTR 1ST SETUP&EDU | '01/01/2023 | 12/31/2999 |
| 98976 | 98976 - Remote therapeutic monitoring (eg therapy adherence therapy response); device(s) supply with scheduled (eg daily) recording(s) and/or programmed alert(s) transmission to monitor respiratory system each 30 days | 98976 - REM THER MNTR DEV SUPPLY W/REC RESPIR SYS EA 30D | 98976 - REM THER MNTR DEV SPLY RESP | '01/01/2023 | 12/31/2999 |
| 98977 | 98977 - Remote therapeutic monitoring (eg therapy adherence therapy response); device(s) supply with scheduled (eg daily) recording(s) and/or programmed alert(s) transmission to monitor musculoskeletal system each 30 days | 98977 - REM THER MNTR DEV SPLY W/REC MUSCSKEL SYS EA 30D | 98977 - REM THER MNTR DV SPLY MSCSKL | '01/01/2023 | 12/31/2999 |
| 98978 | 98978 - Remote therapeutic monitoring (eg therapy adherence therapy response); device(s) supply with scheduled (eg daily) recording(s) and/or programmed alert(s) transmission to monitor cognitive behavioral therapy each 30 days | 98978 - REM THER MNTR DEV SPLY W/REC COG BHV THER EA 30D | 98978 - REM THER MNTR DEV SPLY CBT | '01/01/2023 | 12/31/2999 |
| 98980 | 98980 - Remote therapeutic monitoring treatment management services physician or other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient or caregiver during the calendar month; first 20 minutes | 98980 - REMOTE THER MNTR TX MGMT PHYS/QHP 1ST 20 MIN | 98980 - REM THER MNTR 1ST 20 MIN | '01/01/2022 | 12/31/2999 |
| 98981 | 98981 - Remote therapeutic monitoring treatment management services physician or other qualified health care professional time in a calendar month requiring at least one interactive communication with the patient or caregiver during the calendar month; each additional 20 minutes (List separately in addition to code for primary procedure) | 98981 - REMOTE THER MNTR TX MGMT PHYS/QHP EA ADDL 20 MIN | 98981 - REM THER MNTR EA ADDL 20 MIN | '01/01/2022 | 12/31/2999 |
| 99000 | 99000 - Handling and/or conveyance of specimen for transfer from the office to a laboratory | 99000 - HANDLG&/OR CONVEY OF SPEC FOR TR OFFICE TO LAB | 99000 - SPECIMEN HANDLING OFFICE-LAB | '01/01/2017 | 12/31/2999 |
| 99001 | 99001 - Handling and/or conveyance of specimen for transfer from the patient in other than an office to a laboratory (distance may be indicated) | 99001 - HANDLG&/OR CONVEY OF SPEC FOR TR FROM PT TO LAB | 99001 - SPECIMEN HANDLING PT-LAB | '01/01/2017 | 12/31/2999 |
| 99002 | 99002 - Handling conveyance and/or any other service in connection with the implementation of an order involving devices (eg designing fitting packaging handling delivery or mailing) when devices such as orthotics protectives prosthetics are fabricated by an outside laboratory or shop but which items have been designed and are to be fitted and adjusted by the attending physician or other qualified health care professional | 99002 - HANDLE/CONVEY/ANY OTH SVC DEVICE FIT PHYS/QHP | 99002 - DEVICE HANDLING PHYS/QHP | '01/01/2017 | 12/31/2999 |
| 99024 | 99024 - Postoperative follow-up visit normally included in the surgical package to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure | 99024 - POSTOP FOLLOW UP VISIT RELATED TO ORIGINAL PX | 99024 - POSTOP FOLLOW-UP VISIT | '01/01/2017 | 12/31/2999 |
| 99026 | 99026 - Hospital mandated on call service; in-hospital each hour | 99026 - HOSPITAL MANDATED CALL SERVICE IN-HOSPITAL EA HR | 99026 - IN-HOSPITAL ON CALL SERVICE | '01/01/2017 | 12/31/2999 |
| 99027 | 99027 - Hospital mandated on call service; out-of-hospital each hour | 99027 - HOSPITAL MANDATED CALL SVC OUT-OF-HOSPITAL EA HR | 99027 - OUT-OF-HOSP ON CALL SERVICE | '01/01/2017 | 12/31/2999 |
| 99050 | 99050 - Services provided in the office at times other than regularly scheduled office hours or days when the office is normally closed (eg holidays Saturday or Sunday) in addition to basic service | 99050 - SERVICES PROVIDED OFFICE OTH/THN REG SCHED HOURS | 99050 - MEDICAL SERVICES AFTER HRS | '01/01/2017 | 12/31/2999 |
| 99051 | 99051 - Service(s) provided in the office during regularly scheduled evening weekend or holiday office hours in addition to basic service | 99051 - SVC PRV OFFICE REG SCHEDD EVN WKEND/HOLIDAY HRS | 99051 - MED SERV EVE/WKEND/HOLIDAY | '01/01/2017 | 12/31/2999 |
| 99053 | 99053 - Service(s) provided between 10:00 PM and 8:00 AM at 24-hour facility in addition to basic service | 99053 - SERVICES PROVIDED BTW 10 PM&8 AM AT 24-HR FACI | 99053 - MED SERV 10PM-8AM 24 HR FAC | '01/01/2017 | 12/31/2999 |
| 99056 | 99056 - Service(s) typically provided in the office provided out of the office at request of patient in addition to basic service | 99056 - SVC TYPICAL PRV OFFICE PRV OUT OFFICE REQUEST PT | 99056 - MED SERVICE OUT OF OFFICE | '01/01/2017 | 12/31/2999 |
| 99058 | 99058 - Service(s) provided on an emergency basis in the office which disrupts other scheduled office services in addition to basic service | 99058 - SVC PRV EMER BASIS IN OFFICE DISRUPTING SVCS | 99058 - OFFICE EMERGENCY CARE | '01/01/2017 | 12/31/2999 |
| 99060 | 99060 - Service(s) provided on an emergency basis out of the office which disrupts other scheduled office services in addition to basic service | 99060 - SVC PRV EMER OUT OFFICE DISRUPTS OFFICE SVC | 99060 - OUT OF OFFICE EMERG MED SERV | '01/01/2017 | 12/31/2999 |
| 99070 | 99070 - Supplies and materials (except spectacles) provided by the physician or other qualified health care professional over and above those usually included with the office visit or other services rendered (list drugs trays supplies or materials provided) | 99070 - SUPPLIES&MATERIALS ABOVE/BEYOND PROV BY PHYS/QHP | 99070 - SPECIAL SUPPLIES PHYS/QHP | '01/01/2017 | 12/31/2999 |
| 99071 | 99071 - Educational supplies such as books tapes and pamphlets for the patient's education at cost to physician or other qualified health care professional | 99071 - EDUCATIONAL SUPPLIES PRV BY THE PHYS AT COST | 99071 - PATIENT EDUCATION MATERIALS | '01/01/2017 | 12/31/2999 |
| 99072 | 99072 - Additional supplies materials and clinical staff time over and above those usually included in an office visit or other non-facility service(s) when performed during a Public Health Emergency as defined by law due to respiratory-transmitted infectious disease | 99072 - ADDL SUPL MATRL&STAF TM DRG PHE RES-TR NFCT DS | 99072 - ADDL SUPL MATRL&STAF TM PHE | '09/08/2020 | 12/31/2999 |
| 99075 | 99075 - Medical testimony | 99075 - MEDICAL TESTIMONY | 99075 - MEDICAL TESTIMONY | '01/01/2017 | 12/31/2999 |
| 99078 | 99078 - Physician or other qualified health care professional qualified by education training licensure/regulation (when applicable) educational services rendered to patients in a group setting (eg prenatal obesity or diabetic instructions) | 99078 - PHYS/QHP EDUCATION SVCS RENDERED PTS GRP SETTING | 99078 - GROUP HEALTH EDUCATION | '01/01/2017 | 12/31/2999 |
| 99080 | 99080 - Special reports such as insurance forms more than the information conveyed in the usual medical communications or standard reporting form | 99080 - SPEC REPORTS > USUAL MED COMUNICAJ/STAND RPRTG | 99080 - SPECIAL REPORTS OR FORMS | '01/01/2017 | 12/31/2999 |
| 99082 | 99082 - Unusual travel (eg transportation and escort of patient) | 99082 - UNUSUAL TRAVEL | 99082 - UNUSUAL PHYSICIAN TRAVEL | '01/01/2017 | 12/31/2999 |
| 99091 | 99091 - Collection and interpretation of physiologic data (eg ECG blood pressure glucose monitoring) digitally stored and/or transmitted by the patient and/or caregiver to the physician or other qualified health care professional qualified by education training licensure/regulation (when applicable) requiring a minimum of 30 minutes of time each 30 days | 99091 - COLLJ & INTERPJ PHYSIOL DATA MIN 30 MIN EA 30 D | 99091 - COLLJ & INTERPJ DATA EA 30 D | '01/01/2019 | 12/31/2999 |
| 99100 | 99100 - Anesthesia for patient of extreme age younger than 1 year and older than 70 (List separately in addition to code for primary anesthesia procedure) | 99100 - ANESTHESIA EXTREME AGE PATIENT UNDER 1 YR/< | 99100 - SPECIAL ANESTHESIA SERVICE | '01/01/2017 | 12/31/2999 |
| 99116 | 99116 - Anesthesia complicated by utilization of total body hypothermia (List separately in addition to code for primary anesthesia procedure) | 99116 - ANES COMPLICJ UTILIZATION TOTAL BODY HYPOTHERMIA | 99116 - ANESTHESIA WITH HYPOTHERMIA | '01/01/2017 | 12/31/2999 |
| 99135 | 99135 - Anesthesia complicated by utilization of controlled hypotension (List separately in addition to code for primary anesthesia procedure) | 99135 - ANES COMPLICJ UTILIZATION CONTROLLED HYPOTENSION | 99135 - SPECIAL ANESTHESIA PROCEDURE | '01/01/2017 | 12/31/2999 |
| 99140 | 99140 - Anesthesia complicated by emergency conditions (specify) (List separately in addition to code for primary anesthesia procedure) | 99140 - ANES COMPLICJ EMERGENCY CONDITIONS SPECIFY | 99140 - EMERGENCY ANESTHESIA | '01/01/2017 | 12/31/2999 |
| 99151 | 99151 - Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time patient younger than 5 years of age | 99151 - MOD SED SAME PHYS/QHP INITIAL 15 MINS <5 YRS | 99151 - MOD SED SAME PHYS/QHP <5 YRS | '01/01/2017 | 12/31/2999 |
| 99152 | 99152 - Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intraservice time patient age 5 years or older | 99152 - MOD SED SAME PHYS/QHP INITIAL 15 MINS 5/> YRS | 99152 - MOD SED SAME PHYS/QHP 5/>YRS | '01/01/2017 | 12/31/2999 |
| 99153 | 99153 - Moderate sedation services provided by the same physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; each additional 15 minutes intraservice time (List separately in addition to code for primary service) | 99153 - MOD SED SAME PHYS/QHP EACH ADDL 15 MINS | 99153 - MOD SED SAME PHYS/QHP EA | '01/01/2017 | 12/31/2999 |
| 99155 | 99155 - Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time patient younger than 5 years of age | 99155 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS <5 YRS | 99155 - MOD SED OTH PHYS/QHP <5 YRS | '01/01/2017 | 12/31/2999 |
| 99156 | 99156 - Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; initial 15 minutes of intraservice time patient age 5 years or older | 99156 - MOD SED OTHER PHYS/QHP INITIAL 15 MINS 5/> YRS | 99156 - MOD SED OTH PHYS/QHP 5/>YRS | '01/01/2017 | 12/31/2999 |
| 99157 | 99157 - Moderate sedation services provided by a physician or other qualified health care professional other than the physician or other qualified health care professional performing the diagnostic or therapeutic service that the sedation supports; each additional 15 minutes intraservice time (List separately in addition to code for primary service) | 99157 - MOD SED OTHER PHYS/QHP EACH ADDL 15 MINS | 99157 - MOD SED OTHER PHYS/QHP EA | '01/01/2017 | 12/31/2999 |
| 99170 | 99170 - Anogenital examination magnified in childhood for suspected trauma including image recording when performed | 99170 - ANOGENITAL XM MAGNIFY CHILD/SUSPECT TRAUMA W IMG | 99170 - ANOGENITAL EXAM CHILD W IMAG | '01/01/2017 | 12/31/2999 |
| 99172 | 99172 - Visual function screening automated or semi-automated bilateral quantitative determination of visual acuity ocular alignment color vision by pseudoisochromatic plates and field of vision (may include all or some screening of the determination[s] for contrast sensitivity vision under glare) | 99172 - VISUAL FUNCT SCRNG AUTO SEMI-AUTO BI QUAN DETERM | 99172 - OCULAR FUNCTION SCREEN | '01/01/2017 | 12/31/2999 |
| 99173 | 99173 - Screening test of visual acuity quantitative bilateral | 99173 - SCREENING TEST VISUAL ACUITY QUANTITATIVE BILAT | 99173 - VISUAL ACUITY SCREEN | '01/01/2017 | 12/31/2999 |
| 99174 | 99174 - Instrument-based ocular screening (eg photoscreening automated-refraction) bilateral; with remote analysis and report | 99174 - INSTRUMENT BASED OCULAR SCR BI W/RMT ANAL & RPT | 99174 - OCULAR INSTRUMNT SCREEN BIL | '01/01/2017 | 12/31/2999 |
| 99175 | 99175 - Ipecac or similar administration for individual emesis and continued observation until stomach adequately emptied of poison | 99175 - IPECAC/SIMILAR ADMN EMESIS&OBS STOMACH EMPTIED | 99175 - INDUCTION OF VOMITING | '01/01/2017 | 12/31/2999 |
| 99177 | 99177 - Instrument-based ocular screening (eg photoscreening automated-refraction) bilateral; with on-site analysis | 99177 - INSTRUMENT BASED OCULAR SCR BI W/ONSITE ANALYSIS | 99177 - OCULAR INSTRUMNT SCREEN BIL | '01/01/2017 | 12/31/2999 |
| 99183 | 99183 - Physician or other qualified health care professional attendance and supervision of hyperbaric oxygen therapy per session | 99183 - PHYS/QHP ATTN&SUPVJ HYPRBARIC OXYGEN TX/SESSION | 99183 - HYPERBARIC OXYGEN THERAPY | '01/01/2017 | 12/31/2999 |
| 99184 | 99184 - Initiation of selective head or total body hypothermia in the critically ill neonate includes appropriate patient selection by review of clinical imaging and laboratory data confirmation of esophageal temperature probe location evaluation of amplitude EEG supervision of controlled hypothermia and assessment of patient tolerance of cooling | 99184 - INITIAT SELECTIVE HEAD/BODY HYPOTHERMIA NEONATE | 99184 - HYPOTHERMIA ILL NEONATE | '01/01/2017 | 12/31/2999 |
| 99188 | 99188 - Application of topical fluoride varnish by a physician or other qualified health care professional | 99188 - APPLICATION TOPICAL FLUORIDE VARNISH BY PHS/QHP | 99188 - APP TOPICAL FLUORIDE VARNISH | '01/01/2017 | 12/31/2999 |
| 99190 | 99190 - Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); each hour | 99190 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH EA HR | 99190 - SPECIAL PUMP SERVICES | '01/01/2017 | 12/31/2999 |
| 99191 | 99191 - Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 45 minutes | 99191 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 45 MI | 99191 - SPECIAL PUMP SERVICES | '01/01/2017 | 12/31/2999 |
| 99192 | 99192 - Assembly and operation of pump with oxygenator or heat exchanger (with or without ECG and/or pressure monitoring); 30 minutes | 99192 - ASSEMBLY&OPERJ PUMP OXYGENATOR/HEAT EXCH 30 MI | 99192 - SPECIAL PUMP SERVICES | '01/01/2017 | 12/31/2999 |
| 99195 | 99195 - Phlebotomy therapeutic (separate procedure) | 99195 - PHLEBOTOMY THERAPEUTIC SEPARATE PROCEDURE | 99195 - PHLEBOTOMY | '01/01/2017 | 12/31/2999 |
| 99199 | 99199 - Unlisted special service procedure or report | 99199 - UNLISTED SPECIAL SERVICE PROCEDURE/REPORT | 99199 - UNLISTED SPECIAL SVC PX/RPRT | '01/01/2023 | 12/31/2999 |
| 99202 | 99202 - Office or other outpatient visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection 15-29 minutes of total time is spent on the date of the encounter. | 99202 - OFFICE/OUTPATIENT NEW SF MDM 15-29 MINUTES | 99202 - OFFICE O/P NEW SF 15-29 MIN | '01/01/2021 | 12/31/2999 |
| 99203 | 99203 - Office or other outpatient visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection 30-44 minutes of total time is spent on the date of the encounter. | 99203 - OFFICE/OUTPATIENT NEW LOW MDM 30-44 MINUTES | 99203 - OFFICE O/P NEW LOW 30-44 MIN | '01/01/2021 | 12/31/2999 |
| 99204 | 99204 - Office or other outpatient visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection 45-59 minutes of total time is spent on the date of the encounter. | 99204 - OFFICE/OUTPATIENT NEW MODERATE MDM 45-59 MINUTES | 99204 - OFFICE O/P NEW MOD 45-59 MIN | '01/01/2021 | 12/31/2999 |
| 99205 | 99205 - Office or other outpatient visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection 60-74 minutes of total time is spent on the date of the encounter. | 99205 - OFFICE/OUTPATIENT NEW HIGH MDM 60-74 MINUTES | 99205 - OFFICE O/P NEW HI 60-74 MIN | '01/01/2021 | 12/31/2999 |
| 99211 | 99211 - Office or other outpatient visit for the evaluation and management of an established patient that may not require the presence of a physician or other qualified health care professional | 99211 - OFFICE/OUTPATIENT EST PT MAY NOT REQ PHYS/QHP | 99211 - OFF/OP EST MAY X REQ PHY/QHP | '01/01/2022 | 12/31/2999 |
| 99212 | 99212 - Office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using time for code selection 10-19 minutes of total time is spent on the date of the encounter. | 99212 - OFFICE/OUTPATIENT ESTABLISHED SF MDM 10-19 MIN | 99212 - OFFICE O/P EST SF 10-19 MIN | '01/01/2021 | 12/31/2999 |
| 99213 | 99213 - Office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using time for code selection 20-29 minutes of total time is spent on the date of the encounter. | 99213 - OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN | 99213 - OFFICE O/P EST LOW 20-29 MIN | '01/01/2021 | 12/31/2999 |
| 99214 | 99214 - Office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using time for code selection 30-39 minutes of total time is spent on the date of the encounter. | 99214 - OFFICE/OUTPATIENT ESTABLISHED MOD MDM 30-39 MIN | 99214 - OFFICE O/P EST MOD 30-39 MIN | '01/01/2021 | 12/31/2999 |
| 99215 | 99215 - Office or other outpatient visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using time for code selection 40-54 minutes of total time is spent on the date of the encounter. | 99215 - OFFICE/OUTPATIENT ESTABLISHED HIGH MDM 40-54 MIN | 99215 - OFFICE O/P EST HI 40-54 MIN | '01/01/2021 | 12/31/2999 |
| 99221 | 99221 - Initial hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and straightforward or low level medical decision making. When using total time on the date of the encounter for code selection 40 minutes must be met or exceeded. | 99221 - 1ST HOSPITAL IP/OBS CARE SF/LOW MDM 40 MINUTES | 99221 - 1ST HOSP IP/OBS SF/LOW 40 | '01/01/2023 | 12/31/2999 |
| 99222 | 99222 - Initial hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 55 minutes must be met or exceeded. | 99222 - 1ST HOSPITAL IP/OBS CARE MODERATE MDM 55 MINUTES | 99222 - 1ST HOSP IP/OBS MODERATE 55 | '01/01/2023 | 12/31/2999 |
| 99223 | 99223 - Initial hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 75 minutes must be met or exceeded. | 99223 - 1ST HOSPITAL IP/OBS CARE HIGH MDM 75 MINUTES | 99223 - 1ST HOSP IP/OBS HIGH 75 | '01/01/2023 | 12/31/2999 |
| 99231 | 99231 - Subsequent hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection 25 minutes must be met or exceeded. | 99231 - SBSQ HOSPITAL IP/OBS CARE SF/LOW MDM 25 MINUTES | 99231 - SBSQ HOSP IP/OBS SF/LOW 25 | '01/01/2023 | 12/31/2999 |
| 99232 | 99232 - Subsequent hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 35 minutes must be met or exceeded. | 99232 - SBSQ HOSPITAL IP/OBS CARE MOD MDM 35 MINUTES | 99232 - SBSQ HOSP IP/OBS MODERATE 35 | '01/01/2023 | 12/31/2999 |
| 99233 | 99233 - Subsequent hospital inpatient or observation care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 50 minutes must be met or exceeded. | 99233 - SBSQ HOSPITAL IP/OBS CARE HIGH MDM 50 MINUTES | 99233 - SBSQ HOSP IP/OBS HIGH 50 | '01/01/2023 | 12/31/2999 |
| 99234 | 99234 - Hospital inpatient or observation care for the evaluation and management of a patient including admission and discharge on the same date which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection 45 minutes must be met or exceeded. | 99234 - HOSPITAL IP/OBS CARE SAME DATE SF/LOW MDM 45 MIN | 99234 - HOSP IP/OBS SM DT SF/LOW 45 | '01/01/2023 | 12/31/2999 |
| 99235 | 99235 - Hospital inpatient or observation care for the evaluation and management of a patient including admission and discharge on the same date which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 70 minutes must be met or exceeded. | 99235 - HOSPITAL IP/OBS CARE SAME DATE MOD MDM 70 MIN | 99235 - HOSP IP/OBS SAME DATE MOD 70 | '01/01/2023 | 12/31/2999 |
| 99236 | 99236 - Hospital inpatient or observation care for the evaluation and management of a patient including admission and discharge on the same date which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 85 minutes must be met or exceeded. | 99236 - HOSPITAL IP/OBS CARE SAME DATE HIGH MDM 85 MIN | 99236 - HOSP IP/OBS SAME DATE HI 85 | '01/01/2023 | 12/31/2999 |
| 99238 | 99238 - Hospital inpatient or observation discharge day management; 30 minutes or less on the date of the encounter | 99238 - HOSPITAL IP/OBS DISCHARGE DAY MGMT 30 MIN/< | 99238 - HOSP IP/OBS DSCHRG MGMT 30/< | '01/01/2023 | 12/31/2999 |
| 99239 | 99239 - Hospital inpatient or observation discharge day management; more than 30 minutes on the date of the encounter | 99239 - HOSPITAL IP/OBS DISCHARGE DAY MGMT > 30 MIN | 99239 - HOSP IP/OBS DSCHRG MGMT >30 | '01/01/2023 | 12/31/2999 |
| 99242 | 99242 - Office or other outpatient consultation for a new or established patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection 20 minutes must be met or exceeded. | 99242 - OFFICE/OP CONSLTJ NEW/EST PT SF MDM 20 MINUTES | 99242 - OFF/OP CONSLTJ NEW/EST SF 20 | '01/01/2023 | 12/31/2999 |
| 99243 | 99243 - Office or other outpatient consultation for a new or established patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection 30 minutes must be met or exceeded. | 99243 - OFFICE/OP CONSLTJ NEW/EST PT LOW MDM 30 MINUTES | 99243 - OFF/OP CNSLTJ NEW/EST LOW 30 | '01/01/2023 | 12/31/2999 |
| 99244 | 99244 - Office or other outpatient consultation for a new or established patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 40 minutes must be met or exceeded. | 99244 - OFFICE/OP CONSLTJ NEW/EST PT MOD MDM 40 MINUTES | 99244 - OFF/OP CNSLTJ NEW/EST MOD 40 | '01/01/2023 | 12/31/2999 |
| 99245 | 99245 - Office or other outpatient consultation for a new or established patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 55 minutes must be met or exceeded. | 99245 - OFFICE/OP CONSLTJ NEW/EST PT HIGH MDM 55 MINUTES | 99245 - OFF/OP CONSLTJ NEW/EST HI 55 | '01/01/2023 | 12/31/2999 |
| 99252 | 99252 - Inpatient or observation consultation for a new or established patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection 35 minutes must be met or exceeded. | 99252 - IP/OBS CONSLTJ NEW/EST PT SF MDM 35 MINUTES | 99252 - IP/OBS CONSLTJ NEW/EST SF 35 | '01/01/2023 | 12/31/2999 |
| 99253 | 99253 - Inpatient or observation consultation for a new or established patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection 45 minutes must be met or exceeded. | 99253 - IP/OBS CONSLTJ NEW/EST PT LOW MDM 45 MINUTES | 99253 - IP/OBS CNSLTJ NEW/EST LOW 45 | '01/01/2023 | 12/31/2999 |
| 99254 | 99254 - Inpatient or observation consultation for a new or established patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 60 minutes must be met or exceeded. | 99254 - IP/OBS CONSLTJ NEW/EST PT MOD MDM 60 MINUTES | 99254 - IP/OBS CNSLTJ NEW/EST MOD 60 | '01/01/2023 | 12/31/2999 |
| 99255 | 99255 - Inpatient or observation consultation for a new or established patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 80 minutes must be met or exceeded. | 99255 - IP/OBS CONSLTJ NEW/EST PT HIGH MDM 80 MINUTES | 99255 - IP/OBS CONSLTJ NEW/EST HI 80 | '01/01/2023 | 12/31/2999 |
| 99281 | 99281 - Emergency department visit for the evaluation and management of a patient that may not require the presence of a physician or other qualified health care professional | 99281 - EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP | 99281 - EMR DPT VST MAYX REQ PHY/QHP | '01/01/2023 | 12/31/2999 |
| 99282 | 99282 - Emergency department visit for the evaluation and management of a patient which requires a medically appropriate history and/or examination and straightforward medical decision making | 99282 - EMERGENCY DEPARTMENT VISIT STRAIGHTFORWARD MDM | 99282 - EMERGENCY DEPT VISIT SF MDM | '01/01/2023 | 12/31/2999 |
| 99283 | 99283 - Emergency department visit for the evaluation and management of a patient which requires a medically appropriate history and/or examination and low level of medical decision making | 99283 - EMERGENCY DEPARTMENT VISIT LOW MDM | 99283 - EMERGENCY DEPT VISIT LOW MDM | '01/01/2023 | 12/31/2999 |
| 99284 | 99284 - Emergency department visit for the evaluation and management of a patient which requires a medically appropriate history and/or examination and moderate level of medical decision making | 99284 - EMERGENCY DEPARTMENT VISIT MODERATE MDM | 99284 - EMERGENCY DEPT VISIT MOD MDM | '01/01/2023 | 12/31/2999 |
| 99285 | 99285 - Emergency department visit for the evaluation and management of a patient which requires a medically appropriate history and/or examination and high level of medical decision making | 99285 - EMERGENCY DEPARTMENT VISIT HIGH MDM | 99285 - EMERGENCY DEPT VISIT HI MDM | '01/01/2023 | 12/31/2999 |
| 99288 | 99288 - Physician or other qualified health care professional direction of emergency medical systems (EMS) emergency care advanced life support | 99288 - PHYS/QHP DIRECTION EMERGENCY MEDICAL SYSTEMS | 99288 - DIRECT ADVANCED LIFE SUPPORT | '01/01/2017 | 12/31/2999 |
| 99291 | 99291 - Critical care evaluation and management of the critically ill or critically injured patient; first 30-74 minutes | 99291 - CRITICAL CARE ILL/INJURED PATIENT INIT 30-74 MIN | 99291 - CRITICAL CARE FIRST HOUR | '01/01/2017 | 12/31/2999 |
| 99292 | 99292 - Critical care evaluation and management of the critically ill or critically injured patient; each additional 30 minutes (List separately in addition to code for primary service) | 99292 - CRITICAL CARE ILL/INJURED PATIENT ADDL 30 MIN | 99292 - CRITICAL CARE ADDL 30 MIN | '01/01/2017 | 12/31/2999 |
| 99304 | 99304 - Initial nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and straightforward or low level of medical decision making. When using total time on the date of the encounter for code selection 25 minutes must be met or exceeded. | 99304 - INITIAL NURSING FACILITY CARE SF/LOW MDM 25 MIN | 99304 - 1ST NF CARE SF/LOW MDM 25 | '01/01/2023 | 12/31/2999 |
| 99305 | 99305 - Initial nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 35 minutes must be met or exceeded. | 99305 - INITIAL NURSING FACILITY CARE MOD MDM 35 MINUTES | 99305 - 1ST NF CARE MODERATE MDM 35 | '01/01/2023 | 12/31/2999 |
| 99306 | 99306 - Initial nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 45 minutes must be met or exceeded. | 99306 - INITIAL NURSING FACILITY CARE HI MDM 45 MINUTES | 99306 - 1ST NF CARE HIGH MDM 45 | '01/01/2023 | 12/31/2999 |
| 99307 | 99307 - Subsequent nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection 10 minutes must be met or exceeded. | 99307 - SBSQ NURSING FACILITY CARE SF MDM 10 MINUTES | 99307 - SBSQ NF CARE SF MDM 10 | '01/01/2023 | 12/31/2999 |
| 99308 | 99308 - Subsequent nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection 15 minutes must be met or exceeded. | 99308 - SBSQ NURSING FACILITY CARE LOW MDM 15 MINUTES | 99308 - SBSQ NF CARE LOW MDM 15 | '01/01/2023 | 12/31/2999 |
| 99309 | 99309 - Subsequent nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 30 minutes must be met or exceeded. | 99309 - SBSQ NURSING FACILITY CARE MOD MDM 30 MINUTES | 99309 - SBSQ NF CARE MODERATE MDM 30 | '01/01/2023 | 12/31/2999 |
| 99310 | 99310 - Subsequent nursing facility care per day for the evaluation and management of a patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 45 minutes must be met or exceeded. | 99310 - SBSQ NURSING FACILITY CARE HIGH MDM 45 MINUTES | 99310 - SBSQ NF CARE HIGH MDM 45 | '01/01/2023 | 12/31/2999 |
| 99315 | 99315 - Nursing facility discharge management; 30 minutes or less total time on the date of the encounter | 99315 - NURSING FACILITY DSCHRG MGMT 30 MIN/< TOT TIME | 99315 - NF DSCHRG MGMT 30 MIN/LESS | '01/01/2023 | 12/31/2999 |
| 99316 | 99316 - Nursing facility discharge management; more than 30 minutes total time on the date of the encounter | 99316 - NURSING FACILITY DSCHRG MGMT 30 MIN+ TOT TIME | 99316 - NF DSCHRG MGMT 30 MIN+ | '01/01/2023 | 12/31/2999 |
| 99341 | 99341 - Home or residence visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection 15 minutes must be met or exceeded. | 99341 - HOME/RES VISIT NEW PATIENT SF MDM 15 MINUTES | 99341 - HOME/RES VST NEW SF MDM 15 | '01/01/2023 | 12/31/2999 |
| 99342 | 99342 - Home or residence visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection 30 minutes must be met or exceeded. | 99342 - HOME/RES VISIT NEW PATIENT LOW MDM 30 MINUTES | 99342 - HOME/RES VST NEW LOW MDM 30 | '01/01/2023 | 12/31/2999 |
| 99344 | 99344 - Home or residence visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 60 minutes must be met or exceeded. | 99344 - HOME/RES VISIT NEW PATIENT MOD MDM 60 MINUTES | 99344 - HOME/RES VST NEW MOD MDM 60 | '01/01/2023 | 12/31/2999 |
| 99345 | 99345 - Home or residence visit for the evaluation and management of a new patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 75 minutes must be met or exceeded. | 99345 - HOME/RES VISIT NEW PATIENT HIGH MDM 75 MINUTES | 99345 - HOME/RES VST NEW HIGH MDM 75 | '01/01/2023 | 12/31/2999 |
| 99347 | 99347 - Home or residence visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and straightforward medical decision making. When using total time on the date of the encounter for code selection 20 minutes must be met or exceeded. | 99347 - HOME/RES VISIT EST PATIENT SF MDM 20 MINUTES | 99347 - HOME/RES VST EST SF MDM 20 | '01/01/2023 | 12/31/2999 |
| 99348 | 99348 - Home or residence visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and low level of medical decision making. When using total time on the date of the encounter for code selection 30 minutes must be met or exceeded. | 99348 - HOME/RES VISIT EST PATIENT LOW MDM 30 MINUTES | 99348 - HOME/RES VST EST LOW MDM 30 | '01/01/2023 | 12/31/2999 |
| 99349 | 99349 - Home or residence visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and moderate level of medical decision making. When using total time on the date of the encounter for code selection 40 minutes must be met or exceeded. | 99349 - HOME/RES VISIT EST PATIENT MOD MDM 40 MINUTES | 99349 - HOME/RES VST EST MOD MDM 40 | '01/01/2023 | 12/31/2999 |
| 99350 | 99350 - Home or residence visit for the evaluation and management of an established patient which requires a medically appropriate history and/or examination and high level of medical decision making. When using total time on the date of the encounter for code selection 60 minutes must be met or exceeded. | 99350 - HOME/RES VISIT EST PATIENT HIGH MDM 60 MINUTES | 99350 - HOME/RES VST EST HIGH MDM 60 | '01/01/2023 | 12/31/2999 |
| 99358 | 99358 - Prolonged evaluation and management service before and/or after direct patient care; first hour | 99358 - PROLNG E/M SVC BEFORE&/AFTER DIR PT CARE 1ST HR | 99358 - PROLONG SERVICE W/O CONTACT | '01/01/2017 | 12/31/2999 |
| 99359 | 99359 - Prolonged evaluation and management service before and/or after direct patient care; each additional 30 minutes (List separately in addition to code for prolonged service) | 99359 - PROLNG E/M BEFORE&/AFTER DIR CARE EA 30 MINUTES | 99359 - PROLONG SERV W/O CONTACT ADD | '01/01/2017 | 12/31/2999 |
| 99360 | 99360 - Standby service requiring prolonged attendance each 30 minutes (eg operative standby standby for frozen section for cesarean/high risk delivery for monitoring EEG) | 99360 - PHYS STANDBY SVC PROLNG PHYS ATTN EA 30 MINUTES | 99360 - PHYSICIAN STANDBY SERVICES | '01/01/2017 | 12/31/2999 |
| 99366 | 99366 - Medical team conference with interdisciplinary team of health care professionals face-to-face with patient and/or family 30 minutes or more participation by nonphysician qualified health care professional | 99366 - TEAM CONFERENCE FACE-TO-FACE NONPHYSICIAN | 99366 - TEAM CONF W/PAT BY HC PROF | '01/01/2017 | 12/31/2999 |
| 99367 | 99367 - Medical team conference with interdisciplinary team of health care professionals patient and/or family not present 30 minutes or more; participation by physician | 99367 - TEAM CONFERENCE NON-FACE-TO-FACE PHYSICIAN | 99367 - TEAM CONF W/O PAT BY PHYS | '01/01/2017 | 12/31/2999 |
| 99368 | 99368 - Medical team conference with interdisciplinary team of health care professionals patient and/or family not present 30 minutes or more; participation by nonphysician qualified health care professional | 99368 - TEAM CONFERENCE NON-FACE-TO-FACE NONPHYSICIAN | 99368 - TEAM CONF W/O PAT BY HC PRO | '01/01/2017 | 12/31/2999 |
| 99374 | 99374 - Supervision of a patient under care of home health agency (patient not present) in home domiciliary or equivalent environment (eg Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 15-29 minutes | 99374 - SUPVJ PT HOME HEALTH AGENCY MO 15-29 MINUTES | 99374 - HOME HEALTH CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99375 | 99375 - Supervision of a patient under care of home health agency (patient not present) in home domiciliary or equivalent environment (eg Alzheimer's facility) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 30 minutes or more | 99375 - SUPERVISION PT HOME HEALTH AGENCY MONTH 30 MIN/> | 99375 - HOME HEALTH CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99377 | 99377 - Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 15-29 minutes | 99377 - SUPERVISION HOSPICE PATIENT/MONTH 15-29 MIN | 99377 - HOSPICE CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99378 | 99378 - Supervision of a hospice patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 30 minutes or more | 99378 - SUPERVISION HOSPICE PATIENT/MONTH 30 MINUTES/> | 99378 - HOSPICE CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99379 | 99379 - Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 15-29 minutes | 99379 - SUPERVISION NURS FACILITY PATIENT MO 15-29 MIN | 99379 - NURSING FAC CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99380 | 99380 - Supervision of a nursing facility patient (patient not present) requiring complex and multidisciplinary care modalities involving regular development and/or revision of care plans by that individual review of subsequent reports of patient status review of related laboratory and other studies communication (including telephone calls) for purposes of assessment or care decisions with health care professional(s) family member(s) surrogate decision maker(s) (eg legal guardian) and/or key caregiver(s) involved in patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month; 30 minutes or more | 99380 - SUPERVISION NURS FACILITY PATIENT MONTH 30 MIN/> | 99380 - NURSING FAC CARE SUPERVISION | '01/01/2017 | 12/31/2999 |
| 99381 | 99381 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; infant (age younger than 1 year) | 99381 - INITIAL PREVENTIVE MEDICINE NEW PATIENT <1YEAR | 99381 - INIT PM E/M NEW PAT INFANT | '01/01/2017 | 12/31/2999 |
| 99382 | 99382 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; early childhood (age 1 through 4 years) | 99382 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 1-4 YRS | 99382 - INIT PM E/M NEW PAT 1-4 YRS | '01/01/2017 | 12/31/2999 |
| 99383 | 99383 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; late childhood (age 5 through 11 years) | 99383 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 5-11 YRS | 99383 - PREV VISIT NEW AGE 5-11 | '01/01/2017 | 12/31/2999 |
| 99384 | 99384 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; adolescent (age 12 through 17 years) | 99384 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 12-17 YR | 99384 - PREV VISIT NEW AGE 12-17 | '01/01/2017 | 12/31/2999 |
| 99385 | 99385 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; 18-39 years | 99385 - INITIAL PREVENTIVE MEDICINE NEW PT AGE 18-39YRS | 99385 - PREV VISIT NEW AGE 18-39 | '01/01/2017 | 12/31/2999 |
| 99386 | 99386 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; 40-64 years | 99386 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 40-64YRS | 99386 - PREV VISIT NEW AGE 40-64 | '01/01/2017 | 12/31/2999 |
| 99387 | 99387 - Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures new patient; 65 years and older | 99387 - INITIAL PREVENTIVE MEDICINE NEW PATIENT 65YRS&> | 99387 - INIT PM E/M NEW PAT 65+ YRS | '01/01/2017 | 12/31/2999 |
| 99391 | 99391 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; infant (age younger than 1 year) | 99391 - PERIODIC PREVENTIVE MED ESTABLISHED PATIENT <1Y | 99391 - PER PM REEVAL EST PAT INFANT | '01/01/2017 | 12/31/2999 |
| 99392 | 99392 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; early childhood (age 1 through 4 years) | 99392 - PERIODIC PREVENTIVE MED EST PATIENT 1-4YRS | 99392 - PREV VISIT EST AGE 1-4 | '01/01/2017 | 12/31/2999 |
| 99393 | 99393 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; late childhood (age 5 through 11 years) | 99393 - PERIODIC PREVENTIVE MED EST PATIENT 5-11YRS | 99393 - PREV VISIT EST AGE 5-11 | '01/01/2017 | 12/31/2999 |
| 99394 | 99394 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; adolescent (age 12 through 17 years) | 99394 - PERIODIC PREVENTIVE MED EST PATIENT 12-17YRS | 99394 - PREV VISIT EST AGE 12-17 | '01/01/2017 | 12/31/2999 |
| 99395 | 99395 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; 18-39 years | 99395 - PERIODIC PREVENTIVE MED EST PATIENT 18-39 YRS | 99395 - PREV VISIT EST AGE 18-39 | '01/01/2017 | 12/31/2999 |
| 99396 | 99396 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; 40-64 years | 99396 - PERIODIC PREVENTIVE MED EST PATIENT 40-64YRS | 99396 - PREV VISIT EST AGE 40-64 | '01/01/2017 | 12/31/2999 |
| 99397 | 99397 - Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history examination counseling/anticipatory guidance/risk factor reduction interventions and the ordering of laboratory/diagnostic procedures established patient; 65 years and older | 99397 - PERIODIC PREVENTIVE MED EST PATIENT 65YRS& OLDER | 99397 - PER PM REEVAL EST PAT 65+ YR | '01/01/2017 | 12/31/2999 |
| 99401 | 99401 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 15 minutes | 99401 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 15 MIN | 99401 - PREVENTIVE COUNSELING INDIV | '01/01/2017 | 12/31/2999 |
| 99402 | 99402 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 30 minutes | 99402 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 30 MIN | 99402 - PREVENTIVE COUNSELING INDIV | '01/01/2017 | 12/31/2999 |
| 99403 | 99403 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 45 minutes | 99403 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 45 MIN | 99403 - PREVENTIVE COUNSELING INDIV | '01/01/2017 | 12/31/2999 |
| 99404 | 99404 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to an individual (separate procedure); approximately 60 minutes | 99404 - PREVENT MED COUNSEL&/RISK FACTOR REDJ SPX 60 MIN | 99404 - PREVENTIVE COUNSELING INDIV | '01/01/2017 | 12/31/2999 |
| 99406 | 99406 - Smoking and tobacco use cessation counseling visit; intermediate greater than 3 minutes up to 10 minutes | 99406 - TOBACCO USE CESSATION INTERMEDIATE 3-10 MINUTES | 99406 - BEHAV CHNG SMOKING 3-10 MIN | '01/01/2017 | 12/31/2999 |
| 99407 | 99407 - Smoking and tobacco use cessation counseling visit; intensive greater than 10 minutes | 99407 - TOBACCO USE CESSATION INTENSIVE >10 MINUTES | 99407 - BEHAV CHNG SMOKING > 10 MIN | '01/01/2017 | 12/31/2999 |
| 99408 | 99408 - Alcohol and/or substance (other than tobacco) abuse structured screening (eg AUDIT DAST) and brief intervention (SBI) services; 15 to 30 minutes | 99408 - ALCOHOL/SUBSTANCE SCREEN & INTERVEN 15-30 MIN | 99408 - AUDIT/DAST 15-30 MIN | '01/01/2017 | 12/31/2999 |
| 99409 | 99409 - Alcohol and/or substance (other than tobacco) abuse structured screening (eg AUDIT DAST) and brief intervention (SBI) services; greater than 30 minutes | 99409 - ALCOHOL/SUBSTANCE SCREEN & INTERVENTION >30 MIN | 99409 - AUDIT/DAST OVER 30 MIN | '01/01/2017 | 12/31/2999 |
| 99411 | 99411 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 30 minutes | 99411 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 30 M | 99411 - PREVENTIVE COUNSELING GROUP | '01/01/2017 | 12/31/2999 |
| 99412 | 99412 - Preventive medicine counseling and/or risk factor reduction intervention(s) provided to individuals in a group setting (separate procedure); approximately 60 minutes | 99412 - PREV MED COUNSEL & RISK FACTOR REDJ GRP SPX 60 M | 99412 - PREVENTIVE COUNSELING GROUP | '01/01/2017 | 12/31/2999 |
| 99415 | 99415 - Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting direct patient contact with physician supervision; first hour (List separately in addition to code for outpatient Evaluation and Management service) | 99415 - PROLONGED CLINICAL STAFF SVC OFFICE/O/P 1ST HR | 99415 - PROLNG CLIN STAFF SVC 1ST HR | '01/01/2021 | 12/31/2999 |
| 99416 | 99416 - Prolonged clinical staff service (the service beyond the highest time in the range of total time of the service) during an evaluation and management service in the office or outpatient setting direct patient contact with physician supervision; each additional 30 minutes (List separately in addition to code for prolonged service) | 99416 - PROLONGED CLINICAL STAFF SVC OFFICE/O/P EA ADDL | 99416 - PROLNG CLIN STAFF SVC EA ADD | '01/01/2021 | 12/31/2999 |
| 99417 | 99417 - Prolonged outpatient evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time each 15 minutes of total time (List separately in addition to the code of the outpatient Evaluation and Management service) | 99417 - PROLONGED OUTPATIENT E/M SERVICE EACH 15 MINUTES | 99417 - PROLNG OP E/M EACH 15 MIN | '01/01/2023 | 12/31/2999 |
| 99418 | 99418 - Prolonged inpatient or observation evaluation and management service(s) time with or without direct patient contact beyond the required time of the primary service when the primary service level has been selected using total time each 15 minutes of total time (List separately in addition to the code of the inpatient and observation Evaluation and Management service) | 99418 - PROLONGED INPATIENT/OBSERVATION EM SVC EA 15 MIN | 99418 - PROLNG IP/OBS E/M EA 15 MIN | '01/01/2023 | 12/31/2999 |
| 99421 | 99421 - Online digital evaluation and management service for an established patient for up to 7 days cumulative time during the 7 days; 5-10 minutes | 99421 - ONLINE DIGITAL E/M SVC EST PT <7 D 5-10 MINUTES | 99421 - OL DIG E/M SVC 5-10 MIN | '01/01/2020 | 12/31/2999 |
| 99422 | 99422 - Online digital evaluation and management service for an established patient for up to 7 days cumulative time during the 7 days; 11-20 minutes | 99422 - ONLINE DIGITAL E/M SVC EST PT <7 D 11-20 MINUTES | 99422 - OL DIG E/M SVC 11-20 MIN | '01/01/2020 | 12/31/2999 |
| 99423 | 99423 - Online digital evaluation and management service for an established patient for up to 7 days cumulative time during the 7 days; 21 or more minutes | 99423 - ONLINE DIGITAL E/M SVC EST PT <7 D 21+ MINUTES | 99423 - OL DIG E/M SVC 21+ MIN | '01/01/2020 | 12/31/2999 |
| 99424 | 99424 - Principal care management services for a single high-risk disease with the following required elements: one complex chronic condition expected to last at least 3 months and that places the patient at significant risk of hospitalization acute exacerbation/decompensation functional decline or death the condition requires development monitoring or revision of disease-specific care plan the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes provided personally by a physician or other qualified health care professional per calendar month. | 99424 - PRINCIPAL CARE MGMT SVC 1ST 30 PHYS/QHP CAL MO | 99424 - PRIN CARE MGMT PHYS 1ST 30 | '01/01/2022 | 12/31/2999 |
| 99425 | 99425 - Principal care management services for a single high-risk disease with the following required elements: one complex chronic condition expected to last at least 3 months and that places the patient at significant risk of hospitalization acute exacerbation/decompensation functional decline or death the condition requires development monitoring or revision of disease-specific care plan the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes provided personally by a physician or other qualified health care professional per calendar month (List separately in addition to code for primary procedure) | 99425 - PRINCIPAL CARE MGMT SVC EA ADL 30 PHY/QHP CAL MO | 99425 - PRIN CARE MGMT PHYS EA ADDL | '01/01/2022 | 12/31/2999 |
| 99426 | 99426 - Principal care management services for a single high-risk disease with the following required elements: one complex chronic condition expected to last at least 3 months and that places the patient at significant risk of hospitalization acute exacerbation/decompensation functional decline or death the condition requires development monitoring or revision of disease-specific care plan the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities ongoing communication and care coordination between relevant practitioners furnishing care; first 30 minutes of clinical staff time directed by physician or other qualified health care professional per calendar month. | 99426 - PRINCIPAL CARE MGMT SVC 1ST 30 STAFF CAL MO | 99426 - PRIN CARE MGMT STAFF 1ST 30 | '01/01/2022 | 12/31/2999 |
| 99427 | 99427 - Principal care management services for a single high-risk disease with the following required elements: one complex chronic condition expected to last at least 3 months and that places the patient at significant risk of hospitalization acute exacerbation/decompensation functional decline or death the condition requires development monitoring or revision of disease-specific care plan the condition requires frequent adjustments in the medication regimen and/or the management of the condition is unusually complex due to comorbidities ongoing communication and care coordination between relevant practitioners furnishing care; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month (List separately in addition to code for primary procedure) | 99427 - PRINCIPAL CARE MGMT SVC EA ADDL 30 STAFF CAL MO | 99427 - PRIN CARE MGMT STAFF EA ADDL | '01/01/2022 | 12/31/2999 |
| 99429 | 99429 - Unlisted preventive medicine service | 99429 - UNLISTED PREVENTIVE MEDICINE SERVICE | 99429 - UNLISTED PREVENTIVE SERVICE | '01/01/2017 | 12/31/2999 |
| 99437 | 99437 - Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored; each additional 30 minutes by a physician or other qualified health care professional per calendar month (List separately in addition to code for primary procedure) | 99437 - CHRONIC CARE MGMT SVC PHYS EA ADDL 30 MIN CAL MO | 99437 - CHRNC CARE MGMT PHYS EA ADDL | '01/01/2022 | 12/31/2999 |
| 99439 | 99439 - Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored; each additional 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month (List separately in addition to code for primary procedure) | 99439 - CHRONIC CARE MGMT SVC STAF EA ADDL 20 MIN CAL MO | 99439 - CHRNC CARE MGMT STAF EA ADDL | '01/01/2022 | 12/31/2999 |
| 99441 | 99441 - Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient parent or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | 99441 - PHYS/QHP TELEPHONE EVALUATION 5-10 MIN | 99441 - PHONE E/M PHYS/QHP 5-10 MIN | '01/01/2017 | 12/31/2999 |
| 99442 | 99442 - Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient parent or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | 99442 - PHYS/QHP TELEPHONE EVALUATION 11-20 MIN | 99442 - PHONE E/M PHYS/QHP 11-20 MIN | '01/01/2017 | 12/31/2999 |
| 99443 | 99443 - Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient parent or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment; 21-30 minutes of medical discussion | 99443 - PHYS/QHP TELEPHONE EVALUATION 21-30 MIN | 99443 - PHONE E/M PHYS/QHP 21-30 MIN | '01/01/2017 | 12/31/2999 |
| 99446 | 99446 - Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 5-10 minutes of medical consultative discussion and review | 99446 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5-10 MIN | 99446 - NTRPROF PH1/NTRNET/EHR 5-10 | '01/01/2023 | 12/31/2999 |
| 99447 | 99447 - Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 11-20 minutes of medical consultative discussion and review | 99447 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 11-20 MIN | 99447 - NTRPROF PH1/NTRNET/EHR 11-20 | '01/01/2023 | 12/31/2999 |
| 99448 | 99448 - Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 21-30 minutes of medical consultative discussion and review | 99448 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 21-30 MIN | 99448 - NTRPROF PH1/NTRNET/EHR 21-30 | '01/01/2023 | 12/31/2999 |
| 99449 | 99449 - Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional including a verbal and written report to the patient's treating/requesting physician or other qualified health care professional; 31 minutes or more of medical consultative discussion and review | 99449 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 31/> MIN | 99449 - NTRPROF PH1/NTRNET/EHR 31/> | '01/01/2023 | 12/31/2999 |
| 99450 | 99450 - Basic life and/or disability examination that includes: Measurement of height weight and blood pressure; Completion of a medical history following a life insurance pro forma; Collection of blood sample and/or urinalysis complying with chain of custody protocols; and Completion of necessary documentation/certificates. | 99450 - BASIC LIFE AND/OR DISABILITY EXAMINATION | 99450 - BASIC LIFE DISABILITY EXAM | '01/01/2021 | 12/31/2999 |
| 99451 | 99451 - Interprofessional telephone/Internet/electronic health record assessment and management service provided by a consultative physician or other qualified health care professional including a written report to the patient's treating/requesting physician or other qualified health care professional 5 minutes or more of medical consultative time | 99451 - NTRPROF PHONE/NTRNET/EHR ASSMT&MGMT 5/> MIN | 99451 - NTRPROF PH1/NTRNET/EHR 5/> | '01/01/2023 | 12/31/2999 |
| 99452 | 99452 - Interprofessional telephone/Internet/electronic health record referral service(s) provided by a treating/requesting physician or other qualified health care professional 30 minutes | 99452 - NTRPROF PHONE/NTRNET/EHR REFERRAL SVC 30 MIN | 99452 - NTRPROF PH1/NTRNET/EHR RFRL | '01/01/2019 | 12/31/2999 |
| 99453 | 99453 - Remote monitoring of physiologic parameter(s) (eg weight blood pressure pulse oximetry respiratory flow rate) initial; set-up and patient education on use of equipment | 99453 - REM MNTR PHYSIOL PARAM 1ST SET UP PT EDUCAJ EQP | 99453 - REM MNTR PHYSIOL PARAM SETUP | '01/01/2019 | 12/31/2999 |
| 99454 | 99454 - Remote monitoring of physiologic parameter(s) (eg weight blood pressure pulse oximetry respiratory flow rate) initial; device(s) supply with daily recording(s) or programmed alert(s) transmission each 30 days | 99454 - REM MNTR PHYSIOL PARAM 1ST DEV SUPPLY EA 30 D | 99454 - REM MNTR PHYSIOL PARAM DEV | '01/01/2019 | 12/31/2999 |
| 99455 | 99455 - Work related or medical disability examination by the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis assessment of capabilities and stability and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. | 99455 - WORK RELATED/MED DBLT XM TREATING PHYS | 99455 - WORK RELATED DISABILITY EXAM | '01/01/2017 | 12/31/2999 |
| 99456 | 99456 - Work related or medical disability examination by other than the treating physician that includes: Completion of a medical history commensurate with the patient's condition; Performance of an examination commensurate with the patient's condition; Formulation of a diagnosis assessment of capabilities and stability and calculation of impairment; Development of future medical treatment plan; and Completion of necessary documentation/certificates and report. | 99456 - WORK RELATED/MED DBLT XM OTH/THN TREATING PHYS | 99456 - DISABILITY EXAMINATION | '01/01/2017 | 12/31/2999 |
| 99457 | 99457 - Remote physiologic monitoring treatment management services clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; first 20 minutes | 99457 - REMOTE PHYSIOLOGIC MONITORING 1ST 20 MIN MONTH | 99457 - REM PHYSIOL MNTR 1ST 20 MIN | '01/01/2020 | 12/31/2999 |
| 99458 | 99458 - Remote physiologic monitoring treatment management services clinical staff/physician/other qualified health care professional time in a calendar month requiring interactive communication with the patient/caregiver during the month; each additional 20 minutes (List separately in addition to code for primary procedure) | 99458 - REMOTE PHYSIOLOGIC MONITORING EA ADDL 20 MIN MO | 99458 - REM PHYSIOL MNTR EA ADDL 20 | '01/01/2020 | 12/31/2999 |
| 99460 | 99460 - Initial hospital or birthing center care per day for evaluation and management of normal newborn infant | 99460 - 1ST HOSP/BIRTHING CENTER CARE PER DAY NML NB | 99460 - INIT NB EM PER DAY HOSP | '01/01/2017 | 12/31/2999 |
| 99461 | 99461 - Initial care per day for evaluation and management of normal newborn infant seen in other than hospital or birthing center | 99461 - 1ST CARE PR DAY NML NB XCPT HOSP/BIRTHING CENTER | 99461 - INIT NB EM PER DAY NON-FAC | '01/01/2017 | 12/31/2999 |
| 99462 | 99462 - Subsequent hospital care per day for evaluation and management of normal newborn | 99462 - SUBQ HOSPITAL CARE PER DAY E/M NORMAL NEWBORN | 99462 - SBSQ NB EM PER DAY HOSP | '01/01/2017 | 12/31/2999 |
| 99463 | 99463 - Initial hospital or birthing center care per day for evaluation and management of normal newborn infant admitted and discharged on the same date | 99463 - 1ST HOSP/BIRTHING CENTER NB ADMIT & DSCHG SM DAT | 99463 - SAME DAY NB DISCHARGE | '01/01/2017 | 12/31/2999 |
| 99464 | 99464 - Attendance at delivery (when requested by the delivering physician or other qualified health care professional) and initial stabilization of newborn | 99464 - ATTN AT DELIVERY 1ST STABILIZATION OF NEWBORN | 99464 - ATTENDANCE AT DELIVERY | '01/01/2017 | 12/31/2999 |
| 99465 | 99465 - Delivery/birthing room resuscitation provision of positive pressure ventilation and/or chest compressions in the presence of acute inadequate ventilation and/or cardiac output | 99465 - DELIVERY/BIRTHING ROOM RESUSCITATION | 99465 - NB RESUSCITATION | '01/01/2017 | 12/31/2999 |
| 99466 | 99466 - Critical care face-to-face services during an interfacility transport of critically ill or critically injured pediatric patient 24 months of age or younger; first 30-74 minutes of hands-on care during transport | 99466 - CRITICAL CARE INTERFACILITY TRANSPORT 30-74 MIN | 99466 - PED CRIT CARE TRANSPORT | '01/01/2017 | 12/31/2999 |
| 99467 | 99467 - Critical care face-to-face services during an interfacility transport of critically ill or critically injured pediatric patient 24 months of age or younger; each additional 30 minutes (List separately in addition to code for primary service) | 99467 - CRITICAL CARE INTERFACILITY TRANSPORT EA 30 MIN | 99467 - PED CRIT CARE TRANSPORT ADDL | '01/01/2017 | 12/31/2999 |
| 99468 | 99468 - Initial inpatient neonatal critical care per day for the evaluation and management of a critically ill neonate 28 days of age or younger | 99468 - 1ST INPATIENT CRITICAL CARE PR DAY AGE 28 DAYS/< | 99468 - NEONATE CRIT CARE INITIAL | '01/01/2017 | 12/31/2999 |
| 99469 | 99469 - Subsequent inpatient neonatal critical care per day for the evaluation and management of a critically ill neonate 28 days of age or younger | 99469 - SUBQ I/P CRITICAL CARE PR DAY AGE 28 DAYS/< | 99469 - NEONATE CRIT CARE SUBSQ | '01/01/2017 | 12/31/2999 |
| 99471 | 99471 - Initial inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 29 days through 24 months of age | 99471 - INITIAL PED CRITICAL CARE 29 DAYS THRU 24 MONTHS | 99471 - PED CRITICAL CARE INITIAL | '01/01/2017 | 12/31/2999 |
| 99472 | 99472 - Subsequent inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 29 days through 24 months of age | 99472 - SUBSQ PED CRITICAL CARE 29 DAYS THRU 24 MO | 99472 - PED CRITICAL CARE SUBSQ | '01/01/2017 | 12/31/2999 |
| 99473 | 99473 - Self-measured blood pressure using a device validated for clinical accuracy; patient education/training and device calibration | 99473 - SELF-MEAS BP PT EDUCAJ/TRAING & DEV CALIBRATION | 99473 - SELF-MEAS BP PT EDUCAJ/TRAIN | '01/01/2020 | 12/31/2999 |
| 99474 | 99474 - Self-measured blood pressure using a device validated for clinical accuracy; separate self-measurements of two readings one minute apart twice daily over a 30-day period (minimum of 12 readings) collection of data reported by the patient and/or caregiver to the physician or other qualified health care professional with report of average systolic and diastolic pressures and subsequent communication of a treatment plan to the patient | 99474 - SELF-MEAS BP 2 READG 1 MIN APART BID 30 DAY PD | 99474 - SELF-MEAS BP 2 READG BID 30D | '01/01/2020 | 12/31/2999 |
| 99475 | 99475 - Initial inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 2 through 5 years of age | 99475 - INITIAL PED CRITICAL CARE 2 THRU 5 YEARS | 99475 - PED CRIT CARE AGE 2-5 INIT | '01/01/2017 | 12/31/2999 |
| 99476 | 99476 - Subsequent inpatient pediatric critical care per day for the evaluation and management of a critically ill infant or young child 2 through 5 years of age | 99476 - SUBSEQUENT PED CRITICAL CARE 2 THRU 5 YEARS | 99476 - PED CRIT CARE AGE 2-5 SUBSQ | '01/01/2017 | 12/31/2999 |
| 99477 | 99477 - Initial hospital care per day for the evaluation and management of the neonate 28 days of age or younger who requires intensive observation frequent interventions and other intensive care services | 99477 - INITIAL HOSP NEONATE 28 D/< NOT CRITICALLY ILL | 99477 - INIT DAY HOSP NEONATE CARE | '01/01/2017 | 12/31/2999 |
| 99478 | 99478 - Subsequent intensive care per day for the evaluation and management of the recovering very low birth weight infant (present body weight less than 1500 grams) | 99478 - SUBSEQUENT INTENSIVE CARE INFANT < 1500 GRAMS | 99478 - IC LBW INF < 1500 GM SUBSQ | '01/01/2017 | 12/31/2999 |
| 99479 | 99479 - Subsequent intensive care per day for the evaluation and management of the recovering low birth weight infant (present body weight of 1500-2500 grams) | 99479 - SUBSEQUENT INTENSIVE CARE INFANT 1500-2500 GRAMS | 99479 - IC LBW INF 1500-2500 G SUBSQ | '01/01/2017 | 12/31/2999 |
| 99480 | 99480 - Subsequent intensive care per day for the evaluation and management of the recovering infant (present body weight of 2501-5000 grams) | 99480 - SUBSEQUENT INTENSIVE CARE INFANT 2501-5000 GRAMS | 99480 - IC INF PBW 2501-5000 G SUBSQ | '01/01/2017 | 12/31/2999 |
| 99483 | 99483 - Assessment of and care planning for a patient with cognitive impairment requiring an independent historian in the office or other outpatient home or domiciliary or rest home with all of the following required elements: Cognition-focused evaluation including a pertinent history and examination Medical decision making of moderate or high complexity Functional assessment (eg basic and instrumental activities of daily living) including decision-making capacity Use of standardized instruments for staging of dementia (eg functional assessment staging test [FAST] clinical dementia rating [CDR]) Medication reconciliation and review for high-risk medications Evaluation for neuropsychiatric and behavioral symptoms including depression including use of standardized screening instrument(s) Evaluation of safety (eg home) including motor vehicle operation Identification of caregiver(s) caregiver knowledge caregiver needs social supports and the willingness of caregiver to take on caregiving tasks Development updating or revision or review of an Advance Care Plan Creation of a written care plan including initial plans to address any neuropsychiatric symptoms neuro-cognitive symptoms functional limitations and referral to community resources as needed (eg rehabilitation services adult day programs support groups) shared with the patient and/or caregiver with initial education and support. Typically 60 minutes of total time is spent on the date of the encounter. | 99483 - ASSMT & CARE PLANNING PT W/COGNITIVE IMPAIRMENT | 99483 - ASSMT & CARE PLN PT COG IMP | '01/01/2023 | 12/31/2999 |
| 99484 | 99484 - Care management services for behavioral health conditions at least 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month with the following required elements: initial assessment or follow-up monitoring including the use of applicable validated rating scales behavioral health care planning in relation to behavioral/psychiatric health problems including revision for patients who are not progressing or whose status changes facilitating and coordinating treatment such as psychotherapy pharmacotherapy counseling and/or psychiatric consultation and continuity of care with a designated member of the care team. | 99484 - CARE MGMT SERVICES BEHAVIORAL HLTH COND 20 MINS | 99484 - CARE MGMT SVC BHVL HLTH COND | '01/01/2022 | 12/31/2999 |
| 99485 | 99485 - Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient 24 months of age or younger includes two-way communication with transport team before transport at the referring facility and during the transport including data interpretation and report; first 30 minutes | 99485 - SUPERVISION INTERFACILITY TRANSPORT INIT 30 MIN | 99485 - SUPRV INTERFACILTY TRANSPORT | '01/01/2017 | 12/31/2999 |
| 99486 | 99486 - Supervision by a control physician of interfacility transport care of the critically ill or critically injured pediatric patient 24 months of age or younger includes two-way communication with transport team before transport at the referring facility and during the transport including data interpretation and report; each additional 30 minutes (List separately in addition to code for primary procedure) | 99486 - SUPERVISION INTERFACILITY TRANSPORT ADDL 30 MIN | 99486 - SUPRV INTERFAC TRNSPORT ADDL | '01/01/2017 | 12/31/2999 |
| 99487 | 99487 - Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored moderate or high complexity medical decision making; first 60 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month. | 99487 - COMPLEX CHRONIC CARE MGMT SVC 1ST 60 MIN CAL MO | 99487 - CPLX CHRNC CARE 1ST 60 MIN | '01/01/2022 | 12/31/2999 |
| 99489 | 99489 - Complex chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored moderate or high complexity medical decision making; each additional 30 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month (List separately in addition to code for primary procedure) | 99489 - CPLX CHRONIC CARE MGMT SVC EA ADDL 30 MIN CAL MO | 99489 - CPLX CHRNC CARE EA ADDL 30 | '01/01/2022 | 12/31/2999 |
| 99490 | 99490 - Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored; first 20 minutes of clinical staff time directed by a physician or other qualified health care professional per calendar month. | 99490 - CHRONIC CARE MGMT SVCS STAFF 1ST 20 MIN CAL MO | 99490 - CHRNC CARE MGMT STAFF 1ST 20 | '01/01/2022 | 12/31/2999 |
| 99491 | 99491 - Chronic care management services with the following required elements: multiple (two or more) chronic conditions expected to last at least 12 months or until the death of the patient chronic conditions that place the patient at significant risk of death acute exacerbation/decompensation or functional decline comprehensive care plan established implemented revised or monitored; first 30 minutes provided personally by a physician or other qualified health care professional per calendar month. | 99491 - CHRONIC CARE MGMT SVC PHYS 1ST 30 MIN CAL MONTH | 99491 - CHRNC CARE MGMT PHYS 1ST 30 | '01/01/2022 | 12/31/2999 |
| 99492 | 99492 - Initial psychiatric collaborative care management first 70 minutes in the first calendar month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional with the following required elements: outreach to and engagement in treatment of a patient directed by the treating physician or other qualified health care professional initial assessment of the patient including administration of validated rating scales with the development of an individualized treatment plan review by the psychiatric consultant with modifications of the plan if recommended entering patient in a registry and tracking patient follow-up and progress using the registry with appropriate documentation and participation in weekly caseload consultation with the psychiatric consultant and provision of brief interventions using evidence-based techniques such as behavioral activation motivational interviewing and other focused treatment strategies. | 99492 - 1ST PSYCHIATRIC COLLAB CARE MGMT 1ST 70 MINS | 99492 - 1ST PSYC COLLAB CARE MGMT | '01/01/2022 | 12/31/2999 |
| 99493 | 99493 - Subsequent psychiatric collaborative care management first 60 minutes in a subsequent month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional with the following required elements: tracking patient follow-up and progress using the registry with appropriate documentation participation in weekly caseload consultation with the psychiatric consultant ongoing collaboration with and coordination of the patient's mental health care with the treating physician or other qualified health care professional and any other treating mental health providers additional review of progress and recommendations for changes in treatment as indicated including medications based on recommendations provided by the psychiatric consultant provision of brief interventions using evidence-based techniques such as behavioral activation motivational interviewing and other focused treatment strategies monitoring of patient outcomes using validated rating scales and relapse prevention planning with patients as they achieve remission of symptoms and/or other treatment goals and are prepared for discharge from active treatment. | 99493 - SBSQ PSYCHIATRIC COLLAB CARE MGMT 1ST 60 MINS | 99493 - SBSQ PSYC COLLAB CARE MGMT | '01/01/2022 | 12/31/2999 |
| 99494 | 99494 - Initial or subsequent psychiatric collaborative care management each additional 30 minutes in a calendar month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional (List separately in addition to code for primary procedure) | 99494 - 1ST/SBSQ PSYCH COLLAB CARE MGMT EA ADDL 30 MINS | 99494 - 1ST/SBSQ PSYC COLLAB CARE | '01/01/2018 | 12/31/2999 |
| 99495 | 99495 - Transitional care management services with the following required elements: Communication (direct contact telephone electronic) with the patient and/or caregiver within 2 business days of discharge At least moderate level of medical decision making during the service period Face-to-face visit within 14 calendar days of discharge | 99495 - TRANSJ CARE MGMT MOD MDM F2F 14 CAL D DISCHARGE | 99495 - TRANSJ CARE MGMT MOD F2F 14D | '01/01/2023 | 12/31/2999 |
| 99496 | 99496 - Transitional care management services with the following required elements: Communication (direct contact telephone electronic) with the patient and/or caregiver within 2 business days of discharge High level of medical decision making during the service period Face-to-face visit within 7 calendar days of discharge | 99496 - TRANSJ CARE MGMT HIGH MDM F2F 7 CAL D DISCHARGE | 99496 - TRANSJ CARE MGMT HIGH F2F 7D | '01/01/2023 | 12/31/2999 |
| 99497 | 99497 - Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms when performed) by the physician or other qualified health care professional; first 30 minutes face-to-face with the patient family member(s) and/or surrogate | 99497 - ADVANCE CARE PLANNING FIRST 30 MINS | 99497 - ADVNCD CARE PLAN 30 MIN | '01/01/2017 | 12/31/2999 |
| 99498 | 99498 - Advance care planning including the explanation and discussion of advance directives such as standard forms (with completion of such forms when performed) by the physician or other qualified health care professional; each additional 30 minutes (List separately in addition to code for primary procedure) | 99498 - ADVANCE CARE PLANNING EA ADDL 30 MINS | 99498 - ADVNCD CARE PLAN ADDL 30 MIN | '01/01/2017 | 12/31/2999 |
| 99499 | 99499 - Unlisted evaluation and management service | 99499 - UNLISTED EVALUATION AND MANAGEMENT SERVICE | 99499 - UNLISTED E&M SERVICE | '01/01/2017 | 12/31/2999 |
| 99500 | 99500 - Home visit for prenatal monitoring and assessment to include fetal heart rate non-stress test uterine monitoring and gestational diabetes monitoring | 99500 - HOME VISIT PRENATAL MONITORING & ASSESSMENT | 99500 - HOME VISIT PRENATAL | '01/01/2017 | 12/31/2999 |
| 99501 | 99501 - Home visit for postnatal assessment and follow-up care | 99501 - HOME VISIT POSTNATAL ASSMT&F-UP CARE | 99501 - HOME VISIT POSTNATAL | '01/01/2017 | 12/31/2999 |
| 99502 | 99502 - Home visit for newborn care and assessment | 99502 - HOME VISIT NEWBORN CARE & ASSESSMENT | 99502 - HOME VISIT NB CARE | '01/01/2017 | 12/31/2999 |
| 99503 | 99503 - Home visit for respiratory therapy care (eg bronchodilator oxygen therapy respiratory assessment apnea evaluation) | 99503 - HOME VISIT RESPIRATORY THERAPY CARE | 99503 - HOME VISIT RESP THERAPY | '01/01/2017 | 12/31/2999 |
| 99504 | 99504 - Home visit for mechanical ventilation care | 99504 - HOME VISIT MECHANICAL VENTILATION CARE | 99504 - HOME VISIT MECH VENTILATOR | '01/01/2017 | 12/31/2999 |
| 99505 | 99505 - Home visit for stoma care and maintenance including colostomy and cystostomy | 99505 - HOME VISIT STOMA CARE&MAINT CLST&CSTOST | 99505 - HOME VISIT STOMA CARE | '01/01/2017 | 12/31/2999 |
| 99506 | 99506 - Home visit for intramuscular injections | 99506 - HOME VISIT INTRAMUSCULAR INJECTIONS | 99506 - HOME VISIT IM INJECTION | '01/01/2017 | 12/31/2999 |
| 99507 | 99507 - Home visit for care and maintenance of catheter(s) (eg urinary drainage and enteral) | 99507 - HOME VISIT CARE&MAINT CATH | 99507 - HOME VISIT CATH MAINTAIN | '01/01/2017 | 12/31/2999 |
| 99509 | 99509 - Home visit for assistance with activities of daily living and personal care | 99509 - HOME VISIT ASSISTANCE DAILY LIV&PRSONAL CARE | 99509 - HOME VISIT DAY LIFE ACTIVITY | '01/01/2017 | 12/31/2999 |
| 99510 | 99510 - Home visit for individual family or marriage counseling | 99510 - HOME VISIT INDIV FAM/MARRIAGE COUNSELING | 99510 - HOME VISIT SING/M/FAM COUNS | '01/01/2017 | 12/31/2999 |
| 99511 | 99511 - Home visit for fecal impaction management and enema administration | 99511 - HOME VISIT FECAL IMPACTION MGMT&ENEMA ADMN | 99511 - HOME VISIT FECAL/ENEMA MGMT | '01/01/2017 | 12/31/2999 |
| 99512 | 99512 - Home visit for hemodialysis | 99512 - HOME VISIT HEMODIALYSIS | 99512 - HOME VISIT FOR HEMODIALYSIS | '01/01/2017 | 12/31/2999 |
| 99600 | 99600 - Unlisted home visit service or procedure | 99600 - UNLISTED HOME VISIT SERVICE/PROCEDURE | 99600 - UNLISTED HOME VISIT SVC/PX | '01/01/2023 | 12/31/2999 |
| 99601 | 99601 - Home infusion/specialty drug administration per visit (up to 2 hours); | 99601 - HOME NFS/SPECTY DRUG ADMN PR VST 99601 - HOME INFUSION/VISIT 2 HRS | '01/01/2017 | 12/31/2999 | |
| 99602 | 99602 - Home infusion/specialty drug administration per visit (up to 2 hours); each additional hour (List separately in addition to code for primary procedure) | 99602 - HOME NFS/SPECTY DRUG ADMN PR VST 99602 - HOME INFUSION EACH ADDTL HR | '01/01/2017 | 12/31/2999 | |
| 99605 | 99605 - Medication therapy management service(s) provided by a pharmacist individual face-to-face with patient with assessment and intervention if provided; initial 15 minutes new patient | 99605 - MEDICATION THERAPY INITIAL 15 MIN NEW PATIENT | 99605 - MTMS BY PHARM NP 15 MIN | '01/01/2017 | 12/31/2999 |
| 99606 | 99606 - Medication therapy management service(s) provided by a pharmacist individual face-to-face with patient with assessment and intervention if provided; initial 15 minutes established patient | 99606 - MEDICATION THERAPY INITIAL 15 MIN ESTABLISHED PT | 99606 - MTMS BY PHARM EST 15 MIN | '01/01/2017 | 12/31/2999 |
| 99607 | 99607 - Medication therapy management service(s) provided by a pharmacist individual face-to-face with patient with assessment and intervention if provided; each additional 15 minutes (List separately in addition to code for primary service) | 99607 - MEDICATION THERAPY EACH ADDITIONAL 15 MIN | 99607 - MTMS BY PHARM ADDL 15 MIN | '01/01/2017 | 12/31/2999 |
| A0021 | A0021 - Ambulance service outside state per mile transport (medicaid only) | A0021 - | A0021 - Outside state ambulance serv | '09/10/1996 | 12/31/2999 |
| A0080 | A0080 - Non-emergency transportation per mile - vehicle provided by volunteer (individual or organization) with no vested interest | A0080 - | A0080 - Noninterest escort in non er | '01/01/2003 | 12/31/2999 |
| A0090 | A0090 - Non-emergency transportation per mile - vehicle provided by individual (family member self neighbor) with vested interest | A0090 - | A0090 - Interest escort in non er | '01/01/2003 | 12/31/2999 |
| A0100 | A0100 - Non-emergency transportation; taxi | A0100 - | A0100 - Nonemergency transport taxi | '01/01/2003 | 12/31/2999 |
| A0110 | A0110 - Non-emergency transportation and bus intra or inter state carrier | A0110 - | A0110 - Nonemergency transport bus | '01/01/1995 | 12/31/2999 |
| A0120 | A0120 - Non-emergency transportation: mini-bus mountain area transports or other transportation systems | A0120 - | A0120 - Noner transport mini-bus | '01/01/2003 | 12/31/2999 |
| A0130 | A0130 - Non-emergency transportation: wheel-chair van | A0130 - | A0130 - Noner transport wheelch van | '01/01/1995 | 12/31/2999 |
| A0140 | A0140 - Non-emergency transportation and air travel (private or commercial) intra or inter state | A0140 - | A0140 - Nonemergency transport air | '09/10/1996 | 12/31/2999 |
| A0160 | A0160 - Non-emergency transportation: per mile - case worker or social worker | A0160 - | A0160 - Noner transport case worker | '01/01/1995 | 12/31/2999 |
| A0170 | A0170 - Transportation ancillary: parking fees tolls other | A0170 - | A0170 - Transport parking fees/tolls | '01/01/2003 | 12/31/2999 |
| A0180 | A0180 - Non-emergency transportation: ancillary: lodging-recipient | A0180 - | A0180 - Noner transport lodgng recip | '01/01/1995 | 12/31/2999 |
| A0190 | A0190 - Non-emergency transportation: ancillary: meals-recipient | A0190 - | A0190 - Noner transport meals recip | '01/01/1995 | 12/31/2999 |
| A0200 | A0200 - Non-emergency transportation: ancillary: lodging escort | A0200 - | A0200 - Noner transport lodgng escrt | '01/01/1995 | 12/31/2999 |
| A0210 | A0210 - Non-emergency transportation: ancillary: meals-escort | A0210 - | A0210 - Noner transport meals escort | '01/01/1995 | 12/31/2999 |
| A0225 | A0225 - Ambulance service neonatal transport base rate emergency transport one way | A0225 - | A0225 - Neonatal emergency transport | '04/01/2003 | 12/31/2999 |
| A0380 | A0380 - Bls mileage (per mile) | A0380 - | A0380 - Basic life support mileage | '01/01/2003 | 12/31/2999 |
| A0382 | A0382 - Bls routine disposable supplies | A0382 - | A0382 - Basic support routine suppls | '01/01/1995 | 12/31/2999 |
| A0384 | A0384 - Bls specialized service disposable supplies; defibrillation (used by als ambulances and bls ambulances in jurisdictions where defibrillation is permitted in bls ambulances) | A0384 - | A0384 - Bls defibrillation supplies | '01/01/1995 | 12/31/2999 |
| A0390 | A0390 - Als mileage (per mile) | A0390 - | A0390 - Advanced life support mileag | '01/01/2003 | 12/31/2999 |
| A0392 | A0392 - Als specialized service disposable supplies; defibrillation (to be used only in jurisdictions where defibrillation cannot be performed in bls ambulances) | A0392 - | A0392 - Als defibrillation supplies | '01/01/1995 | 12/31/2999 |
| A0394 | A0394 - Als specialized service disposable supplies; iv drug therapy | A0394 - | A0394 - Als IV drug therapy supplies | '01/01/1995 | 12/31/2999 |
| A0396 | A0396 - Als specialized service disposable supplies; esophageal intubation | A0396 - | A0396 - Als esophageal intub suppls | '01/01/1995 | 12/31/2999 |
| A0398 | A0398 - Als routine disposable supplies | A0398 - | A0398 - Als routine disposble suppls | '01/01/1995 | 12/31/2999 |
| A0420 | A0420 - Ambulance waiting time (als or bls) one half (1/2) hour increments | A0420 - | A0420 - Ambulance waiting 1/2 hr | '01/01/1995 | 12/31/2999 |
| A0422 | A0422 - Ambulance (als or bls) oxygen and oxygen supplies life sustaining situation | A0422 - | A0422 - Ambulance 02 life sustaining | '01/01/1995 | 12/31/2999 |
| A0424 | A0424 - Extra ambulance attendant ground (als or bls) or air (fixed or rotary winged); (requires medical review) | A0424 - | A0424 - Extra ambulance attendant | '01/01/2003 | 12/31/2999 |
| A0425 | A0425 - Ground mileage per statute mile | A0425 - | A0425 - Ground mileage | '01/01/2001 | 12/31/2999 |
| A0426 | A0426 - Ambulance service advanced life support non-emergency transport level 1 (als 1) | A0426 - | A0426 - Als 1 | '01/01/2001 | 12/31/2999 |
| A0427 | A0427 - Ambulance service advanced life support emergency transport level 1 (als1-emergency) | A0427 - | A0427 - ALS1-emergency | '01/01/2001 | 12/31/2999 |
| A0428 | A0428 - Ambulance service basic life support non-emergency transport (bls) | A0428 - | A0428 - bls | '01/01/2001 | 12/31/2999 |
| A0429 | A0429 - Ambulance service basic life support emergency transport (bls-emergency) | A0429 - | A0429 - BLS-emergency | '01/01/2001 | 12/31/2999 |
| A0430 | A0430 - Ambulance service conventional air services transport one way (fixed wing) | A0430 - | A0430 - Fixed wing air transport | '01/01/2001 | 12/31/2999 |
| A0431 | A0431 - Ambulance service conventional air services transport one way (rotary wing) | A0431 - | A0431 - Rotary wing air transport | '01/01/2001 | 12/31/2999 |
| A0432 | A0432 - Paramedic intercept (pi) rural area transport furnished by a volunteer ambulance company which is prohibited by state law from billing third party payers | A0432 - | A0432 - PI volunteer ambulance co | '01/01/2001 | 12/31/2999 |
| A0433 | A0433 - Advanced life support level 2 (als 2) | A0433 - | A0433 - als 2 | '01/01/2001 | 12/31/2999 |
| A0434 | A0434 - Specialty care transport (sct) | A0434 - | A0434 - Specialty care transport | '01/01/2001 | 12/31/2999 |
| A0435 | A0435 - Fixed wing air mileage per statute mile | A0435 - | A0435 - Fixed wing air mileage | '01/01/2001 | 12/31/2999 |
| A0436 | A0436 - Rotary wing air mileage per statute mile | A0436 - | A0436 - Rotary wing air mileage | '01/01/2001 | 12/31/2999 |
| A0888 | A0888 - Noncovered ambulance mileage per mile (e. G. for miles traveled beyond closest appropriate facility) | A0888 - | A0888 - Noncovered ambulance mileage | '01/01/1995 | 12/31/2999 |
| A0998 | A0998 - AMBULANCE RESPONSE AND TREATMENT NO TRANSPORT | A0998 - | A0998 - Ambulance response/treatment | '01/01/2006 | 12/31/2999 |
| A0999 | A0999 - Unlisted ambulance service | A0999 - | A0999 - Unlisted ambulance service | '01/01/1998 | 12/31/2999 |
| A2001 | A2001 - Innovamatrix ac per square centimeter | A2001 - | A2001 - Innovamatrix ac per sq cm | '01/01/2022 | 12/31/2999 |
| A2002 | A2002 - Mirragen advanced wound matrix per square centimeter | A2002 - | A2002 - Mirragen adv wnd mat per sq | '01/01/2022 | 12/31/2999 |
| A2004 | A2004 - Xcellistem 1 mg | A2004 - | A2004 - Xcellistem 1 mg | '01/01/2022 | 12/31/2999 |
| A2005 | A2005 - Microlyte matrix per square centimeter | A2005 - | A2005 - Microlyte matrix per sq cm | '01/01/2022 | 12/31/2999 |
| A2006 | A2006 - Novosorb synpath dermal matrix per square centimeter | A2006 - | A2006 - Novosorb synpath per sq cm | '01/01/2022 | 12/31/2999 |
| A2007 | A2007 - Restrata per square centimeter | A2007 - | A2007 - Restrata per sq cm | '01/01/2022 | 12/31/2999 |
| A2008 | A2008 - Theragenesis per square centimeter | A2008 - | A2008 - Theragenesis per sq cm | '01/01/2022 | 12/31/2999 |
| A2009 | A2009 - Symphony per square centimeter | A2009 - | A2009 - Symphony per sq cm | '01/01/2022 | 12/31/2999 |
| A2010 | A2010 - Apis per square centimeter | A2010 - | A2010 - Apis per square centimeter | '01/01/2022 | 12/31/2999 |
| A2011 | A2011 - Supra sdrm per square centimeter | A2011 - | A2011 - Supra sdrm per sq cm | '04/01/2022 | 12/31/2999 |
| A2012 | A2012 - Suprathel per square centimeter | A2012 - | A2012 - Suprathel per sq cm | '04/01/2022 | 12/31/2999 |
| A2013 | A2013 - Innovamatrix fs per square centimeter | A2013 - | A2013 - Innovamatrix fs per sq cm | '04/01/2022 | 12/31/2999 |
| A2014 | A2014 - Omeza collagen matrix per 100 mg | A2014 - | A2014 - Omeza collag per 100 mg | 01-10-2022 | 12/31/2999 |
| A2015 | A2015 - Phoenix wound matrix per square centimeter | A2015 - | A2015 - Phoenix wnd mtrx per sq cm | 01-10-2022 | 12/31/2999 |
| A2016 | A2016 - Permeaderm b per square centimeter | A2016 - | A2016 - Permeaderm b per sq cm | 01-10-2022 | 12/31/2999 |
| A2017 | A2017 - Permeaderm glove each | A2017 - | A2017 - Permeaderm glove each | 01-10-2022 | 12/31/2999 |
| A2018 | A2018 - Permeaderm c per square centimeter | A2018 - | A2018 - Permeaderm c per sq cm | 01-10-2022 | 12/31/2999 |
| A4100 | A4100 - Skin substitute fda cleared as a device not otherwise specified | A4100 - | A4100 - Skin sub fda clrd as dev nos | '04/01/2022 | 12/31/2999 |
| A4206 | A4206 - Syringe with needle sterile 1 cc or less each | A4206 - | A4206 - 1 CC sterile syringe&needle | '01/01/2008 | 12/31/2999 |
| A4207 | A4207 - Syringe with needle sterile 2cc each | A4207 - | A4207 - 2 CC sterile syringe&needle | '01/01/2007 | 12/31/2999 |
| A4208 | A4208 - Syringe with needle sterile 3cc each | A4208 - | A4208 - 3 CC sterile syringe&needle | '01/01/2007 | 12/31/2999 |
| A4209 | A4209 - Syringe with needle sterile 5cc or greater each | A4209 - | A4209 - 5+ CC sterile syringe&needle | '01/01/2007 | 12/31/2999 |
| A4210 | A4210 - Needle-free injection device each | A4210 - | A4210 - Nonneedle injection device | '01/01/1996 | 12/31/2999 |
| A4211 | A4211 - Supplies for self-administered injections | A4211 - | A4211 - Supp for self-adm injections | '01/01/1997 | 12/31/2999 |
| A4212 | A4212 - Non-coring needle or stylet with or without catheter | A4212 - | A4212 - Non coring needle or stylet | '01/01/2000 | 12/31/2999 |
| A4213 | A4213 - Syringe sterile 20 cc or greater each | A4213 - | A4213 - 20+ CC syringe only | '01/01/2007 | 12/31/2999 |
| A4215 | A4215 - Needle sterile any size each | A4215 - | A4215 - Sterile needle | '01/01/2007 | 12/31/2999 |
| A4216 | A4216 - STERILE WATER SALINE AND/OR DEXTROSE DILUENT/FLUSH 10 ML | A4216 - | A4216 - Sterile water/saline 10 ml | '01/01/2007 | 12/31/2999 |
| A4217 | A4217 - Sterile water/saline 500 ml | A4217 - | A4217 - Sterile water/saline 500 ml | '01/01/2004 | 12/31/2999 |
| A4218 | A4218 - STERILE SALINE OR WATER METERED DOSE DISPENSER 10 ML | A4218 - | A4218 - Sterile saline or water | '01/01/2006 | 12/31/2999 |
| A4220 | A4220 - Refill kit for implantable infusion pump | A4220 - | A4220 - Infusion pump refill kit | '03/03/1998 | 12/31/2999 |
| A4221 | A4221 - Supplies for maintenance of non-insulin drug infusion catheter per week (list drugs separately) | A4221 - | A4221 - Supp non-insulin inf cath/wk | '01/01/2017 | 12/31/2999 |
| A4222 | A4222 - Infusion supplies for external drug infusion pump per cassette or bag (list drugs separately) | A4222 - | A4222 - Infusion supplies with pump | '01/01/2005 | 12/31/2999 |
| A4223 | A4223 - Infusion supplies not used with external infusion pump per cassette or bag (list drugs separately) | A4223 - | A4223 - Infusion supplies w/o pump | '01/01/2007 | 12/31/2999 |
| A4224 | A4224 - Supplies for maintenance of insulin infusion catheter per week | A4224 - | A4224 - Supply insulin inf cath/wk | '01/01/2017 | 12/31/2999 |
| A4225 | A4225 - Supplies for external insulin infusion pump syringe type cartridge sterile each | A4225 - | A4225 - Sup/ext insulin inf pump syr | '01/01/2017 | 12/31/2999 |
| A4226 | A4226 - Supplies for maintenance of insulin infusion pump with dosage rate adjustment using therapeutic continuous glucose sensing per week | A4226 - | A4226 - Weekly supply maint cgs pump | '01/01/2020 | 12/31/2999 |
| A4230 | A4230 - Infusion set for external insulin pump non needle cannula type | A4230 - | A4230 - Infus insulin pump non needl | '01/01/2000 | 12/31/2999 |
| A4231 | A4231 - Infusion set for external insulin pump needle type | A4231 - | A4231 - Infusion insulin pump needle | '01/01/2000 | 12/31/2999 |
| A4232 | A4232 - Syringe with needle for external insulin pump sterile 3cc | A4232 - | A4232 - Syringe w/needle insulin 3cc | '04/01/2003 | 12/31/2999 |
| A4233 | A4233 - REPLACEMENT BATTERY ALKALINE (OTHER THAN J CELL) FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT EACH | A4233 - | A4233 - Alkalin batt for glucose mon | '01/01/2006 | 12/31/2999 |
| A4234 | A4234 - REPLACEMENT BATTERY ALKALINE J CELL FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT EACH | A4234 - | A4234 - J-cell batt for glucose mon | '01/01/2006 | 12/31/2999 |
| A4235 | A4235 - REPLACEMENT BATTERY LITHIUM FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT EACH | A4235 - | A4235 - Lithium batt for glucose mon | '01/01/2006 | 12/31/2999 |
| A4236 | A4236 - REPLACEMENT BATTERY SILVER OXIDE FOR USE WITH MEDICALLY NECESSARY HOME BLOOD GLUCOSE MONITOR OWNED BY PATIENT EACH | A4236 - | A4236 - Silvr oxide batt glucose mon | '01/01/2006 | 12/31/2999 |
| A4238 | A4238 - Supply allowance for adjunctive non-implanted continuous glucose monitor (cgm) includes all supplies and accessories 1 month supply = 1 unit of service | A4238 - | A4238 - Adju cgm supply allowance | '01/01/2023 | 12/31/2999 |
| A4239 | A4239 - Supply allowance for non-adjunctive non-implanted continuous glucose monitor (cgm) includes all supplies and accessories 1 month supply = 1 unit of service | A4239 - | A4239 - Non-adju cgm supply allow | '01/01/2023 | 12/31/2999 |
| A4244 | A4244 - Alcohol or peroxide per pint | A4244 - | A4244 - Alcohol or peroxide per pint | '01/01/2007 | 12/31/2999 |
| A4245 | A4245 - Alcohol wipes per box | A4245 - | A4245 - Alcohol wipes per box | '01/01/2007 | 12/31/2999 |
| A4246 | A4246 - Betadine or phisohex solution per pint | A4246 - | A4246 - Betadine/phisohex solution | '01/01/2007 | 12/31/2999 |
| A4247 | A4247 - Betadine or iodine swabs/wipes per box | A4247 - | A4247 - Betadine/iodine swabs/wipes | '01/01/2007 | 12/31/2999 |
| A4248 | A4248 - Chlorhexidine containing antiseptic 1 ml | A4248 - | A4248 - Chlorhexidine antisept | '01/01/2004 | 12/31/2999 |
| A4250 | A4250 - Urine test or reagent strips or tablets (100 tablets or strips) | A4250 - | A4250 - Urine reagent strips/tablets | '01/01/1997 | 12/31/2999 |
| A4252 | A4252 - BLOOD KETONE TEST OR REAGENT STRIP EACH | A4252 - | A4252 - Blood ketone test or strip | '01/01/2008 | 12/31/2999 |
| A4253 | A4253 - Blood glucose test or reagent strips for home blood glucose monitor per 50 strips | A4253 - | A4253 - Blood glucose/reagent strips | '07/01/1998 | 12/31/2999 |
| A4255 | A4255 - Platforms for home blood glucose monitor 50 per box | A4255 - | A4255 - Glucose monitor platforms | '01/01/2002 | 12/31/2999 |
| A4256 | A4256 - Normal low and high calibrator solution / chips | A4256 - | A4256 - Calibrator solution/chips | '01/01/2002 | 12/31/2999 |
| A4257 | A4257 - Replacement lens shield cartridge for use with laser skin piercing device each | A4257 - | A4257 - Replace Lensshield Cartridge | '01/01/2002 | 12/31/2999 |
| A4258 | A4258 - Spring-powered device for lancet each | A4258 - | A4258 - Lancet device each | '01/01/2002 | 12/31/2999 |
| A4259 | A4259 - Lancets per box of 100 | A4259 - | A4259 - Lancets per box | '01/01/1996 | 12/31/2999 |
| A4261 | A4261 - Cervical cap for contraceptive use | A4261 - | A4261 - Cervical cap contraceptive | '01/01/1999 | 12/31/2999 |
| A4262 | A4262 - Temporary absorbable lacrimal duct implant each | A4262 - | A4262 - Temporary tear duct plug | '01/01/1998 | 12/31/2999 |
| A4263 | A4263 - Permanent long term non-dissolvable lacrimal duct implant each | A4263 - | A4263 - Permanent tear duct plug | '01/01/1998 | 12/31/2999 |
| A4264 | A4264 - PERMANENT IMPLANTABLE CONTRACEPTIVE INTRATUBAL OCCLUSION DEVICE(S) AND DELIVERY SYSTEM | A4264 - | A4264 - Intratubal occlusion device | '01/01/2010 | 12/31/2999 |
| A4265 | A4265 - Paraffin per pound | A4265 - | A4265 - Paraffin | '01/01/2002 | 12/31/2999 |
| A4266 | A4266 - Diaphragm for contraceptive use | A4266 - | A4266 - Diaphragm | '01/01/2003 | 12/31/2999 |
| A4267 | A4267 - Contraceptive supply condom male each | A4267 - | A4267 - Male condom | '01/01/2003 | 12/31/2999 |
| A4268 | A4268 - Contraceptive supply condom female each | A4268 - | A4268 - Female condom | '01/01/2003 | 12/31/2999 |
| A4269 | A4269 - Contraceptive supply spermicide (e. G. foam gel) each | A4269 - | A4269 - Spermicide | '01/01/2003 | 12/31/2999 |
| A4270 | A4270 - Disposable endoscope sheath each | A4270 - | A4270 - Disposable endoscope sheath | '04/01/1995 | 12/31/2999 |
| A4280 | A4280 - Adhesive skin support attachment for use with external breast prosthesis each | A4280 - | A4280 - Brst prsths adhsv attchmnt | '01/01/2000 | 12/31/2999 |
| A4281 | A4281 - Tubing for breast pump replacement | A4281 - | A4281 - Replacement breastpump tube | '01/01/2007 | 12/31/2999 |
| A4282 | A4282 - Adapter for breast pump replacement | A4282 - | A4282 - Replacement breastpump adpt | '01/01/2007 | 12/31/2999 |
| A4283 | A4283 - Cap for breast pump bottle replacement | A4283 - | A4283 - Replacement breastpump cap | '01/01/2007 | 12/31/2999 |
| A4284 | A4284 - Breast shield and splash protector for use with breast pump replacement | A4284 - | A4284 - Replcmnt breast pump shield | '01/01/2007 | 12/31/2999 |
| A4285 | A4285 - Polycarbonate bottle for use with breast pump replacement | A4285 - | A4285 - Replcmnt breast pump bottle | '01/01/2007 | 12/31/2999 |
| A4286 | A4286 - Locking ring for breast pump replacement | A4286 - | A4286 - Replcmnt breastpump lok ring | '01/01/2007 | 12/31/2999 |
| A4290 | A4290 - Sacral nerve stimulation test lead each | A4290 - | A4290 - Sacral nerve stim test lead | '01/01/2002 | 12/31/2999 |
| A4300 | A4300 - Implantable access catheter (e g. venous arterial epidural subarachnoid or peritoneal etc. ) external access | A4300 - | A4300 - Cath impl vasc access portal | '01/01/2002 | 12/31/2999 |
| A4301 | A4301 - Implantable access total catheter port/reservoir (e. G. venous arterial epidural subarachnoid peritoneal etc. ) | A4301 - | A4301 - Implantable access syst perc | '01/01/2003 | 12/31/2999 |
| A4305 | A4305 - Disposable drug delivery system flow rate of 50 ml or greater per hour | A4305 - | A4305 - Drug delivery system >=50 ML | '01/01/2006 | 12/31/2999 |
| A4306 | A4306 - DISPOSABLE DRUG DELIVERY SYSTEM FLOW RATE OF LESS THAN 50 ML PER HOUR | A4306 - | A4306 - Drug delivery system <=50 ml | '01/01/2007 | 12/31/2999 |
| A4310 | A4310 - Insertion tray without drainage bag and without catheter (accessories only) | A4310 - | A4310 - Insert tray w/o bag/cath | '01/01/1990 | 12/31/2999 |
| A4311 | A4311 - Insertion tray without drainage bag with indwelling catheter foley type two-way latex with coating (teflon silicone silicone elastomer or hydrophilic etc. ) | A4311 - | A4311 - Catheter w/o bag 2-way latex | '01/01/1990 | 12/31/2999 |
| A4312 | A4312 - Insertion tray without drainage bag with indwelling catheter foley type two-way all silicone | A4312 - | A4312 - Cath w/o bag 2-way silicone | '01/01/1990 | 12/31/2999 |
| A4313 | A4313 - Insertion tray without drainage bag with indwelling catheter foley type three-way for continuous irrigation | A4313 - | A4313 - Catheter w/bag 3-way | '01/01/1990 | 12/31/2999 |
| A4314 | A4314 - Insertion tray with drainage bag with indwelling catheter foley type two-way latex with coating (teflon silicone silicone elastomer or hydrophilic etc. ) | A4314 - | A4314 - Cath w/drainage 2-way latex | '01/01/1990 | 12/31/2999 |
| A4315 | A4315 - Insertion tray with drainage bag with indwelling catheter foley type two-way all silicone | A4315 - | A4315 - Cath w/drainage 2-way silcne | '01/01/1990 | 12/31/2999 |
| A4316 | A4316 - Insertion tray with drainage bag with indwelling catheter foley type three-way for continuous irrigation | A4316 - | A4316 - Cath w/drainage 3-way | '01/01/1990 | 12/31/2999 |
| A4320 | A4320 - Irrigation tray with bulb or piston syringe any purpose | A4320 - | A4320 - Irrigation tray | '01/01/1992 | 12/31/2999 |
| A4321 | A4321 - Therapeutic agent for urinary catheter irrigation | A4321 - | A4321 - Cath therapeutic irrig agent | '01/01/2003 | 12/31/2999 |
| A4322 | A4322 - Irrigation syringe bulb or piston each | A4322 - | A4322 - Irrigation syringe | '01/01/1996 | 12/31/2999 |
| A4326 | A4326 - MALE EXTERNAL CATHETER WITH INTEGRAL COLLECTION CHAMBER ANY TYPE EACH | A4326 - | A4326 - Male external catheter | '01/01/2007 | 12/31/2999 |
| A4327 | A4327 - Female external urinary collection device; meatal cup each | A4327 - | A4327 - Fem urinary collect dev cup | '01/01/1990 | 12/31/2999 |
| A4328 | A4328 - Female external urinary collection device; pouch each | A4328 - | A4328 - Fem urinary collect pouch | '01/01/1990 | 12/31/2999 |
| A4330 | A4330 - Perianal fecal collection pouch with adhesive each | A4330 - | A4330 - Stool collection pouch | '01/01/1996 | 12/31/2999 |
| A4331 | A4331 - Extension drainage tubing any type any length with connector/adaptor for use with urinary leg bag or urostomy pouch each | A4331 - | A4331 - Extension drainage tubing | '01/01/2003 | 12/31/2999 |
| A4332 | A4332 - Lubricant individual sterile packet each | A4332 - | A4332 - Lube sterile packet | '01/01/2005 | 12/31/2999 |
| A4333 | A4333 - Urinary catheter anchoring device adhesive skin attachment each | A4333 - | A4333 - Urinary cath anchor device | '01/01/2003 | 12/31/2999 |
| A4334 | A4334 - Urinary catheter anchoring device leg strap each | A4334 - | A4334 - Urinary cath leg strap | '01/01/2003 | 12/31/2999 |
| A4335 | A4335 - Incontinence supply; miscellaneous | A4335 - | A4335 - Incontinence supply | '01/01/1990 | 12/31/2999 |
| A4336 | A4336 - INCONTINENCE SUPPLY URETHRAL INSERT ANY TYPE EACH | A4336 - | A4336 - Urethral insert | '01/01/2010 | 12/31/2999 |
| A4337 | A4337 - Incontinence supply rectal insert any type each | A4337 - | A4337 - Incontinent rectal insert | '01/01/2016 | 12/31/2999 |
| A4338 | A4338 - Indwelling catheter; foley type two-way latex with coating (teflon silicone silicone elastomer or hydrophilic etc. ) each | A4338 - | A4338 - Indwelling catheter latex | '01/01/1996 | 12/31/2999 |
| A4340 | A4340 - Indwelling catheter; specialty type eg; coude mushroom wing etc. ) each | A4340 - | A4340 - Indwelling catheter special | '01/01/1996 | 12/31/2999 |
| A4344 | A4344 - Indwelling catheter foley type two-way all silicone each | A4344 - | A4344 - Cath indw foley 2 way silicn | '01/01/1996 | 12/31/2999 |
| A4346 | A4346 - Indwelling catheter; foley type three way for continuous irrigation each | A4346 - | A4346 - Cath indw foley 3 way | '01/01/1996 | 12/31/2999 |
| A4349 | A4349 - MALE EXTERNAL CATHETER WITH OR WITHOUT ADHESIVE DISPOSABLE EACH | A4349 - | A4349 - Disposable male external cat | '01/01/2005 | 12/31/2999 |
| A4351 | A4351 - Intermittent urinary catheter; straight tip with or without coating (teflon silicone silicone elastomer or hydrophilic etc. ) each | A4351 - | A4351 - Straight tip urine catheter | '01/01/2002 | 12/31/2999 |
| A4352 | A4352 - Intermittent urinary catheter; coude (curved) tip with or without coating (teflon silicone silicone elastomeric or hydrophilic etc. ) each | A4352 - | A4352 - Coude tip urinary catheter | '01/01/2002 | 12/31/2999 |
| A4353 | A4353 - Intermittent urinary catheter with insertion supplies | A4353 - | A4353 - Intermittent urinary cath | '01/01/2003 | 12/31/2999 |
| A4354 | A4354 - Insertion tray with drainage bag but without catheter | A4354 - | A4354 - Cath insertion tray w/bag | '01/01/1990 | 12/31/2999 |
| A4355 | A4355 - Irrigation tubing set for continuous bladder irrigation through a three-way indwelling foley catheter each | A4355 - | A4355 - Bladder irrigation tubing | '01/01/1996 | 12/31/2999 |
| A4356 | A4356 - External urethral clamp or compression device (not to be used for catheter clamp) each | A4356 - | A4356 - Ext ureth clmp or compr dvc | '01/01/1996 | 12/31/2999 |
| A4357 | A4357 - Bedside drainage bag day or night with or without anti-reflux device with or without tube each | A4357 - | A4357 - Bedside drainage bag | '01/01/1996 | 12/31/2999 |
| A4358 | A4358 - Urinary drainage bag leg or abdomen vinyl with or without tube with straps each | A4358 - | A4358 - Urinary leg or abdomen bag | '01/01/2002 | 12/31/2999 |
| A4360 | A4360 - DISPOSABLE EXTERNAL URETHRAL CLAMP OR COMPRESSION DEVICE WITH PAD AND/OR POUCH EACH | A4360 - | A4360 - Disposable ext urethral dev | '01/01/2010 | 12/31/2999 |
| A4361 | A4361 - Ostomy faceplate each | A4361 - | A4361 - Ostomy face plate | '01/01/1996 | 12/31/2999 |
| A4362 | A4362 - Skin barrier; solid 4 x 4 or equivalent; each | A4362 - | A4362 - Solid skin barrier | '01/01/1990 | 12/31/2999 |
| A4363 | A4363 - OSTOMY CLAMP ANY TYPE REPLACEMENT ONLY EACH | A4363 - | A4363 - Ostomy clamp replacement | '01/01/2006 | 12/31/2999 |
| A4364 | A4364 - Adhesive liquid or equal any type per oz | A4364 - | A4364 - Adhesive liquid or equal | '01/01/2003 | 12/31/2999 |
| A4366 | A4366 - Ostomy vent any type each | A4366 - | A4366 - Ostomy vent | '01/01/2004 | 12/31/2999 |
| A4367 | A4367 - Ostomy belt each | A4367 - | A4367 - Ostomy belt | '01/01/1996 | 12/31/2999 |
| A4368 | A4368 - Ostomy filter any type each | A4368 - | A4368 - Ostomy filter | '01/01/1997 | 12/31/2999 |
| A4369 | A4369 - Ostomy skin barrier liquid (spray brush etc) per oz | A4369 - | A4369 - Skin barrier liquid per oz | '01/01/2003 | 12/31/2999 |
| A4371 | A4371 - Ostomy skin barrier powder per oz | A4371 - | A4371 - Skin barrier powder per oz | '01/01/2003 | 12/31/2999 |
| A4372 | A4372 - OSTOMY SKIN BARRIER SOLID 4X4 OR EQUIVALENT STANDARD WEAR WITH BUILT-IN CONVEXITY EACH | A4372 - | A4372 - Skin barrier solid 4x4 equiv | '01/01/2006 | 12/31/2999 |
| A4373 | A4373 - Ostomy skin barrier with flange (solid flexible or accordian) with built-in convexity any size each | A4373 - | A4373 - Skin barrier with flange | '01/01/2003 | 12/31/2999 |
| A4375 | A4375 - Ostomy pouch drainable with faceplate attached plastic each | A4375 - | A4375 - Drainable plastic pch w fcpl | '01/01/2003 | 12/31/2999 |
| A4376 | A4376 - Ostomy pouch drainable with faceplate attached rubber each | A4376 - | A4376 - Drainable rubber pch w fcplt | '01/01/2003 | 12/31/2999 |
| A4377 | A4377 - Ostomy pouch drainable for use on faceplate plastic each | A4377 - | A4377 - Drainable plstic pch w/o fp | '01/01/2003 | 12/31/2999 |
| A4378 | A4378 - Ostomy pouch drainable for use on faceplate rubber each | A4378 - | A4378 - Drainable rubber pch w/o fp | '01/01/2003 | 12/31/2999 |
| A4379 | A4379 - Ostomy pouch urinary with faceplate attached plastic each | A4379 - | A4379 - Urinary plastic pouch w fcpl | '01/01/2003 | 12/31/2999 |
| A4380 | A4380 - Ostomy pouch urinary with faceplate attached rubber each | A4380 - | A4380 - Urinary rubber pouch w fcplt | '01/01/2003 | 12/31/2999 |
| A4381 | A4381 - Ostomy pouch urinary for use on faceplate plastic each | A4381 - | A4381 - Urinary plastic pouch w/o fp | '01/01/2003 | 12/31/2999 |
| A4382 | A4382 - Ostomy pouch urinary for use on faceplate heavy plastic each | A4382 - | A4382 - Urinary hvy plstc pch w/o fp | '01/01/2003 | 12/31/2999 |
| A4383 | A4383 - Ostomy pouch urinary for use on faceplate rubber each | A4383 - | A4383 - Urinary rubber pouch w/o fp | '01/01/2003 | 12/31/2999 |
| A4384 | A4384 - Ostomy faceplate equivalent silicone ring each | A4384 - | A4384 - Ostomy faceplt/silicone ring | '01/01/2003 | 12/31/2999 |
| A4385 | A4385 - Ostomy skin barrier solid 4x4 or equivalent extended wear without built-in convexity each | A4385 - | A4385 - Ost skn barrier sld ext wear | '01/01/2003 | 12/31/2999 |
| A4387 | A4387 - Ostomy pouch closed with barrier attached with built-in convexity (1 piece) each | A4387 - | A4387 - Ost clsd pouch w att st barr | '01/01/2003 | 12/31/2999 |
| A4388 | A4388 - Ostomy pouch drainable with extended wear barrier attached (1 piece) each | A4388 - | A4388 - Drainable pch w ex wear barr | '01/01/2003 | 12/31/2999 |
| A4389 | A4389 - Ostomy pouch drainable with barrier attached with built-in convexity (1 piece) each | A4389 - | A4389 - Drainable pch w st wear barr | '01/01/2003 | 12/31/2999 |
| A4390 | A4390 - Ostomy pouch drainable with extended wear barrier attached with built-in convexity (1 piece) each | A4390 - | A4390 - Drainable pch ex wear convex | '01/01/2003 | 12/31/2999 |
| A4391 | A4391 - Ostomy pouch urinary with extended wear barrier attached (1 piece) each | A4391 - | A4391 - Urinary pouch w ex wear barr | '01/01/2003 | 12/31/2999 |
| A4392 | A4392 - Ostomy pouch urinary with standard wear barrier attached with built-in convexity (1 piece) each | A4392 - | A4392 - Urinary pouch w st wear barr | '01/01/2003 | 12/31/2999 |
| A4393 | A4393 - Ostomy pouch urinary with extended wear barrier attached with built-in convexity (1 piece) each | A4393 - | A4393 - Urine pch w ex wear bar conv | '01/01/2003 | 12/31/2999 |
| A4394 | A4394 - OSTOMY DEODORANT WITH OR WITHOUT LUBRICANT FOR USE IN OSTOMY POUCH PER FLUID OUNCE | A4394 - | A4394 - Ostomy pouch liq deodorant | '01/01/2007 | 12/31/2999 |
| A4395 | A4395 - Ostomy deodorant for use in ostomy pouch solid per tablet | A4395 - | A4395 - Ostomy pouch solid deodorant | '01/01/2003 | 12/31/2999 |
| A4396 | A4396 - Ostomy belt with peristomal hernia support | A4396 - | A4396 - Peristomal hernia supprt blt | '01/01/2003 | 12/31/2999 |
| A4398 | A4398 - Ostomy irrigation supply; bag each | A4398 - | A4398 - Ostomy irrigation bag | '01/01/1997 | 12/31/2999 |
| A4399 | A4399 - OSTOMY IRRIGATION SUPPLY; CONE/CATHETER WITH OR WITHOUT BRUSH | A4399 - | A4399 - Ostomy irrig cone/cath w brs | '01/01/2011 | 12/31/2999 |
| A4400 | A4400 - Ostomy irrigation set | A4400 - | A4400 - Ostomy irrigation set | '01/01/1990 | 12/31/2999 |
| A4402 | A4402 - Lubricant per ounce | A4402 - | A4402 - Lubricant per ounce | '01/01/1995 | 12/31/2999 |
| A4404 | A4404 - Ostomy ring each | A4404 - | A4404 - Ostomy ring each | '01/01/1995 | 12/31/2999 |
| A4405 | A4405 - Ostomy skin barrier non-pectin based paste per ounce | A4405 - | A4405 - Nonpectin based ostomy paste | '01/01/2003 | 12/31/2999 |
| A4406 | A4406 - Ostomy skin barrier pectin-based paste per ounce | A4406 - | A4406 - Pectin based ostomy paste | '01/01/2003 | 12/31/2999 |
| A4407 | A4407 - Ostomy skin barrier with flange (solid flexible or accordion) extended wear with built-in convexity 4 x 4 inches or smaller each | A4407 - | A4407 - Ext wear ost skn barr <=4sq | '01/01/2003 | 12/31/2999 |
| A4408 | A4408 - Ostomy skin barrier wtih flange (solid flexible or accordion) extended wear with built-in convexity larger than 4 x 4 inches each | A4408 - | A4408 - Ext wear ost skn barr >4sq | '01/01/2003 | 12/31/2999 |
| A4409 | A4409 - Ostomy skin barrier with flange (solid flexible or accordion) extended wear without built-in convexity 4 x 4 inches or smaller each | A4409 - | A4409 - Ost skn barr convex <=4 sq i | '01/01/2006 | 12/31/2999 |
| A4410 | A4410 - Ostomy skin barrier with flange (solid flexible or accordion) extended wear without built-in convexity larger than 4 x 4 inches each | A4410 - | A4410 - Ost skn barr extnd >4 sq | '01/01/2006 | 12/31/2999 |
| A4411 | A4411 - OSTOMY SKIN BARRIER SOLID 4X4 OR EQUIVALENT EXTENDED WEAR WITH BUILT-IN CONVEXITY EACH | A4411 - | A4411 - Ost skn barr extnd =4sq | '01/01/2006 | 12/31/2999 |
| A4412 | A4412 - OSTOMY POUCH DRAINABLE HIGH OUTPUT FOR USE ON A BARRIER WITH FLANGE (2 PIECE SYSTEM) WITHOUT FILTER EACH | A4412 - | A4412 - Ost pouch drain high output | '01/01/2006 | 12/31/2999 |
| A4413 | A4413 - Ostomy pouch drainable high output for use on a barrier with flange (2 piece system) with filter each | A4413 - | A4413 - 2 pc drainable ost pouch | '01/01/2003 | 12/31/2999 |
| A4414 | A4414 - Ostomy skin barrier with flange (solid flexible or accordion) without built-in convexity 4 x 4 inches or smaller each | A4414 - | A4414 - Ost sknbar w/o conv<=4 sq in | '01/01/2006 | 12/31/2999 |
| A4415 | A4415 - Ostomy skin barrier with flange (solid flexible or accordion) without built-in convexity larger than 4x4 inches each | A4415 - | A4415 - Ost skn barr w/o conv >4 sqi | '01/01/2006 | 12/31/2999 |
| A4416 | A4416 - Ostomy pouch closed with barrier attached with filter (1 piece) each | A4416 - | A4416 - Ost pch clsd w barrier/filtr | '01/01/2004 | 12/31/2999 |
| A4417 | A4417 - Ostomy pouch closed with barrier attached with built-in convexity with filter (1 piece) each | A4417 - | A4417 - Ost pch w bar/bltinconv/fltr | '01/01/2004 | 12/31/2999 |
| A4418 | A4418 - Ostomy pouch closed; without barrier attached with filter (1 piece) each | A4418 - | A4418 - Ost pch clsd w/o bar w filtr | '01/01/2004 | 12/31/2999 |
| A4419 | A4419 - Ostomy pouch closed; for use on barrier with non-locking flange with filter (2 piece) each | A4419 - | A4419 - Ost pch for bar w flange/flt | '01/01/2004 | 12/31/2999 |
| A4420 | A4420 - Ostomy pouch closed; for use on barrier with locking flange (2 piece) each | A4420 - | A4420 - Ost pch clsd for bar w lk fl | '01/01/2004 | 12/31/2999 |
| A4421 | A4421 - Ostomy supply; miscellaneous | A4421 - | A4421 - Ostomy supply misc | '01/01/2007 | 12/31/2999 |
| A4422 | A4422 - Ostomy absorbent material (sheet/pad/crystal packet) for use in ostomy pouch to thicken liquid stomal output each | A4422 - | A4422 - Ost pouch absorbent material | '01/01/2003 | 12/31/2999 |
| A4423 | A4423 - Ostomy pouch closed; for use on barrier with locking flange with filter (2 piece) each | A4423 - | A4423 - Ost pch for bar w lk fl/fltr | '01/01/2004 | 12/31/2999 |
| A4424 | A4424 - Ostomy pouch drainable with barrier attached with filter (1 piece) each | A4424 - | A4424 - Ost pch drain w bar & filter | '01/01/2004 | 12/31/2999 |
| A4425 | A4425 - Ostomy pouch drainable; for use on barrier with non-locking flange with filter (2 piece system) each | A4425 - | A4425 - Ost pch drain for barrier fl | '01/01/2004 | 12/31/2999 |
| A4426 | A4426 - Ostomy pouch drainable; for use on barrier with locking flange (2 piece system) each | A4426 - | A4426 - Ost pch drain 2 piece system | '01/01/2004 | 12/31/2999 |
| A4427 | A4427 - Ostomy pouch drainable; for use on barrier with locking flange with filter (2 piece system) each | A4427 - | A4427 - Ost pch drain/barr lk flng/f | '01/01/2004 | 12/31/2999 |
| A4428 | A4428 - Ostomy pouch urinary with extended wear barrier attached with faucet-type tap with valve (1 piece) each | A4428 - | A4428 - Urine ost pouch w faucet/tap | '01/01/2004 | 12/31/2999 |
| A4429 | A4429 - Ostomy pouch urinary with barrier attached with built-in convexity with faucet-type tap with valve (1 piece) each | A4429 - | A4429 - Urine ost pouch w bltinconv | '01/01/2004 | 12/31/2999 |
| A4430 | A4430 - Ostomy pouch urinary with extended wear barrier attached with built-in convexity with faucet-type tap with valve (1 piece) each | A4430 - | A4430 - Ost urine pch w b/bltin conv | '01/01/2004 | 12/31/2999 |
| A4431 | A4431 - Ostomy pouch urinary; with barrier attached with faucet-type tap with valve (1 piece) each | A4431 - | A4431 - Ost pch urine w barrier/tapv | '01/01/2004 | 12/31/2999 |
| A4432 | A4432 - Ostomy pouch urinary; for use on barrier with non-locking flange with faucet-type tap with valve (2 piece) each | A4432 - | A4432 - Os pch urine w bar/fange/tap | '01/01/2004 | 12/31/2999 |
| A4433 | A4433 - Ostomy pouch urinary; for use on barrier with locking flange (2 piece) each | A4433 - | A4433 - Urine ost pch bar w lock fln | '01/01/2004 | 12/31/2999 |
| A4434 | A4434 - Ostomy pouch urinary; for use on barrier with locking flange with faucet-type tap with valve (2 piece) each | A4434 - | A4434 - Ost pch urine w lock flng/ft | '01/01/2004 | 12/31/2999 |
| A4435 | A4435 - Ostomy pouch drainable high output with extended wear barrier (one-piece system) with or without filter each | A4435 - | A4435 - 1pc ost pch drain hgh output | '01/01/2013 | 12/31/2999 |
| A4436 | A4436 - Irrigation supply; sleeve reusable per month | A4436 - | A4436 - Irr supply sleev reus per mo | '01/01/2022 | 12/31/2999 |
| A4437 | A4437 - Irrigation supply; sleeve disposable per month | A4437 - | A4437 - Irr supply sleev disp per mo | '01/01/2022 | 12/31/2999 |
| A4450 | A4450 - Tape non-waterproof per 18 square inches | A4450 - | A4450 - Non-waterproof tape | '01/01/2003 | 12/31/2999 |
| A4452 | A4452 - Tape waterproof per 18 square inches | A4452 - | A4452 - Waterproof tape | '01/01/2003 | 12/31/2999 |
| A4453 | A4453 - Rectal catheter for use with the manual pump-operated enema system replacement only | A4453 - | A4453 - Rec cath man pump enema repl | 01-10-2021 | 12/31/2999 |
| A4455 | A4455 - Adhesive remover or solvent (for tape cement or other adhesive) per ounce | A4455 - | A4455 - Adhesive remover per ounce | '01/01/1995 | 12/31/2999 |
| A4456 | A4456 - ADHESIVE REMOVER WIPES ANY TYPE EACH | A4456 - | A4456 - Adhesive remover wipes | '01/01/2010 | 12/31/2999 |
| A4458 | A4458 - Enema bag with tubing reusable | A4458 - | A4458 - Reusable enema bag | '01/01/2007 | 12/31/2999 |
| A4459 | A4459 - Manual pump-operated enema system includes balloon catheter and all accessories reusable any type | A4459 - | A4459 - Manual pump enema reusable | '01/01/2015 | 12/31/2999 |
| A4461 | A4461 - SURGICAL DRESSING HOLDER NON-REUSABLE EACH | A4461 - | A4461 - Surgicl dress hold non-reuse | '01/01/2007 | 12/31/2999 |
| A4463 | A4463 - SURGICAL DRESSING HOLDER REUSABLE EACH | A4463 - | A4463 - Surgical dress holder reuse | '01/01/2007 | 12/31/2999 |
| A4465 | A4465 - Non-elastic binder for extremity | A4465 - | A4465 - Non-elastic extremity binder | '01/01/1995 | 12/31/2999 |
| A4467 | A4467 - Belt strap sleeve garment or covering any type | A4467 - | A4467 - Belt strap sleev grmnt cover | '01/01/2017 | 12/31/2999 |
| A4470 | A4470 - Gravlee jet washer | A4470 - | A4470 - Gravlee jet washer | '01/01/2001 | 12/31/2999 |
| A4480 | A4480 - Vabra aspirator | A4480 - | A4480 - Vabra aspirator | '01/01/2001 | 12/31/2999 |
| A4481 | A4481 - Tracheostoma filter any type any size each | A4481 - | A4481 - Tracheostoma filter | '01/01/2003 | 12/31/2999 |
| A4483 | A4483 - Moisture exchanger disposable for use with invasive mechanical ventilation | A4483 - | A4483 - Moisture exchanger | '01/01/2003 | 12/31/2999 |
| A4490 | A4490 - Surgical stockings above knee length each | A4490 - | A4490 - Above knee surgical stocking | '01/01/2003 | 12/31/2999 |
| A4495 | A4495 - Surgical stockings thigh length each | A4495 - | A4495 - Thigh length surg stocking | '01/01/2003 | 12/31/2999 |
| A4500 | A4500 - Surgical stockings below knee length each | A4500 - | A4500 - Below knee surgical stocking | '01/01/2003 | 12/31/2999 |
| A4510 | A4510 - Surgical stockings full length each | A4510 - | A4510 - Full length surg stocking | '01/01/2003 | 12/31/2999 |
| A4520 | A4520 - INCONTINENCE GARMENT ANY TYPE (E.G. BRIEF DIAPER) EACH | A4520 - | A4520 - Incontinence garment anytype | '01/01/2005 | 12/31/2999 |
| A4550 | A4550 - Surgical trays | A4550 - | A4550 - Surgical trays | '01/01/2000 | 12/31/2999 |
| A4553 | A4553 - Non-disposable underpads all sizes | A4553 - | A4553 - Nondisp underpads all sizes | '01/01/2017 | 12/31/2999 |
| A4554 | A4554 - Disposable underpads all sizes | A4554 - | A4554 - Disposable underpads | '01/01/2005 | 12/31/2999 |
| A4555 | A4555 - Electrode/transducer for use with electrical stimulation device used for cancer treatment replacement only | A4555 - | A4555 - Ca tx e-stim electr/transduc | '01/01/2014 | 12/31/2999 |
| A4556 | A4556 - Electrodes (e. G. apnea monitor) per pair | A4556 - | A4556 - Electrodes pair | '01/01/2000 | 12/31/2999 |
| A4557 | A4557 - Lead wires (e. G. apnea monitor) per pair | A4557 - | A4557 - Lead wires pair | '01/01/2000 | 12/31/2999 |
| A4558 | A4558 - CONDUCTIVE GEL OR PASTE FOR USE WITH ELECTRICAL DEVICE (E.G. TENS NMES) PER OZ | A4558 - | A4558 - Conductive gel or paste | '01/01/2007 | 12/31/2999 |
| A4559 | A4559 - COUPLING GEL OR PASTE FOR USE WITH ULTRASOUND DEVICE PER OZ | A4559 - | A4559 - Coupling gel or paste | '01/01/2007 | 12/31/2999 |
| A4561 | A4561 - Pessary rubber any type | A4561 - | A4561 - Pessary rubber any type | '01/01/2001 | 12/31/2999 |
| A4562 | A4562 - Pessary non rubber any type | A4562 - | A4562 - Pessary non rubber any type | '01/01/2001 | 12/31/2999 |
| A4563 | A4563 - Rectal control system for vaginal insertion for long term use includes pump and all supplies and accessories any type each | A4563 - | A4563 - Vag inser rectal control sys | '01/01/2019 | 12/31/2999 |
| A4565 | A4565 - Slings | A4565 - | A4565 - Slings | '01/01/1996 | 12/31/2999 |
| A4566 | A4566 - SHOULDER SLING OR VEST DESIGN ABDUCTION RESTRAINER WITH OR WITHOUT SWATHE CONTROL PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | A4566 - | A4566 - Should sling/vest/abrestrain | '01/01/2011 | 12/31/2999 |
| A4570 | A4570 - Splint | A4570 - | A4570 - Splint | '07/01/2001 | 12/31/2999 |
| A4575 | A4575 - Topical hyperbaric oxygen chamber disposable | A4575 - | A4575 - Hyperbaric o2 chamber disps | '01/01/1996 | 12/31/2999 |
| A4580 | A4580 - Cast supplies (e. G. Plaster) | A4580 - | A4580 - Cast supplies (plaster) | '01/01/2003 | 12/31/2999 |
| A4590 | A4590 - Special casting material (e. G. Fiberglass) | A4590 - | A4590 - Special casting material | '01/01/2003 | 12/31/2999 |
| A4595 | A4595 - Electrical stimulator supplies 2 lead per month (e. G. Tens nmes) | A4595 - | A4595 - TENS suppl 2 lead per month | '01/01/2003 | 12/31/2999 |
| A4596 | A4596 - Cranial electrotherapy stimulation (ces) system supplies and accessories per month | A4596 - | A4596 - Ces system monthly supp | 01-10-2022 | 12/31/2999 |
| A4600 | A4600 - SLEEVE FOR INTERMITTENT LIMB COMPRESSION DEVICE REPLACEMENT ONLY EACH | A4600 - | A4600 - Sleeve inter limb comp dev | '01/01/2007 | 12/31/2999 |
| A4601 | A4601 - Lithium ion battery rechargeable for non-prosthetic use replacement | A4601 - | A4601 - Lith ion non prosth recharge | '01/01/2015 | 12/31/2999 |
| A4602 | A4602 - Replacement battery for external infusion pump owned by patient lithium 1.5 volt each | A4602 - | A4602 - Replace lithium battery 1.5v | '01/01/2015 | 12/31/2999 |
| A4604 | A4604 - TUBING WITH INTEGRATED HEATING ELEMENT FOR USE WITH POSITIVE AIRWAY PRESSURE DEVICE | A4604 - | A4604 - Tubing with heating element | '01/01/2006 | 12/31/2999 |
| A4605 | A4605 - TRACHEAL SUCTION CATHETER CLOSED SYSTEM EACH | A4605 - | A4605 - Trach suction cath close sys | '01/01/2005 | 12/31/2999 |
| A4606 | A4606 - Oxygen probe for use with oximeter device replacement | A4606 - | A4606 - Oxygen probe used w oximeter | '01/01/2003 | 12/31/2999 |
| A4608 | A4608 - Transtracheal oxygen catheter each | A4608 - | A4608 - Transtracheal oxygen cath | '01/01/2009 | 12/31/2999 |
| A4611 | A4611 - Battery heavy duty; replacement for patient owned ventilator | A4611 - | A4611 - Heavy duty battery | '01/01/1996 | 12/31/2999 |
| A4612 | A4612 - Battery cables; replacement for patient-owned ventilator | A4612 - | A4612 - Battery cables | '01/01/1996 | 12/31/2999 |
| A4613 | A4613 - Battery charger; replacement for patient-owned ventilator | A4613 - | A4613 - Battery charger | '01/01/1996 | 12/31/2999 |
| A4614 | A4614 - Peak expiratory flow rate meter hand held | A4614 - | A4614 - Hand-held PEFR meter | '01/01/1999 | 12/31/2999 |
| A4615 | A4615 - Cannula nasal | A4615 - | A4615 - Cannula nasal | '01/01/2009 | 12/31/2999 |
| A4616 | A4616 - Tubing (oxygen) per foot | A4616 - | A4616 - Tubing (oxygen) per foot | '01/01/2009 | 12/31/2999 |
| A4617 | A4617 - Mouth piece | A4617 - | A4617 - Mouth piece | '01/01/2009 | 12/31/2999 |
| A4618 | A4618 - Breathing circuits | A4618 - | A4618 - Breathing circuits | '01/01/1993 | 12/31/2999 |
| A4619 | A4619 - Face tent | A4619 - | A4619 - Face tent | '07/01/2011 | 12/31/2999 |
| A4620 | A4620 - Variable concentration mask | A4620 - | A4620 - Variable concentration mask | '01/01/2009 | 12/31/2999 |
| A4623 | A4623 - Tracheostomy inner cannula | A4623 - | A4623 - Tracheostomy inner cannula | '01/01/2004 | 12/31/2999 |
| A4624 | A4624 - Tracheal suction catheter any type other than closed system each | A4624 - | A4624 - Tracheal suction tube | '01/01/2003 | 12/31/2999 |
| A4625 | A4625 - Tracheostomy care kit for new tracheostomy | A4625 - | A4625 - Trach care kit for new trach | '01/01/2003 | 12/31/2999 |
| A4626 | A4626 - Tracheostomy cleaning brush each | A4626 - | A4626 - Tracheostomy cleaning brush | '01/01/2003 | 12/31/2999 |
| A4627 | A4627 - Spacer bag or reservoir with or without mask for use with metered dose inhaler | A4627 - | A4627 - Spacer bag/reservoir | '01/01/1997 | 12/31/2999 |
| A4628 | A4628 - Oropharyngeal suction catheter each | A4628 - | A4628 - Oropharyngeal suction cath | '01/01/1996 | 12/31/2999 |
| A4629 | A4629 - Tracheostomy care kit for established tracheostomy | A4629 - | A4629 - Tracheostomy care kit | '01/01/2003 | 12/31/2999 |
| A4630 | A4630 - REPLACEMENT BATTERIES MEDICALLY NECESSARY TRANSCUTANEOUS ELECTRICAL STIMULATOR OWNED BY PATIENT | A4630 - | A4630 - Repl bat t.e.n.s. own by pt | '01/01/2006 | 12/31/2999 |
| A4633 | A4633 - Replacement bulb/lamp for ultraviolet light therapy system each | A4633 - | A4633 - Uvl replacement bulb | '01/01/2003 | 12/31/2999 |
| A4634 | A4634 - Replacement bulb for therapeutic light box tabletop model | A4634 - | A4634 - Replacement bulb th lightbox | '01/01/2003 | 12/31/2999 |
| A4635 | A4635 - Underarm pad crutch replacement each | A4635 - | A4635 - Underarm crutch pad | '01/01/1996 | 12/31/2999 |
| A4636 | A4636 - Replacement handgrip cane crutch or walker each | A4636 - | A4636 - Handgrip for cane etc | '01/01/1996 | 12/31/2999 |
| A4637 | A4637 - Replacement tip cane crutch walker each. | A4637 - | A4637 - Repl tip cane/crutch/walker | '01/01/1996 | 12/31/2999 |
| A4638 | A4638 - Replacement battery for patient-owned ear pulse generator each | A4638 - | A4638 - Repl batt pulse gen sys | '01/01/2004 | 12/31/2999 |
| A4639 | A4639 - Replacement pad for infrared heating pad system each | A4639 - | A4639 - Infrared ht sys replcmnt pad | '01/01/2003 | 12/31/2999 |
| A4640 | A4640 - Replacement pad for use with medically necessary alternating pressure pad owned by patient | A4640 - | A4640 - Alternating pressure pad | '01/01/1996 | 12/31/2999 |
| A4641 | A4641 - RADIOPHARMACEUTICAL DIAGNOSTIC NOT OTHERWISE CLASSIFIED | A4641 - | A4641 - Radiopharm dx agent noc | '01/01/2006 | 12/31/2999 |
| A4642 | A4642 - INDIUM IN-111 SATUMOMAB PENDETIDE DIAGNOSTIC PER STUDY DOSE UP TO 6 MILLICURIES | A4642 - | A4642 - In111 satumomab | '01/01/2006 | 12/31/2999 |
| A4648 | A4648 - TISSUE MARKER IMPLANTABLE ANY TYPE EACH | A4648 - | A4648 - Implantable tissue marker | '01/01/2008 | 12/31/2999 |
| A4649 | A4649 - Surgical supply; miscellaneous | A4649 - | A4649 - Surgical supplies | '01/01/1998 | 12/31/2999 |
| A4650 | A4650 - IMPLANTABLE RADIATION DOSIMETER EACH | A4650 - | A4650 - Implant radiation dosimeter | '01/01/2008 | 12/31/2999 |
| A4651 | A4651 - Calibrated microcapillary tube each | A4651 - | A4651 - Calibrated microcap tube | '01/01/2002 | 12/31/2999 |
| A4652 | A4652 - Microcapillary tube sealant | A4652 - | A4652 - Microcapillary tube sealant | '01/01/2002 | 12/31/2999 |
| A4653 | A4653 - Peritoneal dialysis catheter anchoring device belt each | A4653 - | A4653 - PD catheter anchor belt | '01/01/2003 | 12/31/2999 |
| A4657 | A4657 - Syringe with or without needle each | A4657 - | A4657 - Syringe w/wo needle | '01/01/2003 | 12/31/2999 |
| A4660 | A4660 - Sphygmomanometer/blood pressure apparatus with cuff and stethoscope | A4660 - | A4660 - Sphyg/bp app w cuff and stet | '01/01/2003 | 12/31/2999 |
| A4663 | A4663 - Blood pressure cuff only | A4663 - | A4663 - Dialysis blood pressure cuff | '01/01/2003 | 12/31/2999 |
| A4670 | A4670 - Automatic blood pressure monitor | A4670 - | A4670 - Automatic bp monitor dial | '01/01/2003 | 12/31/2999 |
| A4671 | A4671 - Disposable cycler set used with cycler dialysis machine each | A4671 - | A4671 - Disposable cycler set | '01/01/2004 | 12/31/2999 |
| A4672 | A4672 - Drainage extension line sterile for dialysis each | A4672 - | A4672 - Drainage ext line dialysis | '01/01/2004 | 12/31/2999 |
| A4673 | A4673 - Extension line with easy lock connectors used with dialysis | A4673 - | A4673 - Ext line w easy lock connect | '01/01/2004 | 12/31/2999 |
| A4674 | A4674 - Chemicals/antiseptics solution used to clean/sterilize dialysis equipment per 8 oz | A4674 - | A4674 - Chem/antisept solution 8oz | '01/01/2004 | 12/31/2999 |
| A4680 | A4680 - Activated carbon filter for hemodialysis each | A4680 - | A4680 - Activated carbon filter ea | '01/01/2002 | 12/31/2999 |
| A4690 | A4690 - Dialyzer (artificial kidneys) all types all sizes for hemodialysis each | A4690 - | A4690 - Dialyzer each | '01/01/2002 | 12/31/2999 |
| A4706 | A4706 - Bicarbonate concentrate solution for hemodialysis per gallon | A4706 - | A4706 - Bicarbonate conc sol per gal | '01/01/2002 | 12/31/2999 |
| A4707 | A4707 - Bicarbonate concentrate powder for hemodialysis per packet | A4707 - | A4707 - Bicarbonate conc pow per pac | '01/01/2002 | 12/31/2999 |
| A4708 | A4708 - Acetate concentrate solution for hemodialysis per gallon | A4708 - | A4708 - Acetate conc sol per gallon | '01/01/2002 | 12/31/2999 |
| A4709 | A4709 - Acid concentrate solution for hemodialysis per gallon | A4709 - | A4709 - Acid conc sol per gallon | '01/01/2002 | 12/31/2999 |
| A4714 | A4714 - Treated water (deionized distilled or reverse osmosis) for peritoneal dialysis per gallon | A4714 - | A4714 - Treated water per gallon | '01/01/2002 | 12/31/2999 |
| A4719 | A4719 - y set tubing for peritoneal dialysis | A4719 - | A4719 - Y set tubing | '01/01/2002 | 12/31/2999 |
| A4720 | A4720 - Dialysate solution any concentration of dextrose fluid volume greater than 249cc but less than or equal to 999cc for peritoneal dialysis | A4720 - | A4720 - Dialysat sol fld vol > 249cc | '01/01/2002 | 12/31/2999 |
| A4721 | A4721 - Dialysate solution any concentration of dextrose fluid volume greater than 999cc but less than or equal to 1999cc for peritoneal dialysis | A4721 - | A4721 - Dialysat sol fld vol > 999cc | '01/01/2002 | 12/31/2999 |
| A4722 | A4722 - Dialysate solution any concentration of dextrose fluid volume greater than 1999cc but less than or equal to 2999cc for peritoneal dialysis | A4722 - | A4722 - Dialys sol fld vol > 1999cc | '01/01/2002 | 12/31/2999 |
| A4723 | A4723 - Dialysate solution any concentration of dextrose fluid volume greater than 2999cc but less than or equal to 3999cc for peritoneal dialysis | A4723 - | A4723 - Dialys sol fld vol > 2999cc | '01/01/2002 | 12/31/2999 |
| A4724 | A4724 - Dialysate solution any concentration of dextrose fluid volume greater than 3999cc but less than or equal to 4999cc for peritoneal dialysis | A4724 - | A4724 - Dialys sol fld vol > 3999cc | '01/01/2002 | 12/31/2999 |
| A4725 | A4725 - Dialysate solution any concentration of dextrose fluid volume greater than 4999cc but less than or equal to 5999cc for peritoneal dialysis | A4725 - | A4725 - Dialys sol fld vol > 4999cc | '01/01/2002 | 12/31/2999 |
| A4726 | A4726 - Dialysate solution any concentration of dextrose fluid volume greater than 5999cc for peritoneal dialysis | A4726 - | A4726 - Dialys sol fld vol > 5999cc | '01/01/2002 | 12/31/2999 |
| A4728 | A4728 - Dialysate solution non-dextrose containing 500 ml | A4728 - | A4728 - Dialysate solution non-dex | '01/01/2004 | 12/31/2999 |
| A4730 | A4730 - Fistula cannulation set for hemodialysis each | A4730 - | A4730 - Fistula cannulation set ea | '01/01/2002 | 12/31/2999 |
| A4736 | A4736 - Topical anesthetic for dialysis per gram | A4736 - | A4736 - Topical anesthetic per gram | '01/01/2002 | 12/31/2999 |
| A4737 | A4737 - Injectable anesthetic for dialysis per 10 ml | A4737 - | A4737 - Inj anesthetic per 10 ml | '01/01/2002 | 12/31/2999 |
| A4740 | A4740 - Shunt accessory for hemodialysis any type each | A4740 - | A4740 - Shunt accessory | '01/01/2002 | 12/31/2999 |
| A4750 | A4750 - Blood tubing arterial or venous for hemodialysis each | A4750 - | A4750 - Art or venous blood tubing | '01/01/2002 | 12/31/2999 |
| A4755 | A4755 - Blood tubing arterial and venous combined for hemodialysis each | A4755 - | A4755 - Comb art/venous blood tubing | '01/01/2002 | 12/31/2999 |
| A4760 | A4760 - Dialysate solution test kit for peritoneal dialysis any type each | A4760 - | A4760 - Dialysate sol test kit each | '01/01/2002 | 12/31/2999 |
| A4765 | A4765 - Dialysate concentrate powder additive for peritoneal dialysis per packet | A4765 - | A4765 - Dialysate conc pow per pack | '01/01/2002 | 12/31/2999 |
| A4766 | A4766 - Dialysate concentrate solution additive for peritoneal dialysis per 10 ml | A4766 - | A4766 - Dialysate conc sol add 10 ml | '01/01/2002 | 12/31/2999 |
| A4770 | A4770 - Blood collection tube vacuum for dialysis per 50 | A4770 - | A4770 - Blood collection tube/vacuum | '01/01/2002 | 12/31/2999 |
| A4771 | A4771 - Serum clotting time tube for dialysis per 50 | A4771 - | A4771 - Serum clotting time tube | '01/01/2002 | 12/31/2999 |
| A4772 | A4772 - Blood glucose test strips for dialysis per 50 | A4772 - | A4772 - Blood glucose test strips | '01/01/2002 | 12/31/2999 |
| A4773 | A4773 - Occult blood test strips for dialysis per 50 | A4773 - | A4773 - Occult blood test strips | '01/01/2002 | 12/31/2999 |
| A4774 | A4774 - Ammonia test strips for dialysis per 50 | A4774 - | A4774 - Ammonia test strips | '01/01/2002 | 12/31/2999 |
| A4802 | A4802 - Protamine sulfate for hemodialysis per 50 mg | A4802 - | A4802 - Protamine sulfate per 50 mg | '01/01/2002 | 12/31/2999 |
| A4860 | A4860 - Disposable catheter tips for peritoneal dialysis per 10 | A4860 - | A4860 - Disposable catheter tips | '01/01/2002 | 12/31/2999 |
| A4870 | A4870 - Plumbing and/or electrical work for home hemodialysis equipment | A4870 - | A4870 - Plumb/elec wk hm hemo equip | '01/01/2002 | 12/31/2999 |
| A4890 | A4890 - Contracts repair and maintenance for hemodialysis equipment | A4890 - | A4890 - Repair/maint cont hemo equip | '01/01/2002 | 12/31/2999 |
| A4911 | A4911 - Drain bag/bottle for dialysis each | A4911 - | A4911 - Drain bag/bottle | '01/01/2002 | 12/31/2999 |
| A4913 | A4913 - Miscellaneous dialysis supplies not otherwise specified | A4913 - | A4913 - Misc dialysis supplies noc | '01/01/2002 | 12/31/2999 |
| A4918 | A4918 - Venous pressure clamp for hemodialysis each | A4918 - | A4918 - Venous pressure clamp | '01/01/2002 | 12/31/2999 |
| A4927 | A4927 - Gloves non-sterile per 100 | A4927 - | A4927 - Non-sterile gloves | '01/01/2003 | 12/31/2999 |
| A4928 | A4928 - Surgical mask per 20 | A4928 - | A4928 - Surgical mask | '01/01/2003 | 12/31/2999 |
| A4929 | A4929 - Tourniquet for dialysis each | A4929 - | A4929 - Tourniquet for dialysis ea | '01/01/2002 | 12/31/2999 |
| A4930 | A4930 - Gloves sterile per pair | A4930 - | A4930 - Sterile gloves per pair | '01/01/2003 | 12/31/2999 |
| A4931 | A4931 - Oral thermometer reusable any type each | A4931 - | A4931 - Reusable oral thermometer | '01/01/2003 | 12/31/2999 |
| A4932 | A4932 - Rectal thermometer reusable any type each | A4932 - | A4932 - Reusable rectal thermometer | '01/01/2007 | 12/31/2999 |
| A5051 | A5051 - Ostomy pouch closed; with barrier attached (1 piece) each | A5051 - | A5051 - Pouch clsd w barr attached | '01/01/2003 | 12/31/2999 |
| A5052 | A5052 - Ostomy pouch closed; without barrier attached (1 piece) each | A5052 - | A5052 - Clsd ostomy pouch w/o barr | '01/01/2003 | 12/31/2999 |
| A5053 | A5053 - Ostomy pouch closed; for use on faceplate each | A5053 - | A5053 - Clsd ostomy pouch faceplate | '01/01/2003 | 12/31/2999 |
| A5054 | A5054 - Ostomy pouch closed; for use on barrier with flange (2 piece) each | A5054 - | A5054 - Clsd ostomy pouch w/flange | '01/01/2003 | 12/31/2999 |
| A5055 | A5055 - Stoma cap | A5055 - | A5055 - Stoma cap | '01/01/1990 | 12/31/2999 |
| A5056 | A5056 - OSTOMY POUCH DRAINABLE WITH EXTENDED WEAR BARRIER ATTACHED WITH FILTER (1 PIECE) EACH | A5056 - | A5056 - | '01/01/2012 | 12/31/2999 |
| A5057 | A5057 - OSTOMY POUCH DRAINABLE WITH EXTENDED WEAR BARRIER ATTACHED WITH BUILT IN CONVEXITY WITH FILTER (1 PIECE) EACH | A5057 - | A5057 - | '01/01/2012 | 12/31/2999 |
| A5061 | A5061 - Ostomy pouch drainable; with barrier attached (1 piece) each | A5061 - | A5061 - Pouch drainable w barrier at | '01/01/2003 | 12/31/2999 |
| A5062 | A5062 - Ostomy pouch drainable; without barrier attached (1 piece) each | A5062 - | A5062 - Drnble ostomy pouch w/o barr | '01/01/2003 | 12/31/2999 |
| A5063 | A5063 - Ostomy pouch drainable; for use on barrier with flange (2 piece system) each | A5063 - | A5063 - Drain ostomy pouch w/flange | '01/01/2003 | 12/31/2999 |
| A5071 | A5071 - Ostomy pouch urinary; with barrier attached (1 piece) each | A5071 - | A5071 - Urinary pouch w/barrier | '01/01/2003 | 12/31/2999 |
| A5072 | A5072 - Ostomy pouch urinary; without barrier attached (1 piece) each | A5072 - | A5072 - Urinary pouch w/o barrier | '01/01/2003 | 12/31/2999 |
| A5073 | A5073 - Ostomy pouch urinary; for use on barrier with flange (2 piece) each | A5073 - | A5073 - Urinary pouch on barr w/flng | '01/01/2003 | 12/31/2999 |
| A5081 | A5081 - Stoma plug or seal any type | A5081 - | A5081 - Stoma plug or seal any type | '01/01/2014 | 12/31/2999 |
| A5082 | A5082 - Continent device; catheter for continent stoma | A5082 - | A5082 - Continent stoma catheter | '01/01/1990 | 12/31/2999 |
| A5083 | A5083 - CONTINENT DEVICE STOMA ABSORPTIVE COVER FOR CONTINENT STOMA | A5083 - | A5083 - Stoma absorptive cover | '01/01/2008 | 12/31/2999 |
| A5093 | A5093 - Ostomy accessory; convex insert | A5093 - | A5093 - Ostomy accessory convex inse | '01/01/1990 | 12/31/2999 |
| A5102 | A5102 - Bedside drainage bottle with or without tubing rigid or expandable each | A5102 - | A5102 - Bedside drain btl w/wo tube | '01/01/1997 | 12/31/2999 |
| A5105 | A5105 - Urinary suspensory with leg bag with or without tube each | A5105 - | A5105 - Urinary suspensory | '01/01/2008 | 12/31/2999 |
| A5112 | A5112 - URINARY DRAINAGE BAG LEG OR ABDOMEN LATEX WITH OR WITHOUT TUBE WITH STRAPS EACH | A5112 - | A5112 - Urinary leg bag | '01/01/2011 | 12/31/2999 |
| A5113 | A5113 - Leg strap; latex replacement only per set | A5113 - | A5113 - Latex leg strap | '01/01/1998 | 12/31/2999 |
| A5114 | A5114 - Leg strap; foam or fabric replacement only per set | A5114 - | A5114 - Foam/fabric leg strap | '01/01/1998 | 12/31/2999 |
| A5120 | A5120 - SKIN BARRIER WIPES OR SWABS EACH | A5120 - | A5120 - Skin barrier wipe or swab | '01/01/2006 | 12/31/2999 |
| A5121 | A5121 - Skin barrier; solid 6 x 6 or equivalent each | A5121 - | A5121 - Solid skin barrier 6x6 | '01/01/1990 | 12/31/2999 |
| A5122 | A5122 - Skin barrier; solid 8 x 8 or equivalent each | A5122 - | A5122 - Solid skin barrier 8x8 | '01/01/1990 | 12/31/2999 |
| A5126 | A5126 - Adhesive or non-adhesive; disk or foam pad | A5126 - | A5126 - Disk/foam pad +or- adhesive | '01/01/2000 | 12/31/2999 |
| A5131 | A5131 - Appliance cleaner incontinence and ostomy appliances per 16 oz. | A5131 - | A5131 - Appliance cleaner | '01/01/1990 | 12/31/2999 |
| A5200 | A5200 - Percutaneous catheter/tube anchoring device adhesive skin attachment | A5200 - | A5200 - Percutaneous catheter anchor | '01/01/2003 | 12/31/2999 |
| A5500 | A5500 - For diabetics only fitting (including follow-up) custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi- density insert(s) per shoe | A5500 - | A5500 - Diab shoe for density insert | '01/01/2005 | 12/31/2999 |
| A5501 | A5501 - For diabetics only fitting (including follow-up) custom preparation and supply of shoe molded from cast(s) of patient's foot (custom molded shoe) per shoe | A5501 - | A5501 - Diabetic custom molded shoe | '01/01/2005 | 12/31/2999 |
| A5503 | A5503 - For diabetics only modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with roller or rigid rocker bottom per shoe | A5503 - | A5503 - Diabetic shoe w/roller/rockr | '01/01/2005 | 12/31/2999 |
| A5504 | A5504 - For diabetics only modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with wedge(s) per shoe | A5504 - | A5504 - Diabetic shoe with wedge | '01/01/2005 | 12/31/2999 |
| A5505 | A5505 - For diabetics only modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with metatarsal bar per shoe | A5505 - | A5505 - Diab shoe w/metatarsal bar | '01/01/2005 | 12/31/2999 |
| A5506 | A5506 - For diabetics only modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe with off-set heel(s) per shoe | A5506 - | A5506 - Diabetic shoe w/off set heel | '01/01/2005 | 12/31/2999 |
| A5507 | A5507 - For diabetics only not otherwise specified modification (including fitting) of off-the-shelf depth-inlay shoe or custom-molded shoe per shoe | A5507 - | A5507 - Modification diabetic shoe | '01/01/2005 | 12/31/2999 |
| A5508 | A5508 - For diabetics only deluxe feature of off-the-shelf depth-inlay shoe or custom-molded shoe per shoe | A5508 - | A5508 - Diabetic deluxe shoe | '01/01/2005 | 12/31/2999 |
| A5510 | A5510 - For diabetics only direct formed compression molded to patient's foot without external heat source multiple-density insert(s) prefabricated per shoe | A5510 - | A5510 - Compression form shoe insert | '01/01/2005 | 12/31/2999 |
| A5512 | A5512 - For diabetics only multiple density insert direct formed molded to foot after external heat source of 230 degrees fahrenheit or higher total contact with patient's foot including arch base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher) prefabricated each | A5512 - | A5512 - Multi den insert direct form | '01/01/2010 | 12/31/2999 |
| A5513 | A5513 - For diabetics only multiple density insert custom molded from model of patient's foot total contact with patient's foot including arch base layer minimum of 3/16 inch material of shore a 35 durometer or higher) includes arch filler and other shaping material custom fabricated each | A5513 - | A5513 - Multi den insert custom mold | '01/01/2010 | 12/31/2999 |
| A5514 | A5514 - For diabetics only multiple density insert made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient total contact with patient's foot including arch base layer minimum of 3/16 inch material of shore a 35 durometer (or higher) includes arch filler and other shaping material custom fabricated each | A5514 - | A5514 - Mult den insert dir carv/cam | '01/01/2019 | 12/31/2999 |
| A6000 | A6000 - Non-contact wound warming wound cover for use with the non-contact wound warming device and warming card | A6000 - | A6000 - Wound warming wound cover | '07/01/2002 | 12/31/2999 |
| A6010 | A6010 - COLLAGEN BASED WOUND FILLER DRY FORM STERILE PER GRAM OF COLLAGEN | A6010 - | A6010 - Collagen based wound filler | '01/01/2009 | 12/31/2999 |
| A6011 | A6011 - COLLAGEN BASED WOUND FILLER GEL/PASTE PER GRAM OF COLLAGEN | A6011 - | A6011 - Collagen gel/paste wound fil | '01/01/2011 | 12/31/2999 |
| A6021 | A6021 - Collagen dressing sterile size 16 sq. In. Or less each | A6021 - | A6021 - Collagen dressing <=16 sq in | '01/01/2013 | 12/31/2999 |
| A6022 | A6022 - Collagen dressing sterile size more than 16 sq. In. But less than or equal to 48 sq. In. each | A6022 - | A6022 - Collagen drsg>16<=48 sq in | '01/01/2013 | 12/31/2999 |
| A6023 | A6023 - Collagen dressing sterile size more than 48 sq. In. each | A6023 - | A6023 - Collagen dressing >48 sq in | '01/01/2013 | 12/31/2999 |
| A6024 | A6024 - COLLAGEN DRESSING WOUND FILLER STERILE PER 6 INCHES | A6024 - | A6024 - Collagen dsg wound filler | '01/01/2009 | 12/31/2999 |
| A6025 | A6025 - Gel sheet for dermal or epidermal application (e. G. silicone hydrogel other) each | A6025 - | A6025 - Silicone gel sheet each | '01/01/2007 | 12/31/2999 |
| A6154 | A6154 - Wound pouch each | A6154 - | A6154 - Wound pouch each | '01/01/2003 | 12/31/2999 |
| A6196 | A6196 - ALGINATE OR OTHER FIBER GELLING DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS EACH DRESSING | A6196 - | A6196 - Alginate dressing <=16 sq in | '01/01/2009 | 12/31/2999 |
| A6197 | A6197 - ALGINATE OR OTHER FIBER GELLING DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. EACH DRESSING | A6197 - | A6197 - Alginate drsg >16 <=48 sq in | '01/01/2009 | 12/31/2999 |
| A6198 | A6198 - ALGINATE OR OTHER FIBER GELLING DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. EACH DRESSING | A6198 - | A6198 - alginate dressing > 48 sq in | '01/01/2009 | 12/31/2999 |
| A6199 | A6199 - ALGINATE OR OTHER FIBER GELLING DRESSING WOUND FILLER STERILE PER 6 INCHES | A6199 - | A6199 - Alginate drsg wound filler | '01/01/2009 | 12/31/2999 |
| A6203 | A6203 - COMPOSITE DRESSING STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6203 - | A6203 - Composite drsg <= 16 sq in | '01/01/2009 | 12/31/2999 |
| A6204 | A6204 - COMPOSITE DRESSING STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6204 - | A6204 - Composite drsg >16<=48 sq in | '01/01/2009 | 12/31/2999 |
| A6205 | A6205 - COMPOSITE DRESSING STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6205 - | A6205 - Composite drsg > 48 sq in | '01/01/2009 | 12/31/2999 |
| A6206 | A6206 - CONTACT LAYER STERILE 16 SQ. IN. OR LESS EACH DRESSING | A6206 - | A6206 - Contact layer <= 16 sq in | '01/01/2009 | 12/31/2999 |
| A6207 | A6207 - CONTACT LAYER STERILE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. EACH DRESSING | A6207 - | A6207 - Contact layer >16<= 48 sq in | '01/01/2009 | 12/31/2999 |
| A6208 | A6208 - CONTACT LAYER STERILE MORE THAN 48 SQ. IN. EACH DRESSING | A6208 - | A6208 - Contact layer > 48 sq in | '01/01/2009 | 12/31/2999 |
| A6209 | A6209 - FOAM DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6209 - | A6209 - Foam drsg <=16 sq in w/o bdr | '01/01/2009 | 12/31/2999 |
| A6210 | A6210 - FOAM DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6210 - | A6210 - Foam drg >16<=48 sq in w/o b | '01/01/2009 | 12/31/2999 |
| A6211 | A6211 - FOAM DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6211 - | A6211 - Foam drg > 48 sq in w/o brdr | '01/01/2009 | 12/31/2999 |
| A6212 | A6212 - FOAM DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6212 - | A6212 - Foam drg <=16 sq in w/border | '01/01/2009 | 12/31/2999 |
| A6213 | A6213 - FOAM DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6213 - | A6213 - Foam drg >16<=48 sq in w/bdr | '01/01/2009 | 12/31/2999 |
| A6214 | A6214 - FOAM DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6214 - | A6214 - Foam drg > 48 sq in w/border | '01/01/2009 | 12/31/2999 |
| A6215 | A6215 - FOAM DRESSING WOUND FILLER STERILE PER GRAM | A6215 - | A6215 - Foam dressing wound filler | '01/01/2009 | 12/31/2999 |
| A6216 | A6216 - Gauze non-impregnated non-sterile pad size 16 sq. In. Or less without adhesive border each dressing | A6216 - | A6216 - Non-sterile gauze<=16 sq in | '01/01/2003 | 12/31/2999 |
| A6217 | A6217 - Gauze non-impregnated non-sterile pad size more than 16 sq. In. But less than or equal to 48 sq. In. without adhesive border each dressing | A6217 - | A6217 - Non-sterile gauze>16<=48 sq | '01/01/2003 | 12/31/2999 |
| A6218 | A6218 - Gauze non-impregnated non-sterile pad size more than 48 sq. In. without adhesive border each dressing | A6218 - | A6218 - Non-sterile gauze > 48 sq in | '01/01/2003 | 12/31/2999 |
| A6219 | A6219 - GAUZE NON-IMPREGNATED STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6219 - | A6219 - Gauze <= 16 sq in w/border | '01/01/2009 | 12/31/2999 |
| A6220 | A6220 - GAUZE NON-IMPREGNATED STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6220 - | A6220 - Gauze >16 <=48 sq in w/bordr | '01/01/2009 | 12/31/2999 |
| A6221 | A6221 - GAUZE NON-IMPREGNATED STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6221 - | A6221 - Gauze > 48 sq in w/border | '01/01/2009 | 12/31/2999 |
| A6222 | A6222 - GAUZE IMPREGNATED WITH OTHER THAN WATER NORMAL SALINE OR HYDROGEL STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6222 - | A6222 - Gauze <=16 in no w/sal w/o b | '01/01/2009 | 12/31/2999 |
| A6223 | A6223 - GAUZE IMPREGNATED WITH OTHER THAN WATER NORMAL SALINE OR HYDROGEL STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6223 - | A6223 - Gauze >16<=48 no w/sal w/o b | '01/01/2009 | 12/31/2999 |
| A6224 | A6224 - GAUZE IMPREGNATED WITH OTHER THAN WATER NORMAL SALINE OR HYDROGEL STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6224 - | A6224 - Gauze > 48 in no w/sal w/o b | '01/01/2009 | 12/31/2999 |
| A6228 | A6228 - GAUZE IMPREGNATED WATER OR NORMAL SALINE STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6228 - | A6228 - Gauze <= 16 sq in water/sal | '01/01/2009 | 12/31/2999 |
| A6229 | A6229 - GAUZE IMPREGNATED WATER OR NORMAL SALINE STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6229 - | A6229 - Gauze >16<=48 sq in watr/sal | '01/01/2009 | 12/31/2999 |
| A6230 | A6230 - GAUZE IMPREGNATED WATER OR NORMAL SALINE STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6230 - | A6230 - Gauze > 48 sq in water/salne | '01/01/2009 | 12/31/2999 |
| A6231 | A6231 - GAUZE IMPREGNATED HYDROGEL FOR DIRECT WOUND CONTACT STERILE PAD SIZE 16 SQ. IN. OR LESS EACH DRESSING | A6231 - | A6231 - Hydrogel dsg<=16 sq in | '01/01/2009 | 12/31/2999 |
| A6232 | A6232 - GAUZE IMPREGNATED HYDROGEL FOR DIRECT WOUND CONTACT STERILE PAD SIZE GREATER THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. EACH DRESSING | A6232 - | A6232 - Hydrogel dsg>16<=48 sq in | '01/01/2009 | 12/31/2999 |
| A6233 | A6233 - GAUZE IMPREGNATED HYDROGEL FOR DIRECT WOUND CONTACT STERILE PAD SIZE MORE THAN 48 SQ. IN. EACH DRESSING | A6233 - | A6233 - Hydrogel dressing >48 sq in | '01/01/2009 | 12/31/2999 |
| A6234 | A6234 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6234 - | A6234 - Hydrocolld drg <=16 w/o bdr | '01/01/2009 | 12/31/2999 |
| A6235 | A6235 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6235 - | A6235 - Hydrocolld drg >16<=48 w/o b | '01/01/2009 | 12/31/2999 |
| A6236 | A6236 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6236 - | A6236 - Hydrocolld drg > 48 in w/o b | '01/01/2009 | 12/31/2999 |
| A6237 | A6237 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6237 - | A6237 - Hydrocolld drg <=16 in w/bdr | '01/01/2009 | 12/31/2999 |
| A6238 | A6238 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6238 - | A6238 - Hydrocolld drg >16<=48 w/bdr | '01/01/2009 | 12/31/2999 |
| A6239 | A6239 - HYDROCOLLOID DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6239 - | A6239 - Hydrocolld drg > 48 in w/bdr | '01/01/2009 | 12/31/2999 |
| A6240 | A6240 - HYDROCOLLOID DRESSING WOUND FILLER PASTE STERILE PER OUNCE | A6240 - | A6240 - Hydrocolld drg filler paste | '01/01/2009 | 12/31/2999 |
| A6241 | A6241 - HYDROCOLLOID DRESSING WOUND FILLER DRY FORM STERILE PER GRAM | A6241 - | A6241 - Hydrocolloid drg filler dry | '01/01/2009 | 12/31/2999 |
| A6242 | A6242 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6242 - | A6242 - Hydrogel drg <=16 in w/o bdr | '01/01/2009 | 12/31/2999 |
| A6243 | A6243 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6243 - | A6243 - Hydrogel drg >16<=48 w/o bdr | '01/01/2009 | 12/31/2999 |
| A6244 | A6244 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6244 - | A6244 - Hydrogel drg >48 in w/o bdr | '01/01/2009 | 12/31/2999 |
| A6245 | A6245 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6245 - | A6245 - Hydrogel drg <= 16 in w/bdr | '01/01/2009 | 12/31/2999 |
| A6246 | A6246 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6246 - | A6246 - Hydrogel drg >16<=48 in w/b | '01/01/2009 | 12/31/2999 |
| A6247 | A6247 - HYDROGEL DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6247 - | A6247 - Hydrogel drg > 48 sq in w/b | '01/01/2009 | 12/31/2999 |
| A6248 | A6248 - HYDROGEL DRESSING WOUND FILLER GEL PER FLUID OUNCE | A6248 - | A6248 - Hydrogel drsg gel filler | '01/01/2011 | 12/31/2999 |
| A6250 | A6250 - Skin sealants protectants moisturizers ointments any type any size | A6250 - | A6250 - Skin seal protect moisturizr | '01/01/2003 | 12/31/2999 |
| A6251 | A6251 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITHOUT ADHESIVE BORDER EACH DRESSING | A6251 - | A6251 - Absorpt drg <=16 sq in w/o b | '01/01/2009 | 12/31/2999 |
| A6252 | A6252 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6252 - | A6252 - Absorpt drg >16 <=48 w/o bdr | '01/01/2009 | 12/31/2999 |
| A6253 | A6253 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITHOUT ADHESIVE BORDER EACH DRESSING | A6253 - | A6253 - Absorpt drg > 48 sq in w/o b | '01/01/2009 | 12/31/2999 |
| A6254 | A6254 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE 16 SQ. IN. OR LESS WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6254 - | A6254 - Absorpt drg <=16 sq in w/bdr | '01/01/2009 | 12/31/2999 |
| A6255 | A6255 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6255 - | A6255 - Absorpt drg >16<=48 in w/bdr | '01/01/2009 | 12/31/2999 |
| A6256 | A6256 - SPECIALTY ABSORPTIVE DRESSING WOUND COVER STERILE PAD SIZE MORE THAN 48 SQ. IN. WITH ANY SIZE ADHESIVE BORDER EACH DRESSING | A6256 - | A6256 - Absorpt drg > 48 sq in w/bdr | '01/01/2009 | 12/31/2999 |
| A6257 | A6257 - TRANSPARENT FILM STERILE 16 SQ. IN. OR LESS EACH DRESSING | A6257 - | A6257 - Transparent film <= 16 sq in | '01/01/2009 | 12/31/2999 |
| A6258 | A6258 - TRANSPARENT FILM STERILE MORE THAN 16 SQ. IN. BUT LESS THAN OR EQUAL TO 48 SQ. IN. EACH DRESSING | A6258 - | A6258 - Transparent film >16<=48 in | '01/01/2009 | 12/31/2999 |
| A6259 | A6259 - TRANSPARENT FILM STERILE MORE THAN 48 SQ. IN. EACH DRESSING | A6259 - | A6259 - Transparent film > 48 sq in | '01/01/2009 | 12/31/2999 |
| A6260 | A6260 - WOUND CLEANSERS ANY TYPE ANY SIZE | A6260 - | A6260 - Wound cleanser any type/size | '01/01/2011 | 12/31/2999 |
| A6261 | A6261 - WOUND FILLER GEL/PASTE PER FLUID OUNCE NOT OTHERWISE SPECIFIED | A6261 - | A6261 - Wound filler gel/paste /oz | '01/01/2011 | 12/31/2999 |
| A6262 | A6262 - WOUND FILLER DRY FORM PER GRAM NOT OTHERWISE SPECIFIED | A6262 - | A6262 - Wound filler dry form / gram | '01/01/2011 | 12/31/2999 |
| A6266 | A6266 - GAUZE IMPREGNATED OTHER THAN WATER NORMAL SALINE OR ZINC PASTE STERILE ANY WIDTH PER LINEAR YARD | A6266 - | A6266 - Impreg gauze no h20/sal/yard | '01/01/2009 | 12/31/2999 |
| A6402 | A6402 - Gauze non-impregnated sterile pad size 16 sq. In. Or less without adhesive border each dressing | A6402 - | A6402 - Sterile gauze <= 16 sq in | '01/01/2006 | 12/31/2999 |
| A6403 | A6403 - Gauze non-impregnated sterile pad size more than 16 sq. In. Less than or equal to 48 sq. In. without adhesive border each dressing | A6403 - | A6403 - Sterile gauze>16 <= 48 sq in | '01/01/2003 | 12/31/2999 |
| A6404 | A6404 - Gauze non-impregnated sterile pad size more than 48 sq. In. without adhesive border each dressing | A6404 - | A6404 - Sterile gauze > 48 sq in | '01/01/2003 | 12/31/2999 |
| A6407 | A6407 - PACKING STRIPS NON-IMPREGNATED STERILE UP TO 2 INCHES IN WIDTH PER LINEAR YARD | A6407 - | A6407 - Packing strips non-impreg | '01/01/2009 | 12/31/2999 |
| A6410 | A6410 - Eye pad sterile each | A6410 - | A6410 - Sterile eye pad | '01/01/2003 | 12/31/2999 |
| A6411 | A6411 - Eye pad non-sterile each | A6411 - | A6411 - Non-sterile eye pad | '01/01/2003 | 12/31/2999 |
| A6412 | A6412 - Eye patch occlusive each | A6412 - | A6412 - Occlusive eye patch | '01/01/2007 | 12/31/2999 |
| A6413 | A6413 - ADHESIVE BANDAGE FIRST-AID TYPE ANY SIZE EACH | A6413 - | A6413 - Adhesive bandage first-aid | '01/01/2008 | 12/31/2999 |
| A6441 | A6441 - Padding bandage non-elastic non-woven/non-knitted width greater than or equal to three inches and less than five inches per yard | A6441 - | A6441 - Pad band w>=3 <5/yd | '01/01/2004 | 12/31/2999 |
| A6442 | A6442 - Conforming bandage non-elastic knitted/woven non-sterile width less than three inches per yard | A6442 - | A6442 - Conform band n/s w<3/yd | '01/01/2004 | 12/31/2999 |
| A6443 | A6443 - Conforming bandage non-elastic knitted/woven non-sterile width greater than or equal to three inches and less than five inches per yard | A6443 - | A6443 - Conform band n/s w>=3<5/yd | '01/01/2004 | 12/31/2999 |
| A6444 | A6444 - Conforming bandage non-elastic knitted/woven non-sterile width greater than or equal to 5 inches per yard | A6444 - | A6444 - Conform band n/s w>=5/yd | '01/01/2004 | 12/31/2999 |
| A6445 | A6445 - Conforming bandage non-elastic knitted/woven sterile width less than three inches per yard | A6445 - | A6445 - Conform band s w <3/yd | '01/01/2004 | 12/31/2999 |
| A6446 | A6446 - Conforming bandage non-elastic knitted/woven sterile width greater than or equal to three inches and less than five inches per yard | A6446 - | A6446 - Conform band s w>=3 <5/yd | '01/01/2004 | 12/31/2999 |
| A6447 | A6447 - Conforming bandage non-elastic knitted/woven sterile width greater than or equal to five inches per yard | A6447 - | A6447 - Conform band s w >=5/yd | '01/01/2004 | 12/31/2999 |
| A6448 | A6448 - Light compression bandage elastic knitted/woven width less than three inches per yard | A6448 - | A6448 - Lt compres band <3/yd | '01/01/2004 | 12/31/2999 |
| A6449 | A6449 - Light compression bandage elastic knitted/woven width greater than or equal to three inches and less than five inches per yard | A6449 - | A6449 - Lt compres band >=3 <5/yd | '01/01/2004 | 12/31/2999 |
| A6450 | A6450 - Light compression bandage elastic knitted/woven width greater than or equal to five inches per yard | A6450 - | A6450 - Lt compres band >=5/yd | '01/01/2004 | 12/31/2999 |
| A6451 | A6451 - Moderate compression bandage elastic knitted/woven load resistance of 1. 25 to 1. 34 foot pounds at 50% maximum stretch width greater than or equal to three inches and less than five inches per yard | A6451 - | A6451 - Mod compres band w>=3<5/yd | '01/01/2004 | 12/31/2999 |
| A6452 | A6452 - High compression bandage elastic knitted/woven load resistance greater than or equal to 1. 35 foot pounds at 50% maximum stretch width greater than or equal to three inches and less than five inches per yard | A6452 - | A6452 - High compres band w>=3<5yd | '01/01/2004 | 12/31/2999 |
| A6453 | A6453 - Self-adherent bandage elastic non-knitted/non-woven width less than three inches per yard | A6453 - | A6453 - Self-adher band w <3/yd | '01/01/2004 | 12/31/2999 |
| A6454 | A6454 - Self-adherent bandage elastic non-knitted/non-woven width greater than or equal to three inches and less than five inches per yard | A6454 - | A6454 - Self-adher band w>=3 <5/yd | '01/01/2004 | 12/31/2999 |
| A6455 | A6455 - Self-adherent bandage elastic non-knitted/non-woven width greater than or equal to five inches per yard | A6455 - | A6455 - Self-adher band >=5/yd | '01/01/2004 | 12/31/2999 |
| A6456 | A6456 - Zinc paste impregnated bandage non-elastic knitted/woven width greater than or equal to three inches and less than five inches per yard | A6456 - | A6456 - Zinc paste band w >=3<5/yd | '01/01/2004 | 12/31/2999 |
| A6457 | A6457 - TUBULAR DRESSING WITH OR WITHOUT ELASTIC ANY WIDTH PER LINEAR YARD | A6457 - | A6457 - Tubular dressing | '01/01/2006 | 12/31/2999 |
| A6460 | A6460 - Synthetic resorbable wound dressing sterile pad size 16 sq. in. or less without adhesive border each dressing | A6460 - | A6460 - Synthetic drsg <= 16 sq in | '01/01/2019 | 12/31/2999 |
| A6461 | A6461 - Synthetic resorbable wound dressing sterile pad size more than 16 sq. in. but less than or equal to 48 sq. in. without adhesive border each dressing | A6461 - | A6461 - Synthetic drsg >16<=48 sq in | '01/01/2019 | 12/31/2999 |
| A6501 | A6501 - Compression burn garment bodysuit (head to foot) custom fabricated | A6501 - | A6501 - Compres burngarment bodysuit | '01/01/2003 | 12/31/2999 |
| A6502 | A6502 - Compression burn garment chin strap custom fabricated | A6502 - | A6502 - Compres burngarment chinstrp | '01/01/2003 | 12/31/2999 |
| A6503 | A6503 - Compression burn garment facial hood custom fabricated | A6503 - | A6503 - Compres burngarment facehood | '01/01/2003 | 12/31/2999 |
| A6504 | A6504 - Compression burn garment glove to wrist custom fabricated | A6504 - | A6504 - Cmprsburngarment glove-wrist | '01/01/2003 | 12/31/2999 |
| A6505 | A6505 - Compression burn garment glove to elbow custom fabricated | A6505 - | A6505 - Cmprsburngarment glove-elbow | '01/01/2003 | 12/31/2999 |
| A6506 | A6506 - Compression burn garment glove to axilla custom fabricated | A6506 - | A6506 - Cmprsburngrmnt glove-axilla | '01/01/2003 | 12/31/2999 |
| A6507 | A6507 - Compression burn garment foot to knee length custom fabricated | A6507 - | A6507 - Cmprs burngarment foot-knee | '01/01/2003 | 12/31/2999 |
| A6508 | A6508 - Compression burn garment foot to thigh length custom fabricated | A6508 - | A6508 - Cmprs burngarment foot-thigh | '01/01/2003 | 12/31/2999 |
| A6509 | A6509 - Compression burn garment upper trunk to waist including arm openings (vest) custom fabricated | A6509 - | A6509 - Compres burn garment jacket | '01/01/2003 | 12/31/2999 |
| A6510 | A6510 - Compression burn garment trunk including arms down to leg openings (leotard) custom fabricated | A6510 - | A6510 - Compres burn garment leotard | '01/01/2003 | 12/31/2999 |
| A6511 | A6511 - Compression burn garment lower trunk including leg openings (panty) custom fabricated | A6511 - | A6511 - Compres burn garment panty | '01/01/2003 | 12/31/2999 |
| A6512 | A6512 - Compression burn garment not otherwise classified | A6512 - | A6512 - Compres burn garment noc | '01/01/2003 | 12/31/2999 |
| A6513 | A6513 - COMPRESSION BURN MASK FACE AND/OR NECK PLASTIC OR EQUAL CUSTOM FABRICATED | A6513 - | A6513 - Compress burn mask face/neck | '01/01/2006 | 12/31/2999 |
| A6530 | A6530 - Gradient compression stocking below knee 18-30 mmhg each | A6530 - | A6530 - Compression stocking BK18-30 | '01/01/2011 | 12/31/2999 |
| A6531 | A6531 - GRADIENT COMPRESSION STOCKING BELOW KNEE 30-40 MMHG EACH | A6531 - | A6531 - Compression stocking BK30-40 | '01/01/2006 | 12/31/2999 |
| A6532 | A6532 - GRADIENT COMPRESSION STOCKING BELOW KNEE 40-50 MMHG EACH | A6532 - | A6532 - Compression stocking BK40-50 | '01/01/2006 | 12/31/2999 |
| A6533 | A6533 - Gradient compression stocking thigh length 18-30 mmhg each | A6533 - | A6533 - Gc stocking thighlngth 18-30 | '01/01/2011 | 12/31/2999 |
| A6534 | A6534 - Gradient compression stocking thigh length 30-40 mmhg each | A6534 - | A6534 - Gc stocking thighlngth 30-40 | '01/01/2011 | 12/31/2999 |
| A6535 | A6535 - Gradient compression stocking thigh length 40-50 mmhg each | A6535 - | A6535 - Gc stocking thighlngth 40-50 | '01/01/2011 | 12/31/2999 |
| A6536 | A6536 - Gradient compression stocking full length/chap style 18-30 mmhg each | A6536 - | A6536 - Gc stocking full lngth 18-30 | '01/01/2011 | 12/31/2999 |
| A6537 | A6537 - Gradient compression stocking full length/chap style 30-40 mmhg each | A6537 - | A6537 - Gc stocking full lngth 30-40 | '01/01/2011 | 12/31/2999 |
| A6538 | A6538 - Gradient compression stocking full length/chap style 40-50 mmhg each | A6538 - | A6538 - Gc stocking full lngth 40-50 | '01/01/2011 | 12/31/2999 |
| A6539 | A6539 - Gradient compression stocking waist length 18-30 mmhg each | A6539 - | A6539 - Gc stocking waistlngth 18-30 | '01/01/2011 | 12/31/2999 |
| A6540 | A6540 - Gradient compression stocking waist length 30-40 mmhg each | A6540 - | A6540 - Gc stocking waistlngth 30-40 | '01/01/2011 | 12/31/2999 |
| A6541 | A6541 - Gradient compression stocking waist length 40-50 mmhg each | A6541 - | A6541 - Gc stocking waistlngth 40-50 | '01/01/2011 | 12/31/2999 |
| A6544 | A6544 - Gradient compression stocking garter belt | A6544 - | A6544 - Gc stocking garter belt | '01/01/2011 | 12/31/2999 |
| A6545 | A6545 - Gradient compression wrap non-elastic below knee 30-50 mm hg each | A6545 - | A6545 - Grad comp non-elastic BK | '01/01/2011 | 12/31/2999 |
| A6549 | A6549 - Gradient compression stocking/sleeve not otherwise specified | A6549 - | A6549 - G compression stocking | '01/01/2011 | 12/31/2999 |
| A6550 | A6550 - WOUND CARE SET FOR NEGATIVE PRESSURE WOUND THERAPY ELECTRICAL PUMP INCLUDES ALL SUPPLIES AND ACCESSORIES | A6550 - | A6550 - Neg pres wound ther drsg set | '01/01/2006 | 12/31/2999 |
| A7000 | A7000 - Canister disposable used with suction pump each | A7000 - | A7000 - Disposable canister for pump | '01/01/2000 | 12/31/2999 |
| A7001 | A7001 - Canister non-disposable used with suction pump each | A7001 - | A7001 - Nondisposable pump canister | '01/01/2000 | 12/31/2999 |
| A7002 | A7002 - Tubing used with suction pump each | A7002 - | A7002 - Tubing used w suction pump | '01/01/2000 | 12/31/2999 |
| A7003 | A7003 - Administration set with small volume nonfiltered pneumatic nebulizer disposable | A7003 - | A7003 - Nebulizer administration set | '01/01/2000 | 12/31/2999 |
| A7004 | A7004 - Small volume nonfiltered pneumatic nebulizer disposable | A7004 - | A7004 - Disposable nebulizer sml vol | '01/01/2000 | 12/31/2999 |
| A7005 | A7005 - Administration set with small volume nonfiltered pneumatic nebulizer non-disposable | A7005 - | A7005 - Nondisposable nebulizer set | '01/01/2000 | 12/31/2999 |
| A7006 | A7006 - Administration set with small volume filtered pneumatic nebulizer | A7006 - | A7006 - Filtered nebulizer admin set | '01/01/2000 | 12/31/2999 |
| A7007 | A7007 - Large volume nebulizer disposable unfilled used with aerosol compressor | A7007 - | A7007 - Lg vol nebulizer disposable | '01/01/2000 | 12/31/2999 |
| A7008 | A7008 - Large volume nebulizer disposable prefilled used with aerosol compressor | A7008 - | A7008 - Disposable nebulizer prefill | '01/01/2000 | 12/31/2999 |
| A7009 | A7009 - Reservoir bottle non-disposable used with large volume ultrasonic nebulizer | A7009 - | A7009 - Nebulizer reservoir bottle | '01/01/2000 | 12/31/2999 |
| A7010 | A7010 - Corrugated tubing disposable used with large volume nebulizer 100 feet | A7010 - | A7010 - Disposable corrugated tubing | '01/01/2000 | 12/31/2999 |
| A7012 | A7012 - Water collection device used with large volume nebulizer | A7012 - | A7012 - Nebulizer water collec devic | '01/01/2000 | 12/31/2999 |
| A7013 | A7013 - FILTER DISPOSABLE USED WITH AEROSOL COMPRESSOR OR ULTRASONIC GENERATOR | A7013 - | A7013 - Disposable compressor filter | '01/01/2011 | 12/31/2999 |
| A7014 | A7014 - Filter nondisposable used with aerosol compressor or ultrasonic generator | A7014 - | A7014 - Compressor nondispos filter | '01/01/2000 | 12/31/2999 |
| A7015 | A7015 - Aerosol mask used with dme nebulizer | A7015 - | A7015 - Aerosol mask used w nebulize | '01/01/2000 | 12/31/2999 |
| A7016 | A7016 - Dome and mouthpiece used with small volume ultrasonic nebulizer | A7016 - | A7016 - Nebulizer dome & mouthpiece | '01/01/2000 | 12/31/2999 |
| A7017 | A7017 - Nebulizer durable glass or autoclavable plastic bottle type not used with oxygen | A7017 - | A7017 - Nebulizer not used w oxygen | '01/01/2000 | 12/31/2999 |
| A7018 | A7018 - Water distilled used with large volume nebulizer 1000 ml | A7018 - | A7018 - Water distilled w/nebulizer | '01/01/2001 | 12/31/2999 |
| A7020 | A7020 - INTERFACE FOR COUGH STIMULATING DEVICE INCLUDES ALL COMPONENTS REPLACEMENT ONLY | A7020 - | A7020 - Interface cough stim device | '01/01/2011 | 12/31/2999 |
| A7025 | A7025 - High frequency chest wall oscillation system vest replacement for use with patient owned equipment each | A7025 - | A7025 - Replace chest compress vest | '01/01/2003 | 12/31/2999 |
| A7026 | A7026 - High frequency chest wall oscillation system hose replacement for use with patient owned equipment each | A7026 - | A7026 - Replace chst cmprss sys hose | '01/01/2003 | 12/31/2999 |
| A7027 | A7027 - COMBINATION ORAL/NASAL MASK USED WITH CONTINUOUS POSITIVE AIRWAY PRESSURE | A7027 - | A7027 - Combination oral/nasal mask | '01/01/2008 | 12/31/2999 |
| A7028 | A7028 - ORAL CUSHION FOR COMBINATION ORAL/NASAL MASK REPLACEMENT ONLY EACH | A7028 - | A7028 - Repl oral cushion combo mask | '01/01/2008 | 12/31/2999 |
| A7029 | A7029 - NASAL PILLOWS FOR COMBINATION ORAL/NASAL MASK REPLACEMENT ONLY PAIR | A7029 - | A7029 - Repl nasal pillow comb mask | '01/01/2008 | 12/31/2999 |
| A7030 | A7030 - Full face mask used with positive airway pressure device each | A7030 - | A7030 - CPAP full face mask | '01/01/2003 | 12/31/2999 |
| A7031 | A7031 - Face mask interface replacement for full face mask each | A7031 - | A7031 - Replacement facemask interfa | '01/01/2003 | 12/31/2999 |
| A7032 | A7032 - CUSHION FOR USE ON NASAL MASK INTERFACE REPLACEMENT ONLY EACH | A7032 - | A7032 - Replacement nasal cushion | '01/01/2006 | 12/31/2999 |
| A7033 | A7033 - PILLOW FOR USE ON NASAL CANNULA TYPE INTERFACE REPLACEMENT ONLY PAIR | A7033 - | A7033 - Replacement nasal pillows | '01/01/2006 | 12/31/2999 |
| A7034 | A7034 - Nasal interface (mask or cannula type) used with positive airway pressure device with or without head strap | A7034 - | A7034 - Nasal application device | '01/01/2003 | 12/31/2999 |
| A7035 | A7035 - Headgear used with positive airway pressure device | A7035 - | A7035 - Pos airway press headgear | '01/01/2003 | 12/31/2999 |
| A7036 | A7036 - Chinstrap used with positive airway pressure device | A7036 - | A7036 - Pos airway press chinstrap | '01/01/2003 | 12/31/2999 |
| A7037 | A7037 - Tubing used with positive airway pressure device | A7037 - | A7037 - Pos airway pressure tubing | '01/01/2003 | 12/31/2999 |
| A7038 | A7038 - Filter disposable used with positive airway pressure device | A7038 - | A7038 - Pos airway pressure filter | '01/01/2003 | 12/31/2999 |
| A7039 | A7039 - Filter non disposable used with positive airway pressure device | A7039 - | A7039 - Filter non disposable w pap | '01/01/2003 | 12/31/2999 |
| A7040 | A7040 - ONE WAY CHEST DRAIN VALVE | A7040 - | A7040 - One way chest drain valve | '01/01/2005 | 12/31/2999 |
| A7041 | A7041 - WATER SEAL DRAINAGE CONTAINER AND TUBING FOR USE WITH IMPLANTED CHEST TUBE | A7041 - | A7041 - Water seal drain container | '01/01/2005 | 12/31/2999 |
| A7044 | A7044 - Oral interface used with positive airway pressure device each | A7044 - | A7044 - PAP oral interface | '01/01/2003 | 12/31/2999 |
| A7045 | A7045 - EXHALATION PORT WITH OR WITHOUT SWIVEL USED WITH ACCESSORIES FOR POSITIVE AIRWAY DEVICES REPLACEMENT ONLY | A7045 - | A7045 - Repl exhalation port for PAP | '01/01/2005 | 12/31/2999 |
| A7046 | A7046 - Water chamber for humidifier used with positive airway pressure device replacement each | A7046 - | A7046 - Repl water chamber PAP dev | '01/01/2004 | 12/31/2999 |
| A7047 | A7047 - Oral interface used with respiratory suction pump each | A7047 - | A7047 - Resp suction oral interface | '01/01/2014 | 12/31/2999 |
| A7048 | A7048 - Vacuum drainage collection unit and tubing kit including all supplies needed for collection unit change for use with implanted catheter each | A7048 - | A7048 - Vacuum drain bottle/tube kit | '01/01/2015 | 12/31/2999 |
| A7501 | A7501 - Tracheostoma valve including diaphragm each | A7501 - | A7501 - Tracheostoma valve w diaphra | '01/01/2001 | 12/31/2999 |
| A7502 | A7502 - Replacement diaphragm/faceplate for tracheostoma valve each | A7502 - | A7502 - Replacement diaphragm/fplate | '01/01/2001 | 12/31/2999 |
| A7503 | A7503 - Filter holder or filter cap reusable for use in a tracheostoma heat and moisture exchange system each | A7503 - | A7503 - HMES filter holder or cap | '01/01/2001 | 12/31/2999 |
| A7504 | A7504 - Filter for use in a tracheostoma heat and moisture exchange system each | A7504 - | A7504 - Tracheostoma HMES filter | '01/01/2001 | 12/31/2999 |
| A7505 | A7505 - Housing reusable without adhesive for use in a heat and moisture exchange system and/or with a tracheostoma valve each | A7505 - | A7505 - HMES or trach valve housing | '01/01/2001 | 12/31/2999 |
| A7506 | A7506 - Adhesive disc for use in a heat and moisture exchange system and/or with tracheostoma valve any type each | A7506 - | A7506 - HMES/trachvalve adhesivedisk | '01/01/2001 | 12/31/2999 |
| A7507 | A7507 - Filter holder and integrated filter without adhesive for use in a tracheostoma heat and moisture exchange system each | A7507 - | A7507 - Integrated filter & holder | '01/01/2001 | 12/31/2999 |
| A7508 | A7508 - Housing and integrated adhesive for use in a tracheostoma heat and moisture exchange system and/or with a tracheostoma valve each | A7508 - | A7508 - Housing & Integrated Adhesiv | '01/01/2001 | 12/31/2999 |
| A7509 | A7509 - Filter holder and integrated filter housing and adhesive for use as a tracheostoma heat and moisture exchange system each | A7509 - | A7509 - Heat & moisture exchange sys | '01/01/2001 | 12/31/2999 |
| A7520 | A7520 - Tracheostomy/laryngectomy tube non-cuffed polyvinylchloride (pvc) silicone or equal each | A7520 - | A7520 - Trach/laryn tube non-cuffed | '01/01/2004 | 12/31/2999 |
| A7521 | A7521 - Tracheostomy/laryngectomy tube cuffed polyvinylchloride (pvc) silicone or equal each | A7521 - | A7521 - Trach/laryn tube cuffed | '01/01/2004 | 12/31/2999 |
| A7522 | A7522 - Tracheostomy/laryngectomy tube stainless steel or equal (sterilizable and reusable) each | A7522 - | A7522 - Trach/laryn tube stainless | '01/01/2004 | 12/31/2999 |
| A7523 | A7523 - Tracheostomy shower protector each | A7523 - | A7523 - Tracheostomy shower protect | '01/01/2004 | 12/31/2999 |
| A7524 | A7524 - Tracheostoma stent/stud/button each | A7524 - | A7524 - Tracheostoma stent/stud/bttn | '01/01/2004 | 12/31/2999 |
| A7525 | A7525 - Tracheostomy mask each | A7525 - | A7525 - Tracheostomy mask | '01/01/2004 | 12/31/2999 |
| A7526 | A7526 - Tracheostomy tube collar/holder each | A7526 - | A7526 - Tracheostomy tube collar | '01/01/2004 | 12/31/2999 |
| A7527 | A7527 - TRACHEOSTOMY/LARYNGECTOMY TUBE PLUG/STOP EACH | A7527 - | A7527 - Trach/laryn tube plug/stop | '01/01/2005 | 12/31/2999 |
| A8000 | A8000 - HELMET PROTECTIVE SOFT PREFABRICATED INCLUDES ALL COMPONENTS AND ACCESSORIES | A8000 - | A8000 - Soft protect helmet prefab | '01/01/2007 | 12/31/2999 |
| A8001 | A8001 - HELMET PROTECTIVE HARD PREFABRICATED INCLUDES ALL COMPONENTS AND ACCESSORIES | A8001 - | A8001 - Hard protect helmet prefab | '01/01/2007 | 12/31/2999 |
| A8002 | A8002 - HELMET PROTECTIVE SOFT CUSTOM FABRICATED INCLUDES ALL COMPONENTS AND ACCESSORIES | A8002 - | A8002 - Soft protect helmet custom | '01/01/2007 | 12/31/2999 |
| A8003 | A8003 - HELMET PROTECTIVE HARD CUSTOM FABRICATED INCLUDES ALL COMPONENTS AND ACCESSORIES | A8003 - | A8003 - Hard protect helmet custom | '01/01/2007 | 12/31/2999 |
| A8004 | A8004 - SOFT INTERFACE FOR HELMET REPLACEMENT ONLY | A8004 - | A8004 - Repl soft interface helmet | '01/01/2007 | 12/31/2999 |
| A9150 | A9150 - Non-prescription drugs | A9150 - | A9150 - Misc/exper non-prescript dru | '04/01/1995 | 12/31/2999 |
| A9152 | A9152 - SINGLE VITAMIN/MINERAL/TRACE ELEMENT ORAL PER DOSE NOT OTHERWISE SPECIFIED | A9152 - | A9152 - Single vitamin nos | '01/01/2005 | 12/31/2999 |
| A9153 | A9153 - MULTIPLE VITAMINS WITH OR WITHOUT MINERALS AND TRACE ELEMENTS ORAL PER DOSE NOT OTHERWISE SPECIFIED | A9153 - | A9153 - Multi-vitamin nos | '01/01/2005 | 12/31/2999 |
| A9155 | A9155 - ARTIFICIAL SALIVA 30 ML | A9155 - | A9155 - Artificial saliva | '01/01/2008 | 12/31/2999 |
| A9180 | A9180 - PEDICULOSIS (LICE INFESTATION) TREATMENT TOPICAL FOR ADMINISTRATION BY PATIENT/CARETAKER | A9180 - | A9180 - Lice treatment topical | '01/01/2005 | 12/31/2999 |
| A9270 | A9270 - Non-covered item or service | A9270 - | A9270 - Non-covered item or service | '01/01/2002 | 12/31/2999 |
| A9272 | A9272 - Wound suction disposable includes dressing all accessories and components any type each | A9272 - | A9272 - Disp wound suct drsg/access | '01/01/2014 | 12/31/2999 |
| A9273 | A9273 - Cold or hot fluid bottle ice cap or collar heat and/or cold wrap any type | A9273 - | A9273 - Hot/cold botle/cap/col/wrap | '01/01/2019 | 12/31/2999 |
| A9274 | A9274 - External ambulatory insulin delivery system disposable each includes all supplies and accessories | A9274 - | A9274 - Ext amb insulin delivery sys | '01/01/2008 | 12/31/2999 |
| A9275 | A9275 - HOME GLUCOSE DISPOSABLE MONITOR INCLUDES TEST STRIPS | A9275 - | A9275 - Disp home glucose monitor | '01/01/2006 | 12/31/2999 |
| A9276 | A9276 - Sensor; invasive (e.g. subcutaneous) disposable for use with non-durable medical equipment interstitial continuous glucose monitoring system one unit = 1 day supply | A9276 - | A9276 - Disposable sensor cgm sys | '01/01/2023 | 12/31/2999 |
| A9277 | A9277 - Transmitter; external for use with non-durable medical equipment interstitial continuous glucose monitoring system | A9277 - | A9277 - External transmitter cgm | '01/01/2023 | 12/31/2999 |
| A9278 | A9278 - Receiver (monitor); external for use with non-durable medical equipment interstitial continuous glucose monitoring system | A9278 - | A9278 - External receiver cgm sys | '01/01/2023 | 12/31/2999 |
| A9279 | A9279 - MONITORING FEATURE/DEVICE STAND-ALONE OR INTEGRATED ANY TYPE INCLUDES ALL ACCESSORIES COMPONENTS AND ELECTRONICS NOT OTHERWISE CLASSIFIED | A9279 - | A9279 - Monitoring feature/deviceNOC | '01/01/2007 | 12/31/2999 |
| A9280 | A9280 - Alert or alarm device not otherwise classified | A9280 - | A9280 - Alert device noc | '01/01/2004 | 12/31/2999 |
| A9281 | A9281 - REACHING/GRABBING DEVICE ANY TYPE ANY LENGTH EACH | A9281 - | A9281 - Reaching/grabbing device | '01/01/2006 | 12/31/2999 |
| A9282 | A9282 - WIG ANY TYPE EACH | A9282 - | A9282 - Wig any type | '01/01/2006 | 12/31/2999 |
| A9283 | A9283 - FOOT PRESSURE OFF LOADING/SUPPORTIVE DEVICE ANY TYPE EACH | A9283 - | A9283 - Foot press off load supp dev | '01/01/2008 | 12/31/2999 |
| A9284 | A9284 - SPIROMETER NON-ELECTRONIC INCLUDES ALL ACCESSORIES | A9284 - | A9284 - Non-electronic spirometer | '01/01/2009 | 12/31/2999 |
| A9285 | A9285 - Inversion/eversion correction device | A9285 - | A9285 - Inversion eversion cor devic | '01/01/2017 | 12/31/2999 |
| A9286 | A9286 - Hygienic item or device disposable or non-disposable any type each | A9286 - | A9286 - Any hygienic item device | '01/01/2017 | 12/31/2999 |
| A9291 | A9291 - Prescription digital cognitive and/or behavioral therapy fda cleared per course of treatment | A9291 - | A9291 - Pres dig cog behav thera fda | 01-10-2022 | 12/31/2999 |
| A9300 | A9300 - Exercise equipment | A9300 - | A9300 - Exercise equipment | '04/01/1995 | 12/31/2999 |
| A9500 | A9500 - TECHNETIUM TC-99M SESTAMIBI DIAGNOSTIC PER STUDY DOSE | A9500 - | A9500 - Tc99m sestamibi | '01/01/2010 | 12/31/2999 |
| A9501 | A9501 - TECHNETIUM TC-99M TEBOROXIME DIAGNOSTIC PER STUDY DOSE | A9501 - | A9501 - Technetium TC-99m teboroxime | '01/01/2008 | 12/31/2999 |
| A9502 | A9502 - TECHNETIUM TC-99M TETROFOSMIN DIAGNOSTIC PER STUDY DOSE | A9502 - | A9502 - Tc99m tetrofosmin | '01/01/2009 | 12/31/2999 |
| A9503 | A9503 - TECHNETIUM TC-99M MEDRONATE DIAGNOSTIC PER STUDY DOSE UP TO 30 MILLICURIES | A9503 - | A9503 - Tc99m medronate | '01/01/2006 | 12/31/2999 |
| A9504 | A9504 - TECHNETIUM TC-99M APCITIDE DIAGNOSTIC PER STUDY DOSE UP TO 20 MILLICURIES | A9504 - | A9504 - Tc99m apcitide | '01/01/2006 | 12/31/2999 |
| A9505 | A9505 - THALLIUM TL-201 THALLOUS CHLORIDE DIAGNOSTIC PER MILLICURIE | A9505 - | A9505 - TL201 thallium | '01/01/2006 | 12/31/2999 |
| A9507 | A9507 - INDIUM IN-111 CAPROMAB PENDETIDE DIAGNOSTIC PER STUDY DOSE UP TO 10 MILLICURIES | A9507 - | A9507 - In111 capromab | '01/01/2006 | 12/31/2999 |
| A9508 | A9508 - IODINE I-131 IOBENGUANE SULFATE DIAGNOSTIC PER 0.5 MILLICURIE | A9508 - | A9508 - I131 iodobenguate dx | '01/01/2006 | 12/31/2999 |
| A9509 | A9509 - IODINE I-123 SODIUM IODIDE DIAGNOSTIC PER MILLICURIE | A9509 - | A9509 - Iodine I-123 sod iodide mil | '01/01/2008 | 12/31/2999 |
| A9510 | A9510 - TECHNETIUM TC-99M DISOFENIN DIAGNOSTIC PER STUDY DOSE UP TO 15 MILLICURIES | A9510 - | A9510 - Tc99m disofenin | '01/01/2006 | 12/31/2999 |
| A9512 | A9512 - TECHNETIUM TC-99M PERTECHNETATE DIAGNOSTIC PER MILLICURIE | A9512 - | A9512 - Tc99m pertechnetate | '01/01/2006 | 12/31/2999 |
| A9513 | A9513 - Lutetium lu 177 dotatate therapeutic 1 millicurie | A9513 - | A9513 - Lutetium lu 177 dotatat ther | '01/01/2019 | 12/31/2999 |
| A9515 | A9515 - Choline c-11 diagnostic per study dose up to 20 millicuries | A9515 - | A9515 - Choline c-11 | '01/01/2017 | 12/31/2999 |
| A9516 | A9516 - Iodine i-123 sodium iodide diagnostic per 100 microcuries up to 999 microcuries | A9516 - | A9516 - Iodine I-123 sod iodide mic | '01/01/2008 | 12/31/2999 |
| A9517 | A9517 - IODINE I-131 SODIUM IODIDE CAPSULE(S) THERAPEUTIC PER MILLICURIE | A9517 - | A9517 - I131 iodide cap rx | '01/01/2006 | 12/31/2999 |
| A9520 | A9520 - Technetium tc-99m tilmanocept diagnostic up to 0.5 millicuries | A9520 - | A9520 - Tc99 tilmanocept diag 0.5mci | '01/01/2014 | 12/31/2999 |
| A9521 | A9521 - TECHNETIUM TC-99M EXAMETAZIME DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIES | A9521 - | A9521 - Tc99m exametazime | '01/01/2006 | 12/31/2999 |
| A9524 | A9524 - IODINE I-131 IODINATED SERUM ALBUMIN DIAGNOSTIC PER 5 MICROCURIES | A9524 - | A9524 - I131 serum albumin dx | '01/01/2006 | 12/31/2999 |
| A9526 | A9526 - NITROGEN N-13 AMMONIA DIAGNOSTIC PER STUDY DOSE UP TO 40 MILLICURIES | A9526 - | A9526 - Nitrogen N-13 ammonia | '01/01/2006 | 12/31/2999 |
| A9527 | A9527 - IODINE I-125 SODIUM IODIDE SOLUTION THERAPEUTIC PER MILLICURIE | A9527 - | A9527 - Iodine I-125 sodium iodide | '01/01/2007 | 12/31/2999 |
| A9528 | A9528 - IODINE I-131 SODIUM IODIDE CAPSULE(S) DIAGNOSTIC PER MILLICURIE | A9528 - | A9528 - Iodine I-131 iodide cap dx | '01/01/2006 | 12/31/2999 |
| A9529 | A9529 - IODINE I-131 SODIUM IODIDE SOLUTION DIAGNOSTIC PER MILLICURIE | A9529 - | A9529 - I131 iodide sol dx | '01/01/2006 | 12/31/2999 |
| A9530 | A9530 - IODINE I-131 SODIUM IODIDE SOLUTION THERAPEUTIC PER MILLICURIE | A9530 - | A9530 - I131 iodide sol rx | '01/01/2006 | 12/31/2999 |
| A9531 | A9531 - IODINE I-131 SODIUM IODIDE DIAGNOSTIC PER MICROCURIE (UP TO 100 MICROCURIES) | A9531 - | A9531 - I131 max 100uCi | '01/01/2006 | 12/31/2999 |
| A9532 | A9532 - IODINE I-125 SERUM ALBUMIN DIAGNOSTIC PER 5 MICROCURIES | A9532 - | A9532 - I125 serum albumin dx | '01/01/2006 | 12/31/2999 |
| A9536 | A9536 - TECHNETIUM TC-99M DEPREOTIDE DIAGNOSTIC PER STUDY DOSE UP TO 35 MILLICURIES | A9536 - | A9536 - Tc99m depreotide | '01/01/2006 | 12/31/2999 |
| A9537 | A9537 - TECHNETIUM TC-99M MEBROFENIN DIAGNOSTIC PER STUDY DOSE UP TO 15 MILLICURIES | A9537 - | A9537 - Tc99m mebrofenin | '01/01/2006 | 12/31/2999 |
| A9538 | A9538 - TECHNETIUM TC-99M PYROPHOSPHATE DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIES | A9538 - | A9538 - Tc99m pyrophosphate | '01/01/2006 | 12/31/2999 |
| A9539 | A9539 - TECHNETIUM TC-99M PENTETATE DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIES | A9539 - | A9539 - Tc99m pentetate | '01/01/2006 | 12/31/2999 |
| A9540 | A9540 - TECHNETIUM TC-99M MACROAGGREGATED ALBUMIN DIAGNOSTIC PER STUDY DOSE UP TO 10 MILLICURIES | A9540 - | A9540 - Tc99m MAA | '01/01/2006 | 12/31/2999 |
| A9541 | A9541 - TECHNETIUM TC-99M SULFUR COLLOID DIAGNOSTIC PER STUDY DOSE UP TO 20 MILLICURIES | A9541 - | A9541 - Tc99m sulfur colloid | '01/01/2006 | 12/31/2999 |
| A9542 | A9542 - INDIUM IN-111 IBRITUMOMAB TIUXETAN DIAGNOSTIC PER STUDY DOSE UP TO 5 MILLICURIES | A9542 - | A9542 - In111 ibritumomab dx | '01/01/2006 | 12/31/2999 |
| A9543 | A9543 - YTTRIUM Y-90 IBRITUMOMAB TIUXETAN THERAPEUTIC PER TREATMENT DOSE UP TO 40 MILLICURIES | A9543 - | A9543 - Y90 ibritumomab rx | '01/01/2006 | 12/31/2999 |
| A9546 | A9546 - COBALT CO-57/58 CYANOCOBALAMIN DIAGNOSTIC PER STUDY DOSE UP TO 1 MICROCURIE | A9546 - | A9546 - Co57/58 | '01/01/2006 | 12/31/2999 |
| A9547 | A9547 - INDIUM IN-111 OXYQUINOLINE DIAGNOSTIC PER 0.5 MILLICURIE | A9547 - | A9547 - In111 oxyquinoline | '01/01/2006 | 12/31/2999 |
| A9548 | A9548 - INDIUM IN-111 PENTETATE DIAGNOSTIC PER 0.5 MILLICURIE | A9548 - | A9548 - In111 pentetate | '01/01/2006 | 12/31/2999 |
| A9550 | A9550 - TECHNETIUM TC-99M SODIUM GLUCEPTATE DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIE | A9550 - | A9550 - Tc99m gluceptate | '01/01/2006 | 12/31/2999 |
| A9551 | A9551 - TECHNETIUM TC-99M SUCCIMER DIAGNOSTIC PER STUDY DOSE UP TO 10 MILLICURIES | A9551 - | A9551 - Tc99m succimer | '01/01/2006 | 12/31/2999 |
| A9552 | A9552 - FLUORODEOXYGLUCOSE F-18 FDG DIAGNOSTIC PER STUDY DOSE UP TO 45 MILLICURIES | A9552 - | A9552 - F18 fdg | '01/01/2006 | 12/31/2999 |
| A9553 | A9553 - CHROMIUM CR-51 SODIUM CHROMATE DIAGNOSTIC PER STUDY DOSE UP TO 250 MICROCURIES | A9553 - | A9553 - Cr51 chromate | '01/01/2006 | 12/31/2999 |
| A9554 | A9554 - IODINE I-125 SODIUM IOTHALAMATE DIAGNOSTIC PER STUDY DOSE UP TO 10 MICROCURIES | A9554 - | A9554 - I125 iothalamate dx | '01/01/2006 | 12/31/2999 |
| A9555 | A9555 - RUBIDIUM RB-82 DIAGNOSTIC PER STUDY DOSE UP TO 60 MILLICURIES | A9555 - | A9555 - Rb82 rubidium | '01/01/2006 | 12/31/2999 |
| A9556 | A9556 - GALLIUM GA-67 CITRATE DIAGNOSTIC PER MILLICURIE | A9556 - | A9556 - Ga67 gallium | '01/01/2006 | 12/31/2999 |
| A9557 | A9557 - TECHNETIUM TC-99M BICISATE DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIES | A9557 - | A9557 - Tc99m bicisate | '01/01/2006 | 12/31/2999 |
| A9558 | A9558 - XENON XE-133 GAS DIAGNOSTIC PER 10 MILLICURIES | A9558 - | A9558 - Xe133 xenon 10mci | '01/01/2006 | 12/31/2999 |
| A9559 | A9559 - COBALT CO-57 CYANOCOBALAMIN ORAL DIAGNOSTIC PER STUDY DOSE UP TO 1 MICROCURIE | A9559 - | A9559 - Co57 cyano | '01/01/2006 | 12/31/2999 |
| A9560 | A9560 - TECHNETIUM TC-99M LABELED RED BLOOD CELLS DIAGNOSTIC PER STUDY DOSE UP TO 30 MILLICURIES | A9560 - | A9560 - Tc99m labeled rbc | '01/01/2006 | 12/31/2999 |
| A9561 | A9561 - TECHNETIUM TC-99M OXIDRONATE DIAGNOSTIC PER STUDY DOSE UP TO 30 MILLICURIES | A9561 - | A9561 - Tc99m oxidronate | '01/01/2006 | 12/31/2999 |
| A9562 | A9562 - TECHNETIUM TC-99M MERTIATIDE DIAGNOSTIC PER STUDY DOSE UP TO 15 MILLICURIES | A9562 - | A9562 - Tc99m mertiatide | '01/01/2006 | 12/31/2999 |
| A9563 | A9563 - SODIUM PHOSPHATE P-32 THERAPEUTIC PER MILLICURIE | A9563 - | A9563 - P32 Na phosphate | '01/01/2006 | 12/31/2999 |
| A9564 | A9564 - CHROMIC PHOSPHATE P-32 SUSPENSION THERAPEUTIC PER MILLICURIE | A9564 - | A9564 - P32 chromic phosphate | '01/01/2006 | 12/31/2999 |
| A9566 | A9566 - TECHNETIUM TC-99M FANOLESOMAB DIAGNOSTIC PER STUDY DOSE UP TO 25 MILLICURIES | A9566 - | A9566 - Tc99m fanolesomab | '01/01/2006 | 12/31/2999 |
| A9567 | A9567 - TECHNETIUM TC-99M PENTETATE DIAGNOSTIC AEROSOL PER STUDY DOSE UP TO 75 MILLICURIES | A9567 - | A9567 - Technetium TC-99m aerosol | '01/01/2006 | 12/31/2999 |
| A9568 | A9568 - TECHNETIUM TC-99M ARCITUMOMAB DIAGNOSTIC PER STUDY DOSE UP TO 45 MILLICURIES | A9568 - | A9568 - Technetium tc99m arcitumomab | '01/01/2007 | 12/31/2999 |
| A9569 | A9569 - TECHNETIUM TC-99M EXAMETAZIME LABELED AUTOLOGOUS WHITE BLOOD CELLS DIAGNOSTIC | A9569 - | A9569 - Technetium TC-99m auto WBC | '01/01/2008 | 12/31/2999 |
| A9570 | A9570 - INDIUM IN-111 LABELED AUTOLOGOUS WHITE BLOOD CELLS DIAGNOSTIC PER STUDY DOSE | A9570 - | A9570 - Indium In-111 auto WBC | '01/01/2008 | 12/31/2999 |
| A9571 | A9571 - INDIUM IN-111 LABELED AUTOLOGOUS PLATELETS DIAGNOSTIC PER STUDY DOSE | A9571 - | A9571 - Indium IN-111 auto platelet | '01/01/2008 | 12/31/2999 |
| A9572 | A9572 - INDIUM IN-111 PENTETREOTIDE DIAGNOSTIC PER STUDY DOSE UP TO 6 MILLICURIES | A9572 - | A9572 - Indium In-111 pentetreotide | '01/01/2008 | 12/31/2999 |
| A9575 | A9575 - Injection gadoterate meglumine 0.1 ml | A9575 - | A9575 - Inj gadoterate meglumi 0.1ml | '01/01/2014 | 12/31/2999 |
| A9576 | A9576 - INJECTION GADOTERIDOL (PROHANCE MULTIPACK) PER ML | A9576 - | A9576 - Inj prohance multipack | '01/01/2008 | 12/31/2999 |
| A9577 | A9577 - INJECTION GADOBENATE DIMEGLUMINE (MULTIHANCE) PER ML | A9577 - | A9577 - Inj multihance | '01/01/2008 | 12/31/2999 |
| A9578 | A9578 - INJECTION GADOBENATE DIMEGLUMINE (MULTIHANCE MULTIPACK) PER ML | A9578 - | A9578 - Inj multihance multipack | '01/01/2008 | 12/31/2999 |
| A9579 | A9579 - INJECTION GADOLINIUM-BASED MAGNETIC RESONANCE CONTRAST AGENT NOT OTHERWISE SPECIFIED (NOS) per ml | A9579 - | A9579 - Gad-base MR contrast NOS 1ml | '01/01/2019 | 12/31/2999 |
| A9580 | A9580 - SODIUM FLUORIDE F-18 DIAGNOSTIC PER STUDY DOSE UP TO 30 MILLICURIES | A9580 - | A9580 - Sodium fluoride F-18 | '01/01/2009 | 12/31/2999 |
| A9581 | A9581 - INJECTION GADOXETATE DISODIUM 1 ML | A9581 - | A9581 - Gadoxetate disodium inj | '01/01/2010 | 12/31/2999 |
| A9582 | A9582 - IODINE I-123 IOBENGUANE DIAGNOSTIC PER STUDY DOSE UP TO 15 MILLICURIES | A9582 - | A9582 - Iodine I-123 iobenguane | '01/01/2010 | 12/31/2999 |
| A9583 | A9583 - INJECTION GADOFOSVESET TRISODIUM 1 ML | A9583 - | A9583 - Gadofosveset trisodium inj | '01/01/2010 | 12/31/2999 |
| A9584 | A9584 - IODINE i-123 IOFLUPANE DIAGNOSTIC PER STUDY DOSE UP TO 5 MILLICURIES | A9584 - | A9584 - | 01-12-2014 | 12/31/2999 |
| A9585 | A9585 - INJECTION GADOBUTROL 0.1 ML | A9585 - | A9585 - | '01/01/2012 | 12/31/2999 |
| A9586 | A9586 - Florbetapir f18 diagnostic per study dose up to 10 millicuries | A9586 - | A9586 - Florbetapir F18 | '01/01/2013 | 12/31/2999 |
| A9587 | A9587 - Gallium ga-68 dotatate diagnostic 0.1 millicurie | A9587 - | A9587 - Gallium ga-68 | '01/01/2017 | 12/31/2999 |
| A9588 | A9588 - Fluciclovine f-18 diagnostic 1 millicurie | A9588 - | A9588 - Fluciclovine f-18 | '01/01/2017 | 12/31/2999 |
| A9589 | A9589 - Instillation hexaminolevulinate hydrochloride 100 mg | A9589 - | A9589 - Insti hexaminolevulinate hcl | '01/01/2019 | 12/31/2999 |
| A9590 | A9590 - Iodine i-131 iobenguane 1 millicurie | A9590 - | A9590 - Iodine i-131 iobenguane 1mci | '01/01/2020 | 12/31/2999 |
| A9591 | A9591 - Fluoroestradiol f 18 diagnostic 1 millicurie | A9591 - | A9591 - Fluoroestradiol f 18 | '01/01/2021 | 12/31/2999 |
| A9592 | A9592 - Copper cu-64 dotatate diagnostic 1 millicurie | A9592 - | A9592 - Copper cu 64 dotatate diag | '04/01/2021 | 12/31/2999 |
| A9593 | A9593 - Gallium ga-68 psma-11 diagnostic (ucsf) 1 millicurie | A9593 - | A9593 - Gallium ga-68 psma-11 ucsf | '07/01/2021 | 12/31/2999 |
| A9594 | A9594 - Gallium ga-68 psma-11 diagnostic (ucla) 1 millicurie | A9594 - | A9594 - Gallium ga-68 psma-11 ucla | '07/01/2021 | 12/31/2999 |
| A9595 | A9595 - Piflufolastat f-18 diagnostic 1 millicurie | A9595 - | A9595 - Piflu f-18 dia 1 millicurie | '01/01/2022 | 12/31/2999 |
| A9596 | A9596 - Gallium ga-68 gozetotide diagnostic (illuccix) 1 millicurie | A9596 - | A9596 - Gallium illuccix 1 millicure | '07/01/2022 | 12/31/2999 |
| A9597 | A9597 - Positron emission tomography radiopharmaceutical diagnostic for tumor identification not otherwise classified | A9597 - | A9597 - Pet dx for tumor id noc | '01/01/2017 | 12/31/2999 |
| A9598 | A9598 - Positron emission tomography radiopharmaceutical diagnostic for non-tumor identification not otherwise classified | A9598 - | A9598 - Pet dx for non-tumor id noc | '01/01/2017 | 12/31/2999 |
| A9600 | A9600 - STRONTIUM SR-89 CHLORIDE THERAPEUTIC PER MILLICURIE | A9600 - | A9600 - Sr89 strontium | '01/01/2006 | 12/31/2999 |
| A9601 | A9601 - Flortaucipir f 18 injection diagnostic 1 millicurie | A9601 - | A9601 - Flortaucipir inj 1 millicuri | '07/01/2022 | 12/31/2999 |
| A9602 | A9602 - Fluorodopa f-18 diagnostic per millicurie | A9602 - | A9602 - Fluorodopa f-18 diag per mci | 01-10-2022 | 12/31/2999 |
| A9604 | A9604 - SAMARIUM SM-153 LEXIDRONAM THERAPEUTIC PER TREATMENT DOSE UP TO 150 MILLICURIES | A9604 - | A9604 - Sm 153 lexidronam | '01/01/2010 | 12/31/2999 |
| A9606 | A9606 - Radium ra-223 dichloride therapeutic per microcurie | A9606 - | A9606 - Radium ra223 dichloride ther | '01/01/2015 | 12/31/2999 |
| A9607 | A9607 - Lutetium lu 177 vipivotide tetraxetan therapeutic 1 millicurie | A9607 - | A9607 - Lutetium lu 177 vipivotide | 01-10-2022 | 12/31/2999 |
| A9698 | A9698 - NON-RADIOACTIVE CONTRAST IMAGING MATERIAL NOT OTHERWISE CLASSIFIED PER STUDY | A9698 - | A9698 - Non-rad contrast materialNOC | '01/01/2006 | 12/31/2999 |
| A9699 | A9699 - RADIOPHARMACEUTICAL THERAPEUTIC NOT OTHERWISE CLASSIFIED | A9699 - | A9699 - Radiopharm rx agent noc | '01/01/2006 | 12/31/2999 |
| A9700 | A9700 - Supply of injectable contrast material for use in echocardiography per study | A9700 - | A9700 - Echocardiography Contrast | '01/01/2001 | 12/31/2999 |
| A9800 | A9800 - Gallium ga-68 gozetotide diagnostic (locametz) 1 millicurie | A9800 - | A9800 - Gallium locametz 1 millicuri | 01-10-2022 | 12/31/2999 |
| A9900 | A9900 - Miscellaneous dme supply accessory and/or service component of another hcpcs code | A9900 - | A9900 - Supply/accessory/service | '01/01/2001 | 12/31/2999 |
| A9901 | A9901 - Dme delivery set up and/or dispensing service component of another hcpcs code | A9901 - | A9901 - Delivery/set up/dispensing | '01/01/2001 | 12/31/2999 |
| A9999 | A9999 - Miscellaneous dme supply or accessory not otherwise specified | A9999 - | A9999 - DME supply or accessory nos | '01/01/2004 | 12/31/2999 |
| B4034 | B4034 - ENTERAL FEEDING SUPPLY KIT; SYRINGE FED PER DAY INCLUDES BUT NOT LIMITED TO FEEDING/FLUSHING SYRINGE ADMINISTRATION SET TUBING DRESSINGS TAPE | B4034 - | B4034 - Enter feed supkit syr by day | '01/01/2011 | 12/31/2999 |
| B4035 | B4035 - ENTERAL FEEDING SUPPLY KIT; PUMP FED PER DAY INCLUDES BUT NOT LIMITED TO FEEDING/FLUSHING SYRINGE ADMINISTRATION SET TUBING DRESSINGS TAPE | B4035 - | B4035 - Enteral feed supp pump per d | '01/01/2011 | 12/31/2999 |
| B4036 | B4036 - ENTERAL FEEDING SUPPLY KIT; GRAVITY FED PER DAY INCLUDES BUT NOT LIMITED TO FEEDING/FLUSHING SYRINGE ADMINISTRATION SET TUBING DRESSINGS TAPE | B4036 - | B4036 - Enteral feed sup kit grav by | '01/01/2011 | 12/31/2999 |
| B4081 | B4081 - Nasogastric tubing with stylet | B4081 - | B4081 - Enteral ng tubing w/ stylet | '01/01/2002 | 12/31/2999 |
| B4082 | B4082 - Nasogastric tubing without stylet | B4082 - | B4082 - Enteral ng tubing w/o stylet | '01/01/2002 | 12/31/2999 |
| B4083 | B4083 - Stomach tube - levine type | B4083 - | B4083 - Enteral stomach tube levine | '01/01/2002 | 12/31/2999 |
| B4087 | B4087 - GASTROSTOMY/JEJUNOSTOMY TUBE STANDARD ANY MATERIAL ANY TYPE EACH | B4087 - | B4087 - Gastro/jejuno tube std | '01/01/2008 | 12/31/2999 |
| B4088 | B4088 - GASTROSTOMY/JEJUNOSTOMY TUBE LOW-PROFILE ANY MATERIAL ANY TYPE EACH | B4088 - | B4088 - Gastro/jejuno tube low-pro | '01/01/2008 | 12/31/2999 |
| B4100 | B4100 - Food thickener administered orally per ounce | B4100 - | B4100 - Food thickener oral | '01/01/2005 | 12/31/2999 |
| B4102 | B4102 - ENTERAL FORMULA FOR ADULTS USED TO REPLACE FLUIDS AND ELECTROLYTES (E.G. CLEAR LIQUIDS) 500 ML = 1 UNIT | B4102 - | B4102 - EF adult fluids and electro | '01/01/2005 | 12/31/2999 |
| B4103 | B4103 - ENTERAL FORMULA FOR PEDIATRICS USED TO REPLACE FLUIDS AND ELECTROLYTES (E.G. CLEAR LIQUIDS) 500 ML = 1 UNIT | B4103 - | B4103 - EF ped fluid and electrolyte | '01/01/2005 | 12/31/2999 |
| B4104 | B4104 - ADDITIVE FOR ENTERAL FORMULA (E.G. FIBER) | B4104 - | B4104 - Additive for enteral formula | '01/01/2005 | 12/31/2999 |
| B4105 | B4105 - In-line cartridge containing digestive enzyme(s) for enteral feeding each | B4105 - | B4105 - Enzyme cartridge enteral nut | '01/01/2019 | 12/31/2999 |
| B4149 | B4149 - ENTERAL FORMULA MANUFACTURED BLENDERIZED NATURAL FOODS WITH INTACT NUTRIENTS INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4149 - | B4149 - EF blenderized foods | '01/01/2006 | 12/31/2999 |
| B4150 | B4150 - Enteral formula nutritionally complete with intact nutrients includes proteins fats carbohydrates vitamins and minerals may include fiber administered through an enteral feeding tube 100 calories = 1 unit | B4150 - | B4150 - EF complet w/intact nutrient | '01/01/2005 | 12/31/2999 |
| B4152 | B4152 - Enteral formula nutritionally complete calorically dense (equal to or greater than 1. 5 kcal/ml) with intact nutrients includes proteins fats carbohydrates vitamins and minerals may include fiber administered through an enteral feeding tube 100 calories = 1 unit | B4152 - | B4152 - EF calorie dense>/=1.5Kcal | '01/01/2005 | 12/31/2999 |
| B4153 | B4153 - Enteral formula nutritionally complete hydrolyzed proteins (amino acids and peptide chain) includes fats carbohydrates vitamins and minerals may include fiber administered through an enteral feeding tube 100 calories = 1 unit | B4153 - | B4153 - EF hydrolyzed/amino acids | '01/01/2005 | 12/31/2999 |
| B4154 | B4154 - Enteral formula nutritionally complete for special metabolic needs excludes inherited disease of metabolism includes altered composition of proteins fats carbohydrates vitamins and/or minerals may include fiber administered through an enteral feeding tube 100 calories = 1 unit | B4154 - | B4154 - EF spec metabolic noninherit | '01/01/2005 | 12/31/2999 |
| B4155 | B4155 - Enteral formula nutritionally incomplete/modular nutrients includes specific nutrients carbohydrates (e. G. Glucose polymers) proteins/amino acids (e. G. Glutamine arginine) fat (e. G. Medium chain triglycerides) or combination administered through an enteral feeding tube 100 calories = 1 unit | B4155 - | B4155 - EF incomplete/modular | '01/01/2005 | 12/31/2999 |
| B4157 | B4157 - ENTERAL FORMULA NUTRITIONALLY COMPLETE FOR SPECIAL METABOLIC NEEDS FOR INHERITED DISEASE OF METABOLISM INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4157 - | B4157 - EF special metabolic inherit | '01/01/2005 | 12/31/2999 |
| B4158 | B4158 - ENTERAL FORMULA FOR PEDIATRICS NUTRITIONALLY COMPLETE WITH INTACT NUTRIENTS INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER AND/OR IRON ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4158 - | B4158 - EF ped complete intact nut | '01/01/2005 | 12/31/2999 |
| B4159 | B4159 - ENTERAL FORMULA FOR PEDIATRICS NUTRITIONALLY COMPLETE SOY BASED WITH INTACT NUTRIENTS INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER AND/OR IRON ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4159 - | B4159 - EF ped complete soy based | '01/01/2005 | 12/31/2999 |
| B4160 | B4160 - ENTERAL FORMULA FOR PEDIATRICS NUTRITIONALLY COMPLETE CALORICALLY DENSE (EQUAL TO OR GREATER THAN 0.7 KCAL/ML) WITH INTACT NUTRIENTS INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4160 - | B4160 - EF ped caloric dense>/=0.7kc | '01/01/2005 | 12/31/2999 |
| B4161 | B4161 - ENTERAL FORMULA FOR PEDIATRICS HYDROLYZED/AMINO ACIDS AND PEPTIDE CHAIN PROTEINS INCLUDES FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4161 - | B4161 - EF ped hydrolyzed/amino acid | '01/01/2005 | 12/31/2999 |
| B4162 | B4162 - ENTERAL FORMULA FOR PEDIATRICS SPECIAL METABOLIC NEEDS FOR INHERITED DISEASE OF METABOLISM INCLUDES PROTEINS FATS CARBOHYDRATES VITAMINS AND MINERALS MAY INCLUDE FIBER ADMINISTERED THROUGH AN ENTERAL FEEDING TUBE 100 CALORIES = 1 UNIT | B4162 - | B4162 - EF ped specmetabolic inherit | '01/01/2005 | 12/31/2999 |
| B4164 | B4164 - Parenteral nutrition solution: carbohydrates (dextrose) 50% or less (500 ml = 1 unit) - homemix | B4164 - | B4164 - Parenteral 50% dextrose solu | '01/01/2002 | 12/31/2999 |
| B4168 | B4168 - Parenteral nutrition solution; amino acid 3. 5% (500 ml = 1 unit) - homemix | B4168 - | B4168 - Parenteral sol amino acid 3. | '01/01/2002 | 12/31/2999 |
| B4172 | B4172 - Parenteral nutrition solution; amino acid 5. 5% through 7% (500 ml = 1 unit) - homemix | B4172 - | B4172 - Parenteral sol amino acid 5. | '01/01/2002 | 12/31/2999 |
| B4176 | B4176 - Parenteral nutrition solution; amino acid 7% through 8. 5% (500 ml = 1 unit) - homemix | B4176 - | B4176 - Parenteral sol amino acid 7- | '01/01/2002 | 12/31/2999 |
| B4178 | B4178 - Parenteral nutrition solution: amino acid greater than 8. 5% (500 ml = 1 unit) - homemix | B4178 - | B4178 - Parenteral sol amino acid > | '01/01/2002 | 12/31/2999 |
| B4180 | B4180 - Parenteral nutrition solution; carbohydrates (dextrose) greater than 50% (500 ml=1 unit) - homemix | B4180 - | B4180 - Parenteral sol carb > 50% | '01/01/2002 | 12/31/2999 |
| B4185 | B4185 - Parenteral nutrition solution not otherwise specified 10 grams lipids | B4185 - | B4185 - Pn soln nos 10 grams lipids | '01/01/2020 | 12/31/2999 |
| B4187 | B4187 - Omegaven 10 grams lipids | B4187 - | B4187 - Omegaven 10 grams lipids | '01/01/2020 | 12/31/2999 |
| B4189 | B4189 - Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength 10 to 51 grams of protein - premix | B4189 - | B4189 - Parenteral sol amino acid & | '01/01/2002 | 12/31/2999 |
| B4193 | B4193 - Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength 52 to 73 grams of protein - premix | B4193 - | B4193 - Parenteral sol 52-73 gm prot | '01/01/2002 | 12/31/2999 |
| B4197 | B4197 - Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength 74 to 100 grams of protein - premix | B4197 - | B4197 - Parenteral sol 74-100 gm pro | '01/01/2002 | 12/31/2999 |
| B4199 | B4199 - Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength over 100 grams of protein - premix | B4199 - | B4199 - Parenteral sol > 100gm prote | '01/01/2002 | 12/31/2999 |
| B4216 | B4216 - Parenteral nutrition; additives (vitamins trace elements heparin electrolytes) homemix per day | B4216 - | B4216 - Parenteral nutrition additiv | '01/01/2002 | 12/31/2999 |
| B4220 | B4220 - Parenteral nutrition supply kit; premix per day | B4220 - | B4220 - Parenteral supply kit premix | '01/01/2002 | 12/31/2999 |
| B4222 | B4222 - Parenteral nutrition supply kit; home mix per day | B4222 - | B4222 - Parenteral supply kit homemi | '01/01/2002 | 12/31/2999 |
| B4224 | B4224 - Parenteral nutrition administration kit per day | B4224 - | B4224 - Parenteral administration ki | '01/01/2002 | 12/31/2999 |
| B5000 | B5000 - Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength renal-aminosyn-rf nephramine renamine-premix | B5000 - | B5000 - Parenteral sol renal-amirosy | '01/01/2016 | 12/31/2999 |
| B5100 | B5100 - Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength hepatic hepatamine-premix | B5100 - | B5100 - Parenteral solution hepatic | '01/01/2016 | 12/31/2999 |
| B5200 | B5200 - Parenteral nutrition solution compounded amino acid and carbohydrates with electrolytes trace elements and vitamins including preparation any strength stress-branch chain amino acids-freamine-hbc-premix | B5200 - | B5200 - Parenteral sol hepatic fream | '01/01/2016 | 12/31/2999 |
| B9002 | B9002 - Enteral nutrition infusion pump any type | B9002 - | B9002 - Enter nutr inf pump any type | '01/01/2017 | 12/31/2999 |
| B9004 | B9004 - Parenteral nutrition infusion pump portable | B9004 - | B9004 - Parenteral infus pump portab | '01/01/2002 | 12/31/2999 |
| B9006 | B9006 - Parenteral nutrition infusion pump stationary | B9006 - | B9006 - Parenteral infus pump statio | '01/01/2002 | 12/31/2999 |
| B9998 | B9998 - Noc for enteral supplies | B9998 - | B9998 - Enteral supp not otherwise c | '01/01/1996 | 12/31/2999 |
| B9999 | B9999 - Noc for parenteral supplies | B9999 - | B9999 - Parenteral supp not othrws c | '01/01/1996 | 12/31/2999 |
| C0040 | C0040 - PERMANENT LENS ONLY UNILATERAL CATARACT | C0040 - | C0040 - | '01/01/1950 | 12/31/2999 |
| C0064 | C0064 - CATARACT GLASSES; TRAINER GLASSES | C0064 - | C0064 - | '01/01/1950 | 12/31/2999 |
| C1052 | C1052 - Hemostatic agent gastrointestinal topical | C1052 - | C1052 - Hemostatic agent gi topic | '01/01/2021 | 12/31/2999 |
| C1062 | C1062 - Intravertebral body fracture augmentation with implant (e.g. metal polymer) | C1062 - | C1062 - Intravertebral fx aug impl | '01/01/2021 | 12/31/2999 |
| C1713 | C1713 - Anchor/screw bn/bn tis/bn | C1713 - | C1713 - | '01/01/2005 | 12/31/2999 |
| C1714 | C1714 - Cath trans atherectomy dir | C1714 - | C1714 - | '01/01/2005 | 12/31/2999 |
| C1715 | C1715 - Brachytherapy needle | C1715 - | C1715 - | '01/01/2005 | 12/31/2999 |
| C1716 | C1716 - BRACHYTX SOURCE GOLD 198 "NON-STRANDED" | C1716 - | C1716 - | '07/01/2007 | 12/31/2999 |
| C1717 | C1717 - brachytherapy source high dose rate "NON-STRANDED" | C1717 - | C1717 - | '07/01/2007 | 12/31/2999 |
| C1719 | C1719 - BRACHYTX SOUR NON-HDR IR-192 "NON-STRANDED" | C1719 - | C1719 - | '07/01/2007 | 12/31/2999 |
| C1721 | C1721 - AICD dual chamber | C1721 - | C1721 - | '01/01/2005 | 12/31/2999 |
| C1722 | C1722 - AICD single chamber | C1722 - | C1722 - | '01/01/2005 | 12/31/2999 |
| C1724 | C1724 - Cath trans atherec rotation | C1724 - | C1724 - | '01/01/2005 | 12/31/2999 |
| C1725 | C1725 - Cath translumin non-laser | C1725 - | C1725 - | '01/01/2005 | 12/31/2999 |
| C1726 | C1726 - Cath bal dil non-vascular | C1726 - | C1726 - | '01/01/2005 | 12/31/2999 |
| C1727 | C1727 - Cath bal tis dis non-vas | C1727 - | C1727 - | '01/01/2005 | 12/31/2999 |
| C1728 | C1728 - Cath brachytx seed adm | C1728 - | C1728 - | '01/01/2005 | 12/31/2999 |
| C1729 | C1729 - Cath drainage | C1729 - | C1729 - | '01/01/2005 | 12/31/2999 |
| C1730 | C1730 - Cath EP 19 or few elect | C1730 - | C1730 - | '01/01/2005 | 12/31/2999 |
| C1731 | C1731 - Cath EP 20 or more elec | C1731 - | C1731 - | '01/01/2005 | 12/31/2999 |
| C1732 | C1732 - Cath EP diag/abl 3D/vect | C1732 - | C1732 - | '01/01/2005 | 12/31/2999 |
| C1733 | C1733 - Cath EP othr than cool-tip | C1733 - | C1733 - | '01/01/2005 | 12/31/2999 |
| C1734 | C1734 - Orthopedic/device/drug matrix for opposing bone-to-bone or soft tissue-to bone (implantable) | C1734 - | C1734 - Orth/devic/drug bn/bn tis/bn | '01/01/2020 | 12/31/2999 |
| C1747 | C1747 - Endoscope single-use (i.e. disposable) urinary tract imaging/illumination device (insertable) | C1747 - | C1747 - Endo single urinary tract | '01/01/2023 | 12/31/2999 |
| C1748 | C1748 - Endoscope single-use (i.e. disposable) upper gi imaging/illumination device (insertable) | C1748 - | C1748 - Endoscope single ugi | '07/01/2020 | 12/31/2999 |
| C1749 | C1749 - Endoscope retrograde imaging/illumination colonoscope device (implantable) | C1749 - | C1749 - Endo colon retro imaging | 01-10-2010 | 12/31/2999 |
| C1750 | C1750 - Cath hemodialysis long-term | C1750 - | C1750 - | '01/01/2005 | 12/31/2999 |
| C1751 | C1751 - Cath inf per/cent/midline | C1751 - | C1751 - | '01/01/2005 | 12/31/2999 |
| C1752 | C1752 - Cath hemodialysis short-term | C1752 - | C1752 - | '01/01/2005 | 12/31/2999 |
| C1753 | C1753 - Cath intravas ultrasound | C1753 - | C1753 - | '01/01/2005 | 12/31/2999 |
| C1754 | C1754 - Catheter intradiscal | C1754 - | C1754 - | '01/01/2005 | 12/31/2999 |
| C1755 | C1755 - Catheter intraspinal | C1755 - | C1755 - | '01/01/2005 | 12/31/2999 |
| C1756 | C1756 - Cath pacing transesoph | C1756 - | C1756 - | '01/01/2005 | 12/31/2999 |
| C1757 | C1757 - Cath thrombectomy/embolect | C1757 - | C1757 - | '01/01/2005 | 12/31/2999 |
| C1758 | C1758 - Catheter ureteral | C1758 - | C1758 - | '01/01/2005 | 12/31/2999 |
| C1759 | C1759 - Cath intra echocardiography | C1759 - | C1759 - | '01/01/2005 | 12/31/2999 |
| C1760 | C1760 - Closure dev vasc | C1760 - | C1760 - | '01/01/2005 | 12/31/2999 |
| C1761 | C1761 - Catheter transluminal intravascular lithotripsy coronary | C1761 - | C1761 - Cath trans intra litho/coro | '07/01/2021 | 12/31/2999 |
| C1762 | C1762 - Conn tiss human(inc fascia) | C1762 - | C1762 - | '01/01/2005 | 12/31/2999 |
| C1763 | C1763 - Conn tiss non-human | C1763 - | C1763 - | '01/01/2005 | 12/31/2999 |
| C1764 | C1764 - Event recorder cardiac | C1764 - | C1764 - | '01/01/2005 | 12/31/2999 |
| C1765 | C1765 - Adhesion barrier | C1765 - | C1765 - Adhesion barrier | '07/01/2001 | 12/31/2999 |
| C1766 | C1766 - Intro/sheath strble non-peel | C1766 - | C1766 - | '01/01/2005 | 12/31/2999 |
| C1767 | C1767 - Generator neurostimulator (implantable) non-rechargeable | C1767 - | C1767 - Generator neuro non-recharg | 11/19/2018 | 12/31/2999 |
| C1768 | C1768 - Graft vascular | C1768 - | C1768 - | '01/01/2005 | 12/31/2999 |
| C1769 | C1769 - Guide wire | C1769 - | C1769 - | '01/01/2005 | 12/31/2999 |
| C1770 | C1770 - Imaging coil MR insertable | C1770 - | C1770 - | '01/01/2005 | 12/31/2999 |
| C1771 | C1771 - Rep dev urinary w/sling | C1771 - | C1771 - | '01/01/2005 | 12/31/2999 |
| C1772 | C1772 - Infusion pump programmable | C1772 - | C1772 - | '01/01/2005 | 12/31/2999 |
| C1773 | C1773 - Ret dev insertable | C1773 - | C1773 - | '01/01/2005 | 12/31/2999 |
| C1776 | C1776 - Joint device (implantable) | C1776 - | C1776 - | '01/01/2005 | 12/31/2999 |
| C1777 | C1777 - Lead AICD endo single coil | C1777 - | C1777 - | '01/01/2005 | 12/31/2999 |
| C1778 | C1778 - Lead neurostimulator | C1778 - | C1778 - | '01/01/2005 | 12/31/2999 |
| C1779 | C1779 - Lead pmkr transvenous VDD | C1779 - | C1779 - | '01/01/2005 | 12/31/2999 |
| C1780 | C1780 - Lens intraocular (new tech) | C1780 - | C1780 - | '01/01/2005 | 12/31/2999 |
| C1781 | C1781 - Mesh (implantable) | C1781 - | C1781 - | '01/01/2005 | 12/31/2999 |
| C1782 | C1782 - Morcellator | C1782 - | C1782 - | '01/01/2005 | 12/31/2999 |
| C1783 | C1783 - Ocular implant aqueous drainage assist device | C1783 - | C1783 - Ocular imp aqueous drain de | '07/01/2002 | 12/31/2999 |
| C1784 | C1784 - Ocular dev intraop det ret | C1784 - | C1784 - | '01/01/2005 | 12/31/2999 |
| C1785 | C1785 - Pacemaker dual chamber rate-resp (implantable) | C1785 - | C1785 - | '01/01/2005 | 12/31/2999 |
| C1786 | C1786 - Pacemaker single chamber rate-resp (implantable) | C1786 - | C1786 - | '01/01/2005 | 12/31/2999 |
| C1787 | C1787 - Patient progr neurostim | C1787 - | C1787 - | '01/01/2005 | 12/31/2999 |
| C1788 | C1788 - Port indwelling imp | C1788 - | C1788 - | '01/01/2005 | 12/31/2999 |
| C1789 | C1789 - Prosthesis breast imp | C1789 - | C1789 - | '01/01/2005 | 12/31/2999 |
| C1813 | C1813 - Prosthesis penile inflatab | C1813 - | C1813 - | '01/01/2005 | 12/31/2999 |
| C1814 | C1814 - Retinal tamponade device silicone oil | C1814 - | C1814 - Retinal tamp silicone oil | '04/01/2003 | 12/31/2999 |
| C1815 | C1815 - Pros urinary sph imp | C1815 - | C1815 - | '01/01/2005 | 12/31/2999 |
| C1816 | C1816 - Receiver/transmitter neuro | C1816 - | C1816 - | '01/01/2005 | 12/31/2999 |
| C1817 | C1817 - Septal defect imp sys | C1817 - | C1817 - | '01/01/2005 | 12/31/2999 |
| C1818 | C1818 - Integrated keratoprosthesis | C1818 - | C1818 - Integrated keratoprosthesis | '07/01/2003 | 12/31/2999 |
| C1819 | C1819 - Tissue localization-excision | C1819 - | C1819 - | '01/01/2005 | 12/31/2999 |
| C1820 | C1820 - Generator neurostimulator (implantable) with rechargeable battery and charging system | C1820 - | C1820 - Generator neuro rechg bat sy | '04/01/2016 | 12/31/2999 |
| C1821 | C1821 - INTERSPINOUS PROCESS DISTRACTION DEVICE (IMPLANTABLE) | C1821 - | C1821 - Interspinous implant | '01/01/2007 | 12/31/2999 |
| C1822 | C1822 - Generator neurostimulator (implantable) high frequency with rechargeable battery and charging system | C1822 - | C1822 - Gen neuro hf rechg bat | '01/01/2016 | 12/31/2999 |
| C1823 | C1823 - Generator neurostimulator (implantable) non-rechargeable with transvenous sensing and stimulation leads | C1823 - | C1823 - Gen neuro trans sen/stim | '01/01/2019 | 12/31/2999 |
| C1824 | C1824 - Generator cardiac contractility modulation (implantable) | C1824 - | C1824 - Generator ccm implant | '01/01/2020 | 12/31/2999 |
| C1825 | C1825 - Generator neurostimulator (implantable) non-rechargeable with carotid sinus baroreceptor stimulation lead(s) | C1825 - | C1825 - Gen neuro carot sinus baro | '01/01/2021 | 12/31/2999 |
| C1826 | C1826 - Generator neurostimulator (implantable) includes closed feedback loop leads and all implantable components with rechargeable battery and charging system | C1826 - | C1826 - Gen neuro clo loop rechg | '01/01/2023 | 12/31/2999 |
| C1827 | C1827 - Generator neurostimulator (implantable) non-rechargeable with implantable stimulation lead and external paired stimulation controller | C1827 - | C1827 - Gen neuro imp led ex cntr | '01/01/2023 | 12/31/2999 |
| C1830 | C1830 - Powered bone marrow biopsy needle | C1830 - | C1830 - | 01-10-2011 | 12/31/2999 |
| C1831 | C1831 - Interbody cage anterior lateral or posterior personalized (implantable) | C1831 - | C1831 - Personalized interbody cage | '01/01/2023 | 12/31/2999 |
| C1832 | C1832 - Autograft suspension including cell processing and application and all system components | C1832 - | C1832 - Auto cell process sys | '01/01/2022 | 12/31/2999 |
| C1833 | C1833 - Monitor cardiac including intracardiac lead and all system components (implantable) | C1833 - | C1833 - Cardiac monitor sys | '01/01/2022 | 12/31/2999 |
| C1834 | C1834 - Pressure sensor system includes all components (e.g. introducer sensor) intramuscular (implantable) excludes mobile (wireless) software application | C1834 - | C1834 - Pressure sensor system im | 01-10-2022 | 12/31/2999 |
| C1839 | C1839 - Iris prosthesis | C1839 - | C1839 - Iris prosthesis | '01/01/2020 | 12/31/2999 |
| C1840 | C1840 - Lens intraocular (telescopic) | C1840 - | C1840 - | 01-10-2011 | 12/31/2999 |
| C1874 | C1874 - Stent coated/cov w/del sys | C1874 - | C1874 - | '01/01/2005 | 12/31/2999 |
| C1875 | C1875 - Stent coated/cov w/o del sy | C1875 - | C1875 - | '01/01/2005 | 12/31/2999 |
| C1876 | C1876 - Stent non-coa/non-cov w/del | C1876 - | C1876 - | '01/01/2005 | 12/31/2999 |
| C1877 | C1877 - Stent non-coat/cov w/o del | C1877 - | C1877 - | '01/01/2005 | 12/31/2999 |
| C1878 | C1878 - Matrl for vocal cord | C1878 - | C1878 - | '01/01/2005 | 12/31/2999 |
| C1880 | C1880 - Vena cava filter | C1880 - | C1880 - | '01/01/2005 | 12/31/2999 |
| C1881 | C1881 - Dialysis access system | C1881 - | C1881 - | '01/01/2005 | 12/31/2999 |
| C1882 | C1882 - AICD other than sing/dual | C1882 - | C1882 - | '01/01/2005 | 12/31/2999 |
| C1883 | C1883 - Adapt/ext pacing/neuro lead | C1883 - | C1883 - | '01/01/2005 | 12/31/2999 |
| C1884 | C1884 - Embolization protective system | C1884 - | C1884 - Embolization Protect syst | '01/01/2003 | 12/31/2999 |
| C1885 | C1885 - Cath translumin angio laser | C1885 - | C1885 - | '01/01/2005 | 12/31/2999 |
| C1886 | C1886 - CATHETER EXTRAVASCULAR TISSUE ABLATION ANY MODALITY (INSERTABLE) | C1886 - | C1886 - | '01/01/2012 | 12/31/2999 |
| C1887 | C1887 - Catheter guiding | C1887 - | C1887 - | '01/01/2005 | 12/31/2999 |
| C1888 | C1888 - Catheter ablation non-cardiac endovascular (implantable) | C1888 - | C1888 - Endovas non-cardiac abl cath | '07/01/2002 | 12/31/2999 |
| C1889 | C1889 - Implantable/insertable device not otherwise classified | C1889 - | C1889 - Implant/insert device noc | '01/01/2019 | 12/31/2999 |
| C1890 | C1890 - No implantable/insertable device used with device-intensive procedures | C1890 - | C1890 - No device w/dev-intensive px | '01/01/2019 | 12/31/2999 |
| C1891 | C1891 - Infusion pump non-prog perm | C1891 - | C1891 - | '01/01/2005 | 12/31/2999 |
| C1892 | C1892 - Intro/sheath fixed peel-away | C1892 - | C1892 - | '01/01/2005 | 12/31/2999 |
| C1893 | C1893 - Intro/sheath fixed non-peel | C1893 - | C1893 - | '01/01/2005 | 12/31/2999 |
| C1894 | C1894 - Intro/sheath non-laser | C1894 - | C1894 - | '01/01/2005 | 12/31/2999 |
| C1895 | C1895 - Lead AICD endo dual coil | C1895 - | C1895 - | '01/01/2005 | 12/31/2999 |
| C1896 | C1896 - Lead AICD non sing/dual | C1896 - | C1896 - | '01/01/2005 | 12/31/2999 |
| C1897 | C1897 - Lead neurostim test kit | C1897 - | C1897 - | '01/01/2005 | 12/31/2999 |
| C1898 | C1898 - Lead pmkr other than trans | C1898 - | C1898 - | '01/01/2005 | 12/31/2999 |
| C1899 | C1899 - Lead pmkr/AICD combination | C1899 - | C1899 - | '01/01/2005 | 12/31/2999 |
| C1900 | C1900 - Lead left ventricular coronary venous system | C1900 - | C1900 - Lead coronary venous | '07/01/2002 | 12/31/2999 |
| C1982 | C1982 - Catheter pressure-generating one-way valve intermittently occlusive | C1982 - | C1982 - Cath pressure valve-occlu | '01/01/2020 | 12/31/2999 |
| C2596 | C2596 - Probe image-guided robotic waterjet ablation | C2596 - | C2596 - Probe robotic water-jet | '01/01/2020 | 12/31/2999 |
| C2613 | C2613 - Lung biopsy plug with delivery system | C2613 - | C2613 - Lung bx plug w/del sys | '07/01/2015 | 12/31/2999 |
| C2614 | C2614 - Probe percutaneous lumbar discectomy | C2614 - | C2614 - Probe perc lumb disc | '01/01/2003 | 12/31/2999 |
| C2615 | C2615 - Sealant pulmonary liquid | C2615 - | C2615 - | '01/01/2005 | 12/31/2999 |
| C2616 | C2616 - BRACHYTX SOURCE YTTRIUM-90 "NON-STRANDED" | C2616 - | C2616 - | '07/01/2007 | 12/31/2999 |
| C2617 | C2617 - Stent non-cor tem w/o del | C2617 - | C2617 - | '01/01/2005 | 12/31/2999 |
| C2618 | C2618 - Probe/needle cryoablation | C2618 - | C2618 - Probe/needle cryo | '01/01/2014 | 12/31/2999 |
| C2619 | C2619 - Pmkr dual non rate-resp | C2619 - | C2619 - | '01/01/2005 | 12/31/2999 |
| C2620 | C2620 - Pmkr single non rate-resp | C2620 - | C2620 - | '01/01/2005 | 12/31/2999 |
| C2621 | C2621 - Pmkr other than sing/dual | C2621 - | C2621 - | '01/01/2005 | 12/31/2999 |
| C2622 | C2622 - Prosthesis penile non-inf | C2622 - | C2622 - | '01/01/2005 | 12/31/2999 |
| C2623 | C2623 - Catheter transluminal angioplasty drug-coated non-laser | C2623 - | C2623 - Cath translumin drug-coat | '04/01/2015 | 12/31/2999 |
| C2624 | C2624 - Implantable wireless pulmonary artery pressure sensor with delivery catheter including all system components | C2624 - | C2624 - Wireless pressure sensor | '03/25/2017 | 12/31/2999 |
| C2625 | C2625 - Stent non-cor tem w/del sy | C2625 - | C2625 - | '01/01/2005 | 12/31/2999 |
| C2626 | C2626 - Infusion pump non-prog temp | C2626 - | C2626 - | '01/01/2005 | 12/31/2999 |
| C2627 | C2627 - Cath suprapubic/cystoscopic | C2627 - | C2627 - | '01/01/2005 | 12/31/2999 |
| C2628 | C2628 - Catheter occlusion | C2628 - | C2628 - | '01/01/2005 | 12/31/2999 |
| C2629 | C2629 - Intro/sheath laser | C2629 - | C2629 - | '01/01/2005 | 12/31/2999 |
| C2630 | C2630 - Cath EP cool-tip | C2630 - | C2630 - | '01/01/2005 | 12/31/2999 |
| C2631 | C2631 - Rep dev urinary w/o sling | C2631 - | C2631 - | '01/01/2005 | 12/31/2999 |
| C2634 | C2634 - BRACHYTHERAPY SOURCE HIGH ACTIVITY IODINE-125 PER SOURCE "NON-STRANDED" | C2634 - | C2634 - Brachytx non-str HA I-125 | '07/01/2007 | 12/31/2999 |
| C2635 | C2635 - BRACHYTHERAPY SOURCE HIGH ACTIVITY PALADIUM-103 PER SOURCE "NON-STRANDED" | C2635 - | C2635 - Brachytx non-str HA P-103 | '07/01/2007 | 12/31/2999 |
| C2636 | C2636 - BRACHYTHERAPY LINEAR SOURCE PALADIUM-103 PER 1 MM "NON-STRANDED" | C2636 - | C2636 - Brachy linear non-str P-103 | '07/01/2007 | 12/31/2999 |
| C2637 | C2637 - BRACHYTHERAPY SOURCE YTTERBIUM-169 PER SOURCE "NON-STRANDED" | C2637 - | C2637 - Brachy non-str Ytterbium-169 | '07/01/2007 | 12/31/2999 |
| C2638 | C2638 - BRACHYTHERAPY SOURCE STRANDED IODINE-125 PER SOURCE | C2638 - | C2638 - Brachytx stranded I-125 | '07/01/2007 | 12/31/2999 |
| C2639 | C2639 - BRACHYTHERAPY SOURCE NON-STRANDED IODINE-125 PER SOURCE | C2639 - | C2639 - Brachytx non-stranded I-125 | '07/01/2007 | 12/31/2999 |
| C2640 | C2640 - BRACHYTHERAPY SOURCE STRANDED PALLADIUM-103 PER SOURCE | C2640 - | C2640 - Brachytx stranded P-103 | '07/01/2007 | 12/31/2999 |
| C2641 | C2641 - BRACHYTHERAPY SOURCE NON-STRANDED PALLADIUM-103 PER SOURCE | C2641 - | C2641 - Brachytx non-stranded P-103 | '07/01/2007 | 12/31/2999 |
| C2642 | C2642 - BRACHYTHERAPY SOURCE STRANDED CESIUM-131 PER SOURCE | C2642 - | C2642 - Brachytx stranded C-131 | '07/01/2007 | 12/31/2999 |
| C2643 | C2643 - BRACHYTHERAPY SOURCE NON-STRANDED CESIUM-131 PER SOURCE | C2643 - | C2643 - Brachytx non-stranded C-131 | '07/01/2007 | 12/31/2999 |
| C2644 | C2644 - Brachytherapy source cesium-131 chloride solution per millicurie | C2644 - | C2644 - Brachytx cesium-131 chloride | '03/25/2017 | 12/31/2999 |
| C2645 | C2645 - Brachytherapy planar source palladium-103 per square millimeter | C2645 - | C2645 - Brachytx planar p-103 | '01/01/2016 | 12/31/2999 |
| C2698 | C2698 - BRACHYTHERAPY SOURCE STRANDED NOT OTHERWISE SPECIFIED PER SOURCE | C2698 - | C2698 - Brachytx stranded NOS | '07/01/2007 | 12/31/2999 |
| C2699 | C2699 - BRACHYTHERAPY SOURCE NON-STRANDED NOT OTHERWISE SPECIFIED PER SOURCE | C2699 - | C2699 - Brachytx non-stranded NOS | '07/01/2007 | 12/31/2999 |
| C5271 | C5271 - Application of low cost skin substitute graft to trunk arms legs total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | C5271 - | C5271 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5272 | C5272 - Application of low cost skin substitute graft to trunk arms legs total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area or part thereof (list separately in addition to code for primary procedure) | C5272 - | C5272 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5273 | C5273 - Application of low cost skin substitute graft to trunk arms legs total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area or 1% of body area of infants and children | C5273 - | C5273 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5274 | C5274 - Application of low cost skin substitute graft to trunk arms legs total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof or each additional 1% of body area of infants and children or part thereof (list separately in addition to code for primary procedure) | C5274 - | C5274 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5275 | C5275 - Application of low cost skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area up to 100 sq cm; first 25 sq cm or less wound surface area | C5275 - | C5275 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5276 | C5276 - Application of low cost skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area up to 100 sq cm; each additional 25 sq cm wound surface area or part thereof (list separately in addition to code for primary procedure) | C5276 - | C5276 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5277 | C5277 - Application of low cost skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area greater than or equal to 100 sq cm; first 100 sq cm wound surface area or 1% of body area of infants and children | C5277 - | C5277 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C5278 | C5278 - Application of low cost skin substitute graft to face scalp eyelids mouth neck ears orbits genitalia hands feet and/or multiple digits total wound surface area greater than or equal to 100 sq cm; each additional 100 sq cm wound surface area or part thereof or each additional 1% of body area of infants and children or part thereof (list separately in addition to code for primary procedure) | C5278 - | C5278 - Low cost skin substitute app | '01/01/2014 | 12/31/2999 |
| C7500 | C7500 - Debridement bone including epidermis dermis subcutaneous tissue muscle and/or fascia if performed first 20 sq cm or less with manual preparation and insertion of deep (eg subfacial) drug-delivery device(s) | C7500 - | C7500 - Deb bone 20 cm2 w/drug dev | '01/01/2023 | 12/31/2999 |
| C7501 | C7501 - Percutaneous breast biopsies using stereotactic guidance with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed all lesions unilateral and bilateral (for single lesion biopsy use appropriate code) | C7501 - | C7501 - Perc bx breast lesions stero | '01/01/2023 | 12/31/2999 |
| C7502 | C7502 - Percutaneous breast biopsies using magnetic resonance guidance with placement of breast localization device(s) (eg clip metallic pellet) when performed and imaging of the biopsy specimen when performed all lesions unilateral or bilateral (for single lesion biopsy use appropriate code) | C7502 - | C7502 - Perc bx breast lesions mr | '01/01/2023 | 12/31/2999 |
| C7503 | C7503 - Open biopsy or excision of deep cervical node(s) with intraoperative identification (eg mapping) of sentinel lymph node(s) including injection of non-radioactive dye when performed | C7503 - | C7503 - Open exc cerv node(s) w/ id | '01/01/2023 | 12/31/2999 |
| C7504 | C7504 - Percutaneous vertebroplasties (bone biopsies included when performed) first cervicothoracic and any additional cervicothoracic or lumbosacral vertebral bodies unilateral or bilateral injection inclusive of all imaging guidance | C7504 - | C7504 - Perq cvt&ls inj vert bodies | '01/01/2023 | 12/31/2999 |
| C7505 | C7505 - Percutaneous vertebroplasties (bone biopsies included when performed) first lumbosacral and any additional cervicothoracic or lumbosacral vertebral bodies unilateral or bilateral injection inclusive of all imaging guidance | C7505 - | C7505 - Perq ls&cvt inj vert bodies | '01/01/2023 | 12/31/2999 |
| C7506 | C7506 - Arthrodesis interphalangeal joints with or without internal fixation | C7506 - | C7506 - Fusion of finger joints | '01/01/2023 | 12/31/2999 |
| C7507 | C7507 - Percutaneous vertebral augmentations first thoracic and any additional thoracic or lumbar vertebral bodies including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg kyphoplasty) unilateral or bilateral cannulations inclusive of all imaging guidance | C7507 - | C7507 - Perq thor&lumb vert aug | '01/01/2023 | 12/31/2999 |
| C7508 | C7508 - Percutaneous vertebral augmentations first lumbar and any additional thoracic or lumbar vertebral bodies including cavity creations (fracture reductions and bone biopsies included when performed) using mechanical device (eg kyphoplasty) unilateral or bilateral cannulations inclusive of all imaging guidance | C7508 - | C7508 - Perq lumb&thor vert aug | '01/01/2023 | 12/31/2999 |
| C7509 | C7509 - Bronchoscopy rigid or flexible diagnostic with cell washing(s) when performed with computer-assisted image-guided navigation including fluoroscopic guidance when performed | C7509 - | C7509 - Dx bronch w/ navigation | '01/01/2023 | 12/31/2999 |
| C7510 | C7510 - Bronchoscopy rigid or flexible with bronchial alveolar lavage(s) with computer-assisted image-guided navigation including fluoroscopic guidance when performed | C7510 - | C7510 - Bronch/lavag w/ navigation | '01/01/2023 | 12/31/2999 |
| C7511 | C7511 - Bronchoscopy rigid or flexible with single or multiple bronchial or endobronchial biopsy(ies) single or multiple sites with computer-assisted image-guided navigation including fluoroscopic guidance when performed | C7511 - | C7511 - Bronch/bpsy(s) w/ navigation | '01/01/2023 | 12/31/2999 |
| C7512 | C7512 - Bronchoscopy rigid or flexible with single or multiple bronchial or endobronchial biopsy(ies) single or multiple sites with transendoscopic endobronchial ultrasound (ebus) during bronchoscopic diagnostic or therapeutic intervention(s) for peripheral lesion(s) including fluoroscopic guidance when performed | C7512 - | C7512 - Bronch/bpsy(s) w/ ebus | '01/01/2023 | 12/31/2999 |
| C7513 | C7513 - Dialysis circuit introduction of needle(s) and/or catheter(s) with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance with transluminal balloon angioplasty of central dialysis segment performed through dialysis circuit including all required imaging radiological supervision and interpretation image documentation and report | C7513 - | C7513 - Cath/angio dialcir w/aplasty | '01/01/2023 | 12/31/2999 |
| C7514 | C7514 - Dialysis circuit introduction of needle(s) and/or catheter(s) with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance with all angioplasty in the central dialysis segment and transcatheter placement of intravascular stent(s) central dialysis segment performed through dialysis circuit including all required imaging radiological supervision and interpretation image documentation and report | C7514 - | C7514 - Cath/angio dial cir w/stents | '01/01/2023 | 12/31/2999 |
| C7515 | C7515 - Dialysis circuit introduction of needle(s) and/or catheter(s) with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance with dialysis circuit permanent endovascular embolization or occlusion of main circuit or any accessory veins including all required imaging radiological supervision and interpretation image documentation and report | C7515 - | C7515 - Cath/angio dial cir w/embol | '01/01/2023 | 12/31/2999 |
| C7516 | C7516 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7516 - | C7516 - Cor angio w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7517 | C7517 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography with iliac and/or femoral artery angiography non-selective bilateral or ipsilateral to catheter insertion performed at the same time as cardiac catheterization and/or coronary angiography includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery injection of dye production of permanent images and radiologic supervision and interpretation | C7517 - | C7517 - Cor angio w/ilic/fem angio | '01/01/2023 | 12/31/2999 |
| C7518 | C7518 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7518 - | C7518 - Cor/gft angio w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7519 | C7519 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7519 - | C7519 - Cor/gft angio w/ flow resrv | '01/01/2023 | 12/31/2999 |
| C7520 | C7520 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) includes intraprocedural injection(s) for bypass graft angiography with iliac and/or femoral artery angiography non-selective bilateral or ipsilateral to catheter insertion performed at the same time as cardiac catheterization and/or coronary angiography includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery injection of dye production of permanent images and radiologic supervision and interpretation | C7520 - | C7520 - Cor/gft angio w/ilic/fem ang | '01/01/2023 | 12/31/2999 |
| C7521 | C7521 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography with right heart catheterization with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7521 - | C7521 - R hrt angio w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7522 | C7522 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7522 - | C7522 - R hrt angio w/flow resrv | '01/01/2023 | 12/31/2999 |
| C7523 | C7523 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7523 - | C7523 - L hrt angio w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7524 | C7524 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7524 - | C7524 - L hrt angio w/flow resrv | '01/01/2023 | 12/31/2999 |
| C7525 | C7525 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7525 - | C7525 - L hrt gft ang w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7526 | C7526 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7526 - | C7526 - L hrt gft ang w/flow resrv | '01/01/2023 | 12/31/2999 |
| C7527 | C7527 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed with endoluminal imaging of initial coronary vessel or graft using intravascular ultrasound (ivus) or optical coherence tomography (oct) during diagnostic evaluation and/or therapeutic intervention including imaging supervision interpretation and report | C7527 - | C7527 - R&l hrt angio w/ ivus or oct | '01/01/2023 | 12/31/2999 |
| C7528 | C7528 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7528 - | C7528 - R&l hrt angio w/flow resrv | '01/01/2023 | 12/31/2999 |
| C7529 | C7529 - Catheter placement in coronary artery(ies) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (initial coronary vessel or graft) during coronary angiography including pharmacologically induced stress | C7529 - | C7529 - R&l hrt gft ang w/flow resrv | '01/01/2023 | 12/31/2999 |
| C7530 | C7530 - Dialysis circuit introduction of needle(s) and/or catheter(s) with diagnostic angiography of the dialysis circuit including all direct puncture(s) and catheter placement(s) injection(s) of contrast all necessary imaging from the arterial anastomosis and adjacent artery through entire venous outflow including the inferior or superior vena cava fluoroscopic guidance with transluminal balloon angioplasty peripheral dialysis segment including all imaging and radiological supervision and interpretation necessary to perform the angioplasty and all angioplasty in the central dialysis segment with transcatheter placement of intravascular stent(s) central dialysis segment performed through dialysis circuit including all imaging radiological supervision and interpretation documentation and report | C7530 - | C7530 - Cath/aplasty dial cir w/stnt | '01/01/2023 | 12/31/2999 |
| C7531 | C7531 - Revascularization endovascular open or percutaneous femoral popliteal artery(ies) unilateral with transluminal angioplasty with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation | C7531 - | C7531 - Angio fem/pop w/ us | '01/01/2023 | 12/31/2999 |
| C7532 | C7532 - Transluminal balloon angioplasty (except lower extremity artery(ies) for occlusive disease intracranial coronary pulmonary or dialysis circuit) initial artery open or percutaneous including all imaging and radiological supervision and interpretation necessary to perform the angioplasty within the same artery with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation | C7532 - | C7532 - Angio w/ us non-coronary | '01/01/2023 | 12/31/2999 |
| C7533 | C7533 - Percutaneous transluminal coronary angioplasty single major coronary artery or branch with transcatheter placement of radiation delivery device for subsequent coronary intravascular brachytherapy | C7533 - | C7533 - Ptca w/ plcmt brachytx dev | '01/01/2023 | 12/31/2999 |
| C7534 | C7534 - Revascularization endovascular open or percutaneous femoral popliteal artery(ies) unilateral with atherectomy includes angioplasty within the same vessel when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation | C7534 - | C7534 - Fem/pop revasc w/arthr & us | '01/01/2023 | 12/31/2999 |
| C7535 | C7535 - Revascularization endovascular open or percutaneous femoral popliteal artery(ies) unilateral with transluminal stent placement(s) includes angioplasty within the same vessel when performed with intravascular ultrasound (initial noncoronary vessel) during diagnostic evaluation and/or therapeutic intervention including radiological supervision and interpretation | C7535 - | C7535 - Fem/pop revasc w/stent & us | '01/01/2023 | 12/31/2999 |
| C7537 | C7537 - Insertion of new or replacement of permanent pacemaker with atrial transvenous electrode(s) with insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable debribrillator or pacemake pulse generator (eg for upgrade to dual chamber system) | C7537 - | C7537 - Insrt atril pm w/l vent lead | '01/01/2023 | 12/31/2999 |
| C7538 | C7538 - Insertion of new or replacement of permanent pacemaker with ventricular transvenous electrode(s) with insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable defribrillator or pacemaker pulse generator (eg for upgrade to dual chamber system) | C7538 - | C7538 - Insrt vent pm w/l vent lead | '01/01/2023 | 12/31/2999 |
| C7539 | C7539 - Insertion of new or replacement of permanent pacemaker with atrial and ventricular transvenous electrode(s) with insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable defibrillator or pacemaker pulse generator (eg for upgrade to dual chamber system) | C7539 - | C7539 - Insrt a & v pm w/l vent lead | '01/01/2023 | 12/31/2999 |
| C7540 | C7540 - Removal of permanent pacemaker pulse generator with replacement of pacemaker pulse generator dual lead system with insertion of pacing electrode cardiac venous system for left ventricular pacing at time of insertion of implantable defibrillator or pacemaker pulse generator (eg for upgrade to dual chamber system) | C7540 - | C7540 - Rmv&rplc pm dul w/l vnt lead | '01/01/2023 | 12/31/2999 |
| C7541 | C7541 - Diagnostic endoscopic retrograde cholangiopancreatography (ercp) including collection of specimen(s) by brushing or washing when performed with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | C7541 - | C7541 - Ercp w/ pancreatoscopy | '01/01/2023 | 12/31/2999 |
| C7542 | C7542 - Endoscopic retrograde cholangiopancreatography (ercp) with biopsy single or multiple with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | C7542 - | C7542 - Ercp w/bx & pancreatoscopy | '01/01/2023 | 12/31/2999 |
| C7543 | C7543 - Endoscopic retrograde cholangiopancreatography (ercp) with sphincterotomy/papillotomy with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | C7543 - | C7543 - Ercp w/otomy pancreatoscopy | '01/01/2023 | 12/31/2999 |
| C7544 | C7544 - Endoscopic retrograde cholangiopancreatography (ercp) with removal of calculi/debris from biliary/pancreatic duct(s) with endoscopic cannulation of papilla with direct visualization of pancreatic/common bile ducts(s) | C7544 - | C7544 - Ercp rmv calc pancreatoscopy | '01/01/2023 | 12/31/2999 |
| C7545 | C7545 - Percutaneous exchange of biliary drainage catheter (eg external internal-external or conversion of internal-external to external only) with removal of calculi/debris from biliary duct(s) and/or gallbladder including destruction of calculi by any method (eg mechanical electrohydraulic lithotripsy) when performed including diagnostic cholangiography(ies) when performed imaging guidance (eg fluoroscopy) and all associated radiological supervision and interpretation | C7545 - | C7545 - Exch bil cath w/ rmv calculi | '01/01/2023 | 12/31/2999 |
| C7546 | C7546 - Removal and replacement of externally accessible nephroureteral catheter (eg external/internal stent) requiring fluoroscopic guidance with ureteral stricture balloon dilation including imaging guidance and all associated radiological supervision and interpretation | C7546 - | C7546 - Rep nph/urt cath w/dil stric | '01/01/2023 | 12/31/2999 |
| C7547 | C7547 - Convert nephrostomy catheter to nephroureteral catheter percutaneous via pre-existing nephrostomy tract with ureteral stricture balloon dialation including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | C7547 - | C7547 - Cnvrt neph cath w/ dil stric | '01/01/2023 | 12/31/2999 |
| C7548 | C7548 - Exchange nephrostomy catheter percutaneous with ureteral stricture balloon dilation including diagnostic nephrostogram and/or ureterogram when performed imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | C7548 - | C7548 - Exch neph cath w/ dil stric | '01/01/2023 | 12/31/2999 |
| C7549 | C7549 - Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit with ureteral stricture balloon dilation including imaging guidance (eg ultrasound and/or fluoroscopy) and all associated radiological supervision and interpretation | C7549 - | C7549 - Chge urtr stent w/ dil stric | '01/01/2023 | 12/31/2999 |
| C7550 | C7550 - Cystourethroscopy with biopsy(ies) with adjuctive blue light cystoscopy with fluorescent imaging agent | C7550 - | C7550 - Cysto w/ bx(s) w/ blue light | '01/01/2023 | 12/31/2999 |
| C7551 | C7551 - Excision of major peripheral nerve neuroma except sciatic with implantation of nerve end into bone or muscle | C7551 - | C7551 - Exc neuroma w/ implnt nv end | '01/01/2023 | 12/31/2999 |
| C7552 | C7552 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) including intraprocedural injection(s) for bypass graft angiography and right heart catheterization with intravascular doppler velocity and/or pressure derived coronary flow reserve measurement (coronary vessel or graft) during coronary angiography including pharmacologically induced stress initial vessel | C7552 - | C7552 - R hrt art/grft ang hrt flow | '01/01/2023 | 12/31/2999 |
| C7553 | C7553 - Catheter placement in coronary artery(s) for coronary angiography including intraprocedural injection(s) for coronary angiography imaging supervision and interpretation; with right and left heart catheterization including intraprocedural injection(s) for left ventriculography when performed catheter placement(s) in bypass graft(s) (internal mammary free arterial venous grafts) with bypass graft angiography with pharmacologic agent administration (eg inhaled nitric oxide intravenous infusion of nitroprusside dobutamine milrinone or other agent) including assessing hemodynamic measurements before during after and repeat pharmacologic agent administration when performed | C7553 - | C7553 - R&i hrt art/vent ang drg ad | '01/01/2023 | 12/31/2999 |
| C7554 | C7554 - Cystourethroscopy with adjunctive blue light cystoscopy with fluorescent imaging agent | C7554 - | C7554 - Cystureth blu li cyst fl img | '01/01/2023 | 12/31/2999 |
| C7555 | C7555 - Thyroidectomy total or complete with parathyroid autotransplantation | C7555 - | C7555 - Rmvl thyrd w/autotran parath | '01/01/2023 | 12/31/2999 |
| C7900 | C7900 - Service for diagnosis evaluation or treatment of a mental health or substance use disorder initial 15-29 minutes provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s) when the patient is in their home and there is no associated professional service | C7900 - | C7900 - Hopd mntl hlt 15-29 min | '01/01/2023 | 12/31/2999 |
| C7901 | C7901 - Service for diagnosis evaluation or treatment of a mental health or substance use disorder initial 30-60 minutes provided remotely by hospital staff who are licensed to provided mental health services under applicable state law(s) when the patient is in their home and there is no associated professional service | C7901 - | C7901 - Hopd mntl hlt 30-60 min | '01/01/2023 | 12/31/2999 |
| C7902 | C7902 - Service for diagnosis evaluation or treatment of a mental health or substance use disorder each additional 15 minutes provided remotely by hospital staff who are licensed to provide mental health services under applicable state law(s) when the patient is in their home and there is no associated professional service (list separately in addition to code for primary service) | C7902 - | C7902 - Hopd mntl hlt ea addl | '01/01/2023 | 12/31/2999 |
| C8900 | C8900 - Magnetic resonance angiography with contrast abdomen | C8900 - | C8900 - MRA w/cont abd | 01-10-2001 | 12/31/2999 |
| C8901 | C8901 - Magnetic resonance angiography without contrast abdomen | C8901 - | C8901 - MRA w/o cont abd | 01-10-2001 | 12/31/2999 |
| C8902 | C8902 - Magnetic resonance angiography without contrast followed by with contrast abdomen | C8902 - | C8902 - MRA w/o fol w/cont abd | 01-10-2001 | 12/31/2999 |
| C8903 | C8903 - Magnetic resonance imaging with contrast breast; unilateral | C8903 - | C8903 - MRI w/cont breast uni | 01-10-2001 | 12/31/2999 |
| C8905 | C8905 - Magnetic resonance imaging without contrast followed by with contrast breast; unilateral | C8905 - | C8905 - MRI w/o fol w/cont brst un | 01-10-2001 | 12/31/2999 |
| C8906 | C8906 - Magnetic resonance imaging with contrast breast; bilateral | C8906 - | C8906 - MRI w/cont breast bi | 01-10-2001 | 12/31/2999 |
| C8908 | C8908 - Magnetic resonance imaging without contrast followed by with contrast breast; bilateral | C8908 - | C8908 - MRI w/o fol w/cont breast | 01-10-2001 | 12/31/2999 |
| C8909 | C8909 - Magnetic resonance angiography with contrast chest (excluding myocardium) | C8909 - | C8909 - MRA w/cont chest | 01-10-2001 | 12/31/2999 |
| C8910 | C8910 - Magnetic resonance angiography without contrast chest (excluding myocardium) | C8910 - | C8910 - MRA w/o cont chest | 01-10-2001 | 12/31/2999 |
| C8911 | C8911 - Magnetic resonance angiography without contrast followed by with contrast chest (excluding myocardium) | C8911 - | C8911 - MRA w/o fol w/cont chest | 01-10-2001 | 12/31/2999 |
| C8912 | C8912 - Magnetic resonance angiography with contrast lower extremity | C8912 - | C8912 - MRA w/cont lwr ext | 01-10-2001 | 12/31/2999 |
| C8913 | C8913 - Magnetic resonance angiography without contrast lower extremity | C8913 - | C8913 - MRA w/o cont lwr ext | 01-10-2001 | 12/31/2999 |
| C8914 | C8914 - Magnetic resonance angiography without contrast followed by with contrast lower extremity | C8914 - | C8914 - MRA w/o fol w/cont lwr ext | 01-10-2001 | 12/31/2999 |
| C8918 | C8918 - Magnetic resonance angiography with contrast pelvis | C8918 - | C8918 - MRA w/cont pelvis | '07/01/2003 | 12/31/2999 |
| C8919 | C8919 - Magnetic resonance angiography without contrast pelvis | C8919 - | C8919 - MRA w/o cont pelvis | '07/01/2003 | 12/31/2999 |
| C8920 | C8920 - Magnetic resonance angiography without contrast followed by with contrast pelvis | C8920 - | C8920 - MRA w/o fol w/cont pelvis | '07/01/2003 | 12/31/2999 |
| C8921 | C8921 - Transthoracic echocardiography with contrast or without contrast followed by with contrast for congenital cardiac anomalies; complete | C8921 - | C8921 - TTE w or w/o fol w/cont com | '01/01/2008 | 12/31/2999 |
| C8922 | C8922 - TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST FOR CONGENITAL CARDIAC ANOMALIES; FOLLOW-UP OR LIMITED STUDY | C8922 - | C8922 - TTE w or w/o fol w/cont f/u | '01/01/2009 | 12/31/2999 |
| C8923 | C8923 - Transthoracic echocardiography with contrast or without contrast followed by with contrast real-time with image documentation (2D) includes M-mode recording when performed complete without spectral or color doppler echocardiography | C8923 - | C8923 - | '01/01/2010 | 12/31/2999 |
| C8924 | C8924 - Transthoracic echocardiography with contrast or without contrast followed by with contrast real-time with image documentation (2D) includes M-mode recording when performed follow-up or limited study | C8924 - | C8924 - | '01/01/2010 | 12/31/2999 |
| C8925 | C8925 - Transesophageal echocardiography (tee) with contrast or without contrast followed by with contrast real time with image documentation (2d) (with or without m-mode recording); including probe placement image acquisition interpretation and report | C8925 - | C8925 - 2D TEE w or w/o fol w/con in | '01/01/2008 | 12/31/2999 |
| C8926 | C8926 - Transesophageal echocardiography (tee) with contrast or without contrast followed by with contrast for congenital cardiac anomalies; including probe placement image acquisition interpretation and report | C8926 - | C8926 - TEE w or w/o fol w/cont cong | '01/01/2008 | 12/31/2999 |
| C8927 | C8927 - Transesophageal echocardiography (tee) with contrast or without contrast followed by with contrast for monitoring purposes including probe placement real time 2-dimensional image acquisition and interpretation leading to ongoing (continuous) assessment of (dynamically changing) cardiac pumping function and to therapeutic measures on an immediate time basis | C8927 - | C8927 - TEE w or w/o fol w/cont mon | '01/01/2008 | 12/31/2999 |
| C8928 | C8928 - Transthoracic echocardiography with contrast or without contrast followed by with contrast real-time with image documentation (2D) includes M-mode recording during rest and cardiovascular stress test using treadmill bicycle exercise and/or pharmacologically induced stress with interpretation and report | C8928 - | C8928 - | '01/01/2010 | 12/31/2999 |
| C8929 | C8929 - TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST REAL-TIME WITH IMAGE DOCUMENTATION (2D) INCLUDES M-MODE RECORDING WHEN PERFORMED COMPLETE WITH SPECTRAL DOPPLER ECHOCARDIOGRAPHY AND WITH COLOR FLOW DOPPLER ECHOCARDIOGRAPHY | C8929 - | C8929 - TTE w or wo fol wcon Doppler | '01/01/2009 | 12/31/2999 |
| C8930 | C8930 - TRANSTHORACIC ECHOCARDIOGRAPHY WITH CONTRAST OR WITHOUT CONTRAST FOLLOWED BY WITH CONTRAST REAL-TIME WITH IMAGE DOCUMENTATION (2D) INCLUDES M-MODE RECORDING WHEN PERFORMED DURING REST AND CARDIOVASCULAR STRESS TEST USING TREADMILL BICYCLE EXERCISE AND/OR PHARMACOLOGICALLY INDUCED STRESS WITH INTERPRETATION AND REPORT; INCLUDING PERFORMANCE OF CONTINUOUS ELECTROCARDIOGRAPHIC MONITORING WITH PHYSICIAN SUPERVISION | C8930 - | C8930 - TTE w or w/o contr cont ECG | '01/01/2009 | 12/31/2999 |
| C8931 | C8931 - Magnetic resonance angiography with contrast spinal canal and contents | C8931 - | C8931 - MRA w/dye spinal canal | 01-10-2010 | 12/31/2999 |
| C8932 | C8932 - Magnetic resonance angiography without contrast spinal canal and contents | C8932 - | C8932 - MRA w/o dye spinal canal | 01-10-2010 | 12/31/2999 |
| C8933 | C8933 - Magnetic resonance angiography without contrast followed by with contrast spinal canal and contents | C8933 - | C8933 - MRA w/o&w/dye spinal canal | 01-10-2010 | 12/31/2999 |
| C8934 | C8934 - Magnetic resonance angiography with contrast upper extremity | C8934 - | C8934 - MRA w/dye upper extremity | 01-10-2010 | 12/31/2999 |
| C8935 | C8935 - Magnetic resonance angiography without contrast upper extremity | C8935 - | C8935 - MRA w/o dye upper extr | 01-10-2010 | 12/31/2999 |
| C8936 | C8936 - Magnetic resonance angiography without contrast followed by with contrast upper extremity | C8936 - | C8936 - MRA w/o&w/dye upper extr | 01-10-2010 | 12/31/2999 |
| C8937 | C8937 - Computer-aided detection including computer algorithm analysis of breast mri image data for lesion detection/characterization pharmacokinetic analysis with further physician review for interpretation (list separately in addition to code for primary procedure) | C8937 - | C8937 - Cad breast mri | '01/01/2019 | 12/31/2999 |
| C8957 | C8957 - Intravenous infusion for therapy/diagnosis; initiation of prolonged infusion (more than 8 hours) requiring use of portable or implantable pump | C8957 - | C8957 - Prolonged IV inf req pump | '01/01/2006 | 12/31/2999 |
| C9046 | C9046 - Cocaine hydrochloride nasal solution for topical administration 1 mg | C9046 - | C9046 - Cocaine hcl nasal solution | '04/01/2019 | 12/31/2999 |
| C9047 | C9047 - Injection caplacizumab-yhdp 1 mg | C9047 - | C9047 - Injection caplacizumab-yhdp | '07/01/2019 | 12/31/2999 |
| C9067 | C9067 - Gallium ga-68 dotatoc diagnostic 0.01 mci | C9067 - | C9067 - Gallium ga-68 dotatoc | 01-10-2020 | 12/31/2999 |
| C9088 | C9088 - Instillation bupivacaine and meloxicam 1 mg/0.03 mg | C9088 - | C9088 - Instill bupivac and meloxic | '01/01/2022 | 12/31/2999 |
| C9089 | C9089 - Bupivacaine collagen-matrix implant 1 mg | C9089 - | C9089 - Bupivacaine implant 1 mg | '01/01/2022 | 12/31/2999 |
| C9101 | C9101 - Injection oliceridine 0.1 mg | C9101 - | C9101 - Inj oliceridine 0.1 mg | 01-10-2022 | 12/31/2999 |
| C9113 | C9113 - Injection pantoprazole sodium per vial | C9113 - | C9113 - Inj pantoprazole sodium via | '03/25/2017 | 12/31/2999 |
| C9143 | C9143 - Cocaine hydrochloride nasal solution (numbrino) 1 mg | C9143 - | C9143 - Cocaine hcl nasal (numbrino) | '01/01/2023 | 12/31/2999 |
| C9144 | C9144 - Injection bupivacaine (posimir) 1 mg | C9144 - | C9144 - Inj bupivacaine (posimir) | '01/01/2023 | 12/31/2999 |
| C9248 | C9248 - INJECTION CLEVIDIPIEN BUTYRATE 1 MG | C9248 - | C9248 - Inj clevidipine butyrate | '01/01/2009 | 12/31/2999 |
| C9250 | C9250 - Human plasma fibrin sealant vapor-heated solvent-detergent (Artiss) 2ml | C9250 - | C9250 - Artiss fibrin sealant | '07/01/2009 | 12/31/2999 |
| C9254 | C9254 - INJECTION LACOSAMIDE 1 MG | C9254 - | C9254 - Injection lacosamide | '01/01/2010 | 12/31/2999 |
| C9257 | C9257 - INJECTION BEVACIZUMAB 0.25 MG | C9257 - | C9257 - Bevacizumab injection | '01/01/2010 | 12/31/2999 |
| C9285 | C9285 - Lidocaine 70 mg/tetracaine 70 mg. per patch | C9285 - | C9285 - | '03/25/2017 | 12/31/2999 |
| C9290 | C9290 - Injection bupivacaine liposome 1 mg | C9290 - | C9290 - Inj bupivacaine liposome | '03/25/2017 | 12/31/2999 |
| C9293 | C9293 - Injection glucarpidase 10 units | C9293 - | C9293 - Injection glucarpidase | '03/25/2017 | 12/31/2999 |
| C9352 | C9352 - MICROPOROUS COLLAGEN IMPLANTABLE TUBE (NEURAGEN NERVE GUIDE) PER CENTIMETER | C9352 - | C9352 - Neuragen nerve guide per cm | '01/01/2008 | 12/31/2999 |
| C9353 | C9353 - MICROPOROUS COLLAGEN IMPLANTABLE SLIT TUBE (NEURAWRAP NERVE PROTECTOR) PER | C9353 - | C9353 - Neurawrap nerve protector cm | '01/01/2008 | 12/31/2999 |
| C9354 | C9354 - Acellular pericardial tissue matrix of non-human origin (Veritas) per square centimeter | C9354 - | C9354 - Veritas collagen matrix cm2 | '01/01/2008 | 12/31/2999 |
| C9355 | C9355 - Collagen nerve cuff (NeuroMatrix) per 0.5 centimeter length | C9355 - | C9355 - Neuromatrix nerve cuff cm | '01/01/2008 | 12/31/2999 |
| C9356 | C9356 - Tendon porous matrix of cross-linked collagen and glycosaminoglycan matrix (TenoGlide Tendon Protector Sheet) per square centimeter | C9356 - | C9356 - TenoGlide tendon prot cm2 | '07/01/2008 | 12/31/2999 |
| C9358 | C9358 - Dermal substitute native non-denatured collagen fetal bovine origin (SurgiMend Collagen Matrix) per 0.5 square centimeters | C9358 - | C9358 - | '07/01/2009 | 12/31/2999 |
| C9359 | C9359 - Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Putty Integra OS Osteoconductive Scaffold Putty) per 0.5 cc | C9359 - | C9359 - Implnt bon void filler-putty | 01-10-2008 | 12/31/2999 |
| C9360 | C9360 - Dermal substitute native non-denatured collagen neonatal bovine origin (SurgiMend Collagen Matrix) per 0.5 square centimeters | C9360 - | C9360 - SurgiMend neonatal | '07/01/2009 | 12/31/2999 |
| C9361 | C9361 - Collagen matrix nerve wrap (NeuroMend Collagen Nerve Wrap) per 0.5 centimeter length | C9361 - | C9361 - NeuroMend nerve wrap | '07/01/2009 | 12/31/2999 |
| C9362 | C9362 - Porous purified collagen matrix bone void filler (Integra Mozaik Osteoconductive Scaffold Strip) per 0.5 cc | C9362 - | C9362 - Implnt bon void filler-strip | '07/01/2009 | 12/31/2999 |
| C9363 | C9363 - Skin substitute Integra Meshed Bilayer Wound Matrix per square centimeter | C9363 - | C9363 - Integra Meshed Bil Wound Mat | '07/01/2009 | 12/31/2999 |
| C9364 | C9364 - Porcine implant Permacol per square centimeter | C9364 - | C9364 - Porcine implant Permacol | '07/01/2009 | 12/31/2999 |
| C9399 | C9399 - unclassified drugs or biologicals | C9399 - | C9399 - | '03/25/2017 | 12/31/2999 |
| C9460 | C9460 - Injection cangrelor 1 mg | C9460 - | C9460 - Injection cangrelor | '01/01/2016 | 12/31/2999 |
| C9462 | C9462 - Injection delafloxacin 1 mg | C9462 - | C9462 - Injection delafloxacin | '04/01/2018 | 12/31/2999 |
| C9482 | C9482 - Injection sotalol hydrochloride 1 mg | C9482 - | C9482 - Sotalol hydrochloride IV | 01-10-2016 | 12/31/2999 |
| C9488 | C9488 - Injection conivaptan hydrochloride 1 mg | C9488 - | C9488 - Conivaptan HCL | '04/01/2017 | 12/31/2999 |
| C9507 | C9507 - Fresh frozen plasma high titer COVID-19 convalescent frozen within 8 hours of collection each unit | C9507 - | C9507 - COVID-19 convalescent plasma | 12/28/2021 | 12/31/2999 |
| C9600 | C9600 - Percutaneous transcatheter placement of drug eluting intracoronary stent(s) with coronary angioplasty when performed;?single major coronary artery or branch | C9600 - | C9600 - Perc drug-el cor stent sing | '01/01/2013 | 12/31/2999 |
| C9601 | C9601 - Percutaneous transcatheter placement of drug-eluting intracoronary stent(s) with coronary angioplasty when performed;? each additional branch of a major coronary artery (list separately in addition to code for primary procedure) | C9601 - | C9601 - Perc drug-el cor stent bran | '01/01/2013 | 12/31/2999 |
| C9602 | C9602 - Percutaneous transluminal coronary atherectomy with drug eluting intracoronary stent with coronary angioplasty when performed;?single major coronary artery or branch | C9602 - | C9602 - Perc d-e cor stent ather s | '01/01/2013 | 12/31/2999 |
| C9603 | C9603 - Percutaneous transluminal coronary atherectomy with drug-eluting intracoronary stent with coronary angioplasty when performed;?each additional branch of a major coronary artery (list separately in addition to code for primary procedure) | C9603 - | C9603 - Perc d-e cor stent ather br | '01/01/2013 | 12/31/2999 |
| C9604 | C9604 - Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary free arterial venous) any combination of drug-eluting intracoronary stent atherectomy and angioplasty including distal protection when performed;?single vessel | C9604 - | C9604 - Perc d-e cor revasc t cabg s | '01/01/2013 | 12/31/2999 |
| C9605 | C9605 - Percutaneous transluminal revascularization of or through coronary artery bypass graft (internal mammary free arterial venous) any combination of drug-eluting intracoronary stent atherectomy and angioplasty including distal protection when performed;? each additional branch subtended by the bypass graft (list separately in addition to code for primary procedure) | C9605 - | C9605 - Perc d-e cor revasc t cabg b | '01/01/2013 | 12/31/2999 |
| C9606 | C9606 - Percutaneous transluminal revascularization of acute total/subtotal occlusion during acute myocardial infarction coronary artery or coronary artery bypass graft any combination of drug-eluting intracoronary stent atherectomy and angioplasty including aspiration thrombectomy when performed single vessel | C9606 - | C9606 - Perc d-e cor revasc w AMI s | '01/01/2013 | 12/31/2999 |
| C9607 | C9607 - Percutaneous transluminal revascularization of chronic total occlusion coronary artery coronary artery branch or coronary artery bypass graft any combination of drug-eluting intracoronary stent atherectomy and angioplasty;?single vessel | C9607 - | C9607 - Perc d-e cor revasc chro sin | '01/01/2013 | 12/31/2999 |
| C9608 | C9608 - Percutaneous transluminal revascularization of chronic total occlusion coronary artery coronary artery branch or coronary artery bypass graft any combination of drug-eluting intracoronary stent atherectomy and angioplasty;? each additional coronary artery coronary artery branch or bypass graft (list separately in addition to code for primary procedure) | C9608 - | C9608 - Perc d-e cor revasc chro add | '01/01/2013 | 12/31/2999 |
| C9725 | C9725 - PLACEMENT OF ENDORECTAL INTRACAVITARY APPLICATOR FOR HIGH INTENSITY BRACHYTHERAPY | C9725 - | C9725 - Place endorectal app | 01-10-2005 | 12/31/2999 |
| C9726 | C9726 - Placement and removal (if performed) of applicator into breast for radiation therapy | C9726 - | C9726 - | '04/01/2006 | 12/31/2999 |
| C9727 | C9727 - Insertion of implants into the soft palate; minimum of three implants | C9727 - | C9727 - Insert palate implants | 01-10-2006 | 12/31/2999 |
| C9728 | C9728 - PLACEMENT OF INTERSTITIAL DEVICE(S) FOR RADIATION THERAPY/SURGERY GUIDANCE (EG FIDUCIAL MARKERS DOSIMETER) FOR OTHER THAN THE FOLLOWING SITES (ANY APPROACH): ABDOMEN PELVIS PROSTATE RETROPERITONEUM THORAX SINGLE OR MULTIPLE | C9728 - | C9728 - Place device/marker non pro | '01/01/2010 | 12/31/2999 |
| C9733 | C9733 - Non-ophthalmic fluorescent vascular angiography | C9733 - | C9733 - Non-ophthalmic FVA | '04/01/2012 | 12/31/2999 |
| C9734 | C9734 - Focused ultrasound ablation/therapeutic intervention other than uterine leiomyomata with magnetic resonance (MR) guidance | C9734 - | C9734 - U/S trtmt not leiomyomata | '07/01/2013 | 12/31/2999 |
| C9738 | C9738 - Adjunctive blue light cystoscopy with fluorescent imaging agent (list separately in addition to code for primary procedure) | C9738 - | C9738 - Blue light cysto imag agent | '01/01/2018 | 12/31/2999 |
| C9739 | C9739 - Cystourethroscopy with insertion of transprostatic implant; 1 to 3 implants | C9739 - | C9739 - Cystoscopy prostatic imp 1-3 | '04/01/2014 | 12/31/2999 |
| C9740 | C9740 - Cystourethroscopy with insertion of transprostatic implant; 4 or more implants | C9740 - | C9740 - Cysto impl 4 or more | '04/01/2014 | 12/31/2999 |
| C9751 | C9751 - Bronchoscopy rigid or flexible transbronchial ablation of lesion(s) by microwave energy including fluoroscopic guidance when performed with computed tomography acquisition(s) and 3-d rendering computer-assisted image-guided navigation and endobronchial ultrasound (ebus) guided transtracheal and/or transbronchial sampling (eg aspiration[s]/biopsy[ies]) and all mediastinal and/or hilar lymph node stations or structures and therapeutic intervention(s) | C9751 - | C9751 - Microwave bronch 3d ebus | '01/01/2019 | 12/31/2999 |
| C9756 | C9756 - Intraoperative near-infrared fluorescence lymphatic mapping of lymph node(s) (sentinel or tumor draining) with administration of indocyanine green (ICG) (List separately in addition to code for primary procedure) | C9756 - | C9756 - Fluorescence lymph map w/ICG | '07/01/2019 | 12/31/2999 |
| C9757 | C9757 - Laminotomy (hemilaminectomy) with decompression of nerve root(s) including partial facetectomy foraminotomy and excision of herniated intervertebral disc and repair of annular defect with implantation of bone anchored annular closure device including annular defect measurement alignment and sizing assessment and image guidance; 1 interspace lumbar | C9757 - | C9757 - Spine/lumbar disk surgery | '01/01/2020 | 12/31/2999 |
| C9758 | C9758 - Blinded procedure for nyha class iii/iv heart failure; transcatheter implantation of interatrial shunt or placebo control including right heart catheterization trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice) and all imaging with or without guidance (e.g. ultrasound fluoroscopy) performed in an approved investigational device exemption (ide) study | C9758 - | C9758 - Interatrial shunt ide | '01/01/2020 | 12/31/2999 |
| C9759 | C9759 - Transcatheter intraoperative blood vessel microinfusion(s) (e.g. intraluminal vascular wall and/or perivascular) therapy any vessel including radiological supervision and interpretation when performed | C9759 - | C9759 - Transcath intraop microinf | '07/01/2020 | 12/31/2999 |
| C9760 | C9760 - Non-randomized non-blinded procedure for nyha class ii iii iv heart failure; transcatheter implantation of interatrial shunt including right and left heart catheterization transeptal puncture trans-esophageal echocardiography (tee)/intracardiac echocardiography (ice) and all imaging with or without guidance (e.g. ultrasound fluoroscopy) performed in an approved investigational device exemption (ide) study | C9760 - | C9760 - Non-blind interatrial shunt | '01/01/2021 | 12/31/2999 |
| C9761 | C9761 - Cystourethroscopy with ureteroscopy and/or pyeloscopy with lithotripsy and ureteral catheterization for steerable vacuum aspiration of the kidney collecting system ureter bladder and urethra if applicable (must use a steerable ureteral catheter) | C9761 - | C9761 - Cysto litho vacuum kidney | '01/01/2023 | 12/31/2999 |
| C9762 | C9762 - Cardiac magnetic resonance imaging for morphology and function quantification of segmental dysfunction; with strain imaging | C9762 - | C9762 - Cardiac mri seg dys strain | '07/01/2020 | 12/31/2999 |
| C9763 | C9763 - Cardiac magnetic resonance imaging for morphology and function quantification of segmental dysfunction; with stress imaging | C9763 - | C9763 - Cardiac mri seg dys stress | '07/01/2020 | 12/31/2999 |
| C9764 | C9764 - Revascularization endovascular open or percutaneous any vessel(s); with intravascular lithotripsy includes angioplasty within the same vessel(s) when performed | C9764 - | C9764 - Revasc intravasc lithotripsy | '07/01/2020 | 12/31/2999 |
| C9765 | C9765 - Revascularization endovascular open or percutaneous any vessel(s); with intravascular lithotripsy and transluminal stent placement(s) includes angioplasty within the same vessel(s) when performed | C9765 - | C9765 - Revasc intra lithotrip-stent | '07/01/2020 | 12/31/2999 |
| C9766 | C9766 - Revascularization endovascular open or percutaneous any vessel(s); with intravascular lithotripsy and atherectomy includes angioplasty within the same vessel(s) when performed | C9766 - | C9766 - Revasc intra lithotrip-ather | '07/01/2020 | 12/31/2999 |
| C9767 | C9767 - Revascularization endovascular open or percutaneous any vessel(s); with intravascular lithotripsy and transluminal stent placement(s) and atherectomy includes angioplasty within the same vessel(s) when performed | C9767 - | C9767 - Revasc lithotrip-stent-ather | '07/01/2020 | 12/31/2999 |
| C9768 | C9768 - Endoscopic ultrasound-guided direct measurement of hepatic portosystemic pressure gradient by any method (list separately in addition to code for primary procedure) | C9768 - | C9768 - Endo us-guide hep porto grad | 01-10-2020 | 12/31/2999 |
| C9769 | C9769 - Cystourethroscopy with insertion of temporary prostatic implant/stent with fixation/anchor and incisional struts | C9769 - | C9769 - Cysto w/temp pros implant | 01-10-2020 | 12/31/2999 |
| C9770 | C9770 - Vitrectomy mechanical pars plana approach with subretinal injection of pharmacologic/biologic agent | C9770 - | C9770 - Vitrec/mech pars subret inj | '01/01/2021 | 12/31/2999 |
| C9771 | C9771 - Nasal/sinus endoscopy cryoablation nasal tissue(s) and/or nerve(s) unilateral or bilateral | C9771 - | C9771 - Nsl/sins cryo post nasal tis | '01/01/2021 | 12/31/2999 |
| C9772 | C9772 - Revascularization endovascular open or percutaneous tibial/peroneal artery(ies) with intravascular lithotripsy includes angioplasty within the same vessel (s) when performed | C9772 - | C9772 - Revasc lithotrip tibi/perone | '01/01/2021 | 12/31/2999 |
| C9773 | C9773 - Revascularization endovascular open or percutaneous tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s) includes angioplasty within the same vessel(s) when performed | C9773 - | C9773 - Revasc lithotr-stent tib/per | '01/01/2021 | 12/31/2999 |
| C9774 | C9774 - Revascularization endovascular open or percutaneous tibial/peroneal artery(ies); with intravascular lithotripsy and atherectomy includes angioplasty within the same vessel (s) when performed | C9774 - | C9774 - Revasc lithotr-ather tib/per | '01/01/2021 | 12/31/2999 |
| C9775 | C9775 - Revascularization endovascular open or percutaneous tibial/peroneal artery(ies); with intravascular lithotripsy and transluminal stent placement(s) and atherectomy includes angioplasty within the same vessel (s) when performed | C9775 - | C9775 - Revasc lith-sten-ath tib/per | '01/01/2021 | 12/31/2999 |
| C9776 | C9776 - Intraoperative near-infrared fluorescence imaging of major extra-hepatic bile duct(s) (e.g. cystic duct common bile duct and common hepatic duct) with intravenous administration of indocyanine green (icg) (list separately in addition to code for primary procedure) | C9776 - | C9776 - Fluo bile duct imaging w/icg | '04/01/2021 | 12/31/2999 |
| C9777 | C9777 - Esophageal mucosal integrity testing by electrical impedance transoral includes esophagoscopy or esophagogastroduodenoscopy | C9777 - | C9777 - Esophag muc integ w/eso egd | '01/01/2022 | 12/31/2999 |
| C9778 | C9778 - Colpopexy vaginal; minimally invasive extra-peritoneal approach (sacrospinous) | C9778 - | C9778 - Colpopexy min/inv ex-perit | '07/01/2021 | 12/31/2999 |
| C9779 | C9779 - Endoscopic submucosal dissection (esd) including endoscopy or colonoscopy mucosal closure when performed | C9779 - | C9779 - Esd endoscopy or colonoscopy | 01-10-2021 | 12/31/2999 |
| C9780 | C9780 - Insertion of central venous catheter through central venous occlusion via inferior and superior approaches (e.g. inside-out technique) including imaging guidance | C9780 - | C9780 - Insert cv cath inf & sup app | 01-10-2021 | 12/31/2999 |
| C9781 | C9781 - Arthroscopy shoulder surgical; with implantation of subacromial spacer (e.g. balloon) includes debridement (e.g. limited or extensive) subacromial decompression acromioplasty and biceps tenodesis when performed | C9781 - | C9781 - Arthro/shoul surg; w/spacer | '04/01/2022 | 12/31/2999 |
| C9782 | C9782 - Blinded procedure for new york heart association (nyha) class ii or iii heart failure or canadian cardiovascular society (ccs) class iii or iv chronic refractory angina; transcatheter intramyocardial transplantation of autologous bone marrow cells (e.g. mononuclear) or placebo control autologous bone marrow harvesting and preparation for transplantation left heart catheterization including ventriculography all laboratory services and all imaging with or without guidance (e.g. transthoracic echocardiography ultrasound fluoroscopy) performed in an approved investigational device exemption (ide) study | C9782 - | C9782 - Blind myocar trpl bon marrow | '04/01/2022 | 12/31/2999 |
| C9783 | C9783 - Blinded procedure for transcatheter implantation of coronary sinus reduction device or placebo control including vascular access and closure right heart catherization venous and coronary sinus angiography imaging guidance and supervision and interpretation when performed in an approved investigational device exemption (ide) study | C9783 - | C9783 - Blind cor sinus reducer impl | '04/01/2022 | 12/31/2999 |
| C9803 | C9803 - Hospital outpatient clinic visit specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) | C9803 - | C9803 - Hopd covid-19 spec collect | '03/01/2020 | 12/31/2999 |
| C9898 | C9898 - Radiolabeled product provided during a hospital inpatient stay | C9898 - | C9898 - Inpnt stay radiolabeled item | '03/25/2017 | 12/31/2999 |
| C9899 | C9899 - IMPLANTED PROSTHETIC DEVICE PAYABLE ONLY FOR INPATIENTS WHO DO NOT HAVE INPATIENT COVERAGE | C9899 - | C9899 - Inpt implant pros dev no cov | '01/01/2009 | 12/31/2999 |
| D0120 | D0120 - PERIODIC ORAL EVALUATION - ESTABLISHED PATIENT | D0120 - | D0120 - | '01/01/2007 | 12/31/2999 |
| D0140 | D0140 - limited oral evaluation - problem focused | D0140 - | D0140 - | '01/01/2011 | 12/31/2999 |
| D0145 | D0145 - ORAL EVALUATION FOR A PATIENT UNDER THREE YEARS OF AGE AND COUNSELING WITH PRIMARY CAREGIVER | D0145 - | D0145 - | '01/01/2007 | 12/31/2999 |
| D0150 | D0150 - comprehensive oral evaluation - new or established patient | D0150 - | D0150 - | '01/01/2011 | 12/31/2999 |
| D0160 | D0160 - detailed and extensive oral evaluation - problem focused by report | D0160 - | D0160 - | '01/01/2011 | 12/31/2999 |
| D0170 | D0170 - re-evaluation - limited problem focused (established patient; not post-operative visit) | D0170 - | D0170 - | '01/01/2011 | 12/31/2999 |
| D0171 | D0171 - re-evaluation – post-operative office visit | D0171 - | D0171 - | '01/01/2015 | 12/31/2999 |
| D0180 | D0180 - comprehensive periodontal evaluation - new or established patient | D0180 - | D0180 - | '01/01/2011 | 12/31/2999 |
| D0190 | D0190 - screening of a patient | D0190 - | D0190 - | '01/01/2013 | 12/31/2999 |
| D0191 | D0191 - assessment of a patient | D0191 - | D0191 - | '01/01/2013 | 12/31/2999 |
| D0210 | D0210 - intraoral - comprehensive series of radiographic images | D0210 - | D0210 - | '01/01/2023 | 12/31/2999 |
| D0220 | D0220 - intraoral - periapical first radiographic image | D0220 - | D0220 - | '01/01/2013 | 12/31/2999 |
| D0230 | D0230 - intraoral - periapical each additional radiographic image | D0230 - | D0230 - | '01/01/2013 | 12/31/2999 |
| D0240 | D0240 - intraoral - occlusal radiographic image | D0240 - | D0240 - | '01/01/2013 | 12/31/2999 |
| D0250 | D0250 - extraoral - first radiographic image | D0250 - | D0250 - | '01/01/2013 | 12/31/2999 |
| D0251 | D0251 - extra-oral posterior dental radiographic image | D0251 - | D0251 - | '01/01/2016 | 12/31/2999 |
| D0270 | D0270 - bitewing - single radiographic image | D0270 - | D0270 - | '01/01/2013 | 12/31/2999 |
| D0272 | D0272 - bitewings - two radiographic images | D0272 - | D0272 - | '01/01/2013 | 12/31/2999 |
| D0273 | D0273 - bitewings - three radiographic images | D0273 - | D0273 - | '01/01/2013 | 12/31/2999 |
| D0274 | D0274 - bitewings - four radiographic images | D0274 - | D0274 - | '01/01/2013 | 12/31/2999 |
| D0277 | D0277 - vertical bitewings - 7 to 8 radiographic images | D0277 - | D0277 - | '01/01/2013 | 12/31/2999 |
| D0310 | D0310 - sialography | D0310 - | D0310 - | '01/01/2011 | 12/31/2999 |
| D0320 | D0320 - temporomandibular joint arthrogram including injection | D0320 - | D0320 - | '01/01/2011 | 12/31/2999 |
| D0321 | D0321 - other temporomandibular joint radiographic images by report | D0321 - | D0321 - | '01/01/2013 | 12/31/2999 |
| D0322 | D0322 - tomographic survey | D0322 - | D0322 - | '01/01/2011 | 12/31/2999 |
| D0330 | D0330 - panoramic radiographic image | D0330 - | D0330 - | '01/01/2013 | 12/31/2999 |
| D0340 | D0340 - cephalometric radiographic image | D0340 - | D0340 - | '01/01/2013 | 12/31/2999 |
| D0350 | D0350 - 2D oral/facial photographic image obtained intra-orally or extra-orally | D0350 - | D0350 - | '01/01/2015 | 12/31/2999 |
| D0364 | D0364 - cone beam CT capture and interpretation with limited field of view – less than one whole jaw | D0364 - | D0364 - | '01/01/2013 | 12/31/2999 |
| D0365 | D0365 - cone beam CT capture and interpretation with field of view of one full dental arch – mandible | D0365 - | D0365 - | '01/01/2013 | 12/31/2999 |
| D0366 | D0366 - cone beam CT capture and interpretation with field of view of one full dental arch – maxilla with or without cranium | D0366 - | D0366 - | '01/01/2013 | 12/31/2999 |
| D0367 | D0367 - cone beam CT capture and interpretation with field of view of both jaws with or without cranium | D0367 - | D0367 - | '01/01/2013 | 12/31/2999 |
| D0368 | D0368 - cone beam CT capture and interpretation for TMJ series including two or more exposures | D0368 - | D0368 - | '01/01/2013 | 12/31/2999 |
| D0369 | D0369 - maxillofacial MRI capture and interpretation | D0369 - | D0369 - | '01/01/2013 | 12/31/2999 |
| D0370 | D0370 - maxillofacial ultrasound capture and interpretation | D0370 - | D0370 - | '01/01/2013 | 12/31/2999 |
| D0371 | D0371 - sialoendoscopy capture and interpretation | D0371 - | D0371 - | '01/01/2013 | 12/31/2999 |
| D0372 | D0372 - intraoral tomosynthesis – comprehensive series of radiographic images | D0372 - | D0372 - | '01/01/2023 | 12/31/2999 |
| D0373 | D0373 - intraoral tomosynthesis – bitewing radiographic image | D0373 - | D0373 - | '01/01/2023 | 12/31/2999 |
| D0374 | D0374 - intraoral tomosynthesis – periapical radiographic image | D0374 - | D0374 - | '01/01/2023 | 12/31/2999 |
| D0380 | D0380 - cone beam CT image capture with limited field of view – less than one whole jaw | D0380 - | D0380 - | '01/01/2013 | 12/31/2999 |
| D0381 | D0381 - cone beam CT image capture with field of view of one full dental arch – mandible | D0381 - | D0381 - | '01/01/2013 | 12/31/2999 |
| D0382 | D0382 - cone beam CT image capture with field of view of one full dental arch – maxilla with or without cranium | D0382 - | D0382 - | '01/01/2013 | 12/31/2999 |
| D0383 | D0383 - cone beam CT image capture with field of view of both jaws with or without cranium | D0383 - | D0383 - | '01/01/2013 | 12/31/2999 |
| D0384 | D0384 - cone beam CT image capture for TMJ series including two or more exposures | D0384 - | D0384 - | '01/01/2013 | 12/31/2999 |
| D0385 | D0385 - maxillofacial MRI image capture | D0385 - | D0385 - | '01/01/2013 | 12/31/2999 |
| D0386 | D0386 - maxillofacial ultrasound image capture | D0386 - | D0386 - | '01/01/2013 | 12/31/2999 |
| D0387 | D0387 - intraoral tomosynthesis – comprehensive series of radiographic images - image capture only | D0387 - | D0387 - | '01/01/2023 | 12/31/2999 |
| D0388 | D0388 - intraoral tomosynthesis – bitewing radiographic image - image capture only | D0388 - | D0388 - | '01/01/2023 | 12/31/2999 |
| D0389 | D0389 - intraoral tomosynthesis – periapical radiographic image - image capture only | D0389 - | D0389 - | '01/01/2023 | 12/31/2999 |
| D0391 | D0391 - interpretation of diagnostic image by a practitioner not associated with capture of the image including report | D0391 - | D0391 - | '01/01/2013 | 12/31/2999 |
| D0393 | D0393 - virtual treatment simulation using 3D image volume or surface scan | D0393 - | D0393 - | '01/01/2023 | 12/31/2999 |
| D0394 | D0394 - digital subtraction of two or more images or image volumes of the same modality | D0394 - | D0394 - | '01/01/2014 | 12/31/2999 |
| D0395 | D0395 - fusion of two or more 3D image volumes of one or more modalities | D0395 - | D0395 - | '01/01/2014 | 12/31/2999 |
| D0411 | D0411 - HbA1c in-office point of service testing | D0411 - | D0411 - | '01/01/2018 | 12/31/2999 |
| D0412 | D0412 - blood glucose level test – in-office using a glucose meter | D0412 - | D0412 - | '01/01/2019 | 12/31/2999 |
| D0414 | D0414 - Laboratory processing of microbial specimen to include culture and sensitivity studies preparation and transmission of written report | D0414 - | D0414 - | '01/01/2017 | 12/31/2999 |
| D0415 | D0415 - collection of microorganisms for culture and sensitivity | D0415 - | D0415 - | '01/01/2011 | 12/31/2999 |
| D0416 | D0416 - VIRAL CULTURE | D0416 - | D0416 - | '01/01/2005 | 12/31/2999 |
| D0417 | D0417 - COLLECTION AND PREPARATION OF SALIVA SAMPLE FOR LABORATORY DIAGNOSTIC TESTING | D0417 - | D0417 - | '01/01/2009 | 12/31/2999 |
| D0418 | D0418 - ANALYSIS OF SALIVA SAMPLE | D0418 - | D0418 - | '01/01/2009 | 12/31/2999 |
| D0419 | D0419 - assessment of salivary flow by measurement | D0419 - | D0419 - | '01/01/2020 | 12/31/2999 |
| D0422 | D0422 - collection and preparation of genetic sample material for laboratory analysis and report | D0422 - | D0422 - | '01/01/2016 | 12/31/2999 |
| D0423 | D0423 - genetic test for susceptibility to diseases – specimen analysis | D0423 - | D0423 - | '01/01/2016 | 12/31/2999 |
| D0425 | D0425 - caries susceptibility tests | D0425 - | D0425 - | '01/01/2011 | 12/31/2999 |
| D0431 | D0431 - adjunctive pre-diagnostic test that aids in detection of mucosal abnormalities including premalignant and malignant lesions not to include cytology or biopsy procedures | D0431 - | D0431 - | '01/01/2011 | 12/31/2999 |
| D0460 | D0460 - pulp vitality tests | D0460 - | D0460 - | '01/01/2011 | 12/31/2999 |
| D0470 | D0470 - DIAGNOSTIC CASTS | D0470 - | D0470 - | '01/01/1950 | 12/31/2999 |
| D0472 | D0472 - accession of tissue gross examination preparation and transmission of written report | D0472 - | D0472 - | '01/01/2011 | 12/31/2999 |
| D0473 | D0473 - accession of tissue gross and microscopic examination preparation and transmission of written report | D0473 - | D0473 - | '01/01/2011 | 12/31/2999 |
| D0474 | D0474 - accession of tissue gross and microscopic examination including assessment of surgical margins for presence of disease preparation and transmission of written report | D0474 - | D0474 - | '01/01/2011 | 12/31/2999 |
| D0475 | D0475 - DECALCIFICATION PROCEDURE | D0475 - | D0475 - | '01/01/2005 | 12/31/2999 |
| D0476 | D0476 - SPECIAL STAINS FOR MICROORGANISMS | D0476 - | D0476 - | '01/01/2005 | 12/31/2999 |
| D0477 | D0477 - special stains not for microorganisms | D0477 - | D0477 - | '01/01/2011 | 12/31/2999 |
| D0478 | D0478 - IMMUNOHISTOCHEMICAL STAINS | D0478 - | D0478 - | '01/01/2005 | 12/31/2999 |
| D0479 | D0479 - tissue in-situ hybridization including interpretation | D0479 - | D0479 - | '01/01/2011 | 12/31/2999 |
| D0480 | D0480 - accession of exfoliative cytologic smears microscopic examination preparation and transmission of written report | D0480 - | D0480 - | '01/01/2011 | 12/31/2999 |
| D0481 | D0481 - electron microscopy | D0481 - | D0481 - | '01/01/2015 | 12/31/2999 |
| D0482 | D0482 - DIRECT IMMUNOFLUORESCENCE | D0482 - | D0482 - | '01/01/2005 | 12/31/2999 |
| D0483 | D0483 - INDIRECT IMMUNOFLUORESCENCE | D0483 - | D0483 - | '01/01/2005 | 12/31/2999 |
| D0484 | D0484 - CONSULTATION ON SLIDES PREPARED ELSEWHERE | D0484 - | D0484 - | '01/01/2005 | 12/31/2999 |
| D0485 | D0485 - consultation including preparation of slides from biopsy material supplied by referring source | D0485 - | D0485 - | '01/01/2011 | 12/31/2999 |
| D0486 | D0486 - laboratory accession of transepithelial cytologic sample microscopic examination preparation and transmission of written report | D0486 - | D0486 - | '01/01/2011 | 12/31/2999 |
| D0502 | D0502 - other oral pathology procedures by report | D0502 - | D0502 - | '01/01/2011 | 12/31/2999 |
| D0600 | D0600 - Non-ionizing diagnostic procedure capable of quantifying monitoring and recording changes in structure of enamel dentin and cementum | D0600 - | D0600 - | '01/01/2017 | 12/31/2999 |
| D0601 | D0601 - caries risk assessment and documentation with a finding of low risk | D0601 - | D0601 - | '01/01/2014 | 12/31/2999 |
| D0602 | D0602 - caries risk assessment and documentation with a finding of moderate risk | D0602 - | D0602 - | '01/01/2014 | 12/31/2999 |
| D0603 | D0603 - caries risk assessment and documentation with a finding of high risk | D0603 - | D0603 - | '01/01/2014 | 12/31/2999 |
| D0604 | D0604 - antigen testing for a public health related pathogen including coronavirus | D0604 - | D0604 - | '01/01/2021 | 12/31/2999 |
| D0605 | D0605 - antibody testing for a public health related pathogen including coronavirus | D0605 - | D0605 - | '01/01/2021 | 12/31/2999 |
| D0606 | D0606 - molecular testing for a public health related pathogen including coronavirus | D0606 - | D0606 - | '03/15/2021 | 12/31/2999 |
| D0701 | D0701 - panoramic radiographic image – image capture only | D0701 - | D0701 - | '01/01/2021 | 12/31/2999 |
| D0702 | D0702 - 2-D cephalometric radiographic image – image capture only | D0702 - | D0702 - | '01/01/2021 | 12/31/2999 |
| D0703 | D0703 - 2D oral/facial photographic image obtained intra-orally or extra-orally – image capture only | D0703 - | D0703 - | '01/01/2021 | 12/31/2999 |
| D0705 | D0705 - extra-oral posterior dental radiographic image – image capture only | D0705 - | D0705 - | '01/01/2021 | 12/31/2999 |
| D0706 | D0706 - intraoral – occlusal radiographic image – image capture only | D0706 - | D0706 - | '01/01/2021 | 12/31/2999 |
| D0707 | D0707 - intraoral – periapical radiographic image – image capture only | D0707 - | D0707 - | '01/01/2021 | 12/31/2999 |
| D0708 | D0708 - intraoral – bitewing radiographic image – image capture only | D0708 - | D0708 - | '01/01/2021 | 12/31/2999 |
| D0709 | D0709 - intraoral - comprehensive series of radiographic images - image capture only | D0709 - | D0709 - | '01/01/2023 | 12/31/2999 |
| D0801 | D0801 - 3D dental surface scan – direct | D0801 - | D0801 - | '01/01/2023 | 12/31/2999 |
| D0802 | D0802 - 3D dental surface scan – indirect | D0802 - | D0802 - | '01/01/2023 | 12/31/2999 |
| D0803 | D0803 - 3D facial surface scan – direct | D0803 - | D0803 - | '01/01/2023 | 12/31/2999 |
| D0804 | D0804 - 3D facial surface scan – indirect | D0804 - | D0804 - | '01/01/2023 | 12/31/2999 |
| D0999 | D0999 - unspecified diagnostic procedure by report | D0999 - | D0999 - | '01/01/2011 | 12/31/2999 |
| D1110 | D1110 - prophylaxis - adult | D1110 - | D1110 - | '01/01/2011 | 12/31/2999 |
| D1120 | D1120 - prophylaxis - child | D1120 - | D1120 - | '01/01/2011 | 12/31/2999 |
| D1206 | D1206 - topical application of fluoride varnish | D1206 - | D1206 - | '01/01/2013 | 12/31/2999 |
| D1208 | D1208 - topical application of fluoride – excluding varnish | D1208 - | D1208 - | '01/01/2015 | 12/31/2999 |
| D1310 | D1310 - nutritional counseling for control of dental disease | D1310 - | D1310 - | '01/01/2011 | 12/31/2999 |
| D1320 | D1320 - tobacco counseling for the control and prevention of oral disease | D1320 - | D1320 - | '01/01/2011 | 12/31/2999 |
| D1321 | D1321 - counseling for the control and prevention of adverse oral behavioral and systemic health effects associated with high-risk substance use | D1321 - | D1321 - | '01/01/2021 | 12/31/2999 |
| D1330 | D1330 - oral hygiene instructions | D1330 - | D1330 - | '01/01/2011 | 12/31/2999 |
| D1351 | D1351 - sealant - per tooth | D1351 - | D1351 - | '01/01/2011 | 12/31/2999 |
| D1352 | D1352 - Preventive resin restoration in a moderate to high caries risk patient – permanent tooth | D1352 - | D1352 - | '01/01/2011 | 12/31/2999 |
| D1353 | D1353 - sealant repair – per tooth | D1353 - | D1353 - | '01/01/2015 | 12/31/2999 |
| D1354 | D1354 - application of caries arresting medicament – per tooth | D1354 - | D1354 - | '01/01/2022 | 12/31/2999 |
| D1355 | D1355 - caries preventive medicament application – per tooth | D1355 - | D1355 - | '01/01/2021 | 12/31/2999 |
| D1510 | D1510 - space maintainer – fixed unilateral – per quadrant | D1510 - | D1510 - | '01/01/2020 | 12/31/2999 |
| D1516 | D1516 - space maintainer – fixed – bilateral maxillary | D1516 - | D1516 - | '01/01/2019 | 12/31/2999 |
| D1517 | D1517 - space maintainer – fixed – bilateral mandibular | D1517 - | D1517 - | '01/01/2019 | 12/31/2999 |
| D1520 | D1520 - space maintainer – removable – unilateral – per quadrant | D1520 - | D1520 - | '01/01/2020 | 12/31/2999 |
| D1526 | D1526 - space maintainer – removable – bilateral maxillary | D1526 - | D1526 - | '01/01/2019 | 12/31/2999 |
| D1527 | D1527 - space maintainer – removable – bilateral mandibular | D1527 - | D1527 - | '01/01/2019 | 12/31/2999 |
| D1551 | D1551 - re-cement or re-bond bilateral space maintainer – maxillary | D1551 - | D1551 - | '01/01/2020 | 12/31/2999 |
| D1552 | D1552 - re-cement or re-bond bilateral space maintainer – mandibular | D1552 - | D1552 - | '01/01/2020 | 12/31/2999 |
| D1553 | D1553 - re-cement or re-bond unilateral space maintainer – per quadrant | D1553 - | D1553 - | '01/01/2020 | 12/31/2999 |
| D1556 | D1556 - removal of fixed unilateral space maintainer – per quadrant | D1556 - | D1556 - | '01/01/2020 | 12/31/2999 |
| D1557 | D1557 - removal of fixed bilateral space maintainer – maxillary | D1557 - | D1557 - | '01/01/2020 | 12/31/2999 |
| D1558 | D1558 - removal of fixed bilateral space maintainer – mandibular | D1558 - | D1558 - | '01/01/2020 | 12/31/2999 |
| D1575 | D1575 - distal shoe space maintainer – fixed – unilateral – per quadrant | D1575 - | D1575 - | '01/01/2020 | 12/31/2999 |
| D1701 | D1701 - Pfizer-BioNTech Covid-19 vaccine administration – first dose | D1701 - SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 1 | D1701 - | '03/15/2021 | 12/31/2999 |
| D1702 | D1702 - Pfizer-BioNTech Covid-19 vaccine administration – second dose | D1702 - SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 2 | D1702 - | '03/15/2021 | 12/31/2999 |
| D1703 | D1703 - Moderna Covid-19 vaccine administration – first dose | D1703 - SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 1 | D1703 - | '03/15/2021 | 12/31/2999 |
| D1704 | D1704 - Moderna Covid-19 vaccine administration – second dose | D1704 - SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 2 | D1704 - | '03/15/2021 | 12/31/2999 |
| D1705 | D1705 - AstraZeneca Covid-19 vaccine administration – first dose | D1705 - SARSCOV2 COVID-19 VAC rS-ChAdOx1 5x1010 VP/.5mL IM DOSE 1 | D1705 - | '03/15/2021 | 12/31/2999 |
| D1706 | D1706 - AstraZeneca Covid-19 vaccine administration – second dose | D1706 - SARSCOV2 COVID-19 VAC rS-ChAdOx1 5x1010 VP/.5mL IM DOSE 2 | D1706 - | '03/15/2021 | 12/31/2999 |
| D1707 | D1707 - Janssen Covid-19 vaccine administration | D1707 - SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM SINGLE DOSE | D1707 - | '03/15/2021 | 12/31/2999 |
| D1708 | D1708 - Pfizer-BioNTech Covid-19 vaccine administration – third dose | D1708 - SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE 3 | D1708 - | '03/22/2022 | 12/31/2999 |
| D1709 | D1709 - Pfizer-BioNTech Covid-19 vaccine administration – booster dose | D1709 - SARSCOV2 COVID-19 VAC mRNA 30mcg/0.3mL IM DOSE BOOSTER | D1709 - | '03/22/2022 | 12/31/2999 |
| D1710 | D1710 - Moderna Covid-19 vaccine administration – third dose | D1710 - SARSCOV2 COVID-19 VAC mRNA 100mcg/0.5mL IM DOSE 3 | D1710 - | '03/22/2022 | 12/31/2999 |
| D1711 | D1711 - Moderna Covid-19 vaccine administration – booster dose | D1711 - SARSCOV2 COVID-19 VAC mRNA 50mcg/0.25mL IM DOSE BOOSTER | D1711 - | '03/22/2022 | 12/31/2999 |
| D1712 | D1712 - Janssen Covid-19 vaccine administration - booster dose | D1712 - SARSCOV2 COVID-19 VAC Ad26 5x1010 VP/.5mL IM DOSE BOOSTER | D1712 - | '03/22/2022 | 12/31/2999 |
| D1713 | D1713 - Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – first dose | D1713 - SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 1 | D1713 - | '03/22/2022 | 12/31/2999 |
| D1714 | D1714 - Pfizer-BioNTech Covid-19 vaccine administration tris-sucrose pediatric – second dose | D1714 - SARSCOV2 COVID-19 VAC mRNA 10mcg/0.2mL tris-sucrose IM DOSE 2 | D1714 - | '03/22/2022 | 12/31/2999 |
| D1781 | D1781 - vaccine administration – human papillomavirus – Dose 1 | D1781 - | D1781 - | '01/01/2023 | 12/31/2999 |
| D1782 | D1782 - vaccine administration – human papillomavirus – Dose 2 | D1782 - | D1782 - | '01/01/2023 | 12/31/2999 |
| D1783 | D1783 - vaccine administration – human papillomavirus – Dose 3 | D1783 - | D1783 - | '01/01/2023 | 12/31/2999 |
| D1999 | D1999 - unspecified preventive procedure by report | D1999 - | D1999 - | '01/01/2014 | 12/31/2999 |
| D2140 | D2140 - amalgam - one surface primary or permanent | D2140 - | D2140 - | '01/01/2011 | 12/31/2999 |
| D2150 | D2150 - amalgam - two surfaces primary or permanent | D2150 - | D2150 - | '01/01/2011 | 12/31/2999 |
| D2160 | D2160 - amalgam - three surfaces primary or permanent | D2160 - | D2160 - | '01/01/2011 | 12/31/2999 |
| D2161 | D2161 - amalgam - four or more surfaces primary or permanent | D2161 - | D2161 - | '01/01/2011 | 12/31/2999 |
| D2330 | D2330 - resin-based composite - one surface anterior | D2330 - | D2330 - | '01/01/2011 | 12/31/2999 |
| D2331 | D2331 - resin-based composite - two surfaces anterior | D2331 - | D2331 - | '01/01/2011 | 12/31/2999 |
| D2332 | D2332 - resin-based composite - three surfaces anterior | D2332 - | D2332 - | '01/01/2011 | 12/31/2999 |
| D2335 | D2335 - resin-based composite - four or more surfaces or involving incisal angle (anterior) | D2335 - | D2335 - | '01/01/2011 | 12/31/2999 |
| D2390 | D2390 - resin-based composite crown anterior | D2390 - | D2390 - | '01/01/2011 | 12/31/2999 |
| D2391 | D2391 - resin-based composite - one surface posterior | D2391 - | D2391 - | '01/01/2011 | 12/31/2999 |
| D2392 | D2392 - resin-based composite - two surfaces posterior | D2392 - | D2392 - | '01/01/2011 | 12/31/2999 |
| D2393 | D2393 - resin-based composite - three surfaces posterior | D2393 - | D2393 - | '01/01/2011 | 12/31/2999 |
| D2394 | D2394 - resin-based composite - four or more surfaces posterior | D2394 - | D2394 - | '01/01/2011 | 12/31/2999 |
| D2410 | D2410 - gold foil - one surface | D2410 - | D2410 - | '01/01/2011 | 12/31/2999 |
| D2420 | D2420 - gold foil - two surfaces | D2420 - | D2420 - | '01/01/2011 | 12/31/2999 |
| D2430 | D2430 - gold foil - three surfaces | D2430 - | D2430 - | '01/01/2011 | 12/31/2999 |
| D2510 | D2510 - inlay - metallic - one surface | D2510 - | D2510 - | '01/01/2011 | 12/31/2999 |
| D2520 | D2520 - inlay - metallic - two surfaces | D2520 - | D2520 - | '01/01/2011 | 12/31/2999 |
| D2530 | D2530 - inlay - metallic - three or more surfaces | D2530 - | D2530 - | '01/01/2011 | 12/31/2999 |
| D2542 | D2542 - onlay - metallic-two surfaces | D2542 - | D2542 - | '01/01/2011 | 12/31/2999 |
| D2543 | D2543 - onlay - metallic-three surfaces | D2543 - | D2543 - | '01/01/2011 | 12/31/2999 |
| D2544 | D2544 - onlay - metallic-four or more surfaces | D2544 - | D2544 - | '01/01/2011 | 12/31/2999 |
| D2610 | D2610 - inlay - porcelain/ceramic - one surface | D2610 - | D2610 - | '01/01/2011 | 12/31/2999 |
| D2620 | D2620 - inlay - porcelain/ceramic - two surfaces | D2620 - | D2620 - | '01/01/2011 | 12/31/2999 |
| D2630 | D2630 - inlay - porcelain/ceramic - three or more surfaces | D2630 - | D2630 - | '01/01/2011 | 12/31/2999 |
| D2642 | D2642 - onlay - porcelain/ceramic - two surfaces | D2642 - | D2642 - | '01/01/2011 | 12/31/2999 |
| D2643 | D2643 - onlay - porcelain/ceramic - three surfaces | D2643 - | D2643 - | '01/01/2011 | 12/31/2999 |
| D2644 | D2644 - onlay - porcelain/ceramic - four or more surfaces | D2644 - | D2644 - | '01/01/2011 | 12/31/2999 |
| D2650 | D2650 - inlay - resin-based composite - one surface | D2650 - | D2650 - | '01/01/2011 | 12/31/2999 |
| D2651 | D2651 - inlay - resin-based composite - two surfaces | D2651 - | D2651 - | '01/01/2011 | 12/31/2999 |
| D2652 | D2652 - inlay - resin-based composite - three or more surfaces | D2652 - | D2652 - | '01/01/2011 | 12/31/2999 |
| D2662 | D2662 - onlay - resin-based composite - two surfaces | D2662 - | D2662 - | '01/01/2011 | 12/31/2999 |
| D2663 | D2663 - onlay - resin-based composite - three surfaces | D2663 - | D2663 - | '01/01/2011 | 12/31/2999 |
| D2664 | D2664 - onlay - resin-based composite - four or more surfaces | D2664 - | D2664 - | '01/01/2011 | 12/31/2999 |
| D2710 | D2710 - crown - resin-based composite (indirect) | D2710 - | D2710 - | '01/01/2011 | 12/31/2999 |
| D2712 | D2712 - crown - ¾ resin-based composite (indirect) | D2712 - | D2712 - | '01/01/2011 | 12/31/2999 |
| D2720 | D2720 - crown - resin with high noble metal | D2720 - | D2720 - | '01/01/2011 | 12/31/2999 |
| D2721 | D2721 - crown - resin with predominantly base metal | D2721 - | D2721 - | '01/01/2011 | 12/31/2999 |
| D2722 | D2722 - crown - resin with noble metal | D2722 - | D2722 - | '01/01/2011 | 12/31/2999 |
| D2740 | D2740 - Crown - porcelain/ceramic | D2740 - | D2740 - | '01/01/2018 | 12/31/2999 |
| D2750 | D2750 - crown - porcelain fused to high noble metal | D2750 - | D2750 - | '01/01/2011 | 12/31/2999 |
| D2751 | D2751 - crown - porcelain fused to predominantly base metal | D2751 - | D2751 - | '01/01/2011 | 12/31/2999 |
| D2752 | D2752 - crown - porcelain fused to noble metal | D2752 - | D2752 - | '01/01/2011 | 12/31/2999 |
| D2753 | D2753 - crown - porcelain fused to titanium and titanium alloys | D2753 - | D2753 - | '01/01/2020 | 12/31/2999 |
| D2780 | D2780 - crown - 3/4 cast high noble metal | D2780 - | D2780 - | '01/01/2011 | 12/31/2999 |
| D2781 | D2781 - crown - 3/4 cast predominantly base metal | D2781 - | D2781 - | '01/01/2011 | 12/31/2999 |
| D2782 | D2782 - crown - 3/4 cast noble metal | D2782 - | D2782 - | '01/01/2011 | 12/31/2999 |
| D2783 | D2783 - crown - 3/4 porcelain/ceramic | D2783 - | D2783 - | '01/01/2011 | 12/31/2999 |
| D2790 | D2790 - crown - full cast high noble metal | D2790 - | D2790 - | '01/01/2011 | 12/31/2999 |
| D2791 | D2791 - crown - full cast predominantly base metal | D2791 - | D2791 - | '01/01/2011 | 12/31/2999 |
| D2792 | D2792 - crown - full cast noble metal | D2792 - | D2792 - | '01/01/2011 | 12/31/2999 |
| D2794 | D2794 - crown – titanium and titanium alloys | D2794 - | D2794 - | '01/01/2020 | 12/31/2999 |
| D2799 | D2799 - interim crown – further treatment or completion of diagnosis necessary prior to final impression | D2799 - | D2799 - | '01/01/2022 | 12/31/2999 |
| D2910 | D2910 - re-cement or re-bond inlay onlay veneer or partial coverage restoration | D2910 - | D2910 - | '01/01/2015 | 12/31/2999 |
| D2915 | D2915 - re-cement or re-bond indirectly fabricated or prefabricated post and core | D2915 - | D2915 - | '01/01/2015 | 12/31/2999 |
| D2920 | D2920 - re-cement or re-bond crown | D2920 - | D2920 - | '01/01/2015 | 12/31/2999 |
| D2921 | D2921 - reattachment of tooth fragment incisal edge or cusp | D2921 - | D2921 - | '01/01/2014 | 12/31/2999 |
| D2928 | D2928 - prefabricated porcelain/ceramic crown – permanent tooth | D2928 - | D2928 - | '01/01/2021 | 12/31/2999 |
| D2929 | D2929 - prefabricated porcelain/ceramic crown – primary tooth | D2929 - | D2929 - | '01/01/2013 | 12/31/2999 |
| D2930 | D2930 - prefabricated stainless steel crown - primary tooth | D2930 - | D2930 - | '01/01/2011 | 12/31/2999 |
| D2931 | D2931 - prefabricated stainless steel crown - permanent tooth | D2931 - | D2931 - | '01/01/2011 | 12/31/2999 |
| D2932 | D2932 - PREFABRICATED RESIN CROWN | D2932 - | D2932 - | '01/01/1950 | 12/31/2999 |
| D2933 | D2933 - prefabricated stainless steel crown with resin window | D2933 - | D2933 - | '01/01/2011 | 12/31/2999 |
| D2934 | D2934 - PREFABRICATED ESTHETIC COATED STAINLESS STEEL CROWN - PRIMARY TOOTH | D2934 - | D2934 - | '01/01/2005 | 12/31/2999 |
| D2940 | D2940 - protective restoration | D2940 - | D2940 - | '01/01/2011 | 12/31/2999 |
| D2941 | D2941 - interim therapeutic restoration – primary dentition | D2941 - | D2941 - | '01/01/2014 | 12/31/2999 |
| D2949 | D2949 - restorative foundation for an indirect restoration | D2949 - | D2949 - | '01/01/2014 | 12/31/2999 |
| D2950 | D2950 - core buildup including any pins when required | D2950 - | D2950 - | '01/01/2014 | 12/31/2999 |
| D2951 | D2951 - pin retention - per tooth in addition to restoration | D2951 - | D2951 - | '01/01/2011 | 12/31/2999 |
| D2952 | D2952 - post and core in addition to crown indirectly fabricated | D2952 - | D2952 - | '01/01/2011 | 12/31/2999 |
| D2953 | D2953 - EACH ADDITIONAL INDIRECTLY FABRICATED POST - SAME TOOTH | D2953 - | D2953 - | '01/01/2007 | 12/31/2999 |
| D2954 | D2954 - prefabricated post and core in addition to crown | D2954 - | D2954 - | '01/01/2011 | 12/31/2999 |
| D2955 | D2955 - post removal | D2955 - | D2955 - | '01/01/2013 | 12/31/2999 |
| D2957 | D2957 - each additional prefabricated post - same tooth | D2957 - | D2957 - | '01/01/2011 | 12/31/2999 |
| D2960 | D2960 - labial veneer (resin laminate) - chairside | D2960 - | D2960 - | '01/01/2011 | 12/31/2999 |
| D2961 | D2961 - labial veneer (resin laminate) - laboratory | D2961 - | D2961 - | '01/01/2011 | 12/31/2999 |
| D2962 | D2962 - labial veneer (porcelain laminate) - laboratory | D2962 - | D2962 - | '01/01/2011 | 12/31/2999 |
| D2971 | D2971 - additional procedures to customize a crown to fit under an existing partial denture framework | D2971 - | D2971 - | '01/01/2022 | 12/31/2999 |
| D2975 | D2975 - coping | D2975 - | D2975 - | '01/01/2015 | 12/31/2999 |
| D2980 | D2980 - crown repair necessitated by restorative material failure | D2980 - | D2980 - | '01/01/2013 | 12/31/2999 |
| D2981 | D2981 - inlay repair necessitated by restorative material failure | D2981 - | D2981 - | '01/01/2013 | 12/31/2999 |
| D2982 | D2982 - onlay repair necessitated by restorative material failure | D2982 - | D2982 - | '01/01/2013 | 12/31/2999 |
| D2983 | D2983 - veneer repair necessitated by restorative material failure | D2983 - | D2983 - | '01/01/2013 | 12/31/2999 |
| D2990 | D2990 - resin infiltration of incipient smooth surface lesions | D2990 - | D2990 - | '01/01/2013 | 12/31/2999 |
| D2999 | D2999 - unspecified restorative procedure by report | D2999 - | D2999 - | '01/01/2011 | 12/31/2999 |
| D3110 | D3110 - pulp cap - direct (excluding final restoration) | D3110 - | D3110 - | '01/01/2011 | 12/31/2999 |
| D3120 | D3120 - pulp cap - indirect (excluding final restoration) | D3120 - | D3120 - | '01/01/2011 | 12/31/2999 |
| D3220 | D3220 - therapeutic pulpotomy (excluding final restoration) - removal of pulp coronal to the dentinocemental junction and application of medicament To be performed on primary or permanent teeth. This is not to be construed as the first stage of root canal therapy. Not to be used for apexogenesis | D3220 - | D3220 - | '01/01/2011 | 12/31/2999 |
| D3221 | D3221 - pulpal debridement primary and permanent teeth | D3221 - | D3221 - | '01/01/2011 | 12/31/2999 |
| D3222 | D3222 - PARTIAL PULPOTOMY FOR APEXOGENESIS - PERMANENT TOOTH WITH INCOMPLETE ROOT DEVELOPMENT | D3222 - | D3222 - | '01/01/2009 | 12/31/2999 |
| D3230 | D3230 - pulpal therapy (resorbable filling) - anterior primary tooth (excluding final restoration) | D3230 - | D3230 - | '01/01/2011 | 12/31/2999 |
| D3240 | D3240 - pulpal therapy (resorbable filling) - posterior primary tooth (excluding final restoration) | D3240 - | D3240 - | '01/01/2011 | 12/31/2999 |
| D3310 | D3310 - endodontic therapy anterior tooth (excluding final restoration) | D3310 - | D3310 - | '01/01/2011 | 12/31/2999 |
| D3320 | D3320 - Endodontic therapy premolar tooth (excluding final restorations) | D3320 - | D3320 - | '01/01/2018 | 12/31/2999 |
| D3330 | D3330 - Endodontic therapy molar tooth (excluding final restorations) | D3330 - | D3330 - | '01/01/2018 | 12/31/2999 |
| D3331 | D3331 - treatment of root canal obstruction; non-surgical access | D3331 - | D3331 - | '01/01/2011 | 12/31/2999 |
| D3332 | D3332 - incomplete endodontic therapy; inoperable unrestorable or fractured tooth | D3332 - | D3332 - | '01/01/2011 | 12/31/2999 |
| D3333 | D3333 - internal root repair of perforation defects | D3333 - | D3333 - | '01/01/2011 | 12/31/2999 |
| D3346 | D3346 - retreatment of previous root canal therapy - anterior | D3346 - | D3346 - | '01/01/2011 | 12/31/2999 |
| D3347 | D3347 - Retreatment of previous root canal therapy – premolar | D3347 - | D3347 - | '01/01/2018 | 12/31/2999 |
| D3348 | D3348 - retreatment of previous root canal therapy - molar | D3348 - | D3348 - | '01/01/2011 | 12/31/2999 |
| D3351 | D3351 - apexification/recalcification – initial visit (apical closure / calcific repair of perforations root resorption etc.) | D3351 - | D3351 - | '01/01/2015 | 12/31/2999 |
| D3352 | D3352 - apexification/recalcification - interim medication replacement (apical closure/calcific repair of perforations root resorption pulp space disinfection etc.) | D3352 - | D3352 - | '01/01/2014 | 12/31/2999 |
| D3353 | D3353 - apexification/recalcification - final visit (includes completed root canal therapy - apical closure/calcific repair of perforations root resorption etc.) | D3353 - | D3353 - | '01/01/2011 | 12/31/2999 |
| D3355 | D3355 - pulpal regeneration - initial visit | D3355 - | D3355 - | '01/01/2014 | 12/31/2999 |
| D3356 | D3356 - pulpal regeneration - interim medication replacement | D3356 - | D3356 - | '01/01/2014 | 12/31/2999 |
| D3357 | D3357 - pulpal regeneration - completion of treatment | D3357 - | D3357 - | '01/01/2014 | 12/31/2999 |
| D3410 | D3410 - apicoectomy - anterior | D3410 - | D3410 - | '01/01/2014 | 12/31/2999 |
| D3421 | D3421 - Apicoectomy – premolar (first root) | D3421 - | D3421 - | '01/01/2018 | 12/31/2999 |
| D3425 | D3425 - apicoectomy - molar (first root) | D3425 - | D3425 - | '01/01/2014 | 12/31/2999 |
| D3426 | D3426 - apicoectomy (each additional root) | D3426 - | D3426 - | '01/01/2014 | 12/31/2999 |
| D3428 | D3428 - bone graft in conjunction with periradicular surgery – per tooth single site | D3428 - | D3428 - | '01/01/2014 | 12/31/2999 |
| D3429 | D3429 - bone graft in conjunction with periradicular surgery – each additional contiguous tooth in the same surgical site | D3429 - | D3429 - | '01/01/2014 | 12/31/2999 |
| D3430 | D3430 - retrograde filling - per root | D3430 - | D3430 - | '01/01/2011 | 12/31/2999 |
| D3431 | D3431 - biologic materials to aid in soft and osseous tissue regeneration in conjunction with periradicular surgery | D3431 - | D3431 - | '01/01/2014 | 12/31/2999 |
| D3432 | D3432 - guided tissue regeneration resorbable barrier per site in conjunction with periradicular surgery | D3432 - | D3432 - | '01/01/2014 | 12/31/2999 |
| D3450 | D3450 - root amputation - per root | D3450 - | D3450 - | '01/01/2011 | 12/31/2999 |
| D3460 | D3460 - endodontic endosseous implant | D3460 - | D3460 - | '01/01/2011 | 12/31/2999 |
| D3470 | D3470 - intentional reimplantation (including necessary splinting) | D3470 - | D3470 - | '01/01/2011 | 12/31/2999 |
| D3471 | D3471 - surgical repair of root resorption – anterior | D3471 - | D3471 - | '01/01/2021 | 12/31/2999 |
| D3472 | D3472 - surgical repair of root resorption – premolar | D3472 - | D3472 - | '01/01/2021 | 12/31/2999 |
| D3473 | D3473 - surgical repair of root resorption – molar | D3473 - | D3473 - | '01/01/2021 | 12/31/2999 |
| D3501 | D3501 - surgical exposure of root surface without apicoectomy or repair of root resorption – anterior | D3501 - | D3501 - | '01/01/2021 | 12/31/2999 |
| D3502 | D3502 - surgical exposure of root surface without apicoectomy or repair of root resorption – premolar | D3502 - | D3502 - | '01/01/2021 | 12/31/2999 |
| D3503 | D3503 - surgical exposure of root surface without apicoectomy or repair of root resorption – molar | D3503 - | D3503 - | '01/01/2021 | 12/31/2999 |
| D3910 | D3910 - surgical procedure for isolation of tooth with rubber dam | D3910 - | D3910 - | '01/01/2011 | 12/31/2999 |
| D3911 | D3911 - intraorifice barrier | D3911 - | D3911 - | '01/01/2022 | 12/31/2999 |
| D3920 | D3920 - hemisection (including any root removal) not including root canal therapy | D3920 - | D3920 - | '01/01/2011 | 12/31/2999 |
| D3921 | D3921 - decoronation or submergence of an erupted tooth | D3921 - | D3921 - | '01/01/2022 | 12/31/2999 |
| D3950 | D3950 - canal preparation and fitting of preformed dowel or post | D3950 - | D3950 - | '01/01/2011 | 12/31/2999 |
| D3999 | D3999 - unspecified endodontic procedure by report | D3999 - | D3999 - | '01/01/2011 | 12/31/2999 |
| D4210 | D4210 - gingivectomy or gingivoplasty - four or more contiguous teeth or tooth bounded spaces per quadrant | D4210 - | D4210 - | '01/01/2011 | 12/31/2999 |
| D4211 | D4211 - gingivectomy or gingivoplasty - one to three contiguous teeth or tooth bounded spaces per quadrant | D4211 - | D4211 - | '01/01/2013 | 12/31/2999 |
| D4212 | D4212 - gingivectomy or gingivoplasty to allow access for restorative procedure per tooth | D4212 - | D4212 - | '01/01/2013 | 12/31/2999 |
| D4230 | D4230 - anatomical crown exposure – four or more contiguous teeth or tooth bounded tooth spaces per quadrant | D4230 - | D4230 - | '01/01/2019 | 12/31/2999 |
| D4231 | D4231 - anatomical crown exposure – one to three teeth or tooth bounded tooth spaces per quadrant | D4231 - | D4231 - | '01/01/2019 | 12/31/2999 |
| D4240 | D4240 - gingival flap procedure including root planing - four or more contiguous teeth or tooth bounded spaces per quadrant | D4240 - | D4240 - | '01/01/2011 | 12/31/2999 |
| D4241 | D4241 - gingival flap procedure including root planing - one to three contiguous teeth or tooth bounded spaces per quadrant | D4241 - | D4241 - | '01/01/2011 | 12/31/2999 |
| D4245 | D4245 - APICALLY POSITIONED FLAP | D4245 - | D4245 - | '01/01/1950 | 12/31/2999 |
| D4249 | D4249 - clinical crown lengthening – hard tissue | D4249 - | D4249 - | '01/01/2015 | 12/31/2999 |
| D4260 | D4260 - osseous surgery (including elevation of a full thickness flap and closure) – four or more contiguous teeth or tooth bounded spaces per quadrant | D4260 - | D4260 - | '01/01/2015 | 12/31/2999 |
| D4261 | D4261 - osseous surgery (including elevation of a full thickness flap and closure) – one to three contiguous teeth or tooth bounded spaces per quadrant | D4261 - | D4261 - | '01/01/2015 | 12/31/2999 |
| D4263 | D4263 - bone replacement graft - retained natural tooth - first site in quadrant | D4263 - | D4263 - | '01/01/2017 | 12/31/2999 |
| D4264 | D4264 - bone replacement graft - retained natural tooth - each additional site in quadrant | D4264 - | D4264 - | '01/01/2017 | 12/31/2999 |
| D4265 | D4265 - biologic materials to aid in soft and osseous tissue regeneration per site | D4265 - | D4265 - | '01/01/2022 | 12/31/2999 |
| D4266 | D4266 - guided tissue regeneration natural teeth - resorbable barrier per site | D4266 - | D4266 - | '01/01/2023 | 12/31/2999 |
| D4267 | D4267 - guided tissue regeneration natural teeth - non-resorbable barrier per site | D4267 - | D4267 - | '01/01/2023 | 12/31/2999 |
| D4268 | D4268 - surgical revision procedure per tooth | D4268 - | D4268 - | '01/01/2011 | 12/31/2999 |
| D4270 | D4270 - pedicle soft tissue graft procedure | D4270 - | D4270 - | '01/01/2011 | 12/31/2999 |
| D4273 | D4273 - subepithelial connective tissue graft procedures per tooth | D4273 - | D4273 - | '01/01/2011 | 12/31/2999 |
| D4274 | D4274 - mesial/distal wedge procedure single tooth (when not performed in conjunction with surgical procedures in the same anatomical area) | D4274 - | D4274 - | '01/01/2017 | 12/31/2999 |
| D4275 | D4275 - SOFT TISSUE ALLOGRAFT | D4275 - | D4275 - | '01/01/1950 | 12/31/2999 |
| D4276 | D4276 - combined connective tissue and pedicle graft per tooth | D4276 - | D4276 - | '01/01/2022 | 12/31/2999 |
| D4277 | D4277 - free soft tissue graft procedure (including donor site surgery) first tooth or edentulous tooth position in graft | D4277 - | D4277 - | '01/01/2013 | 12/31/2999 |
| D4278 | D4278 - free soft tissue graft procedure (including donor site surgery) each additional contiguous tooth or edentulous tooth position in same graft site | D4278 - | D4278 - | '01/01/2013 | 12/31/2999 |
| D4283 | D4283 - autogenous connective tissue graft procedure (including donor and recipient surgical sites) – each additional contiguous tooth implant or edentulous tooth position in same graft site | D4283 - | D4283 - | '01/01/2016 | 12/31/2999 |
| D4285 | D4285 - non-autogenous connective tissue graft procedure (including recipient surgical site and donor material) – each additional contiguous tooth implant or edentulous tooth position in same graft site | D4285 - | D4285 - | '01/01/2016 | 12/31/2999 |
| D4286 | D4286 - removal of non-resorbable barrier | D4286 - | D4286 - | '01/01/2023 | 12/31/2999 |
| D4322 | D4322 - splint – intra-coronal; natural teeth or prosthetic crowns | D4322 - | D4322 - | '01/01/2022 | 12/31/2999 |
| D4323 | D4323 - splint – extra-coronal; natural teeth or prosthetic crowns | D4323 - | D4323 - | '01/01/2022 | 12/31/2999 |
| D4341 | D4341 - periodontal scaling and root planing - four or more teeth per quadrant | D4341 - | D4341 - | '01/01/2011 | 12/31/2999 |
| D4342 | D4342 - periodontal scaling and root planing - one to three teeth per quadrant | D4342 - | D4342 - | '01/01/2011 | 12/31/2999 |
| D4346 | D4346 - Scaling in presence of generalized moderate or severe gingival inflammation – full mouth after oral evaluation | D4346 - | D4346 - | '01/01/2017 | 12/31/2999 |
| D4355 | D4355 - full mouth debridement to enable a comprehensive periodontal evaluation and diagnosis on a subsequent visit | D4355 - | D4355 - | '01/01/2023 | 12/31/2999 |
| D4381 | D4381 - localized delivery of antimicrobial agents via controlled release vehicle into diseased crevicular tissue per tooth | D4381 - | D4381 - | '01/01/2013 | 12/31/2999 |
| D4910 | D4910 - periodontal maintenance | D4910 - | D4910 - | '01/01/2011 | 12/31/2999 |
| D4920 | D4920 - unscheduled dressing change (by someone other than treating dentist or their staff) | D4920 - | D4920 - | '01/01/2014 | 12/31/2999 |
| D4921 | D4921 - gingival irrigation with a medicinal agent - per quadrant | D4921 - | D4921 - | '01/01/2023 | 12/31/2999 |
| D4999 | D4999 - unspecified periodontal procedure by report | D4999 - | D4999 - | '01/01/2011 | 12/31/2999 |
| D5110 | D5110 - complete denture - maxillary | D5110 - | D5110 - | '01/01/2011 | 12/31/2999 |
| D5120 | D5120 - complete denture - mandibular | D5120 - | D5120 - | '01/01/2011 | 12/31/2999 |
| D5130 | D5130 - immediate denture - maxillary | D5130 - | D5130 - | '01/01/2011 | 12/31/2999 |
| D5140 | D5140 - immediate denture - mandibular | D5140 - | D5140 - | '01/01/2011 | 12/31/2999 |
| D5211 | D5211 - maxillary partial denture – resin base (including any conventional clasps retentive/clasping materials rests and teeth) | D5211 - | D5211 - | '01/01/2019 | 12/31/2999 |
| D5212 | D5212 - mandibular partial denture – resin base (including any conventional clasps retentive/clasping materials rests and teeth) | D5212 - | D5212 - | '01/01/2019 | 12/31/2999 |
| D5213 | D5213 - maxillary partial denture - cast metal framework with resin denture bases (including retentive/clasping materials rests and teeth) | D5213 - | D5213 - | '01/01/2020 | 12/31/2999 |
| D5214 | D5214 - mandibular partial denture - cast metal framework with resin denture bases (including retentive/clasping materials rests and teeth) | D5214 - | D5214 - | '01/01/2020 | 12/31/2999 |
| D5221 | D5221 - immediate maxillary partial denture – resin base (including retentive/clasping materials rests and teeth) rebasing/relining procedure(s). | D5221 - | D5221 - | '01/01/2020 | 12/31/2999 |
| D5222 | D5222 - immediate mandibular partial denture – resin base (including retentive/clasping materials rests and teeth) rebasing/relining procedure(s). | D5222 - | D5222 - | '01/01/2020 | 12/31/2999 |
| D5223 | D5223 - immediate maxillary partial denture – cast metal framework with resin denture bases (including retentive/clasping materials rests and teeth) | D5223 - | D5223 - | '01/01/2020 | 12/31/2999 |
| D5224 | D5224 - immediate mandibular partial denture – cast metal framework with resin denture bases (including retentive/clasping materials rests and teeth) | D5224 - | D5224 - | '01/01/2020 | 12/31/2999 |
| D5225 | D5225 - maxillary partial denture - flexible base (including any clasps rests and teeth) | D5225 - | D5225 - | '01/01/2011 | 12/31/2999 |
| D5226 | D5226 - mandibular partial denture - flexible base (including any clasps rests and teeth) | D5226 - | D5226 - | '01/01/2011 | 12/31/2999 |
| D5227 | D5227 - immediate maxillary partial denture - flexible base (including any clasps rests and teeth) | D5227 - | D5227 - | '01/01/2022 | 12/31/2999 |
| D5228 | D5228 - immediate mandibular partial denture - flexible base (including any clasps rests and teeth) | D5228 - | D5228 - | '01/01/2022 | 12/31/2999 |
| D5282 | D5282 - removable unilateral partial denture – one piece cast metal (including clasps and teeth) maxillary | D5282 - | D5282 - | '01/01/2019 | 12/31/2999 |
| D5283 | D5283 - removable unilateral partial denture – one piece cast metal (including clasps and teeth) mandibular | D5283 - | D5283 - | '01/01/2019 | 12/31/2999 |
| D5284 | D5284 - removable unilateral partial denture – one piece flexible base (including clasps and teeth) – per quadrant | D5284 - | D5284 - | '01/01/2020 | 12/31/2999 |
| D5286 | D5286 - removable unilateral partial denture – one piece resin (including clasps and teeth) – per quadrant | D5286 - | D5286 - | '01/01/2020 | 12/31/2999 |
| D5410 | D5410 - adjust complete denture - maxillary | D5410 - | D5410 - | '01/01/2011 | 12/31/2999 |
| D5411 | D5411 - adjust complete denture - mandibular | D5411 - | D5411 - | '01/01/2011 | 12/31/2999 |
| D5421 | D5421 - adjust partial denture - maxillary | D5421 - | D5421 - | '01/01/2011 | 12/31/2999 |
| D5422 | D5422 - adjust partial denture - mandibular | D5422 - | D5422 - | '01/01/2011 | 12/31/2999 |
| D5511 | D5511 - Repair broken complete denture base mandibular | D5511 - | D5511 - | '01/01/2018 | 12/31/2999 |
| D5512 | D5512 - Repair broken complete denture base maxillary | D5512 - | D5512 - | '01/01/2018 | 12/31/2999 |
| D5520 | D5520 - replace missing or broken teeth - complete denture (each tooth) | D5520 - | D5520 - | '01/01/2011 | 12/31/2999 |
| D5611 | D5611 - Repair resin partial denture base mandibular | D5611 - | D5611 - | '01/01/2018 | 12/31/2999 |
| D5612 | D5612 - Repair resin partial denture base maxillary | D5612 - | D5612 - | '01/01/2018 | 12/31/2999 |
| D5621 | D5621 - Repair case partial framework mandibular | D5621 - | D5621 - | '01/01/2018 | 12/31/2999 |
| D5622 | D5622 - Repair case partial framework maxillary | D5622 - | D5622 - | '01/01/2018 | 12/31/2999 |
| D5630 | D5630 - repair or replace broken clasp retentive/clasping materials per tooth | D5630 - | D5630 - | '01/01/2019 | 12/31/2999 |
| D5640 | D5640 - replace broken teeth - per tooth | D5640 - | D5640 - | '01/01/2011 | 12/31/2999 |
| D5650 | D5650 - add tooth to existing partial denture | D5650 - | D5650 - | '01/01/2011 | 12/31/2999 |
| D5660 | D5660 - add clasp to existing partial denture | D5660 - | D5660 - | '01/01/2011 | 12/31/2999 |
| D5670 | D5670 - replace all teeth and acrylic on cast metal framework (maxillary) | D5670 - | D5670 - | '01/01/2011 | 12/31/2999 |
| D5671 | D5671 - replace all teeth and acrylic on cast metal framework (mandibular) | D5671 - | D5671 - | '01/01/2011 | 12/31/2999 |
| D5710 | D5710 - rebase complete maxillary denture | D5710 - | D5710 - | '01/01/2011 | 12/31/2999 |
| D5711 | D5711 - rebase complete mandibular denture | D5711 - | D5711 - | '01/01/2011 | 12/31/2999 |
| D5720 | D5720 - rebase maxillary partial denture | D5720 - | D5720 - | '01/01/2011 | 12/31/2999 |
| D5721 | D5721 - rebase mandibular partial denture | D5721 - | D5721 - | '01/01/2011 | 12/31/2999 |
| D5725 | D5725 - rebase hybrid prosthesis | D5725 - | D5725 - | '01/01/2022 | 12/31/2999 |
| D5730 | D5730 - reline complete maxillary denture (chairside) | D5730 - | D5730 - | '01/01/2011 | 12/31/2999 |
| D5731 | D5731 - reline complete mandibular denture (chairside) | D5731 - | D5731 - | '01/01/2011 | 12/31/2999 |
| D5740 | D5740 - reline maxillary partial denture (chairside) | D5740 - | D5740 - | '01/01/2011 | 12/31/2999 |
| D5741 | D5741 - reline mandibular partial denture (chairside) | D5741 - | D5741 - | '01/01/2011 | 12/31/2999 |
| D5750 | D5750 - reline complete maxillary denture (laboratory) | D5750 - | D5750 - | '01/01/2011 | 12/31/2999 |
| D5751 | D5751 - reline complete mandibular denture (laboratory) | D5751 - | D5751 - | '01/01/2011 | 12/31/2999 |
| D5760 | D5760 - reline maxillary partial denture (laboratory) | D5760 - | D5760 - | '01/01/2011 | 12/31/2999 |
| D5761 | D5761 - reline mandibular partial denture (laboratory) | D5761 - | D5761 - | '01/01/2011 | 12/31/2999 |
| D5765 | D5765 - soft liner for complete or partial removable denture – indirect | D5765 - | D5765 - | '01/01/2022 | 12/31/2999 |
| D5810 | D5810 - interim complete denture (maxillary) | D5810 - | D5810 - | '01/01/2011 | 12/31/2999 |
| D5811 | D5811 - interim complete denture (mandibular) | D5811 - | D5811 - | '01/01/2011 | 12/31/2999 |
| D5820 | D5820 - interim partial denture (maxillary) | D5820 - | D5820 - | '01/01/2011 | 12/31/2999 |
| D5821 | D5821 - interim partial denture (mandibular) | D5821 - | D5821 - | '01/01/2011 | 12/31/2999 |
| D5850 | D5850 - tissue conditioning maxillary | D5850 - | D5850 - | '01/01/2011 | 12/31/2999 |
| D5851 | D5851 - tissue conditioning mandibular | D5851 - | D5851 - | '01/01/2011 | 12/31/2999 |
| D5862 | D5862 - precision attachment by report | D5862 - | D5862 - | '01/01/2011 | 12/31/2999 |
| D5863 | D5863 - overdenture – complete maxillary | D5863 - | D5863 - | '01/01/2014 | 12/31/2999 |
| D5864 | D5864 - overdenture – partial maxillary | D5864 - | D5864 - | '01/01/2014 | 12/31/2999 |
| D5865 | D5865 - overdenture – complete mandibular | D5865 - | D5865 - | '01/01/2014 | 12/31/2999 |
| D5866 | D5866 - overdenture – partial mandibular | D5866 - | D5866 - | '01/01/2014 | 12/31/2999 |
| D5867 | D5867 - replacement of replaceable part of semi-precision or precision attachment per attachment | D5867 - | D5867 - | '01/01/2022 | 12/31/2999 |
| D5875 | D5875 - modification of removable prosthesis following implant surgery | D5875 - | D5875 - | '01/01/2011 | 12/31/2999 |
| D5876 | D5876 - add metal substructure to acrylic full denture (per arch) | D5876 - | D5876 - | '01/01/2019 | 12/31/2999 |
| D5899 | D5899 - unspecified removable prosthodontic procedure by report | D5899 - | D5899 - | '01/01/2011 | 12/31/2999 |
| D5911 | D5911 - facial moulage (sectional) | D5911 - | D5911 - | '01/01/2011 | 12/31/2999 |
| D5912 | D5912 - facial moulage (complete) | D5912 - | D5912 - | '01/01/2011 | 12/31/2999 |
| D5913 | D5913 - NASAL PROSTHESIS | D5913 - | D5913 - | '01/01/1950 | 12/31/2999 |
| D5914 | D5914 - AURICULAR PROSTHESIS | D5914 - | D5914 - | '01/01/1950 | 12/31/2999 |
| D5915 | D5915 - ORBITAL PROSTHESIS | D5915 - | D5915 - | '01/01/1950 | 12/31/2999 |
| D5916 | D5916 - OCULAR PROSTHESIS | D5916 - | D5916 - | '01/01/1950 | 12/31/2999 |
| D5919 | D5919 - FACIAL PROSTHESIS | D5919 - | D5919 - | '01/01/1950 | 12/31/2999 |
| D5922 | D5922 - NASAL SEPTAL PROSTHESIS | D5922 - | D5922 - | '01/01/1950 | 12/31/2999 |
| D5923 | D5923 - ocular prosthesis interim | D5923 - | D5923 - | '01/01/2011 | 12/31/2999 |
| D5924 | D5924 - CRANIAL PROSTHESIS | D5924 - | D5924 - | '01/01/1950 | 12/31/2999 |
| D5925 | D5925 - facial augmentation implant prosthesis | D5925 - | D5925 - | '01/01/2011 | 12/31/2999 |
| D5926 | D5926 - nasal prosthesis replacement | D5926 - | D5926 - | '01/01/2011 | 12/31/2999 |
| D5927 | D5927 - auricular prosthesis replacement | D5927 - | D5927 - | '01/01/2011 | 12/31/2999 |
| D5928 | D5928 - orbital prosthesis replacement | D5928 - | D5928 - | '01/01/2011 | 12/31/2999 |
| D5929 | D5929 - facial prosthesis replacement | D5929 - | D5929 - | '01/01/2011 | 12/31/2999 |
| D5931 | D5931 - obturator prosthesis surgical | D5931 - | D5931 - | '01/01/2011 | 12/31/2999 |
| D5932 | D5932 - obturator prosthesis definitive | D5932 - | D5932 - | '01/01/2011 | 12/31/2999 |
| D5933 | D5933 - obturator prosthesis modification | D5933 - | D5933 - | '01/01/2011 | 12/31/2999 |
| D5934 | D5934 - mandibular resection prosthesis with guide flange | D5934 - | D5934 - | '01/01/2011 | 12/31/2999 |
| D5935 | D5935 - mandibular resection prosthesis without guide flange | D5935 - | D5935 - | '01/01/2011 | 12/31/2999 |
| D5936 | D5936 - obturator prosthesis interim | D5936 - | D5936 - | '01/01/2011 | 12/31/2999 |
| D5937 | D5937 - trismus appliance (not for TMD treatment) | D5937 - | D5937 - | '01/01/2011 | 12/31/2999 |
| D5951 | D5951 - FEEDING AID | D5951 - | D5951 - | '01/01/1950 | 12/31/2999 |
| D5952 | D5952 - speech aid prosthesis pediatric | D5952 - | D5952 - | '01/01/2011 | 12/31/2999 |
| D5953 | D5953 - speech aid prosthesis adult | D5953 - | D5953 - | '01/01/2011 | 12/31/2999 |
| D5954 | D5954 - palatal augmentation prosthesis | D5954 - | D5954 - | '01/01/2011 | 12/31/2999 |
| D5955 | D5955 - palatal lift prosthesis definitive | D5955 - | D5955 - | '01/01/2011 | 12/31/2999 |
| D5958 | D5958 - palatal lift prosthesis interim | D5958 - | D5958 - | '01/01/2011 | 12/31/2999 |
| D5959 | D5959 - palatal lift prosthesis modification | D5959 - | D5959 - | '01/01/2011 | 12/31/2999 |
| D5960 | D5960 - speech aid prosthesis modification | D5960 - | D5960 - | '01/01/2011 | 12/31/2999 |
| D5982 | D5982 - SURGICAL STENT | D5982 - | D5982 - | '01/01/1950 | 12/31/2999 |
| D5983 | D5983 - radiation carrier | D5983 - | D5983 - | '01/01/2011 | 12/31/2999 |
| D5984 | D5984 - RADIATION SHIELD | D5984 - | D5984 - | '01/01/1950 | 12/31/2999 |
| D5985 | D5985 - RADIATION CONE LOCATOR | D5985 - | D5985 - | '01/01/1950 | 12/31/2999 |
| D5986 | D5986 - fluoride gel carrier | D5986 - | D5986 - | '01/01/2011 | 12/31/2999 |
| D5987 | D5987 - COMMISSURE SPLINT | D5987 - | D5987 - | '01/01/1950 | 12/31/2999 |
| D5988 | D5988 - SURGICAL SPLINT | D5988 - | D5988 - | '01/01/1950 | 12/31/2999 |
| D5991 | D5991 - vesiculobullous disease medicament carrier | D5991 - | D5991 - | '01/01/2014 | 12/31/2999 |
| D5992 | D5992 - Adjust maxillofacial prosthetic appliance by report | D5992 - | D5992 - | '01/01/2011 | 12/31/2999 |
| D5993 | D5993 - Maintenance and cleaning of a maxillofacial prosthesis (extra or intraoral) other than required adjustments by report | D5993 - | D5993 - | '01/01/2011 | 12/31/2999 |
| D5995 | D5995 - periodontal medicament carrier with peripheral seal – laboratory processed maxillary | D5995 - | D5995 - | '01/01/2021 | 12/31/2999 |
| D5996 | D5996 - periodontal medicament carrier with peripheral seal – laboratory processed mandibular | D5996 - | D5996 - | '01/01/2021 | 12/31/2999 |
| D5999 | D5999 - unspecified maxillofacial prosthesis by report | D5999 - | D5999 - | '01/01/2011 | 12/31/2999 |
| D6010 | D6010 - surgical placement of implant body: endosteal implant | D6010 - | D6010 - | '01/01/2011 | 12/31/2999 |
| D6011 | D6011 - second stage implant surgery | D6011 - | D6011 - | '01/01/2014 | 12/31/2999 |
| D6012 | D6012 - SURGICAL PLACEMENT OF INTERIM IMPLANT BODY FOR TRANSITIONAL PROSTHESIS: ENDOSTEAL IMPLANT | D6012 - | D6012 - | '01/01/2007 | 12/31/2999 |
| D6013 | D6013 - surgical placement of mini implant | D6013 - | D6013 - | '01/01/2014 | 12/31/2999 |
| D6040 | D6040 - surgical placement: eposteal implant | D6040 - | D6040 - | '01/01/2011 | 12/31/2999 |
| D6050 | D6050 - surgical placement: transosteal implant | D6050 - | D6050 - | '01/01/2011 | 12/31/2999 |
| D6051 | D6051 - interim implant abutment placement | D6051 - | D6051 - | '01/01/2022 | 12/31/2999 |
| D6055 | D6055 - connecting bar – implant supported or abutment supported | D6055 - | D6055 - | '01/01/2011 | 12/31/2999 |
| D6056 | D6056 - prefabricated abutment – includes modification and placement | D6056 - | D6056 - | '01/01/2013 | 12/31/2999 |
| D6057 | D6057 - custom fabricated abutment – includes placement | D6057 - | D6057 - | '01/01/2013 | 12/31/2999 |
| D6058 | D6058 - abutment supported porcelain/ceramic crown | D6058 - | D6058 - | '01/01/2011 | 12/31/2999 |
| D6059 | D6059 - abutment supported porcelain fused to metal crown (high noble metal) | D6059 - | D6059 - | '01/01/2011 | 12/31/2999 |
| D6060 | D6060 - abutment supported porcelain fused to metal crown (predominantly base metal) | D6060 - | D6060 - | '01/01/2011 | 12/31/2999 |
| D6061 | D6061 - abutment supported porcelain fused to metal crown (noble metal) | D6061 - | D6061 - | '01/01/2011 | 12/31/2999 |
| D6062 | D6062 - abutment supported cast metal crown (high noble metal) | D6062 - | D6062 - | '01/01/2011 | 12/31/2999 |
| D6063 | D6063 - abutment supported cast metal crown (predominantly base metal) | D6063 - | D6063 - | '01/01/2011 | 12/31/2999 |
| D6064 | D6064 - abutment supported cast metal crown (noble metal) | D6064 - | D6064 - | '01/01/2011 | 12/31/2999 |
| D6065 | D6065 - implant supported porcelain/ceramic crown | D6065 - | D6065 - | '01/01/2011 | 12/31/2999 |
| D6066 | D6066 - implant supported crown – porcelain fused to high noble alloys | D6066 - | D6066 - | '01/01/2020 | 12/31/2999 |
| D6067 | D6067 - implant supported crown – high noble alloys | D6067 - | D6067 - | '01/01/2020 | 12/31/2999 |
| D6068 | D6068 - abutment supported retainer for porcelain/ceramic FPD | D6068 - | D6068 - | '01/01/2011 | 12/31/2999 |
| D6069 | D6069 - abutment supported retainer for porcelain fused to metal FPD (high noble metal) | D6069 - | D6069 - | '01/01/2011 | 12/31/2999 |
| D6070 | D6070 - abutment supported retainer for porcelain fused to metal FPD (predominantly base metal) | D6070 - | D6070 - | '01/01/2011 | 12/31/2999 |
| D6071 | D6071 - abutment supported retainer for porcelain fused to metal FPD (noble metal) | D6071 - | D6071 - | '01/01/2011 | 12/31/2999 |
| D6072 | D6072 - abutment supported retainer for cast metal FPD (high noble metal) | D6072 - | D6072 - | '01/01/2011 | 12/31/2999 |
| D6073 | D6073 - abutment supported retainer for cast metal FPD (predominantly base metal) | D6073 - | D6073 - | '01/01/2011 | 12/31/2999 |
| D6074 | D6074 - abutment supported retainer for cast metal FPD (noble metal) | D6074 - | D6074 - | '01/01/2011 | 12/31/2999 |
| D6075 | D6075 - implant supported retainer for ceramic FPD | D6075 - | D6075 - | '01/01/2011 | 12/31/2999 |
| D6076 | D6076 - implant supported retainer for FPD – porcelain fused to high noble alloys | D6076 - | D6076 - | '01/01/2020 | 12/31/2999 |
| D6077 | D6077 - implant supported retainer for metal FPD – high noble alloys | D6077 - | D6077 - | '01/01/2020 | 12/31/2999 |
| D6080 | D6080 - implant maintenance procedures when prostheses are removed and reinserted including cleansing of prostheses and abutments | D6080 - | D6080 - | '01/01/2014 | 12/31/2999 |
| D6081 | D6081 - Scaling and debridement in the presence of inflammation or mucositis of a single implant including cleaning of the implant surfaces without flap entry and closure | D6081 - | D6081 - | '01/01/2017 | 12/31/2999 |
| D6082 | D6082 - implant supported crown – porcelain fused to predominantly base alloys | D6082 - | D6082 - | '01/01/2020 | 12/31/2999 |
| D6083 | D6083 - implant supported crown – porcelain fused to noble alloys | D6083 - | D6083 - | '01/01/2020 | 12/31/2999 |
| D6084 | D6084 - implant supported crown – porcelain fused to titanium and titanium alloys | D6084 - | D6084 - | '01/01/2020 | 12/31/2999 |
| D6085 | D6085 - interim implant crown | D6085 - | D6085 - | '01/01/2022 | 12/31/2999 |
| D6086 | D6086 - implant supported crown – predominantly base alloys | D6086 - | D6086 - | '01/01/2020 | 12/31/2999 |
| D6087 | D6087 - implant supported crown – noble alloys | D6087 - | D6087 - | '01/01/2020 | 12/31/2999 |
| D6088 | D6088 - implant supported crown – titanium and titanium alloys | D6088 - | D6088 - | '01/01/2020 | 12/31/2999 |
| D6090 | D6090 - repair implant supported prosthesis by report | D6090 - | D6090 - | '01/01/2011 | 12/31/2999 |
| D6091 | D6091 - replacement of replaceable part of semi-precision or precision attachment of implant/abutment supported prosthesis per attachment | D6091 - | D6091 - | '01/01/2022 | 12/31/2999 |
| D6092 | D6092 - re-cement or re-bond implant/abutment supported crown | D6092 - | D6092 - | '01/01/2015 | 12/31/2999 |
| D6093 | D6093 - re-cement or re-bond implant/abutment supported fixed partial denture | D6093 - | D6093 - | '01/01/2015 | 12/31/2999 |
| D6094 | D6094 - abutment supported crown – titanium and titanium alloys | D6094 - | D6094 - | '01/01/2020 | 12/31/2999 |
| D6095 | D6095 - repair implant abutment by report | D6095 - | D6095 - | '01/01/2011 | 12/31/2999 |
| D6096 | D6096 - Remove broken implant retaining screw | D6096 - | D6096 - | '01/01/2018 | 12/31/2999 |
| D6097 | D6097 - abutment supported crown – porcelain fused to titanium and titanium alloys | D6097 - | D6097 - | '01/01/2020 | 12/31/2999 |
| D6098 | D6098 - implant supported retainer – porcelain fused to predominantly base alloys | D6098 - | D6098 - | '01/01/2020 | 12/31/2999 |
| D6099 | D6099 - implant supported retainer for FPD – porcelain fused to noble alloys | D6099 - | D6099 - | '01/01/2020 | 12/31/2999 |
| D6100 | D6100 - surgical removal of implant body | D6100 - | D6100 - | '01/01/2022 | 12/31/2999 |
| D6101 | D6101 - debridement of a peri-implant defect or defects surrounding a single implant and surface cleaning of the exposed implant surfaces including flap entry and closure | D6101 - | D6101 - | '01/01/2015 | 12/31/2999 |
| D6102 | D6102 - debridement and osseous contouring of a peri-implant defect or defects surrounding a single implant and includes surface cleaning of the exposed implant surfaces including flap entry and closure | D6102 - | D6102 - | '01/01/2015 | 12/31/2999 |
| D6103 | D6103 - bone graft for repair of peri-implant defect – does not include flap entry and closure. Placement of a barrier membrane or biologic materials to aid in osseous regeneration are reported separately | D6103 - | D6103 - | '01/01/2015 | 12/31/2999 |
| D6104 | D6104 - bone graft at time of implant placement | D6104 - | D6104 - | '01/01/2013 | 12/31/2999 |
| D6105 | D6105 - removal of implant body not requiring bone removal nor flap elevation | D6105 - | D6105 - | '01/01/2023 | 12/31/2999 |
| D6106 | D6106 - guided tissue regeneration – resorbable barrier per implant | D6106 - | D6106 - | '01/01/2023 | 12/31/2999 |
| D6107 | D6107 - guided tissue regeneration – non-resorbable barrier per implant | D6107 - | D6107 - | '01/01/2023 | 12/31/2999 |
| D6110 | D6110 - implant /abutment supported removable denture for edentulous arch – maxillary | D6110 - | D6110 - | '01/01/2015 | 12/31/2999 |
| D6111 | D6111 - implant /abutment supported removable denture for edentulous arch – mandibular | D6111 - | D6111 - | '01/01/2015 | 12/31/2999 |
| D6112 | D6112 - implant /abutment supported removable denture for partially edentulous arch – maxillary | D6112 - | D6112 - | '01/01/2015 | 12/31/2999 |
| D6113 | D6113 - implant /abutment supported removable denture for partially edentulous arch – mandibular | D6113 - | D6113 - | '01/01/2015 | 12/31/2999 |
| D6114 | D6114 - implant /abutment supported fixed denture for edentulous arch – maxillary | D6114 - | D6114 - | '01/01/2015 | 12/31/2999 |
| D6115 | D6115 - implant /abutment supported fixed denture for edentulous arch – mandibular | D6115 - | D6115 - | '01/01/2015 | 12/31/2999 |
| D6116 | D6116 - implant /abutment supported fixed denture for partially edentulous arch – maxillary | D6116 - | D6116 - | '01/01/2015 | 12/31/2999 |
| D6117 | D6117 - implant /abutment supported fixed denture for partially edentulous arch – mandibular | D6117 - | D6117 - | '01/01/2015 | 12/31/2999 |
| D6118 | D6118 - Implant/abutment supported interium fixed denture for edentulous arch - mandibular | D6118 - | D6118 - | '01/01/2018 | 12/31/2999 |
| D6119 | D6119 - Implant/abutment supported interium fixed denture for edentulous arch - maxillary | D6119 - | D6119 - | '01/01/2018 | 12/31/2999 |
| D6120 | D6120 - implant supported retainer – porcelain fused to titanium and titanium alloys | D6120 - | D6120 - | '01/01/2020 | 12/31/2999 |
| D6121 | D6121 - implant supported retainer for metal FPD – predominantly base alloys | D6121 - | D6121 - | '01/01/2020 | 12/31/2999 |
| D6122 | D6122 - implant supported retainer for metal FPD – noble alloys | D6122 - | D6122 - | '01/01/2020 | 12/31/2999 |
| D6123 | D6123 - implant supported retainer for metal FPD – titanium and titanium alloys | D6123 - | D6123 - | '01/01/2020 | 12/31/2999 |
| D6190 | D6190 - radiographic/surgical implant index by report | D6190 - | D6190 - | '01/01/2011 | 12/31/2999 |
| D6191 | D6191 - semi-precision abutment - placement | D6191 - | D6191 - | '01/01/2021 | 12/31/2999 |
| D6192 | D6192 - semi-precision attachment - placement | D6192 - | D6192 - | '01/01/2021 | 12/31/2999 |
| D6194 | D6194 - abutment supported retainer crown for FPD – titanium and titanium alloys | D6194 - | D6194 - | '01/01/2020 | 12/31/2999 |
| D6195 | D6195 - abutment supported retainer – porcelain fused to titanium and titanium alloys | D6195 - | D6195 - | '01/01/2020 | 12/31/2999 |
| D6197 | D6197 - replacement of restorative material used to close an access opening of a screw-retained implant supported prosthesis per implant | D6197 - | D6197 - | '01/01/2023 | 12/31/2999 |
| D6198 | D6198 - remove interim implant component | D6198 - | D6198 - | '01/01/2022 | 12/31/2999 |
| D6199 | D6199 - unspecified implant procedure by report | D6199 - | D6199 - | '01/01/2011 | 12/31/2999 |
| D6205 | D6205 - PONTIC - INDIRECT RESIN BASED COMPOSITE | D6205 - | D6205 - | '01/01/2005 | 12/31/2999 |
| D6210 | D6210 - pontic - cast high noble metal | D6210 - | D6210 - | '01/01/2011 | 12/31/2999 |
| D6211 | D6211 - pontic - cast predominantly base metal | D6211 - | D6211 - | '01/01/2011 | 12/31/2999 |
| D6212 | D6212 - pontic - cast noble metal | D6212 - | D6212 - | '01/01/2011 | 12/31/2999 |
| D6214 | D6214 - pontic – titanium and titanium alloys | D6214 - | D6214 - | '01/01/2020 | 12/31/2999 |
| D6240 | D6240 - pontic - porcelain fused to high noble metal | D6240 - | D6240 - | '01/01/2011 | 12/31/2999 |
| D6241 | D6241 - pontic - porcelain fused to predominantly base metal | D6241 - | D6241 - | '01/01/2011 | 12/31/2999 |
| D6242 | D6242 - pontic - porcelain fused to noble metal | D6242 - | D6242 - | '01/01/2011 | 12/31/2999 |
| D6243 | D6243 - pontic – porcelain fused to titanium and titanium alloys | D6243 - | D6243 - | '01/01/2020 | 12/31/2999 |
| D6245 | D6245 - pontic - porcelain/ceramic | D6245 - | D6245 - | '01/01/2011 | 12/31/2999 |
| D6250 | D6250 - pontic - resin with high noble metal | D6250 - | D6250 - | '01/01/2011 | 12/31/2999 |
| D6251 | D6251 - pontic - resin with predominantly base metal | D6251 - | D6251 - | '01/01/2011 | 12/31/2999 |
| D6252 | D6252 - pontic - resin with noble metal | D6252 - | D6252 - | '01/01/2011 | 12/31/2999 |
| D6253 | D6253 - interim pontic – further treatment or completion of diagnosis necessary prior to final impression | D6253 - | D6253 - | '01/01/2022 | 12/31/2999 |
| D6545 | D6545 - retainer - cast metal for resin bonded fixed prosthesis | D6545 - | D6545 - | '01/01/2011 | 12/31/2999 |
| D6548 | D6548 - retainer - porcelain/ceramic for resin bonded fixed prosthesis | D6548 - | D6548 - | '01/01/2011 | 12/31/2999 |
| D6549 | D6549 - resin retainer – for resin bonded fixed prosthesis | D6549 - | D6549 - | '01/01/2015 | 12/31/2999 |
| D6600 | D6600 - inlay - porcelain/ceramic two surfaces | D6600 - | D6600 - | '01/01/2011 | 12/31/2999 |
| D6601 | D6601 - inlay - porcelain/ceramic three or more surfaces | D6601 - | D6601 - | '01/01/2011 | 12/31/2999 |
| D6602 | D6602 - inlay - cast high noble metal two surfaces | D6602 - | D6602 - | '01/01/2011 | 12/31/2999 |
| D6603 | D6603 - inlay - cast high noble metal three or more surfaces | D6603 - | D6603 - | '01/01/2011 | 12/31/2999 |
| D6604 | D6604 - inlay - cast predominantly base metal two surfaces | D6604 - | D6604 - | '01/01/2011 | 12/31/2999 |
| D6605 | D6605 - inlay - cast predominantly base metal three or more surfaces | D6605 - | D6605 - | '01/01/2011 | 12/31/2999 |
| D6606 | D6606 - inlay - cast noble metal two surfaces | D6606 - | D6606 - | '01/01/2011 | 12/31/2999 |
| D6607 | D6607 - inlay - cast noble metal three or more surfaces | D6607 - | D6607 - | '01/01/2011 | 12/31/2999 |
| D6608 | D6608 - onlay -porcelain/ceramic two surfaces | D6608 - | D6608 - | '01/01/2011 | 12/31/2999 |
| D6609 | D6609 - onlay - porcelain/ceramic three or more surfaces | D6609 - | D6609 - | '01/01/2011 | 12/31/2999 |
| D6610 | D6610 - onlay - cast high noble metal two surfaces | D6610 - | D6610 - | '01/01/2011 | 12/31/2999 |
| D6611 | D6611 - onlay - cast high noble metal three or more surfaces | D6611 - | D6611 - | '01/01/2011 | 12/31/2999 |
| D6612 | D6612 - onlay - cast predominantly base metal two surfaces | D6612 - | D6612 - | '01/01/2011 | 12/31/2999 |
| D6613 | D6613 - onlay - cast predominantly base metal three or more surfaces | D6613 - | D6613 - | '01/01/2011 | 12/31/2999 |
| D6614 | D6614 - onlay - cast noble metal two surfaces | D6614 - | D6614 - | '01/01/2011 | 12/31/2999 |
| D6615 | D6615 - onlay - cast noble metal three or more surfaces | D6615 - | D6615 - | '01/01/2011 | 12/31/2999 |
| D6624 | D6624 - INLAY - TITANIUM | D6624 - | D6624 - | '01/01/2005 | 12/31/2999 |
| D6634 | D6634 - ONLAY - TITANIUM | D6634 - | D6634 - | '01/01/2005 | 12/31/2999 |
| D6710 | D6710 - CROWN - INDIRECT RESIN BASED COMPOSITE | D6710 - | D6710 - | '01/01/2005 | 12/31/2999 |
| D6720 | D6720 - crown - resin with high noble metal | D6720 - | D6720 - | '01/01/2011 | 12/31/2999 |
| D6721 | D6721 - crown - resin with predominantly base metal | D6721 - | D6721 - | '01/01/2011 | 12/31/2999 |
| D6722 | D6722 - crown - resin with noble metal | D6722 - | D6722 - | '01/01/2011 | 12/31/2999 |
| D6740 | D6740 - crown - porcelain/ceramic | D6740 - | D6740 - | '01/01/2011 | 12/31/2999 |
| D6750 | D6750 - crown - porcelain fused to high noble metal | D6750 - | D6750 - | '01/01/2011 | 12/31/2999 |
| D6751 | D6751 - crown - porcelain fused to predominantly base metal | D6751 - | D6751 - | '01/01/2011 | 12/31/2999 |
| D6752 | D6752 - crown - porcelain fused to noble metal | D6752 - | D6752 - | '01/01/2011 | 12/31/2999 |
| D6753 | D6753 - retainer crown – porcelain fused to titanium and titanium alloys | D6753 - | D6753 - | '01/01/2020 | 12/31/2999 |
| D6780 | D6780 - crown - 3/4 cast high noble metal | D6780 - | D6780 - | '01/01/2011 | 12/31/2999 |
| D6781 | D6781 - crown - 3/4 cast predominantly base metal | D6781 - | D6781 - | '01/01/2011 | 12/31/2999 |
| D6782 | D6782 - crown - 3/4 cast noble metal | D6782 - | D6782 - | '01/01/2011 | 12/31/2999 |
| D6783 | D6783 - crown - 3/4 porcelain/ceramic | D6783 - | D6783 - | '01/01/2011 | 12/31/2999 |
| D6784 | D6784 - retainer crown ¾ – titanium and titanium alloys | D6784 - | D6784 - | '01/01/2020 | 12/31/2999 |
| D6790 | D6790 - crown - full cast high noble metal | D6790 - | D6790 - | '01/01/2011 | 12/31/2999 |
| D6791 | D6791 - crown - full cast predominantly base metal | D6791 - | D6791 - | '01/01/2011 | 12/31/2999 |
| D6792 | D6792 - crown - full cast noble metal | D6792 - | D6792 - | '01/01/2011 | 12/31/2999 |
| D6793 | D6793 - interim retainer crown – further treatment or completion of diagnosis necessary prior to final impression | D6793 - | D6793 - | '01/01/2022 | 12/31/2999 |
| D6794 | D6794 - retainer crown – titanium and titanium alloys | D6794 - | D6794 - | '01/01/2020 | 12/31/2999 |
| D6920 | D6920 - connector bar | D6920 - | D6920 - | '01/01/2011 | 12/31/2999 |
| D6930 | D6930 - re-cement or re-bond fixed partial denture | D6930 - | D6930 - | '01/01/2015 | 12/31/2999 |
| D6940 | D6940 - STRESS BREAKER | D6940 - | D6940 - | '01/01/1950 | 12/31/2999 |
| D6950 | D6950 - PRECISION ATTACHMENT | D6950 - | D6950 - | '01/01/1950 | 12/31/2999 |
| D6980 | D6980 - fixed partial denture repair necessitated by restorative material failure | D6980 - | D6980 - | '01/01/2013 | 12/31/2999 |
| D6985 | D6985 - pediatric partial denture fixed | D6985 - | D6985 - | '01/01/2011 | 12/31/2999 |
| D6999 | D6999 - unspecified fixed prosthodontic procedure by report | D6999 - | D6999 - | '01/01/2011 | 12/31/2999 |
| D7111 | D7111 - Extraction coronal remnants – primary tooth | D7111 - | D7111 - | '01/01/2018 | 12/31/2999 |
| D7140 | D7140 - extraction erupted tooth or exposed root (elevation and/or forceps removal) | D7140 - | D7140 - | '01/01/2011 | 12/31/2999 |
| D7210 | D7210 - extraction erupted tooth requiring removal of bone and/or sectioning of tooth and including elevation of mucoperiosteal flap if indicated | D7210 - | D7210 - | '01/01/2017 | 12/31/2999 |
| D7220 | D7220 - removal of impacted tooth - soft tissue | D7220 - | D7220 - | '01/01/2011 | 12/31/2999 |
| D7230 | D7230 - removal of impacted tooth - partially bony | D7230 - | D7230 - | '01/01/2011 | 12/31/2999 |
| D7240 | D7240 - removal of impacted tooth - completely bony | D7240 - | D7240 - | '01/01/2011 | 12/31/2999 |
| D7241 | D7241 - removal of impacted tooth - completely bony with unusual surgical complications | D7241 - | D7241 - | '01/01/2011 | 12/31/2999 |
| D7250 | D7250 - removal of residual tooth roots (cutting procedure) | D7250 - | D7250 - | '01/01/2017 | 12/31/2999 |
| D7251 | D7251 - coronectomy - intentional partial tooth removal impacted teeth only | D7251 - | D7251 - | '01/01/2023 | 12/31/2999 |
| D7260 | D7260 - oroantral fistula closure | D7260 - | D7260 - | '01/01/2011 | 12/31/2999 |
| D7261 | D7261 - primary closure of a sinus perforation | D7261 - | D7261 - | '01/01/2011 | 12/31/2999 |
| D7270 | D7270 - tooth reimplantation and/or stabilization of accidentally evulsed or displaced tooth | D7270 - | D7270 - | '01/01/2011 | 12/31/2999 |
| D7272 | D7272 - tooth transplantation (includes reimplantation from one site to another and splinting and/or stabilization) | D7272 - | D7272 - | '01/01/2011 | 12/31/2999 |
| D7280 | D7280 - exposure of an unerupted tooth | D7280 - | D7280 - | '01/01/2017 | 12/31/2999 |
| D7282 | D7282 - mobilization of erupted or malpositioned tooth to aid eruption | D7282 - | D7282 - | '01/01/2011 | 12/31/2999 |
| D7283 | D7283 - PLACEMENT OF DEVICE TO FACILITATE ERUPTION OF IMPACTED TOOTH | D7283 - | D7283 - | '01/01/2005 | 12/31/2999 |
| D7285 | D7285 - incisional biopsy of oral tissue-hard (bone tooth) | D7285 - | D7285 - | '01/01/2015 | 12/31/2999 |
| D7286 | D7286 - incisional biopsy of oral tissue-soft | D7286 - | D7286 - | '01/01/2015 | 12/31/2999 |
| D7287 | D7287 - exfoliative cytological sample collection | D7287 - | D7287 - | '01/01/2011 | 12/31/2999 |
| D7288 | D7288 - BRUSH BIOPSY - TRANSEPITHELIAL SAMPLE COLLECTION | D7288 - | D7288 - | '01/01/2005 | 12/31/2999 |
| D7290 | D7290 - surgical repositioning of teeth | D7290 - | D7290 - | '01/01/2011 | 12/31/2999 |
| D7291 | D7291 - transseptal fiberotomy/supra crestal fiberotomy by report | D7291 - | D7291 - | '01/01/2011 | 12/31/2999 |
| D7292 | D7292 - placement of temporary anchorage device [screw retained plate] requiring flap; | D7292 - | D7292 - | '01/01/2022 | 12/31/2999 |
| D7293 | D7293 - placement of temporary anchorage device requiring flap; | D7293 - | D7293 - | '01/01/2022 | 12/31/2999 |
| D7294 | D7294 - placement of temporary anchorage device without flap; | D7294 - | D7294 - | '01/01/2022 | 12/31/2999 |
| D7295 | D7295 - Harvest of bone for use in autogenous grafting procedure | D7295 - | D7295 - | '01/01/2011 | 12/31/2999 |
| D7296 | D7296 - Corticotomy - one to three teeth or tooth spaces per quadrant | D7296 - | D7296 - | '01/01/2018 | 12/31/2999 |
| D7297 | D7297 - Corticotomy - four or more teeth or tooth spaces per quadrant | D7297 - | D7297 - | '01/01/2018 | 12/31/2999 |
| D7298 | D7298 - removal of temporary anchorage device [screw retained plate] requiring flap | D7298 - | D7298 - | '01/01/2022 | 12/31/2999 |
| D7299 | D7299 - removal of temporary anchorage device requiring flap | D7299 - | D7299 - | '01/01/2022 | 12/31/2999 |
| D7300 | D7300 - removal of temporary anchorage device without flap | D7300 - | D7300 - | '01/01/2022 | 12/31/2999 |
| D7310 | D7310 - alveoloplasty in conjunction with extractions four or more teeth or tooth spaces per quadrant | D7310 - | D7310 - | '01/01/2011 | 12/31/2999 |
| D7311 | D7311 - alveoloplasty in conjunction with extractions - one to three teeth or tooth spaces per quadrant | D7311 - | D7311 - | '01/01/2011 | 12/31/2999 |
| D7320 | D7320 - alveoloplasty not in conjunction with extractions four or more teeth or tooth spaces per quadrant | D7320 - | D7320 - | '01/01/2011 | 12/31/2999 |
| D7321 | D7321 - alveoloplasty not in conjunction with extractions - one to three teeth or tooth spaces per quadrant | D7321 - | D7321 - | '01/01/2011 | 12/31/2999 |
| D7340 | D7340 - vestibuloplasty - ridge extension (secondary epithelialization) | D7340 - | D7340 - | '01/01/2011 | 12/31/2999 |
| D7350 | D7350 - vestibuloplasty - ridge extension (including soft tissue grafts muscle reattachment revision of soft tissue attachment and management of hypertrophied and hyperplastic tissue) | D7350 - | D7350 - | '01/01/2011 | 12/31/2999 |
| D7410 | D7410 - excision of benign lesion up to 1.25 cm | D7410 - | D7410 - | '01/01/2011 | 12/31/2999 |
| D7411 | D7411 - excision of benign lesion greater than 1.25 cm | D7411 - | D7411 - | '01/01/2011 | 12/31/2999 |
| D7412 | D7412 - excision of benign lesion complicated | D7412 - | D7412 - | '01/01/2011 | 12/31/2999 |
| D7413 | D7413 - excision of malignant lesion up to 1.25 cm | D7413 - | D7413 - | '01/01/2011 | 12/31/2999 |
| D7414 | D7414 - excision of malignant lesion greater than 1.25 cm | D7414 - | D7414 - | '01/01/2011 | 12/31/2999 |
| D7415 | D7415 - excision of malignant lesion complicated | D7415 - | D7415 - | '01/01/2011 | 12/31/2999 |
| D7440 | D7440 - excision of malignant tumor - lesion diameter up to 1.25 cm | D7440 - | D7440 - | '01/01/2011 | 12/31/2999 |
| D7441 | D7441 - excision of malignant tumor - lesion diameter greater than 1.25 cm | D7441 - | D7441 - | '01/01/2011 | 12/31/2999 |
| D7450 | D7450 - removal of benign odontogenic cyst or tumor - lesion diameter up to 1.25 cm | D7450 - | D7450 - | '01/01/2011 | 12/31/2999 |
| D7451 | D7451 - removal of benign odontogenic cyst or tumor - lesion diameter greater than 1.25 cm | D7451 - | D7451 - | '02/15/2015 | 12/31/2999 |
| D7460 | D7460 - removal of benign nonodontogenic cyst or tumor - lesion diameter up to 1.25 cm | D7460 - | D7460 - | '02/15/2015 | 12/31/2999 |
| D7461 | D7461 - removal of benign nonodontogenic cyst or tumor - lesion diameter greater than 1.25 cm | D7461 - | D7461 - | '02/15/2015 | 12/31/2999 |
| D7465 | D7465 - destruction of lesion(s) by physical or chemical method by report | D7465 - | D7465 - | '01/01/2011 | 12/31/2999 |
| D7471 | D7471 - removal of lateral exostosis (maxilla or mandible) | D7471 - | D7471 - | '01/01/2011 | 12/31/2999 |
| D7472 | D7472 - removal of torus palatinus | D7472 - | D7472 - | '01/01/2011 | 12/31/2999 |
| D7473 | D7473 - removal of torus mandibularis | D7473 - | D7473 - | '01/01/2011 | 12/31/2999 |
| D7485 | D7485 - reduction of osseous tuberosity | D7485 - | D7485 - | '01/01/2017 | 12/31/2999 |
| D7490 | D7490 - radical resection of maxilla or mandible | D7490 - | D7490 - | '01/01/2011 | 12/31/2999 |
| D7509 | D7509 - marsupialization of odontogenic cyst | D7509 - | D7509 - | '01/01/2023 | 12/31/2999 |
| D7510 | D7510 - incision and drainage of abscess - intraoral soft tissue | D7510 - | D7510 - | '01/01/2011 | 12/31/2999 |
| D7511 | D7511 - INCISION AND DRAINAGE OF ABSCESS - INTRAORAL SOFT TISSUE - COMPLICATED (INCLUDES DRAINAGE OF MULTIPLE FASCIAL SPACES) | D7511 - | D7511 - | '01/01/2005 | 12/31/2999 |
| D7520 | D7520 - incision and drainage of abscess - extraoral soft tissue | D7520 - | D7520 - | '01/01/2011 | 12/31/2999 |
| D7521 | D7521 - INCISION AND DRAINAGE OF ABSCESS - EXTRAORAL SOFT TISSUE - COMPLICATED (INCLUDES DRAINAGE OF MULTIPLE FASCIAL SPACES) | D7521 - | D7521 - | '01/01/2005 | 12/31/2999 |
| D7530 | D7530 - removal of foreign body from mucosa skin or subcutaneous alveolar tissue | D7530 - | D7530 - | '01/01/2011 | 12/31/2999 |
| D7540 | D7540 - removal of reaction producing foreign bodies musculoskeletal system | D7540 - | D7540 - | '01/01/2011 | 12/31/2999 |
| D7550 | D7550 - partial ostectomy/sequestrectomy for removal of non-vital bone | D7550 - | D7550 - | '01/01/2011 | 12/31/2999 |
| D7560 | D7560 - maxillary sinusotomy for removal of tooth fragment or foreign body | D7560 - | D7560 - | '01/01/2011 | 12/31/2999 |
| D7610 | D7610 - maxilla - open reduction (teeth immobilized if present) | D7610 - | D7610 - | '01/01/2011 | 12/31/2999 |
| D7620 | D7620 - maxilla - closed reduction (teeth immobilized if present) | D7620 - | D7620 - | '01/01/2011 | 12/31/2999 |
| D7630 | D7630 - mandible - open reduction (teeth immobilized if present) | D7630 - | D7630 - | '01/01/2011 | 12/31/2999 |
| D7640 | D7640 - mandible - closed reduction (teeth immobilized if present) | D7640 - | D7640 - | '01/01/2011 | 12/31/2999 |
| D7650 | D7650 - malar and/or zygomatic arch - open reduction | D7650 - | D7650 - | '01/01/2011 | 12/31/2999 |
| D7660 | D7660 - malar and/or zygomatic arch - closed reduction | D7660 - | D7660 - | '01/01/2011 | 12/31/2999 |
| D7670 | D7670 - alveolus closed reduction may include stabilization of teeth | D7670 - | D7670 - | '01/01/2011 | 12/31/2999 |
| D7671 | D7671 - alveolus open reduction may include stabilization of teeth | D7671 - | D7671 - | '01/01/2011 | 12/31/2999 |
| D7680 | D7680 - facial bones - complicated reduction with fixation and multiple surgical approaches | D7680 - | D7680 - | '01/01/2011 | 12/31/2999 |
| D7710 | D7710 - maxilla open reduction | D7710 - | D7710 - | '01/01/2011 | 12/31/2999 |
| D7720 | D7720 - maxilla - closed reduction | D7720 - | D7720 - | '01/01/2011 | 12/31/2999 |
| D7730 | D7730 - mandible - open reduction | D7730 - | D7730 - | '01/01/2011 | 12/31/2999 |
| D7740 | D7740 - mandible - closed reduction | D7740 - | D7740 - | '01/01/2011 | 12/31/2999 |
| D7750 | D7750 - malar and/or zygomatic arch - open reduction | D7750 - | D7750 - | '01/01/2011 | 12/31/2999 |
| D7760 | D7760 - malar and/or zygomatic arch - closed reduction | D7760 - | D7760 - | '01/01/2011 | 12/31/2999 |
| D7770 | D7770 - alveolus - open reduction stabilization of teeth | D7770 - | D7770 - | '01/01/2011 | 12/31/2999 |
| D7771 | D7771 - alveolus closed reduction stabilization of teeth | D7771 - | D7771 - | '01/01/2011 | 12/31/2999 |
| D7780 | D7780 - facial bones - complicated reduction with fixation and multiple approaches | D7780 - | D7780 - | '01/01/2017 | 12/31/2999 |
| D7810 | D7810 - open reduction of dislocation | D7810 - | D7810 - | '01/01/2011 | 12/31/2999 |
| D7820 | D7820 - closed reduction of dislocation | D7820 - | D7820 - | '01/01/2011 | 12/31/2999 |
| D7830 | D7830 - manipulation under anesthesia | D7830 - | D7830 - | '01/01/2011 | 12/31/2999 |
| D7840 | D7840 - condylectomy | D7840 - | D7840 - | '01/01/2011 | 12/31/2999 |
| D7850 | D7850 - surgical discectomy with/without implant | D7850 - | D7850 - | '01/01/2011 | 12/31/2999 |
| D7852 | D7852 - disc repair | D7852 - | D7852 - | '01/01/2011 | 12/31/2999 |
| D7854 | D7854 - synovectomy | D7854 - | D7854 - | '01/01/2011 | 12/31/2999 |
| D7856 | D7856 - myotomy | D7856 - | D7856 - | '01/01/2011 | 12/31/2999 |
| D7858 | D7858 - joint reconstruction | D7858 - | D7858 - | '01/01/2011 | 12/31/2999 |
| D7860 | D7860 - arthrotomy | D7860 - | D7860 - | '01/01/2011 | 12/31/2999 |
| D7865 | D7865 - arthroplasty | D7865 - | D7865 - | '01/01/2011 | 12/31/2999 |
| D7870 | D7870 - arthrocentesis | D7870 - | D7870 - | '01/01/2011 | 12/31/2999 |
| D7871 | D7871 - non-arthroscopic lysis and lavage | D7871 - | D7871 - | '01/01/2011 | 12/31/2999 |
| D7872 | D7872 - arthroscopy - diagnosis with or without biopsy | D7872 - | D7872 - | '01/01/2011 | 12/31/2999 |
| D7873 | D7873 - arthroscopy: lavage and lysis of adhesions | D7873 - | D7873 - | '01/01/2017 | 12/31/2999 |
| D7874 | D7874 - arthroscopy: disc repositioning and stabilization | D7874 - | D7874 - | '01/01/2017 | 12/31/2999 |
| D7875 | D7875 - arthroscopy: synovectomy | D7875 - | D7875 - | '01/01/2017 | 12/31/2999 |
| D7876 | D7876 - arthroscopy: discectomy | D7876 - | D7876 - | '01/01/2017 | 12/31/2999 |
| D7877 | D7877 - arthroscopy: debridement | D7877 - | D7877 - | '01/01/2017 | 12/31/2999 |
| D7880 | D7880 - occlusal orthotic device by report | D7880 - | D7880 - | '01/01/2011 | 12/31/2999 |
| D7881 | D7881 - occlusal orthotic device adjustment | D7881 - | D7881 - | '01/01/2016 | 12/31/2999 |
| D7899 | D7899 - unspecified TMD therapy by report | D7899 - | D7899 - | '01/01/2011 | 12/31/2999 |
| D7910 | D7910 - suture of recent small wounds up to 5 cm | D7910 - | D7910 - | '01/01/2011 | 12/31/2999 |
| D7911 | D7911 - complicated suture - up to 5 cm | D7911 - | D7911 - | '01/01/2011 | 12/31/2999 |
| D7912 | D7912 - complicated suture - greater than 5 cm | D7912 - | D7912 - | '01/01/2011 | 12/31/2999 |
| D7920 | D7920 - skin graft (identify defect covered location and type of graft) | D7920 - | D7920 - | '01/01/2011 | 12/31/2999 |
| D7921 | D7921 - collection and application of autologous blood concentrate product | D7921 - | D7921 - | '01/01/2013 | 12/31/2999 |
| D7922 | D7922 - placement of intra-socket biological dressing to aid in hemostasis or clot stabilization per site | D7922 - | D7922 - | '01/01/2020 | 12/31/2999 |
| D7940 | D7940 - osteoplasty - for orthognathic deformities | D7940 - | D7940 - | '01/01/2011 | 12/31/2999 |
| D7941 | D7941 - osteotomy - mandibular rami | D7941 - | D7941 - | '01/01/2011 | 12/31/2999 |
| D7943 | D7943 - osteotomy - mandibular rami with bone graft; includes obtaining the graft | D7943 - | D7943 - | '01/01/2011 | 12/31/2999 |
| D7944 | D7944 - osteotomy - segmented or subapical | D7944 - | D7944 - | '01/01/2011 | 12/31/2999 |
| D7945 | D7945 - osteotomy - body of mandible | D7945 - | D7945 - | '01/01/2011 | 12/31/2999 |
| D7946 | D7946 - LeFort I (maxilla - total) | D7946 - | D7946 - | '01/01/2011 | 12/31/2999 |
| D7947 | D7947 - LeFort I (maxilla - segmented) | D7947 - | D7947 - | '01/01/2011 | 12/31/2999 |
| D7948 | D7948 - LeFort II or LeFort III (osteoplasty of facial bones for midface hypoplasia or retrusion)-without bone graft | D7948 - | D7948 - | '01/01/2011 | 12/31/2999 |
| D7949 | D7949 - LeFort II or LeFort III - with bone graft | D7949 - | D7949 - | '01/01/2011 | 12/31/2999 |
| D7950 | D7950 - osseous osteoperiosteal or cartilage graft of the mandible or maxilla - autogenous or nonautogenous by report | D7950 - | D7950 - | '01/01/2011 | 12/31/2999 |
| D7951 | D7951 - sinus augmentation with bone or bone substitutes via a lateral open approach | D7951 - | D7951 - | '01/01/2013 | 12/31/2999 |
| D7952 | D7952 - sinus augmentation via a vertical approach | D7952 - | D7952 - | '01/01/2013 | 12/31/2999 |
| D7953 | D7953 - bone replacement graft for ridge preservation - per site | D7953 - | D7953 - | '01/01/2014 | 12/31/2999 |
| D7955 | D7955 - repair of maxillofacial soft and/or hard tissue defect | D7955 - | D7955 - | '01/01/2011 | 12/31/2999 |
| D7956 | D7956 - guided tissue regeneration edentulous area – resorbable barrier per site | D7956 - | D7956 - | '01/01/2023 | 12/31/2999 |
| D7957 | D7957 - guided tissue regeneration edentulous area – non-resorbable barrier per site | D7957 - | D7957 - | '01/01/2023 | 12/31/2999 |
| D7961 | D7961 - buccal/labial frenectomy (frenulectomy) | D7961 - | D7961 - | '01/01/2021 | 12/31/2999 |
| D7962 | D7962 - lingual frenectomy (frenulectomy) | D7962 - | D7962 - | '01/01/2021 | 12/31/2999 |
| D7963 | D7963 - FRENULOPLASTY | D7963 - | D7963 - | '01/01/2005 | 12/31/2999 |
| D7970 | D7970 - excision of hyperplastic tissue - per arch | D7970 - | D7970 - | '01/01/2011 | 12/31/2999 |
| D7971 | D7971 - excision of pericoronal gingiva | D7971 - | D7971 - | '01/01/2011 | 12/31/2999 |
| D7972 | D7972 - surgical reduction of fibrous tuberosity | D7972 - | D7972 - | '01/01/2011 | 12/31/2999 |
| D7979 | D7979 - Non-surgical sialolithotomy | D7979 - | D7979 - | '01/01/2018 | 12/31/2999 |
| D7980 | D7980 - Surgical sialolithotomy | D7980 - | D7980 - | '01/01/2018 | 12/31/2999 |
| D7981 | D7981 - excision of salivary gland by report | D7981 - | D7981 - | '01/01/2011 | 12/31/2999 |
| D7982 | D7982 - SIALODOCHOPLASTY | D7982 - | D7982 - | '01/01/1950 | 12/31/2999 |
| D7983 | D7983 - CLOSURE OF SALIVARY FISTULA | D7983 - | D7983 - | '01/01/1950 | 12/31/2999 |
| D7990 | D7990 - EMERGENCY TRACHEOTOMY | D7990 - | D7990 - | '01/01/1950 | 12/31/2999 |
| D7991 | D7991 - coronoidectomy | D7991 - | D7991 - | '01/01/2011 | 12/31/2999 |
| D7993 | D7993 - surgical placement of craniofacial implant – extra oral | D7993 - | D7993 - | '01/01/2021 | 12/31/2999 |
| D7994 | D7994 - surgical placement: zygomatic implant | D7994 - | D7994 - | '01/01/2021 | 12/31/2999 |
| D7995 | D7995 - synthetic graft - mandible or facial bones by report | D7995 - | D7995 - | '01/01/2011 | 12/31/2999 |
| D7996 | D7996 - implant-mandible for augmentation purposes (excluding alveolar ridge) by report | D7996 - | D7996 - | '01/01/2011 | 12/31/2999 |
| D7997 | D7997 - appliance removal (not by dentist who placed appliance) includes removal of archbar | D7997 - | D7997 - | '01/01/2011 | 12/31/2999 |
| D7998 | D7998 - INTRAORAL PLACEMENT OF A FIXATION DEVICE NOT IN CONJUNCTION WITH A FRACTURE | D7998 - | D7998 - | '01/01/2007 | 12/31/2999 |
| D7999 | D7999 - unspecified oral surgery procedure by report | D7999 - | D7999 - | '01/01/2011 | 12/31/2999 |
| D8010 | D8010 - limited orthodontic treatment of the primary dentition | D8010 - | D8010 - | '01/01/2011 | 12/31/2999 |
| D8020 | D8020 - limited orthodontic treatment of the transitional dentition | D8020 - | D8020 - | '01/01/2011 | 12/31/2999 |
| D8030 | D8030 - limited orthodontic treatment of the adolescent dentition | D8030 - | D8030 - | '01/01/2011 | 12/31/2999 |
| D8040 | D8040 - limited orthodontic treatment of the adult dentition | D8040 - | D8040 - | '01/01/2011 | 12/31/2999 |
| D8070 | D8070 - comprehensive orthodontic treatment of the transitional dentition | D8070 - | D8070 - | '01/01/2011 | 12/31/2999 |
| D8080 | D8080 - comprehensive orthodontic treatment of the adolescent dentition | D8080 - | D8080 - | '01/01/2011 | 12/31/2999 |
| D8090 | D8090 - comprehensive orthodontic treatment of the adult dentition | D8090 - | D8090 - | '01/01/2011 | 12/31/2999 |
| D8210 | D8210 - removable appliance therapy | D8210 - | D8210 - | '01/01/2011 | 12/31/2999 |
| D8220 | D8220 - fixed appliance therapy | D8220 - | D8220 - | '01/01/2011 | 12/31/2999 |
| D8660 | D8660 - pre-orthodontic treatment examination to monitor growth and development | D8660 - | D8660 - | '01/01/2015 | 12/31/2999 |
| D8670 | D8670 - periodic orthodontic treatment visit | D8670 - | D8670 - | '01/01/2015 | 12/31/2999 |
| D8680 | D8680 - orthodontic retention (removal of appliances construction and placement of retainer(s)) | D8680 - | D8680 - | '01/01/2011 | 12/31/2999 |
| D8681 | D8681 - removable orthodontic retainer adjustment | D8681 - | D8681 - | '01/01/2016 | 12/31/2999 |
| D8695 | D8695 - Removal of fixed orthodontic appliances for reasons other than completion of treatment | D8695 - | D8695 - | '01/01/2018 | 12/31/2999 |
| D8696 | D8696 - repair of orthodontic appliance – maxillary | D8696 - | D8696 - | '01/01/2020 | 12/31/2999 |
| D8697 | D8697 - repair of orthodontic appliance – mandibular | D8697 - | D8697 - | '01/01/2020 | 12/31/2999 |
| D8698 | D8698 - re-cement or re-bond fixed retainer – maxillary | D8698 - | D8698 - | '01/01/2020 | 12/31/2999 |
| D8699 | D8699 - re-cement or re-bond fixed retainer – mandibular | D8699 - | D8699 - | '01/01/2020 | 12/31/2999 |
| D8701 | D8701 - repair of fixed retainer includes reattachment – maxillary | D8701 - | D8701 - | '01/01/2020 | 12/31/2999 |
| D8702 | D8702 - repair of fixed retainer includes reattachment – mandibular | D8702 - | D8702 - | '01/01/2020 | 12/31/2999 |
| D8703 | D8703 - replacement of lost or broken retainer – maxillary | D8703 - | D8703 - | '01/01/2020 | 12/31/2999 |
| D8704 | D8704 - replacement of lost or broken retainer – mandibular | D8704 - | D8704 - | '01/01/2020 | 12/31/2999 |
| D8999 | D8999 - unspecified orthodontic procedure by report | D8999 - | D8999 - | '01/01/2011 | 12/31/2999 |
| D9110 | D9110 - palliative treatment of dental pain - per visit | D9110 - | D9110 - | '01/01/2023 | 12/31/2999 |
| D9120 | D9120 - FIXED PARTIAL DENTURE SECTIONING | D9120 - | D9120 - | '01/01/2007 | 12/31/2999 |
| D9130 | D9130 - temporomandibular joint dysfunction – non-invasive physical therapies | D9130 - | D9130 - | '01/01/2019 | 12/31/2999 |
| D9210 | D9210 - local anesthesia not in conjunction with operative or surgical procedures | D9210 - | D9210 - | '01/01/2011 | 12/31/2999 |
| D9211 | D9211 - REGIONAL BLOCK ANESTHESIA | D9211 - | D9211 - | '01/01/1950 | 12/31/2999 |
| D9212 | D9212 - trigeminal division block anesthesia | D9212 - | D9212 - | '01/01/2011 | 12/31/2999 |
| D9215 | D9215 - local anesthesia in conjunction with operative or surgical procedures | D9215 - | D9215 - | '01/01/2011 | 12/31/2999 |
| D9219 | D9219 - evaluation for moderate sedation deep sedation or general anesthesia | D9219 - | D9219 - | '01/01/2019 | 12/31/2999 |
| D9222 | D9222 - Deep sedation/general anesthesia - first 15 minutes | D9222 - | D9222 - | '01/01/2018 | 12/31/2999 |
| D9223 | D9223 - Deep sedation/general anesthesia – each subsequent 15 minute increment | D9223 - | D9223 - | '01/01/2018 | 12/31/2999 |
| D9230 | D9230 - inhalation of nitrous oxide / anxiolysis analgesia | D9230 - | D9230 - | '01/01/2011 | 12/31/2999 |
| D9239 | D9239 - Intravenous moderate (conscious) sedation/anesthesia - first 15 minutes | D9239 - | D9239 - | '01/01/2018 | 12/31/2999 |
| D9243 | D9243 - intravenous moderate (conscious) sedation/anesthesia – each subsequent 15 minute increment | D9243 - | D9243 - | '01/01/2018 | 12/31/2999 |
| D9248 | D9248 - non-intravenous moderate (conscious) sedation | D9248 - | D9248 - | '01/01/2015 | 12/31/2999 |
| D9310 | D9310 - CONSULTATION - DIAGNOSTIC SERVICE PROVIDED BY DENTIST OR PHYSICIAN OTHER THAN REQUESTING DENTIST OR PHYSICIAN | D9310 - | D9310 - | '01/01/2007 | 12/31/2999 |
| D9311 | D9311 - Consultation with a medical health care professional | D9311 - | D9311 - | '01/01/2017 | 12/31/2999 |
| D9410 | D9410 - house/extended care facility call | D9410 - | D9410 - | '01/01/2011 | 12/31/2999 |
| D9420 | D9420 - hospital or ambulatory surgical center call | D9420 - | D9420 - | '01/01/2011 | 12/31/2999 |
| D9430 | D9430 - office visit for observation (during regularly scheduled hours) - no other services performed | D9430 - | D9430 - | '01/01/2011 | 12/31/2999 |
| D9440 | D9440 - office visit - after regularly scheduled hours | D9440 - | D9440 - | '01/01/2011 | 12/31/2999 |
| D9450 | D9450 - case presentation subsequent to detailed and extensive treatment planning | D9450 - | D9450 - | '01/01/2023 | 12/31/2999 |
| D9610 | D9610 - therapeutic parenteral drug single administration | D9610 - | D9610 - | '01/01/2011 | 12/31/2999 |
| D9612 | D9612 - therapeutic parenteral drugs two or more administrations different medications | D9612 - | D9612 - | '01/01/2011 | 12/31/2999 |
| D9613 | D9613 - infiltration of sustained release therapeutic drug per quadrant | D9613 - | D9613 - | '01/01/2022 | 12/31/2999 |
| D9630 | D9630 - drugs or medicaments dispensed in the office for home use | D9630 - | D9630 - | '01/01/2017 | 12/31/2999 |
| D9910 | D9910 - application of desensitizing medicament | D9910 - | D9910 - | '01/01/2011 | 12/31/2999 |
| D9911 | D9911 - application of desensitizing resin for cervical and/or root surface per tooth | D9911 - | D9911 - | '01/01/2011 | 12/31/2999 |
| D9912 | D9912 - pre-visit patient screening | D9912 - | D9912 - | '01/01/2022 | 12/31/2999 |
| D9920 | D9920 - behavior management by report | D9920 - | D9920 - | '01/01/2011 | 12/31/2999 |
| D9930 | D9930 - treatment of complications (post-surgical) - unusual circumstances by report | D9930 - | D9930 - | '01/01/2011 | 12/31/2999 |
| D9932 | D9932 - cleaning and inspection of removable complete denture maxillary | D9932 - | D9932 - | '01/01/2016 | 12/31/2999 |
| D9933 | D9933 - cleaning and inspection of removable complete denture mandibular | D9933 - | D9933 - | '01/01/2016 | 12/31/2999 |
| D9934 | D9934 - cleaning and inspection of removable partial denture maxillary | D9934 - | D9934 - | '01/01/2016 | 12/31/2999 |
| D9935 | D9935 - cleaning and inspection of removable partial denture mandibular | D9935 - | D9935 - | '01/01/2016 | 12/31/2999 |
| D9941 | D9941 - fabrication of athletic mouthguard | D9941 - | D9941 - | '01/01/2011 | 12/31/2999 |
| D9942 | D9942 - REPAIR AND/OR RELINE OF OCCLUSAL GUARD | D9942 - | D9942 - | '01/01/2005 | 12/31/2999 |
| D9943 | D9943 - occlusal guard adjustment | D9943 - | D9943 - | '01/01/2016 | 12/31/2999 |
| D9944 | D9944 - occlusal guard – hard appliance full arch | D9944 - | D9944 - | '01/01/2019 | 12/31/2999 |
| D9945 | D9945 - occlusal guard – soft appliance full arch | D9945 - | D9945 - | '01/01/2019 | 12/31/2999 |
| D9946 | D9946 - occlusal guard – hard appliance partial arch | D9946 - | D9946 - | '01/01/2019 | 12/31/2999 |
| D9947 | D9947 - custom sleep apnea appliance fabrication and placement | D9947 - | D9947 - | '01/01/2022 | 12/31/2999 |
| D9948 | D9948 - adjustment of custom sleep apnea appliance | D9948 - | D9948 - | '01/01/2022 | 12/31/2999 |
| D9949 | D9949 - repair of custom sleep apnea appliance | D9949 - | D9949 - | '01/01/2022 | 12/31/2999 |
| D9950 | D9950 - occlusion analysis - mounted case | D9950 - | D9950 - | '01/01/2011 | 12/31/2999 |
| D9951 | D9951 - occlusal adjustment - limited | D9951 - | D9951 - | '01/01/2011 | 12/31/2999 |
| D9952 | D9952 - occlusal adjustment - complete | D9952 - | D9952 - | '01/01/2011 | 12/31/2999 |
| D9953 | D9953 - reline custom sleep apnea appliance (indirect) | D9953 - | D9953 - | '01/01/2023 | 12/31/2999 |
| D9961 | D9961 - duplicate/copy patient's records | D9961 - | D9961 - | '01/01/2019 | 12/31/2999 |
| D9970 | D9970 - ENAMEL MICROABRASION | D9970 - | D9970 - | '01/01/1950 | 12/31/2999 |
| D9971 | D9971 - odontoplasty 1 - 2 teeth; includes removal of enamel projections | D9971 - | D9971 - | '01/01/2011 | 12/31/2999 |
| D9972 | D9972 - external bleaching – per arch – performed in office | D9972 - | D9972 - | '01/01/2013 | 12/31/2999 |
| D9973 | D9973 - external bleaching - per tooth | D9973 - | D9973 - | '01/01/2011 | 12/31/2999 |
| D9974 | D9974 - internal bleaching - per tooth | D9974 - | D9974 - | '01/01/2011 | 12/31/2999 |
| D9975 | D9975 - external bleaching for home application per arch; includes materials and fabrication of custom trays | D9975 - | D9975 - | '01/01/2013 | 12/31/2999 |
| D9985 | D9985 - sales tax | D9985 - | D9985 - | '01/01/2014 | 12/31/2999 |
| D9986 | D9986 - missed appointment | D9986 - | D9986 - | '01/01/2015 | 12/31/2999 |
| D9987 | D9987 - cancelled appointment | D9987 - | D9987 - | '01/01/2015 | 12/31/2999 |
| D9990 | D9990 - certified translation or sign-language services per visit | D9990 - | D9990 - | '01/01/2019 | 12/31/2999 |
| D9991 | D9991 - Dental case management - addressing appointment compliance barriers | D9991 - | D9991 - | '01/01/2017 | 12/31/2999 |
| D9992 | D9992 - Dental case management – care coordination | D9992 - | D9992 - | '01/01/2017 | 12/31/2999 |
| D9993 | D9993 - Dental case management - motivational interviewing | D9993 - | D9993 - | '01/01/2017 | 12/31/2999 |
| D9994 | D9994 - Dental case management - patient education to improve oral health literacy | D9994 - | D9994 - | '01/01/2017 | 12/31/2999 |
| D9995 | D9995 - Teledentistry - synchronous; real-time encounter | D9995 - | D9995 - | '01/01/2018 | 12/31/2999 |
| D9996 | D9996 - Teledentistry - asynchronous; information stored and forwarded to dentist for subsequent review | D9996 - | D9996 - | '01/01/2018 | 12/31/2999 |
| D9997 | D9997 - dental case management – patients with special health care needs | D9997 - | D9997 - | '01/01/2020 | 12/31/2999 |
| D9999 | D9999 - unspecified adjunctive procedure by report | D9999 - | D9999 - | '01/01/2011 | 12/31/2999 |
| E0100 | E0100 - Cane includes canes of all materials adjustable or fixed with tip | E0100 - | E0100 - Cane adjust/fixed with tip | '01/01/1996 | 12/31/2999 |
| E0105 | E0105 - Cane quad or three prong includes canes of all materials adjustable or fixed with tips | E0105 - | E0105 - Cane adjust/fixed quad/3 pro | '01/01/1996 | 12/31/2999 |
| E0110 | E0110 - Crutches forearm includes crutches of various materials adjustable or fixed pair complete with tips and handgrips | E0110 - | E0110 - Crutch forearm pair | '01/01/1996 | 12/31/2999 |
| E0111 | E0111 - Crutch forearm includes crutches of various materials adjustable or fixed each with tip and handgrips | E0111 - | E0111 - Crutch forearm each | '01/01/1996 | 12/31/2999 |
| E0112 | E0112 - Crutches underarm wood adjustable or fixed pair with pads tips and handgrips | E0112 - | E0112 - Crutch underarm pair wood | '01/01/1996 | 12/31/2999 |
| E0113 | E0113 - Crutch underarm wood adjustable or fixed each with pad tip and handgrip | E0113 - | E0113 - Crutch underarm each wood | '01/01/1996 | 12/31/2999 |
| E0114 | E0114 - Crutches underarm other than wood adjustable or fixed pair with pads tips and handgrips | E0114 - | E0114 - Crutch underarm pair no wood | '01/01/1997 | 12/31/2999 |
| E0116 | E0116 - CRUTCH UNDERARM OTHER THAN WOOD ADJUSTABLE OR FIXED WITH PAD TIP HANDGRIP WITH OR WITHOUT SHOCK ABSORBER EACH | E0116 - | E0116 - Crutch underarm each no wood | '01/01/2006 | 12/31/2999 |
| E0117 | E0117 - Crutch underarm articulating spring assisted each | E0117 - | E0117 - Underarm springassist crutch | '01/01/2003 | 12/31/2999 |
| E0118 | E0118 - Crutch substitute lower leg platform with or without wheels each | E0118 - | E0118 - Crutch substitute | '04/01/2004 | 12/31/2999 |
| E0130 | E0130 - Walker rigid (pickup) adjustable or fixed height | E0130 - | E0130 - Walker rigid adjust/fixed ht | '01/01/1996 | 12/31/2999 |
| E0135 | E0135 - Walker folding (pickup) adjustable or fixed height | E0135 - | E0135 - Walker folding adjust/fixed | '01/01/1996 | 12/31/2999 |
| E0140 | E0140 - Walker with trunk support adjustable or fixed height any type | E0140 - | E0140 - Walker w trunk support | '01/01/2004 | 12/31/2999 |
| E0141 | E0141 - Walker rigid wheeled adjustable or fixed height | E0141 - | E0141 - Rigid wheeled walker adj/fix | '01/01/2004 | 12/31/2999 |
| E0143 | E0143 - Walker folding wheeled adjustable or fixed height | E0143 - | E0143 - Walker folding wheeled w/o s | '01/01/2004 | 12/31/2999 |
| E0144 | E0144 - Walker enclosed four sided framed rigid or folding wheeled with posterior seat | E0144 - | E0144 - Enclosed walker w rear seat | 05-10-2007 | 12/31/2999 |
| E0147 | E0147 - Walker heavy duty multiple braking system variable wheel resistance | E0147 - | E0147 - Walker variable wheel resist | '01/01/2004 | 12/31/2999 |
| E0148 | E0148 - Walker heavy duty without wheels rigid or folding any type each | E0148 - | E0148 - Heavyduty walker no wheels | '01/01/2001 | 12/31/2999 |
| E0149 | E0149 - Walker heavy duty wheeled rigid or folding any type | E0149 - | E0149 - Heavy duty wheeled walker | '01/01/2004 | 12/31/2999 |
| E0153 | E0153 - Platform attachment forearm crutch each | E0153 - | E0153 - Forearm crutch platform atta | '01/01/1996 | 12/31/2999 |
| E0154 | E0154 - Platform attachment walker each | E0154 - | E0154 - Walker platform attachment | '01/01/1996 | 12/31/2999 |
| E0155 | E0155 - Wheel attachment rigid pick-up walker per pair | E0155 - | E0155 - Walker wheel attachment pair | '01/01/2000 | 12/31/2999 |
| E0156 | E0156 - Seat attachment walker | E0156 - | E0156 - Walker seat attachment | '01/01/1996 | 12/31/2999 |
| E0157 | E0157 - Crutch attachment walker each | E0157 - | E0157 - Walker crutch attachment | '01/01/1996 | 12/31/2999 |
| E0158 | E0158 - Leg extensions for walker per set of four (4) | E0158 - | E0158 - Walker leg extenders set of4 | '01/01/2000 | 12/31/2999 |
| E0159 | E0159 - Brake attachment for wheeled walker replacement each | E0159 - | E0159 - Brake for wheeled walker | '01/01/1998 | 12/31/2999 |
| E0160 | E0160 - Sitz type bath or equipment portable used with or without commode | E0160 - | E0160 - Sitz type bath or equipment | '01/01/1996 | 12/31/2999 |
| E0161 | E0161 - Sitz type bath or equipment portable used with or without commode with faucet attachment/s | E0161 - | E0161 - Sitz bath/equipment w/faucet | '01/01/1996 | 12/31/2999 |
| E0162 | E0162 - Sitz bath chair | E0162 - | E0162 - Sitz bath chair | '01/01/1996 | 12/31/2999 |
| E0163 | E0163 - COMMODE CHAIR MOBILE OR STATIONARY WITH FIXED ARMS | E0163 - | E0163 - Commode chair with fixed arm | '01/01/2007 | 12/31/2999 |
| E0165 | E0165 - COMMODE CHAIR MOBILE OR STATIONARY WITH DETACHABLE ARMS | E0165 - | E0165 - Commode chair with detacharm | '01/01/2007 | 12/31/2999 |
| E0167 | E0167 - PAIL OR PAN FOR USE WITH COMMODE CHAIR REPLACEMENT ONLY | E0167 - | E0167 - Commode chair pail or pan | '01/01/2007 | 12/31/2999 |
| E0168 | E0168 - Commode chair extra wide and/or heavy duty stationary or mobile with or without arms any type each | E0168 - | E0168 - Heavyduty/wide commode chair | '01/01/2001 | 12/31/2999 |
| E0170 | E0170 - COMMODE CHAIR WITH INTEGRATED SEAT LIFT MECHANISM ELECTRIC ANY TYPE | E0170 - | E0170 - Commode chair electric | '01/01/2006 | 12/31/2999 |
| E0171 | E0171 - COMMODE CHAIR WITH INTEGRATED SEAT LIFT MECHANISM NON-ELECTRIC ANY TYPE | E0171 - | E0171 - Commode chair non-electric | '01/01/2006 | 12/31/2999 |
| E0172 | E0172 - SEAT LIFT MECHANISM PLACED OVER OR ON TOP OF TOILET ANY TYPE | E0172 - | E0172 - Seat lift mechanism toilet | '01/01/2006 | 12/31/2999 |
| E0175 | E0175 - Foot rest for use with commode chair each | E0175 - | E0175 - Commode chair foot rest | '01/01/1996 | 12/31/2999 |
| E0181 | E0181 - POWERED PRESSURE REDUCING MATTRESS OVERLAY/PAD ALTERNATING WITH PUMP INCLUDES HEAVY DUTY | E0181 - | E0181 - Press pad alternating w/ pum | '01/01/2007 | 12/31/2999 |
| E0182 | E0182 - PUMP FOR ALTERNATING PRESSURE PAD FOR REPLACEMENT ONLY | E0182 - | E0182 - Replace pump alt press pad | '01/01/2007 | 12/31/2999 |
| E0183 | E0183 - Powered pressure reducing underlay/pad alternating with pump includes heavy duty | E0183 - | E0183 - Press underlay alter w/pump | 01-10-2022 | 12/31/2999 |
| E0184 | E0184 - Dry pressure mattress | E0184 - | E0184 - Dry pressure mattress | '01/01/1996 | 12/31/2999 |
| E0185 | E0185 - Gel or gel-like pressure pad for mattress standard mattress length and width | E0185 - | E0185 - Gel pressure mattress pad | '01/01/1998 | 12/31/2999 |
| E0186 | E0186 - Air pressure mattress | E0186 - | E0186 - Air pressure mattress | '01/01/1996 | 12/31/2999 |
| E0187 | E0187 - Water pressure mattress | E0187 - | E0187 - Water pressure mattress | '01/01/1996 | 12/31/2999 |
| E0188 | E0188 - Synthetic sheepskin pad | E0188 - | E0188 - Synthetic sheepskin pad | '01/01/2001 | 12/31/2999 |
| E0189 | E0189 - Lambswool sheepskin pad any size | E0189 - | E0189 - Lambswool sheepskin pad | '01/01/2001 | 12/31/2999 |
| E0190 | E0190 - POSITIONING CUSHION/PILLOW/WEDGE ANY SHAPE OR SIZE INCLUDES ALL COMPONENTS AND ACCESSORIES | E0190 - | E0190 - Positioning cushion | '01/01/2007 | 12/31/2999 |
| E0191 | E0191 - Heel or elbow protector each | E0191 - | E0191 - Protector heel or elbow | '01/01/1996 | 12/31/2999 |
| E0193 | E0193 - Powered air flotation bed (low air loss therapy) | E0193 - | E0193 - Powered air flotation bed | '01/01/1993 | 12/31/2999 |
| E0194 | E0194 - Air fluidized bed | E0194 - | E0194 - Air fluidized bed | '01/01/1991 | 12/31/2999 |
| E0196 | E0196 - Gel pressure mattress | E0196 - | E0196 - Gel pressure mattress | '01/01/1991 | 12/31/2999 |
| E0197 | E0197 - Air pressure pad for mattress standard mattress length and width | E0197 - | E0197 - Air pressure pad for mattres | '01/01/1998 | 12/31/2999 |
| E0198 | E0198 - Water pressure pad for mattress standard mattress length and width | E0198 - | E0198 - Water pressure pad for mattr | '01/01/1998 | 12/31/2999 |
| E0199 | E0199 - Dry pressure pad for mattress standard mattress length and width | E0199 - | E0199 - Dry pressure pad for mattres | '01/01/1998 | 12/31/2999 |
| E0200 | E0200 - Heat lamp without stand (table model) includes bulb or infrared element | E0200 - | E0200 - Heat lamp without stand | '01/01/1996 | 12/31/2999 |
| E0202 | E0202 - Phototherapy (bilirubin) light with photometer | E0202 - | E0202 - Phototherapy light w/ photom | '01/01/1996 | 12/31/2999 |
| E0203 | E0203 - Therapeutic lightbox minimum 10 000 lux table top model | E0203 - | E0203 - Therapeutic lightbox tabletp | '01/01/2005 | 12/31/2999 |
| E0205 | E0205 - Heat lamp with stand includes bulb or infrared element | E0205 - | E0205 - Heat lamp with stand | '01/01/1996 | 12/31/2999 |
| E0210 | E0210 - Electric heat pad standard | E0210 - | E0210 - Electric heat pad standard | '01/01/2003 | 12/31/2999 |
| E0215 | E0215 - Electric heat pad moist | E0215 - | E0215 - Electric heat pad moist | '01/01/1996 | 12/31/2999 |
| E0217 | E0217 - Water circulating heat pad with pump | E0217 - | E0217 - Water circ heat pad w pump | '01/01/1997 | 12/31/2999 |
| E0218 | E0218 - Fluid circulating cold pad with pump any type | E0218 - | E0218 - Fluid circ cold pad w pump | '01/01/2019 | 12/31/2999 |
| E0221 | E0221 - Infrared heating pad system | E0221 - | E0221 - Infrared heating pad system | '01/01/2007 | 12/31/2999 |
| E0225 | E0225 - Hydrocollator unit includes pads | E0225 - | E0225 - Hydrocollator unit | '01/01/1996 | 12/31/2999 |
| E0231 | E0231 - Non-contact wound warming device (temperature control unit ac adapter and power cord) for use with warming card and wound cover | E0231 - | E0231 - Wound warming device | '07/01/2002 | 12/31/2999 |
| E0232 | E0232 - Warming card for use with the non contact wound warming device and non contact wound warming wound cover | E0232 - | E0232 - Warming card for NWT | '07/01/2002 | 12/31/2999 |
| E0235 | E0235 - Paraffin bath unit portable (see medical supply code a4265 for paraffin) | E0235 - | E0235 - Paraffin bath unit portable | '01/01/1996 | 12/31/2999 |
| E0236 | E0236 - Pump for water circulating pad | E0236 - | E0236 - Pump for water circulating p | '01/01/1996 | 12/31/2999 |
| E0239 | E0239 - Hydrocollator unit portable | E0239 - | E0239 - Hydrocollator unit portable | '01/01/1996 | 12/31/2999 |
| E0240 | E0240 - Bath/shower chair with or without wheels any size | E0240 - | E0240 - Bath/shower chair | '01/01/2006 | 12/31/2999 |
| E0241 | E0241 - Bath tub wall rail each | E0241 - | E0241 - Bath tub wall rail | '01/01/1996 | 12/31/2999 |
| E0242 | E0242 - Bath tub rail floor base | E0242 - | E0242 - Bath tub rail floor | '01/01/1996 | 12/31/2999 |
| E0243 | E0243 - Toilet rail each | E0243 - | E0243 - Toilet rail | '01/01/1996 | 12/31/2999 |
| E0244 | E0244 - Raised toilet seat | E0244 - | E0244 - Toilet seat raised | '01/01/1996 | 12/31/2999 |
| E0245 | E0245 - Tub stool or bench | E0245 - | E0245 - Tub stool or bench | '01/01/1996 | 12/31/2999 |
| E0246 | E0246 - Transfer tub rail attachment | E0246 - | E0246 - Transfer tub rail attachment | '01/01/1996 | 12/31/2999 |
| E0247 | E0247 - Transfer bench for tub or toilet with or without commode opening | E0247 - | E0247 - Trans bench w/wo comm open | '01/01/2004 | 12/31/2999 |
| E0248 | E0248 - Transfer bench heavy duty for tub or toilet with or without commode opening | E0248 - | E0248 - HDtrans bench w/wo comm open | '01/01/2004 | 12/31/2999 |
| E0249 | E0249 - PAD FOR WATER CIRCULATING HEAT UNIT FOR REPLACEMENT ONLY | E0249 - | E0249 - Pad water circulating heat u | '01/01/2010 | 12/31/2999 |
| E0250 | E0250 - Hospital bed fixed height with any type side rails with mattress | E0250 - | E0250 - Hosp bed fixed ht w/ mattres | '01/01/1991 | 12/31/2999 |
| E0251 | E0251 - Hospital bed fixed height with any type side rails without mattress | E0251 - | E0251 - Hosp bed fixd ht w/o mattres | '01/01/1991 | 12/31/2999 |
| E0255 | E0255 - Hospital bed variable height hi-lo with any type side rails with mattress | E0255 - | E0255 - Hospital bed var ht w/ mattr | '01/01/1991 | 12/31/2999 |
| E0256 | E0256 - Hospital bed variable height hi-lo with any type side rails without mattress | E0256 - | E0256 - Hospital bed var ht w/o matt | '01/01/1991 | 12/31/2999 |
| E0260 | E0260 - Hospital bed semi-electric (head and foot adjustment) with any type side rails with mattress | E0260 - | E0260 - Hosp bed semi-electr w/ matt | '01/01/1991 | 12/31/2999 |
| E0261 | E0261 - Hospital bed semi-electric (head and foot adjustment) with any type side rails without mattress | E0261 - | E0261 - Hosp bed semi-electr w/o mat | '01/01/1991 | 12/31/2999 |
| E0265 | E0265 - Hospital bed total electric (head foot and height adjustments) with any type side rails with mattress | E0265 - | E0265 - Hosp bed total electr w/ mat | '01/01/1991 | 12/31/2999 |
| E0266 | E0266 - Hospital bed total electric (head foot and height adjustments) with any type side rails without mattress | E0266 - | E0266 - Hosp bed total elec w/o matt | '01/01/1991 | 12/31/2999 |
| E0270 | E0270 - Hospital bed institutional type includes: oscillating circulating and stryker frame with mattress | E0270 - | E0270 - Hospital bed institutional t | '01/01/1993 | 12/31/2999 |
| E0271 | E0271 - Mattress innerspring | E0271 - | E0271 - Mattress innerspring | '01/01/1993 | 12/31/2999 |
| E0272 | E0272 - Mattress foam rubber | E0272 - | E0272 - Mattress foam rubber | '01/01/1993 | 12/31/2999 |
| E0273 | E0273 - Bed board | E0273 - | E0273 - Bed board | '01/01/1989 | 12/31/2999 |
| E0274 | E0274 - Over-bed table | E0274 - | E0274 - Over-bed table | '01/01/1989 | 12/31/2999 |
| E0275 | E0275 - Bed pan standard metal or plastic | E0275 - | E0275 - Bed pan standard | '01/01/1996 | 12/31/2999 |
| E0276 | E0276 - Bed pan fracture metal or plastic | E0276 - | E0276 - Bed pan fracture | '01/01/1996 | 12/31/2999 |
| E0277 | E0277 - Powered pressure-reducing air mattress | E0277 - | E0277 - Powered pres-redu air mattrs | '01/01/1998 | 12/31/2999 |
| E0280 | E0280 - Bed cradle any type | E0280 - | E0280 - Bed cradle | '01/01/1989 | 12/31/2999 |
| E0290 | E0290 - Hospital bed fixed height without side rails with mattress | E0290 - | E0290 - Hosp bed fx ht w/o rails w/m | '01/01/1991 | 12/31/2999 |
| E0291 | E0291 - Hospital bed fixed height without side rails without mattress | E0291 - | E0291 - Hosp bed fx ht w/o rail w/o | '01/01/1991 | 12/31/2999 |
| E0292 | E0292 - Hospital bed variable height hi-lo without side rails with mattress | E0292 - | E0292 - Hosp bed var ht no sr w/matt | '01/01/2017 | 12/31/2999 |
| E0293 | E0293 - Hospital bed variable height hi-lo without side rails without mattress | E0293 - | E0293 - Hosp bed var ht no sr no mat | '01/01/2017 | 12/31/2999 |
| E0294 | E0294 - Hospital bed semi-electric (head and foot adjustment) without side rails with mattress | E0294 - | E0294 - Hosp bed semi-elect w/ mattr | '01/01/1991 | 12/31/2999 |
| E0295 | E0295 - Hospital bed semi-electric (head and foot adjustment) without side rails without mattress | E0295 - | E0295 - Hosp bed semi-elect w/o matt | '01/01/1991 | 12/31/2999 |
| E0296 | E0296 - Hospital bed total electric (head foot and height adjustments). Without side rails with mattress | E0296 - | E0296 - Hosp bed total elect w/ matt | '01/01/1992 | 12/31/2999 |
| E0297 | E0297 - Hospital bed total electric (head foot and height adjustments) without side rails without mattress | E0297 - | E0297 - Hosp bed total elect w/o mat | '01/01/1991 | 12/31/2999 |
| E0300 | E0300 - Pediatric crib hospital grade fully enclosed with or without top enclosure | E0300 - | E0300 - Enclosed ped crib hosp grade | '01/01/2013 | 12/31/2999 |
| E0301 | E0301 - Hospital bed heavy duty extra wide with weight capacity greater than 350 pounds but less than or equal to 600 pounds with any type side rails without mattress | E0301 - | E0301 - HD hosp bed 350-600 lbs | '01/01/2004 | 12/31/2999 |
| E0302 | E0302 - Hospital bed extra heavy duty extra wide with weight capacity greater than 600 pounds with any type side rails without mattress | E0302 - | E0302 - Ex hd hosp bed > 600 lbs | '01/01/2004 | 12/31/2999 |
| E0303 | E0303 - Hospital bed heavy duty extra wide with weight capacity greater than 350 pounds but less than or equal to 600 pounds with any type side rails with mattress | E0303 - | E0303 - Hosp bed hvy dty xtra wide | '01/01/2004 | 12/31/2999 |
| E0304 | E0304 - Hospital bed extra heavy duty extra wide with weight capacity greater than 600 pounds with any type side rails with mattress | E0304 - | E0304 - Hosp bed xtra hvy dty x wide | '01/01/2004 | 12/31/2999 |
| E0305 | E0305 - Bed side rails half length | E0305 - | E0305 - Rails bed side half length | '01/01/1990 | 12/31/2999 |
| E0310 | E0310 - Bed side rails full length | E0310 - | E0310 - Rails bed side full length | '01/01/1990 | 12/31/2999 |
| E0315 | E0315 - Bed accessory: board table or support device any type | E0315 - | E0315 - Bed accessory brd/tbl/supprt | '01/01/1997 | 12/31/2999 |
| E0316 | E0316 - Safety enclosure frame/canopy for use with hospital bed any type | E0316 - | E0316 - Bed safety enclosure | '01/01/2002 | 12/31/2999 |
| E0325 | E0325 - Urinal; male jug-type any material | E0325 - | E0325 - Urinal male jug-type | '01/01/1996 | 12/31/2999 |
| E0326 | E0326 - Urinal; female jug-type any material | E0326 - | E0326 - Urinal female jug-type | '01/01/1996 | 12/31/2999 |
| E0328 | E0328 - HOSPITAL BED PEDIATRIC MANUAL 360 DEGREE SIDE ENCLOSURES TOP OF HEADBOARD | E0328 - | E0328 - Ped hospital bed manual | '01/01/2008 | 12/31/2999 |
| E0329 | E0329 - HOSPITAL BED PEDIATRIC ELECTRIC OR SEMI-ELECTRIC 360 DEGREE SIDE ENCLOSURES | E0329 - | E0329 - Ped hospital bed semi/elect | '01/01/2008 | 12/31/2999 |
| E0350 | E0350 - Control unit for electronic bowel irrigation/evacuation system | E0350 - | E0350 - Control unit bowel system | '01/01/1995 | 12/31/2999 |
| E0352 | E0352 - Disposable pack (water reservoir bag speculum valving mechanism and collection bag/box) for use with the electronic bowel irrigation/evacuation system | E0352 - | E0352 - Disposable pack w/bowel syst | '01/01/1995 | 12/31/2999 |
| E0370 | E0370 - Air pressure elevator for heel | E0370 - | E0370 - Air elevator for heel | '01/01/1998 | 12/31/2999 |
| E0371 | E0371 - Nonpowered advanced pressure reducing overlay for mattress standard mattress length and width | E0371 - | E0371 - Nonpower mattress overlay | '01/01/1998 | 12/31/2999 |
| E0372 | E0372 - Powered air overlay for mattress standard mattress length and width | E0372 - | E0372 - Powered air mattress overlay | '01/01/1998 | 12/31/2999 |
| E0373 | E0373 - Nonpowered advanced pressure reducing mattress | E0373 - | E0373 - Nonpowered pressure mattress | '01/01/1998 | 12/31/2999 |
| E0424 | E0424 - Stationary compressed gaseous oxygen system rental; includes container contents regulator flowmeter humidifier nebulizer cannula or mask and tubing | E0424 - | E0424 - Stationary compressed gas 02 | '01/01/2001 | 12/31/2999 |
| E0425 | E0425 - Stationary compressed gas system purchase; includes regulator flowmeter humidifier nebulizer cannula or mask and tubing | E0425 - | E0425 - Gas system stationary compre | '01/01/1993 | 12/31/2999 |
| E0430 | E0430 - Portable gaseous oxygen system purchase; includes regulator flowmeter humidifier cannula or mask and tubing | E0430 - | E0430 - Oxygen system gas portable | '01/01/1993 | 12/31/2999 |
| E0431 | E0431 - Portable gaseous oxygen system rental; includes portable container regulator flowmeter humidifier cannula or mask and tubing | E0431 - | E0431 - Portable gaseous 02 | '01/01/2001 | 12/31/2999 |
| E0433 | E0433 - PORTABLE LIQUID OXYGEN SYSTEM RENTAL; HOME LIQUEFIER USED TO FILL PORTABLE LIQUID OXYGEN CONTAINERS INCLUDES PORTABLE CONTAINERS REGULATOR FLOWMETER HUMIDIFIER CANNULA OR MASK AND TUBING WITH OR WITHOUT SUPPLY RESERVOIR AND CONTENTS GAUGE | E0433 - | E0433 - Portable liquid oxygen sys | '01/01/2010 | 12/31/2999 |
| E0434 | E0434 - Portable liquid oxygen system rental; includes portable container supply reservoir humidifier flowmeter refill adaptor contents gauge cannula or mask and tubing | E0434 - | E0434 - Portable liquid 02 | '01/01/1993 | 12/31/2999 |
| E0435 | E0435 - Portable liquid oxygen system purchase; includes portable container supply reservoir flowmeter humidifier contents gauge cannula or mask tubing and refill adaptor | E0435 - | E0435 - Oxygen system liquid portabl | '01/01/1993 | 12/31/2999 |
| E0439 | E0439 - Stationary liquid oxygen system rental; includes container contents regulator flowmeter humidifier nebulizer cannula or mask & tubing | E0439 - | E0439 - Stationary liquid 02 | '01/01/2001 | 12/31/2999 |
| E0440 | E0440 - Stationary liquid oxygen system purchase; includes use of reservoir contents indicator regulator flowmeter humidifier nebulizer cannula or mask and tubing | E0440 - | E0440 - Oxygen system liquid station | '01/01/1993 | 12/31/2999 |
| E0441 | E0441 - STATIONARY OXYGEN CONTENTS GASEOUS 1 MONTH'S SUPPLY = 1 UNIT | E0441 - | E0441 - Stationary O2 contents gas | '01/01/2010 | 12/31/2999 |
| E0442 | E0442 - STATIONARY OXYGEN CONTENTS LIQUID 1 MONTH'S SUPPLY = 1 UNIT | E0442 - | E0442 - Stationary O2 contents liq | '01/01/2010 | 12/31/2999 |
| E0443 | E0443 - PORTABLE OXYGEN CONTENTS GASEOUS 1 MONTH'S SUPPLY = 1 UNIT | E0443 - | E0443 - Portable 02 contents gas | '01/01/2010 | 12/31/2999 |
| E0444 | E0444 - PORTABLE OXYGEN CONTENTS LIQUID 1 MONTH'S SUPPLY = 1 UNIT | E0444 - | E0444 - Portable 02 contents liquid | '01/01/2010 | 12/31/2999 |
| E0445 | E0445 - Oximeter device for measuring blood oxygen levels non-invasively | E0445 - | E0445 - Oximeter non-invasive | '01/01/2003 | 12/31/2999 |
| E0446 | E0446 - TOPICAL OXYGEN DELIVERY SYSTEM NOT OTHERWISE SPECIFIED INCLUDES ALL SUPPLIES AND ACCESSORIES | E0446 - | E0446 - Topical Ox Deliver sys nos | '01/01/2011 | 12/31/2999 |
| E0447 | E0447 - Portable oxygen contents liquid 1 month's supply = 1 unit prescribed amount at rest or nighttime exceeds 4 liters per minute (lpm) | E0447 - | E0447 - Port o2 cont liq over 4 lpm | '01/01/2019 | 12/31/2999 |
| E0455 | E0455 - Oxygen tent excluding croup or pediatric tents | E0455 - | E0455 - Oxygen tent excl croup/ped t | '01/01/1990 | 12/31/2999 |
| E0457 | E0457 - Chest shell (cuirass) | E0457 - | E0457 - Chest shell | '01/01/2001 | 12/31/2999 |
| E0459 | E0459 - Chest wrap | E0459 - | E0459 - Chest wrap | '01/01/1996 | 12/31/2999 |
| E0462 | E0462 - Rocking bed with or without side rails | E0462 - | E0462 - Rocking bed w/ or w/o side r | '01/01/1996 | 12/31/2999 |
| E0465 | E0465 - Home ventilator any type used with invasive interface (e.g. tracheostomy tube) | E0465 - | E0465 - Home vent invasive interface | '01/01/2016 | 12/31/2999 |
| E0466 | E0466 - Home ventilator any type used with non-invasive interface (e.g. mask chest shell) | E0466 - | E0466 - Home vent non-invasive inter | '01/01/2016 | 12/31/2999 |
| E0467 | E0467 - Home ventilator multi-function respiratory device also performs any or all of the additional functions of oxygen concentration drug nebulization aspiration and cough stimulation includes all accessories components and supplies for all functions | E0467 - | E0467 - Home vent multi-function | '01/01/2019 | 12/31/2999 |
| E0470 | E0470 - Respiratory assist device bi-level pressure capability without backup rate feature used with noninvasive interface e. G. nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | E0470 - | E0470 - RAD w/o backup non-inv intfc | '01/01/2004 | 12/31/2999 |
| E0471 | E0471 - Respiratory assist device bi-level pressure capability with back-up rate feature used with noninvasive interface e. G. nasal or facial mask (intermittent assist device with continuous positive airway pressure device) | E0471 - | E0471 - RAD w/backup non inv intrfc | '04/01/2006 | 12/31/2999 |
| E0472 | E0472 - Respiratory assist device bi-level pressure capability with backup rate feature used with invasive interface e. G. tracheostomy tube (intermittent assist device with continuous positive airway pressure device) | E0472 - | E0472 - RAD w backup invasive intrfc | '04/01/2006 | 12/31/2999 |
| E0480 | E0480 - Percussor electric or pneumatic home model | E0480 - | E0480 - Percussor elect/pneum home m | '01/01/1996 | 12/31/2999 |
| E0481 | E0481 - Intrapulmonary percussive ventilation system and related accessories | E0481 - | E0481 - Intrpulmnry percuss vent sys | '07/01/2002 | 12/31/2999 |
| E0482 | E0482 - Cough stimulating device alternating positive and negative airway pressure | E0482 - | E0482 - Cough stimulating device | '01/01/2002 | 12/31/2999 |
| E0483 | E0483 - High frequency chest wall oscillation system with full anterior and/or posterior thoracic region receiving simultaneous external oscillation includes all accessories and supplies each | E0483 - | E0483 - Hi freq chest wall oscil sys | 01-10-2022 | 12/31/2999 |
| E0484 | E0484 - Oscillatory positive expiratory pressure device non-electric any type each | E0484 - | E0484 - Non-elec oscillatory pep dvc | '01/01/2003 | 12/31/2999 |
| E0485 | E0485 - ORAL DEVICE/APPLIANCE USED TO REDUCE UPPER AIRWAY COLLAPSIBILITY ADJUSTABLE OR NON-ADJUSTABLE PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | E0485 - | E0485 - Oral device/appliance prefab | '01/01/2006 | 12/31/2999 |
| E0486 | E0486 - ORAL DEVICE/APPLIANCE USED TO REDUCE UPPER AIRWAY COLLAPSIBILITY ADJUSTABLE OR NON-ADJUSTABLE CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | E0486 - | E0486 - Oral device/appliance cusfab | '01/01/2006 | 12/31/2999 |
| E0487 | E0487 - SPIROMETER ELECTRONIC INCLUDES ALL ACCESSORIES | E0487 - | E0487 - Electronic spirometer | '01/01/2009 | 12/31/2999 |
| E0500 | E0500 - Ippb machine all types with built-in nebulization; manual or automatic valves; internal or external power source | E0500 - | E0500 - Ippb all types | '01/01/1996 | 12/31/2999 |
| E0550 | E0550 - Humidifier durable for extensive supplemental humidification during ippb treatments or oxygen delivery | E0550 - | E0550 - Humidif extens supple w ippb | '07/01/2005 | 12/31/2999 |
| E0555 | E0555 - Humidifier durable glass or autoclavable plastic bottle type for use with regulator or flowmeter | E0555 - | E0555 - Humidifier for use w/ regula | '01/01/1996 | 12/31/2999 |
| E0560 | E0560 - Humidifier durable for supplemental humidification during ippb treatment or oxygen delivery | E0560 - | E0560 - Humidifier supplemental w/ i | '07/01/2005 | 12/31/2999 |
| E0561 | E0561 - Humidifier non-heated used with positive airway pressure device | E0561 - | E0561 - Humidifier nonheated w PAP | '01/01/2004 | 12/31/2999 |
| E0562 | E0562 - Humidifier heated used with positive airway pressure device | E0562 - | E0562 - Humidifier heated used w PAP | '01/01/2004 | 12/31/2999 |
| E0565 | E0565 - Compressor air power source for equipment which is not self- contained or cylinder driven | E0565 - | E0565 - Compressor air power source | '01/01/1996 | 12/31/2999 |
| E0570 | E0570 - Nebulizer with compressor | E0570 - | E0570 - Nebulizer with compression | '01/01/1996 | 12/31/2999 |
| E0572 | E0572 - Aerosol compressor adjustable pressure light duty for intermittent use | E0572 - | E0572 - Aerosol compressor adjust pr | '01/01/2001 | 12/31/2999 |
| E0574 | E0574 - Ultrasonic/electronic aerosol generator with small volume nebulizer | E0574 - | E0574 - Ultrasonic generator w svneb | '01/01/2003 | 12/31/2999 |
| E0575 | E0575 - Nebulizer ultrasonic large volume | E0575 - | E0575 - Nebulizer ultrasonic | '01/01/2001 | 12/31/2999 |
| E0580 | E0580 - Nebulizer durable glass or autoclavable plastic bottle type for use with regulator or flowmeter | E0580 - | E0580 - Nebulizer for use w/ regulat | '01/01/1998 | 12/31/2999 |
| E0585 | E0585 - Nebulizer with compressor and heater | E0585 - | E0585 - Nebulizer w/ compressor & he | '01/01/1996 | 12/31/2999 |
| E0600 | E0600 - Respiratory suction pump home model portable or stationary electric | E0600 - | E0600 - Suction pump portab hom modl | '01/01/2002 | 12/31/2999 |
| E0601 | E0601 - Continuous positive airway pressure (cpap) device | E0601 - | E0601 - Cont airway pressure device | '01/01/2014 | 12/31/2999 |
| E0602 | E0602 - Breast pump manual any type | E0602 - | E0602 - Manual breast pump | '01/01/2002 | 12/31/2999 |
| E0603 | E0603 - Breast pump electric (ac and/or dc) any type | E0603 - | E0603 - Electric breast pump | '01/01/2002 | 12/31/2999 |
| E0604 | E0604 - Breast pump hospital grade electric (ac and / or dc) any type | E0604 - | E0604 - Hosp grade elec breast pump | '01/01/2008 | 12/31/2999 |
| E0605 | E0605 - Vaporizer room type | E0605 - | E0605 - Vaporizer room type | '01/01/1996 | 12/31/2999 |
| E0606 | E0606 - Postural drainage board | E0606 - | E0606 - Drainage board postural | '01/01/1996 | 12/31/2999 |
| E0607 | E0607 - Home blood glucose monitor | E0607 - | E0607 - Blood glucose monitor home | '01/01/1996 | 12/31/2999 |
| E0610 | E0610 - Pacemaker monitor self-contained (checks battery depletion includes audible and visible check systems) | E0610 - | E0610 - Pacemaker monitr audible/vis | '01/01/1996 | 12/31/2999 |
| E0615 | E0615 - Pacemaker monitor self contained checks battery depletion and other pacemaker components includes digital/visible check systems | E0615 - | E0615 - Pacemaker monitr digital/vis | '01/01/1996 | 12/31/2999 |
| E0616 | E0616 - Implantable cardiac event recorder with memory activator and programmer | E0616 - | E0616 - Cardiac event recorder | '04/01/2005 | 12/31/2999 |
| E0617 | E0617 - External defibrillator with integrated electrocardiogram analysis | E0617 - | E0617 - Automatic ext defibrillator | '01/01/2001 | 12/31/2999 |
| E0618 | E0618 - Apnea monitor without recording feature | E0618 - | E0618 - Apnea monitor | '01/01/2003 | 12/31/2999 |
| E0619 | E0619 - Apnea monitor with recording feature | E0619 - | E0619 - Apnea monitor w recorder | '01/01/2003 | 12/31/2999 |
| E0620 | E0620 - Skin piercing device for collection of capillary blood laser each | E0620 - | E0620 - Cap bld skin piercing laser | '01/01/2002 | 12/31/2999 |
| E0621 | E0621 - Sling or seat patient lift canvas or nylon | E0621 - | E0621 - Patient lift sling or seat | '01/01/1996 | 12/31/2999 |
| E0625 | E0625 - Patient lift bathroom or toilet not otherwise classified | E0625 - | E0625 - Patient lift bathroom or toi | '01/01/2005 | 12/31/2999 |
| E0627 | E0627 - Seat lift mechanism electric any type | E0627 - | E0627 - Seat lift mech electric any | '01/01/2017 | 12/31/2999 |
| E0629 | E0629 - Seat lift mechanism non-electric any type | E0629 - | E0629 - Seat lift mech non-electric | '01/01/2017 | 12/31/2999 |
| E0630 | E0630 - Patient lift hydraulic or mechanical includes any seat sling strap(s) or pad(s) | E0630 - | E0630 - Patient lift hydraulic | '01/01/2008 | 12/31/2999 |
| E0635 | E0635 - Patient lift electric with seat or sling | E0635 - | E0635 - Patient lift electric | '01/01/1996 | 12/31/2999 |
| E0636 | E0636 - Multipositional patient support system with integrated lift patient accessible controls | E0636 - | E0636 - PT support & positioning sys | '01/01/2003 | 12/31/2999 |
| E0637 | E0637 - COMBINATION SIT TO STAND FRAME/TABLE SYSTEM ANY SIZE INCLUDING PEDIATRIC WITH SEAT LIFT FEATURE WITH OR WITHOUT WHEELS | E0637 - | E0637 - Combination sit to stand sys | '01/01/2012 | 12/31/2999 |
| E0638 | E0638 - STANDING FRAME/TABLE SYSTEM ONE POSITION (E.G. UPRIGHT SUPINE OR PRONE STANDER) ANY SIZE INCLUDING PEDIATRIC WITH OR WITHOUT WHEELS | E0638 - | E0638 - Standing frame sys | '01/01/2012 | 12/31/2999 |
| E0639 | E0639 - Patient lift moveable from room to room with disassembly and reassembly includes all components/accessories | E0639 - | E0639 - Moveable patient lift system | '01/01/2007 | 12/31/2999 |
| E0640 | E0640 - Patient lift fixed system includes all components/accessories | E0640 - | E0640 - Fixed patient lift system | '01/01/2007 | 12/31/2999 |
| E0641 | E0641 - STANDING FRAME/TABLE SYSTEM MULTI-POSITION (E.G. THREE-WAY STANDER) ANY SIZE INCLUDING PEDIATRIC WITH OR WITHOUT WHEELS | E0641 - | E0641 - Multi-position stnd fram sys | '01/01/2012 | 12/31/2999 |
| E0642 | E0642 - STANDING FRAME/TABLE SYSTEM MOBILE (DYNAMIC STANDER) ANY SIZE INCLUDING PEDIATRIC | E0642 - | E0642 - Dynamic standing frame | '01/01/2012 | 12/31/2999 |
| E0650 | E0650 - Pneumatic compressor non-segmental home model | E0650 - | E0650 - Pneuma compresor non-segment | '01/01/1996 | 12/31/2999 |
| E0651 | E0651 - Pneumatic compressor segmental home model without calibrated gradient pressure | E0651 - | E0651 - Pneum compressor segmental | '01/01/1996 | 12/31/2999 |
| E0652 | E0652 - Pneumatic compressor segmental home model with calibrated gradient pressure | E0652 - | E0652 - Pneum compres w/cal pressure | '01/01/1996 | 12/31/2999 |
| E0655 | E0655 - Non-segmental pneumatic appliance for use with pneumatic compressor half arm | E0655 - | E0655 - Pneumatic appliance half arm | '01/01/1996 | 12/31/2999 |
| E0656 | E0656 - SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR TRUNK | E0656 - | E0656 - Segmental pneumatic trunk | '01/01/2009 | 12/31/2999 |
| E0657 | E0657 - SEGMENTAL PNEUMATIC APPLIANCE FOR USE WITH PNEUMATIC COMPRESSOR CHEST | E0657 - | E0657 - Segmental pneumatic chest | '01/01/2009 | 12/31/2999 |
| E0660 | E0660 - Non-segmental pneumatic appliance for use with pneumatic compressor full leg | E0660 - | E0660 - Pneumatic appliance full leg | '01/01/1996 | 12/31/2999 |
| E0665 | E0665 - Non-segmental pneumatic appliance for use with pneumatic compressor full arm | E0665 - | E0665 - Pneumatic appliance full arm | '01/01/1996 | 12/31/2999 |
| E0666 | E0666 - Non-segmental pneumatic appliance for use with pneumatic compressor half leg | E0666 - | E0666 - Pneumatic appliance half leg | '01/01/1996 | 12/31/2999 |
| E0667 | E0667 - Segmental pneumatic appliance for use with pneumatic compressor full leg | E0667 - | E0667 - Seg pneumatic appl full leg | '01/01/1996 | 12/31/2999 |
| E0668 | E0668 - Segmental pneumatic appliance for use with pneumatic compressor full arm | E0668 - | E0668 - Seg pneumatic appl full arm | '01/01/1996 | 12/31/2999 |
| E0669 | E0669 - Segmental pneumatic appliance for use with pneumatic compressor half leg | E0669 - | E0669 - Seg pneumatic appli half leg | '01/01/1994 | 12/31/2999 |
| E0670 | E0670 - Segmental pneumatic appliance for use with pneumatic compressor integrated 2 full legs and trunk | E0670 - | E0670 - Seg pneum int legs/trunk | '01/01/2013 | 12/31/2999 |
| E0671 | E0671 - Segmental gradient pressure pneumatic appliance full leg | E0671 - | E0671 - Pressure pneum appl full leg | '01/01/1995 | 12/31/2999 |
| E0672 | E0672 - Segmental gradient pressure pneumatic appliance full arm | E0672 - | E0672 - Pressure pneum appl full arm | '01/01/1995 | 12/31/2999 |
| E0673 | E0673 - Segmental gradient pressure pneumatic appliance half leg | E0673 - | E0673 - Pressure pneum appl half leg | '01/01/1995 | 12/31/2999 |
| E0675 | E0675 - Pneumatic compression device high pressure rapid inflation/deflation cycle for arterial insufficiency (unilateral or bilateral system) | E0675 - | E0675 - Pneumatic compression device | '01/01/2004 | 12/31/2999 |
| E0676 | E0676 - INTERMITTENT LIMB COMPRESSION DEVICE (INCLUDES ALL ACCESSORIES) NOT OTHERWISE SPECIFIED | E0676 - | E0676 - Inter limb compress dev NOS | '01/01/2007 | 12/31/2999 |
| E0691 | E0691 - ULTRAVIOLET LIGHT THERAPY SYSTEM INCLUDES BULBS/LAMPS TIMER AND EYE PROTECTION; TREATMENT AREA 2 SQUARE FEET OR LESS | E0691 - | E0691 - Uvl pnl 2 sq ft or less | '01/01/2012 | 12/31/2999 |
| E0692 | E0692 - Ultraviolet light therapy system panel includes bulbs/lamps timer and eye protection 4 foot panel | E0692 - | E0692 - Uvl sys panel 4 ft | '01/01/2003 | 12/31/2999 |
| E0693 | E0693 - Ultraviolet light therapy system panel includes bulbs/lamps timer and eye protection 6 foot panel | E0693 - | E0693 - Uvl sys panel 6 ft | '01/01/2003 | 12/31/2999 |
| E0694 | E0694 - Ultraviolet multidirectional light therapy system in 6 foot cabinet includes bulbs/lamps timer and eye protection | E0694 - | E0694 - Uvl md cabinet sys 6 ft | '01/01/2003 | 12/31/2999 |
| E0700 | E0700 - SAFETY EQUIPMENT DEVICE OR ACCESSORY ANY TYPE | E0700 - | E0700 - Safety equipment | '01/01/2010 | 12/31/2999 |
| E0705 | E0705 - Transfer device any type each | E0705 - | E0705 - Transfer device | '01/01/2008 | 12/31/2999 |
| E0710 | E0710 - Restraints any type (body chest wrist or ankle) | E0710 - | E0710 - Restraints any type | '01/01/1996 | 12/31/2999 |
| E0720 | E0720 - TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE TWO LEAD LOCALIZED STIMULATION | E0720 - | E0720 - Tens two lead | '01/01/2007 | 12/31/2999 |
| E0730 | E0730 - TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION (TENS) DEVICE FOUR OR MORE LEADS FOR MULTIPLE NERVE STIMULATION | E0730 - | E0730 - Tens four lead | '01/01/2007 | 12/31/2999 |
| E0731 | E0731 - Form fitting conductive garment for delivery of tens or nmes (with conductive fibers separated from the patient's skin by layers of fabric) | E0731 - | E0731 - Conductive garment for tens/ | '01/01/1996 | 12/31/2999 |
| E0740 | E0740 - Non-implanted pelvic floor electrical stimulator complete system | E0740 - | E0740 - Non-implant pelv flr e-stim | '01/01/2017 | 12/31/2999 |
| E0744 | E0744 - Neuromuscular stimulator for scoliosis | E0744 - | E0744 - Neuromuscular stim for scoli | '01/01/1996 | 12/31/2999 |
| E0745 | E0745 - Neuromuscular stimulator electronic shock unit | E0745 - | E0745 - Neuromuscular stim for shock | '01/01/1996 | 12/31/2999 |
| E0746 | E0746 - Electromyography (emg) biofeedback device | E0746 - | E0746 - Electromyograph biofeedback | '01/01/1996 | 12/31/2999 |
| E0747 | E0747 - Osteogenesis stimulator electrical non-invasive other than spinal applications | E0747 - | E0747 - Elec osteogen stim not spine | '01/01/1997 | 12/31/2999 |
| E0748 | E0748 - Osteogenesis stimulator electrical non-invasive spinal applications | E0748 - | E0748 - Elec osteogen stim spinal | '01/01/1997 | 12/31/2999 |
| E0749 | E0749 - Osteogenesis stimulator electrical surgically implanted | E0749 - | E0749 - Elec osteogen stim implanted | '07/01/2000 | 12/31/2999 |
| E0755 | E0755 - Electronic salivary reflex stimulator (intra-oral/non-invasive) | E0755 - | E0755 - Electronic salivary reflex s | '04/01/1995 | 12/31/2999 |
| E0760 | E0760 - Osteogenesis stimulator low intensity ultrasound non-invasive | E0760 - | E0760 - Osteogen ultrasound stimltor | '01/01/2001 | 12/31/2999 |
| E0761 | E0761 - Non-thermal pulsed high frequency radiowaves high peak power electromagnetic energy treatment device | E0761 - | E0761 - Nontherm electromgntc device | '01/01/2005 | 12/31/2999 |
| E0762 | E0762 - TRANSCUTANEOUS ELECTRICAL JOINT STIMULATION DEVICE SYSTEM INCLUDES ALL ACCESSORIES | E0762 - | E0762 - Trans elec jt stim dev sys | '01/01/2006 | 12/31/2999 |
| E0764 | E0764 - FUNCTIONAL NEUROMUSCULAR STIMULATION TRANSCUTANEOUS STIMULATION OF SEQUENTIAL MUSCLE GROUPS OF AMBULATION WITH COMPUTER CONTROL USED FOR WALKING BY SPINAL CORD INJURED ENTIRE SYSTEM AFTER COMPLETION OF TRAINING PROGRAM | E0764 - | E0764 - Functional neuromuscularstim | '01/01/2009 | 12/31/2999 |
| E0765 | E0765 - Fda approved nerve stimulator with replaceable batteries for treatment of nausea and vomiting | E0765 - | E0765 - Nerve stimulator for tx n&v | '01/01/2010 | 12/31/2999 |
| E0766 | E0766 - Electrical stimulation device used for cancer treatment includes all accessories any type | E0766 - | E0766 - Elec stim cancer treatment | '01/01/2014 | 12/31/2999 |
| E0769 | E0769 - ELECTRICAL STIMULATION OR ELECTROMAGNETIC WOUND TREATMENT DEVICE NOT OTHERWISE CLASSIFIED | E0769 - | E0769 - Electric wound treatment dev | '01/01/2005 | 12/31/2999 |
| E0770 | E0770 - FUNCTIONAL ELECTRICAL STIMULATOR TRANSCUTANEOUS STIMULATION OF NERVE AND/OR MUSCLE GROUPS ANY TYPE COMPLETE SYSTEM NOT OTHERWISE SPECIFIED | E0770 - | E0770 - Functional electric stim NOS | '01/01/2009 | 12/31/2999 |
| E0776 | E0776 - Iv pole | E0776 - | E0776 - Iv pole | '04/01/1995 | 12/31/2999 |
| E0779 | E0779 - Ambulatory infusion pump mechanical reusable for infusion 8 hours or greater | E0779 - | E0779 - Amb infusion pump mechanical | '01/01/2000 | 12/31/2999 |
| E0780 | E0780 - Ambulatory infusion pump mechanical reusable for infusion less than 8 hours | E0780 - | E0780 - Mech amb infusion pump <8hrs | '01/01/2000 | 12/31/2999 |
| E0781 | E0781 - Ambulatory infusion pump single or multiple channels electric or battery operated with administrative equipment worn by patient | E0781 - | E0781 - External ambulatory infus pu | '07/01/2000 | 12/31/2999 |
| E0782 | E0782 - Infusion pump implantable non-programmable (includes all components e. G. pump catheter connectors etc. ) | E0782 - | E0782 - Non-programble infusion pump | '01/01/2003 | 12/31/2999 |
| E0783 | E0783 - Infusion pump system implantable programmable (includes all components e. G. pump catheter connectors etc. ) | E0783 - | E0783 - Programmable infusion pump | '01/01/1998 | 12/31/2999 |
| E0784 | E0784 - External ambulatory infusion pump insulin | E0784 - | E0784 - Ext amb infusn pump insulin | '07/01/2000 | 12/31/2999 |
| E0785 | E0785 - Implantable intraspinal (epidural/intrathecal) catheter used with implantable infusion pump replacement | E0785 - | E0785 - Replacement impl pump cathet | '01/01/1999 | 12/31/2999 |
| E0786 | E0786 - Implantable programmable infusion pump replacement (excludes implantable intraspinal catheter) | E0786 - | E0786 - Implantable pump replacement | '01/01/2001 | 12/31/2999 |
| E0787 | E0787 - External ambulatory infusion pump insulin dosage rate adjustment using therapeutic continuous glucose sensing | E0787 - | E0787 - Cgs dose adj insulin inf pmp | '01/01/2020 | 12/31/2999 |
| E0791 | E0791 - Parenteral infusion pump stationary single or multi-channel | E0791 - | E0791 - Parenteral infusion pump sta | '01/01/1996 | 12/31/2999 |
| E0830 | E0830 - Ambulatory traction device all types each | E0830 - | E0830 - Ambulatory traction device | '01/01/2001 | 12/31/2999 |
| E0840 | E0840 - Traction frame attached to headboard cervical traction | E0840 - | E0840 - Tract frame attach headboard | '01/01/1994 | 12/31/2999 |
| E0849 | E0849 - TRACTION EQUIPMENT CERVICAL FREE-STANDING STAND/FRAME PNEUMATIC APPLYING TRACTION FORCE TO OTHER THAN MANDIBLE | E0849 - | E0849 - Cervical pneum trac equip | '01/01/2005 | 12/31/2999 |
| E0850 | E0850 - Traction stand free standing cervical traction | E0850 - | E0850 - Traction stand free standing | '01/01/1994 | 12/31/2999 |
| E0855 | E0855 - Cervical traction equipment not requiring additional stand or frame | E0855 - | E0855 - Cervical traction equipment | '01/01/1998 | 12/31/2999 |
| E0856 | E0856 - Cervical traction device with inflatable air bladder(s) | E0856 - | E0856 - Cervic collar w air bladders | '01/01/2015 | 12/31/2999 |
| E0860 | E0860 - Traction equipment overdoor cervical | E0860 - | E0860 - Tract equip cervical tract | '01/01/1989 | 12/31/2999 |
| E0870 | E0870 - Traction frame attached to footboard extremity traction (e. G. Buck's) | E0870 - | E0870 - Tract frame attach footboard | '01/01/1994 | 12/31/2999 |
| E0880 | E0880 - Traction stand free standing extremity traction | E0880 - | E0880 - Trac stand free stand extrem | 01-10-2020 | 12/31/2999 |
| E0890 | E0890 - Traction frame attached to footboard pelvic traction | E0890 - | E0890 - Traction frame attach pelvic | '01/01/1994 | 12/31/2999 |
| E0900 | E0900 - Traction stand free standing pelvic traction (e. G. buck's) | E0900 - | E0900 - Trac stand free stand pelvic | '01/01/1994 | 12/31/2999 |
| E0910 | E0910 - Trapeze bars a/k/a patient helper attached to bed with grab bar | E0910 - | E0910 - Trapeze bar attached to bed | '01/01/1984 | 12/31/2999 |
| E0911 | E0911 - TRAPEZE BAR HEAVY DUTY FOR PATIENT WEIGHT CAPACITY GREATER THAN 250 POUNDS ATTACHED TO BED WITH GRAB BAR | E0911 - | E0911 - HD trapeze bar attach to bed | '01/01/2006 | 12/31/2999 |
| E0912 | E0912 - TRAPEZE BAR HEAVY DUTY FOR PATIENT WEIGHT CAPACITY GREATER THAN 250 POUNDS FREE STANDING COMPLETE WITH GRAB BAR | E0912 - | E0912 - HD trapeze bar free standing | '01/01/2006 | 12/31/2999 |
| E0920 | E0920 - Fracture frame attached to bed includes weights | E0920 - | E0920 - Fracture frame attached to b | '01/01/1989 | 12/31/2999 |
| E0930 | E0930 - Fracture frame free standing includes weights | E0930 - | E0930 - Fracture frame free standing | '01/01/1989 | 12/31/2999 |
| E0935 | E0935 - CONTINUOUS PASSIVE MOTION EXERCISE DEVICE FOR USE ON KNEE ONLY | E0935 - | E0935 - Cont pas motion exercise dev | '01/01/2006 | 12/31/2999 |
| E0936 | E0936 - CONTINUOUS PASSIVE MOTION EXERCISE DEVICE FOR USE OTHER THAN KNEE | E0936 - | E0936 - CPM device other than knee | '01/01/2007 | 12/31/2999 |
| E0940 | E0940 - Trapeze bar free standing complete with grab bar | E0940 - | E0940 - Trapeze bar free standing | '01/01/1989 | 12/31/2999 |
| E0941 | E0941 - Gravity assisted traction device any type | E0941 - | E0941 - Gravity assisted traction de | '01/01/1989 | 12/31/2999 |
| E0942 | E0942 - Cervical head harness/halter | E0942 - | E0942 - Cervical head harness/halter | '01/01/1986 | 12/31/2999 |
| E0944 | E0944 - Pelvic belt/harness/boot | E0944 - | E0944 - Pelvic belt/harness/boot | '01/01/1996 | 12/31/2999 |
| E0945 | E0945 - Extremity belt/harness | E0945 - | E0945 - Belt/harness extremity | '01/01/1996 | 12/31/2999 |
| E0946 | E0946 - Fracture frame dual with cross bars attached to bed (e. G. Balken 4 poster) | E0946 - | E0946 - Fracture frame dual w cross | '01/01/1989 | 12/31/2999 |
| E0947 | E0947 - Fracture frame attachments for complex pelvic traction | E0947 - | E0947 - Fracture frame attachmnts pe | '01/01/1989 | 12/31/2999 |
| E0948 | E0948 - Fracture frame attachments for complex cervical traction | E0948 - | E0948 - Fracture frame attachmnts ce | '01/01/1989 | 12/31/2999 |
| E0950 | E0950 - Wheelchair accessory tray each | E0950 - | E0950 - Tray | '01/01/2004 | 12/31/2999 |
| E0951 | E0951 - Heel loop/holder any type with or without ankle strap each | E0951 - | E0951 - Loop heel | '01/01/2005 | 12/31/2999 |
| E0952 | E0952 - Toe loop/holder any type each | E0952 - | E0952 - Toe loop/holder each | '01/01/2005 | 12/31/2999 |
| E0953 | E0953 - Wheelchair accessory lateral thigh or knee support any type including fixed mounting hardware each | E0953 - | E0953 - W/c lateral thigh/knee sup | '01/01/2018 | 12/31/2999 |
| E0954 | E0954 - Wheelchair accessory foot box any type includes attachment and mounting hardware each foot | E0954 - | E0954 - Foot box any type each foot | '01/01/2018 | 12/31/2999 |
| E0955 | E0955 - Wheelchair accessory headrest cushioned any type including fixed mounting hardware each | E0955 - | E0955 - Cushioned headrest | '01/01/2005 | 12/31/2999 |
| E0956 | E0956 - Wheelchair accessory lateral trunk or hip support any type including fixed mounting hardware each | E0956 - | E0956 - W/c lateral trunk/hip suppor | '01/01/2005 | 12/31/2999 |
| E0957 | E0957 - Wheelchair accessory medial thigh support any type including fixed mounting hardware each | E0957 - | E0957 - W/c medial thigh support | '01/01/2005 | 12/31/2999 |
| E0958 | E0958 - Manual wheelchair accessory one-arm drive attachment each | E0958 - | E0958 - Whlchr att- conv 1 arm drive | '01/01/2004 | 12/31/2999 |
| E0959 | E0959 - Manual wheelchair accessory adapter for amputee each | E0959 - | E0959 - Amputee adapter | '01/01/2004 | 12/31/2999 |
| E0960 | E0960 - Wheelchair accessory shoulder harness/straps or chest strap including any type mounting hardware | E0960 - | E0960 - W/c shoulder harness/straps | '01/01/2004 | 12/31/2999 |
| E0961 | E0961 - Manual wheelchair accessory wheel lock brake extension (handle) each | E0961 - | E0961 - Wheelchair brake extension | '01/01/2004 | 12/31/2999 |
| E0966 | E0966 - Manual wheelchair accessory headrest extension each | E0966 - | E0966 - Wheelchair head rest extensi | '01/01/2004 | 12/31/2999 |
| E0967 | E0967 - Manual wheelchair accessory hand rim with projections any type replacement only each | E0967 - | E0967 - Man wc rim/projection rep ea | '01/01/2017 | 12/31/2999 |
| E0968 | E0968 - Commode seat wheelchair | E0968 - | E0968 - Wheelchair commode seat | '01/01/1989 | 12/31/2999 |
| E0969 | E0969 - Narrowing device wheelchair | E0969 - | E0969 - Wheelchair narrowing device | '01/01/1989 | 12/31/2999 |
| E0970 | E0970 - No. 2 footplates except for elevating leg rest | E0970 - | E0970 - Wheelchair no. 2 footplates | '04/01/2001 | 12/31/2999 |
| E0971 | E0971 - MANUAL WHEELCHAIR ACCESSORY ANTI-TIPPING DEVICE EACH | E0971 - | E0971 - Wheelchair anti-tipping devi | '01/01/2006 | 12/31/2999 |
| E0973 | E0973 - Wheelchair accessory adjustable height detachable armrest complete assembly each | E0973 - | E0973 - W/Ch access det adj armrest | '01/01/2004 | 12/31/2999 |
| E0974 | E0974 - Manual wheelchair accessory anti-rollback device each | E0974 - | E0974 - W/Ch access anti-rollback | '01/01/2004 | 12/31/2999 |
| E0978 | E0978 - Wheelchair accessory positioning belt/safety belt/pelvic strap each | E0978 - | E0978 - W/C acc saf belt pelv strap | '01/01/2005 | 12/31/2999 |
| E0980 | E0980 - Safety vest wheelchair | E0980 - | E0980 - Wheelchair safety vest | '01/01/1989 | 12/31/2999 |
| E0981 | E0981 - Wheelchair accessory seat upholstery replacement only each | E0981 - | E0981 - Seat upholstery replacement | '01/01/2004 | 12/31/2999 |
| E0982 | E0982 - Wheelchair accessory back upholstery replacement only each | E0982 - | E0982 - Back upholstery replacement | '01/01/2004 | 12/31/2999 |
| E0983 | E0983 - Manual wheelchair accessory power add-on to convert manual wheelchair to motorized wheelchair joystick control | E0983 - | E0983 - Add pwr joystick | '01/01/2004 | 12/31/2999 |
| E0984 | E0984 - Manual wheelchair accessory power add-on to convert manual wheelchair to motorized wheelchair tiller control | E0984 - | E0984 - Add pwr tiller | '01/01/2004 | 12/31/2999 |
| E0985 | E0985 - Wheelchair accessory seat lift mechanism | E0985 - | E0985 - W/c seat lift mechanism | '01/01/2004 | 12/31/2999 |
| E0986 | E0986 - Manual wheelchair accessory push-rim activated power assist system | E0986 - | E0986 - Man w/c push-rim powr system | '01/01/2015 | 12/31/2999 |
| E0988 | E0988 - MANUAL WHEELCHAIR ACCESSORY LEVER-ACTIVATED WHEEL DRIVE PAIR | E0988 - | E0988 - | '01/01/2012 | 12/31/2999 |
| E0990 | E0990 - Wheelchair accessory elevating leg rest complete assembly each | E0990 - | E0990 - Wheelchair elevating leg res | '01/01/2004 | 12/31/2999 |
| E0992 | E0992 - Manual wheelchair accessory solid seat insert | E0992 - | E0992 - Wheelchair solid seat insert | '01/01/2004 | 12/31/2999 |
| E0994 | E0994 - Arm rest each | E0994 - | E0994 - Wheelchair arm rest | '01/01/1989 | 12/31/2999 |
| E0995 | E0995 - Wheelchair accessory calf rest/pad replacement only each | E0995 - | E0995 - Wc calf rest pad replacemnt | '01/01/2017 | 12/31/2999 |
| E1002 | E1002 - Wheelchair accessory power seating system tilt only | E1002 - | E1002 - Pwr seat tilt | '01/01/2004 | 12/31/2999 |
| E1003 | E1003 - Wheelchair accessory power seating system recline only without shear reduction | E1003 - | E1003 - Pwr seat recline | '01/01/2004 | 12/31/2999 |
| E1004 | E1004 - Wheelchair accessory power seating system recline only with mechanical shear reduction | E1004 - | E1004 - Pwr seat recline mech | '01/01/2004 | 12/31/2999 |
| E1005 | E1005 - Wheelchair accessory power seatng system recline only with power shear reduction | E1005 - | E1005 - Pwr seat recline pwr | '01/01/2004 | 12/31/2999 |
| E1006 | E1006 - Wheelchair accessory power seating system combination tilt and recline without shear reduction | E1006 - | E1006 - Pwr seat combo w/o shear | '01/01/2004 | 12/31/2999 |
| E1007 | E1007 - Wheelchair accessory power seating system combination tilt and recline with mechanical shear reduction | E1007 - | E1007 - Pwr seat combo w/shear | '01/01/2004 | 12/31/2999 |
| E1008 | E1008 - Wheelchair accessory power seating system combination tilt and recline with power shear reduction | E1008 - | E1008 - Pwr seat combo pwr shear | '01/01/2004 | 12/31/2999 |
| E1009 | E1009 - Wheelchair accessory addition to power seating system mechanically linked leg elevation system including pushrod and leg rest each | E1009 - | E1009 - Add mech leg elevation | '01/01/2004 | 12/31/2999 |
| E1010 | E1010 - Wheelchair accessory addition to power seating system power leg elevation system including leg rest pair | E1010 - | E1010 - Add pwr leg elevation | '01/01/2005 | 12/31/2999 |
| E1011 | E1011 - Modification to pediatric size wheelchair width adjustment package (not to be dispensed with initial chair) | E1011 - | E1011 - Ped wc modify width adjustm | '01/01/2005 | 12/31/2999 |
| E1012 | E1012 - Wheelchair accessory addition to power seating system center mount power elevating leg rest/platform complete system any type each | E1012 - | E1012 - Ctr mount pwr elev leg rest | '01/01/2016 | 12/31/2999 |
| E1014 | E1014 - Reclining back addition to pediatric size wheelchair | E1014 - | E1014 - Reclining back add ped w/c | '01/01/2005 | 12/31/2999 |
| E1015 | E1015 - Shock absorber for manual wheelchair each | E1015 - | E1015 - Shock absorber for man w/c | '01/01/2003 | 12/31/2999 |
| E1016 | E1016 - Shock absorber for power wheelchair each | E1016 - | E1016 - Shock absorber for power w/c | '01/01/2003 | 12/31/2999 |
| E1017 | E1017 - Heavy duty shock absorber for heavy duty or extra heavy duty manual wheelchair each | E1017 - | E1017 - HD shck absrbr for hd man wc | '01/01/2003 | 12/31/2999 |
| E1018 | E1018 - Heavy duty shock absorber for heavy duty or extra heavy duty power wheelchair each | E1018 - | E1018 - HD shck absrber for hd powwc | '01/01/2003 | 12/31/2999 |
| E1020 | E1020 - Residual limb support system for wheelchair any type | E1020 - | E1020 - Residual limb support system | '01/01/2013 | 12/31/2999 |
| E1028 | E1028 - Wheelchair accessory manual swingaway retractable or removable mounting hardware for joystick other control interface or positioning accessory | E1028 - | E1028 - W/c manual swingaway | '01/01/2004 | 12/31/2999 |
| E1029 | E1029 - Wheelchair accessory ventilator tray fixed | E1029 - | E1029 - W/c vent tray fixed | '01/01/2004 | 12/31/2999 |
| E1030 | E1030 - Wheelchair accessory ventilator tray gimbaled | E1030 - | E1030 - W/c vent tray gimbaled | '01/01/2004 | 12/31/2999 |
| E1031 | E1031 - Rollabout chair any and all types with castors 5 or greater | E1031 - | E1031 - Rollabout chair with casters | '01/01/1990 | 12/31/2999 |
| E1035 | E1035 - MULTI-POSITIONAL PATIENT TRANSFER SYSTEM WITH INTEGRATED SEAT OPERATED BY CARE GIVER PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 LBS | E1035 - | E1035 - Patient transfer system <300 | '01/01/2010 | 12/31/2999 |
| E1036 | E1036 - MULTI-POSITIONAL PATIENT TRANSFER SYSTEM EXTRA-WIDE WITH INTEGRATED SEAT OPERATED BY CAREGIVER PATIENT WEIGHT CAPACITY GREATER THAN 300 LBS | E1036 - | E1036 - Patient transfer system >300 | '01/01/2010 | 12/31/2999 |
| E1037 | E1037 - Transport chair pediatric size | E1037 - | E1037 - Transport chair ped size | '01/01/2003 | 12/31/2999 |
| E1038 | E1038 - TRANSPORT CHAIR ADULT SIZE PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | E1038 - | E1038 - Transport chair pt wt<=300lb | '01/01/2006 | 12/31/2999 |
| E1039 | E1039 - TRANSPORT CHAIR ADULT SIZE HEAVY DUTY PATIENT WEIGHT CAPACITY GREATER THAN 300 POUNDS | E1039 - | E1039 - Transport chair pt wt >300lb | '01/01/2006 | 12/31/2999 |
| E1050 | E1050 - Fully-reclining wheelchair fixed full length arms swing away detachable elevating leg rests | E1050 - | E1050 - Whelchr fxd full length arms | '01/01/1984 | 12/31/2999 |
| E1060 | E1060 - Fully-reclining wheelchair detachable arms desk or full length swing away detachable elevating legrests | E1060 - | E1060 - Wheelchair detachable arms | '01/01/1989 | 12/31/2999 |
| E1070 | E1070 - Fully-reclining wheelchair detachable arms (desk or full length) swing away detachable footrest | E1070 - | E1070 - Wheelchair detachable foot r | '01/01/1989 | 12/31/2999 |
| E1083 | E1083 - Hemi-wheelchair fixed full length arms swing away detachable elevating leg rest | E1083 - | E1083 - Hemi-wheelchair fixed arms | '01/01/1989 | 12/31/2999 |
| E1084 | E1084 - Hemi-wheelchair detachable arms desk or full length arms swing away detachable elevating leg rests | E1084 - | E1084 - Hemi-wheelchair detachable a | '01/01/1989 | 12/31/2999 |
| E1085 | E1085 - Hemi-wheelchair fixed full length arms swing away detachable foot rests | E1085 - | E1085 - Hemi-wheelchair fixed arms | '04/01/2001 | 12/31/2999 |
| E1086 | E1086 - Hemi-wheelchair detachable arms desk or full length swing away detachable footrests | E1086 - | E1086 - Hemi-wheelchair detachable a | '04/01/2001 | 12/31/2999 |
| E1087 | E1087 - High strength lightweight wheelchair fixed full length arms swing away detachable elevating leg rests | E1087 - | E1087 - Wheelchair lightwt fixed arm | '01/01/1989 | 12/31/2999 |
| E1088 | E1088 - High strength lightweight wheelchair detachable arms desk or full length swing away detachable elevating leg rests | E1088 - | E1088 - Wheelchair lightweight det a | '01/01/1989 | 12/31/2999 |
| E1089 | E1089 - High strength lightweight wheelchair fixed length arms swing away detachable footrest | E1089 - | E1089 - Wheelchair lightwt fixed arm | '04/01/2001 | 12/31/2999 |
| E1090 | E1090 - High strength lightweight wheelchair detachable arms desk or full length swing away detachable foot rests | E1090 - | E1090 - Wheelchair lightweight det a | '04/01/2001 | 12/31/2999 |
| E1092 | E1092 - Wide heavy duty wheel chair detachable arms (desk or full length) swing away detachable elevating leg rests | E1092 - | E1092 - Wheelchair wide w/ leg rests | '01/01/1989 | 12/31/2999 |
| E1093 | E1093 - Wide heavy duty wheelchair detachable arms desk or full length arms swing away detachable footrests | E1093 - | E1093 - Wheelchair wide w/ foot rest | '01/01/1989 | 12/31/2999 |
| E1100 | E1100 - Semi-reclining wheelchair fixed full length arms swing away detachable elevating leg rests | E1100 - | E1100 - Whchr s-recl fxd arm leg res | '01/01/1988 | 12/31/2999 |
| E1110 | E1110 - Semi-reclining wheelchair detachable arms (desk or full length) elevating leg rest | E1110 - | E1110 - Wheelchair semi-recl detach | '01/01/1989 | 12/31/2999 |
| E1130 | E1130 - Standard wheelchair fixed full length arms fixed or swing away detachable footrests | E1130 - | E1130 - Whlchr stand fxd arm ft rest | '04/01/2001 | 12/31/2999 |
| E1140 | E1140 - Wheelchair detachable arms desk or full length swing away detachable footrests | E1140 - | E1140 - Wheelchair standard detach a | '04/01/2001 | 12/31/2999 |
| E1150 | E1150 - Wheelchair detachable arms desk or full length swing away detachable elevating legrests | E1150 - | E1150 - Wheelchair standard w/ leg r | '01/01/1989 | 12/31/2999 |
| E1160 | E1160 - Wheelchair fixed full length arms swing away detachable elevating legrests | E1160 - | E1160 - Wheelchair fixed arms | '01/01/1989 | 12/31/2999 |
| E1161 | E1161 - Manual adult size wheelchair includes tilt in space | E1161 - | E1161 - Manual adult wc w tiltinspac | '07/01/2003 | 12/31/2999 |
| E1170 | E1170 - Amputee wheelchair fixed full length arms swing away detachable elevating legrests | E1170 - | E1170 - Whlchr ampu fxd arm leg rest | '01/01/1989 | 12/31/2999 |
| E1171 | E1171 - Amputee wheelchair fixed full length arms without footrests or legrest | E1171 - | E1171 - Wheelchair amputee w/o leg r | '01/01/1989 | 12/31/2999 |
| E1172 | E1172 - Amputee wheelchair detachable arms (desk or full length) without footrests or legrest | E1172 - | E1172 - Wheelchair amputee detach ar | '01/01/1989 | 12/31/2999 |
| E1180 | E1180 - Amputee wheelchair detachable arms (desk or full length) swing away detachable footrests | E1180 - | E1180 - Wheelchair amputee w/ foot r | '01/01/1989 | 12/31/2999 |
| E1190 | E1190 - Amputee wheelchair detachable arms (desk or full length) swing away detachable elevating legrests | E1190 - | E1190 - Wheelchair amputee w/ leg re | '01/01/1989 | 12/31/2999 |
| E1195 | E1195 - Heavy duty wheelchair fixed full length arms swing away detachable elevating legrests | E1195 - | E1195 - Wheelchair amputee heavy dut | '01/01/1989 | 12/31/2999 |
| E1200 | E1200 - Amputee wheelchair fixed full length arms swing away detachable footrest | E1200 - | E1200 - Wheelchair amputee fixed arm | '01/01/1989 | 12/31/2999 |
| E1220 | E1220 - Wheelchair; specially sized or constructed (indicate brand name model number if any) and justification | E1220 - | E1220 - Whlchr special size/constrc | '01/01/1990 | 12/31/2999 |
| E1221 | E1221 - Wheelchair with fixed arm footrests | E1221 - | E1221 - Wheelchair spec size w foot | '01/01/1990 | 12/31/2999 |
| E1222 | E1222 - Wheelchair with fixed arm elevating legrests | E1222 - | E1222 - Wheelchair spec size w/ leg | '01/01/1990 | 12/31/2999 |
| E1223 | E1223 - Wheelchair with detachable arms footrests | E1223 - | E1223 - Wheelchair spec size w foot | '01/01/1990 | 12/31/2999 |
| E1224 | E1224 - Wheelchair with detachable arms elevating legrests | E1224 - | E1224 - Wheelchair spec size w/ leg | '01/01/1990 | 12/31/2999 |
| E1225 | E1225 - Wheelchair accessory manual semi-reclining back (recline greater than 15 degrees but less than 80 degrees) each | E1225 - | E1225 - Manual semi-reclining back | '01/01/2005 | 12/31/2999 |
| E1226 | E1226 - Wheelchair accessory manual fully reclining back (recline greater than 80 degrees) each | E1226 - | E1226 - Manual fully reclining back | '01/01/2005 | 12/31/2999 |
| E1227 | E1227 - Special height arms for wheelchair | E1227 - | E1227 - Wheelchair spec sz spec ht a | '01/01/1990 | 12/31/2999 |
| E1228 | E1228 - Special back height for wheelchair | E1228 - | E1228 - Wheelchair spec sz spec ht b | '01/01/1990 | 12/31/2999 |
| E1229 | E1229 - WHEELCHAIR PEDIATRIC SIZE NOT OTHERWISE SPECIFIED | E1229 - | E1229 - Pediatric wheelchair NOS | '01/01/2005 | 12/31/2999 |
| E1230 | E1230 - Power operated vehicle (three or four wheel nonhighway) specify brand name and model number | E1230 - | E1230 - Power operated vehicle | '01/01/1991 | 12/31/2999 |
| E1231 | E1231 - Wheelchair pediatric size tilt-in-space rigid adjustable with seating system | E1231 - | E1231 - Rigid ped w/c tilt-in-space | '01/01/2009 | 12/31/2999 |
| E1232 | E1232 - Wheelchair pediatric size tilt-in-space folding adjustable with seating system | E1232 - | E1232 - Folding ped wc tilt-in-space | '01/01/2009 | 12/31/2999 |
| E1233 | E1233 - Wheelchair pediatric size tilt-in-space rigid adjustable without seating system | E1233 - | E1233 - Rig ped wc tltnspc w/o seat | '01/01/2009 | 12/31/2999 |
| E1234 | E1234 - Wheelchair pediatric size tilt-in-space folding adjustable without seating system | E1234 - | E1234 - Fld ped wc tltnspc w/o seat | '01/01/2009 | 12/31/2999 |
| E1235 | E1235 - Wheelchair pediatric size rigid adjustable with seating system | E1235 - | E1235 - Rigid ped wc adjustable | '01/01/2009 | 12/31/2999 |
| E1236 | E1236 - Wheelchair pediatric size folding adjustable with seating system | E1236 - | E1236 - Folding ped wc adjustable | '01/01/2009 | 12/31/2999 |
| E1237 | E1237 - Wheelchair pediatric size rigid adjustable without seating system | E1237 - | E1237 - Rgd ped wc adjstabl w/o seat | '01/01/2009 | 12/31/2999 |
| E1238 | E1238 - Wheelchair pediatric size folding adjustable without seating system | E1238 - | E1238 - Fld ped wc adjstabl w/o seat | '01/01/2009 | 12/31/2999 |
| E1239 | E1239 - POWER WHEELCHAIR PEDIATRIC SIZE NOT OTHERWISE SPECIFIED | E1239 - | E1239 - Ped power wheelchair NOS | '01/01/2005 | 12/31/2999 |
| E1240 | E1240 - Lightweight wheelchair detachable arms (desk or full length) swing away detachable elevating legrest | E1240 - | E1240 - Whchr litwt det arm leg rest | '01/01/1989 | 12/31/2999 |
| E1250 | E1250 - Lightweight wheelchair fixed full length arms swing away detachable footrest | E1250 - | E1250 - Wheelchair lightwt fixed arm | '04/01/2001 | 12/31/2999 |
| E1260 | E1260 - Lightweight wheelchair detachable arms (desk or full length) swing away detachable footrest | E1260 - | E1260 - Wheelchair lightwt foot rest | '04/01/2001 | 12/31/2999 |
| E1270 | E1270 - Lightweight wheelchair fixed full length arms swing away detachable elevating legrests | E1270 - | E1270 - Wheelchair lightweight leg r | '01/01/1989 | 12/31/2999 |
| E1280 | E1280 - Heavy duty wheelchair detachable arms (desk or full length) elevating legrests | E1280 - | E1280 - Whchr h-duty det arm leg res | '01/01/1989 | 12/31/2999 |
| E1285 | E1285 - Heavy duty wheelchair fixed full length arms swing away detachable footrest | E1285 - | E1285 - Wheelchair heavy duty fixed | '04/01/2001 | 12/31/2999 |
| E1290 | E1290 - Heavy duty wheelchair detachable arms (desk or full length) swing away detachable footrest | E1290 - | E1290 - Wheelchair hvy duty detach a | '04/01/2001 | 12/31/2999 |
| E1295 | E1295 - Heavy duty wheelchair fixed full length arms elevating legrest | E1295 - | E1295 - Wheelchair heavy duty fixed | '01/01/1989 | 12/31/2999 |
| E1296 | E1296 - Special wheelchair seat height from floor | E1296 - | E1296 - Wheelchair special seat heig | '01/01/1989 | 12/31/2999 |
| E1297 | E1297 - Special wheelchair seat depth by upholstery | E1297 - | E1297 - Wheelchair special seat dept | '01/01/1989 | 12/31/2999 |
| E1298 | E1298 - Special wheelchair seat depth and/or width by construction | E1298 - | E1298 - Wheelchair spec seat depth/w | '01/01/1989 | 12/31/2999 |
| E1300 | E1300 - Whirlpool portable (overtub type) | E1300 - | E1300 - Whirlpool portable | '01/01/1996 | 12/31/2999 |
| E1310 | E1310 - Whirlpool non-portable (built-in type) | E1310 - | E1310 - Whirlpool non-portable | '01/01/1996 | 12/31/2999 |
| E1352 | E1352 - Oxygen accessory flow regulator capable of positive inspiratory pressure | E1352 - | E1352 - O2 flow reg pos inspir press | '01/01/2014 | 12/31/2999 |
| E1353 | E1353 - Regulator | E1353 - | E1353 - Oxygen supplies regulator | '01/01/2009 | 12/31/2999 |
| E1354 | E1354 - OXYGEN ACCESSORY WHEELED CART FOR PORTABLE CYLINDER OR PORTABLE CONCENTRATOR ANY TYPE REPLACEMENT ONLY EACH | E1354 - | E1354 - Wheeled cart port cyl/conc | '01/01/2009 | 12/31/2999 |
| E1355 | E1355 - Stand/rack | E1355 - | E1355 - Oxygen supplies stand/rack | '01/01/2009 | 12/31/2999 |
| E1356 | E1356 - OXYGEN ACCESSORY BATTERY PACK/CARTRIDGE FOR PORTABLE CONCENTRATOR ANY TYPE REPLACEMENT ONLY EACH | E1356 - | E1356 - Batt pack/cart port conc | '01/01/2009 | 12/31/2999 |
| E1357 | E1357 - OXYGEN ACCESSORY BATTERY CHARGER FOR PORTABLE CONCENTRATOR ANY TYPE REPLACEMENT ONLY EACH | E1357 - | E1357 - Battery charger port conc | '01/01/2009 | 12/31/2999 |
| E1358 | E1358 - OXYGEN ACCESSORY DC POWER ADAPTER FOR PORTABLE CONCENTRATOR ANY TYPE REPLACEMENT ONLY EACH | E1358 - | E1358 - DC power adapter port conc | '01/01/2009 | 12/31/2999 |
| E1372 | E1372 - Immersion external heater for nebulizer | E1372 - | E1372 - Oxy suppl heater for nebuliz | '01/01/1996 | 12/31/2999 |
| E1390 | E1390 - Oxygen concentrator single delivery port capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate | E1390 - | E1390 - Oxygen concentrator | '01/01/2004 | 12/31/2999 |
| E1391 | E1391 - Oxygen concentrator dual delivery port capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate each | E1391 - | E1391 - Oxygen concentrator dual | '01/01/2004 | 12/31/2999 |
| E1392 | E1392 - PORTABLE OXYGEN CONCENTRATOR RENTAL | E1392 - | E1392 - Portable oxygen concentrator | '01/01/2006 | 12/31/2999 |
| E1399 | E1399 - Durable medical equipment miscellaneous | E1399 - | E1399 - Durable medical equipment mi | '01/01/1996 | 12/31/2999 |
| E1405 | E1405 - Oxygen and water vapor enriching system with heated delivery | E1405 - | E1405 - O2/water vapor enrich w/heat | '01/01/1990 | 12/31/2999 |
| E1406 | E1406 - Oxygen and water vapor enriching system without heated delivery | E1406 - | E1406 - O2/water vapor enrich w/o he | '01/01/1990 | 12/31/2999 |
| E1500 | E1500 - Centrifuge for dialysis | E1500 - | E1500 - Centrifuge | '01/01/2002 | 12/31/2999 |
| E1510 | E1510 - Kidney dialysate delivery syst. Kidney machine pump recirculat- ing air removal syst flowrate meter power off heater and temperature control with alarm i. V. Poles pressure gauge concentrate container | E1510 - | E1510 - Kidney dialysate delivry sys | '01/01/2002 | 12/31/2999 |
| E1520 | E1520 - Heparin infusion pump for hemodialysis | E1520 - | E1520 - Heparin infusion pump | '01/01/2002 | 12/31/2999 |
| E1530 | E1530 - Air bubble detector for hemodialysis each replacement | E1530 - | E1530 - Replacement air bubble detec | '01/01/2002 | 12/31/2999 |
| E1540 | E1540 - Pressure alarm for hemodialysis each replacement | E1540 - | E1540 - Replacement pressure alarm | '01/01/2002 | 12/31/2999 |
| E1550 | E1550 - Bath conductivity meter for hemodialysis each | E1550 - | E1550 - Bath conductivity meter | '01/01/2002 | 12/31/2999 |
| E1560 | E1560 - Blood leak detector for hemodialysis each replacement | E1560 - | E1560 - Replace blood leak detector | '01/01/2002 | 12/31/2999 |
| E1570 | E1570 - Adjustable chair for esrd patients | E1570 - | E1570 - Adjustable chair for esrd pt | '01/01/2002 | 12/31/2999 |
| E1575 | E1575 - Transducer protectors/fluid barriers for hemodialysis any size per 10 | E1575 - | E1575 - Transducer protect/fld bar | '01/01/2002 | 12/31/2999 |
| E1580 | E1580 - Unipuncture control system for hemodialysis | E1580 - | E1580 - Unipuncture control system | '01/01/2002 | 12/31/2999 |
| E1590 | E1590 - Hemodialysis machine | E1590 - | E1590 - Hemodialysis machine | '01/01/2002 | 12/31/2999 |
| E1592 | E1592 - Automatic intermittent peritioneal dialysis system | E1592 - | E1592 - Auto interm peritoneal dialy | '01/01/2002 | 12/31/2999 |
| E1594 | E1594 - Cycler dialysis machine for peritoneal dialysis | E1594 - | E1594 - Cycler dialysis machine | '01/01/2002 | 12/31/2999 |
| E1600 | E1600 - Delivery and/or installation charges for hemodialysis equipment | E1600 - | E1600 - Deli/install chrg hemo equip | '01/01/2002 | 12/31/2999 |
| E1610 | E1610 - Reverse osmosis water purification system for hemodialysis | E1610 - | E1610 - Reverse osmosis h2o puri sys | '01/01/2002 | 12/31/2999 |
| E1615 | E1615 - Deionizer water purification system for hemodialysis | E1615 - | E1615 - Deionizer H2O puri system | '01/01/2002 | 12/31/2999 |
| E1620 | E1620 - Blood pump for hemodialysis replacement | E1620 - | E1620 - Replacement blood pump | '01/01/2002 | 12/31/2999 |
| E1625 | E1625 - Water softening system for hemodialysis | E1625 - | E1625 - Water softening system | '01/01/2002 | 12/31/2999 |
| E1629 | E1629 - Tablo hemodialysis system for the billable dialysis service | E1629 - | E1629 - Tablo for dialysis service | '01/01/2022 | 12/31/2999 |
| E1630 | E1630 - Reciprocating peritoneal dialysis system | E1630 - | E1630 - Reciprocating peritoneal dia | '01/01/2002 | 12/31/2999 |
| E1632 | E1632 - Wearable artificial kidney each | E1632 - | E1632 - Wearable artificial kidney | '01/01/2002 | 12/31/2999 |
| E1634 | E1634 - Peritoneal dialysis clamps each | E1634 - | E1634 - Peritoneal dialysis clamp | '01/01/2004 | 12/31/2999 |
| E1635 | E1635 - Compact (portable) travel hemodialyzer system | E1635 - | E1635 - Compact travel hemodialyzer | '01/01/2002 | 12/31/2999 |
| E1636 | E1636 - Sorbent cartridges for hemodialysis per 10 | E1636 - | E1636 - Sorbent cartridges per 10 | '01/01/2002 | 12/31/2999 |
| E1637 | E1637 - Hemostats each | E1637 - | E1637 - Hemostats for dialysis each | '01/01/2003 | 12/31/2999 |
| E1639 | E1639 - Scale each | E1639 - | E1639 - Scale each | '01/01/2018 | 12/31/2999 |
| E1699 | E1699 - Dialysis equipment not otherwise specified | E1699 - | E1699 - Dialysis equipment noc | '01/01/2002 | 12/31/2999 |
| E1700 | E1700 - Jaw motion rehabilitation system | E1700 - | E1700 - Jaw motion rehab system | 10/20/1997 | 12/31/2999 |
| E1701 | E1701 - Replacement cushions for jaw motion rehabilitation system pkg. Of 6 | E1701 - | E1701 - Repl cushions for jaw motion | '01/01/1996 | 12/31/2999 |
| E1702 | E1702 - Replacement measuring scales for jaw motion rehabilitation system pkg. Of 200 | E1702 - | E1702 - Repl measr scales jaw motion | '01/01/1996 | 12/31/2999 |
| E1800 | E1800 - Dynamic adjustable elbow extension/flexion device includes soft interface material | E1800 - | E1800 - Adjust elbow ext/flex device | '01/01/2002 | 12/31/2999 |
| E1801 | E1801 - Static progressive stretch elbow device extension and/or flexion with or without range of motion adjustment includes all components and accessories | E1801 - | E1801 - SPS elbow device | '01/01/2008 | 12/31/2999 |
| E1802 | E1802 - Dynamic adjustable forearm pronation/supination device includes soft interface material | E1802 - | E1802 - Adjst forearm pro/sup device | '01/01/2003 | 12/31/2999 |
| E1805 | E1805 - Dynamic adjustable wrist extension / flexion device includes soft interface material | E1805 - | E1805 - Adjust wrist ext/flex device | '01/01/2002 | 12/31/2999 |
| E1806 | E1806 - Static progressive stretch wrist device flexion and/or extension with or without range of motion adjustment includes all components and accessories | E1806 - | E1806 - SPS wrist device | '01/01/2008 | 12/31/2999 |
| E1810 | E1810 - Dynamic adjustable knee extension / flexion device includes soft interface material | E1810 - | E1810 - Adjust knee ext/flex device | '01/01/2002 | 12/31/2999 |
| E1811 | E1811 - Static progressive stretch knee device extension and/or flexion with or without range of motion adjustment includes all components and accessories | E1811 - | E1811 - SPS knee device | '01/01/2008 | 12/31/2999 |
| E1812 | E1812 - DYNAMIC KNEE EXTENSION/FLEXION DEVICE WITH ACTIVE RESISTANCE CONTROL | E1812 - | E1812 - Knee ext/flex w act res ctrl | '01/01/2006 | 12/31/2999 |
| E1815 | E1815 - Dynamic adjustable ankle extension/flexion device includes soft interface material | E1815 - | E1815 - Adjust ankle ext/flex device | '01/01/2002 | 12/31/2999 |
| E1816 | E1816 - Static progressive stretch ankle device flexion and/or extension with or without range of motion adjustment includes all components and accessories | E1816 - | E1816 - SPS ankle device | '01/01/2008 | 12/31/2999 |
| E1818 | E1818 - Static progressive stretch forearm pronation / supination device with or without range of motion adjustment includes all components and accessories | E1818 - | E1818 - SPS forearm device | '01/01/2008 | 12/31/2999 |
| E1820 | E1820 - Replacement soft interface material dynamic adjustable extension/flexion device | E1820 - | E1820 - Soft interface material | '01/01/2002 | 12/31/2999 |
| E1821 | E1821 - Replacement soft interface material/cuffs for bi-directional static progressive stretch device | E1821 - | E1821 - Replacement interface SPSD | '01/01/2002 | 12/31/2999 |
| E1825 | E1825 - Dynamic adjustable finger extension/flexion device includes soft interface material | E1825 - | E1825 - Adjust finger ext/flex devc | '01/01/2002 | 12/31/2999 |
| E1830 | E1830 - Dynamic adjustable toe extension/flexion device includes soft interface material | E1830 - | E1830 - Adjust toe ext/flex device | '01/01/2002 | 12/31/2999 |
| E1831 | E1831 - STATIC PROGRESSIVE STRETCH TOE DEVICE EXTENSION AND/OR FLEXION WITH OR WITHOUT RANGE OF MOTION ADJUSTMENT INCLUDES ALL COMPONENTS AND ACCESSORIES | E1831 - | E1831 - Static str toe dev ext/flex | '01/01/2011 | 12/31/2999 |
| E1840 | E1840 - Dynamic adjustable shoulder flexion / abduction / rotation device includes soft interface material | E1840 - | E1840 - Adj shoulder ext/flex device | '01/01/2002 | 12/31/2999 |
| E1841 | E1841 - Static progressive stretch shoulder device with or without range of motion adjustment includes all components and accessories | E1841 - | E1841 - Static str shldr dev rom adj | '01/01/2008 | 12/31/2999 |
| E1902 | E1902 - Communication board non-electronic augmentative or alternative communication device | E1902 - | E1902 - AAC non-electronic board | '01/01/2002 | 12/31/2999 |
| E2000 | E2000 - Gastric suction pump home model portable or stationary electric | E2000 - | E2000 - Gastric suction pump hme mdl | '01/01/2002 | 12/31/2999 |
| E2100 | E2100 - Blood glucose monitor with integrated voice synthesizer | E2100 - | E2100 - Bld glucose monitor w voice | '01/01/2002 | 12/31/2999 |
| E2101 | E2101 - Blood glucose monitor with integrated lancing/blood sample | E2101 - | E2101 - Bld glucose monitor w lance | '01/01/2002 | 12/31/2999 |
| E2102 | E2102 - Adjunctive non-implanted continuous glucose monitor or receiver | E2102 - | E2102 - Adju cgm receiver/monitor | '01/01/2023 | 12/31/2999 |
| E2103 | E2103 - Non-adjunctive non-implanted continuous glucose monitor or receiver | E2103 - | E2103 - Non-adju cgm receiver/mon | '01/01/2023 | 12/31/2999 |
| E2120 | E2120 - Pulse generator system for tympanic treatment of inner ear endolymphatic fluid | E2120 - | E2120 - Pulse gen sys tx endolymp fl | '01/01/2004 | 12/31/2999 |
| E2201 | E2201 - Manual wheelchair accessory nonstandard seat frame width greater than or equal to 20 inches and less than 24 inches | E2201 - | E2201 - Man w/ch acc seat w>=20<24 | '01/01/2004 | 12/31/2999 |
| E2202 | E2202 - Manual wheelchair accessory nonstandard seat frame width 24-27 inches | E2202 - | E2202 - Seat width 24-27 in | '01/01/2004 | 12/31/2999 |
| E2203 | E2203 - Manual wheelchair accessory nonstandard seat frame depth 20 to less than 22 inches | E2203 - | E2203 - Frame depth less than 22 in | '01/01/2004 | 12/31/2999 |
| E2204 | E2204 - Manual wheelchair accessory nonstandard seat frame depth 22 to 25 inches | E2204 - | E2204 - Frame depth 22 to 25 in | '01/01/2004 | 12/31/2999 |
| E2205 | E2205 - Manual wheelchair accessory handrim without projections (includes ergonomic or contoured) any type replacement only each | E2205 - | E2205 - Manual wc accessory handrim | '01/01/2008 | 12/31/2999 |
| E2206 | E2206 - Manual wheelchair accessory wheel lock assembly complete replacement only each | E2206 - | E2206 - Man wc whl lock comp repl ea | '01/01/2017 | 12/31/2999 |
| E2207 | E2207 - WHEELCHAIR ACCESSORY CRUTCH AND CANE HOLDER EACH | E2207 - | E2207 - Crutch and cane holder | '01/01/2006 | 12/31/2999 |
| E2208 | E2208 - WHEELCHAIR ACCESSORY CYLINDER TANK CARRIER EACH | E2208 - | E2208 - Cylinder tank carrier | '01/01/2006 | 12/31/2999 |
| E2209 | E2209 - ARM TROUGH WITH OR WITHOUT HAND SUPPORT EACH | E2209 - | E2209 - Arm trough each | '01/01/2007 | 12/31/2999 |
| E2210 | E2210 - WHEELCHAIR ACCESSORY BEARINGS ANY TYPE REPLACEMENT ONLY EACH | E2210 - | E2210 - Wheelchair bearings | '01/01/2006 | 12/31/2999 |
| E2211 | E2211 - MANUAL WHEELCHAIR ACCESSORY PNEUMATIC PROPULSION TIRE ANY SIZE EACH | E2211 - | E2211 - Pneumatic propulsion tire | '01/01/2006 | 12/31/2999 |
| E2212 | E2212 - MANUAL WHEELCHAIR ACCESSORY TUBE FOR PNEUMATIC PROPULSION TIRE ANY SIZE EACH | E2212 - | E2212 - Pneumatic prop tire tube | '01/01/2006 | 12/31/2999 |
| E2213 | E2213 - MANUAL WHEELCHAIR ACCESSORY INSERT FOR PNEUMATIC PROPULSION TIRE (REMOVABLE) ANY TYPE ANY SIZE EACH | E2213 - | E2213 - Pneumatic prop tire insert | '01/01/2006 | 12/31/2999 |
| E2214 | E2214 - MANUAL WHEELCHAIR ACCESSORY PNEUMATIC CASTER TIRE ANY SIZE EACH | E2214 - | E2214 - Pneumatic caster tire each | '01/01/2006 | 12/31/2999 |
| E2215 | E2215 - MANUAL WHEELCHAIR ACCESSORY TUBE FOR PNEUMATIC CASTER TIRE ANY SIZE EACH | E2215 - | E2215 - Pneumatic caster tire tube | '01/01/2006 | 12/31/2999 |
| E2216 | E2216 - MANUAL WHEELCHAIR ACCESSORY FOAM FILLED PROPULSION TIRE ANY SIZE EACH | E2216 - | E2216 - Foam filled propulsion tire | '01/01/2006 | 12/31/2999 |
| E2217 | E2217 - MANUAL WHEELCHAIR ACCESSORY FOAM FILLED CASTER TIRE ANY SIZE EACH | E2217 - | E2217 - Foam filled caster tire each | '01/01/2006 | 12/31/2999 |
| E2218 | E2218 - MANUAL WHEELCHAIR ACCESSORY FOAM PROPULSION TIRE ANY SIZE EACH | E2218 - | E2218 - Foam propulsion tire each | '01/01/2006 | 12/31/2999 |
| E2219 | E2219 - MANUAL WHEELCHAIR ACCESSORY FOAM CASTER TIRE ANY SIZE EACH | E2219 - | E2219 - Foam caster tire any size ea | '01/01/2006 | 12/31/2999 |
| E2220 | E2220 - Manual wheelchair accessory solid (rubber/plastic) propulsion tire any size replacement only each | E2220 - | E2220 - Solid propuls tire repl ea | '01/01/2017 | 12/31/2999 |
| E2221 | E2221 - Manual wheelchair accessory solid (rubber/plastic) caster tire (removable) any size replacement only each | E2221 - | E2221 - Solid caster tire repl each | '01/01/2017 | 12/31/2999 |
| E2222 | E2222 - Manual wheelchair accessory solid (rubber/plastic) caster tire with integrated wheel any size replacement only each | E2222 - | E2222 - Solid caster integ whl repl | '01/01/2017 | 12/31/2999 |
| E2224 | E2224 - Manual wheelchair accessory propulsion wheel excludes tire any size replacement only each | E2224 - | E2224 - Propulsion whl excl tire rep | '01/01/2017 | 12/31/2999 |
| E2225 | E2225 - MANUAL WHEELCHAIR ACCESSORY CASTER WHEEL EXCLUDES TIRE ANY SIZE REPLACEMENT ONLY EACH | E2225 - | E2225 - Caster wheel excludes tire | '01/01/2006 | 12/31/2999 |
| E2226 | E2226 - MANUAL WHEELCHAIR ACCESSORY CASTER FORK ANY SIZE REPLACEMENT ONLY EACH | E2226 - | E2226 - Caster fork replacement only | '01/01/2006 | 12/31/2999 |
| E2227 | E2227 - MANUAL WHEELCHAIR ACCESSORY GEAR REDUCTION DRIVE WHEEL EACH | E2227 - | E2227 - Gear reduction drive wheel | '01/01/2008 | 12/31/2999 |
| E2228 | E2228 - MANUAL WHEELCHAIR ACCESSORY WHEEL BRAKING SYSTEM AND LOCK COMPLETE EACH | E2228 - | E2228 - Mwc acc wheelchair brake | '01/01/2008 | 12/31/2999 |
| E2230 | E2230 - MANUAL WHEELCHAIR ACCESSORY MANUAL STANDING SYSTEM | E2230 - | E2230 - Manual standing system | '01/01/2009 | 12/31/2999 |
| E2231 | E2231 - MANUAL WHEELCHAIR ACCESSORY SOLID SEAT SUPPORT BASE (REPLACES SLING SEAT) INCLUDES ANY TYPE MOUNTING HARDWARE | E2231 - | E2231 - Solid seat support base | '01/01/2009 | 12/31/2999 |
| E2291 | E2291 - Back planar for pediatric size wheelchair including fixed attaching hardware | E2291 - | E2291 - Planar back for ped size wc | '01/01/2006 | 12/31/2999 |
| E2292 | E2292 - Seat planar for pediatric size wheelchair including fixed attaching hardware | E2292 - | E2292 - Planar seat for ped size wc | '01/01/2006 | 12/31/2999 |
| E2293 | E2293 - Back contoured for pediatric size wheelchair including fixed attaching hardware | E2293 - | E2293 - Contour back for ped size wc | '01/01/2006 | 12/31/2999 |
| E2294 | E2294 - Seat contoured for pediatric size wheelchair including fixed attaching hardware | E2294 - | E2294 - Contour seat for ped size wc | '01/01/2006 | 12/31/2999 |
| E2295 | E2295 - MANUAL WHEELCHAIR ACCESSORY FOR PEDIATRIC SIZE WHEELCHAIR DYNAMIC SEATING FRAME ALLOWS COORDINATED MOVEMENT OF MULTIPLE POSITIONING FEATURES | E2295 - | E2295 - Ped dynamic seating frame | '01/01/2009 | 12/31/2999 |
| E2300 | E2300 - Wheelchair accessory power seat elevation system any type | E2300 - | E2300 - Pwr seat elevation sys | '01/01/2014 | 12/31/2999 |
| E2301 | E2301 - Wheelchair accessory power standing system any type | E2301 - | E2301 - Pwr standing | '01/01/2014 | 12/31/2999 |
| E2310 | E2310 - Power wheelchair accessory electronic connection between wheelchair controller and one power seating system motor including all related electronics indicator feature mechanical function selection switch and fixed mounting hardware | E2310 - | E2310 - Electro connect btw control | '01/01/2004 | 12/31/2999 |
| E2311 | E2311 - Power wheelchair accessory electronic connection between wheelchair controller and two or more power seating system motors including all related electronics indicator feature mechanical function selection switch and fixed mounting hardware | E2311 - | E2311 - Electro connect btw 2 sys | '01/01/2004 | 12/31/2999 |
| E2312 | E2312 - POWER WHEELCHAIR ACCESSORY HAND OR CHIN CONTROL INTERFACE MINI-PROPORTIONAL | E2312 - | E2312 - Mini-prop remote joystick | '01/01/2008 | 12/31/2999 |
| E2313 | E2313 - POWER WHEELCHAIR ACCESSORY HARNESS FOR UPGRADE TO EXPANDABLE CONTROLLER | E2313 - | E2313 - PWC harness expand control | '01/01/2008 | 12/31/2999 |
| E2321 | E2321 - Power wheelchair accessory hand control interface remote joystick nonproportional including all related electronics mechanical stop switch and fixed mounting hardware | E2321 - | E2321 - Hand interface joystick | '01/01/2004 | 12/31/2999 |
| E2322 | E2322 - Power wheelchair accessory hand control interface multiple mechanical switches nonproportional including all related electronics mechanical stop switch and fixed mounting hardware | E2322 - | E2322 - Mult mech switches | '01/01/2004 | 12/31/2999 |
| E2323 | E2323 - Power wheelchair accessory specialty joystick handle for hand control interface prefabricated | E2323 - | E2323 - Special joystick handle | '01/01/2004 | 12/31/2999 |
| E2324 | E2324 - Power wheelchair accessory chin cup for chin control interface | E2324 - | E2324 - Chin cup interface | '01/01/2004 | 12/31/2999 |
| E2325 | E2325 - Power wheelchair accessory sip and puff interface nonproportional including all related electronics mechanical stop switch and manual swingaway mounting hardware | E2325 - | E2325 - Sip and puff interface | '01/01/2004 | 12/31/2999 |
| E2326 | E2326 - Power wheelchair accessory breath tube kit for sip and puff interface | E2326 - | E2326 - Breath tube kit | '01/01/2004 | 12/31/2999 |
| E2327 | E2327 - Power wheelchair accessory head control interface mechanical proportional including all related electronics mechanical direction change switch and fixed mounting hardware | E2327 - | E2327 - Head control interface mech | '01/01/2004 | 12/31/2999 |
| E2328 | E2328 - Power wheelchair accessory head control or extremity control interface electronic proportional including all related electronics and fixed mounting hardware | E2328 - | E2328 - Head/extremity control inter | '01/01/2004 | 12/31/2999 |
| E2329 | E2329 - Power wheelchair accessory head control interface contact switch mechanism nonproportional including all related electronics mechanical stop switch mechanical direction change switch head array and fixed mounting hardware | E2329 - | E2329 - Head control nonproportional | '01/01/2004 | 12/31/2999 |
| E2330 | E2330 - Power wheelchair accessory head control interface proximity switch mechanism nonproportional including all related electronics mechanical stop switch mechanical direction change switch head array and fixed mounting hardware | E2330 - | E2330 - Head control proximity switc | '01/01/2004 | 12/31/2999 |
| E2331 | E2331 - Power wheelchair accessory attendant control proportional including all related electronics and fixed mounting hardware | E2331 - | E2331 - Attendant control | '01/01/2004 | 12/31/2999 |
| E2340 | E2340 - Power wheelchair accessory nonstandard seat frame width 20-23 inches | E2340 - | E2340 - W/c wdth 20-23 in seat frame | '01/01/2004 | 12/31/2999 |
| E2341 | E2341 - Power wheelchair accessory nonstandard seat frame width 24-27 inches | E2341 - | E2341 - W/c wdth 24-27 in seat frame | '01/01/2004 | 12/31/2999 |
| E2342 | E2342 - Power wheelchair accessory nonstandard seat frame depth 20 or 21 inches | E2342 - | E2342 - W/c dpth 20-21 in seat frame | '01/01/2004 | 12/31/2999 |
| E2343 | E2343 - Power wheelchair accessory nonstandard seat frame depth 22-25 inches | E2343 - | E2343 - W/c dpth 22-25 in seat frame | '01/01/2004 | 12/31/2999 |
| E2351 | E2351 - Power wheelchair accessory electronic interface to operate speech generating device using power wheelchair control interface | E2351 - | E2351 - Electronic SGD interface | '01/01/2004 | 12/31/2999 |
| E2358 | E2358 - POWER WHEELCHAIR ACCESSORY GROUP 34 NON-SEALED LEAD ACID BATTERY EACH | E2358 - | E2358 - | '01/01/2012 | 12/31/2999 |
| E2359 | E2359 - POWER WHEELCHAIR ACCESSORY GROUP 34 SEALED LEAD ACID BATTERY EACH (E.G. GEL CELL ABSORBED GLASSMAT) | E2359 - | E2359 - | '01/01/2012 | 12/31/2999 |
| E2360 | E2360 - Power wheelchair accessory 22 nf non-sealed lead acid battery each | E2360 - | E2360 - 22nf nonsealed leadacid | '01/01/2004 | 12/31/2999 |
| E2361 | E2361 - Power wheelchair accessory 22nf sealed lead acid battery each (e. G. Gel cell absorbed glassmat) | E2361 - | E2361 - 22nf sealed leadacid battery | '01/01/2004 | 12/31/2999 |
| E2362 | E2362 - Power wheelchair accessory group 24 non-sealed lead acid battery each | E2362 - | E2362 - Gr24 nonsealed leadacid | '01/01/2004 | 12/31/2999 |
| E2363 | E2363 - Power wheelchair accessory group 24 sealed lead acid battery each (e. G. Gel cell absorbed glassmat) | E2363 - | E2363 - Gr24 sealed leadacid battery | '01/01/2004 | 12/31/2999 |
| E2364 | E2364 - Power wheelchair accessory u-1 non-sealed lead acid battery each | E2364 - | E2364 - U1nonsealed leadacid battery | '01/01/2004 | 12/31/2999 |
| E2365 | E2365 - Power wheelchair accessory u-1 sealed lead acid battery each (e. G. Gel cell absorbed glassmat) | E2365 - | E2365 - U1 sealed leadacid battery | '01/01/2004 | 12/31/2999 |
| E2366 | E2366 - Power wheelchair accessory battery charger single mode for use with only one battery type sealed or non-sealed each | E2366 - | E2366 - Battery charger single mode | '01/01/2004 | 12/31/2999 |
| E2367 | E2367 - Power wheelchair accessory battery charger dual mode for use with either battery type sealed or non-sealed each | E2367 - | E2367 - Battery charger dual mode | '01/01/2004 | 12/31/2999 |
| E2368 | E2368 - Power wheelchair component drive wheel motor replacement only | E2368 - | E2368 - Pwr wc drivewheel motor repl | '01/01/2013 | 12/31/2999 |
| E2369 | E2369 - Power wheelchair component drive wheel gear box replacement only | E2369 - | E2369 - Pwr wc drivewheel gear repl | '01/01/2013 | 12/31/2999 |
| E2370 | E2370 - Power wheelchair component integrated drive wheel motor and gear box combination replacement only | E2370 - | E2370 - Pwr wc dr wh motor/gear comb | '01/01/2013 | 12/31/2999 |
| E2371 | E2371 - POWER WHEELCHAIR ACCESSORY GROUP 27 SEALED LEAD ACID BATTERY (E.G. GEL CELL ABSORBED GLASSMAT) EACH | E2371 - | E2371 - Gr27 sealed leadacid battery | '01/01/2006 | 12/31/2999 |
| E2372 | E2372 - POWER WHEELCHAIR ACCESSORY GROUP 27 NON-SEALED LEAD ACID BATTERY EACH | E2372 - | E2372 - Gr27 non-sealed leadacid | '01/01/2006 | 12/31/2999 |
| E2373 | E2373 - Power wheelchair accessory hand or chin control interface compact remote joystick proportional including fixed mounting hardware | E2373 - | E2373 - Hand/chin ctrl spec joystick | '01/01/2008 | 12/31/2999 |
| E2374 | E2374 - POWER WHEELCHAIR ACCESSORY HAND OR CHIN CONTROL INTERFACE STANDARD REMOTE JOYSTICK (NOT INCLUDING CONTROLLER) PROPORTIONAL INCLUDING ALL RELATED ELECTRONICS AND FIXED MOUNTING HARDWARE REPLACEMENT ONLY | E2374 - | E2374 - Hand/chin ctrl std joystick | '01/01/2007 | 12/31/2999 |
| E2375 | E2375 - POWER WHEELCHAIR ACCESSORY NON-EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECTRONICS AND MOUNTING HARDWARE REPLACEMENT ONLY | E2375 - | E2375 - Non-expandable controller | '01/01/2007 | 12/31/2999 |
| E2376 | E2376 - POWER WHEELCHAIR ACCESSORY EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECTRONICS AND MOUNTING HARDWARE REPLACEMENT ONLY | E2376 - | E2376 - Expandable controller repl | '01/01/2007 | 12/31/2999 |
| E2377 | E2377 - POWER WHEELCHAIR ACCESSORY EXPANDABLE CONTROLLER INCLUDING ALL RELATED ELECTRONICS AND MOUNTING HARDWARE UPGRADE PROVIDED AT INITIAL ISSUE | E2377 - | E2377 - Expandable controller initl | '01/01/2007 | 12/31/2999 |
| E2378 | E2378 - Power wheelchair component actuator replacement only | E2378 - | E2378 - Pw actuator replacement | '01/01/2013 | 12/31/2999 |
| E2381 | E2381 - POWER WHEELCHAIR ACCESSORY PNEUMATIC DRIVE WHEEL TIRE ANY SIZE REPLACEMENT ONLY EACH | E2381 - | E2381 - Pneum drive wheel tire | '01/01/2007 | 12/31/2999 |
| E2382 | E2382 - POWER WHEELCHAIR ACCESSORY TUBE FOR PNEUMATIC DRIVE WHEEL TIRE ANY SIZE REPLACEMENT ONLY EACH | E2382 - | E2382 - Tube pneum wheel drive tire | '01/01/2007 | 12/31/2999 |
| E2383 | E2383 - POWER WHEELCHAIR ACCESSORY INSERT FOR PNEUMATIC DRIVE WHEEL TIRE (REMOVABLE) ANY TYPE ANY SIZE REPLACEMENT ONLY EACH | E2383 - | E2383 - Insert pneum wheel drive | '01/01/2007 | 12/31/2999 |
| E2384 | E2384 - POWER WHEELCHAIR ACCESSORY PNEUMATIC CASTER TIRE ANY SIZE REPLACEMENT ONLY EACH | E2384 - | E2384 - Pneumatic caster tire | '01/01/2007 | 12/31/2999 |
| E2385 | E2385 - POWER WHEELCHAIR ACCESSORY TUBE FOR PNEUMATIC CASTER TIRE ANY SIZE REPLACEMENT ONLY EACH | E2385 - | E2385 - Tube pneumatic caster tire | '01/01/2007 | 12/31/2999 |
| E2386 | E2386 - POWER WHEELCHAIR ACCESSORY FOAM FILLED DRIVE WHEEL TIRE ANY SIZE REPLACEMENT ONLY EACH | E2386 - | E2386 - Foam filled drive wheel tire | '01/01/2007 | 12/31/2999 |
| E2387 | E2387 - POWER WHEELCHAIR ACCESSORY FOAM FILLED CASTER TIRE ANY SIZE REPLACEMENT ONLY EACH | E2387 - | E2387 - Foam filled caster tire | '01/01/2007 | 12/31/2999 |
| E2388 | E2388 - POWER WHEELCHAIR ACCESSORY FOAM DRIVE WHEEL TIRE ANY SIZE REPLACEMENT ONLY EACH | E2388 - | E2388 - Foam drive wheel tire | '01/01/2007 | 12/31/2999 |
| E2389 | E2389 - POWER WHEELCHAIR ACCESSORY FOAM CASTER TIRE ANY SIZE REPLACEMENT ONLY EACH | E2389 - | E2389 - Foam caster tire | '01/01/2007 | 12/31/2999 |
| E2390 | E2390 - POWER WHEELCHAIR ACCESSORY SOLID (RUBBER/PLASTIC) DRIVE WHEEL TIRE ANY SIZE REPLACEMENT ONLY EACH | E2390 - | E2390 - Solid drive wheel tire | '01/01/2007 | 12/31/2999 |
| E2391 | E2391 - POWER WHEELCHAIR ACCESSORY SOLID (RUBBER/PLASTIC) CASTER TIRE (REMOVABLE) ANY SIZE REPLACEMENT ONLY EACH | E2391 - | E2391 - Solid caster tire | '01/01/2007 | 12/31/2999 |
| E2392 | E2392 - POWER WHEELCHAIR ACCESSORY SOLID (RUBBER/PLASTIC) CASTER TIRE WITH INTEGRATED WHEEL ANY SIZE REPLACEMENT ONLY EACH | E2392 - | E2392 - Solid caster tire integrate | '01/01/2007 | 12/31/2999 |
| E2394 | E2394 - POWER WHEELCHAIR ACCESSORY DRIVE WHEEL EXCLUDES TIRE ANY SIZE REPLACEMENT ONLY EACH | E2394 - | E2394 - Drive wheel excludes tire | '01/01/2007 | 12/31/2999 |
| E2395 | E2395 - POWER WHEELCHAIR ACCESSORY CASTER WHEEL EXCLUDES TIRE ANY SIZE REPLACEMENT ONLY EACH | E2395 - | E2395 - Caster wheel excludes tire | '01/01/2007 | 12/31/2999 |
| E2396 | E2396 - POWER WHEELCHAIR ACCESSORY CASTER FORK ANY SIZE REPLACEMENT ONLY EACH | E2396 - | E2396 - Caster fork | '01/01/2007 | 12/31/2999 |
| E2397 | E2397 - POWER WHEELCHAIR ACCESSORY LITHIUM-BASED BATTERY EACH | E2397 - | E2397 - Pwc acc lith-based battery | '01/01/2008 | 12/31/2999 |
| E2398 | E2398 - Wheelchair accessory dynamic positioning hardware for back | E2398 - | E2398 - Wc dynamic pos back hardware | '01/01/2020 | 12/31/2999 |
| E2402 | E2402 - Negative pressure wound therapy electrical pump stationary or portable | E2402 - | E2402 - Neg press wound therapy pump | '01/01/2004 | 12/31/2999 |
| E2500 | E2500 - Speech generating device digitized speech using pre-recorded messages less than or equal to 8 minutes recording time | E2500 - | E2500 - SGD digitized pre-rec <=8min | '01/01/2004 | 12/31/2999 |
| E2502 | E2502 - Speech generating device digitized speech using pre-recorded messages greater than 8 minutes but less than or equal to 20 minutes recording time | E2502 - | E2502 - SGD prerec msg >8min <=20min | '01/01/2004 | 12/31/2999 |
| E2504 | E2504 - Speech generating device digitized speech using pre-recorded messages greater than 20 minutes but less than or equal to 40 minutes recording time | E2504 - | E2504 - SGD prerec msg>20min <=40min | '01/01/2004 | 12/31/2999 |
| E2506 | E2506 - Speech generating device digitized speech using pre-recorded messages greater than 40 minutes recording time | E2506 - | E2506 - SGD prerec msg > 40 min | '01/01/2004 | 12/31/2999 |
| E2508 | E2508 - Speech generating device synthesized speech requiring message formulation by spelling and access by physical contact with the device | E2508 - | E2508 - SGD spelling phys contact | '01/01/2004 | 12/31/2999 |
| E2510 | E2510 - Speech generating device synthesized speech permitting multiple methods of message formulation and multiple methods of device access | E2510 - | E2510 - SGD w multi methods msg/accs | '01/01/2004 | 12/31/2999 |
| E2511 | E2511 - Speech generating software program for personal computer or personal digital assistant | E2511 - | E2511 - SGD sftwre prgrm for PC/PDA | '01/01/2004 | 12/31/2999 |
| E2512 | E2512 - Accessory for speech generating device mounting system | E2512 - | E2512 - SGD accessory mounting sys | '01/01/2004 | 12/31/2999 |
| E2599 | E2599 - Accessory for speech generating device not otherwise classified | E2599 - | E2599 - SGD accessory noc | '01/01/2004 | 12/31/2999 |
| E2601 | E2601 - GENERAL USE WHEELCHAIR SEAT CUSHION WIDTH LESS THAN 22 INCHES ANY DEPTH | E2601 - | E2601 - Gen w/c cushion wdth < 22 in | '01/01/2005 | 12/31/2999 |
| E2602 | E2602 - GENERAL USE WHEELCHAIR SEAT CUSHION WIDTH 22 INCHES OR GREATER ANY DEPTH | E2602 - | E2602 - Gen w/c cushion wdth >=22 in | '01/01/2005 | 12/31/2999 |
| E2603 | E2603 - SKIN PROTECTION WHEELCHAIR SEAT CUSHION WIDTH LESS THAN 22 INCHES ANY DEPTH | E2603 - | E2603 - Skin protect wc cus wd <22in | '01/01/2005 | 12/31/2999 |
| E2604 | E2604 - SKIN PROTECTION WHEELCHAIR SEAT CUSHION WIDTH 22 INCHES OR GREATER ANY DEPTH | E2604 - | E2604 - Skin protect wc cus wd>=22in | '01/01/2005 | 12/31/2999 |
| E2605 | E2605 - POSITIONING WHEELCHAIR SEAT CUSHION WIDTH LESS THAN 22 INCHES ANY DEPTH | E2605 - | E2605 - Position wc cush wdth <22 in | '01/01/2005 | 12/31/2999 |
| E2606 | E2606 - POSITIONING WHEELCHAIR SEAT CUSHION WIDTH 22 INCHES OR GREATER ANY DEPTH | E2606 - | E2606 - Position wc cush wdth>=22 in | '01/01/2005 | 12/31/2999 |
| E2607 | E2607 - SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION WIDTH LESS THAN 22 INCHES ANY DEPTH | E2607 - | E2607 - Skin pro/pos wc cus wd <22in | '01/01/2005 | 12/31/2999 |
| E2608 | E2608 - SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION WIDTH 22 INCHES OR GREATER ANY DEPTH | E2608 - | E2608 - Skin pro/pos wc cus wd>=22in | '01/01/2005 | 12/31/2999 |
| E2609 | E2609 - CUSTOM FABRICATED WHEELCHAIR SEAT CUSHION ANY SIZE | E2609 - | E2609 - Custom fabricate w/c cushion | '01/01/2005 | 12/31/2999 |
| E2610 | E2610 - WHEELCHAIR SEAT CUSHION POWERED | E2610 - | E2610 - Powered w/c cushion | '01/01/2005 | 12/31/2999 |
| E2611 | E2611 - GENERAL USE WHEELCHAIR BACK CUSHION WIDTH LESS THAN 22 INCHES ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2611 - | E2611 - Gen use back cush wdth <22in | '01/01/2005 | 12/31/2999 |
| E2612 | E2612 - GENERAL USE WHEELCHAIR BACK CUSHION WIDTH 22 INCHES OR GREATER ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2612 - | E2612 - Gen use back cush wdth>=22in | '01/01/2005 | 12/31/2999 |
| E2613 | E2613 - POSITIONING WHEELCHAIR BACK CUSHION POSTERIOR WIDTH LESS THAN 22 INCHES ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2613 - | E2613 - Position back cush wd <22in | '01/01/2005 | 12/31/2999 |
| E2614 | E2614 - POSITIONING WHEELCHAIR BACK CUSHION POSTERIOR WIDTH 22 INCHES OR GREATER ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2614 - | E2614 - Position back cush wd>=22in | '01/01/2005 | 12/31/2999 |
| E2615 | E2615 - POSITIONING WHEELCHAIR BACK CUSHION POSTERIOR-LATERAL WIDTH LESS THAN 22 INCHES ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2615 - | E2615 - Pos back post/lat wdth <22in | '01/01/2005 | 12/31/2999 |
| E2616 | E2616 - POSITIONING WHEELCHAIR BACK CUSHION POSTERIOR-LATERAL WIDTH 22 INCHES OR GREATER ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2616 - | E2616 - Pos back post/lat wdth>=22in | '01/01/2005 | 12/31/2999 |
| E2617 | E2617 - CUSTOM FABRICATED WHEELCHAIR BACK CUSHION ANY SIZE INCLUDING ANY TYPE MOUNTING HARDWARE | E2617 - | E2617 - Custom fab w/c back cushion | '01/01/2005 | 12/31/2999 |
| E2619 | E2619 - REPLACEMENT COVER FOR WHEELCHAIR SEAT CUSHION OR BACK CUSHION EACH | E2619 - | E2619 - Replace cover w/c seat cush | '01/01/2005 | 12/31/2999 |
| E2620 | E2620 - POSITIONING WHEELCHAIR BACK CUSHION PLANAR BACK WITH LATERAL SUPPORTS WIDTH LESS THAN 22 INCHES ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2620 - | E2620 - WC planar back cush wd <22in | '01/01/2005 | 12/31/2999 |
| E2621 | E2621 - POSITIONING WHEELCHAIR BACK CUSHION PLANAR BACK WITH LATERAL SUPPORTS WIDTH 22 INCHES OR GREATER ANY HEIGHT INCLUDING ANY TYPE MOUNTING HARDWARE | E2621 - | E2621 - WC planar back cush wd>=22in | '01/01/2005 | 12/31/2999 |
| E2622 | E2622 - SKIN PROTECTION WHEELCHAIR SEAT CUSHION ADJUSTABLE WIDTH LESS THAN 22 INCHES ANY DEPTH | E2622 - | E2622 - Adj skin pro w/c cus wd<22in | '01/01/2011 | 12/31/2999 |
| E2623 | E2623 - SKIN PROTECTION WHEELCHAIR SEAT CUSHION ADJUSTABLE WIDTH 22 INCHES OR GREATER ANY DEPTH | E2623 - | E2623 - Adj skin pro wc cus wd>=22in | '01/01/2011 | 12/31/2999 |
| E2624 | E2624 - SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION ADJUSTABLE WIDTH LESS THAN 22 INCHES ANY DEPTH | E2624 - | E2624 - Adj skin pro/pos cus<22in | '01/01/2011 | 12/31/2999 |
| E2625 | E2625 - SKIN PROTECTION AND POSITIONING WHEELCHAIR SEAT CUSHION ADJUSTABLE WIDTH 22 INCHES OR GREATER ANY DEPTH | E2625 - | E2625 - Adj skin pro/pos wc cus>=22 | '01/01/2011 | 12/31/2999 |
| E2626 | E2626 - WHEELCHAIR ACCESSORY SHOULDER ELBOW MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR BALANCED ADJUSTABLE | E2626 - | E2626 - | '01/01/2012 | 12/31/2999 |
| E2627 | E2627 - WHEELCHAIR ACCESSORY SHOULDER ELBOW MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR BALANCED ADJUSTABLE RANCHO TYPE | E2627 - | E2627 - | '01/01/2012 | 12/31/2999 |
| E2628 | E2628 - WHEELCHAIR ACCESSORY SHOULDER ELBOW MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR BALANCED RECLINING | E2628 - | E2628 - | '01/01/2012 | 12/31/2999 |
| E2629 | E2629 - WHEELCHAIR ACCESSORY SHOULDER ELBOW MOBILE ARM SUPPORT ATTACHED TO WHEELCHAIR BALANCED FRICTION ARM SUPPORT (FRICTION DAMPENING TO PROXIMAL AND DISTAL JOINTS) | E2629 - | E2629 - | '01/01/2012 | 12/31/2999 |
| E2630 | E2630 - WHEELCHAIR ACCESSORY SHOULDER ELBOW MOBILE ARM SUPPORT MONOSUSPENSION ARM AND HAND SUPPORT OVERHEAD ELBOW FOREARM HAND SLING SUPPORT YOKE TYPE SUSPENSION SUPPORT | E2630 - | E2630 - | '01/01/2012 | 12/31/2999 |
| E2631 | E2631 - WHEELCHAIR ACCESSORY ADDITION TO MOBILE ARM SUPPORT ELEVATING PROXIMAL ARM | E2631 - | E2631 - | '01/01/2012 | 12/31/2999 |
| E2632 | E2632 - WHEELCHAIR ACCESSORY ADDITION TO MOBILE ARM SUPPORT OFFSET OR LATERAL ROCKER ARM WITH ELASTIC BALANCE CONTROL | E2632 - | E2632 - | '01/01/2012 | 12/31/2999 |
| E2633 | E2633 - WHEELCHAIR ACCESSORY ADDITION TO MOBILE ARM SUPPORT SUPINATOR | E2633 - | E2633 - | '01/01/2012 | 12/31/2999 |
| E8000 | E8000 - GAIT TRAINER PEDIATRIC SIZE POSTERIOR SUPPORT INCLUDES ALL ACCESSORIES AND COMPONENTS | E8000 - | E8000 - Posterior gait trainer | '01/01/2005 | 12/31/2999 |
| E8001 | E8001 - GAIT TRAINER PEDIATRIC SIZE UPRIGHT SUPPORT INCLUDES ALL ACCESSORIES AND COMPONENTS | E8001 - | E8001 - Upright gait trainer | '01/01/2005 | 12/31/2999 |
| E8002 | E8002 - GAIT TRAINER PEDIATRIC SIZE ANTERIOR SUPPORT INCLUDES ALL ACCESSORIES AND COMPONENTS | E8002 - | E8002 - Anterior gait trainer | '01/01/2005 | 12/31/2999 |
| G0008 | G0008 - ADMINISTRATION OF INFLUENZA VIRUS VACCINE | G0008 - | G0008 - | '07/01/2010 | 12/31/2999 |
| G0009 | G0009 - ADMINISTRATION OF PNEUMOCOCCAL VACCINE | G0009 - | G0009 - | '07/01/2010 | 12/31/2999 |
| G0010 | G0010 - ADMINISTRATION OF HEPATITIS B VACCINE | G0010 - | G0010 - | '07/01/2010 | 12/31/2999 |
| G0027 | G0027 - Semen analysis; presence and/or motility of sperm excluding huhner | G0027 - | G0027 - Semen analysis | 01-10-2003 | 12/31/2999 |
| G0029 | G0029 - Tobacco screening not performed or tobacco cessation intervention not provided during the measurement period or in the six months prior to the measurement period | G0029 - | G0029 - No tob scr/cess int | '01/01/2023 | 12/31/2999 |
| G0030 | G0030 - Patient screened for tobacco use and received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling pharmacotherapy or both) if identified as a tobacco user | G0030 - | G0030 - Pt scr tob & cess int | '01/01/2023 | 12/31/2999 |
| G0031 | G0031 - Palliative care services given to patient any time during the measurement period | G0031 - | G0031 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G0032 | G0032 - Two or more antipsychotic prescriptions ordered for patients who had a diagnosis of schizophrenia schizoaffective disorder or bipolar disorder on or between january 1 of the year prior to the measurement period and the index prescription start date (ipsd) for antipsychotics | G0032 - | G0032 - 2+ antipsy schiz | '01/01/2022 | 12/31/2999 |
| G0033 | G0033 - Two or more benzodiazepine prescriptions ordered for patients who had a diagnosis of seizure disorders rapid eye movement sleep behavior disorder benzodiazepine withdrawal ethanol withdrawal or severe generalized anxiety disorder on or between january 1 of the year prior to the measurement period and the ipsd for benzodiazepines | G0033 - | G0033 - 2+ benzo seiz | '01/01/2022 | 12/31/2999 |
| G0034 | G0034 - Patients receiving palliative care during the measurement period | G0034 - | G0034 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G0035 | G0035 - Patient has any emergency department encounter during the performance period with place of service indicator 23 | G0035 - | G0035 - Pt ed pos 23 | '01/01/2022 | 12/31/2999 |
| G0036 | G0036 - Patient or care partner decline assessment | G0036 - | G0036 - Pt/ptn decln assess | '01/01/2022 | 12/31/2999 |
| G0037 | G0037 - On date of encounter patient is not able to participate in assessment or screening including non-verbal patients delirious severely aphasic severely developmentally delayed severe visual or hearing impairment and for those patients no knowledgeable informant available | G0037 - | G0037 - Pt not able to participate | '01/01/2022 | 12/31/2999 |
| G0038 | G0038 - Clinician determines patient does not require referral | G0038 - | G0038 - Clin pt no ref | '01/01/2022 | 12/31/2999 |
| G0039 | G0039 - Patient not referred reason not otherwise specified | G0039 - | G0039 - Pt no ref rn spec | '01/01/2022 | 12/31/2999 |
| G0040 | G0040 - Patient already receiving physical/occupational/speech/recreational therapy during the measurement period | G0040 - | G0040 - Pt phys/occ therapy | '01/01/2022 | 12/31/2999 |
| G0041 | G0041 - Patient and/or care partner decline referral | G0041 - | G0041 - Pt/ptn decln referral | '01/01/2022 | 12/31/2999 |
| G0042 | G0042 - Referral to physical occupational speech or recreational therapy | G0042 - | G0042 - Ref to therapy | '01/01/2022 | 12/31/2999 |
| G0043 | G0043 - Patients with mechanical prosthetic heart valve | G0043 - | G0043 - Pt mech pros ht valv | '01/01/2022 | 12/31/2999 |
| G0044 | G0044 - Patients with moderate or severe mitral stenosis | G0044 - | G0044 - Pt mitral stenosis | '01/01/2022 | 12/31/2999 |
| G0045 | G0045 - Clinical follow-up and mrs score assessed at 90 days following endovascular stroke intervention | G0045 - | G0045 - Mrs 90 days post stk | '01/01/2022 | 12/31/2999 |
| G0046 | G0046 - Clinical follow-up and mrs score not assessed at 90 days following endovascular stroke intervention | G0046 - | G0046 - No mrs 90 days post stk | '01/01/2022 | 12/31/2999 |
| G0047 | G0047 - Pediatric patient with minor blunt head trauma and pecarn prediction criteria are not assessed | G0047 - | G0047 - Ped blunt hd traum | '01/01/2022 | 12/31/2999 |
| G0048 | G0048 - Patients who receive palliative care services any time during the intake period through the end of the measurement year | G0048 - | G0048 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G0049 | G0049 - With maintenance hemodialysis (in-center and home hd) for the complete reporting month | G0049 - | G0049 - Main hemo in-cntr | '01/01/2022 | 12/31/2999 |
| G0050 | G0050 - Patients with a catheter that have limited life expectancy | G0050 - | G0050 - Pt w/ lmted life expec | '01/01/2022 | 12/31/2999 |
| G0051 | G0051 - Patients under hospice care in the current reporting month | G0051 - | G0051 - Pt hospice mnth | '01/01/2022 | 12/31/2999 |
| G0052 | G0052 - Patients on peritoneal dialysis for any portion of the reporting month | G0052 - | G0052 - Pt peri dialysis dur mo | '01/01/2022 | 12/31/2999 |
| G0053 | G0053 - Advancing rheumatology patient care mips value pathways | G0053 - | G0053 - Adv rheum pt care mvp | '01/01/2022 | 12/31/2999 |
| G0054 | G0054 - Coordinating stroke care to promote prevention and cultivate positive outcomes mips value pathways | G0054 - | G0054 - Strk cr prev pos outcme mvp | '01/01/2022 | 12/31/2999 |
| G0055 | G0055 - Advancing care for heart disease mips value pathways | G0055 - | G0055 - Adv care heart dx mvp | '01/01/2022 | 12/31/2999 |
| G0056 | G0056 - Optimizing chronic disease management mips value pathways | G0056 - | G0056 - Opt chronic dx mang mvp | '01/01/2022 | 12/31/2999 |
| G0057 | G0057 - Proposed adopting best practices and promoting patient safety within emergency medicine mips value pathways | G0057 - | G0057 - Best pct pt safety em mvp | '01/01/2022 | 12/31/2999 |
| G0058 | G0058 - Improving care for lower extremity joint repair mips value pathways | G0058 - | G0058 - Imprv care le jnt repr mvp | '01/01/2022 | 12/31/2999 |
| G0059 | G0059 - Patient safety and support of positive experiences with anesthesia mips value pathways | G0059 - | G0059 - Pt sfty pos exp w aneth mvp | '01/01/2022 | 12/31/2999 |
| G0060 | G0060 - Allergy/immunology mips specialty set | G0060 - | G0060 - Allergy/immunology ss | '01/01/2022 | 12/31/2999 |
| G0061 | G0061 - Anesthesiology mips specialty set | G0061 - | G0061 - Anesthesiology ss | '01/01/2022 | 12/31/2999 |
| G0062 | G0062 - Audiology mips specialty set | G0062 - | G0062 - Audiology ss | '01/01/2022 | 12/31/2999 |
| G0063 | G0063 - Cardiology mips specialty set | G0063 - | G0063 - Cardiology ss | '01/01/2022 | 12/31/2999 |
| G0064 | G0064 - Certified nurse midwife mips specialty set | G0064 - | G0064 - Cert nurse midwife ss | '01/01/2022 | 12/31/2999 |
| G0065 | G0065 - Chiropractic medicine mips specialty set | G0065 - | G0065 - Chiropractic ss | '01/01/2022 | 12/31/2999 |
| G0066 | G0066 - Clinical social work mips specialty set | G0066 - | G0066 - Clinical social work ss | '01/01/2022 | 12/31/2999 |
| G0067 | G0067 - Dentistry mips specialty set | G0067 - | G0067 - Dentistry ss | '01/01/2022 | 12/31/2999 |
| G0068 | G0068 - Professional services for the administration of anti-infective pain management chelation pulmonary hypertension inotropic or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home each 15 minutes | G0068 - | G0068 - Adm iv infusion drug in home | '01/01/2021 | 12/31/2999 |
| G0069 | G0069 - Professional services for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home each 15 minutes | G0069 - | G0069 - Adm sq infusion drug in home | '01/01/2021 | 12/31/2999 |
| G0070 | G0070 - Professional services for the administration of intravenous chemotherapy or other intravenous highly complex drug or biological infusion for each infusion drug administration calendar day in the individual's home each 15 minutes | G0070 - | G0070 - Adm of chemo drug in home | '01/01/2021 | 12/31/2999 |
| G0071 | G0071 - Payment for communication technology-based services for 5 minutes or more of a virtual (non-face-to-face) communication between an rural health clinic (rhc) or federally qualified health center (fqhc) practitioner and rhc or fqhc patient or 5 minutes or more of remote evaluation of recorded video and/or images by an rhc or fqhc practitioner occurring in lieu of an office visit; rhc or fqhc only | G0071 - | G0071 - Comm svcs by rhc/fqhc 5 min | '03/08/2022 | 12/31/2999 |
| G0076 | G0076 - Brief (20 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0076 - | G0076 - Care manag h vst new pt 20 m | '01/01/2019 | 12/31/2999 |
| G0077 | G0077 - Limited (30 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0077 - | G0077 - Care manag h vst new pt 30 m | '01/01/2019 | 12/31/2999 |
| G0078 | G0078 - Moderate (45 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0078 - | G0078 - Care manag h vst new pt 45 m | '01/01/2019 | 12/31/2999 |
| G0079 | G0079 - Comprehensive (60 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0079 - | G0079 - Care manag h vst new pt 60 m | '01/01/2019 | 12/31/2999 |
| G0080 | G0080 - Extensive (75 minutes) care management home visit for a new patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0080 - | G0080 - Care manag h vst new pt 75 m | '01/01/2019 | 12/31/2999 |
| G0081 | G0081 - Brief (20 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0081 - | G0081 - Care man h v ext pt 20 mi | '01/01/2019 | 12/31/2999 |
| G0082 | G0082 - Limited (30 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0082 - | G0082 - Care man h v ext pt 30 m | '01/01/2019 | 12/31/2999 |
| G0083 | G0083 - Moderate (45 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0083 - | G0083 - Care man h v ext pt 45 m | '01/01/2019 | 12/31/2999 |
| G0084 | G0084 - Comprehensive (60 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0084 - | G0084 - Care man h v ext pt 60 m | '01/01/2019 | 12/31/2999 |
| G0085 | G0085 - Extensive (75 minutes) care management home visit for an existing patient. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0085 - | G0085 - Care man h v ext pt 75 m | '01/01/2019 | 12/31/2999 |
| G0086 | G0086 - Limited (30 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0086 - | G0086 - Care man home care plan 30 m | '01/01/2019 | 12/31/2999 |
| G0087 | G0087 - Comprehensive (60 minutes) care management home care plan oversight. for use only in a medicare-approved cmmi model. (services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility) | G0087 - | G0087 - Care man home care plan 60 m | '01/01/2019 | 12/31/2999 |
| G0088 | G0088 - Professional services initial visit for the administration of anti-infective pain management chelation pulmonary hypertension inotropic or other intravenous infusion drug or biological (excluding chemotherapy or other highly complex drug or biological) for each infusion drug administration calendar day in the individual's home each 15 minutes | G0088 - | G0088 - Adm iv drug 1st home visit | '01/01/2021 | 12/31/2999 |
| G0089 | G0089 - Professional services initial visit for the administration of subcutaneous immunotherapy or other subcutaneous infusion drug or biological for each infusion drug administration calendar day in the individual's home each 15 minutes | G0089 - | G0089 - Adm subq drug 1st home visit | '01/01/2021 | 12/31/2999 |
| G0090 | G0090 - Professional services initial visit for the administration of intravenous chemotherapy or other highly complex infusion drug or biological for each infusion drug administration calendar day in the individual's home each 15 minutes | G0090 - | G0090 - Adm iv chemo 1st home visit | '01/01/2021 | 12/31/2999 |
| G0101 | G0101 - Cervical or vaginal cancer screening; pelvic and clinical breast examination | G0101 - | G0101 - CA screen;pelvic/breast exam | '01/01/1998 | 12/31/2999 |
| G0102 | G0102 - Prostate cancer screening; digital rectal examination | G0102 - | G0102 - Prostate ca screening; dre | '01/01/2000 | 12/31/2999 |
| G0103 | G0103 - PROSTATE CANCER SCREENING; PROSTATE SPECIFIC ANTIGEN TEST (PSA) | G0103 - | G0103 - PSA screening | '01/01/2007 | 12/31/2999 |
| G0104 | G0104 - Colorectal cancer screening; flexible sigmoidoscopy | G0104 - | G0104 - CA screen;flexi sigmoidscope | '01/01/1998 | 12/31/2999 |
| G0105 | G0105 - Colorectal cancer screening; colonoscopy on individual at high risk | G0105 - | G0105 - Colorectal scrn; hi risk ind | '01/01/1998 | 12/31/2999 |
| G0106 | G0106 - Colorectal cancer screening; alternative to g0104 screening sigmoidoscopy barium enema | G0106 - | G0106 - Colon CA screen;barium enema | '01/01/1998 | 12/31/2999 |
| G0108 | G0108 - Diabetes outpatient self-management training services individual per 30 minutes | G0108 - | G0108 - Diab manage trn per indiv | '01/01/2001 | 12/31/2999 |
| G0109 | G0109 - Diabetes outpatient self-management training services group session (2 or more) per 30 minutes | G0109 - | G0109 - Diab manage trn ind/group | '01/01/2001 | 12/31/2999 |
| G0117 | G0117 - Glaucoma screening for high risk patients furnished by an optometrist or ophthalmologist | G0117 - | G0117 - Glaucoma scrn hgh risk direc | 01-10-2003 | 12/31/2999 |
| G0118 | G0118 - Glaucoma screening for high risk patient furnished under the direct supervision of an optometrist or ophthalomologist | G0118 - | G0118 - Glaucoma scrn hgh risk direc | 01-10-2003 | 12/31/2999 |
| G0120 | G0120 - Colorectal cancer screening; alternative to g0105 screening colonoscopy barium enema. | G0120 - | G0120 - Colon ca scrn; barium enema | '01/01/1998 | 12/31/2999 |
| G0121 | G0121 - Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk | G0121 - | G0121 - Colon ca scrn not hi rsk ind | '07/01/2001 | 12/31/2999 |
| G0122 | G0122 - Colorectal cancer screening; barium enema | G0122 - | G0122 - Colon ca scrn; barium enema | '01/01/1998 | 12/31/2999 |
| G0123 | G0123 - Screening cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation screening by cytotechnologist under physician supervision | G0123 - | G0123 - Screen cerv/vag thin layer | '04/01/1998 | 12/31/2999 |
| G0124 | G0124 - Screening cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation requiring interpretation by physician | G0124 - | G0124 - Screen c/v thin layer by MD | '04/01/1998 | 12/31/2999 |
| G0127 | G0127 - Trimming of dystrophic nails any number | G0127 - | G0127 - Trim nail(s) | '01/01/1998 | 12/31/2999 |
| G0128 | G0128 - Direct (face-to-face with patient) skilled nursing services of a registered nurse provided in a comprehensive outpatient rehabilitation facility each 10 minutes beyond the first 5 minutes | G0128 - | G0128 - CORF skilled nursing service | '04/01/1998 | 12/31/2999 |
| G0129 | G0129 - Occupational therapy services requiring the skills of a qualified occupational therapist furnished as a component of a partial hospitalization treatment program per session (45 minutes or more) | G0129 - | G0129 - Partial hosp prog service | '04/01/2008 | 12/31/2999 |
| G0130 | G0130 - Single energy x-ray absorptiometry (sexa) bone density study one or more sites; appendicular skeleton (peripheral) (eg radius wrist heel) | G0130 - | G0130 - Single energy x-ray study | '07/01/1998 | 12/31/2999 |
| G0141 | G0141 - Screening cytopathology smears cervical or vaginal performed by automated system with manual rescreening requiring interpretation by physician | G0141 - | G0141 - Scr c/v cyto autosys and md | '01/01/1999 | 12/31/2999 |
| G0143 | G0143 - Screening cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation with manual screening and rescreening by cytotechnologist under physician supervision | G0143 - | G0143 - Scr c/v cyto thinlayer rescr | '01/01/1999 | 12/31/2999 |
| G0144 | G0144 - Screening cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation with screening by automated system under physician supervision | G0144 - | G0144 - Scr c/v cyto thinlayer rescr | '01/01/2003 | 12/31/2999 |
| G0145 | G0145 - Screening cytopathology cervical or vaginal (any reporting system) collected in preservative fluid automated thin layer preparation with screening by automated system and manual rescreening under physician supervision | G0145 - | G0145 - Scr c/v cyto thinlayer rescr | '01/01/2003 | 12/31/2999 |
| G0147 | G0147 - Screening cytopathology smears cervical or vaginal performed by automated system under physician supervision | G0147 - | G0147 - Scr c/v cyto automated sys | '01/01/1999 | 12/31/2999 |
| G0148 | G0148 - Screening cytopathology smears cervical or vaginal performed by automated system with manual rescreening | G0148 - | G0148 - Scr c/v cyto autosys rescr | '01/01/1999 | 12/31/2999 |
| G0151 | G0151 - SERVICES PERFORMED BY A QUALIFIED PHYSICAL THERAPIST IN THE HOME HEALTH OR HOSPICE SETTING EACH 15 MINUTES | G0151 - | G0151 - HHCP-serv of pt ea 15 min | '01/01/2011 | 12/31/2999 |
| G0152 | G0152 - SERVICES PERFORMED BY A QUALIFIED OCCUPATIONAL THERAPIST IN THE HOME HEALTH OR HOSPICE SETTING EACH 15 MINUTES | G0152 - | G0152 - HHCP-serv of ot ea 15 min | '01/01/2011 | 12/31/2999 |
| G0153 | G0153 - SERVICES PERFORMED BY A QUALIFIED SPEECH-LANGUAGE PATHOLOGIST IN THE HOME HEALTH OR HOSPICE SETTING EACH 15 MINUTES | G0153 - | G0153 - HHCP-svs of s/l path ea 15mn | '01/01/2011 | 12/31/2999 |
| G0155 | G0155 - SERVICES OF CLINICAL SOCIAL WORKER IN HOME HEALTH OR HOSPICE SETTINGS EACH 15 MINUTES | G0155 - | G0155 - HHCP-svs of csw ea 15 min | '01/01/2010 | 12/31/2999 |
| G0156 | G0156 - SERVICES OF HOME HEALTH/HOSPICE AIDE IN HOME HEALTH OR HOSPICE SETTINGS EACH 15 MINUTES | G0156 - | G0156 - HHCP-svs of aide ea 15 min | '01/01/2010 | 12/31/2999 |
| G0157 | G0157 - SERVICES PERFORMED BY A QUALIFIED PHYSICAL THERAPIST ASSISTANT IN THE HOME HEALTH OR HOSPICE SETTING EACH 15 MINUTES | G0157 - | G0157 - HHC PT assistant ea 15 | '01/01/2011 | 12/31/2999 |
| G0158 | G0158 - SERVICES PERFORMED BY A QUALIFIED OCCUPATIONAL THERAPIST ASSISTANT IN THE HOME HEALTH OR HOSPICE SETTING EACH 15 MINUTES | G0158 - | G0158 - HHC OT assistant ea 15 | '01/01/2011 | 12/31/2999 |
| G0159 | G0159 - SERVICES PERFORMED BY A QUALIFIED PHYSICAL THERAPIST IN THE HOME HEALTH SETTING IN THE ESTABLISHMENT OR DELIVERY OF A SAFE AND EFFECTIVE PHYSICAL THERAPY MAINTENANCE PROGRAM EACH 15 MINUTES | G0159 - | G0159 - | '01/01/2012 | 12/31/2999 |
| G0160 | G0160 - SERVICES PERFORMED BY A QUALIFIED OCCUPATIONAL THERAPIST IN THE HOME HEALTH SETTING IN THE ESTABLISHMENT OR DELIVERY OF A SAFE AND EFFECTIVE OCCUPATIONAL THERAPY MAINTENANCE PROGRAM EACH 15 MINUTES | G0160 - | G0160 - | '01/01/2012 | 12/31/2999 |
| G0161 | G0161 - SERVICES PERFORMED BY A QUALIFIED SPEECH-LANGUAGE PATHOLOGIST IN THE HOME HEALTH SETTING IN THE ESTABLISHMENT OR DELIVERY OF A SAFE AND EFFECTIVE SPEECH-LANGUAGE PATHOLOGY MAINTENANCE PROGRAM EACH 15 MINUTES | G0161 - | G0161 - | '01/01/2012 | 12/31/2999 |
| G0162 | G0162 - SKILLED SERVICES BY A REGISTERED NURSE (RN) IN THE DELIVERY OF MANAGEMENT & EVALUATION OF THE PLAN OF CARE; EACH 15 MINUTES (THE PATIENT'S UNDERLYING CONDITION OR COMPLICATION REQUIRES AN RN TO ENSURE THAT ESSENTIAL NON-SKILLED CARE ACHIEVE ITS PURPOSE IN THE HOME HEALTH OR HOSPICE SETTING) | G0162 - | G0162 - HHC RN E&M plan svs 15 min | '01/01/2011 | 12/31/2999 |
| G0166 | G0166 - External counterpulsation per treatment session | G0166 - | G0166 - Extrnl counterpulse per tx | '01/01/2000 | 12/31/2999 |
| G0168 | G0168 - Wound closure utilizing tissue adhesive(s) only | G0168 - | G0168 - Wound closure by adhesive | '01/01/2000 | 12/31/2999 |
| G0175 | G0175 - Scheduled interdisciplinary team conference (minimum of three exclusive of patient care nursing staff) with patient present | G0175 - | G0175 - OPPS Service sched team conf | '07/01/2000 | 12/31/2999 |
| G0176 | G0176 - Activity therapy such as music dance art or play therapies not for recreation related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) | G0176 - | G0176 - OPPS/PHP;activity therapy | '01/01/2001 | 12/31/2999 |
| G0177 | G0177 - Training and educational services related to the care and treatment of patient's disabling mental health problems per session (45 minutes or more) | G0177 - | G0177 - OPPS/PHP; train & educ serv | '01/01/2001 | 12/31/2999 |
| G0179 | G0179 - Physician or allowed practitioner re-certification for Medicare-covered home health services under a home health plan of care (patient not present) including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | G0179 - | G0179 - MD recertification HHA PT | '03/01/2020 | 12/31/2999 |
| G0180 | G0180 - Physician or allowed practitioner certification for Medicare-covered home health services under a home health plan of care (patient not present) including contacts with home health agency and review of reports of patient status required by physicians and allowed practitioners to affirm the initial implementation of the plan of care | G0180 - | G0180 - MD certification HHA patient | '03/01/2020 | 12/31/2999 |
| G0181 | G0181 - Physician or allowed practitioner supervision of a patient receiving Medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allowed practitioner development and/or revision of care plans | G0181 - | G0181 - Home health care supervision | '03/01/2020 | 12/31/2999 |
| G0182 | G0182 - Physician supervision of a patient under a medicare-approved hospice (patient not present) requiring complex and multidisciplinary care modalities involving regular physician development and/or revision of care plans review of subsequent reports of patient status review of laboratory and other studies communication (including telephone calls) with other health care professionals involved in the patient's care integration of new information into the medical treatment plan and/or adjustment of medical therapy within a calendar month 30 minutes or more | G0182 - | G0182 - Hospice care supervision | '01/01/2001 | 12/31/2999 |
| G0186 | G0186 - Destruction of localized lesion of choroid (for example choroidal neovascularization); photocoagulation feeder vessel technique (one or more sessions) | G0186 - | G0186 - Dstry eye lesn fdr vssl tech | '01/01/2001 | 12/31/2999 |
| G0219 | G0219 - Pet imaging whole body; melanoma for non-covered indications | G0219 - | G0219 - PET img wholbod melano nonco | '07/01/2001 | 12/31/2999 |
| G0235 | G0235 - Pet imaging any site not otherwise specified | G0235 - | G0235 - | '07/01/2005 | 12/31/2999 |
| G0237 | G0237 - Therapeutic procedures to increase strength or endurance of respiratory muscles face to face one on one each 15 minutes (includes monitoring) | G0237 - | G0237 - Therapeutic procd strg endur | 01-10-2004 | 12/31/2999 |
| G0238 | G0238 - Therapeutic procedures to improve respiratory function other than described by g0237 one on one face to face per 15 minutes (includes monitoring) | G0238 - | G0238 - Oth resp proc indiv | 01-10-2004 | 12/31/2999 |
| G0239 | G0239 - Therapeutic procedures to improve respiratory function or increase strength or endurance of respiratory muscles two or more individuals (includes monitoring) | G0239 - | G0239 - Oth resp proc group | 01-10-2004 | 12/31/2999 |
| G0245 | G0245 - Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) which must include: (1) the diagnosis of lops (2) a patient history (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot hindfoot and toe web spaces (b)evaluation of a protective sensation (c) evaluation of foot structure and biomechanics (d) evaluation of vascular status and skin integrity and (e) evaluation and recommendation of footwear and (4) patient education | G0245 - | G0245 - Initial foot exam pt lops | '07/01/2002 | 12/31/2999 |
| G0246 | G0246 - Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include at least the following: (1) a patient history (2) a physical examination that includes: (a) visual inspection of the forefoot hindfoot and toe web spaces (b) evaluation of protective sensation (c) evaluation of foot structure and biomechanics (d) evaluation of vascular status and skin integrity and (e) evaluation and recommendation of footwear and (3) patient education | G0246 - | G0246 - Followup eval of foot pt lop | '07/01/2002 | 12/31/2999 |
| G0247 | G0247 - Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (lops) to include the local care of superficial wounds (i. E. Superficial to muscle and fascia) and at least the following if present: (1) local care of superficial wounds (2) debridement of corns and calluses and (3) trimming and debridement of nails | G0247 - | G0247 - Routine footcare pt w lops | '07/01/2003 | 12/31/2999 |
| G0248 | G0248 - Demonstration prior to initiation of home INR monitoring for patient with either mechanical heart valve(s) chronic atrial fibrillation or venous thromboembolism who meets Medicare coverage criteria under the direction of a physician; includes: face-to-face demonstration of use and care of the INR monitor obtaining at least one blood sample provision of instructions for reporting home INR test results and documentation of patients ability to perform testing and report results | G0248 - | G0248 - | '01/01/2009 | 12/31/2999 |
| G0249 | G0249 - Provision of test materials and equipment for home INR monitoring of patient with either mechanical heart valve(s) chronic atrial fibrillation or venous thromboembolism who meets Medicare coverage criteria; includes: provision of materials for use in the home and reporting of test results to physician; testing not occurring more frequently than once a week; testing materials billing units of service include 4 tests | G0249 - | G0249 - | '01/01/2009 | 12/31/2999 |
| G0250 | G0250 - Physician review interpretation and patient management of home INR testing for patient with either mechanical heart valve(s) chronic atrial fibrillation or venous thromboembolism who meets Medicare coverage criteria; testing not occurring more frequently than once a week; billing units of service include 4 tests | G0250 - | G0250 - | '05/15/2013 | 12/31/2999 |
| G0252 | G0252 - Pet imaging full and partial-ring pet scanners only for initial diagnosis of breast cancer and/or surgical planning for breast cancer (e. G. Initial staging of axillary lymph nodes) | G0252 - | G0252 - PET imaging initial dx | 01-10-2002 | 12/31/2999 |
| G0255 | G0255 - Current perception threshold/sensory nerve conduction test (snct) per limb any nerve | G0255 - | G0255 - Current percep threshold tst | 01-10-2002 | 12/31/2999 |
| G0257 | G0257 - Unscheduled or emergency dialysis treatment for an esrd patient in a hospital outpatient department that is not certified as an esrd facility | G0257 - | G0257 - Unsched dialysis ESRD pt hos | '01/01/2003 | 12/31/2999 |
| G0259 | G0259 - Injection procedure for sacroiliac joint; arthrograpy | G0259 - | G0259 - Inject for sacroiliac joint | '01/01/2003 | 12/31/2999 |
| G0260 | G0260 - Injection procedure for sacroiliac joint; provision of anesthetic steroid and/or other therapeutic agent with or without arthrography | G0260 - | G0260 - Inj for sacroiliac jt anesth | 01-10-2004 | 12/31/2999 |
| G0268 | G0268 - Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing | G0268 - | G0268 - Removal of impacted wax md | '01/01/2003 | 12/31/2999 |
| G0269 | G0269 - Placement of occlusive device into either a venous or arterial access site post surgical or interventional procedure (e. G. Angioseal plug vascular plug) | G0269 - | G0269 - Occlusive device in vein art | '01/01/2003 | 12/31/2999 |
| G0270 | G0270 - Medical nutrition therapy; reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis medical condition or treatment regimen (including additional hours needed for renal disease) individual face to face with the patient each 15 minutes | G0270 - | G0270 - MNT subs tx for change dx | '01/01/2003 | 12/31/2999 |
| G0271 | G0271 - Medical nutrition therapy reassessment and subsequent intervention(s) following second referral in same year for change in diagnosis medical condition or treatment regimen (including additional hours needed for renal disease) group (2 or more individuals) each 30 minutes | G0271 - | G0271 - Group MNT 2 or more 30 mins | '01/01/2003 | 12/31/2999 |
| G0276 | G0276 - Blinded procedure for lumbar stenosis percutaneous image-guided lumbar decompression (pild) or placebo-control performed in an approved coverage with evidence development (ced) clinical trial | G0276 - | G0276 - Pild/placebo control clin tr | '01/09/2014 | 12/31/2999 |
| G0277 | G0277 - Hyperbaric oxygen under pressure full body chamber per 30 minute interval | G0277 - | G0277 - Hbot full body chamber 30m | '01/01/2015 | 12/31/2999 |
| G0278 | G0278 - Iliac and/or femoral artery angiography non-selective bilateral or ipsilateral to catheter insertion performed at the same time as cardiac catheterization and/or coronary angiography includes positioning or placement of the catheter in the distal aorta or ipsilateral femoral or iliac artery injection of dye production of permanent images and radiologic supervision and interpretation (list separately in addition to primary procedure) | G0278 - | G0278 - Iliac art angio cardiac cath | '01/01/2008 | 12/31/2999 |
| G0279 | G0279 - Diagnostic digital breast tomosynthesis unilateral or bilateral (list separately in addition to 77065 or 77066) | G0279 - | G0279 - Tomosynthesis mammo screen | '01/01/2018 | 12/31/2999 |
| G0281 | G0281 - Electrical stimulation (unattended) to one or more areas for chronic stage iii and stage iv pressure ulcers arterial ulcers diabetic ulcers and venous statsis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | G0281 - | G0281 - Elec stim unattend for press | '04/01/2003 | 12/31/2999 |
| G0282 | G0282 - Electrical stimulation (unattended) to one or more areas for wound care other than described in g0281 | G0282 - | G0282 - Elect stim wound care not pd | '04/01/2003 | 12/31/2999 |
| G0283 | G0283 - Electrical stimulation (unattended) to one or more areas for indication(s) other than wound care as part of a therapy plan of care | G0283 - | G0283 - Elec stim other than wound | '01/01/2003 | 12/31/2999 |
| G0288 | G0288 - Reconstruction computed tomographic angiography of aorta for surgical planning for vascular surgery | G0288 - | G0288 - Recon CTA for surg plan | '01/01/2006 | 12/31/2999 |
| G0289 | G0289 - Arthroscopy knee surgical for removal of loose body foreign body debridement/shaving of articular cartilage (chrondroplasty) at the time of other surgical knee arthroscopy in a different compartment of the same knee | G0289 - | G0289 - Arthro loose body + chondro | '01/01/2003 | 12/31/2999 |
| G0293 | G0293 - Noncovered surgical procedure(s) using conscious sedation regional general or spinal anesthesia in a medicare qualifying clinical trial per day | G0293 - | G0293 - Non-cov surg proc clin trial | '01/01/2003 | 12/31/2999 |
| G0294 | G0294 - Noncovered procedure(s) using either no anesthesia or local anesthesia only in a medicare qualifying clinical trial per day | G0294 - | G0294 - Non-cov proc clinical trial | '01/01/2003 | 12/31/2999 |
| G0295 | G0295 - Electromagnetic therapy to one or more areas for wound care other than described in g0329 or for other uses | G0295 - | G0295 - Electromagnetic therapy onc | '07/01/2004 | 12/31/2999 |
| G0296 | G0296 - Counseling visit to discuss need for lung cancer screening (ldct) using low dose ct scan (service is for eligibility determination and shared decision making) | G0296 - | G0296 - Visit to determ ldct elig | '02/05/2015 | 12/31/2999 |
| G0299 | G0299 - Direct skilled nursing services of a registered nurse (rn) in the home health or hospice setting each 15 minutes | G0299 - | G0299 - Hhs/hospice of rn ea 15 min | '01/01/2016 | 12/31/2999 |
| G0300 | G0300 - Direct skilled nursing services of a license practical nurse (lpn) in the home health or hospice setting each 15 minutes | G0300 - | G0300 - Hhs/hospice of lpn ea 15 min | '01/01/2016 | 12/31/2999 |
| G0302 | G0302 - Pre-operative pulmonary surgery services for preparation for lvrs complete course of services to include a minimum of 16 days of services | G0302 - | G0302 - Pre-op service LVRS complete | '01/01/2004 | 12/31/2999 |
| G0303 | G0303 - Pre-operative pulmonary surgery services for preparation for lvrs 10 to 15 days of services | G0303 - | G0303 - Pre-op service LVRS 10-15dos | '01/01/2004 | 12/31/2999 |
| G0304 | G0304 - Pre-operative pulmonary surgery services for preparation for lvrs 1 to 9 days of services | G0304 - | G0304 - Pre-op service LVRS 1-9 dos | '01/01/2004 | 12/31/2999 |
| G0305 | G0305 - Post-discharge pulmonary surgery services after lvrs minimum of 6 days of services | G0305 - | G0305 - Post op service LVRS min 6 | '01/01/2004 | 12/31/2999 |
| G0306 | G0306 - Complete cbc automated (hgb hct rbc wbc without platelet count) and automated wbc differential count | G0306 - | G0306 - CBC/diffwbc w/o platelet | '01/01/2009 | 12/31/2999 |
| G0307 | G0307 - Complete (cbc) automated (hgb hct rbc wbc; without platelet count) | G0307 - | G0307 - CBC without platelet | '01/01/2009 | 12/31/2999 |
| G0310 | G0310 - Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service 5 to 15 mins time (this code is used for medicaid billing purposes) | G0310 - | G0310 - Immunize counsel 5-15 min | '05/11/2022 | 12/31/2999 |
| G0311 | G0311 - Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service 16-30 mins time (this code is used for medicaid billing purposes) | G0311 - | G0311 - Immunize counsel 16-30 mins | '05/11/2022 | 12/31/2999 |
| G0312 | G0312 - Immunization counseling by a physician or other qualify ed health care professional when the vaccine(s) is not administered on the same date of service for ages under 21 5 to 15 mins time (this code is used for medicaid billing purposes) | G0312 - | G0312 - Immunize couns < 21yr 5-15 m | '05/11/2022 | 12/31/2999 |
| G0313 | G0313 - Immunization counseling by a physician or other qualified health care professional when the vaccine(s) is not administered on the same date of service for ages under 21 16-30 mins time (this code is used for medicaid billing purposes) | G0313 - | G0313 - Immunize couns < 21yr 6-30 m | '05/11/2022 | 12/31/2999 |
| G0314 | G0314 - Immunization counseling by a physician or other qualified health care professional for covid-19 ages under 21 16-30 mins time (this code is used for the medicaid early and periodic screening diagnostic and treatment benefit (epsdt) | G0314 - | G0314 - Counsel immune <21 16-30 m | '05/11/2022 | 12/31/2999 |
| G0315 | G0315 - Immunization counseling by a physician or other qualified health care professional for covid-19 ages under 21 5-15 mins time (this code is used for the medicaid early and periodic screening diagnostic and treatment benefit (epsdt) | G0315 - | G0315 - Counsel immune <21 5-15 m | '05/11/2022 | 12/31/2999 |
| G0316 | G0316 - Prolonged hospital inpatient or observation care evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional with or without direct patient contact (list separately in addition to cpt codes 99223 99233 and 99236 for hospital inpatient or observation care evaluation and management services). (do not report g0316 on the same date of service as other prolonged services for evaluation and management 99358 99359 99418 99415 99416). (do not report g0316 for any time unit less than 15 minutes) | G0316 - | G0316 - Prolong inpt eval add15 m | '01/01/2023 | 12/31/2999 |
| G0317 | G0317 - Prolonged nursing facility evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional with or without direct patient contact (list separately in addition to cpt codes 99306 99310 for nursing facility evaluation and management services). (do not report g0317 on the same date of service as other prolonged services for evaluation and management 99358 99359 99418). (do not report g0317 for any time unit less than 15 minutes) | G0317 - | G0317 - Prolong nursin fac eval 15m | '01/01/2023 | 12/31/2999 |
| G0318 | G0318 - Prolonged home or residence evaluation and management service(s) beyond the total time for the primary service (when the primary service has been selected using time on the date of the primary service); each additional 15 minutes by the physician or qualified healthcare professional with or without direct patient contact (list separately in addition to cpt codes 99345 99350 for home or residence evaluation and management services). (do not report g0318 on the same date of service as other prolonged services for evaluation and management 99358 99359 99417). (do not report g0318 for any time unit less than 15 minutes) | G0318 - | G0318 - Prolong home eval add 15m | '01/01/2023 | 12/31/2999 |
| G0320 | G0320 - Home health services furnished using synchronous telemedicine rendered via a real-time two-way audio and video telecommunications system | G0320 - | G0320 - Two-way audio and video hhs | '01/01/2023 | 12/31/2999 |
| G0321 | G0321 - Home health services furnished using synchronous telemedicine rendered via telephone or other real-time interactive audio-only telecommunications system | G0321 - | G0321 - Audio-only hhs | '01/01/2023 | 12/31/2999 |
| G0322 | G0322 - The collection of physiologic data digitally stored and/or transmitted by the patient to the home health agency (i.e. remote patient monitoring) | G0322 - | G0322 - Home h physio data collec tr | '01/01/2023 | 12/31/2999 |
| G0323 | G0323 - Care management services for behavioral health conditions at least 20 minutes of clinical psychologist or clinical social worker time per calendar month. (these services include the following required elements: initial assessment or follow-up monitoring including the use of applicable validated rating scales; behavioral health care planning in relation to behavioral/psychiatric health problems including revision for patients who are not progressing or whose status changes; facilitating and coordinating treatment such as psychotherapy coordination with and/or referral to physicians and practitioners who are authorized by medicare to prescribe medications and furnish e/m services counseling and/or psychiatric consultation; and continuity of care with a designated member of the care team) | G0323 - | G0323 - Care manage beh svs 20mins | '01/01/2023 | 12/31/2999 |
| G0327 | G0327 - Colorectal cancer screening; blood-based biomarker | G0327 - | G0327 - Colon ca scrn;bld-bsd biomrk | '07/01/2021 | 12/31/2999 |
| G0328 | G0328 - Colorectal cancer screening; fecal occult blood test immunoassay 1-3 simultaneous | G0328 - | G0328 - Fecal blood scrn immunoassay | '01/01/2004 | 12/31/2999 |
| G0329 | G0329 - Electromagnetic therapy to one or more areas for chronic stage iii and stage iv pressure ulcers arterial ulcers diabetic ulcers and venous stasis ulcers not demonstrating measurable signs of healing after 30 days of conventional care as part of a therapy plan of care | G0329 - | G0329 - Electromagntic tx for ulcers | '07/01/2004 | 12/31/2999 |
| G0330 | G0330 - Facility services for dental rehabilitation procedure(s) performed on a patient who requires monitored anesthesia (e.g. general intravenous sedation (monitored anesthesia care) and use of an operating room | G0330 - | G0330 - Facility svs dental rehab | '01/01/2023 | 12/31/2999 |
| G0333 | G0333 - PHARMACY DISPENSING FEE FOR INHALATION DRUG(S); INITIAL 30-DAY SUPPLY AS A BENEFICIARY | G0333 - | G0333 - Dispense fee initial 30 day | '01/01/2006 | 12/31/2999 |
| G0337 | G0337 - HOSPICE EVALUATION AND COUNSELING SERVICES PRE-ELECTION | G0337 - | G0337 - Hospice evaluation preelecti | '01/01/2005 | 12/31/2999 |
| G0339 | G0339 - Image-guided robotic linear accelerator-based stereotactic radiosurgery complete course of therapy in one session or first session of fractionated treatment | G0339 - | G0339 - Robot lin-radsurg com first | '01/01/2011 | 12/31/2999 |
| G0340 | G0340 - Image-guided robotic linear accelerator-based stereotactic radiosurgery delivery including collimator changes and custom plugging fractionated treatment all lesions per session second through fifth sessions maximum five sessions per course of treatment | G0340 - | G0340 - Robt lin-radsurg fractx 2-5 | '01/01/2011 | 12/31/2999 |
| G0341 | G0341 - Percutaneous islet cell transplant includes portal vein catheterization and infusion | G0341 - | G0341 - Percutaneous islet celltrans | 01-10-2004 | 12/31/2999 |
| G0342 | G0342 - Laparoscopy for islet cell transplant includes portal vein catheterization and infusion | G0342 - | G0342 - Laparoscopy islet cell trans | 01-10-2004 | 12/31/2999 |
| G0343 | G0343 - Laparotomy for islet cell transplant includes portal vein catheterization and infusion | G0343 - | G0343 - Laparotomy islet cell transp | 01-10-2004 | 12/31/2999 |
| G0372 | G0372 - PHYSICIAN SERVICE REQUIRED TO ESTABLISH AND DOCUMENT THE NEED FOR A POWER MOBILITY DEVICE (USE IN ADDITION TO PRIMARY EVALUATION AND MANAGEMENT CODE) | G0372 - | G0372 - MD service required for PMD | 10/25/2005 | 12/31/2999 |
| G0378 | G0378 - HOSPITAL OBSERVATION SERVICE PER HOUR | G0378 - | G0378 - Hospital observation per hr | '01/01/2006 | 12/31/2999 |
| G0379 | G0379 - Direct admission of patient for hospital observation care | G0379 - | G0379 - Direct refer hospital observ | '01/01/2010 | 12/31/2999 |
| G0380 | G0380 - Level 1 hosp ER dept visit provided in a type b er dept;(the ed must meet at least 1 of the following requirts:(1)it is licensed by the state in which it is located under applicable state law as an ER room or ER dept;(2)it is held out to the public(by name posted signs advertising or other means) as a place that provides care for ER medical conditionss on an urgent basis w/o req. a prev sched appt;or(3) uring the calendar year immed preceding the cal yr in which a determination under 42 cfr 489. 24 is being made based on a rep sample of patient visits that occurred (See remarks) | G0380 - | G0380 - Lev 1 hosp type B ED visit | '01/01/2008 | 12/31/2999 |
| G0381 | G0381 - Level 2 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appt; or (3) during the cal yr immediately preceding the cal. yr in which a determination under 42 cfr 489. 24 is being made based on a representative sample of patient visits that occurred (See Remarks) | G0381 - | G0381 - Lev 2 hosp type B ED visit | '01/01/2008 | 12/31/2999 |
| G0382 | G0382 - Level 3 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a prev sched appt; or (3) during the cal yr immediately preceding the calyr in which a determination under 42 cfr 489. 24 is being made based on a representative sample of patient visits that occurred (See Remarks) | G0382 - | G0382 - Lev 3 hosp type B ED visit | '01/01/2008 | 12/31/2999 |
| G0383 | G0383 - Level 4 hospital emergency department visit provided in a type b emergency department; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an emergency room or emergency department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a prev sched appt; or (3) during the cal yr immed preceding the calendar year in which a determination under 42 cfr 489. 24 is being made based on a representative sample of patient visits that occurred (See Remarks) | G0383 - | G0383 - Lev 4 hosp type B ED visit | '01/01/2008 | 12/31/2999 |
| G0384 | G0384 - Level 5 hospital er dept visit provided in a type b er dept; (the ed must meet at least one of the following requirements: (1) it is licensed by the state in which it is located under applicable state law as an er rm or er department; (2) it is held out to the public (by name posted signs advertising or other means) as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment; or (3) during the calendar year immediately preceding the calendar year in which a determination under 42 cfr 489. 24 is being made based on a representative sample of patient visits that occurred (See Remarks) | G0384 - | G0384 - Lev 5 hosp type B ED visit | '01/01/2008 | 12/31/2999 |
| G0390 | G0390 - TRAUMA RESPONSE TEAM ASSOCIATED WITH HOSPITAL CRITICAL CARE SERVICE | G0390 - | G0390 - Trauma Respons w/hosp criti | '01/01/2007 | 12/31/2999 |
| G0396 | G0396 - Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g. audit dast) and brief intervention 15 to 30 minutes | G0396 - | G0396 - Alcohol/subs interv 15-30mn | 01-10-2020 | 12/31/2999 |
| G0397 | G0397 - Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g. audit dast) and intervention greater than 30 minutes | G0397 - | G0397 - Alcohol/subs interv >30 min | 01-10-2020 | 12/31/2999 |
| G0398 | G0398 - Home sleep study test (HST) with type II portable monitor unattended; minimum of 7 channels: EEG EOG EMG ECG/heart reate airflow respiratory effort and oxygen saturation | G0398 - | G0398 - Home sleep test/type 2 Porta | '03/13/2008 | 12/31/2999 |
| G0399 | G0399 - Home sleep test (HST) with type III portable monitor unattended; minimum of 4 channels: 2 - respiratory movement/airflow 1 - ECG/heart rate and 1 - oxygen saturation | G0399 - | G0399 - Home sleep test/type 3 Porta | '03/13/2008 | 12/31/2999 |
| G0400 | G0400 - Home sleep test (HST) with type IV portable monitor unattended; minimum of 3 channels | G0400 - | G0400 - Home sleep test/type 4 Porta | '03/13/2008 | 12/31/2999 |
| G0402 | G0402 - INITIAL PREVENTIVE PHYSICAL EXAMINATION; FACE-TO-FACE VISIT SERVICES LIMITED TO NEW BENEFICIARY DURING THE FIRST 12 MONTHS OF MEDICARE ENROLLMENT | G0402 - | G0402 - Initial preventive exam | '01/01/2009 | 12/31/2999 |
| G0403 | G0403 - ELECTROCARDIOGRAM ROUTINE ECG WITH 12 LEADS; PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION WITH INTERPRETATION AND REPORT | G0403 - | G0403 - EKG for initial prevent exam | '01/01/2009 | 12/31/2999 |
| G0404 | G0404 - ELECTROCARDIOGRAM ROUTINE ECG WITH 12 LEADS; TRACING ONLY WITHOUT INTERPRETATION AND REPORT PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION | G0404 - | G0404 - EKG tracing for initial prev | '01/01/2009 | 12/31/2999 |
| G0405 | G0405 - ELECTROCARDIOGRAM ROUTINE ECG WITH 12 LEADS; INTERPRETATION AND REPORT ONLY PERFORMED AS A SCREENING FOR THE INITIAL PREVENTIVE PHYSICAL EXAMINATION | G0405 - | G0405 - EKG interpret & report preve | '01/01/2009 | 12/31/2999 |
| G0406 | G0406 - FOLLOW-UP INPATIENT CONSULTATION LIMITED PHYSICIANS TYPICALLY SPEND 15 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0406 - | G0406 - Inpt/tele follow up 15 | '01/01/2012 | 12/31/2999 |
| G0407 | G0407 - FOLLOW-UP INPATIENT CONSULTATION INTERMEDIATE PHYSICIANS TYPICALLY SPEND 25 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0407 - | G0407 - Inpt/tele follow up 25 | '01/01/2012 | 12/31/2999 |
| G0408 | G0408 - FOLLOW-UP INPATIENT CONSULTATION COMPLEX PHYSICIANS TYPICALLY SPEND 35 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0408 - | G0408 - Inpt/tele follow up 35 | '01/01/2012 | 12/31/2999 |
| G0409 | G0409 - SOCIAL WORK AND PSYCHOLOGICAL SERVICES DIRECTLY RELATING TO AND/OR FURTHERING THE PATIENT'S REHABILITATION GOALS EACH 15 MINUTES FACE-TO-FACE; INDIVIDUAL (SERVICES PROVIDED BY A CORF-QUALIFIED SOCIAL WORKER OR PSYCHOLOGIST IN A CORF) | G0409 - | G0409 - CORF related serv 15 mins ea | '01/01/2009 | 12/31/2999 |
| G0410 | G0410 - GROUP PSYCHOTHERAPY OTHER THAN OF A MULTIPLE-FAMILY GROUP IN A PARTIAL HOSPITALIZATION SETTING APPROXIMATELY 45 TO 50 MINUTES | G0410 - | G0410 - Grp psych partial hosp 45-50 | '01/01/2009 | 12/31/2999 |
| G0411 | G0411 - INTERACTIVE GROUP PSYCHOTHERAPY IN A PARTIAL HOSPITALIZATION SETTING APPROXIMATELY 45 TO 50 MINUTES | G0411 - | G0411 - Inter active grp psych parti | '01/01/2009 | 12/31/2999 |
| G0412 | G0412 - OPEN TREATMENT OF ILIAC SPINE(S) TUBEROSITY AVULSION OR ILIAC WING FRACTURE(S) UNILATERAL OR BILATERAL FOR PELVIC BONE FRACTURE PATTERNS WHICH DO NOT DISRUPT THE PELVIC RING INCLUDES INTERNAL FIXATION WHEN PERFORMED | G0412 - | G0412 - Open tx iliac spine uni/bil | '01/01/2009 | 12/31/2999 |
| G0413 | G0413 - PERCUTANEOUS SKELETAL FIXATION OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS WHICH DISRUPT THE PELVIC RING UNILATERAL OR BILATERAL (INCLUDES ILIUM SACROILIAC JOINT AND/OR SACRUM) | G0413 - | G0413 - Pelvic ring fracture uni/bil | '01/01/2009 | 12/31/2999 |
| G0414 | G0414 - OPEN TREATMENT OF ANTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS WHICH DISRUPT THE PELVIC RING UNILATERAL OR BILATERAL INCLUDES INTERNAL FIXATION WHEN PERFORMED (INCLUDES PUBIC SYMPHYSIS AND/OR SUPERIOR/INFERIOR RAMI) | G0414 - | G0414 - Pelvic ring fx treat int fix | '01/01/2009 | 12/31/2999 |
| G0415 | G0415 - OPEN TREATMENT OF POSTERIOR PELVIC BONE FRACTURE AND/OR DISLOCATION FOR FRACTURE PATTERNS WHICH DISRUPT THE PELVIC RING UNILATERAL OR BILATERAL INCLUDES INTERNAL FIXATION WHEN PERFORMED (INCLUDES ILIUM SACROILIAC JOINT AND/OR SACRUM) | G0415 - | G0415 - Open tx post pelvic fxcture | '01/01/2009 | 12/31/2999 |
| G0416 | G0416 - Surgical pathology gross and microscopic examinations for prostate needle biopsy any method | G0416 - | G0416 - Prostate biopsy any mthd | '01/01/2015 | 12/31/2999 |
| G0420 | G0420 - FACE-TO-FACE EDUCATIONAL SERVICES RELATED TO THE CARE OF CHRONIC KIDNEY DISEASE; INDIVIDUAL PER SESSION PER ONE HOUR | G0420 - | G0420 - Ed svc CKD ind per session | '01/01/2010 | 12/31/2999 |
| G0421 | G0421 - FACE-TO-FACE EDUCATIONAL SERVICES RELATED TO THE CARE OF CHRONIC KIDNEY DISEASE; GROUP PER SESSION PER ONE HOUR | G0421 - | G0421 - Ed svc CKD grp per session | '01/01/2010 | 12/31/2999 |
| G0422 | G0422 - INTENSIVE CARDIAC REHABILITATION; WITH OR WITHOUT CONTINUOUS ECG MONITORING WITH EXERCISE PER SESSION | G0422 - | G0422 - Intens cardiac rehab w/exerc | '01/01/2010 | 12/31/2999 |
| G0423 | G0423 - INTENSIVE CARDIAC REHABILITATION; WITH OR WITHOUT CONTINUOUS ECG MONITORING; WITHOUT EXERCISE PER SESSION | G0423 - | G0423 - Intens cardiac rehab no exer | '01/01/2010 | 12/31/2999 |
| G0425 | G0425 - TELEHEALTH CONSULTATION EMERGENCY DEPARTMENT OR INITIAL INPATIENT TYPICALLY 30 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0425 - | G0425 - Inpt/ED teleconsult30 | '01/01/2012 | 12/31/2999 |
| G0426 | G0426 - TELEHEALTH CONSULTATION EMERGENCY DEPARTMENT OR INITIAL INPATIENT TYPICALLY 50 MINUTES COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0426 - | G0426 - Inpt/ED teleconsult50 | '01/01/2012 | 12/31/2999 |
| G0427 | G0427 - TELEHEALTH CONSULTATION EMERGENCY DEPARTMENT OR INITIAL INPATIENT TYPICALLY 70 MINUTES OR MORE COMMUNICATING WITH THE PATIENT VIA TELEHEALTH | G0427 - | G0427 - Inpt/ED teleconsult70 | '01/01/2012 | 12/31/2999 |
| G0428 | G0428 - Collagen Meniscus Implant procedure for filling meniscal defects (e.g. CMI collagen scaffold Menaflex) | G0428 - | G0428 - | '07/10/2010 | 12/31/2999 |
| G0429 | G0429 - Dermal Filler injection(s) for the treatment of facial lipodystrophy syndrome (LDS) (e.g. as a result of highly active antiretroviral therapy.) | G0429 - | G0429 - | '07/01/2010 | 12/31/2999 |
| G0432 | G0432 - Infectious agent antibody detection by enzyme immunoassay (eia) technique hiv-1 and/or hiv-2 screening | G0432 - | G0432 - EIA HIV-1/HIV-2 screen | 01-10-2010 | 12/31/2999 |
| G0433 | G0433 - Infectious agent antibody detection by enzyme-linked immunosorbent assay (elisa) technique hiv-1 and/or hiv-2 screening | G0433 - | G0433 - ELISA HIV-1/HIV-2 screen | '01/01/2013 | 12/31/2999 |
| G0435 | G0435 - Infectious agent antibody detection by rapid antibody test hiv-1 and/or hiv-2 screening | G0435 - | G0435 - Oral HIV-1/HIV-2 screen | 01-10-2010 | 12/31/2999 |
| G0438 | G0438 - ANNUAL WELLNESS VISIT; INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS) INITIAL VISIT | G0438 - | G0438 - PPPS initial visit | '01/01/2011 | 12/31/2999 |
| G0439 | G0439 - ANNUAL WELLNESS VISIT INCLUDES A PERSONALIZED PREVENTION PLAN OF SERVICE (PPS) SUBSEQUENT VISIT | G0439 - | G0439 - PPPS subseq visit | '01/01/2011 | 12/31/2999 |
| G0442 | G0442 - Annual alcohol misuse screening 5 to 15 minutes | G0442 - | G0442 - Annual alcohol screen 15 min | '01/01/2023 | 12/31/2999 |
| G0443 | G0443 - BRIEF FACE-TO-FACE BEHAVIORAL COUNSELING FOR ALCOHOL MISUSE 15 MINUTES | G0443 - | G0443 - | '01/01/2012 | 12/31/2999 |
| G0444 | G0444 - Annual depression screening 5 to 15 minutes | G0444 - | G0444 - Depression screen annual | '01/01/2023 | 12/31/2999 |
| G0445 | G0445 - HIGH INTENSITY BEHAVIORAL COUNSELING TO PREVENT SEXUALLY TRANSMITTED INFECTION; FACE-TO-FACE INDIVIDUAL INCLUDES: EDUCATION SKILLS TRAINING AND GUIDANCE ON HOW TO CHANGE SEXUAL BEHAVIOR; PERFORMED SEMI-ANNUALLY 30 MINUTES | G0445 - | G0445 - | '08/11/2011 | 12/31/2999 |
| G0446 | G0446 - INTENSIVE BEHAVIORAL THERAPY TO REDUCE CARDIOVASCULAR DISEASE RISK INDIVIDUAL FACE-TO-FACE BI-ANNUAL 15 MINUTES | G0446 - | G0446 - | '08/11/2011 | 12/31/2999 |
| G0447 | G0447 - FACE-TO-FACE BEHAVIORAL COUNSELING FOR OBESITY 15 MINUTES | G0447 - | G0447 - | '01/01/2012 | 12/31/2999 |
| G0448 | G0448 - INSERTION OR REPLACEMENT OF A PERMANENT PACING CARDIOVERTER-DEFIBRILLATOR SYSTEM WITH TRANSVENOUS LEAD(S) SINGLE OR DUAL CHAMBER WITH INSERTION OF PACING ELECTRODE CARDIAC VENOUS SYSTEM FOR LEFT VENTRICULAR PACING | G0448 - | G0448 - | '01/01/2012 | 12/31/2999 |
| G0451 | G0451 - DEVELOPMENT TESTING WITH INTERPRETATION AND REPORT PER STANDARDIZED INSTRUMENT FORM | G0451 - | G0451 - | '01/01/2012 | 12/31/2999 |
| G0452 | G0452 - Molecular pathology procedure; physician interpretation and report | G0452 - | G0452 - Molecular pathology interpr | '01/01/2013 | 12/31/2999 |
| G0453 | G0453 - Continuous intraoperative neurophysiology monitoring from outside the operating room (remote or nearby) per patient (attention directed exclusively to one patient) each 15 minutes (list in addition to primary procedure) | G0453 - | G0453 - Cont intraop neuro monitor | '01/01/2013 | 12/31/2999 |
| G0454 | G0454 - Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner physician assistant or clinical nurse specialist | G0454 - | G0454 - MD document visit by NPP | '01/01/2013 | 12/31/2999 |
| G0455 | G0455 - Preparation with instillation of fecal microbiota by any method including assessment of donor specimen | G0455 - | G0455 - Fecal microbiota prep instil | '01/01/2013 | 12/31/2999 |
| G0458 | G0458 - Low dose rate (ldr) prostate brachytherapy services composite rate | G0458 - | G0458 - LDR prostate brachy comp rat | '01/01/2013 | 12/31/2999 |
| G0459 | G0459 - Inpatient telehealth pharmacologic management including prescription use and review of medication with no more than minimal medical psychotherapy | G0459 - | G0459 - Telehealth inpt pharm mgmt | '01/01/2013 | 12/31/2999 |
| G0460 | G0460 - Autologous platelet rich plasma for non-diabetic chronic wounds/ulcers including phlebotomy centrifugation and all other preparatory procedures administration and dressings per treatment | G0460 - | G0460 - Autolog prp not diab ulcer | '04/13/2021 | 12/31/2999 |
| G0463 | G0463 - Hospital outpatient clinic visit for assessment and management of a patient | G0463 - | G0463 - Hospital outpt clinic visit | '01/01/2014 | 12/31/2999 |
| G0465 | G0465 - Autologous platelet rich plasma (prp) for diabetic chronic wounds/ulcers using an fda-cleared device (includes administration dressings phlebotomy centrifugation and all other preparatory procedures per treatment) | G0465 - | G0465 - Autolog prp diab wound ulcer | '04/13/2021 | 12/31/2999 |
| G0466 | G0466 - Federally Qualified Health Center visit new patient A medically-necessary face-to-face (one-on-one) encounter between a new patient and a qualified FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of services that would be furnished per diem to a Medicare beneficiary receiving medical services. | G0466 - | G0466 - FQHC visit new patient | 01-10-2014 | 12/31/2999 |
| G0467 | G0467 - Federally Qualified Health Center visit established patient A medically-necessary face-to-face (one-on-one) encounter between an established patient and a qualified FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of services that would be furnished per diem to a Medicare beneficiary receiving medical services. | G0467 - | G0467 - FQHC visit established patient | 01-10-2014 | 12/31/2999 |
| G0468 | G0468 - Federally Qualified Health Center visit IPPE Initial Preventive Physical Examination or AWV Annual Wellness A FQHC visit that includes an IPPE or AWV and includes the typical bundle of services that would be furnished per diem to a Medicare beneficiary receiving an IPPE or AWV including all services that would otherwise be billed as a FQHC visit under G0466 or G0467. | G0468 - | G0468 - FQHC visit IPPE or AWV | 01-10-2014 | 12/31/2999 |
| G0469 | G0469 - Federally Qualified Health Center visit mental health new patient A medically-necessary face-to-face (one-on-one) mental health encounter between a new patient and a qualified FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of services that would be furnished per diem to a Medicare beneficiary receiving a mental health visit. | G0469 - | G0469 - FQHC visit mental health new patient | 01-10-2014 | 12/31/2999 |
| G0470 | G0470 - Federally Qualified Health Center visit mental health established patient A medically-necessary face-to-face (one-on-one) mental health encounter between an established patient and a qualified FQHC practitioner during which time one or more FQHC services are rendered and includes a typical bundle of services that would be furnished per diem to a Medicare beneficiary receiving a mental health visit. An established patient is one who has received any professional medical or mental health services from any sites within the FQHC organization within three years prior to the date of service. | G0470 - | G0470 - FQHC visit mental health est patient | 01-10-2014 | 12/31/2999 |
| G0471 | G0471 - Collection of venous blood by venipuncture or urine sample by catheterization from an individual in a skilled nursing facility (SNF) or by a laboratory on behalf of a home health agency (HHA). | G0471 - | G0471 - Ven blood coll SNF/HHA | '04/01/2014 | 12/31/2999 |
| G0472 | G0472 - Hepatitis C antibody screening for individual at high risk and other covered indication(s) | G0472 - | G0472 - Hep screen high risk/other | '06/02/2014 | 12/31/2999 |
| G0473 | G0473 - Face-to-face behavioral counseling for obesity group (2-10) 30 minutes | G0473 - | G0473 - Group behave couns 2-10 | '01/01/2015 | 12/31/2999 |
| G0475 | G0475 - Hiv antigen/antibody combination assay screening | G0475 - | G0475 - Hiv combination assay | '04/13/2015 | 12/31/2999 |
| G0476 | G0476 - Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv) high-risk types (eg 16 18 31 33 35 39 45 51 52 56 58 59 68) for cervical cancer screening must be performed in addition to pap test | G0476 - | G0476 - Hpv combo assay ca screen | '07/09/2015 | 12/31/2999 |
| G0480 | G0480 - Drug test(s) definitive utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers) including but not limited to GC/MS (any type single or tandem) and LC/MS (any type single or tandem and excluding immunoassays (e.g. IA EIA ELISA EMIT FPIA) and enzymatic methods (e.g. alcohol dehydrogenase)) (2) stable isotope or other universally recognized internal standards in all samples (e.g. to control for matrix effects interferences and variations in signal strength) and (3) method or drug-specific calibration and matrix-matched quality control material (e.g. to control for instrument variations and mass spectral drift); qualitative or quantitative all sources includes specimen validity testing per day; 1-7 drug class(es) including metabolite(s) if performed | G0480 - | G0480 - Drug test def 1-7 classes | '01/01/2017 | 12/31/2999 |
| G0481 | G0481 - Drug test(s) definitive utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers) including but not limited to GC/MS (any type single or tandem) and LC/MS (any type single or tandem and excluding immunoassays (e.g. IA EIA ELISA EMIT FPIA) and enzymatic methods (e.g. alcohol dehydrogenase)) (2) stable isotope or other universally recognized internal standards in all samples (e.g. to control for matrix effects interferences and variations in signal strength) and (3) method or drug-specific calibration and matrix-matched quality control material (e.g. to control for instrument variations and mass spectral drift); qualitative or quantitative all sources includes specimen validity testing per day; 8-14 drug class(es) including metabolite(s) if performed | G0481 - | G0481 - Drug test def 8-14 classes | '01/01/2017 | 12/31/2999 |
| G0482 | G0482 - Drug test(s) definitive utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers) including but not limited to GC/MS (any type single or tandem) and LC/MS (any type single or tandem and excluding immunoassays (e.g. IA EIA ELISA EMIT FPIA) and enzymatic methods (e.g. alcohol dehydrogenase)) (2) stable isotope or other universally recognized internal standards in all samples (e.g. to control for matrix effects interferences and variations in signal strength) and (3) method or drug-specific calibration and matrix-matched quality control material (e.g. to control for instrument variations and mass spectral drift); qualitative or quantitative all sources includes specimen validity testing per day; 15-21 drug class(es) including metabolite(s) if performed | G0482 - | G0482 - Drug test def 15-21 classes | '01/01/2017 | 12/31/2999 |
| G0483 | G0483 - Drug test(s) definitive utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers) including but not limited to GC/MS (any type single or tandem) and LC/MS (any type single or tandem and excluding immunoassays (e.g. IA EIA ELISA EMIT FPIA) and enzymatic methods (e.g. alcohol dehydrogenase)) (2) stable isotope or other universally recognized internal standards in all samples (e.g. to control for matrix effects interferences and variations in signal strength) and (3) method or drug-specific calibration and matrix-matched quality control material (e.g. to control for instrument variations and mass spectral drift); qualitative or quantitative all sources includes specimen validity testing per day; 22 or more drug class(es) including metabolite(s) if performed | G0483 - | G0483 - Drug test def 22+ classes | '01/01/2017 | 12/31/2999 |
| G0490 | G0490 - Face-to-face home health nursing visit by a Rural Health Clinic (RHC) or Federally Qualified Health Center (FQHC) in an area with a shortage of home health agencies. (Services limited to RN or LPN only). | G0490 - | G0490 - Home Visit by a RN or LPN by RHC/FQHC | '04/01/2016 | 12/31/2999 |
| G0491 | G0491 - Dialysis procedure at a medicare certified esrd facility for acute kidney injury without esrd | G0491 - | G0491 - Dialysis acu kidney no esrd | '01/01/2017 | 12/31/2999 |
| G0492 | G0492 - Dialysis procedure with single evaluation by a physician or other qualified health care professional for acute kidney injury without esrd | G0492 - | G0492 - Md/oth eval acut kid no esrd | '01/01/2017 | 12/31/2999 |
| G0493 | G0493 - Skilled services of a registered nurse (rn) for the observation and assessment of the patient's condition each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | G0493 - | G0493 - Rn care ea 15 min hh/hospice | '01/01/2017 | 12/31/2999 |
| G0494 | G0494 - Skilled services of a licensed practical nurse (lpn) for the observation and assessment of the patient's condition each 15 minutes (the change in the patient's condition requires skilled nursing personnel to identify and evaluate the patient's need for possible modification of treatment in the home health or hospice setting) | G0494 - | G0494 - Lpn care ea 15min hh/hospice | '01/01/2017 | 12/31/2999 |
| G0495 | G0495 - Skilled services of a registered nurse (rn) in the training and/or education of a patient or family member in the home health or hospice setting each 15 minutes | G0495 - | G0495 - Rn care train/edu in hh | '01/01/2017 | 12/31/2999 |
| G0496 | G0496 - Skilled services of a licensed practical nurse (lpn) in the training and/or education of a patient or family member in the home health or hospice setting each 15 minutes | G0496 - | G0496 - Lpn care train/edu in hh | '01/01/2017 | 12/31/2999 |
| G0498 | G0498 - Chemotherapy administration intravenous infusion technique; initiation of infusion in the office/other outpatient setting using office/other outpatient setting pump/supplies with continuation of the infusion in the community setting (e.g. home domiciliary rest home or assisted living) using a portable pump provided by the office/other outpatient setting includes follow up office/other outpatient visit at the conclusion of the infusion. | G0498 - | G0498 - Chemo extend iv infus w/pump | '01/01/2016 | 12/31/2999 |
| G0499 | G0499 - Hepatitis b screening in non-pregnant high risk individual includes hepatitis b surface antigen (HBSAG) antibodies to HBSAG (anti-HBS) and antibodies to hepatitis b core antigen (anti-HBC) and is followed by a neutralizing confirmatory test when performed only for an initially reactive HBSAG result | G0499 - | G0499 - Hepb screen high risk indiv | '04/01/2018 | 12/31/2999 |
| G0500 | G0500 - Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports requiring the presence of an independent trained observer to assist in the monitoring of the patient's level of consciousness and physiological status; initial 15 minutes of intra-service time; patient age 5 years or older (additional time may be reported with 99153 as appropriate) | G0500 - | G0500 - Mod sedat endo service >5yrs | '01/01/2017 | 12/31/2999 |
| G0501 | G0501 - Resource-intensive services for patients for whom the use of specialized mobility-assistive technology (such as adjustable height chairs or tables patient lift and adjustable padded leg supports) is medically necessary and used during the provision of an office/outpatient evaluation and management visit (list separately in addition to primary service) | G0501 - | G0501 - Resource-inten svc during ov | '01/01/2017 | 12/31/2999 |
| G0506 | G0506 - Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service) | G0506 - | G0506 - Comp asses care plan ccm svc | '01/01/2017 | 12/31/2999 |
| G0508 | G0508 - Telehealth consultation critical care initial physicians typically spend 60 minutes communicating with the patient and providers via telehealth | G0508 - | G0508 - Crit care telehea consult 60 | '01/01/2017 | 12/31/2999 |
| G0509 | G0509 - Telehealth consultation critical care subsequent physicians typically spend 50 minutes communicating with the patient and providers via telehealth | G0509 - | G0509 - Crit care telehea consult 50 | '01/01/2017 | 12/31/2999 |
| G0511 | G0511 - Rural health clinic or federally qualified health center (rhc or fqhc) only general care management 20 minutes or more of clinical staff time for chronic care management services or behavioral health integration services directed by an rhc or fqhc practitioner (physician np pa or cnm) per calendar month | G0511 - | G0511 - Ccm/bhi by rhc/fqhc 20min mo | '02/28/2020 | 12/31/2999 |
| G0512 | G0512 - Rural health clinic or federally qualified health center (rhc/fqhc) only psychiatric collaborative care model (psychiatric cocm) 60 minutes or more of clinical staff time for psychiatric cocm services directed by an rhc or fqhc practitioner (physician np pa or cnm) and including services furnished by a behavioral health care manager and consultation with a psychiatric consultant per calendar month | G0512 - | G0512 - Cocm by rhc/fqhc 60 min mo | '02/28/2020 | 12/31/2999 |
| G0513 | G0513 - Prolonged preventive service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting requiring direct patient contact beyond the usual service; first 30 minutes (list separately in addition to code for preventive service) | G0513 - | G0513 - Prolong prev svcs first 30m | '01/01/2018 | 12/31/2999 |
| G0514 | G0514 - Prolonged preventive service(s) (beyond the typical service time of the primary procedure) in the office or other outpatient setting requiring direct patient contact beyond the usual service; each additional 30 minutes (list separately in addition to code g0513 for additional 30 minutes of preventive service) | G0514 - | G0514 - Prolong prev svcs addl 30m | '01/01/2018 | 12/31/2999 |
| G0516 | G0516 - Insertion of non-biodegradable drug delivery implants 4 or more (services for subdermal rod implant) | G0516 - | G0516 - insert drug del implant >=4 | '04/01/2018 | 12/31/2999 |
| G0517 | G0517 - Removal of non-biodegradable drug delivery implants 4 or more (services for subdermal implants) | G0517 - | G0517 - Remove drug implant | '01/01/2018 | 12/31/2999 |
| G0518 | G0518 - Removal with reinsertion non-biodegradable drug delivery implants 4 or more (services for subdermal implants) | G0518 - | G0518 - Remove w insert drug implant | '01/01/2018 | 12/31/2999 |
| G0659 | G0659 - Drug test(s) definitive utilizing drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers) including but not limited to GC/MS (any type single or tandem) and LC/MS (any type single or tandem) excluding immunoassays (e.g. IA EIA ELISA EMIT FPIA) and enzymatic methods (e.g. alcohol dehydrogenase) performed without method or drug-specific calibration without matrix-matched quality control material or without use of stable isotope or other universally recognized internal standard(s) for each drug drug metabolite or drug class per specimen; qualitative or quantitative all sources includes specimen validity testing per day any number of drug classes | G0659 - | G0659 - Drug test def simple all classes | '01/01/2017 | 12/31/2999 |
| G0913 | G0913 - IMPROVEMENT IN VISUAL FUNCTION ACHIEVED WITHIN 90 DAYS FOLLOWING CATARACT SURGERY | G0913 - | G0913 - | '01/01/2012 | 12/31/2999 |
| G0914 | G0914 - PATIENT CARE SURVEY WAS NOT COMPLETED BY PATIENT | G0914 - | G0914 - | '01/01/2012 | 12/31/2999 |
| G0915 | G0915 - IMPROVEMENT IN VISUAL FUNCTION NOT ACHIEVED WITHIN 90 DAYS FOLLOWING CATARACT SURGERY | G0915 - | G0915 - | '01/01/2012 | 12/31/2999 |
| G0916 | G0916 - SATISFACTION WITH CARE ACHIEVED WITHIN 90 DAYS FOLLOWING CATARACT SURGERY | G0916 - | G0916 - | '01/01/2012 | 12/31/2999 |
| G0917 | G0917 - Patient care survey was not completed by patient | G0917 - | G0917 - Care survey not complete | '01/01/2023 | 12/31/2999 |
| G0918 | G0918 - SATISFACTION WITH CARE NOT ACHIEVED WITHIN 90 DAYS FOLLOWING CATARACT SURGERY | G0918 - | G0918 - | '01/01/2012 | 12/31/2999 |
| G1001 | G1001 - Clinical decision support mechanism evicore as defined by the medicare appropriate use criteria program | G1001 - | G1001 - Cdsm evicore | '01/01/2020 | 12/31/2999 |
| G1002 | G1002 - Clinical decision support mechanism medcurrent as defined by the medicare appropriate use criteria program | G1002 - | G1002 - Cdsm medcurrent | '01/01/2020 | 12/31/2999 |
| G1003 | G1003 - Clinical decision support mechanism medicalis as defined by the medicare appropriate use criteria program | G1003 - | G1003 - Cdsm medicalis | '01/01/2020 | 12/31/2999 |
| G1004 | G1004 - Clinical decision support mechanism national decision support company as defined by the medicare appropriate use criteria program | G1004 - | G1004 - Cdsm ndsc | '01/01/2020 | 12/31/2999 |
| G1007 | G1007 - Clinical decision support mechanism aim specialty health as defined by the medicare appropriate use criteria program | G1007 - | G1007 - Cdsm aim | '01/01/2020 | 12/31/2999 |
| G1008 | G1008 - Clinical decision support mechanism cranberry peak as defined by the medicare appropriate use criteria program | G1008 - | G1008 - Cdsm cranberry pk | '01/01/2020 | 12/31/2999 |
| G1010 | G1010 - Clinical decision support mechanism stanson as defined by the medicare appropriate use criteria program | G1010 - | G1010 - Cdsm stanson | '01/01/2020 | 12/31/2999 |
| G1011 | G1011 - Clinical decision support mechanism qualified tool not otherwise specified as defined by the medicare appropriate use criteria program | G1011 - | G1011 - Cdsm qualified nos | '01/01/2020 | 12/31/2999 |
| G1012 | G1012 - Clinical decision support mechanism agilemd as defined by the medicare appropriate use criteria program | G1012 - | G1012 - Cdsm agilemd | '04/01/2020 | 12/31/2999 |
| G1013 | G1013 - Clinical decision support mechanism evidencecare imagingcare as defined by the medicare appropriate use criteria program | G1013 - | G1013 - Cdsm evidencecare | '01/01/2022 | 12/31/2999 |
| G1014 | G1014 - Clinical decision support mechanism inveniqa semantic answers in medicine as defined by the medicare appropriate use criteria program | G1014 - | G1014 - Cdsm inveniqa | '04/01/2020 | 12/31/2999 |
| G1015 | G1015 - Clinical decision support mechanism reliant medical group as defined by the medicare appropriate use criteria program | G1015 - | G1015 - Cdsm reliant | '04/01/2020 | 12/31/2999 |
| G1016 | G1016 - Clinical decision support mechanism speed of care as defined by the medicare appropriate use criteria program | G1016 - | G1016 - Cdsm speed of care | '04/01/2020 | 12/31/2999 |
| G1017 | G1017 - Clinical decision support mechanism healthhelp as defined by the medicare appropriate use criteria program | G1017 - | G1017 - Cdsm healthhelp | '04/01/2020 | 12/31/2999 |
| G1018 | G1018 - Clinical decision support mechanism infinx as defined by the medicare appropriate use criteria program | G1018 - | G1018 - Cdsm infinx | '04/01/2020 | 12/31/2999 |
| G1019 | G1019 - Clinical decision support mechanism logicnets as defined by the medicare appropriate use criteria program | G1019 - | G1019 - Cdsm logicnets | '04/01/2020 | 12/31/2999 |
| G1020 | G1020 - Clinical decision support mechanism curbside clinical augmented workflow as defined by the medicare appropriate use criteria program | G1020 - | G1020 - Cdsm curbside | 01-10-2020 | 12/31/2999 |
| G1021 | G1021 - Clinical decision support mechanism ehealthline clinical decision support mechanism as defined by the medicare appropriate use criteria program | G1021 - | G1021 - Cdsm ehealthline | 01-10-2020 | 12/31/2999 |
| G1022 | G1022 - Clinical decision support mechanism intermountain clinical decision support mechanism as defined by the medicare appropriate use criteria program | G1022 - | G1022 - Cdsm intermountain | 01-10-2020 | 12/31/2999 |
| G1023 | G1023 - Clinical decision support mechanism persivia clinical decision support as defined by the medicare appropriate use criteria program | G1023 - | G1023 - Cdsm persivia | 01-10-2020 | 12/31/2999 |
| G1024 | G1024 - Clinical decision support mechanism radrite as defined by the medicare appropriate use criteria program | G1024 - | G1024 - Cdsm radrite | '01/01/2022 | 12/31/2999 |
| G1025 | G1025 - Patient-months where there are more than one medicare capitated payment (mcp) provider listed for the month | G1025 - | G1025 - Pt mnth 1 mcp prov | '01/01/2022 | 12/31/2999 |
| G1026 | G1026 - The number of adult patient-months in the denominator who were on maintenance hemodialysis using a catheter continuously for three months or longer under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month | G1026 - | G1026 - Pt hemo > 3mo | '01/01/2022 | 12/31/2999 |
| G1027 | G1027 - The number of adult patient-months in the denominator who were on maintenance hemodialysis under the care of the same practitioner or group partner as of the last hemodialysis session of the reporting month using a catheter continuously for less than three months | G1027 - | G1027 - Pt hemo < 3mo | '01/01/2022 | 12/31/2999 |
| G1028 | G1028 - Take-home supply of nasal naloxone; 2-pack of 8mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G1028 - | G1028 - Take home supply 8mg per 0.1 | '01/01/2022 | 12/31/2999 |
| G2000 | G2000 - Blinded administration of convulsive therapy procedure either electroconvulsive therapy (ect current covered gold standard) or magnetic seizure therapy (mst non-covered experimental therapy) performed in an approved ide-based clinical trial per treatment session | G2000 - | G2000 - Blinded conv. tx mdd clin tr | '08/01/2018 | 12/31/2999 |
| G2001 | G2001 - Brief (20 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2001 - | G2001 - Post D/C H Vst new pt 20 m | '01/01/2019 | 12/31/2999 |
| G2002 | G2002 - Limited (30 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2002 - | G2002 - Post-D/C H Vst new pt 30 m | '01/01/2019 | 12/31/2999 |
| G2003 | G2003 - Moderate (45 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2003 - | G2003 - Post-d/c h vst new pt 45 m | '01/01/2019 | 12/31/2999 |
| G2004 | G2004 - Comprehensive (60 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2004 - | G2004 - Post-d/c h vst new pt 60 m | '01/01/2019 | 12/31/2999 |
| G2005 | G2005 - Extensive (75 minutes) in-home visit for a new patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2005 - | G2005 - Post-d/c h vst new pt 75 m | '01/01/2019 | 12/31/2999 |
| G2006 | G2006 - Brief (20 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2006 - | G2006 - Post-d/c h vst ext pt 20 m | '01/01/2019 | 12/31/2999 |
| G2007 | G2007 - Limited (30 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2007 - | G2007 - Post-d/c h vst ext pt 30 m | '01/01/2019 | 12/31/2999 |
| G2008 | G2008 - Moderate (45 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2008 - | G2008 - Post-d/c h vst ext pt 45 m | '01/01/2019 | 12/31/2999 |
| G2009 | G2009 - Comprehensive (60 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2009 - | G2009 - Post-d/c h vst ext pt 60 m | '01/01/2019 | 12/31/2999 |
| G2010 | G2010 - Remote evaluation of recorded video and/or images submitted by an established patient (e.g. store and forward) including interpretation with follow-up with the patient within 24 business hours not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment | G2010 - | G2010 - Remot image submit by pt | '01/01/2019 | 12/31/2999 |
| G2011 | G2011 - Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g. audit dast) and brief intervention 5-14 minutes | G2011 - | G2011 - Alcohol/sub misuse assess | 01-10-2020 | 12/31/2999 |
| G2012 | G2012 - Brief communication technology-based service e.g. virtual check-in by a physician or other qualified health care professional who can report evaluation and management services provided to an established patient not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of medical discussion | G2012 - | G2012 - Brief check in by md/qhp | '01/01/2019 | 12/31/2999 |
| G2013 | G2013 - Extensive (75 minutes) in-home visit for an existing patient post-discharge. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times. | G2013 - | G2013 - Post-d/c h vst ext pt 75 m | '01/01/2019 | 12/31/2999 |
| G2014 | G2014 - Limited (30 minutes) care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility and no more than 9 times.) | G2014 - | G2014 - Post-d/c care plan overs 30m | '01/01/2019 | 12/31/2999 |
| G2015 | G2015 - Comprehensive (60 mins) home care plan oversight. For use only in a Medicare-approved CMMI model. (Services must be furnished within a beneficiary's home domiciliary rest home assisted living and/or nursing facility within 90 days following discharge from an inpatient facility.) | G2015 - | G2015 - Post-d/c care plan overs 60m | '01/01/2019 | 12/31/2999 |
| G2020 | G2020 - Services for high intensity clinical services associated with the initial engagement and outreach of beneficiaries assigned to the sip component of the pcf model (do not bill with chronic care management codes) | G2020 - | G2020 - Hi inten serv for sip model | '04/01/2021 | 12/31/2999 |
| G2021 | G2021 - Health care practitioners rendering treatment in place (tip) | G2021 - | G2021 - Hea care pract tx in place | '01/01/2020 | 12/31/2999 |
| G2022 | G2022 - A model participant (ambulance supplier/provider) the beneficiary refuses services covered under the model (transport to an alternate destination/treatment in place) | G2022 - | G2022 - Benef refuses service mod | '01/01/2020 | 12/31/2999 |
| G2023 | G2023 - Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) any specimen source | G2023 - | G2023 - Specimen collect covid-19 | '03/01/2020 | 12/31/2999 |
| G2024 | G2024 - Specimen collection for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) from an individual in a snf or by a laboratory on behalf of a hha any specimen source | G2024 - | G2024 - Spec coll snf/lab covid-19 | '03/01/2020 | 12/31/2999 |
| G2025 | G2025 - Payment for a telehealth distant site service furnished by a rural health clinic (rhc) or federally qualified health center (fqhc) only | G2025 - | G2025 - Dis site tele svcs rhc/fqhc | '01/27/2020 | 12/31/2999 |
| G2066 | G2066 - Interrogation device evaluation(s) (remote) up to 30 days; implantable cardiovascular physiologic monitor system implantable loop recorder system or subcutaneous cardiac rhythm monitor system remote data acquisition(s) receipt of transmissions and technician review technical support and distribution of results | G2066 - | G2066 - Inter devc remote 30d | '01/01/2020 | 12/31/2999 |
| G2067 | G2067 - Medication assisted treatment methadone; weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2067 - | G2067 - Med assist tx meth wk | '01/01/2020 | 12/31/2999 |
| G2068 | G2068 - Medication assisted treatment buprenorphine (oral); weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2068 - | G2068 - Med assist tx bupre oral | '01/01/2020 | 12/31/2999 |
| G2069 | G2069 - Medication assisted treatment buprenorphine (injectable); weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2069 - | G2069 - Med assist tx inject | '01/01/2020 | 12/31/2999 |
| G2070 | G2070 - Medication assisted treatment buprenorphine (implant insertion); weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2070 - | G2070 - Med assist tx implant | '01/01/2020 | 12/31/2999 |
| G2071 | G2071 - Medication assisted treatment buprenorphine (implant removal); weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2071 - | G2071 - Med tx remove implant | '01/01/2020 | 12/31/2999 |
| G2072 | G2072 - Medication assisted treatment buprenorphine (implant insertion and removal); weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2072 - | G2072 - Med tx insert/remove imp | '01/01/2020 | 12/31/2999 |
| G2073 | G2073 - Medication assisted treatment naltrexone; weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2073 - | G2073 - Med tx naltrexone | '01/01/2020 | 12/31/2999 |
| G2074 | G2074 - Medication assisted treatment weekly bundle not including the drug including substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2074 - | G2074 - Med assist tx no drug | '01/01/2020 | 12/31/2999 |
| G2075 | G2075 - Medication assisted treatment medication not otherwise specified; weekly bundle including dispensing and/or administration substance use counseling individual and group therapy and toxicology testing if performed (provision of the services by a medicare-enrolled opioid treatment program) | G2075 - | G2075 - Med tx meds nos | '01/01/2020 | 12/31/2999 |
| G2076 | G2076 - Intake activities including initial medical examination that is a complete fully documented physical evaluation and initial assessment by a program physician or a primary care physician or an authorized healthcare professional under the supervision of a program physician qualified personnel that includes preparation of a treatment plan that includes the patient's short-term goals and the tasks the patient must perform to complete the short-term goals; the patient's requirements for education vocational rehabilitation and employment; and the medical psycho- social economic legal or other supportive services that a patient needs conducted by qualified personnel (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2076 - | G2076 - Intake act w/med exam | '01/01/2020 | 12/31/2999 |
| G2077 | G2077 - Periodic assessment; assessing periodically by qualified personnel to determine the most appropriate combination of services and treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2077 - | G2077 - Periodic assessment | '01/01/2020 | 12/31/2999 |
| G2078 | G2078 - Take-home supply of methadone; up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2078 - | G2078 - Take-home meth | '01/01/2020 | 12/31/2999 |
| G2079 | G2079 - Take-home supply of buprenorphine (oral); up to 7 additional day supply (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2079 - | G2079 - Take-hom buprenorphine | '01/01/2020 | 12/31/2999 |
| G2080 | G2080 - Each additional 30 minutes of counseling in a week of medication assisted treatment (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2080 - | G2080 - Add 30 mins counsel | '01/01/2020 | 12/31/2999 |
| G2081 | G2081 - Patients age 66 and older in institutional special needs plans (snp) or residing in long-term care with a pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G2081 - | G2081 - Pt 66+ snp or ltc pos > 90d | '01/01/2022 | 12/31/2999 |
| G2082 | G2082 - Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of up to 56 mg of esketamine nasal self-administration includes 2 hours post-administration observation | G2082 - | G2082 - Visit esketamine 56m or less | '01/01/2020 | 12/31/2999 |
| G2083 | G2083 - Office or other outpatient visit for the evaluation and management of an established patient that requires the supervision of a physician or other qualified health care professional and provision of greater than 56 mg esketamine nasal self-administration includes 2 hours post-administration observation | G2083 - | G2083 - Visit esketamine > 56m | '01/01/2020 | 12/31/2999 |
| G2086 | G2086 - Office-based treatment for opioid use disorder including development of the treatment plan care coordination individual therapy and group therapy and counseling; at least 70 minutes in the first calendar month | G2086 - | G2086 - Off base opioid tx 70min | '01/01/2020 | 12/31/2999 |
| G2087 | G2087 - Office-based treatment for opioid use disorder including care coordination individual therapy and group therapy and counseling; at least 60 minutes in a subsequent calendar month | G2087 - | G2087 - Off base opioid tx 60 m | '01/01/2020 | 12/31/2999 |
| G2088 | G2088 - Office-based treatment for opioid use disorder including care coordination individual therapy and group therapy and counseling; each additional 30 minutes beyond the first 120 minutes (list separately in addition to code for primary procedure) | G2088 - | G2088 - Off base opioid tx add30 | '01/01/2020 | 12/31/2999 |
| G2090 | G2090 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2090 - | G2090 - Pt 66+ frailty and med dem | '01/01/2020 | 12/31/2999 |
| G2091 | G2091 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2091 - | G2091 - Pt 66+ frailty and adv ill | '01/01/2020 | 12/31/2999 |
| G2092 | G2092 - Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy prescribed or currently being taken | G2092 - | G2092 - Ace arb arni | '01/01/2020 | 12/31/2999 |
| G2093 | G2093 - Documentation of medical reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g. hypotensive patients who are at immediate risk of cardiogenic shock hospitalized patients who have experienced marked azotemia allergy intolerance other medical reasons) | G2093 - | G2093 - Med doc rsn no ace arn arni | '01/01/2020 | 12/31/2999 |
| G2094 | G2094 - Documentation of patient reason(s) for not prescribing ace inhibitor or arb or arni therapy (e.g. patient declined other patient reasons) | G2094 - | G2094 - Pt rsn no ace arn arni | '01/01/2020 | 12/31/2999 |
| G2096 | G2096 - Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) or angiotensin receptor-neprilysin inhibitor (arni) therapy was not prescribed reason not given | G2096 - | G2096 - No rsn ace arb arni | '01/01/2020 | 12/31/2999 |
| G2097 | G2097 - Episodes where the patient had a competing diagnosis on or within three days after the episode date (e.g. intestinal infection pertussis bacterial infection lyme disease otitis media acute sinusitis chronic sinusitis infection of the adenoids prostatitis cellulitis mastoiditis or bone infections acute lymphadenitis impetigo skin staph infections pneumonia/gonococcal infections venereal disease (syphilis chlamydia inflammatory diseases [female reproductive organs]) infections of the kidney cystitis or uti) | G2097 - | G2097 - Dx uri 3d after other dx | '01/01/2022 | 12/31/2999 |
| G2098 | G2098 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2098 - | G2098 - Pt 66+ frailty and med dem | '01/01/2020 | 12/31/2999 |
| G2099 | G2099 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2099 - | G2099 - Pt 66+ frailty and adv ill | '01/01/2020 | 12/31/2999 |
| G2100 | G2100 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2100 - | G2100 - Pt 66+ frailty and med dem | '01/01/2020 | 12/31/2999 |
| G2101 | G2101 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2101 - | G2101 - Pt 66+ frailty and adv ill | '01/01/2020 | 12/31/2999 |
| G2105 | G2105 - Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G2105 - | G2105 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G2106 | G2106 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2106 - | G2106 - Pt 66+ frailty and med dem | '01/01/2022 | 12/31/2999 |
| G2107 | G2107 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2107 - | G2107 - Pt 66+ frailty and adv ill | '01/01/2020 | 12/31/2999 |
| G2108 | G2108 - Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G2108 - | G2108 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G2109 | G2109 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2109 - | G2109 - Pt 66+ frailty and med dem | '01/01/2020 | 12/31/2999 |
| G2110 | G2110 - Patients 66 years of age and older with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2110 - | G2110 - Pt 66+ frailty and adv ill | '01/01/2020 | 12/31/2999 |
| G2112 | G2112 - Patient receiving <=5 mg daily prednisone (or equivalent) or ra activity is worsening or glucocorticoid use is for less than 6 months | G2112 - | G2112 - Pred<=5 mg ra glu <6m | '01/01/2020 | 12/31/2999 |
| G2113 | G2113 - Patient receiving >5 mg daily prednisone (or equivalent) for longer than 6 months and improvement or no change in disease activity | G2113 - | G2113 - Pred>5 mg >6m no chg da | '01/01/2020 | 12/31/2999 |
| G2115 | G2115 - Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2115 - | G2115 - Pt 66-80 frailty and med dem | '01/01/2021 | 12/31/2999 |
| G2116 | G2116 - Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2116 - | G2116 - Pt 66-80 frailty and adv ill | '01/01/2021 | 12/31/2999 |
| G2118 | G2118 - Patients 81 years of age and older with at least one claim/encounter for frailty during the measurement period | G2118 - | G2118 - Pt 81+ frailty | '01/01/2021 | 12/31/2999 |
| G2121 | G2121 - Depression anxiety apathy and psychosis assessed | G2121 - | G2121 - Psy dep anx ap and icd asse | '01/01/2022 | 12/31/2999 |
| G2122 | G2122 - Depression anxiety apathy and psychosis not assessed | G2122 - | G2122 - Psy/dep/anx/apandicd noasse | '01/01/2022 | 12/31/2999 |
| G2125 | G2125 - Patients 81 years of age and older with at least one claim/encounter for frailty during the six months prior to the measurement period through december 31 of the measurement period | G2125 - | G2125 - Pt 81+ frailty | '01/01/2021 | 12/31/2999 |
| G2126 | G2126 - Patients 66 - 80 years of age with at least one claim/encounter for frailty during the measurement period and either one acute inpatient encounter with a diagnosis of advanced illness or two outpatient observation ed or nonacute inpatient encounters on different dates of service with an advanced illness diagnosis during the measurement period or the year prior to the measurement period | G2126 - | G2126 - Pt 66-80 frailty and adv ill | '01/01/2021 | 12/31/2999 |
| G2127 | G2127 - Patients 66 ? 80 years of age with at least one claim/encounter for frailty during the measurement period and a dispensed medication for dementia during the measurement period or the year prior to the measurement period | G2127 - | G2127 - Pt 66-80 frailty and med dem | '01/01/2021 | 12/31/2999 |
| G2128 | G2128 - Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed intra-cranial bleed blood disorders idiopathic thrombocytopenic purpura (itp) gastric bypass or documentation of active anticoagulant use during the measurement period) | G2128 - | G2128 - No aspirin med rsn | '01/01/2020 | 12/31/2999 |
| G2129 | G2129 - Procedure-related bp's not taken during an outpatient visit. examples include same day surgery ambulatory service center g.i. lab dialysis infusion center chemotherapy | G2129 - | G2129 - No bp outpt | '01/01/2020 | 12/31/2999 |
| G2136 | G2136 - Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater | G2136 - | G2136 - Bk pain vas 6-20wk <= 3 | '01/01/2023 | 12/31/2999 |
| G2137 | G2137 - Back pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated less than an improvement of 5.0 points | G2137 - | G2137 - Bk pain vas 6-20wk > 3 | '01/01/2023 | 12/31/2999 |
| G2138 | G2138 - Back pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater | G2138 - | G2138 - Bk pain vas 9-15mo <= 3 | '01/01/2023 | 12/31/2999 |
| G2139 | G2139 - Back pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and back pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated less than an improvement of 5.0 points | G2139 - | G2139 - Bk pain vas 9-20mo > 3 | '01/01/2023 | 12/31/2999 |
| G2140 | G2140 - Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 5.0 points or greater | G2140 - | G2140 - Leg pain vas 6-20wk <= 3 | '01/01/2023 | 12/31/2999 |
| G2141 | G2141 - Leg pain measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated less than an improvement of 5.0 points | G2141 - | G2141 - Leg pain vas 6-20wk > 3 | '01/01/2023 | 12/31/2999 |
| G2142 | G2142 - Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 30 points or greater | G2142 - | G2142 - Fs odi 9-15mo postop<= 22 | '01/01/2022 | 12/31/2999 |
| G2143 | G2143 - Functional status measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of less than 30 points | G2143 - | G2143 - Fs odi 9-15mo > 22 | '01/01/2022 | 12/31/2999 |
| G2144 | G2144 - Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 ? 20 weeks) postoperatively was less than or equal to 22 or functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of 30 points or greater | G2144 - | G2144 - Fs odi 6-20wk postop <= 22 | '01/01/2022 | 12/31/2999 |
| G2145 | G2145 - Functional status measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively was greater than 22 and functional status measured by the odi version 2.1a within three months preoperatively and at three months (6 - 20 weeks) postoperatively demonstrated an improvement of less than 30 points | G2145 - | G2145 - Fsodi 6-20wk >22 or chg 30pt | '01/01/2022 | 12/31/2999 |
| G2146 | G2146 - Leg pain as measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was less than or equal to 3.0 or leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated an improvement of 5.0 points or greater | G2146 - | G2146 - Leg pain vas 9-15mo <= 3 | '01/01/2023 | 12/31/2999 |
| G2147 | G2147 - Leg pain measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively was greater than 3.0 and leg pain measured by the visual analog scale (vas) or numeric pain scale within three months preoperatively and at one year (9 to 15 months) postoperatively demonstrated less than an improvement of 5.0 points | G2147 - | G2147 - Leg pain vas 9-15mo > 3 | '01/01/2023 | 12/31/2999 |
| G2148 | G2148 - Multimodal pain management was used | G2148 - | G2148 - Mpm used | '01/01/2022 | 12/31/2999 |
| G2149 | G2149 - Documentation of medical reason(s) for not using multimodal pain management (e.g. allergy to multiple classes of analgesics intubated patient hepatic failure patient reports no pain during pacu stay other medical reason(s)) | G2149 - | G2149 - No mpm med rsn | '01/01/2020 | 12/31/2999 |
| G2150 | G2150 - Multimodal pain management was not used | G2150 - | G2150 - No mpm | '01/01/2022 | 12/31/2999 |
| G2151 | G2151 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | G2151 - | G2151 - Dx degen neuro | '01/01/2021 | 12/31/2999 |
| G2152 | G2152 - Residual score for the neck impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G2152 - | G2152 - Res change sc >=0 | '01/01/2023 | 12/31/2999 |
| G2167 | G2167 - Residual score for the neck impairment successfully calculated and the score was less than zero (< 0) | G2167 - | G2167 - Res change sc < 0 | '01/01/2023 | 12/31/2999 |
| G2168 | G2168 - Services performed by a physical therapist assistant in the home health setting in the delivery of a safe and effective physical therapy maintenance program each 15 minutes | G2168 - | G2168 - Svs by pt in home health | '01/01/2020 | 12/31/2999 |
| G2169 | G2169 - Services performed by an occupational therapist assistant in the home health setting in the delivery of a safe and effective occupational therapy maintenance program each 15 minutes | G2169 - | G2169 - Svs by ot in home health | '01/01/2020 | 12/31/2999 |
| G2172 | G2172 - All inclusive payment for services related to highly coordinated and integrated opioid use disorder (oud) treatment services furnished for the demonstration project | G2172 - | G2172 - Tx for opioid use demo proj | '04/01/2021 | 12/31/2999 |
| G2173 | G2173 - Uri episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g. tuberculosis neutropenia cystic fibrosis chronic bronchitis pulmonary edema respiratory failure rheumatoid lung disease) | G2173 - | G2173 - Uri w comorb 12m oth dx | '01/01/2022 | 12/31/2999 |
| G2174 | G2174 - Uri episodes when the patient had an active prescription of antibiotics in the 30 days prior to the episode date or is still active the same day of the encounter | G2174 - | G2174 - Uri new rx antibiotic 30d | '01/01/2023 | 12/31/2999 |
| G2175 | G2175 - Episodes where the patient had a comorbid condition during the 12 months prior to or on the episode date (e.g. tuberculosis neutropenia cystic fibrosis chronic bronchitis pulmonary edema respiratory failure rheumatoid lung disease) | G2175 - | G2175 - Pt comorb dx 12m of epi | '01/01/2022 | 12/31/2999 |
| G2176 | G2176 - Outpatient ed or observation visits that result in an inpatient admission | G2176 - | G2176 - Outpt ed obs w inpt admit | '01/01/2021 | 12/31/2999 |
| G2177 | G2177 - Acute bronchitis/bronchiolitis episodes when the patient had a new or refill prescription of antibiotics (table 1) in the 30 days prior to the episode date | G2177 - | G2177 - Bronch w rx antibx 30d | '01/01/2022 | 12/31/2999 |
| G2178 | G2178 - Clinician documented that patient was not an eligible candidate for lower extremity neurological exam measure for example patient bilateral amputee; patient has condition that would not allow them to accurately respond to a neurological exam (dementia alzheimer's etc.); patient has previously documented diabetic peripheral neuropathy with loss of protective sensation | G2178 - | G2178 - Pt not elig low neuro ex | '01/01/2021 | 12/31/2999 |
| G2179 | G2179 - Clinician documented that patient had medical reason for not performing lower extremity neurological exam | G2179 - | G2179 - Med doc rsn no low ex | '01/01/2021 | 12/31/2999 |
| G2180 | G2180 - Clinician documented that patient was not an eligible candidate for evaluation of footwear as patient is bilateral lower extremity amputee | G2180 - | G2180 - Inelig footwr eval | '01/01/2021 | 12/31/2999 |
| G2181 | G2181 - Bmi not documented due to medical reason or patient refusal of height or weight measurement | G2181 - | G2181 - Bmi not doc medrsn ptref | '01/01/2021 | 12/31/2999 |
| G2182 | G2182 - Patient receiving first-time biologic and/or immune response modifier therapy | G2182 - | G2182 - Pt 1st biolog antirheum | '01/01/2023 | 12/31/2999 |
| G2183 | G2183 - Documentation patient unable to communicate and informant not available | G2183 - | G2183 - Doc pt unable comm | '01/01/2021 | 12/31/2999 |
| G2184 | G2184 - Patient does not have a caregiver | G2184 - | G2184 - No caregiver | '01/01/2021 | 12/31/2999 |
| G2185 | G2185 - Documentation caregiver is trained and certified in dementia care | G2185 - | G2185 - Caregiver dem trained | '01/01/2021 | 12/31/2999 |
| G2186 | G2186 - Patient /caregiver dyad has been referred to appropriate resources and connection to those resources is confirmed | G2186 - | G2186 - Pt ref app rsrcs | '01/01/2021 | 12/31/2999 |
| G2187 | G2187 - Patients with clinical indications for imaging of the head: head trauma | G2187 - | G2187 - Clin ind img hd trauma | '01/01/2021 | 12/31/2999 |
| G2188 | G2188 - Patients with clinical indications for imaging of the head: new or change in headache above 50 years of age | G2188 - | G2188 - Pt 50 yrs w/clin ind hd | '01/01/2021 | 12/31/2999 |
| G2189 | G2189 - Patients with clinical indications for imaging of the head: abnormal neurologic exam | G2189 - | G2189 - Img hd abnml neuro exam | '01/01/2021 | 12/31/2999 |
| G2190 | G2190 - Patients with clinical indications for imaging of the head: headache radiating to the neck | G2190 - | G2190 - Ind img hd rad neck | '01/01/2021 | 12/31/2999 |
| G2191 | G2191 - Patients with clinical indications for imaging of the head: positional headaches | G2191 - | G2191 - Ind img hd pos hd ache | '01/01/2021 | 12/31/2999 |
| G2192 | G2192 - Patients with clinical indications for imaging of the head: temporal headaches in patients over 55 years of age | G2192 - | G2192 - >55 yrs temp hd ache | '01/01/2021 | 12/31/2999 |
| G2193 | G2193 - Patients with clinical indications for imaging of the head: new onset headache in pre-school children or younger (<6 years of age) | G2193 - | G2193 - <6yr new onset hd ache | '01/01/2021 | 12/31/2999 |
| G2194 | G2194 - Patients with clinical indications for imaging of the head: new onset headache in pediatric patients with disabilities for which headache is a concern as inferred from behavior | G2194 - | G2194 - New hdache ped pt dis | '01/01/2021 | 12/31/2999 |
| G2195 | G2195 - Patients with clinical indications for imaging of the head: occipital headache in children | G2195 - | G2195 - Occip hdache child | '01/01/2021 | 12/31/2999 |
| G2196 | G2196 - Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | G2196 - | G2196 - Screen unhlthy etoh use | '01/01/2021 | 12/31/2999 |
| G2197 | G2197 - Patient screened for unhealthy alcohol use using a systematic screening method and not identified as an unhealthy alcohol user | G2197 - | G2197 - Screen hlthy etoh use | '01/01/2021 | 12/31/2999 |
| G2199 | G2199 - Patient not screened for unhealthy alcohol use using a systematic screening method | G2199 - | G2199 - Not scrn etoh no rsn | '01/01/2023 | 12/31/2999 |
| G2200 | G2200 - Patient identified as an unhealthy alcohol user received brief counseling | G2200 - | G2200 - Unhlthy etoh rcvd couns | '01/01/2021 | 12/31/2999 |
| G2202 | G2202 - Patient did not receive brief counseling if identified as an unhealthy alcohol user | G2202 - | G2202 - No rsn no brief couns | '01/01/2023 | 12/31/2999 |
| G2204 | G2204 - Patients between 45 and 85 years of age who received a screening colonoscopy during the performance period | G2204 - | G2204 - Pt 45-85 w/ scope | '01/01/2023 | 12/31/2999 |
| G2205 | G2205 - Patients with pregnancy during adjuvant treatment course | G2205 - | G2205 - Preg drng adjv trtmt | '01/01/2021 | 12/31/2999 |
| G2206 | G2206 - Patient received adjuvant treatment course including both chemotherapy and her2-targeted therapy | G2206 - | G2206 - Adjv trtmt chemo her2 | '01/01/2021 | 12/31/2999 |
| G2207 | G2207 - Reason for not administering adjuvant treatment course including both chemotherapy and her2-targeted therapy (e.g. poor performance status (ecog 3-4; karnofsky <=50) cardiac contraindications insufficient renal function insufficient hepatic function other active or secondary cancer diagnoses other medical contraindications patients who died during initial treatment course or transferred during or after initial treatment course) | G2207 - | G2207 - Rsn no trtmt chem her2 | '01/01/2023 | 12/31/2999 |
| G2208 | G2208 - Patient did not receive adjuvant treatment course including both chemotherapy and her2-targeted therapy | G2208 - | G2208 - No trtmt chemo and her2 | '01/01/2021 | 12/31/2999 |
| G2209 | G2209 - Patient refused to participate | G2209 - | G2209 - Refused to participate | '01/01/2021 | 12/31/2999 |
| G2210 | G2210 - Residual score for the neck impairment not measured because the patient did not complete the neck fs prom at initial evaluation and/or near discharge reason not given | G2210 - | G2210 - No neck fs prom no rsn | '01/01/2023 | 12/31/2999 |
| G2211 | G2211 - Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's single serious condition or a complex condition. (add-on code list separately in addition to office/outpatient evaluation and management visit new or established) | G2211 - | G2211 - Complex e/m visit add on | '01/01/2021 | 12/31/2999 |
| G2212 | G2212 - Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or qualified healthcare professional with or without direct patient contact (list separately in addition to cpt codes 99205 99215 99483 for office or other outpatient evaluation and management services) (do not report g2212 on the same date of service as 99358 99359 99415 99416). (do not report g2212 for any time unit less than 15 minutes) | G2212 - | G2212 - Prolong outpt/office vis | '01/01/2023 | 12/31/2999 |
| G2213 | G2213 - Initiation of medication for the treatment of opioid use disorder in the emergency department setting including assessment referral to ongoing care and arranging access to supportive services (list separately in addition to code for primary procedure) | G2213 - | G2213 - Initiat med assist tx in er | '01/01/2021 | 12/31/2999 |
| G2214 | G2214 - Initial or subsequent psychiatric collaborative care management first 30 minutes in a month of behavioral health care manager activities in consultation with a psychiatric consultant and directed by the treating physician or other qualified health care professional | G2214 - | G2214 - Init/sub psych care m 1st 30 | '01/01/2021 | 12/31/2999 |
| G2215 | G2215 - Take-home supply of nasal naloxone; 2-pack of 4mg per 0.1 ml nasal spray (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2215 - | G2215 - Home supply nasal naloxone | '01/01/2022 | 12/31/2999 |
| G2216 | G2216 - Take-home supply of injectable naloxone (provision of the services by a medicare-enrolled opioid treatment program); list separately in addition to code for primary procedure | G2216 - | G2216 - Home supply inject naloxon | '01/01/2021 | 12/31/2999 |
| G2250 | G2250 - Remote assessment of recorded video and/or images submitted by an established patient (e.g. store and forward) including interpretation with follow-up with the patient within 24 business hours not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment | G2250 - | G2250 - Remot img sub by pt non e/m | '01/01/2021 | 12/31/2999 |
| G2251 | G2251 - Brief communication technology-based service e.g. virtual check-in by a qualified health care professional who cannot report evaluation and management services provided to an established patient not originating from a related service provided within the previous 7 days nor leading to a service or procedure within the next 24 hours or soonest available appointment; 5-10 minutes of clinical discussion | G2251 - | G2251 - Brief chkin 5-10 non-e/m | '01/01/2021 | 12/31/2999 |
| G2252 | G2252 - Brief communication technology-based service e.g. virtual check-in by a physician or other qualified health care professional who can report evaluation and management services provided to an established patient not originating from a related e/m service provided within the previous 7 days nor leading to an e/m service or procedure within the next 24 hours or soonest available appointment; 11-20 minutes of medical discussion | G2252 - | G2252 - Brief chkin by md/qhp 11-20 | '01/01/2021 | 12/31/2999 |
| G3002 | G3002 - Chronic pain management and treatment monthly bundle including diagnosis; assessment and monitoring; administration of a validated pain rating scale or tool; the development implementation revision and/or maintenance of a person-centered care plan that includes strengths goals clinical needs and desired outcomes; overall treatment management; facilitation and coordination of any necessary behavioral health treatment; medication management; pain and health literacy counseling; any necessary chronic pain related crisis care; and ongoing communication and care coordination between relevant practitioners furnishing care e.g. physical therapy and occupational therapy complementary and integrative approaches and community-based care as appropriate. required initial face-to-face visit at least 30 minutes provided by a physician or other qualified health professional; first 30 minutes personally provided by physician or other qualified health care professional per calendar month. (when using g3002 30 minutes must be met or exceeded.) | G3002 - | G3002 - Chronic pain mgmt 30 mins | '01/01/2023 | 12/31/2999 |
| G3003 | G3003 - Each additional 15 minutes of chronic pain management and treatment by a physician or other qualified health care professional per calendar month. (list separately in addition to code for g3002. when using g3003 15 minutes must be met or exceeded.) | G3003 - | G3003 - Chronic pain mgmt addl 15m | '01/01/2023 | 12/31/2999 |
| G4000 | G4000 - Dermatology mips specialty set | G4000 - | G4000 - Dermatology ss | '01/01/2022 | 12/31/2999 |
| G4001 | G4001 - Diagnostic radiology mips specialty set | G4001 - | G4001 - Diagnostic rad ss | '01/01/2022 | 12/31/2999 |
| G4002 | G4002 - Electrophysiology cardiac specialist mips specialty set | G4002 - | G4002 - Ep cardio ss | '01/01/2022 | 12/31/2999 |
| G4003 | G4003 - Emergency medicine mips specialty set | G4003 - | G4003 - Emergency med ss | '01/01/2022 | 12/31/2999 |
| G4004 | G4004 - Endocrinology mips specialty set | G4004 - | G4004 - Endocrinology ss | '01/01/2022 | 12/31/2999 |
| G4005 | G4005 - Family medicine mips specialty set | G4005 - | G4005 - Family medicine ss | '01/01/2022 | 12/31/2999 |
| G4006 | G4006 - Gastro-enterology mips specialty set | G4006 - | G4006 - Gastroenterology ss | '01/01/2022 | 12/31/2999 |
| G4007 | G4007 - General surgery mips specialty set | G4007 - | G4007 - General surgery ss | '01/01/2022 | 12/31/2999 |
| G4008 | G4008 - Geriatrics mips specialty set | G4008 - | G4008 - Geriatrics ss | '01/01/2022 | 12/31/2999 |
| G4009 | G4009 - Hospitalists mips specialty set | G4009 - | G4009 - Hospitalists ss | '01/01/2022 | 12/31/2999 |
| G4010 | G4010 - Infectious disease mips specialty set | G4010 - | G4010 - Infectious disease ss | '01/01/2022 | 12/31/2999 |
| G4011 | G4011 - Internal medicine mips specialty set | G4011 - | G4011 - Internal medicine ss | '01/01/2022 | 12/31/2999 |
| G4012 | G4012 - Interventional radiology mips specialty set | G4012 - | G4012 - Interventional rad ss | '01/01/2022 | 12/31/2999 |
| G4013 | G4013 - Mental/behavioral and psychiatry mips specialty set | G4013 - | G4013 - Mntal/behav/psych hlth ss | '01/01/2023 | 12/31/2999 |
| G4014 | G4014 - Nephrology mips specialty set | G4014 - | G4014 - Nephrology ss | '01/01/2022 | 12/31/2999 |
| G4015 | G4015 - Neurology mips specialty set | G4015 - | G4015 - Neurology ss | '01/01/2022 | 12/31/2999 |
| G4016 | G4016 - Neurosurgical mips specialty set | G4016 - | G4016 - Neurosurgical ss | '01/01/2022 | 12/31/2999 |
| G4017 | G4017 - Nutrition/dietician mips specialty set | G4017 - | G4017 - Nutrition/dietician ss | '01/01/2022 | 12/31/2999 |
| G4018 | G4018 - Obstetrics/gynecology mips specialty set | G4018 - | G4018 - Ob/gyn ss | '01/01/2022 | 12/31/2999 |
| G4019 | G4019 - Oncology/hematology mips specialty set | G4019 - | G4019 - Oncology/hema ss | '01/01/2022 | 12/31/2999 |
| G4020 | G4020 - Ophthalmology/optometry mips specialty set | G4020 - | G4020 - Ophthalmology/optometry ss | '01/01/2023 | 12/31/2999 |
| G4021 | G4021 - Orthopedic surgery mips specialty set | G4021 - | G4021 - Orthopedic surgery ss | '01/01/2022 | 12/31/2999 |
| G4022 | G4022 - Otolaryngology mips specialty set | G4022 - | G4022 - Otolaryngology ss | '01/01/2022 | 12/31/2999 |
| G4023 | G4023 - Pathology mips specialty set | G4023 - | G4023 - Pathology ss | '01/01/2022 | 12/31/2999 |
| G4024 | G4024 - Pediatrics mips specialty set | G4024 - | G4024 - Pediatric ss | '01/01/2022 | 12/31/2999 |
| G4025 | G4025 - Physical medicine mips specialty set | G4025 - | G4025 - Physical medicine ss | '01/01/2022 | 12/31/2999 |
| G4026 | G4026 - Physical therapy/occupational therapy mips specialty set | G4026 - | G4026 - Phys/occ therapy ss | '01/01/2022 | 12/31/2999 |
| G4027 | G4027 - Plastic surgery mips specialty set | G4027 - | G4027 - Plastic surgery ss | '01/01/2022 | 12/31/2999 |
| G4028 | G4028 - Podiatry mips specialty set | G4028 - | G4028 - Podiatry ss | '01/01/2022 | 12/31/2999 |
| G4029 | G4029 - Preventive medicine mips specialty set | G4029 - | G4029 - Preventive medicine ss | '01/01/2022 | 12/31/2999 |
| G4030 | G4030 - Pulmonology mips specialty set | G4030 - | G4030 - Pulmonology ss | '01/01/2022 | 12/31/2999 |
| G4031 | G4031 - Radiation oncology mips specialty set | G4031 - | G4031 - Radiation oncology ss | '01/01/2022 | 12/31/2999 |
| G4032 | G4032 - Rheumatology mips specialty set | G4032 - | G4032 - Rheumatology ss | '01/01/2022 | 12/31/2999 |
| G4033 | G4033 - Skilled nursing facility mips specialty set | G4033 - | G4033 - Skilled nursing facility ss | '01/01/2022 | 12/31/2999 |
| G4034 | G4034 - Speech language pathology mips specialty set | G4034 - | G4034 - Speech language path ss | '01/01/2022 | 12/31/2999 |
| G4035 | G4035 - Thoracic surgery mips specialty set | G4035 - | G4035 - Thoracic surgery ss | '01/01/2022 | 12/31/2999 |
| G4036 | G4036 - Urgent care mips specialty set | G4036 - | G4036 - Urgent care ss | '01/01/2022 | 12/31/2999 |
| G4037 | G4037 - Urology mips specialty set | G4037 - | G4037 - Urology ss | '01/01/2022 | 12/31/2999 |
| G4038 | G4038 - Vascular surgery mips specialty set | G4038 - | G4038 - Vascular surgery ss | '01/01/2022 | 12/31/2999 |
| G6001 | G6001 - Ultrasonic guidance for placement of radiation therapy fields | G6001 - | G6001 - Echo guidance radiotherapy | '01/01/2015 | 12/31/2999 |
| G6002 | G6002 - Stereoscopic x-ray guidance for localization of target volume for the delivery of radiation therapy | G6002 - | G6002 - Stereoscopic x-ray guidance | '01/01/2015 | 12/31/2999 |
| G6003 | G6003 - Radiation treatment delivery single treatment area single port or parallel opposed ports simple blocks or no blocks: up to 5mev | G6003 - | G6003 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6004 | G6004 - Radiation treatment delivery single treatment area single port or parallel opposed ports simple blocks or no blocks: 6-10mev | G6004 - | G6004 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6005 | G6005 - Radiation treatment delivery single treatment area single port or parallel opposed ports simple blocks or no blocks: 11-19mev | G6005 - | G6005 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6006 | G6006 - Radiation treatment delivery single treatment area single port or parallel opposed ports simple blocks or no blocks: 20mev or greater | G6006 - | G6006 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6007 | G6007 - Radiation treatment delivery 2 separate treatment areas 3 or more ports on a single treatment area use of multiple blocks: up to 5mev | G6007 - | G6007 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6008 | G6008 - Radiation treatment delivery 2 separate treatment areas 3 or more ports on a single treatment area use of multiple blocks: 6-10mev | G6008 - | G6008 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6009 | G6009 - Radiation treatment delivery 2 separate treatment areas 3 or more ports on a single treatment area use of multiple blocks: 11-19mev | G6009 - | G6009 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6010 | G6010 - Radiation treatment delivery 2 separate treatment areas 3 or more ports on a single treatment area use of multiple blocks: 20 mev or greater | G6010 - | G6010 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6011 | G6011 - Radiation treatment delivery 3 or more separate treatment areas custom blocking tangential ports wedges rotational beam compensators electron beam; up to 5mev | G6011 - | G6011 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6012 | G6012 - Radiation treatment delivery 3 or more separate treatment areas custom blocking tangential ports wedges rotational beam compensators electron beam; 6-10mev | G6012 - | G6012 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6013 | G6013 - Radiation treatment delivery 3 or more separate treatment areas custom blocking tangential ports wedges rotational beam compensators electron beam; 11-19mev | G6013 - | G6013 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6014 | G6014 - Radiation treatment delivery 3 or more separate treatment areas custom blocking tangential ports wedges rotational beam compensators electron beam; 20mev or greater | G6014 - | G6014 - Radiation treatment delivery | '01/01/2015 | 12/31/2999 |
| G6015 | G6015 - Intensity modulated treatment delivery single or multiple fields/arcs via narrow spatially and temporally modulated beams binary dynamic mlc per treatment session | G6015 - | G6015 - Radiation tx delivery imrt | '01/01/2015 | 12/31/2999 |
| G6016 | G6016 - Compensator-based beam modulation treatment delivery of inverse planned treatment using 3 or more high resolution (milled or cast) compensator convergent beam modulated fields per treatment session | G6016 - | G6016 - Delivery comp imrt | '01/01/2015 | 12/31/2999 |
| G6017 | G6017 - Intra-fraction localization and tracking of target or patient motion during delivery of radiation therapy (eg 3d positional tracking gating 3d surface tracking) each fraction of treatment | G6017 - | G6017 - Intrafraction track motion | '01/01/2015 | 12/31/2999 |
| G8395 | G8395 - LEFT VENTRICULAR EJECTION FRACTION (LVEF) >= 40% OR DOCUMENTATION AS NORMAL OR | G8395 - | G8395 - LVEF>=40% doc normal or mild | '01/01/2008 | 12/31/2999 |
| G8396 | G8396 - LEFT VENTRICULAR EJECTION FRACTION (LVEF) NOT PERFORMED OR DOCUMENTED | G8396 - | G8396 - LVEF not performed | '01/01/2008 | 12/31/2999 |
| G8397 | G8397 - DILATED MACULAR OR FUNDUS EXAM PERFORMED INCLUDING DOCUMENTATION OF THE | G8397 - | G8397 - Dil macula/fundus exam/w doc | '01/01/2008 | 12/31/2999 |
| G8399 | G8399 - Patient with documented results of a central dual-energy x-ray absorptiometry (dxa) ever being performed | G8399 - | G8399 - Pt w/dxa results document | '01/01/2016 | 12/31/2999 |
| G8400 | G8400 - Patient with central dual-energy x-ray absorptiometry (dxa) results not documented reason not given | G8400 - | G8400 - Pt w/dxa no results doc | '01/01/2016 | 12/31/2999 |
| G8404 | G8404 - LOWER EXTREMITY NEUROLOGICAL EXAM PERFORMED AND DOCUMENTED | G8404 - | G8404 - Low extemity neur exam docum | '01/01/2008 | 12/31/2999 |
| G8405 | G8405 - LOWER EXTREMITY NEUROLOGICAL EXAM NOT PERFORMED | G8405 - | G8405 - Low extemity neur not perfor | '01/01/2008 | 12/31/2999 |
| G8410 | G8410 - FOOTWEAR EVALUATION PERFORMED AND DOCUMENTED | G8410 - | G8410 - Eval on foot documented | '01/01/2008 | 12/31/2999 |
| G8415 | G8415 - FOOTWEAR EVALUATION WAS NOT PERFORMED | G8415 - | G8415 - Eval on foot not performed | '01/01/2008 | 12/31/2999 |
| G8416 | G8416 - CLINICIAN DOCUMENTED THAT PATIENT WAS NOT AN ELIGIBLE CANDIDATE FOR FOOTWEAR | G8416 - | G8416 - Pt inelig footwear evaluatio | '01/01/2008 | 12/31/2999 |
| G8417 | G8417 - Bmi is documented above normal parameters and a follow-up plan is documented | G8417 - | G8417 - Calc bmi abv up param f/u | '01/01/2014 | 12/31/2999 |
| G8418 | G8418 - Bmi is documented below normal parameters and a follow-up plan is documented | G8418 - | G8418 - Calc bmi blw low param f/u | '01/01/2014 | 12/31/2999 |
| G8419 | G8419 - Bmi documented outside normal parameters no follow-up plan documented no reason given | G8419 - | G8419 - Calc bmi out nrm param nof/u | '01/01/2014 | 12/31/2999 |
| G8420 | G8420 - Bmi is documented within normal parameters and no follow-up plan is required | G8420 - | G8420 - Calc bmi norm parameters | '01/01/2014 | 12/31/2999 |
| G8421 | G8421 - Bmi not documented and no reason is given | G8421 - | G8421 - Bmi not calculated | '01/01/2014 | 12/31/2999 |
| G8427 | G8427 - Eligible clinician attests to documenting in the medical record they obtained updated or reviewed the patient's current medications | G8427 - | G8427 - Docrev cur meds by elig clin | '01/01/2017 | 12/31/2999 |
| G8428 | G8428 - Current list of medications not documented as obtained updated or reviewed by the eligible clinician reason not given | G8428 - | G8428 - Cur meds not document | '01/01/2017 | 12/31/2999 |
| G8430 | G8430 - Documentation of a medical reason(s) for not documenting updating or reviewing the patient's current medications list (e.g. patient is in an urgent or emergent medical situation) | G8430 - | G8430 - Doc med rsn no medrec | '01/01/2021 | 12/31/2999 |
| G8431 | G8431 - Screening for depression is documented as being positive and a follow-up plan is documented | G8431 - | G8431 - Pos clin depres scrn f/u doc | '01/01/2017 | 12/31/2999 |
| G8432 | G8432 - Depression screening not documented reason not given | G8432 - | G8432 - Dep scr not doc rng | '01/01/2017 | 12/31/2999 |
| G8433 | G8433 - Screening for depression not completed documented patient or medical reason | G8433 - | G8433 - Scr for dep not cpt doc rsn | '01/01/2022 | 12/31/2999 |
| G8450 | G8450 - Beta-blocker therapy prescribed | G8450 - | G8450 - Beta-bloc rx pt w/abn lvef | '01/01/2013 | 12/31/2999 |
| G8451 | G8451 - Beta-blocker therapy for lvef <=40% not prescribed for reasons documented by the clinician (e.g. low blood pressure fluid overload asthma patients recently treated with an intravenous positive inotropic agent allergy intolerance other medical reasons patient declined other patient reasons) | G8451 - | G8451 - Pt w/abn lvef inelig b-bloc | '01/01/2023 | 12/31/2999 |
| G8452 | G8452 - Beta-blocker therapy not prescribed | G8452 - | G8452 - Pt w/abn lvef b-bloc no rx | '01/01/2013 | 12/31/2999 |
| G8465 | G8465 - High or very high risk of recurrence of prostate cancer | G8465 - | G8465 - High risk recurrence pro ca | '01/01/2016 | 12/31/2999 |
| G8473 | G8473 - ANGIOTENSIN CONVERTING ENZYME (ACE) INHIBITOR OR ANGIOTENSIN RECEPTOR BLOCKER | G8473 - | G8473 - ACE/ARB thxpy rx?d | '01/01/2008 | 12/31/2999 |
| G8474 | G8474 - Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed for reasons documented by the clinician (eg allergy intolerance pregnancy renal failure due to ace inhibitor diseases of the aortic or mitral valve other medical reasons) or (eg patient declined other patient reasons) or (eg lack of drug availability other reasons attributable to the health care system) | G8474 - | G8474 - Ace/arb not rx'd; doc reas | '01/01/2015 | 12/31/2999 |
| G8475 | G8475 - Angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy not prescribed reason not given | G8475 - | G8475 - ACE/ARB thxpy not rx?d | '01/01/2013 | 12/31/2999 |
| G8476 | G8476 - Most recent blood pressure has a systolic measurement of < 140 mmhg and a diastolic measurement of < 90 mmhg | G8476 - | G8476 - Bp sys <140 and dias <90 | '01/01/2015 | 12/31/2999 |
| G8477 | G8477 - Most recent blood pressure has a systolic measurement of >=140 mmhg and/or a diastolic measurement of >=90 mmhg | G8477 - | G8477 - Bp sys>=140 and/or dias >=90 | '01/01/2015 | 12/31/2999 |
| G8478 | G8478 - Blood pressure measurement not performed or documented reason not given | G8478 - | G8478 - BP not performed/doc | '01/01/2013 | 12/31/2999 |
| G8482 | G8482 - INFLUENZA IMMUNIZATION ADMINISTERED OR PREVIOUSLY RECEIVED | G8482 - | G8482 - Flu immunize order/admin | '01/01/2012 | 12/31/2999 |
| G8483 | G8483 - Influenza immunization was not administered for reasons documented by clinician (e.g. patient allergy or other medical reasons patient declined or other patient reasons vaccine not available or other system reasons) | G8483 - | G8483 - Flu imm no admin doc rea | '01/01/2015 | 12/31/2999 |
| G8484 | G8484 - Influenza immunization was not administered reason not given | G8484 - | G8484 - Flu immunize no admin | '01/01/2015 | 12/31/2999 |
| G8506 | G8506 - PATIENT RECEIVING ANGIOTENSIN CONVERTING ENZYME (ACE) INHIBITOR OR ANGIOTENSIN RECEPTOR BLOCKER (ARB) THERAPY | G8506 - | G8506 - Pt rec ACE/ARB | '01/01/2009 | 12/31/2999 |
| G8510 | G8510 - Screening for depression is documented as negative a follow-up plan is not required | G8510 - | G8510 - Scr dep neg no plan reqd | '01/01/2017 | 12/31/2999 |
| G8511 | G8511 - Screening for depression documented as positive follow-up plan not documented reason not given | G8511 - | G8511 - Scr dep pos no plan doc rng | '01/01/2017 | 12/31/2999 |
| G8535 | G8535 - Elder maltreatment screen not documented; documentation that patient is not eligible for the elder maltreatment screen at the time of the encounter | G8535 - | G8535 - Eld maltreatment not doc | '01/01/2018 | 12/31/2999 |
| G8536 | G8536 - No documentation of an elder maltreatment screen reason not given | G8536 - | G8536 - No doc elder mal scrn | '01/01/2013 | 12/31/2999 |
| G8539 | G8539 - Functional outcome assessment documented as positive using a standardized tool and a care plan based on identified deficiencies is documented within two days of the functional outcome assessment | G8539 - | G8539 - Doc funct and care plan | '01/01/2023 | 12/31/2999 |
| G8540 | G8540 - Functional outcome assessment not documented as being performed documentation the patient is not eligible for a functional outcome assessment using a standardized tool at the time of the encounter | G8540 - | G8540 - Foa not doc as being perf | '01/01/2018 | 12/31/2999 |
| G8541 | G8541 - Functional outcome assessment using a standardized tool not documented reason not given | G8541 - | G8541 - No doc cur funct assess | '01/01/2013 | 12/31/2999 |
| G8542 | G8542 - Functional outcome assessment using a standardized tool is documented; no functional deficiencies identified care plan not required | G8542 - | G8542 - Doc funct no deficiencies | '01/01/2014 | 12/31/2999 |
| G8543 | G8543 - Documentation of a positive functional outcome assessment using a standardized tool; care plan not documented within two days of assessment reason not given | G8543 - | G8543 - Cur funct asses; no care pln | '01/01/2023 | 12/31/2999 |
| G8559 | G8559 - PATIENT REFERRED TO A PHYSICIAN (PREFERABLY A PHYSICIAN WITH TRAINING IN DISORDERS OF THE EAR) FOR AN OTOLOGIC EVALUATION | G8559 - | G8559 - Pt ref doc oto eval | '01/01/2010 | 12/31/2999 |
| G8560 | G8560 - PATIENT HAS A HISTORY OF ACTIVE DRAINAGE FROM THE EAR WITHIN THE PREVIOUS 90 DAYS | G8560 - | G8560 - Pt hx act drain prev 90 days | '01/01/2010 | 12/31/2999 |
| G8561 | G8561 - PATIENT IS NOT ELIGIBLE FOR THE REFERRAL FOR OTOLOGIC EVALUATION FOR PATIENTS WITH A HISTORY OF ACTIVE DRAINAGE MEASURE | G8561 - | G8561 - Pt inelig for ref oto eval | '01/01/2010 | 12/31/2999 |
| G8562 | G8562 - PATIENT DOES NOT HAVE A HISTORY OF ACTIVE DRAINAGE FROM THE EAR WITHIN THE PREVIOUS 90 DAYS | G8562 - | G8562 - Pt no hx act drain 90 d | '01/01/2010 | 12/31/2999 |
| G8563 | G8563 - Patient not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation reason not given | G8563 - | G8563 - Pt no ref oto reas no spec | '01/01/2013 | 12/31/2999 |
| G8564 | G8564 - PATIENT WAS REFERRED TO A PHYSICIAN (PREFERABLY A PHYSICIAN WITH TRAINING IN DISORDERS OF THE EAR) FOR AN OTOLOGIC EVALUATION REASON NOT SPECIFIED) | G8564 - | G8564 - Pt ref oto eval | '01/01/2010 | 12/31/2999 |
| G8565 | G8565 - VERIFICATION AND DOCUMENTATION OF SUDDEN OR RAPIDLY PROGRESSIVE HEARING LOSS | G8565 - | G8565 - Ver doc hear loss | '01/01/2010 | 12/31/2999 |
| G8566 | G8566 - PATIENT IS NOT ELIGIBLE FOR THE REFERRAL FOR OTOLOGIC EVALUATION FOR SUDDEN OR RAPIDLY PROGRESSIVE HEARING LOSS MEASURE | G8566 - | G8566 - Pt inelig ref oto eval | '01/01/2010 | 12/31/2999 |
| G8567 | G8567 - PATIENT DOES NOT HAVE VERIFICATION AND DOCUMENTATION OF SUDDEN OR RAPIDLY PROGRESSIVE HEARING LOSS | G8567 - | G8567 - Pt no doc hear loss | '01/01/2010 | 12/31/2999 |
| G8568 | G8568 - Patient was not referred to a physician (preferably a physician with training in disorders of the ear) for an otologic evaluation reason not given | G8568 - | G8568 - Pt no ref otolo no spec | '01/01/2013 | 12/31/2999 |
| G8569 | G8569 - Prolonged postoperative intubation (> 24 hrs) required | G8569 - | G8569 - Prol intubation req | '01/01/2014 | 12/31/2999 |
| G8570 | G8570 - Prolonged postoperative intubation (> 24 hrs) not required | G8570 - | G8570 - No prol intub req | '01/01/2014 | 12/31/2999 |
| G8575 | G8575 - DEVELOPED POSTOPERATIVE RENAL FAILURE OR REQUIRED DIALYSIS | G8575 - | G8575 - Postop ren fail | '01/01/2012 | 12/31/2999 |
| G8576 | G8576 - NO POSTOPERATIVE RENAL FAILURE/DIALYSIS NOT REQUIRED | G8576 - | G8576 - No postop ren fail | '01/01/2012 | 12/31/2999 |
| G8577 | G8577 - Re-exploration required due to mediastinal bleeding with or without tamponade graft occlusion valve dysfunction or other cardiac reason | G8577 - | G8577 - Reop req bld grft oth | '01/01/2013 | 12/31/2999 |
| G8578 | G8578 - Re-exploration not required due to mediastinal bleeding with or without tamponade graft occlusion valve dysfunction or other cardiac reason | G8578 - | G8578 - No reop req bld grft oth | '01/01/2013 | 12/31/2999 |
| G8598 | G8598 - Aspirin or another antiplatelet therapy used | G8598 - | G8598 - Asa/antiplat ther used | '01/01/2017 | 12/31/2999 |
| G8599 | G8599 - Aspirin or another antiplatelet therapy not used reason not given | G8599 - | G8599 - No asa/antiplat ther use rng | '01/01/2017 | 12/31/2999 |
| G8600 | G8600 - Iv thrombolytic therapy initiated within 4.5 hours (<= 270 minutes) of time last known well | G8600 - | G8600 - Tpa initi w/in 4.5 hr | '01/01/2023 | 12/31/2999 |
| G8601 | G8601 - Iv thrombolytic therapy not initiated within 4.5 hours (= 270 minutes) of time last known well for reasons documented by clinician (e.g. patient enrolled in clinical trial for stroke patient admitted for elective carotid intervention patient received tenecteplase (tnk)) | G8601 - | G8601 - No elig tpa init w/in 4.5 hr | '01/01/2023 | 12/31/2999 |
| G8602 | G8602 - Iv thrombolytic therapy not initiated within 4.5 hours (<= 270 minutes) of time last known well reason not given | G8602 - | G8602 - No tpa init w/in 4.5 hr | '01/01/2023 | 12/31/2999 |
| G8633 | G8633 - Pharmacologic therapy (other than minerals/vitamins) for osteoporosis prescribed | G8633 - | G8633 - Pharm ther osteo rx | '01/01/2023 | 12/31/2999 |
| G8635 | G8635 - Pharmacologic therapy for osteoporosis was not prescribed reason not given | G8635 - | G8635 - No pharm ther osteo rx | '01/01/2013 | 12/31/2999 |
| G8647 | G8647 - Residual score for the knee impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G8647 - | G8647 - Rafscrs ki scor >= 0 | '01/01/2023 | 12/31/2999 |
| G8648 | G8648 - Residual score for the knee impairment successfully calculated and the score was less than zero (< 0) | G8648 - | G8648 - Rafscrs ki scor < 0 | '01/01/2023 | 12/31/2999 |
| G8650 | G8650 - Residual score for the knee impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge reason not given | G8650 - | G8650 - Rafs crs ki no scor no rsn | '01/01/2023 | 12/31/2999 |
| G8651 | G8651 - Residual score for the hip impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G8651 - | G8651 - Rafscrs hi scor >=0 | '01/01/2023 | 12/31/2999 |
| G8652 | G8652 - Residual score for the hip impairment successfully calculated and the score was less than zero (< 0) | G8652 - | G8652 - Rafscrs hi scor < 0 | '01/01/2023 | 12/31/2999 |
| G8654 | G8654 - Residual score for the hip impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge reason not given | G8654 - | G8654 - Rafs crs hi no scor no surv | '01/01/2023 | 12/31/2999 |
| G8655 | G8655 - Residual score for the lower leg foot or ankle impairment successfully calculated and the score was equal to zero (0) or greater than zero ( > 0) | G8655 - | G8655 - Rafscrs llfai scor >= 0 | '01/01/2023 | 12/31/2999 |
| G8656 | G8656 - Residual score for the lower leg foot or ankle impairment successfully calculated and the score was less than zero (< 0) | G8656 - | G8656 - Rafscrs llfai scor < 0 | '01/01/2023 | 12/31/2999 |
| G8658 | G8658 - Residual score for the lower leg foot or ankle impairment not measured because the patient did not complete the lepf prom at initial evaluation and/or near discharge reason not given | G8658 - | G8658 - Rafscrs llfai no scor + surv | '01/01/2023 | 12/31/2999 |
| G8659 | G8659 - Residual score for the low back impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G8659 - | G8659 - Rafscrs lbi scor >= 0 | '01/01/2023 | 12/31/2999 |
| G8660 | G8660 - Residual score for the low back impairment successfully calculated and the score was less than zero (< 0) | G8660 - | G8660 - Rafscrs lbi scor < 0 | '01/01/2023 | 12/31/2999 |
| G8661 | G8661 - Risk-adjusted functional status change residual score for the low back impairment not measured because the patient did not complete the fs status survey near discharge patient not appropriate | G8661 - | G8661 - Rafscrs lbi no scor | '01/01/2019 | 12/31/2999 |
| G8662 | G8662 - Residual score for the low back impairment not measured because the patient did not complete the low back fs prom at initial evaluation and/or near discharge reason not given | G8662 - | G8662 - Rafs crs lbi no scor no surv | '01/01/2023 | 12/31/2999 |
| G8663 | G8663 - Residual score for the shoulder impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G8663 - | G8663 - Rafscrs si scor >= 0 | '01/01/2023 | 12/31/2999 |
| G8664 | G8664 - Residual score for the shoulder impairment successfully calculated and the score was less than zero (< 0) | G8664 - | G8664 - Rafscrs si scor < 0 | '01/01/2023 | 12/31/2999 |
| G8666 | G8666 - Residual score for the shoulder impairment not measured because the patient did not complete the shoulder fs prom at initial evaluation and/or near discharge reason not given | G8666 - | G8666 - Rafs crs si no scor no surv | '01/01/2023 | 12/31/2999 |
| G8667 | G8667 - Residual score for the elbow wrist or hand impairment successfully calculated and the score was equal to zero (0) or greater than zero (> 0) | G8667 - | G8667 - Rafscrs ewh scor >= 0 | '01/01/2023 | 12/31/2999 |
| G8668 | G8668 - Residual score for the elbow wrist or hand impairment successfully calculated and the score was less than zero (< 0) | G8668 - | G8668 - Rafscrs ewh scor < 0 | '01/01/2023 | 12/31/2999 |
| G8670 | G8670 - Residual score for the elbow wrist or hand impairment not measured because the patient did not complete the elbow/wrist/hand fs prom at initial evaluation and/or near discharge reason not given | G8670 - | G8670 - Rafs crs ewh no scor no surv | '01/01/2023 | 12/31/2999 |
| G8694 | G8694 - Left ventricular ejection fraction (lvef) < = 40% or documentation of moderate or severe lvsd | G8694 - | G8694 - Lvef <=40% | '01/01/2023 | 12/31/2999 |
| G8708 | G8708 - Patient not prescribed antibiotic | G8708 - | G8708 - Antibiotic not pres | '01/01/2023 | 12/31/2999 |
| G8709 | G8709 - Uri episodes when the patient had competing diagnoses on or three days after the episode date (e.g. intestinal infection pertussis bacterial infection lyme disease otitis media acute sinusitis acute pharyngitis acute tonsillitis chronic sinusitis infection of the pharynx/larynx/tonsils/adenoids prostatitis cellulitis mastoiditis or bone infections acute lymphadenitis impetigo skin staph infections pneumonia/gonococcal infections venereal disease (syphilis chlamydia inflammatory diseases [female reproductive organs]) infections of the kidney cystitis or uti and acne) | G8709 - | G8709 - Uri ep compete diag | '01/01/2021 | 12/31/2999 |
| G8710 | G8710 - Patient prescribed antibiotic | G8710 - | G8710 - Pt pres antibiotic | '01/01/2023 | 12/31/2999 |
| G8711 | G8711 - Prescribed antibiotic on or within 3 days after the episode date | G8711 - | G8711 - Pres antibx on/within 3 day | '01/01/2023 | 12/31/2999 |
| G8712 | G8712 - ANTIBIOTIC NOT PRESCRIBED OR DISPENSED | G8712 - | G8712 - | '01/01/2012 | 12/31/2999 |
| G8721 | G8721 - PT CATEGORY (PRIMARY TUMOR) PN CATEGORY (REGIONAL LYMPH NODES) AND HISTOLOGIC GRADE WERE DOCUMENTED IN PATHOLOGY REPORT | G8721 - | G8721 - | '01/01/2012 | 12/31/2999 |
| G8722 | G8722 - Documentation of medical reason(s) for not including the pt category the pn category or the histologic grade in the pathology report (e.g. re-excision without residual tumor; non-carcinomasanal canal) | G8722 - | G8722 - Med reas pt pn not doc | '01/01/2014 | 12/31/2999 |
| G8723 | G8723 - SPECIMEN SITE IS OTHER THAN ANATOMIC LOCATION OF PRIMARY TUMOR | G8723 - | G8723 - | '01/01/2012 | 12/31/2999 |
| G8724 | G8724 - Pt category pn category and histologic grade were not documented in the pathology report reason not given | G8724 - | G8724 - Pt pn hist grade not doc | '01/01/2013 | 12/31/2999 |
| G8733 | G8733 - Elder maltreatment screen documented as positive and a follow-up plan is documented | G8733 - | G8733 - Doc pos elder mal scrn plan | '01/01/2014 | 12/31/2999 |
| G8734 | G8734 - Elder maltreatment screen documented as negative follow-up is not required | G8734 - | G8734 - Doc neg eld req | '01/01/2023 | 12/31/2999 |
| G8735 | G8735 - Elder maltreatment screen documented as positive follow-up plan not documented reason not given | G8735 - | G8735 - Eld mal scrn pos no plan | '01/01/2013 | 12/31/2999 |
| G8749 | G8749 - Absence of signs of melanoma (tenderness jaundice localized neurologic signs such as weakness or any other sign suggesting systemic spread) or absence of symptoms of melanoma (cough dyspnea pain paresthesia or any other symptom suggesting the possibility of systemic spread of melanoma) | G8749 - | G8749 - No signs melanoma | '01/01/2019 | 12/31/2999 |
| G8752 | G8752 - MOST RECENT SYSTOLIC BLOOD PRESSURE < 140MMHG | G8752 - | G8752 - | '01/01/2012 | 12/31/2999 |
| G8753 | G8753 - MOST RECENT SYSTOLIC BLOOD PRESSURE >= 140MMHG | G8753 - | G8753 - | '01/01/2012 | 12/31/2999 |
| G8754 | G8754 - MOST RECENT DIASTOLIC BLOOD PRESSURE < 90MMHG | G8754 - | G8754 - | '01/01/2012 | 12/31/2999 |
| G8755 | G8755 - MOST RECENT DIASTOLIC BLOOD PRESSURE >= 90MMHG | G8755 - | G8755 - | '01/01/2012 | 12/31/2999 |
| G8756 | G8756 - No documentation of blood pressure measurement reason not given | G8756 - | G8756 - No BP measure doc | '01/01/2013 | 12/31/2999 |
| G8783 | G8783 - Normal blood pressure reading documented follow-up not required | G8783 - | G8783 - BP scrn perf rec interval | '01/01/2013 | 12/31/2999 |
| G8785 | G8785 - Blood pressure reading not documented reason not given | G8785 - | G8785 - BP scrn no perf at interval | '01/01/2013 | 12/31/2999 |
| G8797 | G8797 - SPECIMEN SITE OTHER THAN ANATOMIC LOCATION OF ESOPHAGUS | G8797 - | G8797 - | '01/01/2012 | 12/31/2999 |
| G8798 | G8798 - SPECIMEN SITE OTHER THAN ANATOMIC LOCATION OF PROSTATE | G8798 - | G8798 - | '01/01/2012 | 12/31/2999 |
| G8806 | G8806 - Performance of trans-abdominal or trans-vaginal ultrasound and pregnancy location documented | G8806 - | G8806 - Perf ultrsnd to lct preg doc | '01/01/2019 | 12/31/2999 |
| G8807 | G8807 - Trans-abdominal or trans-vaginal ultrasound not performed for reasons documented by clinician (e.g. patient has visited the ed multiple times within 72 hours patient has a documented intrauterine pregnancy [iup]) | G8807 - | G8807 - No ta tv ultrasnd | '01/01/2019 | 12/31/2999 |
| G8808 | G8808 - Trans-abdominal or trans-vaginal ultrasound not performed reason not given | G8808 - | G8808 - Ultrasound not perf rng | '01/01/2018 | 12/31/2999 |
| G8815 | G8815 - Documented reason in the medical records for why the statin therapy was not prescribed (i.e. lower extremity bypass was for a patient with non-artherosclerotic disease) | G8815 - | G8815 - Doc reas no statin therapy | '01/01/2017 | 12/31/2999 |
| G8816 | G8816 - STATIN MEDICATION PRESCRIBED AT DISCHARGE | G8816 - | G8816 - | '01/01/2012 | 12/31/2999 |
| G8817 | G8817 - Statin therapy not prescribed at discharge reason not given | G8817 - | G8817 - Doc reas no statin med disch | '01/01/2013 | 12/31/2999 |
| G8818 | G8818 - PATIENT DISCHARGE TO HOME NO LATER THAN POST-OPERATIVE DAY #7 | G8818 - | G8818 - | '01/01/2012 | 12/31/2999 |
| G8825 | G8825 - PATIENT NOT DISCHARGED TO HOME BY POST-OPERATIVE DAY #7 | G8825 - | G8825 - | '01/01/2012 | 12/31/2999 |
| G8826 | G8826 - Patient discharged to home no later than post-operative day #2 following evar | G8826 - | G8826 - Pt disch home day #2 evar | '01/01/2023 | 12/31/2999 |
| G8833 | G8833 - Patient not discharged to home by post-operative day #2 following evar | G8833 - | G8833 - Pt not disch home day#2 EVAR | '01/01/2013 | 12/31/2999 |
| G8834 | G8834 - PATIENT DISCHARGED TO HOME NO LATER THAN POST-OPERATIVE DAY #2 FOLLOWING CEA | G8834 - | G8834 - | '01/01/2012 | 12/31/2999 |
| G8838 | G8838 - Patient not discharged to home by post-operative day #2 following cea | G8838 - | G8838 - Not disch home by day #2 | '01/01/2013 | 12/31/2999 |
| G8839 | G8839 - SLEEP APNEA SYMPTOMS ASSESSED INCLUDING PRESENCE OR ABSENCE OF SNORING AND DAYTIME SLEEPINESS | G8839 - | G8839 - | '01/01/2012 | 12/31/2999 |
| G8840 | G8840 - Documentation of reason(s) for not documenting an assessment of sleep symptoms (e.g. patient didn't have initial daytime sleepiness patient visited between initial testing and initiation of therapy) | G8840 - | G8840 - Doc reas no sleep apnea | '01/01/2015 | 12/31/2999 |
| G8841 | G8841 - Sleep apnea symptoms not assessed reason not given | G8841 - | G8841 - No sleep apnea assess | '01/01/2013 | 12/31/2999 |
| G8842 | G8842 - Apnea hypopnea index (ahi) respiratory disturbance index (rdi) or respiratory event index (rei) documented or measured within 2 months of initial evaluation for suspected obstructive sleep apnea | G8842 - | G8842 - Ahi or rdi initial dx | '01/01/2023 | 12/31/2999 |
| G8843 | G8843 - Documentation of reason(s) for not measuring an apnea hypopnea index (ahi) a respiratory disturbance index (rdi) or a respiratory event index (rei) within 2 months of initial evaluation for suspected obstructive sleep apnea (e.g. medical neurological or psychiatric disease that prohibits successful completion of a sleep study patients for whom a sleep study would present a bigger risk than benefit or would pose an undue burden dementia patients who decline ahi/rdi/rei measurement patients who had a financial reason for not completing testing test was ordered but not completed patients decline because their insurance (payer) does not cover the expense)) | G8843 - | G8843 - Doc reas no ahi or rdi | '01/01/2023 | 12/31/2999 |
| G8844 | G8844 - Apnea hypopnea index (ahi) respiratory disturbance index (rdi) or respiratory event index (rei) not documented or measured within 2 months of initial evaluation for suspected obstructive sleep apnea reason not given | G8844 - | G8844 - No ahi or rdi initial dx | '01/01/2023 | 12/31/2999 |
| G8845 | G8845 - POSITIVE AIRWAY PRESSURE THERAPY PRESCRIBED | G8845 - | G8845 - | '01/01/2012 | 12/31/2999 |
| G8846 | G8846 - MODERATE OR SEVERE OBSTRUCTIVE SLEEP APNEA (APNEA HYPOPNEA INDEX (AHI) OR RESPIRATORY DISTURBANCE INDEX (RDI) OF 15 OR GREATER) | G8846 - | G8846 - | '01/01/2012 | 12/31/2999 |
| G8849 | G8849 - Documentation of reason(s) for not prescribing positive airway pressure therapy (e. G. patient unable to tolerate alternative therapies use patient declined financial insurance coverage) | G8849 - | G8849 - Doc reas no Pos Air Press | '01/01/2013 | 12/31/2999 |
| G8850 | G8850 - Positive airway pressure therapy not prescribed reason not given | G8850 - | G8850 - No PAP prescribed | '01/01/2013 | 12/31/2999 |
| G8851 | G8851 - OBJECTIVE MEASUREMENT OF ADHERENCE TO POSITIVE AIRWAY PRESSURE THERAPY DOCUMENTED | G8851 - | G8851 - | '01/01/2012 | 12/31/2999 |
| G8852 | G8852 - Positive airway pressure therapy was prescribed | G8852 - | G8852 - Pos air press prescribe | '01/01/2023 | 12/31/2999 |
| G8854 | G8854 - Documentation of reason(s) for not objectively measuring adherence to positive airway pressure therapy (e.g. patient didn't bring data from continuous positive airway pressure [cpap] therapy not yet initiated not available on machine) | G8854 - | G8854 - Reas no adhere pos air pres | '01/01/2023 | 12/31/2999 |
| G8855 | G8855 - Objective measurement of adherence to positive airway pressure therapy not performed reason not given | G8855 - | G8855 - Pos Air Press adhere no perf | '01/01/2013 | 12/31/2999 |
| G8856 | G8856 - REFERRAL TO A PHYSICIAN FOR AN OTOLOGIC EVALUATION PERFORMED | G8856 - | G8856 - | '01/01/2012 | 12/31/2999 |
| G8857 | G8857 - PATIENT IS NOT ELIGIBLE FOR THE REFERRAL FOR OTOLOGIC EVALUATION MEASURE (E.G. PATIENTS WHO ARE ALREADY UNDER THE CARE OF A PHYSICIAN FOR ACUTE OR CHRONIC DIZZINESS) | G8857 - | G8857 - | '01/01/2012 | 12/31/2999 |
| G8858 | G8858 - Referral to a physician for an otologic evaluation not performed reason not given | G8858 - | G8858 - Not ref for oto eval | '01/01/2013 | 12/31/2999 |
| G8863 | G8863 - Patients not assessed for risk of bone loss reason not given | G8863 - | G8863 - No assess bone loss | '01/01/2013 | 12/31/2999 |
| G8864 | G8864 - PNEUMOCOCCAL VACCINE ADMINISTERED OR PREVIOUSLY RECEIVED | G8864 - | G8864 - | '01/01/2012 | 12/31/2999 |
| G8865 | G8865 - DOCUMENTATION OF MEDICAL REASON(S) FOR NOT ADMINISTERING OR PREVIOUSLY RECEIVING PNEUMOCOCCAL VACCINE (E.G. PATIENT ALLERGIC REACTION POTENTIAL ADVERSE DRUG REACTION) | G8865 - | G8865 - | '01/01/2012 | 12/31/2999 |
| G8866 | G8866 - DOCUMENTATION OF PATIENT REASON(S) FOR NOT ADMINISTERING OR PREVIOUSLY RECEIVING PNEUMOCOCCAL VACCINE (E.G. PATIENT REFUSAL) | G8866 - | G8866 - | '01/01/2012 | 12/31/2999 |
| G8867 | G8867 - Pneumococcal vaccine not administered or previously received reason not given | G8867 - | G8867 - No pneumococcal admin | '01/01/2013 | 12/31/2999 |
| G8869 | G8869 - Patient has documented immunity to hepatitis b and initiating anti-tnf therapy | G8869 - | G8869 - Doc immune hep b antitnf | '01/01/2018 | 12/31/2999 |
| G8875 | G8875 - CLINICIAN DIAGNOSED BREAST CANCER PREOPERATIVELY BY A MINIMALLY INVASIVE BIOPSY METHOD | G8875 - | G8875 - | '01/01/2012 | 12/31/2999 |
| G8876 | G8876 - Documentation of reason(s) for not performing minimally invasive biopsy to diagnose breast cancer properatively (e.g. lesion too close to skin implant chest wall etc. lesion could not be adequately visualized for needle biopsy patient condition prevents needle biopsy [weight breast thickness etc.] duct excision without imaging abnormality prophylactic mastectomy reduction mammoplasty excisional biopsy performed by another physician) | G8876 - | G8876 - Doc reas no min inv dx | '01/01/2015 | 12/31/2999 |
| G8877 | G8877 - Clinician did not attempt to achieve the diagnosis of breast cancer preoperatively by a minimally invasive biopsy method reason not given | G8877 - | G8877 - No brst cncr dx min invasive | '01/01/2013 | 12/31/2999 |
| G8878 | G8878 - SENTINEL LYMPH NODE BIOPSY PROCEDURE PERFORMED | G8878 - | G8878 - | '01/01/2012 | 12/31/2999 |
| G8880 | G8880 - Documentation of reason(s) sentinel lymph node biopsy not performed (e.g. reasons could include but not limited to; non-invasive cancer incidental discovery of breast cancer on prophylactic mastectomy incidental discovery of breast cancer on reduction mammoplasty pre-operative biopsy proven lymph node (ln) metastases inflammatory carcinoma stage 3 locally advanced cancer recurrent invasive breast cancer clinically node positive after neoadjuvant systemic therapy patient refusal after informed consent patient with significant age comorbidities or limited life expectancy and favorable tumor; adjuvant systemic therapy unlikely to change) | G8880 - | G8880 - Sen lym p node biop not perf | '01/01/2019 | 12/31/2999 |
| G8881 | G8881 - STAGE OF BREAST CANCER IS GREATER THAN T1N0M0 OR T2N0M0 | G8881 - | G8881 - | '01/01/2012 | 12/31/2999 |
| G8882 | G8882 - Sentinel lymph node biopsy procedure not performed reason not given | G8882 - | G8882 - No sent lymph node biopsy | '01/01/2014 | 12/31/2999 |
| G8883 | G8883 - BIOPSY RESULTS REVIEWED COMMUNICATED TRACKED AND DOCUMENTED | G8883 - | G8883 - | '01/01/2012 | 12/31/2999 |
| G8884 | G8884 - CLINICIAN DOCUMENTED REASON THAT PATIENT'S BIOPSY RESULTS WERE NOT REVIEWED | G8884 - | G8884 - | '01/01/2012 | 12/31/2999 |
| G8885 | G8885 - BIPSY RESULTS NOT REVIEWED COMMUNICATED TRACKED OR DOCUMENTED | G8885 - | G8885 - | '01/01/2012 | 12/31/2999 |
| G8907 | G8907 - Patient documented not to have experienced any of the following events: a burn prior to discharge a fall within the facility wrong site/side/patient/procedure/implant event a hospital transfer or hospital admission upon discharge from the facility. | G8907 - | G8907 - Pt doc no events on discharge | '04/01/2012 | 12/31/2999 |
| G8908 | G8908 - Patient documented to have received a burn prior to discharge | G8908 - | G8908 - Pt doc w burn prior to D/C | '04/01/2012 | 12/31/2999 |
| G8909 | G8909 - Patient documented not to have received a burn prior to discharge | G8909 - | G8909 - Pt doc no burn prior to D/C | '04/01/2012 | 12/31/2999 |
| G8910 | G8910 - Patient documented to have experienced a fall within ASC | G8910 - | G8910 - Pt doc to have fall in ASC | '04/01/2012 | 12/31/2999 |
| G8911 | G8911 - Patient documented not to have experienced a fall within ASC | G8911 - | G8911 - Pt doc no fall in ASC | '04/01/2012 | 12/31/2999 |
| G8912 | G8912 - Patient documented to have experienced a wrong site wrong side wrong patient wrong procedure or wrong implant event | G8912 - | G8912 - Pt doc with wrong event | '04/01/2012 | 12/31/2999 |
| G8913 | G8913 - Patient documented not to have experienced a wrong site wrong side wrong patient wrong procedure or wrong implant event | G8913 - | G8913 - Pt doc no wrong event | '04/01/2012 | 12/31/2999 |
| G8914 | G8914 - Patient documented to have experienced a hospital transfer or hospital admission upon discharge from ASC | G8914 - | G8914 - Pt trans to hosp post D/C | '04/01/2012 | 12/31/2999 |
| G8915 | G8915 - Patient documented not to have experienced a hospital transfer or hospital admission upon discharge from ASC | G8915 - | G8915 - Pt not trans to hosp at D/C | '04/01/2012 | 12/31/2999 |
| G8916 | G8916 - Patient with preoperative order for IV antibiotic surgical site infection. (SSI) prophylaxis antibiotic initiated on time. | G8916 - | G8916 - Pt w IV AB given on time | '04/01/2012 | 12/31/2999 |
| G8917 | G8917 - Patient with preoperative order for IV antibiotic surgical site infection. (SSI) prophylaxis antibiotic not initiated on time. | G8917 - | G8917 - Pt w IV AB not given on time | '04/01/2012 | 12/31/2999 |
| G8918 | G8918 - Patient without preoperative order for IV antibiotic surgical site infection. (SSI) prophylaxis | G8918 - | G8918 - Pt w/o preop order IV AB prop | '04/01/2012 | 12/31/2999 |
| G8923 | G8923 - Left ventricular ejection fraction (lvef) <= 40% or documentation of moderately or severely depressed left ventricular systolic function | G8923 - | G8923 - Lvef <= 40% or lvsd | '01/01/2023 | 12/31/2999 |
| G8924 | G8924 - Spirometry test results demonstrate fev1/fvc < 70% fev1 < 60% predicted and patient has copd symptoms (e.g. dyspnea cough/sputum wheezing) | G8924 - | G8924 - Spir fev1/fvc<70% fev<60% | '01/01/2021 | 12/31/2999 |
| G8934 | G8934 - Left ventricular ejection fraction (lvef) <=40% or documentation of moderately or severely depressed left ventricular systolic function | G8934 - | G8934 - Lvef <=40% or dep lv sys fcn | '01/01/2023 | 12/31/2999 |
| G8935 | G8935 - Clinician prescribed angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy | G8935 - | G8935 - Rx ACE or ARB therapy | '01/01/2013 | 12/31/2999 |
| G8936 | G8936 - Clinician documented that patient was not an eligible candidate for angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy (eg allergy intolerance pregnancy renal failure due to ace inhibitor diseases of the aortic or mitral valve other medical reasons) or (eg patient declined other patient reasons) or (eg lack of drug availability other reasons attributable to the health care system) | G8936 - | G8936 - Pt not eligible ace/arb | '01/01/2015 | 12/31/2999 |
| G8937 | G8937 - Clinician did not prescribe angiotensin converting enzyme (ace) inhibitor or angiotensin receptor blocker (arb) therapy reason not given | G8937 - | G8937 - No rx ACE/ARB therapy | '01/01/2013 | 12/31/2999 |
| G8941 | G8941 - Elder maltreatment screen documented as positive follow-up plan not documented documentation the patient is not eligible for follow-up plan at the time of the encounter | G8941 - | G8941 - Eld maltreatment doc as pos | '01/01/2018 | 12/31/2999 |
| G8942 | G8942 - Functional outcomes assessment using a standardized tool is documented within the previous 30 days and care plan based on identified deficiencies is documented within two days of the functional outcome assessment | G8942 - | G8942 - Doc fcn/care plan w/30 days | '01/01/2023 | 12/31/2999 |
| G8944 | G8944 - Ajcc melanoma cancer stage 0 through iic melanoma | G8944 - | G8944 - AJCC Mel cnr stg 0 - IIC | '01/01/2013 | 12/31/2999 |
| G8946 | G8946 - Minimally invasive biopsy method attempted but not diagnostic of breast cancer (e.g. high risk lesion of breast such as atypical ductal hyperplasia lobular neoplasia atypical lobular hyperplasia lobular carcinoma in situ atypical columnar hyperplasica flat epithelial atypia radial scar complex sclerosing lesion papillary lesion or any lesion with spindle cells) | G8946 - | G8946 - Mibm but no dx of breast ca | '01/01/2014 | 12/31/2999 |
| G8950 | G8950 - Elevated or hypertensive blood pressure reading documented and the indicated follow-up is documented | G8950 - | G8950 - Pre-htn or htn doc f/u indc | '01/01/2022 | 12/31/2999 |
| G8952 | G8952 - Elevated or hypertensive blood pressure reading documented indicated follow-up not documented reason not given | G8952 - | G8952 - Pre-htn/htn no f/u not gvn | '01/01/2022 | 12/31/2999 |
| G8955 | G8955 - Most recent assessment of adequacy of volume management documented | G8955 - | G8955 - Most recent assess vol mgmt | '01/01/2016 | 12/31/2999 |
| G8956 | G8956 - Patient receiving maintenance hemodialysis in an outpatient dialysis facility | G8956 - | G8956 - Pt rcv HeDia outpt dyls fac | '01/01/2013 | 12/31/2999 |
| G8958 | G8958 - Assessment of adequacy of volume management not documented reason not given | G8958 - | G8958 - Assess vol mgmt not doc | '01/01/2013 | 12/31/2999 |
| G8961 | G8961 - Cardiac stress imaging test primarily performed on low-risk surgery patient for preoperative evaluation within 30 days preceding this surgery | G8961 - | G8961 - CSIT lowrisk surg pts preop | '01/01/2013 | 12/31/2999 |
| G8962 | G8962 - Cardiac stress imaging test performed on patient for any reason including those who did not have low risk surgery or test that was performed more than 30 days preceding low risk surgery | G8962 - | G8962 - CSIT on pt any reas 30 days | '01/01/2013 | 12/31/2999 |
| G8963 | G8963 - Cardiac stress imaging performed primarily for monitoring of asymptomatic patient who had pci wihin 2 years | G8963 - | G8963 - CSI per asx pt w/PCI 2 yrs | '01/01/2013 | 12/31/2999 |
| G8964 | G8964 - Cardiac stress imaging test performed primarily for any other reason than monitoring of asymptomatic patient who had pci wthin 2 years (e. G. symptomatic patient patient greater than 2 years since pci initial evaluation etc) | G8964 - | G8964 - CSI any other than PCI 2 yr | '01/01/2013 | 12/31/2999 |
| G8965 | G8965 - Cardiac stress imaging test primarily performed on low chd risk patient for initial detection and risk assessment | G8965 - | G8965 - CSIT perf on low CHD rsk | '01/01/2013 | 12/31/2999 |
| G8966 | G8966 - Cardiac stress imaging test performed on symptomatic or higher than low chd risk patient or for any reason other than initial detection and risk assessment | G8966 - | G8966 - CSIT perf sx or high CHD rsk | '01/01/2013 | 12/31/2999 |
| G8967 | G8967 - Fda approved oral anticoagulant is prescribed | G8967 - | G8967 - Warf or other fda drug presc | '01/01/2022 | 12/31/2999 |
| G8968 | G8968 - Documentation of medical reason(s) for not prescribing an fda-approved anticoagulant (e.g. present or planned atrial appendage occlusion or ligation) | G8968 - | G8968 - Doc med not presb | '01/01/2023 | 12/31/2999 |
| G8969 | G8969 - Documentation of patient reason(s) for not prescribing an oral anticoagulant that is fda approved for the prevention of thromboembolism (e.g. patient preference for not receiving anticoagulation) | G8969 - | G8969 - Doc pt rsn no presc warf/fda | '01/01/2022 | 12/31/2999 |
| G8970 | G8970 - No risk factors or one moderate risk factor for thromboembolism | G8970 - | G8970 - No rsk fac or 1 mod risk TE | '01/01/2013 | 12/31/2999 |
| G9001 | G9001 - Coordinated care fee initial rate | G9001 - | G9001 - MCCD initial rate | 01-10-2000 | 12/31/2999 |
| G9002 | G9002 - Coordinated care fee maintenance rate | G9002 - | G9002 - MCCD maintenance rate | 01-10-2000 | 12/31/2999 |
| G9003 | G9003 - Coordinated care fee risk adjusted high initial | G9003 - | G9003 - MCCD risk adj hi initial | 01-10-2000 | 12/31/2999 |
| G9004 | G9004 - Coordinated care fee risk adjusted low initial | G9004 - | G9004 - MCCD risk adj lo initial | 01-10-2000 | 12/31/2999 |
| G9005 | G9005 - Coordinated care fee risk adjusted maintenance | G9005 - | G9005 - MCCD risk adj maintenance | 01-10-2000 | 12/31/2999 |
| G9006 | G9006 - Coordinated care fee home monitoring | G9006 - | G9006 - MCCD Home monitoring | 01-10-2000 | 12/31/2999 |
| G9007 | G9007 - Coordinated care fee scheduled team conference | G9007 - | G9007 - MCCD sch team conf | 01-10-2000 | 12/31/2999 |
| G9008 | G9008 - Coordinated care fee physician coordinated care oversight services | G9008 - | G9008 - Mccd phys coor-care ovrsght | 01-10-2000 | 12/31/2999 |
| G9009 | G9009 - Coordinated care fee risk adjusted maintenance level 3 | G9009 - | G9009 - MCCD risk adj level 3 | 01-10-2001 | 12/31/2999 |
| G9010 | G9010 - Coordinated care fee risk adjusted maintenance level 4 | G9010 - | G9010 - MCCD risk adj level 4 | 01-10-2001 | 12/31/2999 |
| G9011 | G9011 - Coordinated care fee risk adjusted maintenance level 5 | G9011 - | G9011 - MCCD risk adj level 5 | 01-10-2001 | 12/31/2999 |
| G9012 | G9012 - Other specified case management service not elsewhere classified | G9012 - | G9012 - Other Specified Case Mgmt | 01-10-2001 | 12/31/2999 |
| G9013 | G9013 - ESRD DEMO BASIC BUNDLE LEVEL I | G9013 - | G9013 - ESRD demo bundle level I | '07/01/2004 | 12/31/2999 |
| G9014 | G9014 - ESRD DEMO EXPANDED BUNDLE INCLUDING VENOUS ACCESS AND RELATED SERVICES | G9014 - | G9014 - ESRD demo bundle-level II | '07/01/2004 | 12/31/2999 |
| G9016 | G9016 - Smoking cessation counseling individual in the absence of or in addition to any other evaluation and management service per session (6-10 minutes) [demo project code only] | G9016 - | G9016 - Demo-smoking cessation coun | '01/01/2001 | 12/31/2999 |
| G9050 | G9050 - Oncology; primary focus of visit; work-up evaluation or staging at the time of cancer diagnosis or recurrence (for use in a medicare-approved demonstration project) | G9050 - | G9050 - Oncology work-up evaluation | '01/01/2007 | 12/31/2999 |
| G9051 | G9051 - Oncology; primary focus of visit; treatment decision-making after disease is staged or restaged discussion of treatment options supervising/coordinating active cancer directed therapy or managing consequences of cancer directed therapy (for use in a medicare-approved demonstration project) | G9051 - | G9051 - Oncology tx decision-mgmt | '01/01/2007 | 12/31/2999 |
| G9052 | G9052 - Oncology; primary focus of visit; surveillance for disease recurrence for patient who has completed definitive cancer-directed therapy and currently lacks evidence of recurrent disease; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project) | G9052 - | G9052 - Onc surveillance for disease | '01/01/2007 | 12/31/2999 |
| G9053 | G9053 - Oncology; primary focus of visit; expectant management of patient with evidence of cancer for whom no cancer directed therapy is being administered or arranged at present; cancer directed therapy might be considered in the future (for use in a medicare-approved demonstration project) | G9053 - | G9053 - Onc expectant management pt | '01/01/2007 | 12/31/2999 |
| G9054 | G9054 - Oncology; primary focus of visit; supervising coordinating or managing care of patient with terminal cancer or for whom other medical illness prevents further cancer treatment; includes symptom management end-of-life care planning management of palliative therapies (for use in a medicare-approved demonstration project) | G9054 - | G9054 - Onc supervision palliative | '01/01/2007 | 12/31/2999 |
| G9055 | G9055 - Oncology; primary focus of visit; other unspecified service not otherwise listed (for use in a medicare-approved demonstration project) | G9055 - | G9055 - Onc visit unspecified NOS | '01/01/2007 | 12/31/2999 |
| G9056 | G9056 - Oncology; practice guidelines; management adheres to guidelines (for use in a medicare-approved demonstration project) | G9056 - | G9056 - Onc prac mgmt adheres guide | '01/01/2007 | 12/31/2999 |
| G9057 | G9057 - Oncology; practice guidelines; management differs from guidelines as a result of patient enrollment in an institutional review board approved clinical trial (for use in a medicare-approved demonstration project) | G9057 - | G9057 - Onc pract mgmt differs trial | '01/01/2007 | 12/31/2999 |
| G9058 | G9058 - Oncology; practice guidelines; management differs from guidelines because the treating physician disagrees with guideline recommendations (for use in a medicare-approved demonstration project) | G9058 - | G9058 - Onc prac mgmt disagree w/gui | '01/01/2007 | 12/31/2999 |
| G9059 | G9059 - Oncology; practice guidelines; management differs from guidelines because the patient after being offered treatment consistent with guidelines has opted for alternative treatment or management including no treatment (for use in a medicare-approved demonstration project) | G9059 - | G9059 - Onc prac mgmt pt opt alterna | '01/01/2007 | 12/31/2999 |
| G9060 | G9060 - Oncology; practice guidelines; management differs from guidelines for reason(s) associated with patient comorbid illness or performance status not factored into guidelines (for use in a medicare-approved demonstration project) | G9060 - | G9060 - Onc prac mgmt dif pt comorb | '01/01/2007 | 12/31/2999 |
| G9061 | G9061 - Oncology; practice guidelines; patient's condition not addressed by available guidelines (for use in a medicare-approved demonstration project) | G9061 - | G9061 - Onc prac cond noadd by guide | '01/01/2007 | 12/31/2999 |
| G9062 | G9062 - Oncology; practice guidelines; management differs from guidelines for other reason(s) not listed (for use in a medicare-approved demonstration project) | G9062 - | G9062 - Onc prac guide differs nos | '01/01/2007 | 12/31/2999 |
| G9063 | G9063 - Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage i (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9063 - | G9063 - Onc dx nsclc stgI no progres | '01/01/2007 | 12/31/2999 |
| G9064 | G9064 - Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage ii (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9064 - | G9064 - Onc dx nsclc stg2 no progres | '01/01/2007 | 12/31/2999 |
| G9065 | G9065 - Oncology; disease status; limited to non-small cell lung cancer; extent of disease initially established as stage iii a (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9065 - | G9065 - Onc dx nsclc stg3A no progre | '01/01/2007 | 12/31/2999 |
| G9066 | G9066 - Oncology; disease status; limited to non-small cell lung cancer; stage iii b- iv at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9066 - | G9066 - Onc dx nsclc stg3B-4 metasta | '01/01/2007 | 12/31/2999 |
| G9067 | G9067 - Oncology; disease status; limited to non-small cell lung cancer; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9067 - | G9067 - Onc dx nsclc dx unknown nos | '01/01/2007 | 12/31/2999 |
| G9068 | G9068 - Oncology; disease status; limited to small cell and combined small cell/non-small cell; extent of disease initially established as limited with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9068 - | G9068 - Onc dx sclc/nsclc limited | '01/01/2007 | 12/31/2999 |
| G9069 | G9069 - Oncology; disease status; small cell lung cancer limited to small cell and combined small cell/non-small cell; extensive stage at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9069 - | G9069 - Onc dx sclc/nsclc ext at dx | '01/01/2007 | 12/31/2999 |
| G9070 | G9070 - Oncology; disease status; small cell lung cancer limited to small cell and combined small cell/non-small; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9070 - | G9070 - Onc dx sclc/nsclc ext unknwn | '01/01/2007 | 12/31/2999 |
| G9071 | G9071 - Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or stage iia-iib; or t3 n1 m0; and er and/or pr positive; with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9071 - | G9071 - Onc dx brst stg1-2B HR nopro | '01/01/2007 | 12/31/2999 |
| G9072 | G9072 - Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage i or stage iia-iib; or t3 n1 m0; and er and pr negative; with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9072 - | G9072 - Onc dx brst stg1-2 noprogres | '01/01/2007 | 12/31/2999 |
| G9073 | G9073 - Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3 n1 m0; and er and/or pr positive; with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9073 - | G9073 - Onc dx brst stg3-HR no pro | '01/01/2007 | 12/31/2999 |
| G9074 | G9074 - Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; stage iiia-iiib; and not t3 n1 m0; and er and pr negative; with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9074 - | G9074 - Onc dx brst stg3-noprogress | '01/01/2007 | 12/31/2999 |
| G9075 | G9075 - Oncology; disease status; invasive female breast cancer (does not include ductal carcinoma in situ); adenocarcinoma as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9075 - | G9075 - Onc dx brst metastic/ recur | '01/01/2007 | 12/31/2999 |
| G9077 | G9077 - Oncology; disease status; prostate cancer limited to adenocarcinoma as predominant cell type; t1-t2c and gleason 2-7 and psa < or equal to 20 at diagnosis with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9077 - | G9077 - Onc dx prostate T1no progres | '01/01/2007 | 12/31/2999 |
| G9078 | G9078 - Oncology; disease status; prostate cancer limited to adenocarcinoma as predominant cell type; t2 or t3a gleason 8-10 or psa > 20 at diagnosis with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9078 - | G9078 - Onc dx prostate T2no progres | '01/01/2007 | 12/31/2999 |
| G9079 | G9079 - Oncology; disease status; prostate cancer limited to adenocarcinoma as predominant cell type; t3b-t4 any n; any t n1 at diagnosis with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9079 - | G9079 - Onc dx prostate T3b-T4noprog | '01/01/2007 | 12/31/2999 |
| G9080 | G9080 - Oncology; disease status; prostate cancer limited to adenocarcinoma; after initial treatment with rising psa or failure of psa decline (for use in a medicare-approved demonstration project) | G9080 - | G9080 - Onc dx prostate w/rise PSA | '01/01/2007 | 12/31/2999 |
| G9083 | G9083 - Oncology; disease status; prostate cancer limited to adenocarcinoma; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9083 - | G9083 - Onc dx prostate unknwn nos | '01/01/2007 | 12/31/2999 |
| G9084 | G9084 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t1-3 n0 m0 with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9084 - | G9084 - Onc dx colon t1-3 n1-2 no pr | '01/01/2007 | 12/31/2999 |
| G9085 | G9085 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t4 n0 m0 with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9085 - | G9085 - Onc dx colon T4 N0 w/o prog | '01/01/2007 | 12/31/2999 |
| G9086 | G9086 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t1-4 n1-2 m0 with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9086 - | G9086 - Onc dx colon T1-4 no dx prog | '01/01/2007 | 12/31/2999 |
| G9087 | G9087 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive with current clinical radiologic or biochemical evidence of disease (for use in a medicare-approved demonstration project) | G9087 - | G9087 - Onc dx colon metas evid dx | '01/01/2007 | 12/31/2999 |
| G9088 | G9088 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive without current clinical radiologic or biochemical evidence of disease (for use in a medicare-approved demonstration project) | G9088 - | G9088 - Onc dx colon metas noevid dx | '01/01/2007 | 12/31/2999 |
| G9089 | G9089 - Oncology; disease status; colon cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9089 - | G9089 - Onc dx colon extent unknown | '01/01/2007 | 12/31/2999 |
| G9090 | G9090 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t1-2 n0 m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9090 - | G9090 - Onc dx rectal T1-2 no progr | '01/01/2007 | 12/31/2999 |
| G9091 | G9091 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t3 n0 m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9091 - | G9091 - Onc dx rectal T3 N0 no prog | '01/01/2007 | 12/31/2999 |
| G9092 | G9092 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t1-3 n1-2 m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9092 - | G9092 - Onc dx rectal T1-3 N1-2noprg | '01/01/2007 | 12/31/2999 |
| G9093 | G9093 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease initially established as t4 any n m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9093 - | G9093 - Onc dx rectal T4 N M0 no prg | '01/01/2007 | 12/31/2999 |
| G9094 | G9094 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9094 - | G9094 - Onc dx rectal M1 w/mets prog | '01/01/2007 | 12/31/2999 |
| G9095 | G9095 - Oncology; disease status; rectal cancer limited to invasive cancer adenocarcinoma as predominant cell type; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9095 - | G9095 - Onc dx rectal extent unknwn | '01/01/2007 | 12/31/2999 |
| G9096 | G9096 - Oncology; disease status; esophageal cancer limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t1-t3 n0-n1 or nx (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9096 - | G9096 - Onc dx esophag T1-T3 noprog | '01/01/2007 | 12/31/2999 |
| G9097 | G9097 - Oncology; disease status; esophageal cancer limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease initially established as t4 any n m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9097 - | G9097 - Onc dx esophageal T4 no prog | '01/01/2007 | 12/31/2999 |
| G9098 | G9098 - Oncology; disease status; esophageal cancer limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9098 - | G9098 - Onc dx esophageal mets recur | '01/01/2007 | 12/31/2999 |
| G9099 | G9099 - Oncology; disease status; esophageal cancer limited to adenocarcinoma or squamous cell carcinoma as predominant cell type; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9099 - | G9099 - Onc dx esophageal unknown | '01/01/2007 | 12/31/2999 |
| G9100 | G9100 - Oncology; disease status; gastric cancer limited to adenocarcinoma as predominant cell type; post r0 resection (with or without neoadjuvant therapy) with no evidence of disease recurrence progression or metastases (for use in a medicare-approved demonstration project) | G9100 - | G9100 - Onc dx gastric no recurrence | '01/01/2007 | 12/31/2999 |
| G9101 | G9101 - Oncology; disease status; gastric cancer limited to adenocarcinoma as predominant cell type; post r1 or r2 resection (with or without neoadjuvant therapy) with no evidence of disease progression or metastases (for use in a medicare-approved demonstration project) | G9101 - | G9101 - Onc dx gastric p R1-R2noprog | '01/01/2007 | 12/31/2999 |
| G9102 | G9102 - Oncology; disease status; gastric cancer limited to adenocarcinoma as predominant cell type; clinical or pathologic m0 unresectable with no evidence of disease progression or metastases (for use in a medicare-approved demonstration project) | G9102 - | G9102 - Onc dx gastric unresectable | '01/01/2007 | 12/31/2999 |
| G9103 | G9103 - Oncology; disease status; gastric cancer limited to adenocarcinoma as predominant cell type; clinical or pathologic m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9103 - | G9103 - Onc dx gastric recurrent | '01/01/2007 | 12/31/2999 |
| G9104 | G9104 - Oncology; disease status; gastric cancer limited to adenocarcinoma as predominant cell type; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9104 - | G9104 - Onc dx gastric unknown NOS | '01/01/2007 | 12/31/2999 |
| G9105 | G9105 - Oncology; disease status; pancreatic cancer limited to adenocarcinoma as predominant cell type; post r0 resection without evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9105 - | G9105 - Onc dx pancreatc p R0 res no | '01/01/2007 | 12/31/2999 |
| G9106 | G9106 - Oncology; disease status; pancreatic cancer limited to adenocarcinoma; post r1 or r2 resection with no evidence of disease progression or metastases (for use in a medicare-approved demonstration project) | G9106 - | G9106 - Onc dx pancreatc p R1/R2 no | '01/01/2007 | 12/31/2999 |
| G9107 | G9107 - Oncology; disease status; pancreatic cancer limited to adenocarcinoma; unresectable at diagnosis m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9107 - | G9107 - Onc dx pancreatic unresectab | '01/01/2007 | 12/31/2999 |
| G9108 | G9108 - Oncology; disease status; pancreatic cancer limited to adenocarcinoma; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9108 - | G9108 - Onc dx pancreatic unknwn NOS | '01/01/2007 | 12/31/2999 |
| G9109 | G9109 - Oncology; disease status; head and neck cancer limited to cancers of oral cavity pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t1-t2 and n0 m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9109 - | G9109 - Onc dx head/neck T1-T2no prg | '01/01/2007 | 12/31/2999 |
| G9110 | G9110 - Oncology; disease status; head and neck cancer limited to cancers of oral cavity pharynx and larynx with squamous cell as predominant cell type; extent of disease initially established as t3-4 and/or n1-3 m0 (prior to neo-adjuvant therapy if any) with no evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9110 - | G9110 - Onc dx head/neck T3-4 noprog | '01/01/2007 | 12/31/2999 |
| G9111 | G9111 - Oncology; disease status; head and neck cancer limited to cancers of oral cavity pharynx and larynx with squamous cell as predominant cell type; m1 at diagnosis metastatic locally recurrent or progressive (for use in a medicare-approved demonstration project) | G9111 - | G9111 - Onc dx head/neck M1 mets rec | '01/01/2007 | 12/31/2999 |
| G9112 | G9112 - Oncology; disease status; head and neck cancer limited to cancers of oral cavity pharynx and larynx with squamous cell as predominant cell type; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9112 - | G9112 - Onc dx head/neck ext unknown | '01/01/2007 | 12/31/2999 |
| G9113 | G9113 - Oncology; disease status; ovarian cancer limited to epithelial cancer; pathologic stage ia-b (grade 1) without evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9113 - | G9113 - Onc dx ovarian stg1A-B no pr | '01/01/2007 | 12/31/2999 |
| G9114 | G9114 - Oncology; disease status; ovarian cancer limited to epithelial cancer; pathologic stage ia-b (grade 2-3); or stage ic (all grades); or stage ii; without evidence of disease progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9114 - | G9114 - Onc dx ovarian stg1A-B or 2 | '01/01/2007 | 12/31/2999 |
| G9115 | G9115 - Oncology; disease status; ovarian cancer limited to epithelial cancer; pathologic stage iii-iv; without evidence of progression recurrence or metastases (for use in a medicare-approved demonstration project) | G9115 - | G9115 - Onc dx ovarian stg3/4 noprog | '01/01/2007 | 12/31/2999 |
| G9116 | G9116 - Oncology; disease status; ovarian cancer limited to epithelial cancer; evidence of disease progression or recurrence and/or platinum resistance (for use in a medicare-approved demonstration project) | G9116 - | G9116 - Onc dx ovarian recurrence | '01/01/2007 | 12/31/2999 |
| G9117 | G9117 - Oncology; disease status; ovarian cancer limited to epithelial cancer; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9117 - | G9117 - Onc dx ovarian unknown NOS | '01/01/2007 | 12/31/2999 |
| G9123 | G9123 - Oncology; disease status; chronic myelogenous leukemia limited to philadelphia chromosome positive and/or bcr-abl positive; chronic phase not in hematologic cytogenetic or molecular remission (for use in a medicare-approved demonstration project) | G9123 - | G9123 - Onc dx CML chronic phase | '01/01/2007 | 12/31/2999 |
| G9124 | G9124 - Oncology; disease status; chronic myelogenous leukemia limited to philadelphia chromosome positive and/or bcr-abl positive; accelerated phase not in hematologic cytogenetic or molecular remission (for use in a medicare-approved demonstration project) | G9124 - | G9124 - Onc dx CML acceler phase | '01/01/2007 | 12/31/2999 |
| G9125 | G9125 - Oncology; disease status; chronic myelogenous leukemia limited to philadelphia chromosome positive and/or bcr-abl positive; blast phase not in hematologic cytogenetic or molecular remission (for use in a medicare-approved demonstration project) | G9125 - | G9125 - Onc dx CML blast phase | '01/01/2007 | 12/31/2999 |
| G9126 | G9126 - Oncology; disease status; chronic myelogenous leukemia limited to philadelphia chromosome positive and/or bcr-abl positive; in hematologic cytogenetic or molecular remission (for use in a medicare-approved demonstration project) | G9126 - | G9126 - Onc dx CML remission | '01/01/2007 | 12/31/2999 |
| G9128 | G9128 - Oncology; disease status; limited to multiple myeloma systemic disease; smoldering stage i (for use in a medicare-approved demonstration project) | G9128 - | G9128 - Onc dx multi myeloma stage I | '01/01/2007 | 12/31/2999 |
| G9129 | G9129 - Oncology; disease status; limited to multiple myeloma systemic disease; stage ii or higher (for use in a medicare-approved demonstration project) | G9129 - | G9129 - Onc dx mult myeloma stg2 hig | '01/01/2007 | 12/31/2999 |
| G9130 | G9130 - Oncology; disease status; limited to multiple myeloma systemic disease; extent of disease unknown staging in progress or not listed (for use in a medicare-approved demonstration project) | G9130 - | G9130 - Onc dx multi myeloma unknown | '01/01/2007 | 12/31/2999 |
| G9131 | G9131 - ONCOLOGY; DISEASE STATUS; INVASIVE FEMALE BREAST CANCER (DOES NOT INCLUDE DUCTAL CARCINOMA IN SITU); ADENOCARCINOMA AS PREDOMINANT CELL TYPE; EXTENT OF DISEASE UNKNOWN STAGING IN PROGRESS OR NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9131 - | G9131 - Onc dx brst unknown NOS | '01/01/2007 | 12/31/2999 |
| G9132 | G9132 - ONCOLOGY; DISEASE STATUS; PROSTATE CANCER LIMITED TO ADENOCARCINOMA; HORMONE-REFRACTORY/ANDROGEN-INDEPENDENT (E.G. RISING PSA ON ANTI-ANDROGEN THERAPY OR POST-ORCHIECTOMY); CLINICAL METASTASES (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9132 - | G9132 - Onc dx prostate mets no cast | '01/01/2007 | 12/31/2999 |
| G9133 | G9133 - ONCOLOGY; DISEASE STATUS; PROSTATE CANCER LIMITED TO ADENOCARCINOMA; HORMONE-RESPONSIVE; CLINICAL METASTASES OR M1 AT DIAGNOSIS (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9133 - | G9133 - Onc dx prostate clinical met | '01/01/2007 | 12/31/2999 |
| G9134 | G9134 - ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA ANY CELLULAR CLASSIFICATION; STAGE I II AT DIAGNOSIS NOT RELAPSED NOT REFRACTORY (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9134 - | G9134 - Onc NHLstg 1-2 no relap no | '01/01/2007 | 12/31/2999 |
| G9135 | G9135 - ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA ANY CELLULAR CLASSIFICATION; STAGE III IV NOT RELAPSED NOT REFRACTORY (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9135 - | G9135 - Onc dx NHL stg 3-4 not relap | '01/01/2007 | 12/31/2999 |
| G9136 | G9136 - ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA TRANSFORMED FROM ORIGINAL CELLULAR DIAGNOSIS TO A SECOND CELLULAR CLASSIFICATION (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9136 - | G9136 - Onc dx NHL trans to lg Bcell | '01/01/2007 | 12/31/2999 |
| G9137 | G9137 - ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA ANY CELLULAR CLASSIFICATION; RELAPSED/REFRACTORY (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9137 - | G9137 - Onc dx NHL relapse/refractor | '01/01/2007 | 12/31/2999 |
| G9138 | G9138 - ONCOLOGY; DISEASE STATUS; NON-HODGKIN’S LYMPHOMA ANY CELLULAR CLASSIFICATION; DIAGNOSTIC EVALUATION STAGE NOT DETERMINED EVALUATION OF POSSIBLE RELAPSE OR NON-RESPONSE TO THERAPY OR NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9138 - | G9138 - Onc dx NHL stg unknown | '01/01/2007 | 12/31/2999 |
| G9139 | G9139 - ONCOLOGY; DISEASE STATUS; CHRONIC MYELOGENOUS LEUKEMIA LIMITED TO PHILADELPHIA CHROMOSOME POSITIVE AND/OR BCR-ABL POSITIVE; EXTENT OF DISEASE UNKNOWN STAGING IN PROGRESS NOT LISTED (FOR USE IN A MEDICARE-APPROVED DEMONSTRATION PROJECT) | G9139 - | G9139 - Onc dx CML dx status unknown | '01/01/2007 | 12/31/2999 |
| G9140 | G9140 - FRONTIER EXTENDED STAY CLINIC DEMONSTRATION; FOR A PATIENT STAY IN A CLINIC APPROVED FOR THE CMS DEMONSTRATION PROJECT; THE FOLLOWING MEASURES SHOULD BE PRESENT: THE STAY MUST BE EQUAL TO OR GREATER THAN 4 HOURS; WEATHER OR OTHER CONDITIONS MUST PREVENT TRANSFER OR THE CASE FALLS INTO A CATEGORY OF MONITORING AND OBSERVATION CASES THAT ARE PERMITTED BY THE RULES OF THE DEMONSTRATION; THERE IS A MAXIMUM FRONTIER EXTENDED STAY CLINIC (FESC) VISIT OF 48 HOURS EXCEPT IN THE CASE WHEN WEATHER OR OTHER CONDITIONS PREVENT TRANSFER; PAYMENT IS MADE ON EACH PERIOD UP TO 4 HOURS AFTER THE FIRST 4 HOURS | G9140 - | G9140 - Frontier extended stay demo | 01-10-2007 | 12/31/2999 |
| G9143 | G9143 - Warfarin responsiveness testing by genetic technique using any method any number of specimen(s) | G9143 - | G9143 - Warfarin respon genetic test | '01/01/2013 | 12/31/2999 |
| G9147 | G9147 - Outpatient Intravenous Insulin Treatment (OIVIT) either pulsatile or continuous by any means guided by the results of measurements for:respiratory quotient; and/or urine urea nitrogen (UUN); and/or arterial venous or capillary glucose; and/or potassium concentration | G9147 - | G9147 - | '04/01/2010 | 12/31/2999 |
| G9148 | G9148 - National Committee for Quality Assurance - Level I medical home | G9148 - | G9148 - Medical Home Level I | '07/01/2011 | 12/31/2999 |
| G9149 | G9149 - National Committee for Quality Assurance - Level II medical home | G9149 - | G9149 - Medical Home Level II | '07/01/2011 | 12/31/2999 |
| G9150 | G9150 - National Committee for Quality Assurance - Level III medical home | G9150 - | G9150 - Medical Home Level III | '07/01/2011 | 12/31/2999 |
| G9151 | G9151 - Multi-payer Advanced Primary Care Practice Demonstration State | G9151 - | G9151 - MAPCP Demo State | '07/01/2011 | 12/31/2999 |
| G9152 | G9152 - Multi-payer Advanced Primary Care Practice Demonstration Community | G9152 - | G9152 - MAPCP Demo Community | '07/01/2011 | 12/31/2999 |
| G9153 | G9153 - Multi-payer Advanced Primary Care Practice Demonstration Physician | G9153 - | G9153 - MAPCP Demo Physician | '07/01/2011 | 12/31/2999 |
| G9156 | G9156 - EVALUATION FOR WHEELCHAIR REQUIRING FACE TO FACE VISIT WITH PHYSICIAN | G9156 - | G9156 - | '01/01/2012 | 12/31/2999 |
| G9157 | G9157 - Transesophageal Doppler used for cardiac monitoring | G9157 - | G9157 - Transesophageal Doppler mon | 01-10-2012 | 12/31/2999 |
| G9187 | G9187 - Bundled Payments for Care Improvement Initiative home visit for patient assessment performed by a qualified health care professional for individuals not considered homebound including but not limited to assessment of safety falls clinical status fluid status medication reconciliation/management patient compliance with orders/plan of care performance of activities of daily living appropriateness of care setting. (For use only in the Medicare-approved Bundled Payments for Care Improvement Initiative.) May not be billed for a 30-day period covered by a transitional care management code | G9187 - | G9187 - BPCI home visit | 01-10-2013 | 12/31/2999 |
| G9188 | G9188 - Beta-blocker therapy not prescribed reason not given | G9188 - | G9188 - Beta not given no reason | '01/01/2014 | 12/31/2999 |
| G9189 | G9189 - Beta-blocker therapy prescribed or currently being taken | G9189 - | G9189 - Beta pres or already taking | '01/01/2014 | 12/31/2999 |
| G9190 | G9190 - Documentation of medical reason(s) for not prescribing beta-blocker therapy (eg allergy intolerance other medical reasons) | G9190 - | G9190 - Medical reason for no beta | '01/01/2014 | 12/31/2999 |
| G9191 | G9191 - Documentation of patient reason(s) for not prescribing beta-blocker therapy (eg patient declined other patient reasons) | G9191 - | G9191 - Pt reason for no beta | '01/01/2014 | 12/31/2999 |
| G9192 | G9192 - Documentation of system reason(s) for not prescribing beta-blocker therapy (eg other reasons attributable to the health care system) | G9192 - | G9192 - System reason for no beta | '01/01/2014 | 12/31/2999 |
| G9212 | G9212 - Dsm-ivtm criteria for major depressive disorder documented at the initial evaluation | G9212 - | G9212 - Doc of dsm-iv init eval | '01/01/2014 | 12/31/2999 |
| G9213 | G9213 - Dsm-iv-tr criteria for major depressive disorder not documented at the initial evaluation reason not otherwise specified | G9213 - | G9213 - No doc of dsm-iv | '01/01/2014 | 12/31/2999 |
| G9223 | G9223 - Pneumocystis jiroveci pneumonia prophylaxis prescribed within 3 months of low cd4+ cell count below 500 cells/mm3 or a cd4 percentage below 15% | G9223 - | G9223 - Pjp proph ordered cd4 low | '01/01/2014 | 12/31/2999 |
| G9225 | G9225 - Foot exam was not performed reason not given | G9225 - | G9225 - Norsn no foot exam | '01/01/2014 | 12/31/2999 |
| G9226 | G9226 - Foot examination performed (includes examination through visual inspection sensory exam with 10-g monofilament plus testing any one of the following: vibration using 128-hz tuning fork pinprick sensation ankle reflexes or vibration perception threshold and pulse exam; report when all of the 3 components are completed) | G9226 - | G9226 - 3 comp foot exam completed | '01/01/2016 | 12/31/2999 |
| G9227 | G9227 - Functional outcome assessment documented care plan not documented documentation the patient is not eligible for a care plan at the time of the encounter | G9227 - | G9227 - Foa doc care plan not doc | '01/01/2018 | 12/31/2999 |
| G9228 | G9228 - Chlamydia gonorrhea and syphilis screening results documented (report when results are present for all of the 3 screenings) | G9228 - | G9228 - Gc chl syp documented | '01/01/2014 | 12/31/2999 |
| G9229 | G9229 - Chlamydia gonorrhea and syphilis screening results not documented (patient refusal is the only allowed exception) | G9229 - | G9229 - Ptrsn no gc chl syp test | '01/01/2017 | 12/31/2999 |
| G9230 | G9230 - Chlamydia gonorrhea and syphilis not screened reason not given | G9230 - | G9230 - Norsn for gc chl syp test | '01/01/2014 | 12/31/2999 |
| G9231 | G9231 - Documentation of end stage renal disease (esrd) dialysis renal transplant before or during the measurement period or pregnancy during the measurement period | G9231 - | G9231 - Doc esrd dia trans preg | '01/01/2017 | 12/31/2999 |
| G9242 | G9242 - Documentation of viral load equal to or greater than 200 copies/ml or viral load not performed | G9242 - | G9242 - Doc viral load >=200 | '01/01/2015 | 12/31/2999 |
| G9243 | G9243 - Documentation of viral load less than 200 copies/ml | G9243 - | G9243 - Doc viral load <200 | '01/01/2014 | 12/31/2999 |
| G9246 | G9246 - Patient did not have at least one medical visit in each 6 month period of the 24 month measurement period with a minimum of 60 days between medical visits | G9246 - | G9246 - No med visit in 24mo | '01/01/2014 | 12/31/2999 |
| G9247 | G9247 - Patient had at least one medical visit in each 6 month period of the 24 month measurement period with a minimum of 60 days between medical visits | G9247 - | G9247 - 1 med visit in 24mo | '01/01/2014 | 12/31/2999 |
| G9254 | G9254 - Documentation of patient discharged to home later than post-operative day 2 following cas | G9254 - | G9254 - Doc pt dischg >2d | '01/01/2014 | 12/31/2999 |
| G9255 | G9255 - Documentation of patient discharged to home no later than post operative day 2 following cas | G9255 - | G9255 - Doc pt dischg <=2d | '01/01/2014 | 12/31/2999 |
| G9273 | G9273 - Blood pressure has a systolic value of < 140 and a diastolic value of < 90 | G9273 - | G9273 - Sys<140 and dia<90 | '01/01/2014 | 12/31/2999 |
| G9274 | G9274 - Blood pressure has a systolic value of =140 and a diastolic value of = 90 or systolic value < 140 and diastolic value = 90 or systolic value = 140 and diastolic value < 90 | G9274 - | G9274 - Bp out of nrml limits | '01/01/2014 | 12/31/2999 |
| G9275 | G9275 - Documentation that patient is a current non-tobacco user | G9275 - | G9275 - Doc of non tobacco user | '01/01/2014 | 12/31/2999 |
| G9276 | G9276 - Documentation that patient is a current tobacco user | G9276 - | G9276 - Doc of tobacco user | '01/01/2014 | 12/31/2999 |
| G9277 | G9277 - Documentation that the patient is on daily aspirin or anti-platelet or has documentation of a valid contraindication or exception to aspirin/anti-platelet; contraindications/exceptions include anti-coagulant use allergy to aspirin or anti-platelets history of gastrointestinal bleed and bleeding disorder; additionally the following exceptions documented by the physician as a reason for not taking daily aspirin or anti-platelet are acceptable (use of non-steroidal anti-inflammatory agents documented risk for drug interaction uncontrolled hypertension defined as >180 systolic or >110 diastolic or gastroesophageal reflux) | G9277 - | G9277 - Doc daily aspirin or contra | '01/01/2016 | 12/31/2999 |
| G9278 | G9278 - Documentation that the patient is not on daily aspirin or anti-platelet regimen | G9278 - | G9278 - Doc no daily aspirin | '01/01/2015 | 12/31/2999 |
| G9279 | G9279 - Pneumococcal screening performed and documentation of vaccination received prior to discharge | G9279 - | G9279 - Pne scrn done doc vac done | '01/01/2014 | 12/31/2999 |
| G9280 | G9280 - Pneumococcal vaccination not administered prior to discharge reason not specified | G9280 - | G9280 - Pne not given norsn | '01/01/2014 | 12/31/2999 |
| G9281 | G9281 - Screening performed and documentation that vaccination not indicated/patient refusal | G9281 - | G9281 - Pne scrn done doc not ind | '01/01/2014 | 12/31/2999 |
| G9282 | G9282 - Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g. biopsy taken for other purposes in a patient with a history of non-small cell lung cancer or other documented medical reasons) | G9282 - | G9282 - Doc medrsn no histo type | '01/01/2014 | 12/31/2999 |
| G9283 | G9283 - Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation | G9283 - | G9283 - Hist type doc on report | '01/01/2014 | 12/31/2999 |
| G9284 | G9284 - Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation | G9284 - | G9284 - No hist type doc on report | '01/01/2014 | 12/31/2999 |
| G9285 | G9285 - Specimen site other than anatomic location of lung or is not classified as non small cell lung cancer | G9285 - | G9285 - Site not small cell lung ca | '01/01/2014 | 12/31/2999 |
| G9286 | G9286 - Antibiotic regimen prescribed within10 days after onset of symptoms | G9286 - | G9286 - Antibio rx w in 10d of sympt | '01/01/2016 | 12/31/2999 |
| G9287 | G9287 - Antibiotic regimen not prescribed within 10 days after onset of symptoms | G9287 - | G9287 - No antibio w in 10d of sympt | '01/01/2016 | 12/31/2999 |
| G9288 | G9288 - Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g. a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons ) | G9288 - | G9288 - Doc medrsn no hist type rpt | '01/01/2014 | 12/31/2999 |
| G9289 | G9289 - Non small cell lung cancer biopsy and cytology specimen report documents classification into specific histologic type or classified as nsclc-nos with an explanation | G9289 - | G9289 - Doc type nsm lung ca | '01/01/2014 | 12/31/2999 |
| G9290 | G9290 - Non small cell lung cancer biopsy and cytology specimen report does not document classification into specific histologic type or classified as nsclc-nos with an explanation | G9290 - | G9290 - No doc type nsm lung ca | '01/01/2014 | 12/31/2999 |
| G9291 | G9291 - Specimen site other than anatomic location of lung is not classified as non small cell lung cancer or classified as nsclc-nos | G9291 - | G9291 - Not nsm lung ca | '01/01/2014 | 12/31/2999 |
| G9292 | G9292 - Documentation of medical reason(s) for not reporting pt category and a statement on thickness and ulceration and for pt1 mitotic rate (e.g. negative skin biopsies in a patient with a history of melanoma or other documented medical reasons) | G9292 - | G9292 - Medrsn no pt category | '01/01/2014 | 12/31/2999 |
| G9293 | G9293 - Pathology report does not include the pt category and a statement on thickness and ulceration and for pt1 mitotic rate | G9293 - | G9293 - No pt category on report | '01/01/2014 | 12/31/2999 |
| G9294 | G9294 - Pathology report includes the pt category and a statement on thickness and ulceration and for pt1 mitotic rate | G9294 - | G9294 - Pt cat and thck on report | '01/01/2014 | 12/31/2999 |
| G9295 | G9295 - Specimen site other than anatomic cutaneous location | G9295 - | G9295 - Non cutaneous loc | '01/01/2014 | 12/31/2999 |
| G9296 | G9296 - Patients with documented shared decision-making including discussion of conservative (non-surgical) therapy (e.g. nsaids analgesics weight loss exercise injections) prior to the procedure | G9296 - | G9296 - Doc share dec prior proc | '01/01/2015 | 12/31/2999 |
| G9297 | G9297 - Shared decision-making including discussion of conservative (non-surgical) therapy (e.g. nsaids analgesics weight loss exercise injections) prior to the procedure not documented reason not given | G9297 - | G9297 - No doc share dec prior proc | '01/01/2015 | 12/31/2999 |
| G9298 | G9298 - Patients who are evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g. history of dvt pe mi arrhythmia and stroke) | G9298 - | G9298 - Eval risk vte card 30d prior | '01/01/2016 | 12/31/2999 |
| G9299 | G9299 - Patients who are not evaluated for venous thromboembolic and cardiovascular risk factors within 30 days prior to the procedure (e.g. history of dvt pe mi arrhythmia and stroke reason not given) | G9299 - | G9299 - No eval risk vte card prior | '01/01/2021 | 12/31/2999 |
| G9305 | G9305 - Intervention for presence of leak of endoluminal contents through an anastomosis not required | G9305 - | G9305 - No interv req for leak | '01/01/2014 | 12/31/2999 |
| G9306 | G9306 - Intervention for presence of leak of endoluminal contents through an anastomosis required | G9306 - | G9306 - Interv req for leak | '01/01/2014 | 12/31/2999 |
| G9307 | G9307 - No return to the operating room for a surgical procedure for complications of the principal operative procedure within 30 days of the principal operative procedure | G9307 - | G9307 - No ret for surg w in 30d | '01/01/2017 | 12/31/2999 |
| G9308 | G9308 - Unplanned return to the operating room for a surgical procedure for complications of the principal operative procedure within 30 days of the principal operative procedure | G9308 - | G9308 - Unpl ret or w/compl w/in 30d | '01/01/2017 | 12/31/2999 |
| G9309 | G9309 - No unplanned hospital readmission within 30 days of principal procedure | G9309 - | G9309 - No unplnd hosp readm in 30d | '01/01/2014 | 12/31/2999 |
| G9310 | G9310 - Unplanned hospital readmission within 30 days of principal procedure | G9310 - | G9310 - Unplnd hosp readm in 30d | '01/01/2014 | 12/31/2999 |
| G9311 | G9311 - No surgical site infection | G9311 - | G9311 - No surg site infection | '01/01/2014 | 12/31/2999 |
| G9312 | G9312 - Surgical site infection | G9312 - | G9312 - Surgical site infection | '01/01/2014 | 12/31/2999 |
| G9313 | G9313 - Amoxicillin with or without clavulanate not prescribed as first line antibiotic at the time of diagnosis for documented reason | G9313 - | G9313 - Amoxic not presc as 1st line | '01/01/2018 | 12/31/2999 |
| G9314 | G9314 - Amoxicillin with or without clavulanate not prescribed as first line antibiotic at the time of diagnosis reason not given | G9314 - | G9314 - Norsn not first line amox | '01/01/2014 | 12/31/2999 |
| G9315 | G9315 - Amoxicillin with or without clavulanate prescribed as a first line antibiotic at the time of diagnosis | G9315 - | G9315 - Amox w/wo clav rx | '01/01/2023 | 12/31/2999 |
| G9316 | G9316 - Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data the specific risk calculator used and communication of risk assessment from risk calculator with the patient or family | G9316 - | G9316 - Doc comm risk calc | '01/01/2014 | 12/31/2999 |
| G9317 | G9317 - Documentation of patient-specific risk assessment with a risk calculator based on multi-institutional clinical data the specific risk calculator used and communication of risk assessment from risk calculator with the patient or family not completed | G9317 - | G9317 - No doc comm risk calc | '01/01/2014 | 12/31/2999 |
| G9318 | G9318 - Imaging study named according to standardized nomenclature | G9318 - | G9318 - Image std nomenclature | '01/01/2014 | 12/31/2999 |
| G9319 | G9319 - Imaging study not named according to standardized nomenclature reason not given | G9319 - | G9319 - Image not std nomenclature | '01/01/2014 | 12/31/2999 |
| G9321 | G9321 - Count of previous ct (any type of ct) and cardiac nuclear medicine (myocardial perfusion) studies documented in the 12-month period prior to the current study | G9321 - | G9321 - Doc count of ct in 12mo | '01/01/2014 | 12/31/2999 |
| G9322 | G9322 - Count of previous ct and cardiac nuclear medicine (myocardial perfusion) studies not documented in the 12-month period prior to the current study reason not given | G9322 - | G9322 - No doc count of ct in 12mo | '01/01/2014 | 12/31/2999 |
| G9341 | G9341 - Search conducted for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure authorized media-free shared archive prior to an imaging study being performed | G9341 - | G9341 - Srch for ct w in 12 mos | '01/01/2015 | 12/31/2999 |
| G9342 | G9342 - Search not conducted prior to an imaging study being performed for prior patient ct studies completed at non-affiliated external healthcare facilities or entities within the past 12-months and are available through a secure authorized media-free shared archive reason not given | G9342 - | G9342 - No srch for ct in 12mo norsn | '01/01/2015 | 12/31/2999 |
| G9344 | G9344 - Due to system reasons search not conducted for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure authorized media-free shared archive (e.g. non-affiliated external healthcare facilities or entities does not have archival abilities through a shared archival system) | G9344 - | G9344 - Sysrsn no dicom srch | '01/01/2015 | 12/31/2999 |
| G9345 | G9345 - Follow-up recommendations documented according to recommended guidelines for incidentally detected pulmonary nodules (e.g. follow-up ct imaging studies needed or that no follow-up is needed) based at a minimum on nodule size and patient risk factors | G9345 - | G9345 - Follow up pulm nod | '01/01/2015 | 12/31/2999 |
| G9347 | G9347 - Follow-up recommendations not documented according to recommended guidelines for incidentally detected pulmonary nodules reason not given | G9347 - | G9347 - No follow up pulm nod norsn | '01/01/2015 | 12/31/2999 |
| G9351 | G9351 - More than one ct scan of the paranasal sinuses ordered or received within 90 days after diagnosis | G9351 - | G9351 - Doc >1 sinus ct w 90d dx | '01/01/2014 | 12/31/2999 |
| G9352 | G9352 - More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis reason not given | G9352 - | G9352 - Not >1 sinus ct w 90d dx | '01/01/2014 | 12/31/2999 |
| G9353 | G9353 - More than one ct scan of the paranasal sinuses ordered or received within 90 days after the date of diagnosis for documented reasons (eg patients with complications second ct obtained prior to surgery other medical reasons) | G9353 - | G9353 - Medrsn >1 sinus ct w 90d dx | '01/01/2014 | 12/31/2999 |
| G9354 | G9354 - One ct scan or no ct scan of the paranasal sinuses ordered within 90 days after the date of diagnosis | G9354 - | G9354 - 1 or no ct sinus w/in 90d dx | '01/01/2016 | 12/31/2999 |
| G9355 | G9355 - Elective delivery (without medical indication) by cesarean birth or induction of labor not performed (<39 weeks of gestation) | G9355 - | G9355 - No early ind/delivery | '01/01/2022 | 12/31/2999 |
| G9356 | G9356 - Elective delivery (without medical indication) by cesarean birth or induction of labor performed (<39 weeks of gestation) | G9356 - | G9356 - Early ind/delivery | '01/01/2022 | 12/31/2999 |
| G9357 | G9357 - Post-partum screenings evaluations and education performed | G9357 - | G9357 - Pp eval/edu perf | '01/01/2014 | 12/31/2999 |
| G9358 | G9358 - Post-partum screenings evaluations and education not performed | G9358 - | G9358 - Pp eval/edu not perf | '01/01/2014 | 12/31/2999 |
| G9361 | G9361 - Medical indication for delivery by cesarean birth or induction of labor (<39 weeks of gestation) [documentation of reason(s) for elective delivery (e.g. hemorrhage and placental complications hypertension preeclampsia and eclampsia rupture of membranes (premature or prolonged) maternal conditions complicating pregnancy/delivery fetal conditions complicating pregnancy/delivery late pregnancy prior uterine surgery or participation in clinical trial)] | G9361 - | G9361 - Doc rsn elect c-sec/induct | '01/01/2022 | 12/31/2999 |
| G9364 | G9364 - Sinusitis caused by or presumed to be caused by bacterial infection | G9364 - | G9364 - Sinus caus bac inx | '01/01/2015 | 12/31/2999 |
| G9367 | G9367 - At least two orders for high-risk medications from the same drug class | G9367 - | G9367 - >= 2 same hi-rsk med ord | '01/01/2022 | 12/31/2999 |
| G9368 | G9368 - At least two orders for high-risk medications from the same drug class not ordered | G9368 - | G9368 - >= 2 same hi-rsk med not ord | '01/01/2022 | 12/31/2999 |
| G9380 | G9380 - Patient offered assistance with end of life issues during the measurement period | G9380 - | G9380 - Off assis eol iss | '01/01/2015 | 12/31/2999 |
| G9382 | G9382 - Patient not offered assistance with end of life issues during the measurement period | G9382 - | G9382 - No off assis eol | '01/01/2015 | 12/31/2999 |
| G9383 | G9383 - Patient received screening for hcv infection within the 12 month reporting period | G9383 - | G9383 - Recd scrn hcv infec | '01/01/2015 | 12/31/2999 |
| G9384 | G9384 - Documentation of medical reason(s) for not receiving annual screening for hcv infection (e.g. decompensated cirrhosis indicating advanced disease [i.e. ascites esophageal variceal bleeding hepatic encephalopathy] hepatocellular carcinoma waitlist for organ transplant limited life expectancy other medical reasons) | G9384 - | G9384 - Doc med rsn no hcv scrn | '01/01/2018 | 12/31/2999 |
| G9385 | G9385 - Documentation of patient reason(s) for not receiving annual screening for hcv infection (e.g. patient declined other patient reasons) | G9385 - | G9385 - Doc pt reas not rec hcv srn | '01/01/2016 | 12/31/2999 |
| G9386 | G9386 - Screening for hcv infection not received within the 12 month reporting period reason not given | G9386 - | G9386 - Scrn hcv infec not recd | '01/01/2015 | 12/31/2999 |
| G9393 | G9393 - Patient with an initial phq-9 score greater than nine who achieves remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score of less than five | G9393 - | G9393 - Ini phq9 >9 remiss <5 | '01/01/2015 | 12/31/2999 |
| G9394 | G9394 - Patient who had a diagnosis of bipolar disorder or personality disorder death permanent nursing home resident or receiving hospice or palliative care any time during the measurement or assessment period | G9394 - | G9394 - Dx bipol death nhres hosp | '01/01/2015 | 12/31/2999 |
| G9395 | G9395 - Patient with an initial phq-9 score greater than nine who did not achieve remission at twelve months as demonstrated by a twelve month (+/- 30 days) phq-9 score greater than or equal to five | G9395 - | G9395 - Ini phq9 >9 no remiss >=5 | '01/01/2015 | 12/31/2999 |
| G9396 | G9396 - Patient with an initial phq-9 score greater than nine who was not assessed for remission at twelve months (+/- 30 days) | G9396 - | G9396 - Ini phq9 >9 not assess | '01/01/2015 | 12/31/2999 |
| G9402 | G9402 - Patient received follow-up within 30 days after discharge | G9402 - | G9402 - Recd f/u w/in 30d disch | '01/01/2021 | 12/31/2999 |
| G9403 | G9403 - Clinician documented reason patient was not able to complete 30 day follow-up from acute inpatient setting discharge (e.g. patient death prior to follow-up visit patient non-compliant for visit follow-up) | G9403 - | G9403 - Doc reas no 30 day f/u | '01/01/2015 | 12/31/2999 |
| G9404 | G9404 - Patient did not receive follow-up within 30 days after discharge | G9404 - | G9404 - No 30 day f/u | '01/01/2023 | 12/31/2999 |
| G9405 | G9405 - Patient received follow-up within 7 days after discharge | G9405 - | G9405 - Recd f/u w/in 7d dc | '01/01/2020 | 12/31/2999 |
| G9406 | G9406 - Clinician documented reason patient was not able to complete 7 day follow-up from acute inpatient setting discharge (i.e patient death prior to follow-up visit patient non-compliance for visit follow-up) | G9406 - | G9406 - Doc reas no 7d f/u | '01/01/2015 | 12/31/2999 |
| G9407 | G9407 - Patient did not receive follow-up within 7 days after discharge | G9407 - | G9407 - No 7d f/u | '01/01/2023 | 12/31/2999 |
| G9408 | G9408 - Patients with cardiac tamponade and/or pericardiocentesis occurring within 30 days | G9408 - | G9408 - Card tamp w/in 30d | '01/01/2015 | 12/31/2999 |
| G9409 | G9409 - Patients without cardiac tamponade and/or pericardiocentesis occurring within 30 days | G9409 - | G9409 - No card tamp e/in 30d | '01/01/2015 | 12/31/2999 |
| G9410 | G9410 - Patient admitted within 180 days status post cied implantation replacement or revision with an infection requiring device removal or surgical revision | G9410 - | G9410 - Admit w/in 180d req remov | '01/01/2015 | 12/31/2999 |
| G9411 | G9411 - Patient not admitted within 180 days status post cied implantation replacement or revision with an infection requiring device removal or surgical revision | G9411 - | G9411 - No admit w/in 180d req remov | '01/01/2015 | 12/31/2999 |
| G9412 | G9412 - Patient admitted within 180 days status post cied implantation replacement or revision with an infection requiring device removal or surgical revision | G9412 - | G9412 - Admit w/in 180d req surg rev | '01/01/2015 | 12/31/2999 |
| G9413 | G9413 - Patient not admitted within 180 days status post cied implantation replacement or revision with an infection requiring device removal or surgical revision | G9413 - | G9413 - No admit req surg rev | '01/01/2015 | 12/31/2999 |
| G9414 | G9414 - Patient had one dose of meningococcal vaccine (serogroups a c w y) on or between the patient's 11th and 13th birthdays | G9414 - | G9414 - 1dose menig vac btwn 11 & 13 | '01/01/2020 | 12/31/2999 |
| G9415 | G9415 - Patient did not have one dose of meningococcal vaccine (serogroups a c w y) on or between the patient's 11th and 13th birthdays | G9415 - | G9415 - No 1dose meni vac btwn 11&13 | '01/01/2021 | 12/31/2999 |
| G9416 | G9416 - Patient had one tetanus diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays | G9416 - | G9416 - Pt 1 tdap betw 10-13 yrs | '01/01/2017 | 12/31/2999 |
| G9417 | G9417 - Patient did not have one tetanus diphtheria toxoids and acellular pertussis vaccine (tdap) on or between the patient's 10th and 13th birthdays | G9417 - | G9417 - Pt not 1 tdap betw 10-13 yrs | '01/01/2017 | 12/31/2999 |
| G9418 | G9418 - Primary non-small cell lung cancer lung biopsy and cytology specimen report documents classification into specific histologic type following iaslc guidance or classified as nsclc-nos with an explanation | G9418 - | G9418 - Lungcx bx rpt docs class | '01/01/2023 | 12/31/2999 |
| G9419 | G9419 - Documentation of medical reason(s) for not including the histological type or nsclc-nos classification with an explanation (e.g. specimen insufficient or non-diagnostic specimen does not contain cancer or other documented medical reasons) | G9419 - | G9419 - Med reas not incl histo type | '01/01/2022 | 12/31/2999 |
| G9420 | G9420 - Specimen site other than anatomic location of lung or is not classified as primary non-small cell lung cancer | G9420 - | G9420 - Spec site no lung | '01/01/2015 | 12/31/2999 |
| G9421 | G9421 - Primary non-small cell lung cancer lung biopsy and cytology specimen report does not document classification into specific histologic type or histologic type does not follow iaslc guidance or is classified as nsclc-nos but without an explanation | G9421 - | G9421 - Lung cx bx rpt no doc class | '01/01/2022 | 12/31/2999 |
| G9422 | G9422 - Primary lung carcinoma resection report documents pt category pn category and for non-small cell lung cancer histologic type (e.g. squamous cell carcinoma adenocarcinoma and not nsclc-nos) | G9422 - | G9422 - Rpt doc class histo type | '01/01/2022 | 12/31/2999 |
| G9423 | G9423 - Documentation of medical reason(s) for not reporting the histological type or nsclc-nos classification with an explanation (e.g. a solitary fibrous tumor in a person with a history of non-small cell carcinoma or other documented medical reasons) | G9423 - | G9423 - Med reas rpt no histo type | '01/01/2015 | 12/31/2999 |
| G9424 | G9424 - Specimen site other than anatomic location of lung is not classified as non-small cell lung cancer or classified as nsclc-nos | G9424 - | G9424 - Site no lung or lung cx | '01/01/2015 | 12/31/2999 |
| G9425 | G9425 - Primary lung carcinoma resection report does not document pt category pn category and for non-small cell lung cancer histologic type (e.g. squamous cell carcinoma adenocarcinoma) | G9425 - | G9425 - Spec rpt no doc class histo | '01/01/2022 | 12/31/2999 |
| G9426 | G9426 - Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration performed for ed admitted patients | G9426 - | G9426 - Impr med time edarr pain med | '01/01/2015 | 12/31/2999 |
| G9427 | G9427 - Improvement in median time from ed arrival to initial ed oral or parenteral pain medication administration not performed for ed admitted patients | G9427 - | G9427 - No impro med time pain med | '01/01/2015 | 12/31/2999 |
| G9428 | G9428 - Pathology report includes the pt category thickness ulceration and mitotic rate peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | G9428 - | G9428 - Patho rpt incl pt ctg | '01/01/2022 | 12/31/2999 |
| G9429 | G9429 - Documentation of medical reason(s) for not including pt category thickness ulceration and mitotic rate peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors (e.g. negative skin biopsies insufficient tissue or other documented medical reasons) | G9429 - | G9429 - Doc med rsn no pt cat | '01/01/2022 | 12/31/2999 |
| G9430 | G9430 - Specimen site other than anatomic cutaneous location | G9430 - | G9430 - Spec site no cutaneous | '01/01/2015 | 12/31/2999 |
| G9431 | G9431 - Pathology report does not include the pt category thickness ulceration and mitotic rate peripheral and deep margin status and presence or absence of microsatellitosis for invasive tumors | G9431 - | G9431 - Patho rpt no pt ctg | '01/01/2022 | 12/31/2999 |
| G9432 | G9432 - Asthma well-controlled based on the act c-act acq or ataq score and results documented | G9432 - | G9432 - Asth controlled | '01/01/2015 | 12/31/2999 |
| G9434 | G9434 - Asthma not well-controlled based on the act c-act acq or ataq score or specified asthma control tool not used reason not given | G9434 - | G9434 - Asth not controlled | '01/01/2015 | 12/31/2999 |
| G9451 | G9451 - Patient received one-time screening for hcv infection | G9451 - | G9451 - 1x scrn hcv infect | '01/01/2015 | 12/31/2999 |
| G9452 | G9452 - Documentation of medical reason(s) for not receiving one-time screening for hcv infection (e.g. decompensated cirrhosis indicating advanced disease [ie ascites esophageal variceal bleeding hepatic encephalopathy] hepatocellular carcinoma waitlist for organ transplant limited life expectancy other medical reasons) | G9452 - | G9452 - Doc med reas no scrn hcv | '01/01/2015 | 12/31/2999 |
| G9453 | G9453 - Documentation of patient reason(s) for not receiving one-time screening for hcv infection (e.g. patient declined other patient reasons) | G9453 - | G9453 - Pt reas no hcv infect | '01/01/2015 | 12/31/2999 |
| G9454 | G9454 - One-time screening for hcv infection not received within 12-month reporting period and no documentation of prior screening for hcv infection reason not given | G9454 - | G9454 - No scr hcv inf 12 mth rp | '01/01/2019 | 12/31/2999 |
| G9455 | G9455 - Patient underwent abdominal imaging with ultrasound contrast enhanced ct or contrast mri for hcc | G9455 - | G9455 - Abd imag w/us ct or mri | '01/01/2015 | 12/31/2999 |
| G9456 | G9456 - Documentation of medical or patient reason(s) for not ordering or performing screening for hcc. medical reason: comorbid medical conditions with expected survival < 5 years hepatic decompensation and not a candidate for liver transplantation or other medical reasons; patient reasons: patient declined or other patient reasons (e.g. cost of tests time related to accessing testing equipment) | G9456 - | G9456 - Doc med pt reas no hcc scrn | '01/01/2015 | 12/31/2999 |
| G9457 | G9457 - Patient did not undergo abdominal imaging and did not have a documented reason for not undergoing abdominal imaging in the submission period | G9457 - | G9457 - Pt no abd img no doc rsn | '01/01/2019 | 12/31/2999 |
| G9458 | G9458 - Patient documented as tobacco user and received tobacco cessation intervention (must include at least one of the following: advice given to quit smoking or tobacco use counseling on the benefits of quitting smoking or tobacco use assistance with or referral to external smoking or tobacco cessation support programs or current enrollment in smoking or tobacco use cessation program) if identified as a tobacco user | G9458 - | G9458 - Tob user recd cess interv | '01/01/2015 | 12/31/2999 |
| G9459 | G9459 - Currently a tobacco non-user | G9459 - | G9459 - Tob non-user | '01/01/2015 | 12/31/2999 |
| G9460 | G9460 - Tobacco assessment or tobacco cessation intervention not performed reason not given | G9460 - | G9460 - No tob assess or cess inter | '01/01/2016 | 12/31/2999 |
| G9468 | G9468 - Patient not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600mg prednisone or greater for all fills | G9468 - | G9468 - No recd cortico>=10mg/d >60d | '01/01/2015 | 12/31/2999 |
| G9470 | G9470 - Patients not receiving corticosteroids greater than or equal to 10 mg/day of prednisone equivalents for 60 or greater consecutive days or a single prescription equating to 600mg prednisone or greater for all fills | G9470 - | G9470 - No rec cortico>60d 1rx 600mg | '01/01/2015 | 12/31/2999 |
| G9471 | G9471 - Within the past 2 years central dual-energy x-ray absorptiometry (dxa) not ordered or documented | G9471 - | G9471 - W/in 2yr dxa not order | '01/01/2015 | 12/31/2999 |
| G9473 | G9473 - Services performed by chaplain in the hospice setting each 15 minutes | G9473 - | G9473 - Chap services at hospice | '01/01/2016 | 12/31/2999 |
| G9474 | G9474 - Services performed by dietary counselor in the hospice setting each 15 minutes | G9474 - | G9474 - Diet counsel at hospice | '01/01/2016 | 12/31/2999 |
| G9475 | G9475 - Services performed by other counselor in the hospice setting each 15 minutes | G9475 - | G9475 - Other counselor at hospice | '01/01/2016 | 12/31/2999 |
| G9476 | G9476 - Services performed by volunteer in the hospice setting each 15 minutes | G9476 - | G9476 - Volun service at hospice | '01/01/2016 | 12/31/2999 |
| G9477 | G9477 - Services performed by care coordinator in the hospice setting each 15 minutes | G9477 - | G9477 - Care coord at hospice | '01/01/2016 | 12/31/2999 |
| G9478 | G9478 - Services performed by other qualified therapist in the hospice setting each 15 minutes | G9478 - | G9478 - Othe therapist at hospice | '01/01/2016 | 12/31/2999 |
| G9479 | G9479 - Services performed by qualified pharmacist in the hospice setting each 15 minutes | G9479 - | G9479 - Pharmacist at hospice | '01/01/2016 | 12/31/2999 |
| G9480 | G9480 - Admission to medicare care choice model program (mccm) | G9480 - | G9480 - Admission to mccm | '01/01/2016 | 12/31/2999 |
| G9481 | G9481 - Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project which requires these 3 key components: a problem focused history; a problem focused examination; and straightforward medical decision making furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are self limited or minor. typically 10 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9481 - | G9481 - Remote E/M new pt 10mins | '04/01/2016 | 12/31/2999 |
| G9482 | G9482 - Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project which requires these 3 key components: an expanded problem focused history; an expanded problem focused examination; straightforward medical decision making furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of low to moderate severity. typically 20 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9482 - | G9482 - Remote E/M new pt 20mins | '01/01/2018 | 12/31/2999 |
| G9483 | G9483 - Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project which requires these 3 key components: a detailed history; a detailed examination; medical decision making of low complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of moderate severity. typically 30 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9483 - | G9483 - Remote E/M new pt 30mins | '01/01/2018 | 12/31/2999 |
| G9484 | G9484 - Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of moderate complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of moderate to high severity. typically 45 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9484 - | G9484 - Remote E/M new pt 45mins | '01/01/2018 | 12/31/2999 |
| G9485 | G9485 - Remote in-home visit for the evaluation and management of a new patient for use only in a medicare-approved cms innovation center demonstration project which requires these 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of moderate to high severity. typically 60 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9485 - | G9485 - Remote E/M new pt 60mins | '01/01/2018 | 12/31/2999 |
| G9486 | G9486 - Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project which requires at least 2 of the following 3 key components: a problem focused history; a problem focused examination; straightforward medical decision making furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are self limited or minor. typically 10 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9486 - | G9486 - Remote E/M est. pt 10mins | '01/01/2018 | 12/31/2999 |
| G9487 | G9487 - Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project which requires at least 2 of the following 3 key components: an expanded problem focused history; an expanded problem focused examination; medical decision making of low complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of low to moderate severity. typically 15 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9487 - | G9487 - Remote E/M est. pt 15mins | '01/01/2018 | 12/31/2999 |
| G9488 | G9488 - Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project which requires at least 2 of the following 3 key components: a detailed history; a detailed examination; medical decision making of moderate complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of moderate to high severity. typically 25 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9488 - | G9488 - Remote E/M est. pt 25mins | '01/01/2018 | 12/31/2999 |
| G9489 | G9489 - Remote in-home visit for the evaluation and management of an established patient for use only in a medicare-approved cms innovation center demonstration project which requires at least 2 of the following 3 key components: a comprehensive history; a comprehensive examination; medical decision making of high complexity furnished in real time using interactive audio and video technology. counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. usually the presenting problem(s) are of moderate to high severity. typically 40 minutes are spent with the patient or family or both via real time audio and video intercommunications technology | G9489 - | G9489 - Remote E/M est. pt 40mins | '01/01/2018 | 12/31/2999 |
| G9490 | G9490 - CMS innovation center models home visit for patient assessment performed by clinical staff for an individual not considered homebound including but not necessarily limited to patient assessment of clinical status safety/fall prevention functional status/ambulation medication reconciliation/management compliance with orders/plan of care performance of activities of daily living and ensuring beneficiary connections to community and other services. (for use only in medicare-approved cms innovation center models); may not be billed for a 30 day period covered by a transitional care management code | G9490 - | G9490 - CMMI mod home visit | '01/01/2018 | 12/31/2999 |
| G9497 | G9497 - Received instruction from the anesthesiologist or proxy prior to the day of surgery to abstain from smoking on the day of surgery | G9497 - | G9497 - Rec inst no smoke day surg | '01/01/2017 | 12/31/2999 |
| G9498 | G9498 - Antibiotic regimen prescribed | G9498 - | G9498 - Abx reg prescribed | '01/01/2016 | 12/31/2999 |
| G9500 | G9500 - Radiation exposure indices documented in final report for procedure using fluoroscopy | G9500 - | G9500 - Rad expos ind/exp tm doc | '01/01/2023 | 12/31/2999 |
| G9501 | G9501 - Radiation exposure indices not documented in final report for procedure using fluoroscopy reason not given | G9501 - | G9501 - Rad expos ind/exp tm no doc | '01/01/2023 | 12/31/2999 |
| G9502 | G9502 - Documentation of medical reason for not performing foot exam (i.e. patients who have had either a bilateral amputation above or below the knee or both a left and right amputation above or below the knee before or during the measurement period) | G9502 - | G9502 - Med reas no perf foot exam | '01/01/2016 | 12/31/2999 |
| G9504 | G9504 - Documented reason for not assessing hepatitis b virus (hbv) status (e.g. patient not initiating anti-tnf therapy patient declined) prior to initiating anti-tnf therapy | G9504 - | G9504 - Doc rsn hep b stat not asses | '01/01/2018 | 12/31/2999 |
| G9505 | G9505 - Antibiotic regimen prescribed within 10 days after onset of symptoms for documented medical reason | G9505 - | G9505 - Abx pres w/in 10 dys of symp | '01/01/2016 | 12/31/2999 |
| G9507 | G9507 - Documentation that the patient is on a statin medication or has documentation of a valid contraindication or exception to statin medications; contraindications/exceptions that can be defined by diagnosis codes include pregnancy during the measurement period active liver disease rhabdomyolysis end stage renal disease on dialysis and heart failure; provider documented contraindications/exceptions include breastfeeding during the measurement period woman of child-bearing age not actively taking birth control allergy to statin drug interaction (hiv protease inhibitors nefazodone cyclosporine gemfibrozil and danazol) and intolerance (with supporting documentation of trying a statin at least once within the last 5 years or diagnosis codes for myostitis or toxic myopathy related to drugs) | G9507 - | G9507 - Doc reas on statin or contra | '01/01/2016 | 12/31/2999 |
| G9508 | G9508 - Documentation that the patient is not on a statin medication | G9508 - | G9508 - Doc pt not on statin | '01/01/2016 | 12/31/2999 |
| G9509 | G9509 - Adult patients 18 years of age or older with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 | G9509 - | G9509 - Adit mdd dys rem 12 mnths | '01/01/2019 | 12/31/2999 |
| G9510 | G9510 - Adult patients 18 years of age or older with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq- 9 or phq-9m score was not assessed or is greater than or equal to 5 | G9510 - | G9510 - Remis12m not phq-9 score <5 | '01/01/2020 | 12/31/2999 |
| G9511 | G9511 - Index event date phq-9 or phq-9m score greater than 9 documented during the twelve month denominator identification period | G9511 - | G9511 - Idx evt dte phq>9 doc 12 mo | '01/01/2019 | 12/31/2999 |
| G9512 | G9512 - Individual had a pdc of 0.8 or greater | G9512 - | G9512 - Indiv pdc > 0.8 | '01/01/2016 | 12/31/2999 |
| G9513 | G9513 - Individual did not have a pdc of 0.8 or greater | G9513 - | G9513 - Indiv pdc not > 0.8 | '01/01/2016 | 12/31/2999 |
| G9514 | G9514 - Patient required a return to the operating room within 90 days of surgery | G9514 - | G9514 - Req ret or w/in 90d of surg | '01/01/2016 | 12/31/2999 |
| G9515 | G9515 - Patient did not require a return to the operating room within 90 days of surgery | G9515 - | G9515 - No reas no ret or w/in 90d | '01/01/2016 | 12/31/2999 |
| G9516 | G9516 - Patient achieved an improvement in visual acuity from their preoperative level within 90 days of surgery | G9516 - | G9516 - Impr vis acuit w/in 90d | '01/01/2016 | 12/31/2999 |
| G9517 | G9517 - Patient did not achieve an improvement in visual acuity from their preoperative level within 90 days of surgery reason not given | G9517 - | G9517 - No impr vis acuit w/in 90d | '01/01/2016 | 12/31/2999 |
| G9518 | G9518 - Documentation of active injection drug use | G9518 - | G9518 - Doc active inj drug use | '01/01/2016 | 12/31/2999 |
| G9519 | G9519 - Patient achieves final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery | G9519 - | G9519 - Final ref +/- 1.0 w/in 90d | '01/01/2020 | 12/31/2999 |
| G9520 | G9520 - Patient does not achieve final refraction (spherical equivalent) +/- 1.0 diopters of their planned refraction within 90 days of surgery | G9520 - | G9520 - Refract not +/- 1.0 w/in 90d | '01/01/2020 | 12/31/2999 |
| G9521 | G9521 - Total number of emergency department visits and inpatient hospitalizations less than two in the past 12 months | G9521 - | G9521 - Er and ip hosp <2 in 12 mos | '01/01/2016 | 12/31/2999 |
| G9522 | G9522 - Total number of emergency department visits and inpatient hospitalizations equal to or greater than two in the past 12 months or patient not screened reason not given | G9522 - | G9522 - Er/ip hosp =/>2 in 12 mos | '01/01/2016 | 12/31/2999 |
| G9529 | G9529 - Patient with minor blunt head trauma had an appropriate indication(s) for a head ct | G9529 - | G9529 - Minor blunt trauma w/head ct | '01/01/2016 | 12/31/2999 |
| G9530 | G9530 - Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | G9530 - | G9530 - Pt mbht hd ct ord ec prov | '01/01/2019 | 12/31/2999 |
| G9531 | G9531 - Patient has documentation of ventricular shunt brain tumor multisystem trauma or is currently taking an antiplatelet medication including: abciximab anagrelide cangrelor cilostazol clopidogrel dipyridamole eptifibatide prasugrel ticlopidine ticagrelor tirofiban or vorapaxar | G9531 - | G9531 - Pt doc | '01/01/2020 | 12/31/2999 |
| G9533 | G9533 - Patient with minor blunt head trauma did not have an appropriate indication(s) for a head ct | G9533 - | G9533 - Indic for head ct not valid | '01/01/2016 | 12/31/2999 |
| G9537 | G9537 - Imaging needed as part of a clinical trial; or other clinician ordered the study | G9537 - | G9537 - Img hd clin trial | '01/01/2021 | 12/31/2999 |
| G9539 | G9539 - Intent for potential removal at time of placement | G9539 - | G9539 - Intent pot remv time placemt | '01/01/2016 | 12/31/2999 |
| G9540 | G9540 - Patient alive 3 months post procedure | G9540 - | G9540 - Pt alive 3 mos post proc | '01/01/2016 | 12/31/2999 |
| G9541 | G9541 - Filter removed within 3 months of placement | G9541 - | G9541 - Filter rem 3 mon plmt | '01/01/2018 | 12/31/2999 |
| G9542 | G9542 - Documented re-assessment for the appropriateness of filter removal within 3 months of placement | G9542 - | G9542 - Doc reass appr remo filt 3ms | '01/01/2016 | 12/31/2999 |
| G9543 | G9543 - Documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement | G9543 - | G9543 - Doc 2x re-assess filt remov | '01/01/2016 | 12/31/2999 |
| G9544 | G9544 - Patients that do not have the filter removed documented re-assessment for the appropriateness of filter removal or documentation of at least two attempts to reach the patient to arrange a clinical re-assessment for the appropriateness of filter removal within 3 months of placement | G9544 - | G9544 - No filt remov w/in 3mos plcm | '01/01/2016 | 12/31/2999 |
| G9547 | G9547 - Cystic renal lesion that is simple appearing (bosniak i or ii) or adrenal lesion less than or equal to 1.0 cm or adrenal lesion greater than 1.0 cm but less than or equal to 4.0 cm classified as likely benign by unenhanced ct or washout protocol ct or mri with in- and opposed-phase sequences or other equivalent institutional imaging protocols | G9547 - | G9547 - Cys ren les or adren | '01/01/2020 | 12/31/2999 |
| G9548 | G9548 - Final reports for imaging studies stating no follow-up imaging is recommended | G9548 - | G9548 - No f/u rec image study | '01/01/2020 | 12/31/2999 |
| G9549 | G9549 - Documentation of medical reason(s) that follow-up imaging is indicated (e.g. patient has lymphadenopathy signs of metastasis or an active diagnosis or history of cancer and other medical reason(s)) | G9549 - | G9549 - Doc med rsn for f/u imag | '01/01/2020 | 12/31/2999 |
| G9550 | G9550 - Final reports for imaging studies with follow-up imaging recommended or final reports that do not include a specific recommendation of no follow-up | G9550 - | G9550 - Imag rec | '01/01/2021 | 12/31/2999 |
| G9551 | G9551 - Final reports for imaging studies without an incidentally found lesion noted | G9551 - | G9551 - Imag no les | '01/01/2020 | 12/31/2999 |
| G9552 | G9552 - Incidental thyroid nodule < 1.0 cm noted in report | G9552 - | G9552 - Inc thyr node <1.0 in rpt | '01/01/2016 | 12/31/2999 |
| G9553 | G9553 - Prior thyroid disease diagnosis | G9553 - | G9553 - Prior thyroid dise dx | '01/01/2016 | 12/31/2999 |
| G9554 | G9554 - Final reports for ct cta mri or mra of the chest or neck with follow-up imaging recommended | G9554 - | G9554 - Ct/cta/mri/a chst foll rec | '01/01/2022 | 12/31/2999 |
| G9555 | G9555 - Documentation of medical reason(s) for recommending follow up imaging (e.g. patient has multiple endocrine neoplasia patient has cervical lymphadenopathy other medical reason(s)) | G9555 - | G9555 - Doc med rsn for follup image | '01/01/2017 | 12/31/2999 |
| G9556 | G9556 - Final reports for ct cta mri or mra of the chest or neck with follow-up imaging not recommended | G9556 - | G9556 - Ct/cta/mri/a no follup imag | '01/01/2022 | 12/31/2999 |
| G9557 | G9557 - Final reports for ct cta mri or mra studies of the chest or neck without an incidentally found thyroid nodule < 1.0 cm noted or no nodule found | G9557 - | G9557 - Ct/cta/mri/a no thyr <1.0cm | '01/01/2022 | 12/31/2999 |
| G9580 | G9580 - Door to puncture time of 90 minutes or less | G9580 - | G9580 - Door to punc time <2hrs | '01/01/2022 | 12/31/2999 |
| G9582 | G9582 - Door to puncture time of greater than 90 minutes no reason given | G9582 - | G9582 - Door to punc time >2hr nrg | '01/01/2022 | 12/31/2999 |
| G9593 | G9593 - Pediatric patient with minor blunt head trauma classified as low risk according to the pecarn prediction rules | G9593 - | G9593 - Low pecarn ped head trauma | '01/01/2016 | 12/31/2999 |
| G9594 | G9594 - Patient presented with a minor blunt head trauma and had a head ct ordered for trauma by an emergency care provider | G9594 - | G9594 - Pt mbht hd ct ord ec prov | '01/01/2019 | 12/31/2999 |
| G9595 | G9595 - Patient has documentation of ventricular shunt brain tumor or coagulopathy | G9595 - | G9595 - Doc shnt/tum/coag | '01/01/2020 | 12/31/2999 |
| G9596 | G9596 - Pediatric patient had a head ct for trauma ordered by someone other than an emergency care provider or was ordered for a reason other than trauma | G9596 - | G9596 - Ped pt hd ct ord | '01/01/2019 | 12/31/2999 |
| G9597 | G9597 - Pediatric patient with minor blunt head trauma not classified as low risk according to the pecarn prediction rules | G9597 - | G9597 - No low pecarn ped head traum | '01/01/2016 | 12/31/2999 |
| G9598 | G9598 - Aortic aneurysm 5.5 - 5.9 cm maximum diameter on centerline formatted ct or minor diameter on axial formatted ct | G9598 - | G9598 - Aor ane 5.5-5.9 cm max diam | '01/01/2016 | 12/31/2999 |
| G9599 | G9599 - Aortic aneurysm 6.0 cm or greater maximum diameter on centerline formatted ct or minor diameter on axial formatted ct | G9599 - | G9599 - Aor ane >=6.0 cm max diam | '01/01/2016 | 12/31/2999 |
| G9603 | G9603 - Patient survey score improved from baseline following treatment | G9603 - | G9603 - Pt surv improv bsline tx | '01/01/2016 | 12/31/2999 |
| G9604 | G9604 - Patient survey results not available | G9604 - | G9604 - Pt surv results not avail | '01/01/2016 | 12/31/2999 |
| G9605 | G9605 - Patient survey score did not improve from baseline following treatment | G9605 - | G9605 - Surv score no improv w/tx | '01/01/2016 | 12/31/2999 |
| G9606 | G9606 - Intraoperative cystoscopy performed to evaluate for lower tract injury | G9606 - | G9606 - Intraop cyst eval trac inj | '01/01/2016 | 12/31/2999 |
| G9607 | G9607 - Documented medical reasons for not performing intraoperative cystoscopy (e.g. urethral pathology precluding cystoscopy any patient who has a congenital or acquired absence of the urethra) or in the case of patient death | G9607 - | G9607 - Doc med rsn not perf cystosc | '01/01/2018 | 12/31/2999 |
| G9608 | G9608 - Intraoperative cystoscopy not performed to evaluate for lower tract injury | G9608 - | G9608 - Intraop cyst eval not done | '01/01/2016 | 12/31/2999 |
| G9609 | G9609 - Documentation of an order for anti-platelet agents | G9609 - | G9609 - Doc order anti-plat | '01/01/2017 | 12/31/2999 |
| G9610 | G9610 - Documentation of medical reason(s) in the patient's record for not ordering anti-platelet agents | G9610 - | G9610 - Doc md rsn no antipla | '01/01/2017 | 12/31/2999 |
| G9611 | G9611 - Order for anti-platelet agents was not documented in the patient's record reason not given | G9611 - | G9611 - No doc order anti-plat rng | '01/01/2017 | 12/31/2999 |
| G9612 | G9612 - Photodocumentation of two or more cecal landmarks to establish a complete examination | G9612 - | G9612 - Phodoc 2 mr cec lndmk | '01/01/2019 | 12/31/2999 |
| G9613 | G9613 - Documentation of post-surgical anatomy (e.g. right hemicolectomy ileocecal resection etc.) | G9613 - | G9613 - Doc post surg anatomy | '01/01/2016 | 12/31/2999 |
| G9614 | G9614 - Photodocumentation of less than two cecal landmarks (i.e. no cecal landmarks or only one cecal landmark) to establish a complete examination | G9614 - | G9614 - Photodoc < 2 cec lndmk | '01/01/2019 | 12/31/2999 |
| G9621 | G9621 - Patient identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method and received brief counseling | G9621 - | G9621 - Scr unheal etoh w/counsel | '01/01/2016 | 12/31/2999 |
| G9622 | G9622 - Patient not identified as an unhealthy alcohol user when screened for unhealthy alcohol use using a systematic screening method | G9622 - | G9622 - No unheal etoh user | '01/01/2016 | 12/31/2999 |
| G9624 | G9624 - Patient not screened for unhealthy alcohol use using a systematic screening method or patient did not receive brief counseling if identified as an unhealthy alcohol user | G9624 - | G9624 - Pt not scrn or no counseling | '01/01/2023 | 12/31/2999 |
| G9625 | G9625 - Patient sustained bladder injury at the time of surgery or discovered subsequently up to 30 days post-surgery | G9625 - | G9625 - Pt bl srg 30 day pst srg | '01/01/2019 | 12/31/2999 |
| G9626 | G9626 - Documented medical reason for not reporting bladder injury (e.g. gynecologic or other pelvic malignancy documented concurrent surgery involving bladder pathology injury that occurs during a urinary incontinence procedure patient death from non-medical causes not related to surgery patient died during procedure without evidence of bladder injury) | G9626 - | G9626 - Med rsn no rpt bladder inj | '01/01/2023 | 12/31/2999 |
| G9627 | G9627 - Patient did not sustain bladder injury at the time of surgery nor discovered subsequently up to 30 days post-surgery | G9627 - | G9627 - Pt no bl srg 30 day pst srg | '01/01/2022 | 12/31/2999 |
| G9628 | G9628 - Patient sustained bowel injury at the time of surgery or discovered subsequently up to 30 days post-surgery | G9628 - | G9628 - Pt bwli srg 30 day pst srg | '01/01/2019 | 12/31/2999 |
| G9629 | G9629 - Documented medical reasons for not reporting bowel injury (e.g. gynecologic or other pelvic malignancy documented planned (e.g. not due to an unexpected bowel injury) resection and/or re-anastomosis of bowel or patient death from non-medical causes not related to surgery patient died during procedure without evidence of bowel injury) | G9629 - | G9629 - Med rsn no rpt bowel inj | '01/01/2017 | 12/31/2999 |
| G9630 | G9630 - Patient did not sustain a bowel injury at the time of surgery nor discovered subsequently up to 30 days post-surgery | G9630 - | G9630 - Pt no bwli srg 30 day srg | '01/01/2019 | 12/31/2999 |
| G9637 | G9637 - Final reports without documentation of one or more dose reduction techniques (e.g. automated exposure control adjustment of the ma and/or kv according to patient size use of iterative reconstruction technique) | G9637 - | G9637 - Doc >1 dose reduc tech | '01/01/2018 | 12/31/2999 |
| G9638 | G9638 - Final reports without documentation of one or more dose reduction techniques (e.g. automated exposure control adjustment of the ma and/or kv according to patient size use of iterative reconstruction technique) | G9638 - | G9638 - No doc >1 dose reduc tech | '01/01/2018 | 12/31/2999 |
| G9642 | G9642 - Current smoker (e.g. cigarette cigar pipe e-cigarette or marijuana) | G9642 - | G9642 - Current smoker | '01/01/2021 | 12/31/2999 |
| G9643 | G9643 - Elective surgery | G9643 - | G9643 - Elective surgery | '01/01/2016 | 12/31/2999 |
| G9644 | G9644 - Patients who abstained from smoking prior to anesthesia on the day of surgery or procedure | G9644 - | G9644 - No smok b/4 anes day of surg | '01/01/2016 | 12/31/2999 |
| G9645 | G9645 - Patients who did not abstain from smoking prior to anesthesia on the day of surgery or procedure | G9645 - | G9645 - Had smoke b/4 anes day surg | '01/01/2016 | 12/31/2999 |
| G9646 | G9646 - Patients with 90 day mrs score of 0 to 2 | G9646 - | G9646 - Pt w/90d mrs 0-2 | '01/01/2016 | 12/31/2999 |
| G9648 | G9648 - Patients with 90 day mrs score greater than 2 | G9648 - | G9648 - Pt w/90d mrs >2 | '01/01/2016 | 12/31/2999 |
| G9649 | G9649 - Psoriasis assessment tool documented meeting any one of the specified benchmarks (e.g. (pga; 5-point or 6-point scale) body surface area (bsa) psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) | G9649 - | G9649 - Psor as doc spc bm | '01/01/2019 | 12/31/2999 |
| G9651 | G9651 - Psoriasis assessment tool documented not meeting any one of the specified benchmarks (e.g. (pga; 5-point or 6-point scale) body surface area (bsa) psoriasis area and severity index (pasi) and/or dermatology life quality index) (dlqi)) or psoriasis assessment tool not documented | G9651 - | G9651 - Psor as doc no spc bm | '01/01/2019 | 12/31/2999 |
| G9654 | G9654 - Monitored anesthesia care (mac) | G9654 - | G9654 - Mon anesth care | '01/01/2016 | 12/31/2999 |
| G9655 | G9655 - A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is used | G9655 - | G9655 - Toc tool incl key elem | '01/01/2016 | 12/31/2999 |
| G9656 | G9656 - Patient transferred directly from anesthetizing location to pacu or other non-icu location | G9656 - | G9656 - Pt trans from anest to pacu | '01/01/2018 | 12/31/2999 |
| G9658 | G9658 - A transfer of care protocol or handoff tool/checklist that includes the required key handoff elements is not used | G9658 - | G9658 - Toc tool incl elem not used | '01/01/2016 | 12/31/2999 |
| G9659 | G9659 - Patients greater than or equal to 86 years of age who underwent a screening colonoscopy and did not have a history of colorectal cancer or other valid medical reason for the colonoscopy including: iron deficiency anemia lower gastrointestinal bleeding crohn's disease (i.e. regional enteritis) familial adenomatous polyposis lynch syndrome (i.e. hereditary non-polyposis colorectal cancer) inflammatory bowel disease ulcerative colitis abnormal finding of gastrointestinal tract or changes in bowel habits | G9659 - | G9659 - >=86y no hx colo ca/rsn scop | '01/01/2021 | 12/31/2999 |
| G9660 | G9660 - Documentation of medical reason(s) for a colonoscopy performed on a patient greater than or equal to 86 years of age (e.g. iron deficiency anemia lower gastrointestinal bleeding crohn's disease (i.e. regional enteritis) familial history of adenomatous polyposis lynch syndrome (i.e. hereditary non-polyposis colorectal cancer) inflammatory bowel disease ulcerative colitis abnormal finding of gastrointestinal tract or changes in bowel habits) | G9660 - | G9660 - Doc med rsn scope pt >= 86y | '01/01/2021 | 12/31/2999 |
| G9661 | G9661 - Patients greater than or equal to 86 years of age who received a colonoscopy for an assessment of signs/symptoms of gi tract illness and/or because the patient meets high risk criteria and/or to follow-up on previously diagnosed advanced lesions | G9661 - | G9661 - Pt >= 86 w/ hi risk | '01/01/2021 | 12/31/2999 |
| G9662 | G9662 - Previously diagnosed or have a diagnosis of clinical ascvd including ascvd procedure | G9662 - | G9662 - Prior dx/active clin ascvd | '01/01/2023 | 12/31/2999 |
| G9663 | G9663 - Any ldl-c laboratory result >= 190 mg/dl | G9663 - | G9663 - Fast/dir ldl >= 190 mg/dl | '01/01/2023 | 12/31/2999 |
| G9664 | G9664 - Patients who are currently statin therapy users or received an order (prescription) for statin therapy | G9664 - | G9664 - Taking statin or rec'd order | '01/01/2016 | 12/31/2999 |
| G9665 | G9665 - Patients who are not currently statin therapy users or did not receive an order (prescription) for statin therapy | G9665 - | G9665 - No statin/no order statin | '01/01/2016 | 12/31/2999 |
| G9674 | G9674 - Patients with clinical ascvd diagnosis | G9674 - | G9674 - Pt w/clin ascvd dx | '01/01/2016 | 12/31/2999 |
| G9675 | G9675 - Patients who have ever had a fasting or direct laboratory result of ldl-c = 190 mg/dl | G9675 - | G9675 - Pt w/fast/dir lab ldl-c >190 | '01/01/2016 | 12/31/2999 |
| G9676 | G9676 - Patients aged 40 to 75 years at the beginning of the measurement period with type 1 or type 2 diabetes and with an ldl-c result of 70-189 mg/dl recorded as the highest fasting or direct laboratory test result in the measurement year or during the two years prior to the beginning of the measurement period | G9676 - | G9676 - 40-75y w/type 1/2 w/ldl-c rs | '01/01/2016 | 12/31/2999 |
| G9679 | G9679 - Onsite acute care treatment of a nursing facility resident with pneumonia. May only be billed oncper day per beneficiary. | G9679 - | G9679 - Acute care pneumonia  | 01-10-2016 | 12/31/2999 |
| G9680 | G9680 - Onsite acute care treatment of a nursing facility resident with CHF. May only be billed once per day per beneficiary. | G9680 - | G9680 - Acute care congestive heart | 01-10-2016 | 12/31/2999 |
| G9681 | G9681 - Onsite acute care treatment of a resident with COPD or asthma. May only be billed once per day per beneficiary. | G9681 - | G9681 - Acute care chronic obstruct  | 01-10-2016 | 12/31/2999 |
| G9682 | G9682 - Onsite acute care treatment a nursing facility resident with a skin infection. May only be billed once per day per beneficiary | G9682 - | G9682 - Acute care skin infection  | 01-10-2016 | 12/31/2999 |
| G9683 | G9683 - Facility service(s) for the onsite acute care treatment of a nursing facility resident with fluid or electrolyte disorder. (may only be billed once per day per beneficiary). this service is for a demonstration project | G9683 - | G9683 - Acute fluid/electro disorder | '01/01/2019 | 12/31/2999 |
| G9684 | G9684 - Onsite acute care treatment of a nursing facility resident for a UTI. May only be billed once per day per beneficiary. | G9684 - | G9684 - Acute care urinary tract inf  | 01-10-2016 | 12/31/2999 |
| G9685 | G9685 - Physician service or other qualified health care professional for the evaluation and management of a beneficiary's acute change in condition in a nursing facility. this service is for a demonstration project | G9685 - | G9685 - Acute nursing facility care | '01/01/2019 | 12/31/2999 |
| G9687 | G9687 - Hospice services provided to patient any time during the measurement period | G9687 - | G9687 - Hospice anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9688 | G9688 - Patients using hospice services any time during the measurement period | G9688 - | G9688 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9689 | G9689 - Patient admitted for performance of elective carotid intervention | G9689 - | G9689 - Inpt elect carotid intervent | '01/01/2017 | 12/31/2999 |
| G9690 | G9690 - Patient receiving hospice services any time during the measurement period | G9690 - | G9690 - Pt in hos | '01/01/2019 | 12/31/2999 |
| G9691 | G9691 - Patient had hospice services any time during the measurement period | G9691 - | G9691 - Pt hosp dur msmt period | '01/01/2017 | 12/31/2999 |
| G9692 | G9692 - Hospice services received by patient any time during the measurement period | G9692 - | G9692 - Hosp recd by pt dur msmt per | '01/01/2017 | 12/31/2999 |
| G9693 | G9693 - Patient use of hospice services any time during the measurement period | G9693 - | G9693 - Pt use hosp during msmt per | '01/01/2017 | 12/31/2999 |
| G9694 | G9694 - Hospice services utilized by patient any time during the measurement period | G9694 - | G9694 - Hosp srv used pt in msmt per | '01/01/2017 | 12/31/2999 |
| G9695 | G9695 - Long-acting inhaled bronchodilator prescribed | G9695 - | G9695 - Long act inhal bronchdil pre | '01/01/2017 | 12/31/2999 |
| G9696 | G9696 - Documentation of medical reason(s) for not prescribing a long-acting inhaled bronchodilator | G9696 - | G9696 - Med rsn no presc bronchdil | '01/01/2017 | 12/31/2999 |
| G9697 | G9697 - Documentation of patient reason(s) for not prescribing a long-acting inhaled bronchodilator | G9697 - | G9697 - Pt rsn no presc bronchdil | '01/01/2017 | 12/31/2999 |
| G9698 | G9698 - Documentation of system reason(s) for not prescribing a long-acting inhaled bronchodilator | G9698 - | G9698 - Sys rsn no presc bronchdil | '01/01/2017 | 12/31/2999 |
| G9699 | G9699 - Long-acting inhaled bronchodilator not prescribed reason not otherwise specified | G9699 - | G9699 - Long inhal bronchdil no pres | '01/01/2017 | 12/31/2999 |
| G9700 | G9700 - Patients who use hospice services any time during the measurement period | G9700 - | G9700 - Pt is w/hosp during msmt per | '01/01/2017 | 12/31/2999 |
| G9702 | G9702 - Patients who use hospice services any time during the measurement period | G9702 - | G9702 - Pt use hosp during msmt per | '01/01/2017 | 12/31/2999 |
| G9703 | G9703 - Episodes where the patient is taking antibiotics (table 1) in the 30 days prior to the episode date or had an active prescription on the episode date | G9703 - | G9703 - Anbx 30 prior to episode | '01/01/2022 | 12/31/2999 |
| G9704 | G9704 - Ajcc breast cancer stage i: t1 mic or t1a documented | G9704 - | G9704 - Ajcc br ca stg i: t1 mic/t1a | '01/01/2017 | 12/31/2999 |
| G9705 | G9705 - Ajcc breast cancer stage i: t1b (tumor > 0.5 cm but <= 1 cm in greatest dimension) documented | G9705 - | G9705 - Ajcc br ca stg ib | '01/01/2017 | 12/31/2999 |
| G9706 | G9706 - Low (or very low) risk of recurrence prostate cancer | G9706 - | G9706 - Low recur prost ca | '01/01/2017 | 12/31/2999 |
| G9707 | G9707 - Patient received hospice services any time during the measurement period | G9707 - | G9707 - Pt had hosp dur msmt per | '01/01/2017 | 12/31/2999 |
| G9708 | G9708 - Women who had a bilateral mastectomy or who have a history of a bilateral mastectomy or for whom there is evidence of a right and a left unilateral mastectomy | G9708 - | G9708 - Bilat mast/hx bi /unilat mas | '01/01/2017 | 12/31/2999 |
| G9709 | G9709 - Hospice services used by patient any time during the measurement period | G9709 - | G9709 - Hosp srv used pt in msmt per | '01/01/2017 | 12/31/2999 |
| G9710 | G9710 - Patient was provided hospice services any time during the measurement period | G9710 - | G9710 - Pt prov hosp srv msmt per | '01/01/2017 | 12/31/2999 |
| G9711 | G9711 - Patients with a diagnosis or past history of total colectomy or colorectal cancer | G9711 - | G9711 - Pt hx tot col or colon ca | '01/01/2017 | 12/31/2999 |
| G9712 | G9712 - Documentation of medical reason(s) for prescribing or dispensing antibiotic (e.g. intestinal infection pertussis bacterial infection lyme disease otitis media acute sinusitis acute pharyngitis acute tonsillitis chronic sinusitis infection of the pharynx/larynx/tonsils/adenoids prostatitis cellulitis/ mastoiditis/bone infections acute lymphadenitis impetigo skin staph infections pneumonia gonococcal infections/venereal disease (syphilis chlamydia inflammatory diseases [female reproductive organs]) infections of the kidney cystitis/uti acne hiv disease/asymptomatic hiv cystic fibrosis disorders of the immune system malignancy neoplasms chronic bronchitis emphysema bronchiectasis extrinsic allergic alveolitis chronic airway obstruction chronic obstructive asthma pneumoconiosis and other lung disease due to external agents other diseases of the respiratory system and tuberculosis | G9712 - | G9712 - Doc med rsn presc anbx | '01/01/2017 | 12/31/2999 |
| G9713 | G9713 - Patients who use hospice services any time during the measurement period | G9713 - | G9713 - Pt use hosp during msmt per | '01/01/2017 | 12/31/2999 |
| G9714 | G9714 - Patient is using hospice services any time during the measurement period | G9714 - | G9714 - Pt is w/hosp during msmt per | '01/01/2017 | 12/31/2999 |
| G9715 | G9715 - Patients who use hospice services any time during the measurement period | G9715 - | G9715 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9716 | G9716 - Bmi is documented as being outside of normal parameters follow-up plan is not completed for documented medical reason | G9716 - | G9716 - Bmi doc onl fup not cmpltd | '01/01/2022 | 12/31/2999 |
| G9717 | G9717 - Documentation stating the patient has had a diagnosis of depression or has had a diagnosis of bipolar disorder | G9717 - | G9717 - Doc pt dx dep/bipol | '01/01/2021 | 12/31/2999 |
| G9719 | G9719 - Patient is not ambulatory bed ridden immobile confined to chair wheelchair bound dependent on helper pushing wheelchair independent in wheelchair or minimal help in wheelchair | G9719 - | G9719 - Pt not ambul/immob/wc | '01/01/2017 | 12/31/2999 |
| G9720 | G9720 - Hospice services for patient occurred any time during the measurement period | G9720 - | G9720 - Hospice anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9721 | G9721 - Patient not ambulatory bed ridden immobile confined to chair wheelchair bound dependent on helper pushing wheelchair independent in wheelchair or minimal help in wheelchair | G9721 - | G9721 - Pt not ambul/immob/wc | '01/01/2017 | 12/31/2999 |
| G9722 | G9722 - Documented history of renal failure or baseline serum creatinine >= 4.0 mg/dl; renal transplant recipients are not considered to have preoperative renal failure unless since transplantation the cr has been or is 4.0 or higher | G9722 - | G9722 - Doc hx renal fail or cr+ >=4 | '01/01/2021 | 12/31/2999 |
| G9723 | G9723 - Hospice services for patient received any time during the measurement period | G9723 - | G9723 - Hosp recd by pt dur msmt per | '01/01/2017 | 12/31/2999 |
| G9724 | G9724 - Patients who had documentation of use of anticoagulant medications overlapping the measurement year | G9724 - | G9724 - Pt w/doc use anticoag mst yr | '01/01/2017 | 12/31/2999 |
| G9725 | G9725 - Patients who use hospice services any time during the measurement period | G9725 - | G9725 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9726 | G9726 - Patient refused to participate | G9726 - | G9726 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9727 | G9727 - Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9727 - | G9727 - Pt unable cmplt lepf prom | '01/01/2021 | 12/31/2999 |
| G9728 | G9728 - Patient refused to participate | G9728 - | G9728 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9729 | G9729 - Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9729 - | G9729 - Pt unbl cmplt lepf prom | '01/01/2021 | 12/31/2999 |
| G9730 | G9730 - Patient refused to participate | G9730 - | G9730 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9731 | G9731 - Patient unable to complete the lepf prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9731 - | G9731 - Pt unbl cmplt lepf prom | '01/01/2021 | 12/31/2999 |
| G9732 | G9732 - Patient refused to participate | G9732 - | G9732 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9733 | G9733 - Patient unable to complete the low back fs prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9733 - | G9733 - Pt unbl cmplt lb fs prom | '01/01/2020 | 12/31/2999 |
| G9734 | G9734 - Patient refused to participate | G9734 - | G9734 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9735 | G9735 - Patient unable to complete the shoulder fs prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9735 - | G9735 - Pt unbl cmplt shld fs prom | '01/01/2020 | 12/31/2999 |
| G9736 | G9736 - Patient refused to participate | G9736 - | G9736 - Refused to participate | '01/01/2017 | 12/31/2999 |
| G9737 | G9737 - Patient unable to complete the elbow/wrist/hand fs prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | G9737 - | G9737 - Pt unbl cmplt ewh fs prom | '01/01/2020 | 12/31/2999 |
| G9740 | G9740 - Hospice services given to patient any time during the measurement period | G9740 - | G9740 - Hosp srv to pt dur msmt per | '01/01/2017 | 12/31/2999 |
| G9741 | G9741 - Patients who use hospice services any time during the measurement period | G9741 - | G9741 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9744 | G9744 - Patient not eligible due to active diagnosis of hypertension | G9744 - | G9744 - Pt not eli d/t act dig htn | '01/01/2018 | 12/31/2999 |
| G9745 | G9745 - Documented reason for not screening or recommending a follow-up for high blood pressure | G9745 - | G9745 - Doc rsn no hbp scrn or f/u | '01/01/2018 | 12/31/2999 |
| G9746 | G9746 - Patient has mitral stenosis or prosthetic heart valves or patient has transient or reversible cause of af (e.g. pneumonia hyperthyroidism pregnancy cardiac surgery) | G9746 - | G9746 - Mit sten valve or trans af | '01/01/2017 | 12/31/2999 |
| G9751 | G9751 - Patient died at any time during the 24-month measurement period | G9751 - | G9751 - Pt died w/in 24 mos rpt time | '01/01/2017 | 12/31/2999 |
| G9752 | G9752 - Emergency surgery | G9752 - | G9752 - Urgent surgery | '01/01/2017 | 12/31/2999 |
| G9753 | G9753 - Documentation of medical reason for not conducting a search for dicom format images for prior patient ct imaging studies completed at non-affiliated external healthcare facilities or entities within the past 12 months that are available through a secure authorized media-free shared archive (e.g. trauma acute myocardial infarction stroke aortic aneurysm where time is of the essence) | G9753 - | G9753 - Doc no dicom ct other fac | '01/01/2017 | 12/31/2999 |
| G9754 | G9754 - A finding of an incidental pulmonary nodule | G9754 - | G9754 - Incid pulm nodule | '01/01/2017 | 12/31/2999 |
| G9755 | G9755 - Documentation of medical reason(s) for not including a recommended interval and modality for follow-up or for no follow-up and source of recommendations (e.g. patients with unexplained fever immunocompromised patients who are at risk for infection) | G9755 - | G9755 - Doc med rsn no fllw up | '01/01/2019 | 12/31/2999 |
| G9756 | G9756 - Surgical procedures that included the use of silicone oil | G9756 - | G9756 - Surg proc w/silicone oil | '01/01/2017 | 12/31/2999 |
| G9757 | G9757 - Surgical procedures that included the use of silicone oil | G9757 - | G9757 - Surg proc w/silicone oil | '01/01/2017 | 12/31/2999 |
| G9758 | G9758 - Patient in hospice at any time during the measurement period | G9758 - | G9758 - Pt in hos | '01/01/2018 | 12/31/2999 |
| G9760 | G9760 - Patients who use hospice services any time during the measurement period | G9760 - | G9760 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9761 | G9761 - Patients who use hospice services any time during the measurement period | G9761 - | G9761 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9762 | G9762 - Patient had at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays | G9762 - | G9762 - Pt had >= 2-3 hpv vaccines | '01/01/2018 | 12/31/2999 |
| G9763 | G9763 - Patient did not have at least two hpv vaccines (with at least 146 days between the two) or three hpv vaccines on or between the patient's 9th and 13th birthdays | G9763 - | G9763 - Pt not have 2-3 hpv vaccines | '01/01/2018 | 12/31/2999 |
| G9764 | G9764 - Patient has been treated with a systemic medication for psoriasis vulgaris | G9764 - | G9764 - Pt treatd w/oral syst or bio | '01/01/2019 | 12/31/2999 |
| G9765 | G9765 - Documentation that the patient declined change in medication or alternative therapies were unavailable has documented contraindications or has not been treated with a systemic medication for at least six consecutive months (e.g. experienced adverse effects or lack of efficacy with all other therapy options) in order to achieve better disease control as measured by pga bsa pasi or dlqi | G9765 - | G9765 - Doc pat declined therapy | '01/01/2019 | 12/31/2999 |
| G9766 | G9766 - Patients who are transferred from one institution to another with a known diagnosis of cva for endovascular stroke treatment | G9766 - | G9766 - Cva stroke dx tx transf fac | '01/01/2017 | 12/31/2999 |
| G9767 | G9767 - Hospitalized patients with newly diagnosed cva considered for endovascular stroke treatment | G9767 - | G9767 - Hosp new dx cva consid evst | '01/01/2017 | 12/31/2999 |
| G9768 | G9768 - Patients who utilize hospice services any time during the measurement period | G9768 - | G9768 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9769 | G9769 - Patient had a bone mineral density test in the past two years or received osteoporosis medication or therapy in the past 12 months | G9769 - | G9769 - Bn den 2yr/got ost med/ther | '01/01/2017 | 12/31/2999 |
| G9770 | G9770 - Peripheral nerve block (pnb) | G9770 - | G9770 - Perip nerve block | '01/01/2017 | 12/31/2999 |
| G9771 | G9771 - At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time | G9771 - | G9771 - Anes end 1 temp >35.5(95.9) | '01/01/2017 | 12/31/2999 |
| G9772 | G9772 - Documentation of medical reason(s) for not achieving at least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time (e.g. emergency cases intentional hypothermia etc.) | G9772 - | G9772 - Doc med rsn no temp >= 35.5 | '01/01/2020 | 12/31/2999 |
| G9773 | G9773 - At least 1 body temperature measurement equal to or greater than 35.5 degrees celsius (or 95.9 degrees fahrenheit) not achieved within the 30 minutes immediately before or the 15 minutes immediately after anesthesia end time reason not given | G9773 - | G9773 - 1 bod temp >=35.5 | '01/01/2019 | 12/31/2999 |
| G9775 | G9775 - Patient received at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | G9775 - | G9775 - Recd 2 anti-emet pre/intraop | '01/01/2017 | 12/31/2999 |
| G9776 | G9776 - Documentation of medical reason for not receiving at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g. intolerance or other medical reason) | G9776 - | G9776 - Doc med rsn no proph antiem | '01/01/2017 | 12/31/2999 |
| G9777 | G9777 - Patient did not receive at least 2 prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | G9777 - | G9777 - Pt no antiemet pre/intraop | '01/01/2017 | 12/31/2999 |
| G9779 | G9779 - Patients who are breastfeeding at any time during the measurement period | G9779 - | G9779 - Pts breastfeeding | '01/01/2022 | 12/31/2999 |
| G9780 | G9780 - Patients who have a diagnosis of rhabdomyolysis at any time during the measurement period | G9780 - | G9780 - Pts dx w/rhabdomyolysis | '01/01/2022 | 12/31/2999 |
| G9781 | G9781 - Documentation of medical reason(s) for not currently being a statin therapy user or receiving an order (prescription) for statin therapy (e.g. patients with statin-associated muscle symptoms or an allergy to statin medication therapy patients who are receiving palliative or hospice care patients with active liver disease or hepatic disease or insufficiency patients with end stage renal disease [esrd] or other medical reasons) | G9781 - | G9781 - Doc rsn no statin | '01/01/2023 | 12/31/2999 |
| G9782 | G9782 - History of or active diagnosis of familial hypercholesterolemia | G9782 - | G9782 - Hx dx fam/pure hypercholes | '01/01/2022 | 12/31/2999 |
| G9784 | G9784 - Pathologists/dermatopathologists providing a second opinion on a biopsy | G9784 - | G9784 - Path/derm prov 2nd biop opin | '01/01/2018 | 12/31/2999 |
| G9785 | G9785 - Pathology report diagnosing cutaneous basal cell carcinoma squamous cell carcinoma or melanoma (to include in situ disease) sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist | G9785 - | G9785 - Path report sent | '01/01/2020 | 12/31/2999 |
| G9786 | G9786 - Pathology report diagnosing cutaneous basal cell carcinoma squamous cell carcinoma or melanoma (to include in situ disease) was not sent from the pathologist/ dermatopathologist to the biopsying clinician for review within 7 days from the time when the tissue specimen was received by the pathologist | G9786 - | G9786 - Path report not sent | '01/01/2020 | 12/31/2999 |
| G9787 | G9787 - Patient alive as of the last day of the measurement year | G9787 - | G9787 - Pt alive | '01/01/2019 | 12/31/2999 |
| G9788 | G9788 - Most recent bp is less than or equal to 140/90 mm hg | G9788 - | G9788 - Most rct bp '01/01/2017 | 12/31/2999 | |
| G9789 | G9789 - Blood pressure recorded during inpatient stays emergency room visits or urgent care visits | G9789 - | G9789 - Record bp ip er urg/self | '01/01/2023 | 12/31/2999 |
| G9790 | G9790 - Most recent bp is greater than 140/90 mm hg or blood pressure not documented | G9790 - | G9790 - Most rct bp >/= 140/90 | '01/01/2017 | 12/31/2999 |
| G9791 | G9791 - Most recent tobacco status is tobacco free | G9791 - | G9791 - Most rct tob stat free | '01/01/2017 | 12/31/2999 |
| G9792 | G9792 - Most recent tobacco status is not tobacco free | G9792 - | G9792 - Most rct tob stat not free | '01/01/2017 | 12/31/2999 |
| G9793 | G9793 - Patient is currently on a daily aspirin or other antiplatelet | G9793 - | G9793 - Pt on daily asa/antiplat | '01/01/2017 | 12/31/2999 |
| G9794 | G9794 - Documentation of medical reason(s) for not on a daily aspirin or other antiplatelet (e.g. history of gastrointestinal bleed intra-cranial bleed idiopathic thrombocytopenic purpura (itp) gastric bypass or documentation of active anticoagulant use during the measurement period) | G9794 - | G9794 - Doc med rsn no daily aspirin | '01/01/2018 | 12/31/2999 |
| G9795 | G9795 - Patient is not currently on a daily aspirin or other antiplatelet | G9795 - | G9795 - Pt no daily asa/antiplat | '01/01/2017 | 12/31/2999 |
| G9796 | G9796 - Patient is currently on a statin therapy | G9796 - | G9796 - Pt not currently on statin | '01/01/2017 | 12/31/2999 |
| G9797 | G9797 - Patient is not on a statin therapy | G9797 - | G9797 - Pt currently on statin | '01/01/2017 | 12/31/2999 |
| G9805 | G9805 - Patients who use hospice services any time during the measurement period | G9805 - | G9805 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9806 | G9806 - Patients who received cervical cytology or an hpv test | G9806 - | G9806 - Pt recd cerv cyto/hpv | '01/01/2017 | 12/31/2999 |
| G9807 | G9807 - Patients who did not receive cervical cytology or an hpv test | G9807 - | G9807 - Pt no recd cerv cyto/hpv | '01/01/2017 | 12/31/2999 |
| G9812 | G9812 - Patient died including all deaths occurring during the hospitalization in which the operation was performed even if after 30 days and those deaths occurring after discharge from the hospital but within 30 days of the procedure | G9812 - | G9812 - Pt died during inpt/30d aft | '01/01/2017 | 12/31/2999 |
| G9813 | G9813 - Patient did not die within 30 days of the procedure or during the index hospitalization | G9813 - | G9813 - Pt not died w/in 30d of proc | '01/01/2017 | 12/31/2999 |
| G9818 | G9818 - Documentation of sexual activity | G9818 - | G9818 - Doc sex activity | '01/01/2017 | 12/31/2999 |
| G9819 | G9819 - Patients who use hospice services any time during the measurement period | G9819 - | G9819 - Pt w/hosp anytime msmt per | '01/01/2017 | 12/31/2999 |
| G9820 | G9820 - Documentation of a chlamydia screening test with proper follow-up | G9820 - | G9820 - Doc chlam scr test w/follow | '01/01/2017 | 12/31/2999 |
| G9821 | G9821 - No documentation of a chlamydia screening test with proper follow-up | G9821 - | G9821 - No doc chlam scr ts w/follow | '01/01/2017 | 12/31/2999 |
| G9822 | G9822 - Patients who had an endometrial ablation procedure during the 12 months prior to the index date (exclusive of the index date) | G9822 - | G9822 - Endo abl proc yr prev ind dt | '01/01/2022 | 12/31/2999 |
| G9823 | G9823 - Endometrial sampling or hysteroscopy with biopsy and results documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation | G9823 - | G9823 - Endo smpl/hyst bx res doc | '01/01/2022 | 12/31/2999 |
| G9824 | G9824 - Endometrial sampling or hysteroscopy with biopsy and results not documented during the 12 months prior to the index date (exclusive of the index date) of the endometrial ablation | G9824 - | G9824 - Endo smpl/hyst bx res no doc | '01/01/2022 | 12/31/2999 |
| G9830 | G9830 - Her-2/neu positive | G9830 - | G9830 - Her-2 pos | '01/01/2017 | 12/31/2999 |
| G9831 | G9831 - Ajcc stage at breast cancer diagnosis = ii or iii | G9831 - | G9831 - Ajcc stg brt ca dx ii or iii | '01/01/2017 | 12/31/2999 |
| G9832 | G9832 - Ajcc stage at breast cancer diagnosis = i (ia or ib) and t-stage at breast cancer diagnosis does not equal = t1 t1a t1b | G9832 - | G9832 - Brt ca dx i no t1/t1a/t1b | '01/01/2017 | 12/31/2999 |
| G9838 | G9838 - Patient has metastatic disease at diagnosis | G9838 - | G9838 - Pt met dis at dx | '01/01/2017 | 12/31/2999 |
| G9839 | G9839 - Anti-egfr monoclonal antibody therapy | G9839 - | G9839 - Anti-egfr mon anti ther | '01/01/2017 | 12/31/2999 |
| G9840 | G9840 - Ras (kras and nras) gene mutation testing performed before initiation of anti-egfr moab | G9840 - | G9840 - Gene testing performed | '01/01/2018 | 12/31/2999 |
| G9841 | G9841 - Ras (kras and nras) gene mutation testing not performed before initiation of anti-egfr moab | G9841 - | G9841 - Gene testing not performed | '01/01/2018 | 12/31/2999 |
| G9842 | G9842 - Patient has metastatic disease at diagnosis | G9842 - | G9842 - Pt met dis at dx | '01/01/2017 | 12/31/2999 |
| G9843 | G9843 - Ras (kras or nras) gene mutation | G9843 - | G9843 - Kras or nras gene mutation | '01/01/2018 | 12/31/2999 |
| G9844 | G9844 - Patient did not receive anti-egfr monoclonal antibody therapy | G9844 - | G9844 - Pt no recd anti-egfr ther | '01/01/2017 | 12/31/2999 |
| G9845 | G9845 - Patient received anti-egfr monoclonal antibody therapy | G9845 - | G9845 - Pt recd anti-egfr ther | '01/01/2017 | 12/31/2999 |
| G9846 | G9846 - Patients who died from cancer | G9846 - | G9846 - Pt died from cancer | '01/01/2017 | 12/31/2999 |
| G9847 | G9847 - Patient received systemic cancer-directed therapy in the last 14 days of life | G9847 - | G9847 - Pt recd chemo last 14d life | '01/01/2023 | 12/31/2999 |
| G9848 | G9848 - Patient did not receive systemic cancer-directed therapy in the last 14 days of life | G9848 - | G9848 - Pt no chemo last 14d life | '01/01/2023 | 12/31/2999 |
| G9852 | G9852 - Patients who died from cancer | G9852 - | G9852 - Pt died from cancer | '01/01/2017 | 12/31/2999 |
| G9853 | G9853 - Patient admitted to the icu in the last 30 days of life | G9853 - | G9853 - Icu stay last 30d life | '01/01/2017 | 12/31/2999 |
| G9854 | G9854 - Patient was not admitted to the icu in the last 30 days of life | G9854 - | G9854 - No icu stay last 30d life | '01/01/2017 | 12/31/2999 |
| G9858 | G9858 - Patient enrolled in hospice | G9858 - | G9858 - Pt enroll hospice | '01/01/2017 | 12/31/2999 |
| G9859 | G9859 - Patients who died from cancer | G9859 - | G9859 - Pt died from cancer | '01/01/2017 | 12/31/2999 |
| G9860 | G9860 - Patient spent less than three days in hospice care | G9860 - | G9860 - Pt less 3d hospice | '01/01/2017 | 12/31/2999 |
| G9861 | G9861 - Patient spent greater than or equal to three days in hospice care | G9861 - | G9861 - Pt more than 3d hospice | '01/01/2017 | 12/31/2999 |
| G9862 | G9862 - Documentation of medical reason(s) for not recommending at least a 10 year follow-up interval (e.g. inadequate prep familial or personal history of colonic polyps patient had no adenoma and age is = 66 years old or life expectancy < 10 years old other medical reasons) | G9862 - | G9862 - Doc rsn no 10 yr follow | '01/01/2017 | 12/31/2999 |
| G9868 | G9868 - Receipt and analysis of remote asynchronous images for dermatologic and/or ophthalmologic evaluation for use only in a medicare-approved cmmi model less than 10 minutes | G9868 - | G9868 - Cmmi asyntelehealth <10min | '04/01/2021 | 12/31/2999 |
| G9869 | G9869 - Receipt and analysis of remote asynchronous images for dermatologic and/or ophthalmologic evaluation for use only in a medicare-approved cmmi model 10-20 minutes | G9869 - | G9869 - Cmmi asyntelehealth 10-20min | '04/01/2021 | 12/31/2999 |
| G9870 | G9870 - Receipt and analysis of remote asynchronous images for dermatologic and/or ophthalmologic evaluation for use only in a medicare-approved cmmi model more than 20 minutes | G9870 - | G9870 - Cmmi asyntelehealth >20min | '04/01/2021 | 12/31/2999 |
| G9873 | G9873 - First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3)adheres to a CDC-approved DPP curriculum for core sessions | G9873 - | G9873 - 1 EM core session | '04/01/2018 | 12/31/2999 |
| G9874 | G9874 - Four total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions. | G9874 - | G9874 - 4 EM core sessions | '04/01/2018 | 12/31/2999 |
| G9875 | G9875 - Nine total Medicare Diabetes Prevention Program (MDPP) core sessions were attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions. | G9875 - | G9875 - 9 EM core sessions | '04/01/2018 | 12/31/2999 |
| G9876 | G9876 - Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight as measured by at least one in-person weight measurement at a core maintenance session in months 7-9. | G9876 - | G9876 - 2 EM core MS mo 7-9 no WL | '04/01/2018 | 12/31/2999 |
| G9877 | G9877 - Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. | G9877 - | G9877 - 2 EM core MS mo 10-12 no WL | '04/01/2018 | 12/31/2999 |
| G9878 | G9878 - Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight as measured by at least one in-person weight measurement at a core maintenance session in months 7-9. | G9878 - | G9878 - 2 EM core MS mo 7-9 WL | '04/01/2018 | 12/31/2999 |
| G9879 | G9879 - Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight as measured by at least one in-person weight measurement at a core maintenance session in months 10-12 | G9879 - | G9879 - 2 EM core MS mo 10-12 WL | '04/01/2018 | 12/31/2999 |
| G9880 | G9880 - The MDPP beneficiary achieved at least 5% weight loss (WL) from his/her baseline weight in months 1-12 of the MDPP services period under the MDPP Expanded Model (EM). This is a one-time payment available when a beneficiary first achieves at least 5% weight loss from baseline as measured by an in-person weight measurement at a core session or core maintenance session. | G9880 - | G9880 - EM 5 percent WL | '04/01/2018 | 12/31/2999 |
| G9881 | G9881 - The MDPP beneficiary achieved at least 9% weight loss (WL) from his/her baseline weight in months 1-24 under the MDPP Expanded Model (EM). This is a one-time payment available when a beneficiary first achieves at least 9% weight loss from baseline as measured by an in-person weight measurement at a core session core maintenance session or ongoing maintenance session. | G9881 - | G9881 - EM 9 percent WL | '04/01/2018 | 12/31/2999 |
| G9882 | G9882 - Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 13-15 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions.The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight as measured by at least one in-person weight measurement at an ongoing maintenance session in months 13-15. | G9882 - | G9882 - 2 EM ongoing MS mo 13-15 WL | '04/01/2018 | 12/31/2999 |
| G9883 | G9883 - Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 16-18 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. | G9883 - | G9883 - 2 EM ongoing MS mo 16-18 WL | '04/01/2018 | 12/31/2999 |
| G9884 | G9884 - Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 19-21 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary maintained at least 5% weight loss (WL) from his/her baseline weight as measured by at least one in-person weight measurement at an ongoing maintenance session in months 19-21. | G9884 - | G9884 - 2 EM ongoing MS mo 19-21 WL | '04/01/2018 | 12/31/2999 |
| G9885 | G9885 - Two Medicare Diabetes Prevention Program (MDPP) ongoing maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 22-24 under the MDPP Expanded Model (EM). An ongoing maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 13 through 24 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. | G9885 - | G9885 - 2 EM ongoing MS mo 22-24 WL | '04/01/2018 | 12/31/2999 |
| G9890 | G9890 - Bridge Payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session core maintenance session or ongoing maintenance session furnished by an MDPP supplier to an MDPP beneficiary during months 1-24 of the MDPP Expanded Model (EM) who has previously received MDPP services from a different MDPP supplier under the MDPP Expanded Model. A supplier may only receive one bridge payment per MDPP beneficiary. | G9890 - | G9890 - EM Bridge Payment | '04/01/2018 | 12/31/2999 |
| G9891 | G9891 - MDPP session reported as a line-item on a claim for a payable MDPP Expanded Model (EM) HCPCS code for a session furnished by the billing supplier under the MDPP Expanded Model and counting toward achievement of the attendance performance goal for the payable MDPP Expanded Model HCPCS code.(This code is for reporting purposes only). | G9891 - | G9891 - EM session reporting | '04/01/2018 | 12/31/2999 |
| G9892 | G9892 - Documentation of patient reason(s) for not performing a dilated macular examination | G9892 - | G9892 - Doc pt rsn no dil mac exam | '01/01/2018 | 12/31/2999 |
| G9893 | G9893 - Dilated macular exam was not performed reason not otherwise specified | G9893 - | G9893 - No mac exam | '01/01/2018 | 12/31/2999 |
| G9894 | G9894 - Androgen deprivation therapy prescribed/administered in combination with external beam radiotherapy to the prostate | G9894 - | G9894 - Adr dep thrpy prescribed | '01/01/2018 | 12/31/2999 |
| G9895 | G9895 - Documentation of medical reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate (e.g. salvage therapy) | G9895 - | G9895 - Doc med rsn no adr dep thrpy | '01/01/2018 | 12/31/2999 |
| G9896 | G9896 - Documentation of patient reason(s) for not prescribing/administering androgen deprivation therapy in combination with external beam radiotherapy to the prostate | G9896 - | G9896 - Doc pt rsn no adr dep thrpy | '01/01/2018 | 12/31/2999 |
| G9897 | G9897 - Patients who were not prescribed/administered androgen deprivation therapy in combination with external beam radiotherapy to the prostate reason not given | G9897 - | G9897 - Pt nt prsc adr dep thrpy rng | '01/01/2018 | 12/31/2999 |
| G9898 | G9898 - Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G9898 - | G9898 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G9899 | G9899 - Screening diagnostic film digital or digital breast tomosynthesis (3d) mammography results documented and reviewed | G9899 - | G9899 - Scrn mam perf rslts doc | '01/01/2018 | 12/31/2999 |
| G9900 | G9900 - Screening diagnostic film digital or digital breast tomosynthesis (3d) mammography results were not documented and reviewed reason not otherwise specified | G9900 - | G9900 - Scrn mam perf rslts not doc | '01/01/2018 | 12/31/2999 |
| G9901 | G9901 - Patient age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G9901 - | G9901 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G9902 | G9902 - Patient screened for tobacco use and identified as a tobacco user | G9902 - | G9902 - Pt scrn tbco and id as user | '01/01/2018 | 12/31/2999 |
| G9903 | G9903 - Patient screened for tobacco use and identified as a tobacco non-user | G9903 - | G9903 - Pt scrn tbco id as non user | '01/01/2018 | 12/31/2999 |
| G9905 | G9905 - Patient not screened for tobacco use | G9905 - | G9905 - No pt tbco scrn rng | '01/01/2023 | 12/31/2999 |
| G9906 | G9906 - Patient identified as a tobacco user received tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | G9906 - | G9906 - Pt recv tbco cess interv | '01/01/2023 | 12/31/2999 |
| G9908 | G9908 - Patient identified as tobacco user did not receive tobacco cessation intervention during the measurement period or in the six months prior to the measurement period (counseling and/or pharmacotherapy) | G9908 - | G9908 - No pt tbco cess interv rng | '01/01/2023 | 12/31/2999 |
| G9910 | G9910 - Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the measurement period | G9910 - | G9910 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G9911 | G9911 - Clinically node negative (t1n0m0 or t2n0m0) invasive breast cancer before or after neoadjuvant systemic therapy | G9911 - | G9911 - Node neg pre/post syst ther | '01/01/2018 | 12/31/2999 |
| G9912 | G9912 - Hepatitis b virus (hbv) status assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy | G9912 - | G9912 - Hbv status assesed and int | '01/01/2018 | 12/31/2999 |
| G9913 | G9913 - Hepatitis b virus (hbv) status not assessed and results interpreted prior to initiating anti-tnf (tumor necrosis factor) therapy reason not otherwise specified | G9913 - | G9913 - No hbv status assesd and int | '01/01/2023 | 12/31/2999 |
| G9914 | G9914 - Patient receiving an anti-tnf agent | G9914 - | G9914 - Pt receiving anti-tnf agent | '01/01/2018 | 12/31/2999 |
| G9915 | G9915 - No record of hbv results documented | G9915 - | G9915 - No documntd hbv results rcd | '01/01/2018 | 12/31/2999 |
| G9916 | G9916 - Functional status performed once in the last 12 months | G9916 - | G9916 - Funct status past 12 months | '01/01/2018 | 12/31/2999 |
| G9917 | G9917 - Documentation of advanced stage dementia and caregiver knowledge is limited | G9917 - | G9917 - Adv dem crgvr limited | '01/01/2020 | 12/31/2999 |
| G9918 | G9918 - Functional status not performed reason not otherwise specified | G9918 - | G9918 - No funct stat perf rsn nos | '01/01/2018 | 12/31/2999 |
| G9919 | G9919 - Screening performed and positive and provision of recommendations | G9919 - | G9919 - Scrn nd pos nd prov of rec | '01/01/2018 | 12/31/2999 |
| G9920 | G9920 - Screening performed and negative | G9920 - | G9920 - Scrning perf and negative | '01/01/2018 | 12/31/2999 |
| G9921 | G9921 - No screening performed partial screening performed or positive screen without recommendations and reason is not given or otherwise specified | G9921 - | G9921 - No or part scrn nd rng or os | '01/01/2018 | 12/31/2999 |
| G9922 | G9922 - Safety concerns screen provided and if positive then documented mitigation recommendations | G9922 - | G9922 - Sfty cncrns scrn nd mit recs | '01/01/2018 | 12/31/2999 |
| G9923 | G9923 - Safety concerns screen provided and negative | G9923 - | G9923 - Safty cncrns scrn and neg | '01/01/2018 | 12/31/2999 |
| G9925 | G9925 - Safety concerns screening not provided reason not otherwise specified | G9925 - | G9925 - No scrn prov rsn nos | '01/01/2018 | 12/31/2999 |
| G9926 | G9926 - Safety concerns screening positive screen is without provision of mitigation recommendations including but not limited to referral to other resources | G9926 - | G9926 - Sfty cncrns scrn but no recs | '01/01/2018 | 12/31/2999 |
| G9927 | G9927 - Documentation of system reason(s) for not prescribing an fda-approved anticoagulation due to patient being currently enrolled in a clinical trial related to af/atrial flutter treatment | G9927 - | G9927 - Doc no warf /fda pt trial | '01/01/2022 | 12/31/2999 |
| G9928 | G9928 - Fda-approved anticoagulant not prescribed reason not given | G9928 - | G9928 - No warf or fda drug presc | '01/01/2022 | 12/31/2999 |
| G9929 | G9929 - Patient with transient or reversible cause of af (e.g. pneumonia hyperthyroidism pregnancy cardiac surgery) | G9929 - | G9929 - Trs/rev af | '01/01/2018 | 12/31/2999 |
| G9930 | G9930 - Patients who are receiving comfort care only | G9930 - | G9930 - Com care | '01/01/2018 | 12/31/2999 |
| G9931 | G9931 - Documentation of cha2ds2-vasc risk score of 0 or 1 for men; or 0 1 or 2 for women | G9931 - | G9931 - No chad or chad scr 0 or 1 | '01/01/2021 | 12/31/2999 |
| G9938 | G9938 - Patients age 66 or older in institutional special needs plans (snp) or residing in long-term care with pos code 32 33 34 54 or 56 for more than 90 consecutive days during the six months prior to the measurement period through december 31 of the measurement period | G9938 - | G9938 - Pt 66+ snp or ltc pos > 90d | '01/01/2021 | 12/31/2999 |
| G9939 | G9939 - Pathologists/dermatopathologists is the same clinician who performed the biopsy | G9939 - | G9939 - Same path/derm perf biopsy | '01/01/2018 | 12/31/2999 |
| G9940 | G9940 - Documentation of medical reason(s) for not on a statin (e.g. pregnancy in vitro fertilization clomiphene rx esrd cirrhosis muscular pain and disease during the measurement period or prior year) | G9940 - | G9940 - Doc reas no statin therapy | '01/01/2018 | 12/31/2999 |
| G9943 | G9943 - Back pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively | G9943 - | G9943 - Bk pn nt msr vas scl pre/pst | '01/01/2023 | 12/31/2999 |
| G9945 | G9945 - Patient had cancer acute fracture or infection related to the lumbar spine or patient had neuromuscular idiopathic or congenital lumbar scoliosis | G9945 - | G9945 - Pt w/cancer scoliosis | '01/01/2021 | 12/31/2999 |
| G9946 | G9946 - Back pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively | G9946 - | G9946 - Bk pain no vas | '01/01/2023 | 12/31/2999 |
| G9949 | G9949 - Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at three months (6 - 20 weeks) postoperatively | G9949 - | G9949 - Leg pain no vas | '01/01/2023 | 12/31/2999 |
| G9954 | G9954 - Patient exhibits 2 or more risk factors for post-operative vomiting | G9954 - | G9954 - Pt >2 rsk fac post-op vomit | '01/01/2018 | 12/31/2999 |
| G9955 | G9955 - Cases in which an inhalational anesthetic is used only for induction | G9955 - | G9955 - Inhlnt anesth only for induc | '01/01/2018 | 12/31/2999 |
| G9956 | G9956 - Patient received combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | G9956 - | G9956 - Combo thrpy of >= 2 prophly | '01/01/2018 | 12/31/2999 |
| G9957 | G9957 - Documentation of medical reason for not receiving combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively (e.g. intolerance or other medical reason) | G9957 - | G9957 - Doc med rsn no combo thrpy | '01/01/2018 | 12/31/2999 |
| G9958 | G9958 - Patient did not receive combination therapy consisting of at least two prophylactic pharmacologic anti-emetic agents of different classes preoperatively and/or intraoperatively | G9958 - | G9958 - No combo prohpyl thrp for pt | '01/01/2018 | 12/31/2999 |
| G9959 | G9959 - Systemic antimicrobials not prescribed | G9959 - | G9959 - Systemic antimicro not presc | '01/01/2018 | 12/31/2999 |
| G9960 | G9960 - Documentation of medical reason(s) for prescribing systemic antimicrobials | G9960 - | G9960 - Med rsn sys antimi nt rx | '01/01/2018 | 12/31/2999 |
| G9961 | G9961 - Systemic antimicrobials prescribed | G9961 - | G9961 - Systemic antimicro presc | '01/01/2018 | 12/31/2999 |
| G9962 | G9962 - Embolization endpoints are documented separately for each embolized vessel and ovarian artery angiography or embolization performed in the presence of variant uterine artery anatomy | G9962 - | G9962 - Embolization doc separatly | '01/01/2018 | 12/31/2999 |
| G9963 | G9963 - Embolization endpoints are not documented separately for each embolized vessel or ovarian artery angiography or embolization not performed in the presence of variant uterine artery anatomy | G9963 - | G9963 - Embolization not doc separat | '01/01/2018 | 12/31/2999 |
| G9964 | G9964 - Patient received at least one well-child visit with a pcp during the performance period | G9964 - | G9964 - Pt recv >=1 well-chld visit | '01/01/2018 | 12/31/2999 |
| G9965 | G9965 - Patient did not receive at least one well-child visit with a pcp during the performance period | G9965 - | G9965 - No well-chld vist recv by pt | '01/01/2018 | 12/31/2999 |
| G9968 | G9968 - Patient was referred to another clinician or specialist during the measurement period | G9968 - | G9968 - Pt refrd 2 pvdr/spclst in pp | '01/01/2023 | 12/31/2999 |
| G9969 | G9969 - Clinician who referred the patient to another clinician received a report from the clinician to whom the patient was referred | G9969 - | G9969 - Pvdr rfrd pt rprt rcvd | '01/01/2023 | 12/31/2999 |
| G9970 | G9970 - Clinician who referred the patient to another clinician did not receive a report from the clinician to whom the patient was referred | G9970 - | G9970 - Pvdr rfrd pt no rprt rcvd | '01/01/2023 | 12/31/2999 |
| G9974 | G9974 - Dilated macular exam performed including documentation of the presence or absence of macular thickening or geographic atrophy or hemorrhage and the level of macular degeneration severity | G9974 - | G9974 - Mac exam perf | '01/01/2019 | 12/31/2999 |
| G9975 | G9975 - Documentation of medical reason(s) for not performing a dilated macular examination | G9975 - | G9975 - Doc med rsn no dil mac exam | '01/01/2019 | 12/31/2999 |
| G9976 | G9976 - Documentation of patient reason(s) for not performing a dilated macular examination | G9976 - | G9976 - Doc pat rsn no mac exm perf | '01/01/2018 | 12/31/2999 |
| G9977 | G9977 - Dilated macular exam was not performed reason not otherwise specified | G9977 - | G9977 - Dil mac exam no perf rsn nos | '01/01/2018 | 12/31/2999 |
| G9978 | G9978 - Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires these 3 key components: A problem focused history; A problem focused examination; and Straightforward medical decision making furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are self limited or minor. Typically 10 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9978 - | G9978 - Remote E/M new pt 10mins | 01-10-2018 | 12/31/2999 |
| G9979 | G9979 - Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires these 3 key components: An expanded problem focused history;An expanded problem focused examination;Straightforward medical decision making furnished in real time using interactive audio and video technology. Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of low to moderate severity. Typically 20 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9979 - | G9979 - Remote E/M new pt 20mins | 01-10-2018 | 12/31/2999 |
| G9980 | G9980 - Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires these 3 key components:A detailed history;A detailed examination; Medical decision making of low complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of moderate severity. Typically 30 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9980 - | G9980 - Remote E/M new pt 30 mins | 01-10-2018 | 12/31/2999 |
| G9981 | G9981 - Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires these 3 key components:A comprehensive history;A comprehensive examination;Medical decision making of moderate complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of moderate to high severity. Typically 45 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9981 - | G9981 - Remote E/M new pt 45mins | 01-10-2018 | 12/31/2999 |
| G9982 | G9982 - Remote in-home visit for the evaluation and management of a new patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires these 3 key components:A comprehensive history;A comprehensive examination;Medical decision making of high complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of moderate to high severity. Typically 60 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9982 - | G9982 - Remote E/M new pt 60mins | 01-10-2018 | 12/31/2999 |
| G9983 | G9983 - Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires at least 2 of the following 3 key components:A problem focused history;A problem focused examination;Straightforward medical decision making furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are self limited or minor. Typically 10 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9983 - | G9983 - Remote E/M est. pt 10mins | 01-10-2018 | 12/31/2999 |
| G9984 | G9984 - Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires at least 2 of the following 3 key components: An expanded problem focused history;An expanded problem focused examination;Medical decision making of low complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of low to moderate severity. Typically 15 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9984 - | G9984 - Remote E/M est. pt 15mins | 01-10-2018 | 12/31/2999 |
| G9985 | G9985 - Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires at least 2 of the following 3 key components:A detailed history; A detailed examination;Medical decision making of moderate complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of moderate to high severity. Typically 25 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9985 - | G9985 - Remote E/M est. pt 25mins | 01-10-2018 | 12/31/2999 |
| G9986 | G9986 - Remote in-home visit for the evaluation and management of an established patient for use only in a Medicare-approved Bundled Payments for Care Improvement Advanced (BPCI Advanced) model episode of care which requires at least 2 of the following 3 key components:A comprehensive history;A comprehensive examination;Medical decision making of high complexity furnished in real time using interactive audio and video technology.Counseling and coordination of care with other physicians other qualified health care professionals or agencies are provided consistent with the nature of the problem(s) and the needs of the patient or the family or both. Usually the presenting problem(s) are of moderate to high severity. Typically 40 minutes are spent with the patient or family or both via real time audio and video intercommunications technology. | G9986 - | G9986 - Remote E/M est. pt 40mins | 01-10-2018 | 12/31/2999 |
| G9987 | G9987 - Bundled Payments for Care Improvement Advanced (BPCI Advanced) model home visit for patient assessment performed by clinical staff for an individual not considered homebound including but not necessarily limited to patient assessment of clinical status safety/fall prevention functional status/ambulation medication reconciliation/management compliance with orders/plan of care performance of activities of daily living and ensuring beneficiary connections to community and other services; for use only for a BPCI Advanced model episode of care; may not be billed for a 30-day period covered by a transitional care management code. | G9987 - | G9987 - BPCI Advanced In home visit | 01-10-2018 | 12/31/2999 |
| G9988 | G9988 - Palliative care services provided to patient any time during the measurement period | G9988 - | G9988 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G9990 | G9990 - Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period | G9990 - | G9990 - No pneum vax admin 60+ | '01/01/2023 | 12/31/2999 |
| G9991 | G9991 - Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period | G9991 - | G9991 - Pneum vax admin 60+ | '01/01/2023 | 12/31/2999 |
| G9992 | G9992 - Palliative care services used by patient any time during the measurement period | G9992 - | G9992 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G9993 | G9993 - Patient was provided palliative care services any time during the measurement period | G9993 - | G9993 - Pall serv during meas | '01/01/2023 | 12/31/2999 |
| G9994 | G9994 - Patient is using palliative care services any time during the measurement period | G9994 - | G9994 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G9995 | G9995 - Patients who use palliative care services any time during the measurement period | G9995 - | G9995 - Pall serv during meas | '01/01/2022 | 12/31/2999 |
| G9996 | G9996 - Documentation stating the patient has received or is currently receiving palliative or hospice care | G9996 - | G9996 - Doc pt pal or hospice | '01/01/2022 | 12/31/2999 |
| G9997 | G9997 - Documentation of patient pregnancy anytime during the measurement period prior to and including the current encounter | G9997 - | G9997 - Doc pt preg dur msrmt pd | '01/01/2022 | 12/31/2999 |
| G9998 | G9998 - Documentation of medical reason(s) for an interval of less than 3 years since the last colonoscopy (e.g. last colonoscopy incomplete last colonoscopy had inadequate prep piecemeal removal of adenomas last colonoscopy found greater than 10 adenomas or patient at high risk for colon cancer [crohn's disease ulcerative colitis lower gastrointestinal bleeding personal or family history of colon cancer hereditary colorectal cancer syndromes]) | G9998 - | G9998 - Doc med rsn <3 colon | '01/01/2022 | 12/31/2999 |
| G9999 | G9999 - Documentation of system reason(s) for an interval of less than 3 years since the last colonoscopy (e.g. unable to locate previous colonoscopy report previous colonoscopy report was incomplete) | G9999 - | G9999 - Doc sys rsn <3 colon | '01/01/2022 | 12/31/2999 |
| H0001 | H0001 - Alcohol and/or drug assessment | H0001 - | H0001 - Alcohol and/or drug assess | '01/01/2001 | 12/31/2999 |
| H0002 | H0002 - Behavioral health screening to determine eligibility for admission to treatment program | H0002 - | H0002 - Alcohol and/or drug screenin | '01/01/2003 | 12/31/2999 |
| H0003 | H0003 - Alcohol and/or drug screening; laboratory analysis of specimens for presence of alcohol and/or drugs | H0003 - | H0003 - Alcohol and/or drug screenin | '01/01/2001 | 12/31/2999 |
| H0004 | H0004 - Behavioral health counseling and therapy per 15 minutes | H0004 - | H0004 - Alcohol and/or drug services | '01/01/2003 | 12/31/2999 |
| H0005 | H0005 - Alcohol and/or drug services; group counseling by a clinician | H0005 - | H0005 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0006 | H0006 - Alcohol and/or drug services; case management | H0006 - | H0006 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0007 | H0007 - Alcohol and/or drug services; crisis intervention (outpatient) | H0007 - | H0007 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0008 | H0008 - Alcohol and/or drug services; sub-acute detoxification (hospital inpatient) | H0008 - | H0008 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0009 | H0009 - Alcohol and/or drug services; acute detoxification (hospital inpatient) | H0009 - | H0009 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0010 | H0010 - Alcohol and/or drug services; sub-acute detoxification (residential addiction program inpatient) | H0010 - | H0010 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0011 | H0011 - Alcohol and/or drug services; acute detoxification (residential addiction program inpatient) | H0011 - | H0011 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0012 | H0012 - Alcohol and/or drug services; sub-acute detoxification (residential addiction program outpatient) | H0012 - | H0012 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0013 | H0013 - Alcohol and/or drug services; acute detoxification (residential addiction program outpatient) | H0013 - | H0013 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0014 | H0014 - Alcohol and/or drug services; ambulatory detoxification | H0014 - | H0014 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0015 | H0015 - Alcohol and/or drug services; intensive outpatient (treatment program that operates at least 3 hours/day and at least 3 days/week and is based on an individualized treatment plan) including assessment counseling; crisis intervention and activity therapies or education | H0015 - | H0015 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0016 | H0016 - Alcohol and/or drug services; medical/somatic (medical intervention in ambulatory setting) | H0016 - | H0016 - Alcohol and/or drug services | '01/01/2001 | 12/31/2999 |
| H0017 | H0017 - Behavioral health; residential (hospital residential treatment program) without room and board per diem | H0017 - | H0017 - Alcohol and/or drug services | '01/01/2003 | 12/31/2999 |
| H0018 | H0018 - Behavioral health; short-term residential (non-hospital residential treatment program) without room and board per diem | H0018 - | H0018 - Alcohol and/or drug services | '01/01/2003 | 12/31/2999 |
| H0019 | H0019 - Behavioral health; long-term residential (non-medical non-acute care in a residential treatment program where stay is typically longer than 30 days) without room and board per diem | H0019 - | H0019 - Alcohol and/or drug services | '01/01/2003 | 12/31/2999 |
| H0020 | H0020 - Alcohol and/or drug services; methadone administration and/or service (provision of the drug by a licensed program) | H0020 - | H0020 - Alcohol and/or drug services | '01/01/2020 | 12/31/2999 |
| H0021 | H0021 - Alcohol and/or drug training service (for staff and personnel not employed by providers) | H0021 - | H0021 - Alcohol and/or drug training | '01/01/2001 | 12/31/2999 |
| H0022 | H0022 - Alcohol and/or drug intervention service (planned facilitation) | H0022 - | H0022 - Alcohol and/or drug interven | '01/01/2001 | 12/31/2999 |
| H0023 | H0023 - Behavioral health outreach service (planned approach to reach a targeted population) | H0023 - | H0023 - Alcohol and/or drug outreach | '01/01/2003 | 12/31/2999 |
| H0024 | H0024 - Behavioral health prevention information dissemination service (one-way direct or non-direct contact with service audiences to affect knowledge and attitude) | H0024 - | H0024 - Alcohol and/or drug preventi | '01/01/2003 | 12/31/2999 |
| H0025 | H0025 - Behavioral health prevention education service (delivery of services with target population to affect knowledge attitude and/or behavior) | H0025 - | H0025 - Alcohol and/or drug preventi | '01/01/2003 | 12/31/2999 |
| H0026 | H0026 - Alcohol and/or drug prevention process service community-based (delivery of services to develop skills of impactors) | H0026 - | H0026 - Alcohol and/or drug preventi | '01/01/2001 | 12/31/2999 |
| H0027 | H0027 - Alcohol and/or drug prevention environmental service (broad range of external activities geared toward modifying systems in order to mainstream prevention through policy and law) | H0027 - | H0027 - Alcohol and/or drug preventi | '01/01/2001 | 12/31/2999 |
| H0028 | H0028 - Alcohol and/or drug prevention problem identification and referral service (e. G. Student assistance and employee assistance programs) does not include assessment | H0028 - | H0028 - Alcohol and/or drug preventi | '01/01/2001 | 12/31/2999 |
| H0029 | H0029 - Alcohol and/or drug prevention alternatives service (services for populations that exclude alcohol and other drug use e. G. Alcohol free social events) | H0029 - | H0029 - Alcohol and/or drug preventi | '01/01/2001 | 12/31/2999 |
| H0030 | H0030 - Behavioral health hotline service | H0030 - | H0030 - Alcohol and/or drug hotline | '01/01/2003 | 12/31/2999 |
| H0031 | H0031 - Mental health assessment by non-physician | H0031 - | H0031 - MH health assess by non-md | '01/01/2003 | 12/31/2999 |
| H0032 | H0032 - Mental health service plan development by non-physician | H0032 - | H0032 - MH svc plan dev by non-md | '01/01/2003 | 12/31/2999 |
| H0033 | H0033 - Oral medication administration direct observation | H0033 - | H0033 - Oral med adm direct observe | '01/01/2003 | 12/31/2999 |
| H0034 | H0034 - Medication training and support per 15 minutes | H0034 - | H0034 - Med trng & support per 15min | '01/01/2003 | 12/31/2999 |
| H0035 | H0035 - Mental health partial hospitalization treatment less than 24 hours | H0035 - | H0035 - MH partial hosp tx under 24h | '01/01/2003 | 12/31/2999 |
| H0036 | H0036 - Community psychiatric supportive treatment face-to-face per 15 minutes | H0036 - | H0036 - Comm psy face-face per 15min | '01/01/2003 | 12/31/2999 |
| H0037 | H0037 - Community psychiatric supportive treatment program per diem | H0037 - | H0037 - Comm psy sup tx pgm per diem | '01/01/2003 | 12/31/2999 |
| H0038 | H0038 - Self-help/peer services per 15 minutes | H0038 - | H0038 - Self-help/peer svc per 15min | '01/01/2003 | 12/31/2999 |
| H0039 | H0039 - Assertive community treatment face-to-face per 15 minutes | H0039 - | H0039 - Asser com tx face-face/15min | '01/01/2003 | 12/31/2999 |
| H0040 | H0040 - Assertive community treatment program per diem | H0040 - | H0040 - Assert comm tx pgm per diem | '01/01/2003 | 12/31/2999 |
| H0041 | H0041 - Foster care child non-therapeutic per diem | H0041 - | H0041 - Fos c chld non-ther per diem | '01/01/2003 | 12/31/2999 |
| H0042 | H0042 - Foster care child non-therapeutic per month | H0042 - | H0042 - Fos c chld non-ther per mon | '01/01/2003 | 12/31/2999 |
| H0043 | H0043 - Supported housing per diem | H0043 - | H0043 - Supported housing per diem | '01/01/2003 | 12/31/2999 |
| H0044 | H0044 - Supported housing per month | H0044 - | H0044 - Supported housing per month | '01/01/2003 | 12/31/2999 |
| H0045 | H0045 - Respite care services not in the home per diem | H0045 - | H0045 - Respite not-in-home per diem | '01/01/2003 | 12/31/2999 |
| H0046 | H0046 - Mental health services not otherwise specified | H0046 - | H0046 - Mental health service nos | '01/01/2003 | 12/31/2999 |
| H0047 | H0047 - Alcohol and/or other drug abuse services not otherwise specified | H0047 - | H0047 - Alcohol/drug abuse svc nos | '01/01/2003 | 12/31/2999 |
| H0048 | H0048 - Alcohol and/or other drug testing: collection and handling only specimens other than blood | H0048 - | H0048 - Spec coll non-blood:a/d test | '01/01/2003 | 12/31/2999 |
| H0049 | H0049 - ALCOHOL AND/OR DRUG SCREENING | H0049 - | H0049 - Alcohol/drug screening | '08/23/2019 | 12/31/2999 |
| H0050 | H0050 - ALCOHOL AND/OR DRUG SERVICES BRIEF INTERVENTION PER 15 MINUTES | H0050 - | H0050 - Alcohol/drug service 15 min | '01/01/2007 | 12/31/2999 |
| H1000 | H1000 - Prenatal care at-risk assessment | H1000 - | H1000 - Prenatal care atrisk assessm | '01/01/2002 | 12/31/2999 |
| H1001 | H1001 - Prenatal care at-risk enhanced service; antepartum management | H1001 - | H1001 - Antepartum management | '01/01/2002 | 12/31/2999 |
| H1002 | H1002 - Prenatal care at risk enhanced service; care coordination | H1002 - | H1002 - Carecoordination prenatal | '01/01/2002 | 12/31/2999 |
| H1003 | H1003 - Prenatal care at-risk enhanced service; education | H1003 - | H1003 - Prenatal at risk education | '01/01/2002 | 12/31/2999 |
| H1004 | H1004 - Prenatal care at-risk enhanced service; follow-up home visit | H1004 - | H1004 - Follow up home visit/prental | '01/01/2002 | 12/31/2999 |
| H1005 | H1005 - Prenatal care at-risk enhanced service package (includes h1001-h1004) | H1005 - | H1005 - Prenatalcare enhanced srv pk | '01/01/2002 | 12/31/2999 |
| H1010 | H1010 - Non-medical family planning education per session | H1010 - | H1010 - Nonmed family planning ed | '01/01/2003 | 12/31/2999 |
| H1011 | H1011 - Family assessment by licensed behavioral health professional for state defined purposes | H1011 - | H1011 - Family assessment | '01/01/2003 | 12/31/2999 |
| H2000 | H2000 - Comprehensive multidisciplinary evaluation | H2000 - | H2000 - Comp multidisipln evaluation | '01/01/2003 | 12/31/2999 |
| H2001 | H2001 - Rehabilitation program per 1/2 day | H2001 - | H2001 - Rehabilitation program 1/2 d | '01/01/2003 | 12/31/2999 |
| H2010 | H2010 - Comprehensive medication services per 15 minutes | H2010 - | H2010 - Comprehensive med svc 15 min | '04/01/2003 | 12/31/2999 |
| H2011 | H2011 - Crisis intervention service per 15 minutes | H2011 - | H2011 - Crisis interven svc 15 min | '04/01/2003 | 12/31/2999 |
| H2012 | H2012 - Behavioral health day treatment per hour | H2012 - | H2012 - Behav hlth day treat per hr | '04/01/2003 | 12/31/2999 |
| H2013 | H2013 - Psychiatric health facility service per diem | H2013 - | H2013 - Psych hlth fac svc per diem | '04/01/2003 | 12/31/2999 |
| H2014 | H2014 - Skills training and development per 15 minutes | H2014 - | H2014 - Skills train and dev 15 min | '04/01/2003 | 12/31/2999 |
| H2015 | H2015 - Comprehensive community support services per 15 minutes | H2015 - | H2015 - Comp comm supp svc 15 min | '04/01/2003 | 12/31/2999 |
| H2016 | H2016 - Comprehensive community support services per diem | H2016 - | H2016 - Comp comm supp svc per diem | '04/01/2003 | 12/31/2999 |
| H2017 | H2017 - Psychosocial rehabilitation services per 15 minutes | H2017 - | H2017 - Psysoc rehab svc per 15 min | '04/01/2003 | 12/31/2999 |
| H2018 | H2018 - Psychosocial rehabilitation services per diem | H2018 - | H2018 - Psysoc rehab svc per diem | '04/01/2003 | 12/31/2999 |
| H2019 | H2019 - Therapeutic behavioral services per 15 minutes | H2019 - | H2019 - Ther behav svc per 15 min | '04/01/2003 | 12/31/2999 |
| H2020 | H2020 - Therapeutic behavioral services per diem | H2020 - | H2020 - Ther behav svc per diem | '04/01/2003 | 12/31/2999 |
| H2021 | H2021 - Community-based wrap-around services per 15 minutes | H2021 - | H2021 - Com wrap-around sv 15 min | '04/01/2003 | 12/31/2999 |
| H2022 | H2022 - Community-based wrap-around services per diem | H2022 - | H2022 - Com wrap-around sv per diem | '04/01/2003 | 12/31/2999 |
| H2023 | H2023 - Supported employment per 15 minutes | H2023 - | H2023 - Supported employ per 15 min | '04/01/2003 | 12/31/2999 |
| H2024 | H2024 - Supported employment per diem | H2024 - | H2024 - Supported employ per diem | '04/01/2003 | 12/31/2999 |
| H2025 | H2025 - Ongoing support to maintain employment per 15 minutes | H2025 - | H2025 - Supp maint employ 15 min | '04/01/2003 | 12/31/2999 |
| H2026 | H2026 - Ongoing support to maintain employment per diem | H2026 - | H2026 - Supp maint employ per diem | '04/01/2003 | 12/31/2999 |
| H2027 | H2027 - Psychoeducational service per 15 minutes | H2027 - | H2027 - Psychoed svc per 15 min | '04/01/2003 | 12/31/2999 |
| H2028 | H2028 - Sexual offender treatment service per 15 minutes | H2028 - | H2028 - Sex offend tx svc 15 min | '04/01/2003 | 12/31/2999 |
| H2029 | H2029 - Sexual offender treatment service per diem | H2029 - | H2029 - Sex offend tx svc per diem | '04/01/2003 | 12/31/2999 |
| H2030 | H2030 - Mental health clubhouse services per 15 minutes | H2030 - | H2030 - MH clubhouse svc per 15 min | '04/01/2003 | 12/31/2999 |
| H2031 | H2031 - Mental health clubhouse services per diem | H2031 - | H2031 - MH clubhouse svc per diem | '04/01/2003 | 12/31/2999 |
| H2032 | H2032 - Activity therapy per 15 minutes | H2032 - | H2032 - Activity therapy per 15 min | '04/01/2003 | 12/31/2999 |
| H2033 | H2033 - Multisystemic therapy for juveniles per 15 minutes | H2033 - | H2033 - Multisys ther/juvenile 15min | '04/01/2003 | 12/31/2999 |
| H2034 | H2034 - Alcohol and/or drug abuse halfway house services per diem | H2034 - | H2034 - A/D halfway house per diem | '04/01/2003 | 12/31/2999 |
| H2035 | H2035 - Alcohol and/or other drug treatment program per hour | H2035 - | H2035 - A/D tx program per hour | '04/01/2003 | 12/31/2999 |
| H2036 | H2036 - Alcohol and/or other drug treatment program per diem | H2036 - | H2036 - A/D tx program per diem | '04/01/2003 | 12/31/2999 |
| H2037 | H2037 - Developmental delay prevention activities dependent child of client per 15 minutes | H2037 - | H2037 - Dev delay prev dp ch 15 min | '04/01/2003 | 12/31/2999 |
| H2038 | H2038 - Skills training and development per diem | H2038 - | H2038 - Skill train and dev/diem | '04/01/2022 | 12/31/2999 |
| J0120 | J0120 - Injection tetracycline up to 250 mg | J0120 - | J0120 - Tetracyclin injection | '01/01/1997 | 12/31/2999 |
| J0121 | J0121 - Injection omadacycline 1 mg | J0121 - | J0121 - Inj. omadacycline 1 mg | 01-10-2019 | 12/31/2999 |
| J0122 | J0122 - Injection eravacycline 1 mg | J0122 - | J0122 - Inj. eravacycline 1 mg | 01-10-2019 | 12/31/2999 |
| J0129 | J0129 - INJECTION ABATACEPT 10 MG (CODE MAY BE USED FOR MEDICARE WHEN DRUG ADMINISTERED UNDER THE DIRECT SUPERVISION OF A PHYSICIAN NOT FOR USE WHEN DRUG IS SELF ADMINISTERED) | J0129 - | J0129 - Abatacept injection | '01/01/2012 | 12/31/2999 |
| J0130 | J0130 - Injection abciximab 10 mg | J0130 - | J0130 - Abciximab injection | '01/01/1999 | 12/31/2999 |
| J0131 | J0131 - Injection acetaminophen not otherwise specified 10 mg | J0131 - | J0131 - Inj acetaminophen (nos) | '01/01/2023 | 12/31/2999 |
| J0132 | J0132 - INJECTION ACETYLCYSTEINE 100 MG | J0132 - | J0132 - Acetylcysteine injection | '01/01/2006 | 12/31/2999 |
| J0133 | J0133 - INJECTION ACYCLOVIR 5 MG | J0133 - | J0133 - Acyclovir injection | '01/01/2006 | 12/31/2999 |
| J0134 | J0134 - Injection acetaminophen (fresenius kabi) not therapeutically equivalent to j0131 10 mg | J0134 - | J0134 - Inj acetaminophen -fresenius | '01/01/2023 | 12/31/2999 |
| J0135 | J0135 - INJECTION ADALIMUMAB 20 MG | J0135 - | J0135 - Adalimumab injection | '01/01/2005 | 12/31/2999 |
| J0136 | J0136 - Injection acetaminophen (b braun) not therapeutically equivalent to j0131 10 mg | J0136 - | J0136 - Inj acetaminophen (b braun) | '01/01/2023 | 12/31/2999 |
| J0153 | J0153 - Injection adenosine 1 mg (not to be used to report any adenosine phosphate compounds) | J0153 - | J0153 - Adenosine inj 1mg | '01/01/2015 | 12/31/2999 |
| J0171 | J0171 - INJECTION ADRENALIN EPINEPHRINE 0.1 MG | J0171 - | J0171 - Adrenalin epinephrine inject | '01/01/2011 | 12/31/2999 |
| J0172 | J0172 - Injection aducanumab-avwa 2 mg | J0172 - | J0172 - Inj aducanumab-avwa 2 mg | '01/01/2022 | 12/31/2999 |
| J0173 | J0173 - Injection epinephrine (belcher) not therapeutically equivalent to j0171 0.1 mg | J0173 - | J0173 - Inj epinephrine (belcher) | '01/01/2023 | 12/31/2999 |
| J0178 | J0178 - Injection aflibercept 1 mg | J0178 - | J0178 - Aflibercept injection | '01/01/2013 | 12/31/2999 |
| J0179 | J0179 - Injection brolucizumab-dbll 1 mg | J0179 - | J0179 - Inj brolucizumab-dbll 1 mg | '01/01/2020 | 12/31/2999 |
| J0180 | J0180 - INJECTION AGALSIDASE BETA 1 MG | J0180 - | J0180 - Agalsidase beta injection | '01/01/2005 | 12/31/2999 |
| J0185 | J0185 - Injection aprepitant 1 mg | J0185 - | J0185 - Inj. aprepitant 1 mg | '01/01/2019 | 12/31/2999 |
| J0190 | J0190 - Injection biperiden lactate per 5 mg | J0190 - | J0190 - Inj biperiden lactate/5 mg | '01/01/1997 | 12/31/2999 |
| J0200 | J0200 - Injection alatrofloxacin mesylate 100 mg | J0200 - | J0200 - Alatrofloxacin mesylate | '01/01/2000 | 12/31/2999 |
| J0202 | J0202 - Injection alemtuzumab 1 mg | J0202 - | J0202 - Injection alemtuzumab | '01/01/2016 | 12/31/2999 |
| J0205 | J0205 - Injection alglucerase per 10 units | J0205 - | J0205 - Alglucerase injection | '01/01/1997 | 12/31/2999 |
| J0207 | J0207 - Injection amifostine 500 mg | J0207 - | J0207 - Amifostine | '01/01/1998 | 12/31/2999 |
| J0210 | J0210 - Injection methyldopate hcl up to 250 mg | J0210 - | J0210 - Methyldopate hcl injection | '01/01/1997 | 12/31/2999 |
| J0215 | J0215 - Injection alefacept 0. 5 mg | J0215 - | J0215 - Alefacept | '01/01/2004 | 12/31/2999 |
| J0219 | J0219 - Injection avalglucosidase alfa-ngpt 4 mg | J0219 - | J0219 - Inj aval alfa-nqpt 4mg | '04/01/2022 | 12/31/2999 |
| J0220 | J0220 - INJECTION ALGLUCOSIDASE ALFA 10 MG NOT OTHERWISE SPECIFIED | J0220 - | J0220 - Alglucosidase alfa injection | '01/01/2012 | 12/31/2999 |
| J0221 | J0221 - INJECTION ALGLUCOSIDASE ALFA (LUMIZYME) 10 MG | J0221 - | J0221 - | '01/01/2012 | 12/31/2999 |
| J0222 | J0222 - Injection Patisiran 0.1 mg | J0222 - | J0222 - Inj. patisiran 0.1 mg | 01-10-2019 | 12/31/2999 |
| J0223 | J0223 - Injection givosiran 0.5 mg | J0223 - | J0223 - Inj givosiran 0.5 mg | '07/01/2020 | 12/31/2999 |
| J0224 | J0224 - Injection lumasiran 0.5 mg | J0224 - | J0224 - Inj. lumasiran 0.5 mg | '07/01/2021 | 12/31/2999 |
| J0225 | J0225 - Injection vutrisiran 1 mg | J0225 - | J0225 - Inj vutrisiran 1 mg | '01/01/2023 | 12/31/2999 |
| J0248 | J0248 - Injection remdesivir 1mg | J0248 - | J0248 - Inj remdesivir 1mg | 12/23/2021 | 12/31/2999 |
| J0256 | J0256 - INJECTION ALPHA 1 PROTEINASE INHIBITOR (HUMAN) NOT OTHERWISE SPECIFIED 10 MG | J0256 - | J0256 - Alpha 1 proteinase inhibitor | '01/01/2012 | 12/31/2999 |
| J0257 | J0257 - INJECTION ALPHA 1 PROTEINASE INHIBITOR (HUMAN) (GLASSIA) 10 MG | J0257 - | J0257 - | '01/01/2012 | 12/31/2999 |
| J0270 | J0270 - Injection alprostadil 1. 25 mcg (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J0270 - | J0270 - Alprostadil for injection | '01/01/2000 | 12/31/2999 |
| J0275 | J0275 - Alprostadil urethral suppository (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J0275 - | J0275 - Alprostadil urethral suppos | '01/01/2000 | 12/31/2999 |
| J0278 | J0278 - INJECTION AMIKACIN SULFATE 100 MG | J0278 - | J0278 - Amikacin sulfate injection | '01/01/2006 | 12/31/2999 |
| J0280 | J0280 - Injection aminophyllin up to 250 mg | J0280 - | J0280 - Aminophyllin 250 MG inj | '01/01/1997 | 12/31/2999 |
| J0282 | J0282 - Injection amiodarone hydrochloride 30 mg | J0282 - | J0282 - Amiodarone HCl | '01/01/2001 | 12/31/2999 |
| J0283 | J0283 - Injection amiodarone hydrochloride (nexterone) 30 mg | J0283 - | J0283 - Inj amiodarone (nexterone) | '01/01/2023 | 12/31/2999 |
| J0285 | J0285 - Injection amphotericin b 50 mg | J0285 - | J0285 - Amphotericin B | '01/01/1999 | 12/31/2999 |
| J0287 | J0287 - Injection amphotericin b lipid complex 10 mg | J0287 - | J0287 - Amphotericin b lipid complex | '01/01/2003 | 12/31/2999 |
| J0288 | J0288 - Injection amphotericin b cholesteryl sulfate complex 10 mg | J0288 - | J0288 - Ampho b cholesteryl sulfate | '01/01/2003 | 12/31/2999 |
| J0289 | J0289 - Injection amphotericin b liposome 10 mg | J0289 - | J0289 - Amphotericin b liposome inj | '01/01/2003 | 12/31/2999 |
| J0290 | J0290 - Injection ampicillin sodium 500 mg | J0290 - | J0290 - Ampicillin 500 MG inj | '01/01/2000 | 12/31/2999 |
| J0291 | J0291 - Injection plazomicin 5 mg | J0291 - | J0291 - Inj. plazomicin 5 mg | 01-10-2019 | 12/31/2999 |
| J0295 | J0295 - Injection ampicillin sodium/sulbactam sodium per 1.5 gm | J0295 - | J0295 - Ampicillin sulbactam 1.5 gm | '01/01/2019 | 12/31/2999 |
| J0300 | J0300 - Injection amobarbital up to 125 mg | J0300 - | J0300 - Amobarbital 125 MG inj | '01/01/1997 | 12/31/2999 |
| J0330 | J0330 - Injection succinylcholine chloride up to 20 mg | J0330 - | J0330 - Succinycholine chloride inj | '01/01/1997 | 12/31/2999 |
| J0348 | J0348 - INJECTION ANIDULAFUNGIN 1 MG | J0348 - | J0348 - Anidulafungin injection | '01/01/2009 | 12/31/2999 |
| J0350 | J0350 - Injection anistreplase per 30 units | J0350 - | J0350 - Injection anistreplase 30 u | '01/01/1997 | 12/31/2999 |
| J0360 | J0360 - Injection hydralazine hcl up to 20 mg | J0360 - | J0360 - Hydralazine hcl injection | '01/01/1997 | 12/31/2999 |
| J0364 | J0364 - INJECTION APOMORPHINE HYDROCHLORIDE 1 MG | J0364 - | J0364 - Apomorphine hydrochloride | '01/01/2007 | 12/31/2999 |
| J0365 | J0365 - INJECTION APROTONIN 10 000 KIU | J0365 - | J0365 - Aprotonin 10 000 kiu | '01/01/2006 | 12/31/2999 |
| J0380 | J0380 - Injection metaraminol bitartrate per 10 mg | J0380 - | J0380 - Inj metaraminol bitartrate | '01/01/1997 | 12/31/2999 |
| J0390 | J0390 - Injection chloroquine hydrochloride up to 250 mg | J0390 - | J0390 - Chloroquine injection | '01/01/1997 | 12/31/2999 |
| J0395 | J0395 - Injection arbutamine hcl 1 mg | J0395 - | J0395 - Arbutamine hcl injection | '01/01/2009 | 12/31/2999 |
| J0400 | J0400 - INJECTION ARIPIPRAZOLE INTRAMUSCULAR 0.25 MG | J0400 - | J0400 - Aripiprazole injection | '01/01/2008 | 12/31/2999 |
| J0401 | J0401 - Injection aripiprazole extended release 1 mg | J0401 - | J0401 - Inj aripiprazole ext rel 1mg | '01/01/2014 | 12/31/2999 |
| J0456 | J0456 - Injection azithromycin 500 mg | J0456 - | J0456 - Azithromycin | '01/01/2000 | 12/31/2999 |
| J0461 | J0461 - INJECTION ATROPINE SULFATE 0.01 MG | J0461 - | J0461 - Atropine sulfate injection | '01/01/2010 | 12/31/2999 |
| J0470 | J0470 - Injection dimercaprol per 100 mg | J0470 - | J0470 - Dimecaprol injection | '01/01/1997 | 12/31/2999 |
| J0475 | J0475 - Injection baclofen 10 mg | J0475 - | J0475 - Baclofen 10 MG injection | '01/01/1997 | 12/31/2999 |
| J0476 | J0476 - Injection baclofen 50 mcg for intrathecal trial | J0476 - | J0476 - Baclofen intrathecal trial | '01/01/1999 | 12/31/2999 |
| J0480 | J0480 - INJECTION BASILIXIMAB 20 MG | J0480 - | J0480 - Basiliximab | '01/01/2006 | 12/31/2999 |
| J0485 | J0485 - Injection belatacept 1 mg | J0485 - | J0485 - Belatacept injection | '01/01/2013 | 12/31/2999 |
| J0490 | J0490 - INJECTION BELIMUMAB 10 MG | J0490 - | J0490 - | '01/01/2012 | 12/31/2999 |
| J0491 | J0491 - Injection anifrolumab-fnia 1 mg | J0491 - | J0491 - Inj anifrolumab-fnia 1mg | '04/01/2022 | 12/31/2999 |
| J0500 | J0500 - Injection dicyclomine hcl up to 20 mg | J0500 - | J0500 - Dicyclomine injection | '01/01/1997 | 12/31/2999 |
| J0515 | J0515 - Injection benztropine mesylate per 1 mg | J0515 - | J0515 - Inj benztropine mesylate | '01/01/1997 | 12/31/2999 |
| J0517 | J0517 - Injection benralizumab 1 mg | J0517 - | J0517 - Inj. benralizumab 1 mg | '01/01/2019 | 12/31/2999 |
| J0520 | J0520 - Injection bethanechol chloride myotonachol or urecholine up to 5 mg | J0520 - | J0520 - Bethanechol chloride inject | '01/01/1997 | 12/31/2999 |
| J0558 | J0558 - INJECTION PENICILLIN G BENZATHINE AND PENICILLIN G PROCAINE 100 000 UNITS | J0558 - | J0558 - PenG benzathine/procaine inj | '01/01/2011 | 12/31/2999 |
| J0561 | J0561 - INJECTION PENICILLIN G BENZATHINE 100 000 UNITS | J0561 - | J0561 - Penicillin g benzathine inj | '01/01/2011 | 12/31/2999 |
| J0565 | J0565 - Injection bezlotoxumab 10 mg | J0565 - | J0565 - Inj bezlotoxumab 10 mg | '01/01/2018 | 12/31/2999 |
| J0567 | J0567 - Injection cerliponase alfa 1 mg | J0567 - | J0567 - Inj. cerliponase alfa 1 mg | '01/01/2019 | 12/31/2999 |
| J0570 | J0570 - Buprenorphine implant 74.2 mg | J0570 - | J0570 - Buprenorphine implant 74.2mg | '01/01/2017 | 12/31/2999 |
| J0571 | J0571 - Buprenorphine oral 1 mg | J0571 - | J0571 - Buprenorphine oral 1mg | '01/01/2016 | 12/31/2999 |
| J0572 | J0572 - Buprenorphine/naloxone oral less than or equal to 3 mg buprenorphine | J0572 - | J0572 - Bupren/nal up to 3mg bupreno | '01/01/2016 | 12/31/2999 |
| J0573 | J0573 - Buprenorphine/naloxone oral greater than 3 mg but less than or equal to 6 mg buprenorphine | J0573 - | J0573 - Bupren/nal 3.1 to 6mg bupren | '01/01/2017 | 12/31/2999 |
| J0574 | J0574 - Buprenorphine/naloxone oral greater than 6 mg but less than or equal to 10 mg buprenorphine | J0574 - | J0574 - Bupren/nal 6.1 to 10mg bupre | '01/01/2016 | 12/31/2999 |
| J0575 | J0575 - Buprenorphine/naloxone oral greater than 10 mg buprenorphine | J0575 - | J0575 - Bupren/nal over 10mg bupreno | '01/01/2016 | 12/31/2999 |
| J0583 | J0583 - Injection bivalirudin 1 mg | J0583 - | J0583 - Bivalirudin | '01/01/2004 | 12/31/2999 |
| J0584 | J0584 - Injection burosumab-twza 1 mg | J0584 - | J0584 - Injection burosumab-twza 1m | '01/01/2019 | 12/31/2999 |
| J0585 | J0585 - INJECTION ONABOTULINUMTOXINA 1 UNIT | J0585 - | J0585 - Injection onabotulinumtoxinA | '01/01/2010 | 12/31/2999 |
| J0586 | J0586 - INJECTION ABOBOTULINUMTOXINA 5 UNITS | J0586 - | J0586 - AbobotulinumtoxinA | '01/01/2010 | 12/31/2999 |
| J0587 | J0587 - INJECTION RIMABOTULINUMTOXINB 100 UNITS | J0587 - | J0587 - Inj rimabotulinumtoxinB | '01/01/2010 | 12/31/2999 |
| J0588 | J0588 - INJECTION INCOBOTULINUMTOXIN A 1 UNIT | J0588 - | J0588 - | '01/01/2012 | 12/31/2999 |
| J0591 | J0591 - Injection deoxycholic acid 1 mg | J0591 - | J0591 - Inj deoxycholic acid 1 mg | '07/01/2020 | 12/31/2999 |
| J0592 | J0592 - Injection buprenorphine hydrochloride 0. 1 mg | J0592 - | J0592 - Buprenorphine hydrochloride | '01/01/2003 | 12/31/2999 |
| J0593 | J0593 - Injection lanadelumab-flyo 1 mg (code may be used for Medicare when drug administered under direct supervision of a physician not for use when drug is self-administered) | J0593 - | J0593 - Inj. lanadelumab-flyo 1 mg | 01-10-2019 | 12/31/2999 |
| J0594 | J0594 - INJECTION BUSULFAN 1 MG | J0594 - | J0594 - Busulfan injection | '01/01/2007 | 12/31/2999 |
| J0595 | J0595 - Injection butorphanol tartrate 1 mg | J0595 - | J0595 - Butorphanol tartrate 1 mg | '01/01/2004 | 12/31/2999 |
| J0596 | J0596 - Injection c1 esterase inhibitor (recombinant) ruconest 10 units | J0596 - | J0596 - Injection ruconest | '01/01/2016 | 12/31/2999 |
| J0597 | J0597 - INJECTION C-1 ESTERASE INHIBITOR (HUMAN) BERINERT 10 UNITS | J0597 - | J0597 - C-1 esterase berinert | '01/01/2011 | 12/31/2999 |
| J0598 | J0598 - INJECTION C-1 ESTERASE INHIBITOR (HUMAN) CINRYZE 10 UNITS | J0598 - | J0598 - C-1 esterase cinryze | '01/01/2011 | 12/31/2999 |
| J0599 | J0599 - Injection c-1 esterase inhibitor (human) (haegarda) 10 units | J0599 - | J0599 - Inj. haegarda 10 units | '01/01/2019 | 12/31/2999 |
| J0600 | J0600 - Injection edetate calcium disodium up to 1000 mg | J0600 - | J0600 - Edetate calcium disodium inj | '01/01/1997 | 12/31/2999 |
| J0604 | J0604 - Cinacalcet oral 1 mg (for esrd on dialysis) | J0604 - | J0604 - Cinacalcet esrd on dialysis | '01/01/2018 | 12/31/2999 |
| J0606 | J0606 - Injection etelcalcetide 0.1 mg | J0606 - | J0606 - Inj etelcalcetide 0.1 mg | '01/01/2018 | 12/31/2999 |
| J0610 | J0610 - Injection calcium gluconate (fresenius kabi) per 10 ml | J0610 - | J0610 - Calcium glucon (fresenius) | '01/01/2023 | 12/31/2999 |
| J0611 | J0611 - Injection calcium gluconate (wg critical care) per 10 ml | J0611 - | J0611 - Calcium glucon (wg critical) | '01/01/2023 | 12/31/2999 |
| J0620 | J0620 - Injection calcium glycerophosphate and calcium lactate per 10 ml | J0620 - | J0620 - Calcium glycer & lact/10 ML | '01/01/1997 | 12/31/2999 |
| J0630 | J0630 - Injection calcitonin salmon up to 400 units | J0630 - | J0630 - Calcitonin salmon injection | '01/01/1997 | 12/31/2999 |
| J0636 | J0636 - Injection calcitriol 0. 1 mcg | J0636 - | J0636 - Inj calcitriol per 0.1 mcg | '01/01/2003 | 12/31/2999 |
| J0637 | J0637 - Injection caspofungin acetate 5 mg | J0637 - | J0637 - Caspofungin acetate | '01/01/2003 | 12/31/2999 |
| J0638 | J0638 - INJECTION CANAKINUMAB 1 MG | J0638 - | J0638 - Canakinumab injection | '01/01/2011 | 12/31/2999 |
| J0640 | J0640 - Injection leucovorin calcium per 50 mg | J0640 - | J0640 - Leucovorin calcium injection | '01/01/1997 | 12/31/2999 |
| J0641 | J0641 - Injection levoleucovorin not otherwise specified 0.5 mg | J0641 - | J0641 - Inj levoleucovorin nos 0.5mg | 01-10-2019 | 12/31/2999 |
| J0642 | J0642 - Injection levoleucovorin (khapzory) 0.5 mg | J0642 - | J0642 - Injection khapzory 0.5 mg | 01-10-2019 | 12/31/2999 |
| J0670 | J0670 - Injection mepivacaine hydrochloride per 10 ml | J0670 - | J0670 - Inj mepivacaine HCL/10 ml | '01/01/1997 | 12/31/2999 |
| J0689 | J0689 - Injection cefazolin sodium (baxter) not therapeutically equivalent to j0690 500 mg | J0689 - | J0689 - Inj cefazolin sodium baxter | '01/01/2023 | 12/31/2999 |
| J0690 | J0690 - Injection cefazolin sodium 500 mg | J0690 - | J0690 - Cefazolin sodium injection | '01/01/2000 | 12/31/2999 |
| J0691 | J0691 - Injection lefamulin 1 mg | J0691 - | J0691 - Inj lefamulin 1 mg | '07/01/2020 | 12/31/2999 |
| J0692 | J0692 - Injection cefepime hydrochloride 500 mg | J0692 - | J0692 - Cefepime HCl for injection | '01/01/2002 | 12/31/2999 |
| J0694 | J0694 - Injection cefoxitin sodium 1 gm | J0694 - | J0694 - Cefoxitin sodium injection | '01/01/1997 | 12/31/2999 |
| J0695 | J0695 - Injection ceftolozane 50 mg and tazobactam 25 mg | J0695 - | J0695 - Inj ceftolozane tazobactam | '01/01/2016 | 12/31/2999 |
| J0696 | J0696 - Injection ceftriaxone sodium per 250 mg | J0696 - | J0696 - Ceftriaxone sodium injection | '01/01/1997 | 12/31/2999 |
| J0697 | J0697 - Injection sterile cefuroxime sodium per 750 mg | J0697 - | J0697 - Sterile cefuroxime injection | '01/01/1997 | 12/31/2999 |
| J0698 | J0698 - Injection cefotaxime sodium per gm | J0698 - | J0698 - Cefotaxime sodium injection | '01/01/1997 | 12/31/2999 |
| J0699 | J0699 - Injection cefiderocol 10 mg | J0699 - | J0699 - Inj cefiderocol 10 mg | 01-10-2021 | 12/31/2999 |
| J0701 | J0701 - Injection cefepime hydrochloride (baxter) not therapeutically equivalent to maxipime 500 mg | J0701 - | J0701 - Inj. cefepime hcl (baxter) | '01/01/2023 | 12/31/2999 |
| J0702 | J0702 - Injection betamethasone acetate 3mg and betamethasone sodium phosphate 3mg | J0702 - | J0702 - Betamethasone acet&sod phosp | '01/01/2008 | 12/31/2999 |
| J0703 | J0703 - Injection cefepime hydrochloride (b braun) not therapeutically equivalent to maxipime 500 mg | J0703 - | J0703 - Inj cefepime hcl (b braun) | '01/01/2023 | 12/31/2999 |
| J0706 | J0706 - Injection caffeine citrate 5mg | J0706 - | J0706 - Caffeine citrate injection | '01/01/2002 | 12/31/2999 |
| J0710 | J0710 - Injection cephapirin sodium up to 1 gm | J0710 - | J0710 - Cephapirin sodium injection | '01/01/1997 | 12/31/2999 |
| J0712 | J0712 - INJECTION CEFTAROLINE FOSAMIL 10 MG | J0712 - | J0712 - | '01/01/2012 | 12/31/2999 |
| J0713 | J0713 - Injection ceftazidime per 500 mg | J0713 - | J0713 - Inj ceftazidime per 500 mg | '01/01/1997 | 12/31/2999 |
| J0714 | J0714 - Injection ceftazidime and avibactam 0.5 g/0.125 g | J0714 - | J0714 - Ceftazidime and avibactam | '01/01/2016 | 12/31/2999 |
| J0715 | J0715 - Injection ceftizoxime sodium per 500 mg | J0715 - | J0715 - Ceftizoxime sodium / 500 MG | '01/01/1997 | 12/31/2999 |
| J0716 | J0716 - Injection centruroides immune f(ab)2 up to 120 milligrams | J0716 - | J0716 - Centruroides immune f(ab) | '01/01/2013 | 12/31/2999 |
| J0717 | J0717 - Injection certolizumab pegol 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J0717 - | J0717 - Certolizumab pegol inj 1mg | '01/01/2014 | 12/31/2999 |
| J0720 | J0720 - Injection chloramphenicol sodium succinate up to 1 gm | J0720 - | J0720 - Chloramphenicol sodium injec | '01/01/1997 | 12/31/2999 |
| J0725 | J0725 - Injection chorionic gonadotropin per 1 000 usp units | J0725 - | J0725 - Chorionic gonadotropin/1000u | '01/01/1997 | 12/31/2999 |
| J0735 | J0735 - Injection clonidine hydrochloride 1 mg | J0735 - | J0735 - Clonidine hydrochloride | '01/01/1998 | 12/31/2999 |
| J0739 | J0739 - Injection cabotegravir 1 mg | J0739 - | J0739 - Injection cabotegravir 1 mg | '07/01/2022 | 12/31/2999 |
| J0740 | J0740 - Injection cidofovir 375 mg | J0740 - | J0740 - Cidofovir injection | '01/01/1998 | 12/31/2999 |
| J0741 | J0741 - Injection cabotegravir and rilpivirine 2mg/3mg | J0741 - | J0741 - Inj cabote rilpivir 2mg 3mg | 01-10-2021 | 12/31/2999 |
| J0742 | J0742 - Injection imipenem 4 mg cilastatin 4 mg and relebactam 2 mg | J0742 - | J0742 - Inj imip 4 cilas 4 releb 2mg | '07/01/2020 | 12/31/2999 |
| J0743 | J0743 - Injection cilastatin sodium; imipenem per 250 mg | J0743 - | J0743 - Cilastatin sodium injection | '01/01/1997 | 12/31/2999 |
| J0744 | J0744 - Injection ciprofloxacin for intravenous infusion 200 mg | J0744 - | J0744 - Ciprofloxacin iv | '01/01/2002 | 12/31/2999 |
| J0745 | J0745 - Injection codeine phosphate per 30 mg | J0745 - | J0745 - Inj codeine phosphate /30 MG | '01/01/1997 | 12/31/2999 |
| J0770 | J0770 - Injection colistimethate sodium up to 150 mg | J0770 - | J0770 - Colistimethate sodium inj | '01/01/1997 | 12/31/2999 |
| J0775 | J0775 - INJECTION COLLAGENASE CLOSTRIDIUM HISTOLYTICUM 0.01 MG | J0775 - | J0775 - Collagenase clost hist inj | '01/01/2011 | 12/31/2999 |
| J0780 | J0780 - Injection prochlorperazine up to 10 mg | J0780 - | J0780 - Prochlorperazine injection | '01/01/1997 | 12/31/2999 |
| J0791 | J0791 - Injection crizanlizumab-tmca 5 mg | J0791 - | J0791 - Inj crizanlizumab-tmca 5mg | '07/01/2020 | 12/31/2999 |
| J0795 | J0795 - INJECTION CORTICORELIN OVINE TRIFLUTATE 1 MICROGRAM | J0795 - | J0795 - Corticorelin ovine triflutal | '01/01/2006 | 12/31/2999 |
| J0800 | J0800 - Injection corticotropin up to 40 units | J0800 - | J0800 - Corticotropin injection | '01/01/1997 | 12/31/2999 |
| J0834 | J0834 - Injection cosyntropin 0.25 mg | J0834 - | J0834 - Inj. cosyntropin 0.25 mg | '01/01/2019 | 12/31/2999 |
| J0840 | J0840 - INJECTION CROTALIDAE POLYVALENT IMMUNE FAB (OVINE) UP TO 1 GRAM | J0840 - | J0840 - | '01/01/2012 | 12/31/2999 |
| J0841 | J0841 - Injection crotalidae immune f(ab')2 (equine) 120 mg | J0841 - | J0841 - Inj crotalidae im f(ab')2 eq | '01/01/2019 | 12/31/2999 |
| J0850 | J0850 - Injection cytomegalovirus immune globulin intravenous (human) per vial | J0850 - | J0850 - Cytomegalovirus imm IV /vial | '01/01/1997 | 12/31/2999 |
| J0875 | J0875 - Injection dalbavancin 5mg | J0875 - | J0875 - Injection dalbavancin | '01/01/2016 | 12/31/2999 |
| J0877 | J0877 - Injection daptomycin (hospira) not therapeutically equivalent to j0878 1 mg | J0877 - | J0877 - Inj daptomycin (hospira) | '01/01/2023 | 12/31/2999 |
| J0878 | J0878 - INJECTION DAPTOMYCIN 1 MG | J0878 - | J0878 - Daptomycin injection | '01/01/2005 | 12/31/2999 |
| J0879 | J0879 - Injection difelikefalin 0.1 microgram (for esrd on dialysis) | J0879 - | J0879 - Difelikefalin esrd on dialy | '04/01/2022 | 12/31/2999 |
| J0881 | J0881 - INJECTION DARBEPOETIN ALFA 1 MICROGRAM (NON-ESRD USE) | J0881 - | J0881 - Darbepoetin alfa non-esrd | '01/01/2006 | 12/31/2999 |
| J0882 | J0882 - INJECTION DARBEPOETIN ALFA 1 MICROGRAM (FOR ESRD ON DIALYSIS) | J0882 - | J0882 - Darbepoetin alfa esrd use | '01/01/2006 | 12/31/2999 |
| J0883 | J0883 - Injection argatroban 1 mg (for non-esrd use) | J0883 - | J0883 - Argatroban nonesrd use 1mg | '01/01/2017 | 12/31/2999 |
| J0884 | J0884 - Injection argatroban 1 mg (for esrd on dialysis) | J0884 - | J0884 - Argatroban esrd dialysis 1mg | '01/01/2017 | 12/31/2999 |
| J0885 | J0885 - INJECTION EPOETIN ALFA (FOR NON-ESRD USE) 1000 UNITS | J0885 - | J0885 - Epoetin alfa non-esrd | '01/01/2006 | 12/31/2999 |
| J0887 | J0887 - Injection epoetin beta 1 microgram (for esrd on dialysis) | J0887 - | J0887 - Epoetin beta esrd use | '01/01/2015 | 12/31/2999 |
| J0888 | J0888 - Injectin epoetin beta 1 microgram (for non esrd use) | J0888 - | J0888 - Epoetin beta non esrd | '01/01/2015 | 12/31/2999 |
| J0890 | J0890 - Injection peginesatide 0. 1 mg (for esrd on dialysis) | J0890 - | J0890 - Peginesatide injection | '01/01/2013 | 12/31/2999 |
| J0891 | J0891 - Injection argatroban (accord) not therapeutically equivalent to j0883 1 mg (for non-esrd use) | J0891 - | J0891 - Argatroban nonesrd (accord) | '01/01/2023 | 12/31/2999 |
| J0892 | J0892 - Injection argatroban (accord) not therapeutically equivalent to j0884 1 mg (for esrd on dialysis) | J0892 - | J0892 - Argatroban dialysis (accord) | '01/01/2023 | 12/31/2999 |
| J0893 | J0893 - Injection decitabine (sun pharma) not therapeutically equivalent to j0894 1 mg | J0893 - | J0893 - Inj decitabine (sun pharma) | '01/01/2023 | 12/31/2999 |
| J0894 | J0894 - INJECTION DECITABINE 1 MG | J0894 - | J0894 - Decitabine injection | '01/01/2007 | 12/31/2999 |
| J0895 | J0895 - Injection deferoxamine mesylate 500 mg | J0895 - | J0895 - Deferoxamine mesylate inj | '01/01/2001 | 12/31/2999 |
| J0896 | J0896 - Injection luspatercept-aamt 0.25 mg | J0896 - | J0896 - Inj luspatercept-aamt 0.25mg | '07/01/2020 | 12/31/2999 |
| J0897 | J0897 - INJECTION DENOSUMAB 1 MG | J0897 - | J0897 - | '01/01/2012 | 12/31/2999 |
| J0898 | J0898 - Injection argatroban (auromedics) not therapeutically equivalent to j0883 1 mg (for non-esrd use) | J0898 - | J0898 - Argatroban nonesrd (auromed) | '01/01/2023 | 12/31/2999 |
| J0899 | J0899 - Injection argatroban (auromedics) not therapeutically equivalent to j0884 1 mg (for esrd on dialysis) | J0899 - | J0899 - Argatroban dialysis auromed | '01/01/2023 | 12/31/2999 |
| J0945 | J0945 - Injection brompheniramine maleate per 10 mg | J0945 - | J0945 - Brompheniramine maleate inj | '01/01/1997 | 12/31/2999 |
| J1000 | J1000 - Injection depo-estradiol cypionate up to 5 mg | J1000 - | J1000 - Depo-estradiol cypionate inj | '01/01/1997 | 12/31/2999 |
| J1020 | J1020 - Injection methylprednisolone acetate 20 mg | J1020 - | J1020 - Methylprednisolone 20 MG inj | '01/01/1997 | 12/31/2999 |
| J1030 | J1030 - Injection methylprednisolone acetate 40 mg | J1030 - | J1030 - Methylprednisolone 40 MG inj | '01/01/1997 | 12/31/2999 |
| J1040 | J1040 - Injection methylprednisolone acetate 80 mg | J1040 - | J1040 - Methylprednisolone 80 MG inj | '01/01/1997 | 12/31/2999 |
| J1050 | J1050 - Injection medroxyprogesterone acetate 1 mg | J1050 - | J1050 - Medroxyprogesterone acetate | '01/01/2013 | 12/31/2999 |
| J1071 | J1071 - Injection testosterone cypionate 1mg | J1071 - | J1071 - Inj testosterone cypionate | '01/01/2015 | 12/31/2999 |
| J1094 | J1094 - Injection dexamethasone acetate 1 mg | J1094 - | J1094 - Inj dexamethasone acetate | '01/01/2003 | 12/31/2999 |
| J1095 | J1095 - Injection dexamethasone 9 percent intraocular 1 microgram | J1095 - | J1095 - Injection dexamethasone 9% | '01/01/2019 | 12/31/2999 |
| J1096 | J1096 - Dexamethasone lacrimal ophthalmic insert 0.1 mg | J1096 - | J1096 - Dexametha opth insert 0.1 mg | 01-10-2019 | 12/31/2999 |
| J1097 | J1097 - phenylephrine 10.16 mg/ml and ketorolac 2.88 mg/ml ophthalmic irrigation solution 1 ml | J1097 - | J1097 - Phenylep ketorolac opth soln | 01-10-2019 | 12/31/2999 |
| J1100 | J1100 - Injection dexamethasone sodium phosphate 1mg | J1100 - | J1100 - Dexamethasone sodium phos | '01/01/2001 | 12/31/2999 |
| J1110 | J1110 - Injection dihydroergotamine mesylate per 1 mg | J1110 - | J1110 - Inj dihydroergotamine mesylt | '01/01/1997 | 12/31/2999 |
| J1120 | J1120 - Injection acetazolamide sodium up to 500 mg | J1120 - | J1120 - Acetazolamid sodium injectio | '01/01/1997 | 12/31/2999 |
| J1130 | J1130 - Injection diclofenac sodium 0.5 mg | J1130 - | J1130 - Inj diclofenac sodium 0.5mg | '01/01/2017 | 12/31/2999 |
| J1160 | J1160 - Injection digoxin up to 0. 5 mg | J1160 - | J1160 - Digoxin injection | '01/01/1997 | 12/31/2999 |
| J1162 | J1162 - INJECTION DIGOXIN IMMUNE FAB (OVINE) PER VIAL | J1162 - | J1162 - Digoxin immune fab (ovine) | '01/01/2006 | 12/31/2999 |
| J1165 | J1165 - Injection phenytoin sodium per 50 mg | J1165 - | J1165 - Phenytoin sodium injection | '01/01/1997 | 12/31/2999 |
| J1170 | J1170 - Injection hydromorphone up to 4 mg | J1170 - | J1170 - Hydromorphone injection | '01/01/1997 | 12/31/2999 |
| J1180 | J1180 - Injection dyphylline up to 500 mg | J1180 - | J1180 - Dyphylline injection | '01/01/1997 | 12/31/2999 |
| J1190 | J1190 - Injection dexrazoxane hydrochloride per 250 mg | J1190 - | J1190 - Dexrazoxane HCl injection | '01/01/1997 | 12/31/2999 |
| J1200 | J1200 - Injection diphenhydramine hcl up to 50 mg | J1200 - | J1200 - Diphenhydramine hcl injectio | '01/01/1997 | 12/31/2999 |
| J1201 | J1201 - Injection cetirizine hydrochloride 0.5 mg | J1201 - | J1201 - Inj. cetirizine hcl 0.5mg | '07/01/2020 | 12/31/2999 |
| J1205 | J1205 - Injection chlorothiazide sodium per 500 mg | J1205 - | J1205 - Chlorothiazide sodium inj | '01/01/1997 | 12/31/2999 |
| J1212 | J1212 - Injection dmso dimethyl sulfoxide 50% 50 ml | J1212 - | J1212 - Dimethyl sulfoxide 50% 50 ML | '01/01/1997 | 12/31/2999 |
| J1230 | J1230 - Injection methadone hcl up to 10 mg | J1230 - | J1230 - Methadone injection | '01/01/1997 | 12/31/2999 |
| J1240 | J1240 - Injection dimenhydrinate up to 50 mg | J1240 - | J1240 - Dimenhydrinate injection | '01/01/1997 | 12/31/2999 |
| J1245 | J1245 - Injection dipyridamole per 10 mg | J1245 - | J1245 - Dipyridamole injection | '01/01/1998 | 12/31/2999 |
| J1250 | J1250 - Injection dobutamine hydrochloride per 250 mg | J1250 - | J1250 - Inj dobutamine HCL/250 mg | '01/01/1997 | 12/31/2999 |
| J1260 | J1260 - Injection dolasetron mesylate 10 mg | J1260 - | J1260 - Dolasetron mesylate | '01/01/2000 | 12/31/2999 |
| J1265 | J1265 - INJECTION DOPAMINE HCL 40 MG | J1265 - | J1265 - Dopamine injection | '01/01/2006 | 12/31/2999 |
| J1267 | J1267 - INJECTION DORIPENEM 10 MG | J1267 - | J1267 - Doripenem injection | '01/01/2009 | 12/31/2999 |
| J1270 | J1270 - Injection doxercalciferol 1 mcg | J1270 - | J1270 - Injection doxercalciferol | '01/01/2002 | 12/31/2999 |
| J1290 | J1290 - INJECTION ECALLANTIDE 1 MG | J1290 - | J1290 - Ecallantide injection | '01/01/2011 | 12/31/2999 |
| J1300 | J1300 - INJECTION ECULIZUMAB 10 MG | J1300 - | J1300 - Eculizumab injection | '01/01/2008 | 12/31/2999 |
| J1301 | J1301 - Injection edaravone 1 mg | J1301 - | J1301 - Injection edaravone 1 mg | '01/01/2019 | 12/31/2999 |
| J1302 | J1302 - Injection sutimlimab-jome 10 mg | J1302 - | J1302 - Inj sutimlimab-jome 10 mg | 01-10-2022 | 12/31/2999 |
| J1303 | J1303 - Injection ravulizumab-cwvz 10 mg | J1303 - | J1303 - Inj. ravulizumab-cwvz 10 mg | 01-10-2019 | 12/31/2999 |
| J1305 | J1305 - Injection evinacumab-dgnb 5mg | J1305 - | J1305 - Inj evinacumab-dgnb 5mg | 01-10-2021 | 12/31/2999 |
| J1306 | J1306 - Injection inclisiran 1 mg | J1306 - | J1306 - Injection inclisiran 1 mg | '07/01/2022 | 12/31/2999 |
| J1320 | J1320 - Injection amitriptyline hcl up to 20 mg | J1320 - | J1320 - Amitriptyline injection | '01/01/1997 | 12/31/2999 |
| J1322 | J1322 - Injection elosulfase alfa 1mg | J1322 - | J1322 - Elosulfase alfa injection | '01/01/2015 | 12/31/2999 |
| J1324 | J1324 - INJECTION ENFUVIRTIDE 1 MG | J1324 - | J1324 - Enfuvirtide injection | '01/01/2007 | 12/31/2999 |
| J1325 | J1325 - Injection epoprostenol 0. 5 mg | J1325 - | J1325 - Epoprostenol injection | '01/01/1998 | 12/31/2999 |
| J1327 | J1327 - Injection eptifibatide 5 mg | J1327 - | J1327 - Eptifibatide injection | '01/01/2000 | 12/31/2999 |
| J1330 | J1330 - Injection ergonovine maleate up to 0. 2 mg | J1330 - | J1330 - Ergonovine maleate injection | '01/01/1997 | 12/31/2999 |
| J1335 | J1335 - Injection ertapenem sodium 500 mg | J1335 - | J1335 - Ertapenem injection | '01/01/2004 | 12/31/2999 |
| J1364 | J1364 - Injection erythromycin lactobionate per 500 mg | J1364 - | J1364 - Erythro lactobionate /500 MG | '01/01/1997 | 12/31/2999 |
| J1380 | J1380 - Injection estradiol valerate up to 10 mg | J1380 - | J1380 - Estradiol valerate 10 MG inj | '01/01/1997 | 12/31/2999 |
| J1410 | J1410 - Injection estrogen conjugated per 25 mg | J1410 - | J1410 - Inj estrogen conjugate 25 MG | '01/01/1997 | 12/31/2999 |
| J1426 | J1426 - Injection casimersen 10 mg | J1426 - | J1426 - Injection casimersen 10 mg | 01-10-2021 | 12/31/2999 |
| J1427 | J1427 - Injection viltolarsen 10 mg | J1427 - | J1427 - Inj. viltolarsen | '04/01/2021 | 12/31/2999 |
| J1428 | J1428 - Injection eteplirsen 10 mg | J1428 - | J1428 - Inj eteplirsen 10 mg | '01/01/2018 | 12/31/2999 |
| J1429 | J1429 - Injection golodirsen 10 mg | J1429 - | J1429 - Inj golodirsen 10 mg | '07/01/2020 | 12/31/2999 |
| J1430 | J1430 - INJECTION ETHANOLAMINE OLEATE 100 MG | J1430 - | J1430 - Ethanolamine oleate 100 mg | '01/01/2006 | 12/31/2999 |
| J1435 | J1435 - Injection estrone per 1 mg | J1435 - | J1435 - Injection estrone per 1 MG | '01/01/1997 | 12/31/2999 |
| J1436 | J1436 - Injection etidronate disodium per 300 mg | J1436 - | J1436 - Etidronate disodium inj | '01/01/1997 | 12/31/2999 |
| J1437 | J1437 - Injection ferric derisomaltose 10 mg | J1437 - | J1437 - Inj. fe derisomaltose 10 mg | 01-10-2020 | 12/31/2999 |
| J1438 | J1438 - Injection etanercept 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J1438 - | J1438 - Etanercept injection | '01/01/2000 | 12/31/2999 |
| J1439 | J1439 - Injection ferric carboxymaltose 1mg | J1439 - | J1439 - Inj ferric carboxymaltos 1mg | '01/01/2015 | 12/31/2999 |
| J1442 | J1442 - Injection filgrastim (g-csf) excludes biosimilars 1 microgram | J1442 - | J1442 - Inj filgrastim excl biosimil | '01/01/2016 | 12/31/2999 |
| J1443 | J1443 - Injection ferric pyrophosphate citrate solution (triferic) 0.1 mg of iron | J1443 - | J1443 - | 01-10-2021 | 12/31/2999 |
| J1444 | J1444 - Injection ferric pyrophosphate citrate powder 0.1 mg of iron | J1444 - | J1444 - Fe pyro cit pow 0.1 mg iron | '07/01/2019 | 12/31/2999 |
| J1445 | J1445 - Injection ferric pyrophosphate citrate solution (triferic avnu) 0.1 mg of iron | J1445 - | J1445 - Inj triferic avnu 0.1mg iron | 01-10-2021 | 12/31/2999 |
| J1447 | J1447 - Injection tbo-filgrastim 1 microgram | J1447 - | J1447 - Inj tbo filgrastim 1 microg | '01/01/2016 | 12/31/2999 |
| J1448 | J1448 - Injection trilaciclib 1mg | J1448 - | J1448 - Injection trilaciclib 1mg | 01-10-2021 | 12/31/2999 |
| J1450 | J1450 - Injection fluconazole 200 mg | J1450 - | J1450 - Fluconazole | '01/01/2000 | 12/31/2999 |
| J1451 | J1451 - INJECTION FOMEPIZOLE 15 MG | J1451 - | J1451 - Fomepizole 15 mg | '01/01/2006 | 12/31/2999 |
| J1452 | J1452 - Injection fomivirsen sodium intraocular 1. 65 mg | J1452 - | J1452 - Intraocular Fomivirsen na | '01/01/2001 | 12/31/2999 |
| J1453 | J1453 - INJECTION FOSAPREPITANT 1 MG | J1453 - | J1453 - Fosaprepitant injection | '01/01/2009 | 12/31/2999 |
| J1454 | J1454 - Injection fosnetupitant 235 mg and palonosetron 0.25 mg | J1454 - | J1454 - Inj fosnetupitant palonoset | '01/01/2019 | 12/31/2999 |
| J1455 | J1455 - Injection foscarnet sodium per 1000 mg | J1455 - | J1455 - Foscarnet sodium injection | '01/01/1997 | 12/31/2999 |
| J1456 | J1456 - Injection fosaprepitant (teva) not therapeutically equivalent to j1453 1 mg | J1456 - | J1456 - Inj fosaprepitant (teva) | '01/01/2023 | 12/31/2999 |
| J1457 | J1457 - INJECTION GALLIUM NITRATE 1 MG | J1457 - | J1457 - Gallium nitrate injection | '01/01/2005 | 12/31/2999 |
| J1458 | J1458 - INJECTION GALSULFASE 1 MG | J1458 - | J1458 - Galsulfase injection | '01/01/2007 | 12/31/2999 |
| J1459 | J1459 - INJECTION IMMUNE GLOBULIN (PRIVIGEN) INTRAVENOUS NON-LYOPHILIZED (E.G. LIQUID) 500 MG | J1459 - | J1459 - Inj IVIG privigen 500 mg | '01/01/2009 | 12/31/2999 |
| J1460 | J1460 - Injection gamma globulin intramuscular 1 cc | J1460 - | J1460 - Gamma globulin 1 CC inj | '01/01/1997 | 12/31/2999 |
| J1551 | J1551 - Injection immune globulin (cutaquig) 100 mg | J1551 - | J1551 - Inj cutaquig 100 mg | '07/01/2022 | 12/31/2999 |
| J1554 | J1554 - Injection immune globulin (asceniv) 500 mg | J1554 - | J1554 - Inj. asceniv | '04/01/2021 | 12/31/2999 |
| J1555 | J1555 - Injection immune globulin (cuvitru) 100 mg | J1555 - | J1555 - Inj cuvitru 100 mg | '01/01/2018 | 12/31/2999 |
| J1556 | J1556 - Injection immune globulin (bivigam) 500 mg | J1556 - | J1556 - Inj imm glob bivigam 500mg | '01/01/2014 | 12/31/2999 |
| J1557 | J1557 - INJECTION IMMUNE GLOBULIN (GAMMAPLEX) INTRAVENOUS NON-LYOPHILIZED (E.G. LIQUID) 500 MG | J1557 - | J1557 - | '01/01/2012 | 12/31/2999 |
| J1558 | J1558 - Injection immune globulin (xembify) 100 mg | J1558 - | J1558 - Inj. xembify 100 mg | '07/01/2020 | 12/31/2999 |
| J1559 | J1559 - INJECTION IMMUNE GLOBULIN (HIZENTRA) 100 MG | J1559 - | J1559 - Hizentra injection | '01/01/2011 | 12/31/2999 |
| J1560 | J1560 - Injection gamma globulin intramuscular over 10 cc | J1560 - | J1560 - Gamma globulin > 10 CC inj | '01/01/1997 | 12/31/2999 |
| J1561 | J1561 - Injection immune globulin (gamunex-c/gammaked) non-lyophilized (e. G. Liquid) 500 mg | J1561 - | J1561 - Gamunex-C/Gammaked | '01/01/2013 | 12/31/2999 |
| J1562 | J1562 - Injection immune globulin (vivaglobin) 100 mg | J1562 - | J1562 - Vivaglobin inj | '01/01/2008 | 12/31/2999 |
| J1566 | J1566 - Injection immune globulin intravenous lyophilized (e. G. Powder) not otherwise specified 500 mg | J1566 - | J1566 - Immune globulin powder | '01/01/2008 | 12/31/2999 |
| J1568 | J1568 - INJECTION IMMUNE GLOBULIN (OCTAGAM) INTRAVENOUS NONLYOPHILIZED (E.G. liquid) 500 mg | J1568 - | J1568 - Octagam injection | '01/01/2008 | 12/31/2999 |
| J1569 | J1569 - Injection immune globulin (gammagard liquid) non-lyophilized (e. G. Liquid) 500 mg | J1569 - | J1569 - Gammagard liquid injection | '01/01/2013 | 12/31/2999 |
| J1570 | J1570 - Injection ganciclovir sodium 500 mg | J1570 - | J1570 - Ganciclovir sodium injection | '01/01/1997 | 12/31/2999 |
| J1571 | J1571 - Injection hepatitis b immune globulin (hepagam b) intramuscular 0. 5 ml | J1571 - | J1571 - Hepagam b im injection | '01/01/2009 | 12/31/2999 |
| J1572 | J1572 - INJECTION IMMUNE GLOBULIN (FLEBOGAMMA/FLEBOGAMMA DIF) INTRAVENOUS NON-LYOPHILIZED (E.G. LIQUID) 500 MG | J1572 - | J1572 - Flebogamma injection | '01/01/2009 | 12/31/2999 |
| J1573 | J1573 - Injection hepatitis b immune globulin (hepagam b) intravenous 0. 5 ml | J1573 - | J1573 - Hepagam b intravenous inj | '01/01/2009 | 12/31/2999 |
| J1574 | J1574 - Injection ganciclovir sodium (exela) not therapeutically equivalent to j1570 500 mg | J1574 - | J1574 - Inj ganciclovir (exela) | '01/01/2023 | 12/31/2999 |
| J1575 | J1575 - Injection immune globulin/hyaluronidase (hyqvia) 100 mg immuneglobulin | J1575 - | J1575 - Hyqvia 100mg immuneglobulin | '01/01/2016 | 12/31/2999 |
| J1580 | J1580 - Injection garamycin gentamicin up to 80 mg | J1580 - | J1580 - Garamycin gentamicin inj | '01/01/1997 | 12/31/2999 |
| J1595 | J1595 - Injection glatiramer acetate 20 mg | J1595 - | J1595 - Injection glatiramer acetate | '01/01/2004 | 12/31/2999 |
| J1599 | J1599 - INJECTION IMMUNE GLOBULIN INTRAVENOUS NON-LYOPHILIZED (E.G. LIQUID) NOT OTHERWISE SPECIFIED 500 MG | J1599 - | J1599 - Ivig non-lyophilized NOS | '01/01/2011 | 12/31/2999 |
| J1600 | J1600 - Injection gold sodium thiomalate up to 50 mg | J1600 - | J1600 - Gold sodium thiomaleate inj | '01/01/1997 | 12/31/2999 |
| J1602 | J1602 - Injection golimumab 1 mg for intravenous use | J1602 - | J1602 - Golimumab for iv use 1mg | '01/01/2014 | 12/31/2999 |
| J1610 | J1610 - Injection glucagon hydrochloride per 1 mg | J1610 - | J1610 - Glucagon hydrochloride/1 MG | '01/01/1997 | 12/31/2999 |
| J1611 | J1611 - Injection glucagon hydrochloride (fresenius kabi) not therapeutically equivalent to j1610 per 1 mg | J1611 - | J1611 - Inj glucagon hcl fresenius | '01/01/2023 | 12/31/2999 |
| J1620 | J1620 - Injection gonadorelin hydrochloride per 100 mcg | J1620 - | J1620 - Gonadorelin hydroch/ 100 mcg | '01/01/1997 | 12/31/2999 |
| J1626 | J1626 - Injection granisetron hydrochloride 100 mcg | J1626 - | J1626 - Granisetron hcl injection | '01/01/2009 | 12/31/2999 |
| J1627 | J1627 - Injection granisetron extended-release 0.1 mg | J1627 - | J1627 - Inj granisetron xr 0.1 mg | '01/01/2018 | 12/31/2999 |
| J1628 | J1628 - Injection guselkumab 1 mg | J1628 - | J1628 - Inj. guselkumab 1 mg | '01/01/2019 | 12/31/2999 |
| J1630 | J1630 - Injection haloperidol up to 5 mg | J1630 - | J1630 - Haloperidol injection | '01/01/1997 | 12/31/2999 |
| J1631 | J1631 - Injection haloperidol decanoate per 50 mg | J1631 - | J1631 - Haloperidol decanoate inj | '01/01/1997 | 12/31/2999 |
| J1632 | J1632 - Injection brexanolone 1 mg | J1632 - | J1632 - Inj. brexanolone 1 mg | 01-10-2020 | 12/31/2999 |
| J1640 | J1640 - INJECTION HEMIN 1 MG | J1640 - | J1640 - Hemin 1 mg | '01/01/2006 | 12/31/2999 |
| J1642 | J1642 - Injection heparin sodium (heparin lock flush) per 10 units | J1642 - | J1642 - Inj heparin sodium per 10 u | '01/01/1997 | 12/31/2999 |
| J1643 | J1643 - Injection heparin sodium (pfizer) not therapeutically equivalent to j1644 per 1000 units | J1643 - | J1643 - Inj heparin pfizer 1000u | '01/01/2023 | 12/31/2999 |
| J1644 | J1644 - Injection heparin sodium per 1000 units | J1644 - | J1644 - Inj heparin sodium per 1000u | '01/01/2003 | 12/31/2999 |
| J1645 | J1645 - Injection dalteparin sodium per 2500 iu | J1645 - | J1645 - Dalteparin sodium | '07/01/2002 | 12/31/2999 |
| J1650 | J1650 - Injection enoxaparin sodium 10 mg | J1650 - | J1650 - Inj enoxaparin sodium | '01/01/2004 | 12/31/2999 |
| J1652 | J1652 - Injection fondaparinux sodium 0. 5 mg | J1652 - | J1652 - Fondaparinux sodium | '01/01/2003 | 12/31/2999 |
| J1655 | J1655 - Injection tinzaparin sodium 1000 iu | J1655 - | J1655 - Tinzaparin sodium injection | '07/01/2002 | 12/31/2999 |
| J1670 | J1670 - Injection tetanus immune globulin human up to 250 units | J1670 - | J1670 - Tetanus immune globulin inj | '01/01/1997 | 12/31/2999 |
| J1675 | J1675 - INJECTION HISTRELIN ACETATE 10 MICROGRAMS | J1675 - | J1675 - Histrelin acetate | '01/01/2006 | 12/31/2999 |
| J1700 | J1700 - Injection hydrocortisone acetate up to 25 mg | J1700 - | J1700 - Hydrocortisone acetate inj | '01/01/1997 | 12/31/2999 |
| J1710 | J1710 - Injection hydrocortisone sodium phosphate up to 50 mg | J1710 - | J1710 - Hydrocortisone sodium ph inj | '01/01/1997 | 12/31/2999 |
| J1720 | J1720 - Injection hydrocortisone sodium succinate up to 100 mg | J1720 - | J1720 - Hydrocortisone sodium succ i | '01/01/1997 | 12/31/2999 |
| J1726 | J1726 - Injection hydroxyprogesterone caproate (makena) 10 mg | J1726 - | J1726 - Makena 10 mg | '01/01/2018 | 12/31/2999 |
| J1729 | J1729 - Injection hydroxyprogesterone caproate not otherwise specified 10 mg | J1729 - | J1729 - Inj hydroxyprogst capoat nos | '01/01/2018 | 12/31/2999 |
| J1730 | J1730 - Injection diazoxide up to 300 mg | J1730 - | J1730 - Diazoxide injection | '01/01/1997 | 12/31/2999 |
| J1738 | J1738 - Injection meloxicam 1 mg | J1738 - | J1738 - Inj. meloxicam 1 mg | 01-10-2020 | 12/31/2999 |
| J1740 | J1740 - INJECTION IBANDRONATE SODIUM 1 MG | J1740 - | J1740 - Ibandronate sodium injection | '01/01/2007 | 12/31/2999 |
| J1741 | J1741 - Injection ibuprofen 100 mg | J1741 - | J1741 - Ibuprofen injection | '01/01/2013 | 12/31/2999 |
| J1742 | J1742 - Injection ibutilide fumarate 1 mg | J1742 - | J1742 - Ibutilide fumarate injection | '01/01/1998 | 12/31/2999 |
| J1743 | J1743 - INJECTION IDURSULFASE 1 MG | J1743 - | J1743 - Idursulfase injection | '01/01/2008 | 12/31/2999 |
| J1744 | J1744 - Injection icatibant 1 mg | J1744 - | J1744 - Icatibant injection | '01/01/2013 | 12/31/2999 |
| J1745 | J1745 - Injection infliximab excludes biosimilar 10 mg | J1745 - | J1745 - Infliximab not biosimil 10mg | '01/01/2017 | 12/31/2999 |
| J1746 | J1746 - Injection ibalizumab-uiyk 10 mg | J1746 - | J1746 - Inj. ibalizumab-uiyk 10 mg | '01/01/2019 | 12/31/2999 |
| J1750 | J1750 - INJECTION IRON DEXTRAN 50 MG | J1750 - | J1750 - Inj iron dextran | '01/01/2009 | 12/31/2999 |
| J1756 | J1756 - Injection iron sucrose 1 mg | J1756 - | J1756 - Iron sucrose injection | '01/01/2003 | 12/31/2999 |
| J1786 | J1786 - INJECTION IMIGLUCERASE 10 UNITS | J1786 - | J1786 - Imuglucerase injection | '01/01/2011 | 12/31/2999 |
| J1790 | J1790 - Injection droperidol up to 5 mg | J1790 - | J1790 - Droperidol injection | '01/01/1997 | 12/31/2999 |
| J1800 | J1800 - Injection propranolol hcl up to 1 mg | J1800 - | J1800 - Propranolol injection | '01/01/1997 | 12/31/2999 |
| J1810 | J1810 - Injection droperidol and fentanyl citrate up to 2 ml ampule | J1810 - | J1810 - Droperidol/fentanyl inj | '01/01/1997 | 12/31/2999 |
| J1815 | J1815 - Injection insulin per 5 units | J1815 - | J1815 - Insulin injection | '01/01/2003 | 12/31/2999 |
| J1817 | J1817 - Insulin for administration through dme (i. E. insulin pump) per 50 units | J1817 - | J1817 - Insulin for insulin pump use | '01/01/2003 | 12/31/2999 |
| J1823 | J1823 - Injection inebilizumab-cdon 1 mg | J1823 - | J1823 - Inj. inebilizumab-cdon 1 mg | '01/01/2021 | 12/31/2999 |
| J1826 | J1826 - INJECTION INTERFERON BETA-1A 30 MCG | J1826 - | J1826 - Interferon Beta-1A inj | '01/01/2011 | 12/31/2999 |
| J1830 | J1830 - Injection interferon beta-1b 0. 25 mg (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J1830 - | J1830 - Interferon beta-1b / .25 MG | '01/01/2000 | 12/31/2999 |
| J1833 | J1833 - Injection isavuconazonium 1 mg | J1833 - | J1833 - Injection isavuconazonium | '01/01/2016 | 12/31/2999 |
| J1835 | J1835 - Injection itraconazole 50 mg | J1835 - | J1835 - Itraconazole injection | '01/01/2002 | 12/31/2999 |
| J1840 | J1840 - Injection kanamycin sulfate up to 500 mg | J1840 - | J1840 - Kanamycin sulfate 500 MG inj | '01/01/1997 | 12/31/2999 |
| J1850 | J1850 - Injection kanamycin sulfate up to 75 mg | J1850 - | J1850 - Kanamycin sulfate 75 MG inj | '01/01/1997 | 12/31/2999 |
| J1885 | J1885 - Injection ketorolac tromethamine per 15 mg | J1885 - | J1885 - Ketorolac tromethamine inj | '01/01/1997 | 12/31/2999 |
| J1890 | J1890 - Injection cephalothin sodium up to 1 gram | J1890 - | J1890 - Cephalothin sodium injection | '01/01/1997 | 12/31/2999 |
| J1930 | J1930 - INJECTION LANREOTIDE 1 MG | J1930 - | J1930 - Lanreotide injection | '01/01/2009 | 12/31/2999 |
| J1931 | J1931 - INJECTION LARONIDASE 0.1 MG | J1931 - | J1931 - Laronidase injection | '01/01/2005 | 12/31/2999 |
| J1932 | J1932 - Injection lanreotide (cipla) 1 mg | J1932 - | J1932 - Inj lanreotide (cipla) 1mg | 01-10-2022 | 12/31/2999 |
| J1940 | J1940 - Injection furosemide up to 20 mg | J1940 - | J1940 - Furosemide injection | '01/01/1997 | 12/31/2999 |
| J1943 | J1943 - Injection aripiprazole lauroxil (aristada initio) 1 mg | J1943 - | J1943 - Inj. aristada initio 1 mg | 01-10-2019 | 12/31/2999 |
| J1944 | J1944 - Injection aripiprazole lauroxil (aristada) 1 mg | J1944 - | J1944 - aripirazole lauroxil 1 mg | 01-10-2019 | 12/31/2999 |
| J1945 | J1945 - INJECTION LEPIRUDIN 50 MG | J1945 - | J1945 - Lepirudin | '01/01/2006 | 12/31/2999 |
| J1950 | J1950 - Injection leuprolide acetate (for depot suspension) per 3. 75 mg | J1950 - | J1950 - Leuprolide acetate /3.75 MG | '01/01/1997 | 12/31/2999 |
| J1951 | J1951 - Injection leuprolide acetate for depot suspension (fensolvi) 0.25 mg | J1951 - | J1951 - Inj fensolvi 0.25 mg | '07/01/2021 | 12/31/2999 |
| J1952 | J1952 - Leuprolide injectable camcevi 1 mg | J1952 - | J1952 - Leuprolide inj camcevi 1mg | '01/01/2022 | 12/31/2999 |
| J1953 | J1953 - INJECTION LEVETIRACETAM 10 MG | J1953 - | J1953 - Levetiracetam injection | '01/01/2009 | 12/31/2999 |
| J1954 | J1954 - Injection leuprolide acetate for depot suspension (lutrate) 7.5 mg | J1954 - | J1954 - Inj lutrate depot 7.5 mg | '01/01/2023 | 12/31/2999 |
| J1955 | J1955 - Injection levocarnitine per 1 gm | J1955 - | J1955 - Inj levocarnitine per 1 gm | '01/01/1997 | 12/31/2999 |
| J1956 | J1956 - Injection levofloxacin 250 mg | J1956 - | J1956 - Levofloxacin injection | '01/01/1999 | 12/31/2999 |
| J1960 | J1960 - Injection levorphanol tartrate up to 2 mg | J1960 - | J1960 - Levorphanol tartrate inj | '01/01/1997 | 12/31/2999 |
| J1980 | J1980 - Injection hyoscyamine sulfate up to 0. 25 mg | J1980 - | J1980 - Hyoscyamine sulfate inj | '01/01/1997 | 12/31/2999 |
| J1990 | J1990 - Injection chlordiazepoxide hcl up to 100 mg | J1990 - | J1990 - Chlordiazepoxide injection | '01/01/1997 | 12/31/2999 |
| J2001 | J2001 - Injection lidocaine hcl for intravenous infusion 10 mg | J2001 - | J2001 - Lidocaine injection | '01/01/2004 | 12/31/2999 |
| J2010 | J2010 - Injection lincomycin hcl up to 300 mg | J2010 - | J2010 - Lincomycin injection | '01/01/1997 | 12/31/2999 |
| J2020 | J2020 - Injection linezolid 200mg | J2020 - | J2020 - Linezolid injection | '01/01/2002 | 12/31/2999 |
| J2021 | J2021 - Injection linezolid (hospira) not therapeutically equivalent to j2020 200 mg | J2021 - | J2021 - Inj linezolid (hospira) | '01/01/2023 | 12/31/2999 |
| J2060 | J2060 - Injection lorazepam 2 mg | J2060 - | J2060 - Lorazepam injection | '01/01/1997 | 12/31/2999 |
| J2062 | J2062 - Loxapine for inhalation 1 mg | J2062 - | J2062 - Loxapine for inhalation 1 mg | '01/01/2019 | 12/31/2999 |
| J2150 | J2150 - Injection mannitol 25% in 50 ml | J2150 - | J2150 - Mannitol injection | '01/01/1997 | 12/31/2999 |
| J2170 | J2170 - INJECTION MECASERMIN 1 MG | J2170 - | J2170 - Mecasermin injection | '01/01/2007 | 12/31/2999 |
| J2175 | J2175 - Injection meperidine hydrochloride per 100 mg | J2175 - | J2175 - Meperidine hydrochl /100 MG | '01/01/1997 | 12/31/2999 |
| J2180 | J2180 - Injection meperidine and promethazine hcl up to 50 mg | J2180 - | J2180 - Meperidine/promethazine inj | '01/01/1997 | 12/31/2999 |
| J2182 | J2182 - Injection mepolizumab 1 mg | J2182 - | J2182 - Injection mepolizumab 1mg | '01/01/2017 | 12/31/2999 |
| J2184 | J2184 - Injection meropenem (b. braun) not therapeutically equivalent to j2185 100 mg | J2184 - | J2184 - Inj meropenem (b. braun) | '01/01/2023 | 12/31/2999 |
| J2185 | J2185 - Injection meropenem 100 mg | J2185 - | J2185 - Meropenem | '01/01/2004 | 12/31/2999 |
| J2186 | J2186 - Injection meropenem and vaborbactam 10mg/10mg (20mg) | J2186 - | J2186 - Inj. meropenem vaborbactam | '01/01/2019 | 12/31/2999 |
| J2210 | J2210 - Injection methylergonovine maleate up to 0. 2 mg | J2210 - | J2210 - Methylergonovin maleate inj | '01/01/1997 | 12/31/2999 |
| J2212 | J2212 - Injection methylnaltrexone 0. 1 mg | J2212 - | J2212 - Methylnaltrexone injection | '01/01/2013 | 12/31/2999 |
| J2247 | J2247 - Injection micafungin sodium (par pharm) not thereapeutically equivalent to j2248 1 mg | J2247 - | J2247 - Inj micafungin (par pharm) | '01/01/2023 | 12/31/2999 |
| J2248 | J2248 - INJECTION MICAFUNGIN SODIUM 1 MG | J2248 - | J2248 - Micafungin sodium injection | '01/01/2007 | 12/31/2999 |
| J2250 | J2250 - Injection midazolam hydrochloride per 1 mg | J2250 - | J2250 - Inj midazolam hydrochloride | '01/01/1997 | 12/31/2999 |
| J2251 | J2251 - Injection midazolam hydrochloride (wg critical care) not therapeutically equivalent to j2250 per 1 mg | J2251 - | J2251 - Inj midazolam (wg crit care) | '01/01/2023 | 12/31/2999 |
| J2260 | J2260 - Injection milrinone lactate 5 mg | J2260 - | J2260 - Inj milrinone lactate / 5 MG | '01/01/2001 | 12/31/2999 |
| J2265 | J2265 - INJECTION MINOCYCLINE HYDROCHLORIDE 1 MG | J2265 - | J2265 - | '01/01/2012 | 12/31/2999 |
| J2270 | J2270 - Injection morphine sulfate up to 10 mg | J2270 - | J2270 - Morphine sulfate injection | '01/01/1997 | 12/31/2999 |
| J2272 | J2272 - Injection morphine sulfate (fresenius kabi) not therapeutically equivalent to j2270 up to 10 mg | J2272 - | J2272 - Inj morphine (fresenius) | '01/01/2023 | 12/31/2999 |
| J2274 | J2274 - Injection morphine sulfate preservative-free for epidural or intrathecal use 10 mg | J2274 - | J2274 - Inj morphine pf epid ithc | '01/01/2018 | 12/31/2999 |
| J2278 | J2278 - INJECTION ZICONOTIDE 1 MICROGRAM | J2278 - | J2278 - Ziconotide injection | '01/01/2006 | 12/31/2999 |
| J2280 | J2280 - Injection moxifloxacin 100 mg | J2280 - | J2280 - Inj moxifloxacin 100 mg | '01/01/2004 | 12/31/2999 |
| J2281 | J2281 - Injection moxifloxacin (fresenius kabi) not therapeutically equivalent to j2280 100 mg | J2281 - | J2281 - Inj moxifloxacin (fres kabi) | '01/01/2023 | 12/31/2999 |
| J2300 | J2300 - Injection nalbuphine hydrochloride per 10 mg | J2300 - | J2300 - Inj nalbuphine hydrochloride | '01/01/1997 | 12/31/2999 |
| J2310 | J2310 - Injection naloxone hydrochloride per 1 mg | J2310 - | J2310 - Inj naloxone hydrochloride | '01/01/1997 | 12/31/2999 |
| J2311 | J2311 - Injection naloxone hydrochloride (zimhi) 1 mg | J2311 - | J2311 - Inj naloxone hcl (zimhi) | '01/01/2023 | 12/31/2999 |
| J2315 | J2315 - INJECTION NALTREXONE DEPOT FORM 1 MG | J2315 - | J2315 - Naltrexone depot form | '01/01/2007 | 12/31/2999 |
| J2320 | J2320 - Injection nandrolone decanoate up to 50 mg | J2320 - | J2320 - Nandrolone decanoate 50 MG | '01/01/1997 | 12/31/2999 |
| J2323 | J2323 - INJECTION NATALIZUMAB 1 MG | J2323 - | J2323 - Natalizumab injection | '01/01/2008 | 12/31/2999 |
| J2325 | J2325 - INJECTION NESIRITIDE 0.1 MG | J2325 - | J2325 - Nesiritide injection | '01/01/2006 | 12/31/2999 |
| J2326 | J2326 - Injection nusinersen 0.1 mg | J2326 - | J2326 - Inj nusinersen 0.1mg | '01/01/2018 | 12/31/2999 |
| J2327 | J2327 - Injection risankizumab-rzaa intravenous 1 mg | J2327 - | J2327 - Inj risankizumab-rzaa 1 mg | '01/01/2023 | 12/31/2999 |
| J2350 | J2350 - Injection ocrelizumab 1 mg | J2350 - | J2350 - Injection ocrelizumab 1 mg | '01/01/2018 | 12/31/2999 |
| J2353 | J2353 - Injection octreotide depot form for intramuscular injection 1 mg | J2353 - | J2353 - Octreotide injection depot | '01/01/2004 | 12/31/2999 |
| J2354 | J2354 - Injection octreotide non-depot form for subcutaneous or intravenous injection 25 mcg | J2354 - | J2354 - Octreotide inj non-depot | '01/01/2004 | 12/31/2999 |
| J2355 | J2355 - Injection oprelvekin 5 mg | J2355 - | J2355 - Oprelvekin injection | '01/01/1999 | 12/31/2999 |
| J2356 | J2356 - Injection tezepelumab-ekko 1 mg | J2356 - | J2356 - Inj tezepelumab-ekko 1mg | '07/01/2022 | 12/31/2999 |
| J2357 | J2357 - INJECTION OMALIZUMAB 5 MG | J2357 - | J2357 - Omalizumab injection | '01/01/2005 | 12/31/2999 |
| J2358 | J2358 - INJECTION OLANZAPINE LONG-ACTING 1 MG | J2358 - | J2358 - Olanzapine long-acting inj | '01/01/2011 | 12/31/2999 |
| J2360 | J2360 - Injection orphenadrine citrate up to 60 mg | J2360 - | J2360 - Orphenadrine injection | '01/01/1997 | 12/31/2999 |
| J2370 | J2370 - Injection phenylephrine hcl up to 1 ml | J2370 - | J2370 - Phenylephrine hcl injection | '01/01/1997 | 12/31/2999 |
| J2401 | J2401 - Injection chloroprocaine hydrochloride per 1 mg | J2401 - | J2401 - Chloroprocaine hcl injection | '01/01/2023 | 12/31/2999 |
| J2402 | J2402 - Injection chloroprocaine hydrochloride (clorotekal) per 1 mg | J2402 - | J2402 - Chloroprocaine (clorotekal) | '01/01/2023 | 12/31/2999 |
| J2405 | J2405 - Injection ondansetron hydrochloride per 1 mg | J2405 - | J2405 - Ondansetron hcl injection | '01/01/1997 | 12/31/2999 |
| J2406 | J2406 - Injection oritavancin (kimyrsa) 10 mg | J2406 - | J2406 - Injection oritavancin 10 mg | 01-10-2021 | 12/31/2999 |
| J2407 | J2407 - Injection oritavancin (orbactiv) 10 mg | J2407 - | J2407 - | 01-10-2021 | 12/31/2999 |
| J2410 | J2410 - Injection oxymorphone hcl up to 1 mg | J2410 - | J2410 - Oxymorphone hcl injection | '01/01/1997 | 12/31/2999 |
| J2425 | J2425 - INJECTION PALIFERMIN 50 MICROGRAMS | J2425 - | J2425 - Palifermin injection | '01/01/2006 | 12/31/2999 |
| J2426 | J2426 - INJECTION PALIPERIDONE PALMITATE EXTENDED RELEASE 1 MG | J2426 - | J2426 - Paliperidone palmitate inj | '01/01/2011 | 12/31/2999 |
| J2430 | J2430 - Injection pamidronate disodium per 30 mg | J2430 - | J2430 - Pamidronate disodium /30 MG | '01/01/1997 | 12/31/2999 |
| J2440 | J2440 - Injection papaverine hcl up to 60 mg | J2440 - | J2440 - Papaverin hcl injection | '01/01/1997 | 12/31/2999 |
| J2460 | J2460 - Injection oxytetracycline hcl up to 50 mg | J2460 - | J2460 - Oxytetracycline injection | '01/01/1997 | 12/31/2999 |
| J2469 | J2469 - Injection palonosetron hcl 25 mcg | J2469 - | J2469 - Palonosetron hcl | '01/01/2009 | 12/31/2999 |
| J2501 | J2501 - Injection paricalcitol 1 mcg | J2501 - | J2501 - Paricalcitol | '01/01/2003 | 12/31/2999 |
| J2502 | J2502 - Injection pasireotide long acting 1 mg | J2502 - | J2502 - Inj pasireotide long acting | '01/01/2016 | 12/31/2999 |
| J2503 | J2503 - INJECTION PEGAPTANIB SODIUM 0.3 MG | J2503 - | J2503 - Pegaptanib sodium injection | '01/01/2006 | 12/31/2999 |
| J2504 | J2504 - INJECTION PEGADEMASE BOVINE 25 IU | J2504 - | J2504 - Pegademase bovine 25 iu | '01/01/2006 | 12/31/2999 |
| J2506 | J2506 - Injection pegfilgrastim excludes biosimilar 0.5 mg | J2506 - | J2506 - Inj pegfilgrast ex bio 0.5mg | '01/01/2022 | 12/31/2999 |
| J2507 | J2507 - INJECTION PEGLOTICASE 1 MG | J2507 - | J2507 - | '01/01/2012 | 12/31/2999 |
| J2510 | J2510 - Injection penicillin g procaine aqueous up to 600 000 units | J2510 - | J2510 - Penicillin g procaine inj | '01/01/1997 | 12/31/2999 |
| J2513 | J2513 - INJECTION PENTASTARCH 10% SOLUTION 100 ML | J2513 - | J2513 - Pentastarch 10% solution | '01/01/2006 | 12/31/2999 |
| J2515 | J2515 - Injection pentobarbital sodium per 50 mg | J2515 - | J2515 - Pentobarbital sodium inj | '01/01/1997 | 12/31/2999 |
| J2540 | J2540 - Injection penicillin g potassium up to 600 000 units | J2540 - | J2540 - Penicillin g potassium inj | '01/01/1997 | 12/31/2999 |
| J2543 | J2543 - Injection piperacillin sodium/tazobactam sodium 1 gram/0. 125 grams (1. 125 grams) | J2543 - | J2543 - Piperacillin/tazobactam | '01/01/2001 | 12/31/2999 |
| J2545 | J2545 - Pentamidine isethionate inhalation solution fda-approved final product non-compounded administered through dme unit dose form per 300 mg | J2545 - | J2545 - Pentamidine non-comp unit | '01/01/2008 | 12/31/2999 |
| J2547 | J2547 - Injection peramivir 1 mg | J2547 - | J2547 - Injection peramivir | '01/01/2016 | 12/31/2999 |
| J2550 | J2550 - Injection promethazine hcl up to 50 mg | J2550 - | J2550 - Promethazine hcl injection | '01/01/1997 | 12/31/2999 |
| J2560 | J2560 - Injection phenobarbital sodium up to 120 mg | J2560 - | J2560 - Phenobarbital sodium inj | '01/01/1997 | 12/31/2999 |
| J2562 | J2562 - INJECTION PLERIXAFOR 1 MG | J2562 - | J2562 - Plerixafor injection | '01/01/2010 | 12/31/2999 |
| J2590 | J2590 - Injection oxytocin up to 10 units | J2590 - | J2590 - Oxytocin injection | '01/01/1997 | 12/31/2999 |
| J2597 | J2597 - Injection desmopressin acetate per 1 mcg | J2597 - | J2597 - Inj desmopressin acetate | '01/01/1997 | 12/31/2999 |
| J2650 | J2650 - Injection prednisolone acetate up to 1 ml | J2650 - | J2650 - Prednisolone acetate inj | '01/01/1997 | 12/31/2999 |
| J2670 | J2670 - Injection tolazoline hcl up to 25 mg | J2670 - | J2670 - Totazoline hcl injection | '01/01/1997 | 12/31/2999 |
| J2675 | J2675 - Injection progesterone per 50 mg | J2675 - | J2675 - Inj progesterone per 50 MG | '07/01/2002 | 12/31/2999 |
| J2680 | J2680 - Injection fluphenazine decanoate up to 25 mg | J2680 - | J2680 - Fluphenazine decanoate 25 MG | '01/01/1997 | 12/31/2999 |
| J2690 | J2690 - Injection procainamide hcl up to 1 gm | J2690 - | J2690 - Procainamide hcl injection | '01/01/1997 | 12/31/2999 |
| J2700 | J2700 - Injection oxacillin sodium up to 250 mg | J2700 - | J2700 - Oxacillin sodium injeciton | '01/01/1997 | 12/31/2999 |
| J2704 | J2704 - Injection propofol 10 mg | J2704 - | J2704 - Inj propofol 10 mg | '01/01/2015 | 12/31/2999 |
| J2710 | J2710 - Injection neostigmine methylsulfate up to 0. 5 mg | J2710 - | J2710 - Neostigmine methylslfte inj | '01/01/1997 | 12/31/2999 |
| J2720 | J2720 - Injection protamine sulfate per 10 mg | J2720 - | J2720 - Inj protamine sulfate/10 MG | '01/01/1997 | 12/31/2999 |
| J2724 | J2724 - Injection protein c concentrate intravenous human 10 iu | J2724 - | J2724 - Protein c concentrate | '01/01/2009 | 12/31/2999 |
| J2725 | J2725 - Injection protirelin per 250 mcg | J2725 - | J2725 - Inj protirelin per 250 mcg | '01/01/1997 | 12/31/2999 |
| J2730 | J2730 - Injection pralidoxime chloride up to 1 gm | J2730 - | J2730 - Pralidoxime chloride inj | '01/01/1997 | 12/31/2999 |
| J2760 | J2760 - Injection phentolamine mesylate up to 5 mg | J2760 - | J2760 - Phentolaine mesylate inj | '01/01/1997 | 12/31/2999 |
| J2765 | J2765 - Injection metoclopramide hcl up to 10 mg | J2765 - | J2765 - Metoclopramide hcl injection | '01/01/1997 | 12/31/2999 |
| J2770 | J2770 - Injection quinupristin/dalfopristin 500 mg (150/350) | J2770 - | J2770 - Quinupristin/dalfopristin | '01/01/2001 | 12/31/2999 |
| J2777 | J2777 - Injection faricimab-svoa 0.1 mg | J2777 - | J2777 - Inj faricimab-svoa 0.1mg | 01-10-2022 | 12/31/2999 |
| J2778 | J2778 - INJECTION RANIBIZUMAB 0.1 MG | J2778 - | J2778 - Ranibizumab injection | '01/01/2008 | 12/31/2999 |
| J2779 | J2779 - Injection ranibizumab via intravitreal implant (susvimo) 0.1 mg | J2779 - | J2779 - Inj susvimo 0.1 mg | '07/01/2022 | 12/31/2999 |
| J2780 | J2780 - Injection ranitidine hydrochloride 25 mg | J2780 - | J2780 - Ranitidine hydrochloride inj | '01/01/2000 | 12/31/2999 |
| J2783 | J2783 - Injection rasburicase 0. 5 mg | J2783 - | J2783 - Rasburicase | '01/01/2004 | 12/31/2999 |
| J2785 | J2785 - INJECTION REGADENOSON 0.1 MG | J2785 - | J2785 - Regadenoson injection | '01/01/2009 | 12/31/2999 |
| J2786 | J2786 - Injection reslizumab 1 mg | J2786 - | J2786 - Injection reslizumab 1mg | '01/01/2017 | 12/31/2999 |
| J2787 | J2787 - Riboflavin 5'-phosphate ophthalmic solution up to 3 mL | J2787 - | J2787 - Riboflavin 5'Phos opth<=3ml | '01/01/2019 | 12/31/2999 |
| J2788 | J2788 - INJECTION RHO D IMMUNE GLOBULIN HUMAN MINIDOSE 50 MICROGRAMS (250 I.U.) | J2788 - | J2788 - Rho d immune globulin 50 mcg | '01/01/2009 | 12/31/2999 |
| J2790 | J2790 - INJECTION RHO D IMMUNE GLOBULIN HUMAN FULL DOSE 300 MICROGRAMS (1500 I.U.) | J2790 - | J2790 - Rho d immune globulin inj | '01/01/2009 | 12/31/2999 |
| J2791 | J2791 - INJECTION RHO(D) IMMUNE GLOBULIN (HUMAN) (RHOPHYLAC) INTRAMUSCULAR OR | J2791 - | J2791 - Rhophylac injection | '01/01/2008 | 12/31/2999 |
| J2792 | J2792 - Injection rho d immune globulin intravenous human solvent detergent 100 iu | J2792 - | J2792 - Rho(D) immune globulin h sd | '01/01/1999 | 12/31/2999 |
| J2793 | J2793 - INJECTION RILONACEPT 1 MG | J2793 - | J2793 - Rilonacept injection | '01/01/2010 | 12/31/2999 |
| J2794 | J2794 - Injection risperidone (risperdal consta) 0.5 mg | J2794 - | J2794 - Inj. risperdal consta 0.5 mg | 01-10-2019 | 12/31/2999 |
| J2795 | J2795 - Injection ropivacaine hydrochloride 1 mg | J2795 - | J2795 - Ropivacaine HCl injection | '01/01/2001 | 12/31/2999 |
| J2796 | J2796 - INJECTION ROMIPLOSTIM 10 MICROGRAMS | J2796 - | J2796 - Romiplostim injection | '01/01/2010 | 12/31/2999 |
| J2797 | J2797 - Injection rolapitant 0.5 mg | J2797 - | J2797 - Inj. rolapitant 0.5 mg | '01/01/2019 | 12/31/2999 |
| J2798 | J2798 - Injection risperidone (perseris) 0.5 mg | J2798 - | J2798 - Inj. perseris 0.5 mg | 01-10-2019 | 12/31/2999 |
| J2800 | J2800 - Injection methocarbamol up to 10 ml | J2800 - | J2800 - Methocarbamol injection | '01/01/1997 | 12/31/2999 |
| J2805 | J2805 - INJECTION SINCALIDE 5 MICROGRAMS | J2805 - | J2805 - Sincalide injection | '01/01/2006 | 12/31/2999 |
| J2810 | J2810 - Injection theophylline per 40 mg | J2810 - | J2810 - Inj theophylline per 40 MG | '01/01/1997 | 12/31/2999 |
| J2820 | J2820 - Injection sargramostim (gm-csf) 50 mcg | J2820 - | J2820 - Sargramostim injection | '01/01/1998 | 12/31/2999 |
| J2840 | J2840 - Injection sebelipase alfa 1 mg | J2840 - | J2840 - Inj sebelipase alfa 1 mg | '01/01/2017 | 12/31/2999 |
| J2850 | J2850 - INJECTION SECRETIN SYNTHETIC HUMAN 1 MICROGRAM | J2850 - | J2850 - Inj secretin synthetic human | '01/01/2006 | 12/31/2999 |
| J2860 | J2860 - Injection siltuximab 10 mg | J2860 - | J2860 - Injection siltuximab | '01/01/2016 | 12/31/2999 |
| J2910 | J2910 - Injection aurothioglucose up to 50 mg | J2910 - | J2910 - Aurothioglucose injeciton | '01/01/1997 | 12/31/2999 |
| J2916 | J2916 - Injection sodium ferric gluconate complex in sucrose injection 12. 5 mg | J2916 - | J2916 - Na ferric gluconate complex | '01/01/2003 | 12/31/2999 |
| J2920 | J2920 - Injection methylprednisolone sodium succinate up to 40 mg | J2920 - | J2920 - Methylprednisolone injection | '01/01/1997 | 12/31/2999 |
| J2930 | J2930 - Injection methylprednisolone sodium succinate up to 125 mg | J2930 - | J2930 - Methylprednisolone injection | '01/01/1997 | 12/31/2999 |
| J2940 | J2940 - Injection somatrem 1 mg | J2940 - | J2940 - Somatrem injection | '01/01/2002 | 12/31/2999 |
| J2941 | J2941 - Injection somatropin 1 mg | J2941 - | J2941 - Somatropin injection | '01/01/2002 | 12/31/2999 |
| J2950 | J2950 - Injection promazine hcl up to 25 mg | J2950 - | J2950 - Promazine hcl injection | '01/01/1997 | 12/31/2999 |
| J2993 | J2993 - Injection reteplase 18. 1 mg | J2993 - | J2993 - Reteplase injection | '01/01/2001 | 12/31/2999 |
| J2995 | J2995 - Injection streptokinase per 250 000 iu | J2995 - | J2995 - Inj streptokinase /250000 IU | '01/01/1997 | 12/31/2999 |
| J2997 | J2997 - Injection alteplase recombinant 1 mg | J2997 - | J2997 - Alteplase recombinant | '01/01/2001 | 12/31/2999 |
| J2998 | J2998 - Injection plasminogen human-tvmh 1 mg | J2998 - | J2998 - Inj plasminogen tvmh 1mg | '07/01/2022 | 12/31/2999 |
| J3000 | J3000 - Injection streptomycin up to 1 gm | J3000 - | J3000 - Streptomycin injection | '01/01/1997 | 12/31/2999 |
| J3010 | J3010 - Injection fentanyl citrate 0. 1 mg | J3010 - | J3010 - Fentanyl citrate injeciton | '01/01/2001 | 12/31/2999 |
| J3030 | J3030 - Injection sumatriptan succinate 6 mg (code may be used for medicare when drug administered under the direct supervision of a physician not for use when drug is self administered) | J3030 - | J3030 - Sumatriptan succinate / 6 MG | '01/01/2000 | 12/31/2999 |
| J3031 | J3031 - Injection fremanezumab-vfrm 1 mg (code may be used for Medicare when drug administered under the direct supervision of a physician not for use when drug is self-administered) | J3031 - | J3031 - Inj. fremanezumab-vfrm 1 mg | 01-10-2019 | 12/31/2999 |
| J3032 | J3032 - Injection eptinezumab-jjmr 1 mg | J3032 - | J3032 - Inj. eptinezumab-jjmr 1 mg | 01-10-2020 | 12/31/2999 |
| J3060 | J3060 - Injection taliglucerace alfa 10 units | J3060 - | J3060 - Inj taliglucerace alfa 10 u | '01/01/2014 | 12/31/2999 |
| J3070 | J3070 - Injection pentazocine 30 mg | J3070 - | J3070 - Pentazocine injection | '01/01/2003 | 12/31/2999 |
| J3090 | J3090 - Injection tedizolid phosphate 1 mg | J3090 - | J3090 - Inj tedizolid phosphate | '01/01/2016 | 12/31/2999 |
| J3095 | J3095 - INJECTION TELEVANCIN 10 MG | J3095 - | J3095 - Telavancin injection | '01/01/2011 | 12/31/2999 |
| J3101 | J3101 - INJECTION TENECTEPLASE 1 MG | J3101 - | J3101 - Tenecteplase injection | '01/01/2009 | 12/31/2999 |
| J3105 | J3105 - Injection terbutaline sulfate up to 1 mg | J3105 - | J3105 - Terbutaline sulfate inj | '01/01/1997 | 12/31/2999 |
| J3110 | J3110 - INJECTION TERIPARATIDE 10 MCG | J3110 - | J3110 - Teriparatide injection | '01/01/2005 | 12/31/2999 |
| J3111 | J3111 - Injection romosozumab-aqqg 1 mg | J3111 - | J3111 - Inj. romosozumab-aqqg 1 mg | 01-10-2019 | 12/31/2999 |
| J3121 | J3121 - Injection testosterone enanthate 1mg | J3121 - | J3121 - Inj testostero enanthate 1mg | '01/01/2015 | 12/31/2999 |
| J3145 | J3145 - Injection testosterone undecanoate 1 mg | J3145 - | J3145 - Testosterone undecanoate 1mg | '01/01/2015 | 12/31/2999 |
| J3230 | J3230 - Injection chlorpromazine hcl up to 50 mg | J3230 - | J3230 - Chlorpromazine hcl injection | '01/01/1997 | 12/31/2999 |
| J3240 | J3240 - Injection thyrotropin alpha 0. 9 mg provided in 1. 1 mg vial | J3240 - | J3240 - Thyrotropin injection | '01/01/2003 | 12/31/2999 |
| J3241 | J3241 - Injection teprotumumab-trbw 10 mg | J3241 - | J3241 - Inj. teprotumumab-trbw 10 mg | 01-10-2020 | 12/31/2999 |
| J3243 | J3243 - INJECTION TIGECYCLINE 1 MG | J3243 - | J3243 - Tigecycline injection | '01/01/2007 | 12/31/2999 |
| J3244 | J3244 - Injection tigecycline (accord) not therapeutically equivalent to j3243 1 mg | J3244 - | J3244 - Inj. tigecycline (accord) | '01/01/2023 | 12/31/2999 |
| J3245 | J3245 - Injection tildrakizumab 1 mg | J3245 - | J3245 - Inj. tildrakizumab 1 mg | '01/01/2019 | 12/31/2999 |
| J3246 | J3246 - INJECTION TIROFIBAN HCL 0.25MG | J3246 - | J3246 - Tirofiban HCl | '01/01/2005 | 12/31/2999 |
| J3250 | J3250 - Injection trimethobenzamide hcl up to 200 mg | J3250 - | J3250 - Trimethobenzamide hcl inj | '01/01/1997 | 12/31/2999 |
| J3260 | J3260 - Injection tobramycin sulfate up to 80 mg | J3260 - | J3260 - Tobramycin sulfate injection | '01/01/1997 | 12/31/2999 |
| J3262 | J3262 - INJECTION TOCILIZUMAB 1 MG | J3262 - | J3262 - Tocilizumab injection | '01/01/2011 | 12/31/2999 |
| J3265 | J3265 - Injection torsemide 10 mg/ml | J3265 - | J3265 - Injection torsemide 10 mg/ml | '01/01/1997 | 12/31/2999 |
| J3280 | J3280 - Injection thiethylperazine maleate up to 10 mg | J3280 - | J3280 - Thiethylperazine maleate inj | '01/01/1997 | 12/31/2999 |
| J3285 | J3285 - INJECTION TREPROSTINIL 1 MG | J3285 - | J3285 - Treprostinil injection | '01/01/2006 | 12/31/2999 |
| J3299 | J3299 - Injection triamcinolone acetonide (xipere) 1 mg | J3299 - | J3299 - Inj xipere 1 mg | '07/01/2022 | 12/31/2999 |
| J3300 | J3300 - INJECTION TRIAMCINOLONE ACETONIDE PRESERVATIVE FREE 1 MG | J3300 - | J3300 - Triamcinolone A inj PRS-free | '01/01/2009 | 12/31/2999 |
| J3301 | J3301 - INJECTION TRIAMCINOLONE ACETONIDE NOT OTHERWISE SPECIFIED 10 MG | J3301 - | J3301 - Triamcinolone acet inj NOS | '01/01/2009 | 12/31/2999 |
| J3302 | J3302 - Injection triamcinolone diacetate per 5mg | J3302 - | J3302 - Triamcinolone diacetate inj | '01/01/1997 | 12/31/2999 |
| J3303 | J3303 - Injection triamcinolone hexacetonide per 5mg | J3303 - | J3303 - Triamcinolone hexacetonl inj | '01/01/1997 | 12/31/2999 |
| J3304 | J3304 - Injection triamcinolone acetonide preservative-free extended-release microsphere formulation 1 mg | J3304 - | J3304 - Inj triamcinolone ace xr 1mg | '01/01/2019 | 12/31/2999 |
| J3305 | J3305 - Injection trimetrexate glucuronate per 25 mg | J3305 - | J3305 - Inj trimetrexate glucoronate | '01/01/1997 | 12/31/2999 |
| J3310 | J3310 - Injection perphenazine up to 5 mg | J3310 - | J3310 - Perphenazine injeciton | '01/01/1997 | 12/31/2999 |
| J3315 | J3315 - Injection triptorelin pamoate 3. 75 mg | J3315 - | J3315 - Triptorelin pamoate | '01/01/2003 | 12/31/2999 |
| J3316 | J3316 - Injection triptorelin extended-release 3.75 mg | J3316 - | J3316 - Inj. triptorelin xr 3.75 mg | '01/01/2019 | 12/31/2999 |
| J3320 | J3320 - Injection spectinomycin dihydrochloride up to 2 gm | J3320 - | J3320 - Spectinomycn di-hcl inj | '01/01/1997 | 12/31/2999 |
| J3350 | J3350 - Injection urea up to 40 gm | J3350 - | J3350 - Urea injection | '01/01/1997 | 12/31/2999 |
| J3355 | J3355 - INJECTION UROFOLLITROPIN 75 IU | J3355 - | J3355 - Urofollitropin 75 iu | '01/01/2006 | 12/31/2999 |
| J3357 | J3357 - Ustekinumab for subcutaneous injection 1 mg | J3357 - | J3357 - Ustekinumab sub cu inj 1 mg | '01/01/2017 | 12/31/2999 |
| J3358 | J3358 - Ustekinumab for intravenous injection 1 mg | J3358 - | J3358 - Ustekinumab iv inject 1 mg | '01/01/2018 | 12/31/2999 |
| J3360 | J3360 - Injection diazepam up to 5 mg | J3360 - | J3360 - Diazepam injection | '01/01/1997 | 12/31/2999 |
| J3364 | J3364 - Injection urokinase 5000 iu vial | J3364 - | J3364 - Urokinase 5000 IU injection | '01/01/1997 | 12/31/2999 |
| J3365 | J3365 - Injection iv urokinase 250 000 i. U. Vial | J3365 - | J3365 - Urokinase 250 000 IU inj | '01/01/1997 | 12/31/2999 |
| J3370 | J3370 - Injection vancomycin hcl 500 mg | J3370 - | J3370 - Vancomycin hcl injection | '01/01/2000 | 12/31/2999 |
| J3371 | J3371 - Injection vancomycin hcl (mylan) not therapeutically equivalent to j3370 500 mg | J3371 - | J3371 - Inj vancomycin hcl (mylan) | '01/01/2023 | 12/31/2999 |
| J3372 | J3372 - Injection vancomycin hcl (xellia) not therapeutically equivalent to j3370 500 mg | J3372 - | J3372 - Inj vancomycin hcl (xellia) | '01/01/2023 | 12/31/2999 |
| J3380 | J3380 - Injection vedolizumab 1 mg | J3380 - | J3380 - Injection vedolizumab | '01/01/2016 | 12/31/2999 |
| J3385 | J3385 - INJECTION VELAGLUCERASE ALFA 100 UNITS | J3385 - | J3385 - Velaglucerase alfa | '01/01/2011 | 12/31/2999 |
| J3396 | J3396 - INJECTION VERTEPORFIN 0.1 MG | J3396 - | J3396 - Verteporfin injection | '01/01/2005 | 12/31/2999 |
| J3397 | J3397 - Injection vestronidase alfa-vjbk 1 mg | J3397 - | J3397 - Inj. vestronidase alfa-vjbk | '01/01/2019 | 12/31/2999 |
| J3398 | J3398 - Injection voretigene neparvovec-rzyl 1 billion vector genomes | J3398 - | J3398 - Inj luxturna 1 billion vec g | '01/01/2019 | 12/31/2999 |
| J3399 | J3399 - Injection onasemnogene abeparvovec-xioi per treatment up to 5x10^15 vector genomes | J3399 - | J3399 - Inj onase abepar-xioi treat | '07/01/2020 | 12/31/2999 |
| J3400 | J3400 - Injection triflupromazine hcl up to 20 mg | J3400 - | J3400 - Triflupromazine hcl inj | '01/01/1997 | 12/31/2999 |
| J3410 | J3410 - Injection hydroxyzine hcl up to 25 mg | J3410 - | J3410 - Hydroxyzine hcl injection | '01/01/1997 | 12/31/2999 |
| J3411 | J3411 - Injection thiamine hcl 100 mg | J3411 - | J3411 - Thiamine hcl 100 mg | '01/01/2004 | 12/31/2999 |
| J3415 | J3415 - Injection pyridoxine hcl 100 mg | J3415 - | J3415 - Pyridoxine hcl 100 mg | '01/01/2004 | 12/31/2999 |
| J3420 | J3420 - Injection vitamin b-12 cyanocobalamin up to 1000 mcg | J3420 - | J3420 - Vitamin b12 injection | '01/01/1997 | 12/31/2999 |
| J3430 | J3430 - Injection phytonadione (vitamin k) per 1 mg | J3430 - | J3430 - Vitamin k phytonadione inj | '01/01/1997 | 12/31/2999 |
| J3465 | J3465 - Injection voriconazole 10 mg | J3465 - | J3465 - Injection voriconazole | '01/01/2004 | 12/31/2999 |
| J3470 | J3470 - Injection hyaluronidase up to 150 units | J3470 - | J3470 - Hyaluronidase injection | '01/01/1997 | 12/31/2999 |
| J3471 | J3471 - INJECTION HYALURONIDASE OVINE PRESERVATIVE FREE PER 1 USP UNIT (UP TO 999 USP UNITS) | J3471 - | J3471 - Ovine up to 999 USP units | '01/01/2006 | 12/31/2999 |
| J3472 | J3472 - INJECTION HYALURONIDASE OVINE PRESERVATIVE FREE PER 1000 USP UNITS | J3472 - | J3472 - Ovine 1000 USP units | '01/01/2006 | 12/31/2999 |
| J3473 | J3473 - INJECTION HYALURONIDASE RECOMBINANT 1 USP UNIT | J3473 - | J3473 - Hyaluronidase recombinant | '01/01/2007 | 12/31/2999 |
| J3475 | J3475 - Injection magnesium sulfate per 500 mg | J3475 - | J3475 - Inj magnesium sulfate | '01/01/1997 | 12/31/2999 |
| J3480 | J3480 - Injection potassium chloride per 2 meq | J3480 - | J3480 - Inj potassium chloride | '01/01/1997 | 12/31/2999 |
| J3485 | J3485 - Injection zidovudine 10 mg | J3485 - | J3485 - Zidovudine | '01/01/2001 | 12/31/2999 |
| J3486 | J3486 - Injection ziprasidone mesylate 10 mg | J3486 - | J3486 - Ziprasidone mesylate | '01/01/2004 | 12/31/2999 |
| J3489 | J3489 - Injection zoledronic acid 1 mg | J3489 - | J3489 - Zoledronic acid 1mg | '01/01/2014 | 12/31/2999 |
| J3490 | J3490 - Unclassified drugs | J3490 - | J3490 - Drugs unclassified injection | '01/01/1997 | 12/31/2999 |
| J3520 | J3520 - Edetate disodium per 150 mg | J3520 - | J3520 - Edetate disodium per 150 mg | '01/01/1996 | 12/31/2999 |
| J3530 | J3530 - Nasal vaccine inhalation | J3530 - | J3530 - Nasal vaccine inhalation | '01/01/1997 | 12/31/2999 |
| J3535 | J3535 - Drug administered through a metered dose inhaler | J3535 - | J3535 - Metered dose inhaler drug | '01/01/1997 | 12/31/2999 |
| J3570 | J3570 - Laetrile amygdalin vitamin b17 | J3570 - | J3570 - Laetrile amygdalin vit B17 | '01/01/1996 | 12/31/2999 |
| J3590 | J3590 - Unclassified biologics | J3590 - | J3590 - Unclassified biologics | '01/01/2003 | 12/31/2999 |
| J3591 | J3591 - Unclassified drug or biological used for esrd on dialysis | J3591 - | J3591 - Esrd on dialysi drug/bio noc | '01/01/2019 | 12/31/2999 |
| J7030 | J7030 - Infusion normal saline solution 1000 cc | J7030 - | J7030 - Normal saline solution infus | '01/01/1997 | 12/31/2999 |
| J7040 | J7040 - Infusion normal saline solution sterile (500 ml=1 unit) | J7040 - | J7040 - Normal saline solution infus | '01/01/1997 | 12/31/2999 |
| J7042 | J7042 - 5% dextrose/normal saline (500 ml = 1 unit) | J7042 - | J7042 - 5% dextrose/normal saline | '01/01/1997 | 12/31/2999 |
| J7050 | J7050 - Infusion normal saline solution 250 cc | J7050 - | J7050 - Normal saline solution infus | '01/01/1997 | 12/31/2999 |
| J7060 | J7060 - 5% dextrose/water (500 ml = 1 unit) | J7060 - | J7060 - 5% dextrose/water | '01/01/1997 | 12/31/2999 |
| J7070 | J7070 - Infusion d5w 1000 cc | J7070 - | J7070 - D5w infusion | '01/01/1997 | 12/31/2999 |
| J7100 | J7100 - Infusion dextran 40 500 ml | J7100 - | J7100 - Dextran 40 infusion | '01/01/1997 | 12/31/2999 |
| J7110 | J7110 - Infusion dextran 75 500 ml | J7110 - | J7110 - Dextran 75 infusion | '01/01/1997 | 12/31/2999 |
| J7120 | J7120 - Ringers lactate infusion up to 1000 cc | J7120 - | J7120 - Ringers lactate infusion | '01/01/1997 | 12/31/2999 |
| J7121 | J7121 - 5% dextrose in lactated ringers infusion up to 1000 cc | J7121 - | J7121 - 5% dextrose in lac ringers | '01/01/2016 | 12/31/2999 |
| J7131 | J7131 - HYPERTONIC SALINE SOLUTION 1 ML | J7131 - | J7131 - | '01/01/2012 | 12/31/2999 |
| J7168 | J7168 - Prothrombin complex concentrate (human) kcentra per i.u. of factor ix activity | J7168 - | J7168 - Prothrombin complex kcentra | '07/01/2021 | 12/31/2999 |
| J7169 | J7169 - Injection coagulation factor xa (recombinant) inactivated-zhzo (andexxa) 10 mg | J7169 - | J7169 - Inj andexxa 10 mg | '07/01/2020 | 12/31/2999 |
| J7170 | J7170 - Injection emicizumab-kxwh 0.5 mg | J7170 - | J7170 - Inj. emicizumab-kxwh 0.5 mg | '01/01/2019 | 12/31/2999 |
| J7175 | J7175 - Injection factor x (human) 1 i.u. | J7175 - | J7175 - Inj factor x (human) 1iu | '01/01/2017 | 12/31/2999 |
| J7177 | J7177 - Injection human fibrinogen concentrate (fibryga) 1 mg | J7177 - | J7177 - Inj. fibryga 1 mg | '01/01/2019 | 12/31/2999 |
| J7178 | J7178 - Injection human fibrinogen concentrate not otherwise specified 1 mg | J7178 - | J7178 - Inj human fibrinogen con nos | '01/01/2019 | 12/31/2999 |
| J7179 | J7179 - Injection von willebrand factor (recombinant) (vonvendi) 1 i.u. vwf:rco | J7179 - | J7179 - Vonvendi inj 1 iu vwf:rco | '01/01/2017 | 12/31/2999 |
| J7180 | J7180 - INJECTION FACTOR XIII (ANTIHEMOPHILIC FACTOR HUMAN) 1 I.U | J7180 - | J7180 - | '01/01/2012 | 12/31/2999 |
| J7181 | J7181 - Injection factor xiii a-subunit (recombinant) per iu | J7181 - | J7181 - Factor xiii recomb a-subunit | '01/01/2015 | 12/31/2999 |
| J7182 | J7182 - Injection factor viii (antihemophilic factor recombinant) (novoeight) per iu | J7182 - | J7182 - Factor viii recomb novoeight | '01/01/2015 | 12/31/2999 |
| J7183 | J7183 - INJECTION VON WILLEBRAND FACTOR COMPLEX (HUMAN) WILATE 1 I.U. VWF:RCO | J7183 - | J7183 - | '01/01/2012 | 12/31/2999 |
| J7185 | J7185 - INJECTION FACTOR VIII (ANTIHEMOPHILIC FACTOR RECOMBINANT) (XYNTHA) PER I.U | J7185 - | J7185 - Xyntha inj | '01/01/2010 | 12/31/2999 |
| J7186 | J7186 - INJECTION ANTIHEMOPHILIC FACTOR VIII/VON WILLEBRAND FACTOR COMPLEX (HUMAN) PER FACTOR VIII I.U | J7186 - | J7186 - Antihemophilic viii/vwf comp | '01/01/2009 | 12/31/2999 |
| J7187 | J7187 - Injection von willebrand factor complex (humate-p) per iu vwf:rco | J7187 - | J7187 - Humate-P inj | '01/01/2008 | 12/31/2999 |
| J7188 | J7188 - Injection factor viii (antihemophilic factor recombinant) (obizur) per i.u. | J7188 - | J7188 - Factor viii recomb obizur | '01/01/2016 | 12/31/2999 |
| J7189 | J7189 - Factor viia (antihemophilic factor recombinant) (novoseven rt) 1 microgram | J7189 - | J7189 - Factor viia recomb novoseven | '01/01/2021 | 12/31/2999 |
| J7190 | J7190 - Factor viii (antihemophilic factor human) per i. U. | J7190 - | J7190 - Factor viii | '01/01/1999 | 12/31/2999 |
| J7191 | J7191 - Factor viii (antihemophilic factor (porcine)) per i. U. | J7191 - | J7191 - Factor VIII (porcine) | '01/01/1998 | 12/31/2999 |
| J7192 | J7192 - FACTOR VIII (ANTIHEMOPHILIC FACTOR RECOMBINANT) PER I.U. NOT OTHERWISE SPECIFIED | J7192 - | J7192 - Factor viii recombinant NOS | '01/01/2010 | 12/31/2999 |
| J7193 | J7193 - Factor ix (antihemophilic factor purified non-recombinant) per i. U. | J7193 - | J7193 - Factor IX non-recombinant | '01/01/2002 | 12/31/2999 |
| J7194 | J7194 - Factor ix complex per i. U. | J7194 - | J7194 - Factor ix complex | '01/01/1998 | 12/31/2999 |
| J7195 | J7195 - Injection factor ix (antihemophilic factor recombinant) per iu not otherwise specified | J7195 - | J7195 - Factor ix recombinant nos | '01/01/2015 | 12/31/2999 |
| J7196 | J7196 - INJECTION ANTITHROMBIN RECOMBINANT 50 I.U | J7196 - | J7196 - Antithrombin recombinant | '01/01/2011 | 12/31/2999 |
| J7197 | J7197 - Antithrombin iii (human) per i. U. | J7197 - | J7197 - Antithrombin iii injection | '01/01/1997 | 12/31/2999 |
| J7198 | J7198 - Anti-inhibitor per i. U. | J7198 - | J7198 - Anti-inhibitor | '01/01/2000 | 12/31/2999 |
| J7199 | J7199 - Hemophilia clotting factor not otherwise classified | J7199 - | J7199 - Hemophilia clot factor noc | '01/01/2000 | 12/31/2999 |
| J7200 | J7200 - Injection factor ix (antihemophilic factor recombinant) rixubis per iu | J7200 - | J7200 - Factor ix recombinan rixubis | '01/01/2015 | 12/31/2999 |
| J7201 | J7201 - Injection factor ix fc fusion protein (recombinant) alprolix 1 i.u. | J7201 - | J7201 - Factor ix alprolix recomb | '01/01/2017 | 12/31/2999 |
| J7202 | J7202 - Injection factor ix albumin fusion protein (recombinant) idelvion 1 i.u. | J7202 - | J7202 - Factor ix idelvion inj | '01/01/2017 | 12/31/2999 |
| J7203 | J7203 - Injection factor ix (antihemophilic factor recombinant) glycopegylated (rebinyn) 1 iu | J7203 - | J7203 - Factor ix recomb gly rebinyn | '01/01/2019 | 12/31/2999 |
| J7204 | J7204 - Injection factor viii antihemophilic factor (recombinant) (esperoct) glycopegylated-exei per iu | J7204 - | J7204 - Inj recombin esperoct per iu | '07/01/2020 | 12/31/2999 |
| J7205 | J7205 - Injection factor viii fc fusion protein (recombinant) per iu | J7205 - | J7205 - Factor viii fc fusion recomb | '01/01/2016 | 12/31/2999 |
| J7207 | J7207 - Injection factor viii (antihemophilic factor recombinant) pegylated 1 i.u. | J7207 - | J7207 - Factor viii pegylated recomb | '01/01/2017 | 12/31/2999 |
| J7208 | J7208 - Injection factor viii (antihemophilic factor recombinant) pegylated-aucl (jivi) 1 i.u. | J7208 - | J7208 - Inj. jivi 1 iu | '07/01/2019 | 12/31/2999 |
| J7209 | J7209 - Injection factor viii (antihemophilic factor recombinant) (nuwiq) 1 i.u. | J7209 - | J7209 - Factor viii nuwiq recomb 1iu | '01/01/2017 | 12/31/2999 |
| J7210 | J7210 - Injection factor viii (antihemophilic factor recombinant) (afstyla) 1 i.u. | J7210 - | J7210 - Inj afstyla 1 i.u. | '01/01/2018 | 12/31/2999 |
| J7211 | J7211 - Injection factor viii (antihemophilic factor recombinant) (kovaltry) 1 i.u. | J7211 - | J7211 - Inj kovaltry 1 i.u. | '01/01/2018 | 12/31/2999 |
| J7212 | J7212 - Factor viia (antihemophilic factor recombinant)-jncw (sevenfact) 1 microgram | J7212 - | J7212 - Factor viia recomb sevenfact | '01/01/2021 | 12/31/2999 |
| J7294 | J7294 - Segesterone acetate and ethinyl estradiol 0.15mg 0.013mg per 24 hours; yearly vaginal system each | J7294 - | J7294 - Seg acet and eth estr yearly | 01-10-2021 | 12/31/2999 |
| J7295 | J7295 - Ethinyl estradiol and etonogestrel 0.015mg 0.12mg per 24 hours; monthly vaginal ring each | J7295 - | J7295 - Eth estr and eton monthly | 01-10-2021 | 12/31/2999 |
| J7296 | J7296 - Levonorgestrel-releasing intrauterine contraceptive system (kyleena) 19.5 mg | J7296 - | J7296 - Kyleena 19.5 mg | '01/01/2018 | 12/31/2999 |
| J7297 | J7297 - Levonorgestrel-releasing intrauterine contraceptive system (liletta) 52 mg | J7297 - | J7297 - Liletta 52 mg | '01/01/2017 | 12/31/2999 |
| J7298 | J7298 - Levonorgestrel-releasing intrauterine contraceptive system (mirena) 52 mg | J7298 - | J7298 - Mirena 52 mg | '01/01/2017 | 12/31/2999 |
| J7300 | J7300 - Intrauterine copper contraceptive | J7300 - | J7300 - Intraut copper contraceptive | '04/01/1995 | 12/31/2999 |
| J7301 | J7301 - Levonorgestrel-releasing intrauterine contraceptive system (skyla) 13.5 mg | J7301 - | J7301 - Skyla 13.5 mg | '01/01/2017 | 12/31/2999 |
| J7304 | J7304 - CONTRACEPTIVE SUPPLY HORMONE CONTAINING PATCH EACH | J7304 - | J7304 - Contraceptive hormone patch | '01/01/2005 | 12/31/2999 |
| J7306 | J7306 - LEVONORGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM INCLUDING IMPLANTS AND SUPPLIES | J7306 - | J7306 - Levonorgestrel implant sys | '01/01/2006 | 12/31/2999 |
| J7307 | J7307 - ETONOGESTREL (CONTRACEPTIVE) IMPLANT SYSTEM INCLUDING IMPLANT AND SUPPLIES | J7307 - | J7307 - Etonogestrel implant system | '01/01/2008 | 12/31/2999 |
| J7308 | J7308 - Aminolevulinic acid hcl for topical administration 20% single unit dosage form (354 mg) | J7308 - | J7308 - Aminolevulinic acid hcl top | '01/01/2004 | 12/31/2999 |
| J7309 | J7309 - METHYL AMINOLEVULINATE (MAL) FOR TOPICAL ADMINISTRATION 16.8% 1 GRAM | J7309 - | J7309 - Methyl aminolevulinate top | '01/01/2011 | 12/31/2999 |
| J7310 | J7310 - Ganciclovir 4. 5 mg long-acting implant | J7310 - | J7310 - Ganciclovir long act implant | '01/01/1997 | 12/31/2999 |
| J7311 | J7311 - Injection fluocinolone acetonide intravitreal implant (retisert) 0.01 mg | J7311 - | J7311 - Inj. retisert 0.01 mg | 01-10-2019 | 12/31/2999 |
| J7312 | J7312 - INJECTION DEXAMETHASONE INTRAVITREAL IMPLANT 0.1 MG | J7312 - | J7312 - Dexamethasone intra implant | '01/01/2011 | 12/31/2999 |
| J7313 | J7313 - Injection fluocinolone acetonide intravitreal implant (Iluvien) 0.01 mg | J7313 - | J7313 - Inj. iluvien 0.01 mg | 01-10-2019 | 12/31/2999 |
| J7314 | J7314 - Injection fluocinolone acetonide intravitreal implant (Yutiq) 0.01 mg | J7314 - | J7314 - Inj. yutiq 0.01 mg | 01-10-2019 | 12/31/2999 |
| J7315 | J7315 - Mitomycin opthalmic 0. 2 mg | J7315 - | J7315 - Opthalmic mitomycin | '01/01/2013 | 12/31/2999 |
| J7316 | J7316 - Injection ocriplasmin 0.125 mg | J7316 - | J7316 - Inj ocriplasmin 0.125 mg | '01/01/2014 | 12/31/2999 |
| J7318 | J7318 - Hyaluronan or derivative durolane for intra-articular injection 1 mg | J7318 - | J7318 - Inj durolane 1 mg | '01/01/2019 | 12/31/2999 |
| J7320 | J7320 - Hyaluronan or derivitive genvisc 850 for intra-articular injection 1 mg | J7320 - | J7320 - Genvisc 850 inj 1mg | '01/01/2017 | 12/31/2999 |
| J7321 | J7321 - Hyaluronan or derivative hyalgan supartz or visco-3 for intra-articular injection per dose | J7321 - | J7321 - Hyalgan supartz visco-3 dose | '04/01/2021 | 12/31/2999 |
| J7322 | J7322 - Hyaluronan or derivative hymovis for intra-articular injection 1 mg | J7322 - | J7322 - Hymovis injection 1 mg | '01/01/2017 | 12/31/2999 |
| J7323 | J7323 - HYALURONAN OR DERIVATIVE EUFLEXXA FOR INTRA-ARTICULAR INJECTION PER DOSE | J7323 - | J7323 - Euflexxa inj per dose | '01/01/2008 | 12/31/2999 |
| J7324 | J7324 - HYALURONAN OR DERIVATIVE ORTHOVISC FOR INTRA-ARTICULAR INJECTION PER DOSE | J7324 - | J7324 - Orthovisc inj per dose | '01/01/2008 | 12/31/2999 |
| J7325 | J7325 - HYALURONAN OR DERIVATIVE SYNVISC OR SYNVISC-ONE FOR INTRA-ARTICULAR INJECTION 1 MG | J7325 - | J7325 - Synvisc or Synvisc-One | '01/01/2010 | 12/31/2999 |
| J7326 | J7326 - HYALURONAN OR DERIVATIVE GEL-ONE FOR INTRA-ARTICULAR INJECTION PER DOSE | J7326 - | J7326 - | '01/01/2012 | 12/31/2999 |
| J7327 | J7327 - Hyaluronan or derivative monovisc for intra-articular injection per dose | J7327 - | J7327 - Monovisc inj per dose | '01/01/2015 | 12/31/2999 |
| J7328 | J7328 - Hyaluronan or derivative gel-syn for intra-articular injection 0.1 mg | J7328 - | J7328 - Gel-syn injection 0.1 mg | '01/01/2016 | 12/31/2999 |
| J7329 | J7329 - Hyaluronan or derivative trivisc for intra-articular injection 1 mg | J7329 - | J7329 - Inj trivisc 1 mg | '01/01/2019 | 12/31/2999 |
| J7330 | J7330 - Autologous cultured chondrocytes implant | J7330 - | J7330 - Cultured chondrocytes implnt | '07/01/2002 | 12/31/2999 |
| J7331 | J7331 - Hyaluronan or derivative synojoynt for intra-articular injection 1 mg | J7331 - | J7331 - Synojoynt inj. 1 mg | 01-10-2019 | 12/31/2999 |
| J7332 | J7332 - Hyaluronan or derivative triluron for intra-articular injection 1 mg | J7332 - | J7332 - Inj. triluron 1 mg | 01-10-2019 | 12/31/2999 |
| J7336 | J7336 - Capsaicin 8% patch per square centimeter | J7336 - | J7336 - Capsaicin 8% patch | '01/01/2015 | 12/31/2999 |
| J7340 | J7340 - Carbidopa 5 mg/levodopa 20 mg enteral suspension 100 ml | J7340 - | J7340 - Carbidopa levodopa ent 100ml | '01/01/2017 | 12/31/2999 |
| J7342 | J7342 - Installation ciprofloxacin otic suspension 6 mg | J7342 - | J7342 - Ciprofloxacin otic susp 6 mg | '01/01/2017 | 12/31/2999 |
| J7345 | J7345 - Aminolevulinic acid hcl for topical administration 10% gel 10 mg | J7345 - | J7345 - Aminolevulinic acid 10% gel | '01/01/2018 | 12/31/2999 |
| J7351 | J7351 - Injection bimatoprost intracameral implant 1 microgram | J7351 - | J7351 - Inj bimatoprost itc imp1mcg | 01-10-2020 | 12/31/2999 |
| J7352 | J7352 - Afamelanotide implant 1 mg | J7352 - | J7352 - Afamelanotide implant 1 mg | '01/01/2021 | 12/31/2999 |
| J7402 | J7402 - Mometasone furoate sinus implant (sinuva) 10 micrograms | J7402 - | J7402 - Mometasone sinus sinuva | '04/01/2021 | 12/31/2999 |
| J7500 | J7500 - Azathioprine oral 50 mg | J7500 - | J7500 - Azathioprine oral 50mg | '01/01/2000 | 12/31/2999 |
| J7501 | J7501 - Azathioprine parenteral 100 mg | J7501 - | J7501 - Azathioprine parenteral | '01/01/2000 | 12/31/2999 |
| J7502 | J7502 - Cyclosporine oral 100 mg | J7502 - | J7502 - Cyclosporine oral 100 mg | '01/01/2000 | 12/31/2999 |
| J7503 | J7503 - Tacrolimus extended release (envarsus xr) oral 0.25 mg | J7503 - | J7503 - Tacrol envarsus ex rel oral | '01/01/2016 | 12/31/2999 |
| J7504 | J7504 - Lymphocyte immune globulin antithymocyte globulin equine parenteral 250 mg | J7504 - | J7504 - Lymphocyte immune globulin | '01/01/2002 | 12/31/2999 |
| J7505 | J7505 - Muromonab-cd3 parenteral 5 mg | J7505 - | J7505 - Monoclonal antibodies | '01/01/2001 | 12/31/2999 |
| J7507 | J7507 - Tacrolimus immediate release oral 1 mg | J7507 - | J7507 - Tacrolimus imme rel oral 1mg | '01/01/2014 | 12/31/2999 |
| J7508 | J7508 - Tacrolimus extended release (astagraf xl) oral 0.1 mg | J7508 - | J7508 - Tacrol astagraf ex rel oral | '01/01/2016 | 12/31/2999 |
| J7509 | J7509 - Methylprednisolone oral per 4 mg | J7509 - | J7509 - Methylprednisolone oral | '01/01/2000 | 12/31/2999 |
| J7510 | J7510 - Prednisolone oral per 5 mg | J7510 - | J7510 - Prednisolone oral per 5 mg | '01/01/2000 | 12/31/2999 |
| J7511 | J7511 - Lymphocyte immune globulin antithymocyte globulin rabbit parenteral 25mg | J7511 - | J7511 - Antithymocyte globuln rabbit | '01/01/2002 | 12/31/2999 |
| J7512 | J7512 - Prednisone immediate release or delayed release oral 1 mg | J7512 - | J7512 - Prednisone ir or dr oral 1mg | '01/01/2016 | 12/31/2999 |
| J7513 | J7513 - Daclizumab parenteral 25 mg | J7513 - | J7513 - Daclizumab parenteral | '01/01/2000 | 12/31/2999 |
| J7515 | J7515 - Cyclosporine oral 25 mg | J7515 - | J7515 - Cyclosporine oral 25 mg | '01/01/2000 | 12/31/2999 |
| J7516 | J7516 - Cyclosporin parenteral 250 mg | J7516 - | J7516 - Cyclosporin parenteral 250mg | '01/01/2000 | 12/31/2999 |
| J7517 | J7517 - Mycophenolate mofetil oral 250 mg | J7517 - | J7517 - Mycophenolate mofetil oral | '01/01/2000 | 12/31/2999 |
| J7518 | J7518 - MYCOPHENOLIC ACID ORAL 180 MG | J7518 - | J7518 - Mycophenolic acid | '01/01/2005 | 12/31/2999 |
| J7520 | J7520 - Sirolimus oral 1 mg | J7520 - | J7520 - Sirolimus oral | '01/01/2001 | 12/31/2999 |
| J7525 | J7525 - Tacrolimus parenteral 5 mg | J7525 - | J7525 - Tacrolimus injection | '01/01/2001 | 12/31/2999 |
| J7527 | J7527 - Everolimus oral 0. 25 mg | J7527 - | J7527 - Oral everolimus | '01/01/2013 | 12/31/2999 |
| J7599 | J7599 - Immunosuppressive drug not otherwise classified | J7599 - | J7599 - Immunosuppressive drug noc | '01/01/2000 | 12/31/2999 |
| J7604 | J7604 - ACETYLCYSTEINE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH | J7604 - | J7604 - Acetylcysteine comp unit | '01/01/2008 | 12/31/2999 |
| J7605 | J7605 - ARFORMOTEROL INHALATION SOLUTION FDA APPROVED FINAL PRODUCT NON-COMPOUNDED | J7605 - | J7605 - Arformoterol non-comp unit | '01/01/2008 | 12/31/2999 |
| J7606 | J7606 - FORMOTEROL FUMARATE INHALATION SOLUTION FDA APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM 20 MICROGRAMS | J7606 - | J7606 - Formoterol fumarate inh | '01/01/2009 | 12/31/2999 |
| J7607 | J7607 - LEVALBUTEROL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM 0.5 MG | J7607 - | J7607 - Levalbuterol comp con | '01/01/2007 | 12/31/2999 |
| J7608 | J7608 - Acetylcysteine inhalation solution fda-approved final product non-compounded administered through dme unit dose form per gram | J7608 - | J7608 - Acetylcysteine non-comp unit | '01/01/2008 | 12/31/2999 |
| J7609 | J7609 - ALBUTEROL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE 1 MG | J7609 - | J7609 - Albuterol comp unit | '01/01/2007 | 12/31/2999 |
| J7610 | J7610 - ALBUTEROL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM 1 MG | J7610 - | J7610 - Albuterol comp con | '01/01/2007 | 12/31/2999 |
| J7611 | J7611 - Albuterol inhalation solution fda-approved final product non-compounded administered through dme concentrated form 1 mg | J7611 - | J7611 - Albuterol non-comp con | '07/01/2009 | 12/31/2999 |
| J7612 | J7612 - Levalbuterol inhalation solution fda-approved final product non-compounded administered through dme concentrated form 0. 5 mg | J7612 - | J7612 - Levalbuterol non-comp con | '07/01/2009 | 12/31/2999 |
| J7613 | J7613 - Albuterol inhalation solution fda-approved final product non-compounded administered through dme unit dose 1 mg | J7613 - | J7613 - Albuterol non-comp unit | '07/01/2009 | 12/31/2999 |
| J7614 | J7614 - Levalbuterol inhalation solution fda-approved final product non-compounded administered through dme unit dose 0. 5 mg | J7614 - | J7614 - Levalbuterol non-comp unit | '07/01/2009 | 12/31/2999 |
| J7615 | J7615 - LEVALBUTEROL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE 0.5 MG | J7615 - | J7615 - Levalbuterol comp unit | '01/01/2007 | 12/31/2999 |
| J7620 | J7620 - ALBUTEROL UP TO 2.5 MG AND IPRATROPIUM BROMIDE UP TO 0.5 MG FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME | J7620 - | J7620 - Albuterol ipratrop non-comp | '01/01/2007 | 12/31/2999 |
| J7622 | J7622 - BECLOMETHASONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7622 - | J7622 - Beclomethasone comp unit | '01/01/2007 | 12/31/2999 |
| J7624 | J7624 - BETAMETHASONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7624 - | J7624 - Betamethasone comp unit | '01/01/2007 | 12/31/2999 |
| J7626 | J7626 - BUDESONIDE INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM UP TO 0.5 MG | J7626 - | J7626 - Budesonide non-comp unit | '01/01/2007 | 12/31/2999 |
| J7627 | J7627 - BUDESONIDE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM UP TO 0.5 MG | J7627 - | J7627 - Budesonide comp unit | '01/01/2007 | 12/31/2999 |
| J7628 | J7628 - BITOLTEROL MESYLATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7628 - | J7628 - Bitolterol mesylate comp con | '01/01/2007 | 12/31/2999 |
| J7629 | J7629 - BITOLTEROL MESYLATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7629 - | J7629 - Bitolterol mesylate comp unt | '01/01/2007 | 12/31/2999 |
| J7631 | J7631 - Cromolyn sodium inhalation solution fda-approved final product non-compounded administered through dme unit dose form per 10 milligrams | J7631 - | J7631 - Cromolyn sodium noncomp unit | '01/01/2008 | 12/31/2999 |
| J7632 | J7632 - CROMOLYN SODIUM INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH | J7632 - | J7632 - Cromolyn sodium comp unit | '01/01/2008 | 12/31/2999 |
| J7633 | J7633 - BUDESONIDE INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME CONCENTRATED FORM PER 0.25 MILLIGRAM | J7633 - | J7633 - Budesonide non-comp con | '01/01/2007 | 12/31/2999 |
| J7634 | J7634 - BUDESONIDE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER 0.25 MILLIGRAM | J7634 - | J7634 - Budesonide comp con | '01/01/2007 | 12/31/2999 |
| J7635 | J7635 - ATROPINE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7635 - | J7635 - Atropine comp con | '01/01/2007 | 12/31/2999 |
| J7636 | J7636 - ATROPINE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7636 - | J7636 - Atropine comp unit | '01/01/2007 | 12/31/2999 |
| J7637 | J7637 - DEXAMETHASONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7637 - | J7637 - Dexamethasone comp con | '01/01/2007 | 12/31/2999 |
| J7638 | J7638 - DEXAMETHASONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7638 - | J7638 - Dexamethasone comp unit | '01/01/2007 | 12/31/2999 |
| J7639 | J7639 - DORNASE ALFA INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7639 - | J7639 - Dornase alfa non-comp unit | '01/01/2009 | 12/31/2999 |
| J7640 | J7640 - FORMOTEROL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM 12 MICROGRAMS | J7640 - | J7640 - Formoterol comp unit | '01/01/2007 | 12/31/2999 |
| J7641 | J7641 - FLUNISOLIDE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE PER MILLIGRAM | J7641 - | J7641 - Flunisolide comp unit | '01/01/2007 | 12/31/2999 |
| J7642 | J7642 - GLYCOPYRROLATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7642 - | J7642 - Glycopyrrolate comp con | '01/01/2007 | 12/31/2999 |
| J7643 | J7643 - GLYCOPYRROLATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7643 - | J7643 - Glycopyrrolate comp unit | '01/01/2007 | 12/31/2999 |
| J7644 | J7644 - IPRATROPIUM BROMIDE INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7644 - | J7644 - Ipratropium bromide non-comp | '01/01/2007 | 12/31/2999 |
| J7645 | J7645 - IPRATROPIUM BROMIDE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7645 - | J7645 - Ipratropium bromide comp | '01/01/2007 | 12/31/2999 |
| J7647 | J7647 - ISOETHARINE HCL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7647 - | J7647 - Isoetharine comp con | '01/01/2007 | 12/31/2999 |
| J7648 | J7648 - ISOETHARINE HCL INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7648 - | J7648 - Isoetharine non-comp con | '01/01/2007 | 12/31/2999 |
| J7649 | J7649 - ISOETHARINE HCL INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7649 - | J7649 - Isoetharine non-comp unit | '01/01/2007 | 12/31/2999 |
| J7650 | J7650 - ISOETHARINE HCL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7650 - | J7650 - Isoetharine comp unit | '01/01/2007 | 12/31/2999 |
| J7657 | J7657 - ISOPROTERENOL HCL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7657 - | J7657 - Isoproterenol comp con | '01/01/2007 | 12/31/2999 |
| J7658 | J7658 - ISOPROTERENOL HCL INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7658 - | J7658 - Isoproterenol non-comp con | '01/01/2007 | 12/31/2999 |
| J7659 | J7659 - ISOPROTERENOL HCL INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7659 - | J7659 - Isoproterenol non-comp unit | '01/01/2007 | 12/31/2999 |
| J7660 | J7660 - ISOPROTERENOL HCL INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7660 - | J7660 - Isoproterenol comp unit | '01/01/2007 | 12/31/2999 |
| J7665 | J7665 - Mannitol administered through an inhaler 5 mg | J7665 - | J7665 - Mannitol for inhaler | '01/01/2013 | 12/31/2999 |
| J7667 | J7667 - METAPROTERENOL SULFATE INHALATION SOLUTION COMPOUNDED PRODUCT CONCENTRATED FORM PER 10 MILLIGRAMS | J7667 - | J7667 - Metaproterenol comp con | '01/01/2007 | 12/31/2999 |
| J7668 | J7668 - METAPROTERENOL SULFATE INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME CONCENTRATED FORM PER 10 MILLIGRAMS | J7668 - | J7668 - Metaproterenol non-comp con | '01/01/2007 | 12/31/2999 |
| J7669 | J7669 - METAPROTERENOL SULFATE INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM PER 10 MILLIGRAMS | J7669 - | J7669 - Metaproterenol non-comp unit | '01/01/2007 | 12/31/2999 |
| J7670 | J7670 - METAPROTERENOL SULFATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER 10 MILLIGRAMS | J7670 - | J7670 - Metaproterenol comp unit | '01/01/2007 | 12/31/2999 |
| J7674 | J7674 - METHACHOLINE CHLORIDE ADMINISTERED AS INHALATION SOLUTION THROUGH A NEBULIZER PER 1 MG | J7674 - | J7674 - Methacholine chloride neb | '01/01/2005 | 12/31/2999 |
| J7676 | J7676 - PENTAMIDINE ISETHIONATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED | J7676 - | J7676 - Pentamidine comp unit dose | '01/01/2008 | 12/31/2999 |
| J7677 | J7677 - Revefenacin inhalation solution fda-approved final product non-compounded administered through DME 1 microgram | J7677 - | J7677 - Revefenacin inh non-com 1mcg | '07/01/2019 | 12/31/2999 |
| J7680 | J7680 - TERBUTALINE SULFATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7680 - | J7680 - Terbutaline sulf comp con | '01/01/2007 | 12/31/2999 |
| J7681 | J7681 - TERBUTALINE SULFATE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7681 - | J7681 - Terbutaline sulf comp unit | '01/01/2007 | 12/31/2999 |
| J7682 | J7682 - TOBRAMYCIN INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED UNIT DOSE FORM ADMINISTERED THROUGH DME PER 300 MILLIGRAMS | J7682 - | J7682 - Tobramycin non-comp unit | '01/01/2007 | 12/31/2999 |
| J7683 | J7683 - TRIAMCINOLONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME CONCENTRATED FORM PER MILLIGRAM | J7683 - | J7683 - Triamcinolone comp con | '01/01/2007 | 12/31/2999 |
| J7684 | J7684 - TRIAMCINOLONE INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER MILLIGRAM | J7684 - | J7684 - Triamcinolone comp unit | '01/01/2007 | 12/31/2999 |
| J7685 | J7685 - TOBRAMYCIN INHALATION SOLUTION COMPOUNDED PRODUCT ADMINISTERED THROUGH DME UNIT DOSE FORM PER 300 MILLIGRAMS | J7685 - | J7685 - Tobramycin comp unit | '01/01/2007 | 12/31/2999 |
| J7686 | J7686 - TREPROSTINIL INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM 1.74 MG | J7686 - | J7686 - Treprostinil non-comp unit | '01/01/2011 | 12/31/2999 |
| J7699 | J7699 - Noc drugs inhalation solution administered through dme | J7699 - | J7699 - Inhalation solution for DME | '01/01/2007 | 12/31/2999 |
| J7799 | J7799 - Noc drugs other than inhalation drugs administered through dme | J7799 - | J7799 - Non-inhalation drug for DME | '07/01/2002 | 12/31/2999 |
| J7999 | J7999 - Compounded drug not otherwise classified | J7999 - | J7999 - Compounded drug noc | '01/01/2016 | 12/31/2999 |
| J8498 | J8498 - ANTIEMETIC DRUG RECTAL/SUPPOSITORY NOT OTHERWISE SPECIFIED | J8498 - | J8498 - Antiemetic rectal/supp NOS | '01/01/2006 | 12/31/2999 |
| J8499 | J8499 - Prescription drug oral non chemotherapeutic nos | J8499 - | J8499 - Oral prescrip drug non chemo | '01/01/1997 | 12/31/2999 |
| J8501 | J8501 - APREPITANT ORAL 5 MG | J8501 - | J8501 - Oral aprepitant | '01/01/2005 | 12/31/2999 |
| J8510 | J8510 - Busulfan; oral 2 mg | J8510 - | J8510 - Oral busulfan | '01/01/2000 | 12/31/2999 |
| J8515 | J8515 - CABERGOLINE ORAL 0.25 MG | J8515 - | J8515 - Cabergoline oral 0.25mg | '01/01/2006 | 12/31/2999 |
| J8520 | J8520 - Capecitabine oral 150 mg | J8520 - | J8520 - Capecitabine oral 150 mg | '01/01/2000 | 12/31/2999 |
| J8521 | J8521 - Capecitabine oral 500 mg | J8521 - | J8521 - Capecitabine oral 500 mg | '01/01/2000 | 12/31/2999 |
| J8530 | J8530 - Cyclophosphamide; oral 25 mg | J8530 - | J8530 - Cyclophosphamide oral 25 MG | '08/31/1997 | 12/31/2999 |
| J8540 | J8540 - DEXAMETHASONE ORAL 0.25 MG | J8540 - | J8540 - Oral dexamethasone | '01/01/2006 | 12/31/2999 |
| J8560 | J8560 - Etoposide; oral 50 mg | J8560 - | J8560 - Etoposide oral 50 MG | '01/01/1997 | 12/31/2999 |
| J8562 | J8562 - FLUDARABINE PHOSPHATE ORAL 10 MG | J8562 - | J8562 - Oral fludarabine phosphate | '01/01/2011 | 12/31/2999 |
| J8565 | J8565 - GEFITINIB ORAL 250 MG | J8565 - | J8565 - Gefitinib oral | '01/01/2005 | 12/31/2999 |
| J8597 | J8597 - ANTIEMETIC DRUG ORAL NOT OTHERWISE SPECIFIED | J8597 - | J8597 - Antiemetic drug oral NOS | '01/01/2006 | 12/31/2999 |
| J8600 | J8600 - Melphalan; oral 2 mg | J8600 - | J8600 - Melphalan oral 2 MG | '01/01/1997 | 12/31/2999 |
| J8610 | J8610 - Methotrexate; oral 2. 5 mg | J8610 - | J8610 - Methotrexate oral 2.5 MG | '08/31/1997 | 12/31/2999 |
| J8650 | J8650 - NABILONE ORAL 1 MG | J8650 - | J8650 - Nabilone oral | '01/01/2007 | 12/31/2999 |
| J8655 | J8655 - Netupitant 300 mg and palonosetron 0.5 mg oral | J8655 - | J8655 - Oral netupitant palonosetro | '01/01/2019 | 12/31/2999 |
| J8670 | J8670 - Rolapitant oral 1 mg | J8670 - | J8670 - Rolapitant oral 1mg | '01/01/2017 | 12/31/2999 |
| J8700 | J8700 - Temozolomide oral 5 mg | J8700 - | J8700 - Temozolomide | '01/01/2001 | 12/31/2999 |
| J8705 | J8705 - TOPOTECAN ORAL 0.25 MG | J8705 - | J8705 - Topotecan oral | '01/01/2009 | 12/31/2999 |
| J8999 | J8999 - Prescription drug oral chemotherapeutic nos | J8999 - | J8999 - Oral prescription drug chemo | '01/01/1997 | 12/31/2999 |
| J9000 | J9000 - INJECTION DOXORUBICIN HYDROCHLORIDE 10 MG | J9000 - | J9000 - Doxorubicin hcl injection | '01/01/2009 | 12/31/2999 |
| J9015 | J9015 - INJECTION ALDESLEUKIN PER SINGLE USE VIAL | J9015 - | J9015 - Aldesleukin injection | '01/01/2009 | 12/31/2999 |
| J9017 | J9017 - INJECTION ARSENIC TRIOXIDE 1 MG | J9017 - | J9017 - Arsenic trioxide injection | '01/01/2009 | 12/31/2999 |
| J9019 | J9019 - Injection asparaginase (erwinaze) 1 000 iu | J9019 - | J9019 - Erwinaze injection | '01/01/2013 | 12/31/2999 |
| J9020 | J9020 - Injection asparaginase not otherwise specified 10 000 units | J9020 - | J9020 - Asparaginase NOS | '01/01/2013 | 12/31/2999 |
| J9021 | J9021 - Injection asparaginase recombinant (rylaze) 0.1 mg | J9021 - | J9021 - Inj aspara rylaze 0.1 mg | '01/01/2022 | 12/31/2999 |
| J9022 | J9022 - Injection atezolizumab 10 mg | J9022 - | J9022 - Inj atezolizumab 10 mg | '01/01/2018 | 12/31/2999 |
| J9023 | J9023 - Injection avelumab 10 mg | J9023 - | J9023 - Injection avelumab 10 mg | '01/01/2018 | 12/31/2999 |
| J9025 | J9025 - INJECTION AZACITIDINE 1 MG | J9025 - | J9025 - Azacitidine injection | '01/01/2006 | 12/31/2999 |
| J9027 | J9027 - INJECTION CLOFARABINE 1 MG | J9027 - | J9027 - Clofarabine injection | '01/01/2006 | 12/31/2999 |
| J9030 | J9030 - BCG live intravesical instillation 1 mg | J9030 - | J9030 - Bcg live intravesical 1mg | '07/01/2019 | 12/31/2999 |
| J9032 | J9032 - Injection belinostat 10 mg | J9032 - | J9032 - Injection belinostat 10mg | '01/01/2016 | 12/31/2999 |
| J9033 | J9033 - Injection bendamustine hcl (treanda) 1 mg | J9033 - | J9033 - Inj. treanda 1 mg | '01/01/2017 | 12/31/2999 |
| J9034 | J9034 - Injection bendamustine hcl (bendeka) 1 mg | J9034 - | J9034 - Inj. bendeka 1 mg | '01/01/2017 | 12/31/2999 |
| J9035 | J9035 - INJECTION BEVACIZUMAB 10 MG | J9035 - | J9035 - Bevacizumab injection | '01/01/2005 | 12/31/2999 |
| J9036 | J9036 - Injection bendamustine hydrochloride (Belrapzo/bendamustine) 1 mg | J9036 - | J9036 - Inj. belrapzo/bendamustine | '07/01/2019 | 12/31/2999 |
| J9037 | J9037 - Injection belantamab mafodontin-blmf 0.5 mg | J9037 - | J9037 - Inj belantamab mafodont blmf | '04/01/2021 | 12/31/2999 |
| J9039 | J9039 - Injection blinatumomab 1 microgram | J9039 - | J9039 - Injection blinatumomab | '01/01/2016 | 12/31/2999 |
| J9040 | J9040 - INJECTION BLEOMYCIN SULFATE 15 UNITS | J9040 - | J9040 - Bleomycin sulfate injection | '01/01/2009 | 12/31/2999 |
| J9041 | J9041 - Injection bortezomib 0.1 mg | J9041 - | J9041 - Injection bortezomib 0.1mg | '01/01/2023 | 12/31/2999 |
| J9042 | J9042 - Injection brentuximab vedotin 1 mg | J9042 - | J9042 - Brentuximab vedotin inj | '01/01/2013 | 12/31/2999 |
| J9043 | J9043 - INJECTION CABAZITAXEL 1 MG | J9043 - | J9043 - | '01/01/2012 | 12/31/2999 |
| J9045 | J9045 - INJECTION CARBOPLATIN 50 MG | J9045 - | J9045 - Carboplatin injection | '01/01/2009 | 12/31/2999 |
| J9046 | J9046 - Injection bortezomib (dr. reddy's) not therapeutically equivalent to j9041 0.1 mg | J9046 - | J9046 - Inj bortezomib dr. reddy's | '01/01/2023 | 12/31/2999 |
| J9047 | J9047 - Injection carfilzomib 1 mg | J9047 - | J9047 - Injection carfilzomib 1 mg | '01/01/2014 | 12/31/2999 |
| J9048 | J9048 - Injection bortezomib (fresenius kabi) not therapeutically equivalent to j9041 0.1 mg | J9048 - | J9048 - Inj bortezomib freseniuskab | '01/01/2023 | 12/31/2999 |
| J9049 | J9049 - Injection bortezomib (hospira) not therapeutically equivalent to j9041 0.1 mg | J9049 - | J9049 - Inj bortezomib hospira | '01/01/2023 | 12/31/2999 |
| J9050 | J9050 - INJECTION CARMUSTINE 100 MG | J9050 - | J9050 - Carmustine injection | '01/01/2009 | 12/31/2999 |
| J9055 | J9055 - INJECTION CETUXIMAB 10 MG | J9055 - | J9055 - Cetuximab injection | '01/01/2005 | 12/31/2999 |
| J9057 | J9057 - Injection copanlisib 1 mg | J9057 - | J9057 - Inj. copanlisib 1 mg | '01/01/2019 | 12/31/2999 |
| J9060 | J9060 - INJECTION CISPLATIN POWDER OR S0LUTION 10 MG | J9060 - | J9060 - Cisplatin 10 MG injection | '01/01/2011 | 12/31/2999 |
| J9061 | J9061 - Injection amivantamab-vmjw 2 mg | J9061 - | J9061 - Inj amivantamab-vmjw | '01/01/2022 | 12/31/2999 |
| J9065 | J9065 - Injection cladribine per 1 mg | J9065 - | J9065 - Inj cladribine per 1 MG | '01/01/1997 | 12/31/2999 |
| J9070 | J9070 - Cyclophosphamide 100 mg | J9070 - | J9070 - Cyclophosphamide 100 MG inj | '01/01/1997 | 12/31/2999 |
| J9071 | J9071 - Injection cyclophosphamide (auromedics) 5 mg | J9071 - | J9071 - Inj cyclophosphamd auromedic | '04/01/2022 | 12/31/2999 |
| J9098 | J9098 - INJECTION CYTARABINE LIPOSOME 10 MG | J9098 - | J9098 - Cytarabine liposome inj | '01/01/2009 | 12/31/2999 |
| J9100 | J9100 - INJECTION CYTARABINE 100 MG | J9100 - | J9100 - Cytarabine hcl 100 MG inj | '01/01/2009 | 12/31/2999 |
| J9118 | J9118 - Injection calaspargase pegol-mknl 10 units | J9118 - | J9118 - Inj. Calaspargase pegol-mknl | 01-10-2019 | 12/31/2999 |
| J9119 | J9119 - Injection cemiplimab-rwlc 1 mg | J9119 - | J9119 - Inj. cemiplimab-rwlc 1 mg | 01-10-2019 | 12/31/2999 |
| J9120 | J9120 - INJECTION DACTINOMYCIN 0.5 MG | J9120 - | J9120 - Dactinomycin injection | '01/01/2009 | 12/31/2999 |
| J9130 | J9130 - Dacarbazine 100 mg | J9130 - | J9130 - Dacarbazine 100 mg inj | '01/01/2004 | 12/31/2999 |
| J9144 | J9144 - Injection daratumumab 10 mg and hyaluronidase-fihj | J9144 - | J9144 - Daratumumab hyaluronidase | '01/01/2021 | 12/31/2999 |
| J9145 | J9145 - Injection daratumumab 10 mg | J9145 - | J9145 - Injection daratumumab 10 mg | '01/01/2017 | 12/31/2999 |
| J9150 | J9150 - INJECTION DAUNORUBICIN 10 MG | J9150 - | J9150 - Daunorubicin injection | '01/01/2009 | 12/31/2999 |
| J9151 | J9151 - INJECTION DAUNORUBICIN CITRATE LIPOSOMAL FORMULATION 10 MG | J9151 - | J9151 - Daunorubicin citrate inj | '01/01/2009 | 12/31/2999 |
| J9153 | J9153 - Injection liposomal 1 mg daunorubicin and 2.27 mg cytarabine | J9153 - | J9153 - Inj daunorubicin cytarabine | '01/01/2019 | 12/31/2999 |
| J9155 | J9155 - INJECTION DEGARELIX 1 MG | J9155 - | J9155 - Degarelix injection | '01/01/2010 | 12/31/2999 |
| J9160 | J9160 - INJECTION DENILEUKIN DIFTITOX 300 MICROGRAMS | J9160 - | J9160 - Denileukin diftitox inj | '01/01/2009 | 12/31/2999 |
| J9165 | J9165 - INJECTION DIETHYLSTILBESTROL DIPHOSPHATE 250 MG | J9165 - | J9165 - Diethylstilbestrol injection | '01/01/2009 | 12/31/2999 |
| J9171 | J9171 - INJECTION DOCETAXEL 1 MG | J9171 - | J9171 - Docetaxel injection | '01/01/2010 | 12/31/2999 |
| J9173 | J9173 - Injection durvalumab 10 mg | J9173 - | J9173 - Inj. durvalumab 10 mg | '01/01/2019 | 12/31/2999 |
| J9175 | J9175 - INJECTION ELLIOTTS' B SOLUTION 1 ML | J9175 - | J9175 - Elliotts b solution per ml | '01/01/2006 | 12/31/2999 |
| J9176 | J9176 - Injection elotuzumab 1 mg | J9176 - | J9176 - Injection elotuzumab 1mg | '01/01/2017 | 12/31/2999 |
| J9177 | J9177 - Injection enfortumab vedotin-ejfv 0.25 mg | J9177 - | J9177 - Inj enfort vedo-ejfv 0.25mg | '07/01/2020 | 12/31/2999 |
| J9178 | J9178 - Injection epirubicin hcl 2 mg | J9178 - | J9178 - Inj epirubicin hcl 2 mg | '01/01/2004 | 12/31/2999 |
| J9179 | J9179 - INJECTION ERIBULIN MESYLATE 0.1 MG | J9179 - | J9179 - | '01/01/2012 | 12/31/2999 |
| J9181 | J9181 - INJECTION ETOPOSIDE 10 MG | J9181 - | J9181 - Etoposide injection | '01/01/2009 | 12/31/2999 |
| J9185 | J9185 - INJECTION FLUDARABINE PHOSPHATE 50 MG | J9185 - | J9185 - Fludarabine phosphate inj | '01/01/2009 | 12/31/2999 |
| J9190 | J9190 - INJECTION FLUOROURACIL 500 MG | J9190 - | J9190 - Fluorouracil injection | '01/01/2009 | 12/31/2999 |
| J9198 | J9198 - Injection gemcitabine hydrochloride (infugem) 100 mg | J9198 - | J9198 - Inj. infugem 100 mg | '07/01/2020 | 12/31/2999 |
| J9200 | J9200 - INJECTION FLOXURIDINE 500 MG | J9200 - | J9200 - Floxuridine injection | '01/01/2009 | 12/31/2999 |
| J9201 | J9201 - Injection gemcitabine hydrochloride not otherwise specified 200 mg | J9201 - | J9201 - In gemcitabine hcl nos 200mg | '01/01/2020 | 12/31/2999 |
| J9202 | J9202 - Goserelin acetate implant per 3. 6 mg | J9202 - | J9202 - Goserelin acetate implant | '01/01/1997 | 12/31/2999 |
| J9203 | J9203 - Injection gemtuzumab ozogamicin 0.1 mg | J9203 - | J9203 - Gemtuzumab ozogamicin 0.1 mg | '01/01/2018 | 12/31/2999 |
| J9204 | J9204 - Injection mogamulizumab-kpkc 1 mg | J9204 - | J9204 - Inj mogamulizumab-kpkc 1 mg | 01-10-2019 | 12/31/2999 |
| J9205 | J9205 - Injection irinotecan liposome 1 mg | J9205 - | J9205 - Inj irinotecan liposome 1 mg | '01/01/2017 | 12/31/2999 |
| J9206 | J9206 - INJECTION IRINOTECAN 20 MG | J9206 - | J9206 - Irinotecan injection | '01/01/2009 | 12/31/2999 |
| J9207 | J9207 - INJECTION IXABEPILONE 1 MG | J9207 - | J9207 - Ixabepilone injection | '01/01/2009 | 12/31/2999 |
| J9208 | J9208 - Injection ifosfamide 1 gram | J9208 - | J9208 - Ifosfamide injection | '01/01/2012 | 12/31/2999 |
| J9209 | J9209 - INJECTION MESNA 200 MG | J9209 - | J9209 - Mesna injection | '01/01/2009 | 12/31/2999 |
| J9210 | J9210 - Injection emapalumab-lzsg 1 mg | J9210 - | J9210 - Inj. emapalumab-lzsg 1 mg | 01-10-2019 | 12/31/2999 |
| J9211 | J9211 - INJECTION IDARUBICIN HYDROCHLORIDE 5 MG | J9211 - | J9211 - Idarubicin hcl injection | '01/01/2009 | 12/31/2999 |
| J9212 | J9212 - INJECTION INTERFERON ALFACON-1 RECOMBINANT 1 MICROGRAM | J9212 - | J9212 - Interferon alfacon-1 inj | '01/01/2009 | 12/31/2999 |
| J9213 | J9213 - INJECTION INTERFERON ALFA-2A RECOMBINANT 3 MILLION UNITS | J9213 - | J9213 - Interferon alfa-2a inj | '01/01/2009 | 12/31/2999 |
| J9214 | J9214 - INJECTION INTERFERON ALFA-2B RECOMBINANT 1 MILLION UNITS | J9214 - | J9214 - Interferon alfa-2b inj | '01/01/2009 | 12/31/2999 |
| J9215 | J9215 - INJECTION INTERFERON ALFA-N3 (HUMAN LEUKOCYTE DERIVED) 250 000 IU | J9215 - | J9215 - Interferon alfa-n3 inj | '01/01/2009 | 12/31/2999 |
| J9216 | J9216 - INJECTION INTERFERON GAMMA 1-B 3 MILLION UNITS | J9216 - | J9216 - Interferon gamma 1-b inj | '01/01/2009 | 12/31/2999 |
| J9217 | J9217 - Leuprolide acetate (for depot suspension) 7. 5 mg | J9217 - | J9217 - Leuprolide acetate suspnsion | '01/01/1997 | 12/31/2999 |
| J9218 | J9218 - Leuprolide acetate per 1 mg | J9218 - | J9218 - Leuprolide acetate injeciton | '01/01/1997 | 12/31/2999 |
| J9219 | J9219 - Leuprolide acetate implant 65 mg | J9219 - | J9219 - Leuprolide acetate implant | '01/01/2001 | 12/31/2999 |
| J9223 | J9223 - Injection lurbinectedin 0.1 mg | J9223 - | J9223 - Inj. lurbinectedin 0.1 mg | '01/01/2021 | 12/31/2999 |
| J9225 | J9225 - Histrelin implant (vantas) 50 mg | J9225 - | J9225 - Vantas implant | '01/01/2008 | 12/31/2999 |
| J9226 | J9226 - HISTRELIN IMPLANT (SUPPRELIN LA) 50 MG | J9226 - | J9226 - Supprelin LA implant | '01/01/2008 | 12/31/2999 |
| J9227 | J9227 - Injection isatuximab-irfc 10 mg | J9227 - | J9227 - Inj. isatuximab-irfc 10 mg | 01-10-2020 | 12/31/2999 |
| J9228 | J9228 - INJECTION IPILIMUMAB 1 MG | J9228 - | J9228 - | '01/01/2012 | 12/31/2999 |
| J9229 | J9229 - Injection inotuzumab ozogamicin 0.1 mg | J9229 - | J9229 - Inj inotuzumab ozogam 0.1 mg | '01/01/2019 | 12/31/2999 |
| J9230 | J9230 - INJECTION MECHLORETHAMINE HYDROCHLORIDE (NITROGEN MUSTARD) 10 MG | J9230 - | J9230 - Mechlorethamine hcl inj | '01/01/2009 | 12/31/2999 |
| J9245 | J9245 - Injection melphalan hydrochloride not otherwise specified 50 mg | J9245 - | J9245 - | '07/01/2020 | 12/31/2999 |
| J9246 | J9246 - Injection melphalan (evomela) 1 mg | J9246 - | J9246 - Inj. evomela 1 mg | '07/01/2020 | 12/31/2999 |
| J9247 | J9247 - Injection melphalan flufenamide 1mg | J9247 - | J9247 - Inj melphalan flufenami 1mg | 01-10-2021 | 12/31/2999 |
| J9250 | J9250 - Methotrexate sodium 5 mg | J9250 - | J9250 - Methotrexate sodium inj | '01/01/1997 | 12/31/2999 |
| J9260 | J9260 - Methotrexate sodium 50 mg | J9260 - | J9260 - Methotrexate sodium inj | '01/01/1997 | 12/31/2999 |
| J9261 | J9261 - INJECTION NELARABINE 50 MG | J9261 - | J9261 - Nelarabine injection | '01/01/2007 | 12/31/2999 |
| J9262 | J9262 - Injection omacetaxine mepesuccinate 0.01 mg | J9262 - | J9262 - Inj omacetaxine mep 0.01mg | '01/01/2014 | 12/31/2999 |
| J9263 | J9263 - Injection oxaliplatin 0. 5 mg | J9263 - | J9263 - Oxaliplatin | '01/01/2004 | 12/31/2999 |
| J9264 | J9264 - Injection paclitaxel protein-bound particles 1 mg | J9264 - | J9264 - Paclitaxel protein bound | '01/01/2007 | 12/31/2999 |
| J9266 | J9266 - INJECTION PEGASPARGASE PER SINGLE DOSE VIAL | J9266 - | J9266 - Pegaspargase injection | '01/01/2009 | 12/31/2999 |
| J9267 | J9267 - Injection paclitaxel 1 mg | J9267 - | J9267 - Paclitaxel injection | '01/01/2015 | 12/31/2999 |
| J9268 | J9268 - INJECTION PENTOSTATIN 10 MG | J9268 - | J9268 - Pentostatin injection | '01/01/2009 | 12/31/2999 |
| J9269 | J9269 - Injection tagraxofusp-erzs 10 micrograms | J9269 - | J9269 - Inj. tagraxofusp-erzs 10 mcg | 01-10-2019 | 12/31/2999 |
| J9270 | J9270 - INJECTION PLICAMYCIN 2.5 MG | J9270 - | J9270 - Plicamycin (mithramycin) inj | '01/01/2009 | 12/31/2999 |
| J9271 | J9271 - Injection pembrolizumab 1 mg | J9271 - | J9271 - Inj pembrolizumab | '01/01/2016 | 12/31/2999 |
| J9272 | J9272 - Injection dostarlimab-gxly 10 mg | J9272 - | J9272 - Inj dostarlimab-gxly 10 mg | '01/01/2022 | 12/31/2999 |
| J9273 | J9273 - Injection tisotumab vedotin-tftv 1 mg | J9273 - | J9273 - Inj tisotu vedotin-tftv 1mg | '04/01/2022 | 12/31/2999 |
| J9274 | J9274 - Injection tebentafusp-tebn 1 microgram | J9274 - | J9274 - Inj tebentafusp-tebn 1 mcg | 01-10-2022 | 12/31/2999 |
| J9280 | J9280 - Injection mitomycin 5 mg | J9280 - | J9280 - Mitomycin injection | '01/01/2013 | 12/31/2999 |
| J9281 | J9281 - Mitomycin pyelocalyceal instillation 1 mg | J9281 - | J9281 - Mitomycin instillation | '01/01/2021 | 12/31/2999 |
| J9285 | J9285 - Injection olaratumab 10 mg | J9285 - | J9285 - Inj olaratumab 10 mg | '01/01/2018 | 12/31/2999 |
| J9293 | J9293 - Injection mitoxantrone hydrochloride per 5 mg | J9293 - | J9293 - Mitoxantrone hydrochl / 5 MG | '01/01/1997 | 12/31/2999 |
| J9295 | J9295 - Injection necitumumab 1 mg | J9295 - | J9295 - Injection necitumumab 1 mg | '01/01/2017 | 12/31/2999 |
| J9298 | J9298 - Injection nivolumab and relatlimab-rmbw 3 mg/1 mg | J9298 - | J9298 - Inj nivol relatlimab 3mg/1mg | 01-10-2022 | 12/31/2999 |
| J9299 | J9299 - Injection nivolumab 1 mg | J9299 - | J9299 - Injection nivolumab | '01/01/2016 | 12/31/2999 |
| J9301 | J9301 - Injection obinutuzumab 10 mg | J9301 - | J9301 - Obinutuzumab inj | '01/01/2015 | 12/31/2999 |
| J9302 | J9302 - INJECTION OFATUMUMAB 10 MG | J9302 - | J9302 - Ofatumumab injection | '01/01/2011 | 12/31/2999 |
| J9303 | J9303 - INJECTION PANITUMUMAB 10 MG | J9303 - | J9303 - Panitumumab injection | '01/01/2008 | 12/31/2999 |
| J9304 | J9304 - Injection pemetrexed (pemfexy) 10 mg | J9304 - | J9304 - Inj. pemetrexed 10 mg | 01-10-2020 | 12/31/2999 |
| J9305 | J9305 - Injection pemetrexed not otherwise specified 10 mg | J9305 - | J9305 - Inj. pemetrexed nos 10mg | 01-10-2020 | 12/31/2999 |
| J9306 | J9306 - Injection pertuzumab 1 mg | J9306 - | J9306 - Injection pertuzumab 1 mg | '01/01/2014 | 12/31/2999 |
| J9307 | J9307 - INJECTION PRALATREXATE 1 MG | J9307 - | J9307 - Pralatrexate injection | '01/01/2011 | 12/31/2999 |
| J9308 | J9308 - Injection ramucirumab 5 mg | J9308 - | J9308 - Injection ramucirumab | '01/01/2016 | 12/31/2999 |
| J9309 | J9309 - Injection polatuzumab vedotin-piiq 1 mg | J9309 - | J9309 - Inj polatuzumab vedotin 1mg | '01/01/2020 | 12/31/2999 |
| J9311 | J9311 - Injection rituximab 10 mg and hyaluronidase | J9311 - | J9311 - Inj rituximab hyaluronidase | '01/01/2019 | 12/31/2999 |
| J9312 | J9312 - Injection rituximab 10 mg | J9312 - | J9312 - Inj. rituximab 10 mg | '01/01/2019 | 12/31/2999 |
| J9313 | J9313 - Injection moxetumomab pasudotox-tdfk 0.01 mg | J9313 - | J9313 - Inj. lumoxiti 0.01 mg | 01-10-2019 | 12/31/2999 |
| J9314 | J9314 - Injection pemetrexed (teva) not therapeutically equivalent to J9305 10 mg | J9314 - | J9314 - Inj pemetrexed (teva) 10mg | '01/01/2023 | 12/31/2999 |
| J9316 | J9316 - Injection pertuzumab trastuzumab and hyaluronidase-zzxf per 10 mg | J9316 - | J9316 - Pertuzu trastuzu 10 mg | '01/01/2021 | 12/31/2999 |
| J9317 | J9317 - Injection sacituzumab govitecan-hziy 2.5 mg | J9317 - | J9317 - Sacituzumab govitecan-hziy | '01/01/2021 | 12/31/2999 |
| J9318 | J9318 - Injection romidepsin non-lyophilized 0.1 mg | J9318 - | J9318 - Inj romidepsin non-lyo 0.1mg | 01-10-2021 | 12/31/2999 |
| J9319 | J9319 - Injection romidepsin lyophilized 0.1 mg | J9319 - | J9319 - Inj romidepsin lyophil 0.1mg | 01-10-2021 | 12/31/2999 |
| J9320 | J9320 - INJECTION STREPTOZOCIN 1 GRAM | J9320 - | J9320 - Streptozocin injection | '01/01/2009 | 12/31/2999 |
| J9325 | J9325 - Injection talimogene laherparepvec per 1 million plaque forming units | J9325 - | J9325 - Inj talimogene laherparepvec | '01/01/2017 | 12/31/2999 |
| J9328 | J9328 - INJECTION TEMOZOLOMIDE 1 MG | J9328 - | J9328 - Temozolomide injection | '01/01/2010 | 12/31/2999 |
| J9330 | J9330 - INJECTION TEMSIROLIMUS 1 MG | J9330 - | J9330 - Temsirolimus injection | '01/01/2009 | 12/31/2999 |
| J9331 | J9331 - Injection sirolimus protein-bound particles 1 mg | J9331 - | J9331 - Inj sirolimus prot part 1 mg | '07/01/2022 | 12/31/2999 |
| J9332 | J9332 - Injection efgartigimod alfa-fcab 2mg | J9332 - | J9332 - Inj efgartigimod 2mg | '07/01/2022 | 12/31/2999 |
| J9340 | J9340 - INJECTION THIOTEPA 15 MG | J9340 - | J9340 - Thiotepa injection | '01/01/2009 | 12/31/2999 |
| J9348 | J9348 - Injection naxitamab-gqgk 1 mg | J9348 - | J9348 - Inj. naxitamab-gqgk 1 mg | '07/01/2021 | 12/31/2999 |
| J9349 | J9349 - Injection tafasitamab-cxix 2 mg | J9349 - | J9349 - Inj. tafasitamab-cxix | '04/01/2021 | 12/31/2999 |
| J9351 | J9351 - INJECTION TOPOTECAN 0.1 MG | J9351 - | J9351 - Topotecan injection | '01/01/2011 | 12/31/2999 |
| J9352 | J9352 - Injection trabectedin 0.1 mg | J9352 - | J9352 - Injection trabectedin 0.1mg | '01/01/2017 | 12/31/2999 |
| J9353 | J9353 - Injection margetuximab-cmkb 5 mg | J9353 - | J9353 - Inj. margetuximab-cmkb 5 mg | '07/01/2021 | 12/31/2999 |
| J9354 | J9354 - Injection ado-trastuzumab emtansine 1 mg | J9354 - | J9354 - Inj ado-trastuzumab emt 1mg | '01/01/2014 | 12/31/2999 |
| J9355 | J9355 - Injection trastuzumab excludes biosimilar 10 mg | J9355 - | J9355 - Inj trastuzumab excl biosimi | '07/01/2019 | 12/31/2999 |
| J9356 | J9356 - Injection trastuzumab 10 mg and Hyaluronidase-oysk | J9356 - | J9356 - Inj. herceptin hylecta 10mg | '07/01/2019 | 12/31/2999 |
| J9357 | J9357 - INJECTION VALRUBICIN INTRAVESICAL 200 MG | J9357 - | J9357 - Valrubicin injection | '01/01/2009 | 12/31/2999 |
| J9358 | J9358 - Injection fam-trastuzumab deruxtecan-nxki 1 mg | J9358 - | J9358 - Inj fam-trastu deru-nxki 1mg | '07/01/2020 | 12/31/2999 |
| J9359 | J9359 - Injection loncastuximab tesirine-lpyl 0.075 mg | J9359 - | J9359 - Inj lon tesirin-lpyl 0.075mg | '04/01/2022 | 12/31/2999 |
| J9360 | J9360 - INJECTION VINBLASTINE SULFATE 1 MG | J9360 - | J9360 - Vinblastine sulfate inj | '01/01/2009 | 12/31/2999 |
| J9370 | J9370 - Vincristine sulfate 1 mg | J9370 - | J9370 - Vincristine sulfate 1 MG inj | '01/01/1997 | 12/31/2999 |
| J9371 | J9371 - Injection vincristine sulfate liposome 1 mg | J9371 - | J9371 - Inj vincristine sul lip 1mg | '01/01/2014 | 12/31/2999 |
| J9390 | J9390 - INJECTION VINORELBINE TARTRATE 10 MG | J9390 - | J9390 - Vinorelbine tartrate inj | '01/01/2009 | 12/31/2999 |
| J9393 | J9393 - Injection fulvestrant (teva) not therapeutically equivalent to j9395 25 mg | J9393 - | J9393 - Inj fulvestrant (teva) | '01/01/2023 | 12/31/2999 |
| J9394 | J9394 - Injection fulvestrant (fresenius kabi) not therapeutically equivalent to j9395 25 mg | J9394 - | J9394 - Inj fulvestrant (fresenius) | '01/01/2023 | 12/31/2999 |
| J9395 | J9395 - Injection fulvestrant 25 mg | J9395 - | J9395 - Injection Fulvestrant | '01/01/2004 | 12/31/2999 |
| J9400 | J9400 - Injection ziv-aflibercept 1 mg | J9400 - | J9400 - Inj ziv-aflibercept 1mg | '01/01/2014 | 12/31/2999 |
| J9600 | J9600 - INJECTION PORFIMER SODIUM 75 MG | J9600 - | J9600 - Porfimer sodium injection | '01/01/2009 | 12/31/2999 |
| J9999 | J9999 - Not otherwise classified antineoplastic drugs | J9999 - | J9999 - Chemotherapy drug | '01/01/1997 | 12/31/2999 |
| K0001 | K0001 - Standard wheelchair | K0001 - | K0001 - Standard wheelchair | '01/01/1994 | 12/31/2999 |
| K0002 | K0002 - Standard hemi (low seat) wheelchair | K0002 - | K0002 - Stnd hemi (low seat) whlchr | '01/01/1994 | 12/31/2999 |
| K0003 | K0003 - Lightweight wheelchair | K0003 - | K0003 - Lightweight wheelchair | '01/01/1994 | 12/31/2999 |
| K0004 | K0004 - High strength lightweight wheelchair | K0004 - | K0004 - High strength ltwt whlchr | '01/01/1994 | 12/31/2999 |
| K0005 | K0005 - Ultralightweight wheelchair | K0005 - | K0005 - Ultralightweight wheelchair | '01/01/1994 | 12/31/2999 |
| K0006 | K0006 - Heavy duty wheelchair | K0006 - | K0006 - Heavy duty wheelchair | '01/01/1994 | 12/31/2999 |
| K0007 | K0007 - Extra heavy duty wheelchair | K0007 - | K0007 - Extra heavy duty wheelchair | '01/01/1994 | 12/31/2999 |
| K0008 | K0008 - Custom Manual Wheelchair/Base | K0008 - | K0008 - Cstm manual wheelchair/base | '07/01/2013 | 12/31/2999 |
| K0009 | K0009 - Other manual wheelchair/base | K0009 - | K0009 - Other manual wheelchair/base | '01/01/1994 | 12/31/2999 |
| K0010 | K0010 - Standard - weight frame motorized/power wheelchair | K0010 - | K0010 - Stnd wt frame power whlchr | '05/05/1997 | 12/31/2999 |
| K0011 | K0011 - Standard - weight frame motorized/power wheelchair with programmable control parameters for speed adjustment tremor dampening acceleration control and braking | K0011 - | K0011 - Stnd wt pwr whlchr w control | '05/05/1997 | 12/31/2999 |
| K0012 | K0012 - Lightweight portable motorized/power wheelchair | K0012 - | K0012 - Ltwt portbl power whlchr | '05/05/1997 | 12/31/2999 |
| K0013 | K0013 - Custom Motorized/Power Wheelchair Base | K0013 - | K0013 - Custom power whlchr base | '07/01/2013 | 12/31/2999 |
| K0014 | K0014 - Other motorized/power wheelchair base | K0014 - | K0014 - Other power whlchr base | '01/01/2001 | 12/31/2999 |
| K0015 | K0015 - Detachable non-adjustable height armrest each | K0015 - | K0015 - Detach non-adjus hght armrst | '01/01/1994 | 12/31/2999 |
| K0017 | K0017 - Detachable adjustable height armrest base replacement only each | K0017 - | K0017 - Detach adjust armrest base | '01/01/2016 | 12/31/2999 |
| K0018 | K0018 - Detachable adjustable height armrest upper portion replacement only each | K0018 - | K0018 - Detach adjust armrst upper | '01/01/2016 | 12/31/2999 |
| K0019 | K0019 - Arm pad replacement only each | K0019 - | K0019 - Arm pad repl each | '01/01/2017 | 12/31/2999 |
| K0020 | K0020 - Fixed adjustable height armrest pair | K0020 - | K0020 - Fixed adjust armrest pair | '01/01/1994 | 12/31/2999 |
| K0037 | K0037 - High mount flip-up footrest each | K0037 - | K0037 - Hi mount flip-up footrest ea | 01-10-2018 | 12/31/2999 |
| K0038 | K0038 - Leg strap each | K0038 - | K0038 - Leg strap each | '01/01/1994 | 12/31/2999 |
| K0039 | K0039 - Leg strap h style each | K0039 - | K0039 - Leg strap h style each | '01/01/1994 | 12/31/2999 |
| K0040 | K0040 - Adjustable angle footplate each | K0040 - | K0040 - Adjustable angle footplate | '01/01/1994 | 12/31/2999 |
| K0041 | K0041 - Large size footplate each | K0041 - | K0041 - Large size footplate each | '01/01/1994 | 12/31/2999 |
| K0042 | K0042 - Standard size footplate replacement only each | K0042 - | K0042 - Standard size ftplate rep ea | '01/01/2017 | 12/31/2999 |
| K0043 | K0043 - Footrest lower extension tube replacement only each | K0043 - | K0043 - Ftrst lowr exten tube rep ea | '01/01/2017 | 12/31/2999 |
| K0044 | K0044 - Footrest upper hanger bracket replacement only each | K0044 - | K0044 - Ftrst upr hanger brac rep ea | '01/01/2017 | 12/31/2999 |
| K0045 | K0045 - Footrest complete assembly replacement only each | K0045 - | K0045 - Ftrst compl assembly repl ea | '01/01/2017 | 12/31/2999 |
| K0046 | K0046 - Elevating legrest lower extension tube replacement only each | K0046 - | K0046 - Elev lgrst lwr exten repl ea | '01/01/2017 | 12/31/2999 |
| K0047 | K0047 - Elevating legrest upper hanger bracket replacement only each | K0047 - | K0047 - Elev legrst upr hangr rep ea | '01/01/2017 | 12/31/2999 |
| K0050 | K0050 - Ratchet assembly replacement only | K0050 - | K0050 - Ratchet assembly replacement | '01/01/2017 | 12/31/2999 |
| K0051 | K0051 - Cam release assembly footrest or legrest replacement only each | K0051 - | K0051 - Cam rel asm ft/legrst rep ea | '01/01/2017 | 12/31/2999 |
| K0052 | K0052 - Swingaway detachable footrests replacement only each | K0052 - | K0052 - Swingaway detach ftrest repl | '01/01/2017 | 12/31/2999 |
| K0053 | K0053 - Elevating footrests articulating (telescoping) each | K0053 - | K0053 - Elevate footrest articulate | '01/01/1994 | 12/31/2999 |
| K0056 | K0056 - Seat height less than 17 or equal to or greater than 21 for a high strength lightweight or ultralightweight wheelchair | K0056 - | K0056 - Seat ht <17 or >=21 ltwt wc | '01/01/1999 | 12/31/2999 |
| K0065 | K0065 - Spoke protectors each | K0065 - | K0065 - Spoke protectors | '01/01/2000 | 12/31/2999 |
| K0069 | K0069 - Rear wheel assembly complete with solid tire spokes or molded replacement only each | K0069 - | K0069 - Rr whl compl sol tire rep ea | '01/01/2017 | 12/31/2999 |
| K0070 | K0070 - Rear wheel assembly complete with pneumatic tire spokes or molded each | K0070 - | K0070 - Rear whl compl pneum tire | '01/01/1994 | 12/31/2999 |
| K0071 | K0071 - Front caster assembly complete with pneumatic tire replacement only each | K0071 - | K0071 - Fr cstr comp pne tire rep ea | '01/01/2017 | 12/31/2999 |
| K0072 | K0072 - Front caster assembly complete with semi-pneumatic tire replacement only each | K0072 - | K0072 - Fr cstr semi-pne tire rep ea | '01/01/2017 | 12/31/2999 |
| K0073 | K0073 - Caster pin lock each | K0073 - | K0073 - Caster pin lock each | '01/01/1994 | 12/31/2999 |
| K0077 | K0077 - Front caster assembly complete with solid tire replacement only each | K0077 - | K0077 - Fr cstr asmb sol tire rep ea | '01/01/2017 | 12/31/2999 |
| K0098 | K0098 - Drive belt for power wheelchair replacement only | K0098 - | K0098 - Drive belt for pwc repl | '01/01/2017 | 12/31/2999 |
| K0105 | K0105 - Iv hanger each | K0105 - | K0105 - Iv hanger | '01/01/2000 | 12/31/2999 |
| K0108 | K0108 - Wheelchair component or accessory not otherwise specified | K0108 - | K0108 - W/c component-accessory NOS | '07/01/1999 | 12/31/2999 |
| K0195 | K0195 - Elevating leg rests pair (for use with capped rental wheelchair base) | K0195 - | K0195 - Elevating whlchair leg rests | '01/01/1993 | 12/31/2999 |
| K0455 | K0455 - Infusion pump used for uninterrupted parenteral administration of medication (e. G. epoprostenol or treprostinol) | K0455 - | K0455 - Pump uninterrupted infusion | '07/01/2003 | 12/31/2999 |
| K0462 | K0462 - Temporary replacement for patient owned equipment being repaired any type | K0462 - | K0462 - Temporary replacement eqpmnt | '07/01/1998 | 12/31/2999 |
| K0552 | K0552 - Supplies for external non-insulin drug infusion pump syringe type cartridge sterile each | K0552 - | K0552 - Sup/ext non-ins inf pump syr | '01/01/2017 | 12/31/2999 |
| K0601 | K0601 - Replacement battery for external infusion pump owned by patient silver oxide 1. 5 volt each | K0601 - | K0601 - Repl batt silver oxide 1.5 v | '04/01/2003 | 12/31/2999 |
| K0602 | K0602 - Replacement battery for external infusion pump owned by patient silver oxide 3 volt each | K0602 - | K0602 - Repl batt silver oxide 3 v | '04/01/2003 | 12/31/2999 |
| K0603 | K0603 - Replacement battery for external infusion pump owned by patient alkaline 1. 5 volt each | K0603 - | K0603 - Repl batt alkaline 1.5 v | '04/01/2003 | 12/31/2999 |
| K0604 | K0604 - Replacement battery for external infusion pump owned by patient lithium 3. 6 volt each | K0604 - | K0604 - Repl batt lithium 3.6 v | '04/01/2003 | 12/31/2999 |
| K0605 | K0605 - Replacement battery for external infusion pump owned by patient lithium 4. 5 volt each | K0605 - | K0605 - Repl batt lithium 4.5 v | '04/01/2003 | 12/31/2999 |
| K0606 | K0606 - Automatic external defibrillator with integrated electrocardiogram analysis garment type | K0606 - | K0606 - AED garment w elec analysis | '07/01/2003 | 12/31/2999 |
| K0607 | K0607 - Replacement battery for automated external defibrillator garment type only each | K0607 - | K0607 - Repl batt for AED | '07/01/2003 | 12/31/2999 |
| K0608 | K0608 - Replacement garment for use with automated external defibrillator each | K0608 - | K0608 - Repl garment for AED | '07/01/2003 | 12/31/2999 |
| K0609 | K0609 - Replacement electrodes for use with automated external defibrillator garment type only each | K0609 - | K0609 - Repl electrode for AED | '07/01/2003 | 12/31/2999 |
| K0669 | K0669 - Seat/back custom; no dme pdac ver | K0669 - | K0669 - Seat/back cus no dmepdac ver | '07/01/2010 | 12/31/2999 |
| K0672 | K0672 - ADDITION TO LOWER EXTREMITY ORTHOSIS REMOVABLE SOFT INTERFACE ALL COMPONENTS REPLACEMENT ONLY EACH | K0672 - | K0672 - Removable soft interface LE | '04/01/2008 | 12/31/2999 |
| K0730 | K0730 - Controlled dose inhalation drug delivery system | K0730 - | K0730 - Ctrl dose inh drug deliv sys | '01/01/2008 | 12/31/2999 |
| K0733 | K0733 - POWER WHEELCHAIR ACCESSORY 12 TO 24 AMP HOUR SEALED LEAD ACID BATTERY EACH (E.G. GEL CELL ABSORBED GLASSMAT) | K0733 - | K0733 - 12-24hr sealed lead acid | '07/01/2006 | 12/31/2999 |
| K0738 | K0738 - PORTABLE GASEOUS OXYGEN SYSTEM RENTAL; HOME COMPRESSOR USED TO FILL PORTABLE OXYGEN CYLINDERS INCLUDES PORTABLE CONTAINERS REGULATOR FLOWMETER HUMIDIFIER CANNULA OR MASK AND TUBING | K0738 - | K0738 - Portable gas oxygen system | 01-10-2006 | 12/31/2999 |
| K0739 | K0739 - REPAIR OR NONROUTINE SERVICE FOR DURABLE MEDICAL EQUIPMENT OTHER THAN OXYGEN REQUIRING THE SKILL OF A TECHNICIAN LABOR COMPONENT PER 15 MINUTES | K0739 - | K0739 - Repair/svc DME non-oxygen eq | '04/01/2009 | 12/31/2999 |
| K0740 | K0740 - REPAIR OR NONROUTINE SERVICE FOR OXYGEN EQUIPMENT REQUIRING THE SKILL OF A TECHNICIAN LABOR COMPONENT PER 15 MINUTES | K0740 - | K0740 - Repair/svc oxygen equipment | '04/01/2009 | 12/31/2999 |
| K0743 | K0743 - SUCTION PUMP HOME MODEL PORTABLE FOR USE ON WOUNDS | K0743 - | K0743 - | '07/01/2011 | 12/31/2999 |
| K0744 | K0744 - ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP HOME MODEL PORTABLE PAD SIZE 16 SQUARE INCHES OR LESS | K0744 - | K0744 - | '07/01/2011 | 12/31/2999 |
| K0745 | K0745 - ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP HOME MODEL PORTABLE PAD SIZE MORE THAN 16 SQUARE INCHES BUT LESS THAN OR EQUAL TO 48 SQUARE INCHES | K0745 - | K0745 - | '07/01/2011 | 12/31/2999 |
| K0746 | K0746 - ABSORPTIVE WOUND DRESSING FOR USE WITH SUCTION PUMP HOME MODEL PORTABLE PAD SIZE GREATER THAN 48 SQUARE INCHES | K0746 - | K0746 - | '07/01/2011 | 12/31/2999 |
| K0800 | K0800 - POWER OPERATED VEHICLE GROUP 1 STANDARD PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0800 - | K0800 - POV group 1 std up to 300lbs | 01-10-2006 | 12/31/2999 |
| K0801 | K0801 - POWER OPERATED VEHICLE GROUP 1 HEAVY DUTY PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0801 - | K0801 - POV group 1 hd 301-450 lbs | 01-10-2006 | 12/31/2999 |
| K0802 | K0802 - POWER OPERATED VEHICLE GROUP 1 VERY HEAVY DUTY PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0802 - | K0802 - POV group 1 vhd 451-600 lbs | 01-10-2006 | 12/31/2999 |
| K0806 | K0806 - POWER OPERATED VEHICLE GROUP 2 STANDARD PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0806 - | K0806 - POV group 2 std up to 300lbs | 01-10-2006 | 12/31/2999 |
| K0807 | K0807 - POWER OPERATED VEHICLE GROUP 2 HEAVY DUTY PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0807 - | K0807 - POV group 2 hd 301-450 lbs | 01-10-2006 | 12/31/2999 |
| K0808 | K0808 - POWER OPERATED VEHICLE GROUP 2 VERY HEAVY DUTY PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0808 - | K0808 - POV group 2 vhd 451-600 lbs | 01-10-2006 | 12/31/2999 |
| K0812 | K0812 - POWER OPERATED VEHICLE NOT OTHERWISE CLASSIFIED | K0812 - | K0812 - Power operated vehicle NOC | 01-10-2006 | 12/31/2999 |
| K0813 | K0813 - POWER WHEELCHAIR GROUP 1 STANDARD PORTABLE SLING/SOLID SEAT AND BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0813 - | K0813 - PWC gp 1 std port seat/back | 01-10-2006 | 12/31/2999 |
| K0814 | K0814 - POWER WHEELCHAIR GROUP 1 STANDARD PORTABLE CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0814 - | K0814 - PWC gp 1 std port cap chair | 01-10-2006 | 12/31/2999 |
| K0815 | K0815 - POWER WHEELCHAIR GROUP 1 STANDARD SLING/SOLID SEAT AND BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0815 - | K0815 - PWC gp 1 std seat/back | 01-10-2006 | 12/31/2999 |
| K0816 | K0816 - POWER WHEELCHAIR GROUP 1 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACTIY UP TO AND INCLUDING 300 POUNDS | K0816 - | K0816 - PWC gp 1 std cap chair | 01-10-2006 | 12/31/2999 |
| K0820 | K0820 - POWER WHEELCHAIR GROUP 2 STANDARD PORTABLE SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0820 - | K0820 - PWC gp 2 std port seat/back | 01-10-2006 | 12/31/2999 |
| K0821 | K0821 - POWER WHEELCHAIR GROUP 2 STANDARD PORTABLE CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0821 - | K0821 - PWC gp 2 std port cap chair | 01-10-2006 | 12/31/2999 |
| K0822 | K0822 - POWER WHEELCHAIR GROUP 2 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0822 - | K0822 - PWC gp 2 std seat/back | 01-10-2006 | 12/31/2999 |
| K0823 | K0823 - POWER WHEELCHAIR GROUP 2 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0823 - | K0823 - PWC gp 2 std cap chair | 01-10-2006 | 12/31/2999 |
| K0824 | K0824 - POWER WHEELCHAIR GROUP 2 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0824 - | K0824 - PWC gp 2 hd seat/back | 01-10-2006 | 12/31/2999 |
| K0825 | K0825 - POWER WHEELCHAIR GROUP 2 HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0825 - | K0825 - PWC gp 2 hd cap chair | 01-10-2006 | 12/31/2999 |
| K0826 | K0826 - POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0826 - | K0826 - PWC gp 2 vhd seat/back | 01-10-2006 | 12/31/2999 |
| K0827 | K0827 - POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0827 - | K0827 - PWC gp vhd cap chair | 01-10-2006 | 12/31/2999 |
| K0828 | K0828 - POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0828 - | K0828 - PWC gp 2 xtra hd seat/back | 01-10-2006 | 12/31/2999 |
| K0829 | K0829 - POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0829 - | K0829 - PWC gp 2 xtra hd cap chair | 01-10-2006 | 12/31/2999 |
| K0830 | K0830 - POWER WHEELCHAIR GROUP 2 STANDARD SEAT ELEVATOR SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0830 - | K0830 - PWC gp2 std seat elevate s/b | 01-10-2006 | 12/31/2999 |
| K0831 | K0831 - POWER WHEELCHAIR GROUP 2 STANDARD SEAT ELEVATOR CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0831 - | K0831 - PWC gp2 std seat elevate cap | 01-10-2006 | 12/31/2999 |
| K0835 | K0835 - POWER WHEELCHAIR GROUP 2 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0835 - | K0835 - PWC gp2 std sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0836 | K0836 - POWER WHEELCHAIR GROUP 2 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0836 - | K0836 - PWC gp2 std sing pow opt cap | 01-10-2006 | 12/31/2999 |
| K0837 | K0837 - POWER WHEELCHAIR GROUP 2 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0837 - | K0837 - PWC gp 2 hd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0838 | K0838 - POWER WHEELCHAIR GROUP 2 HEAVY DUTY SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0838 - | K0838 - PWC gp 2 hd sing pow opt cap | 01-10-2006 | 12/31/2999 |
| K0839 | K0839 - POWER WHEELCHAIR GROUP 2 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0839 - | K0839 - PWC gp2 vhd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0840 | K0840 - POWER WHEELCHAIR GROUP 2 EXTRA HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0840 - | K0840 - PWC gp2 xhd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0841 | K0841 - POWER WHEELCHAIR GROUP 2 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0841 - | K0841 - PWC gp2 std mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0842 | K0842 - POWER WHEELCHAIR GROUP 2 STANDARD MULTIPLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0842 - | K0842 - PWC gp2 std mult pow opt cap | 01-10-2006 | 12/31/2999 |
| K0843 | K0843 - POWER WHEELCHAIR GROUP 2 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0843 - | K0843 - PWC gp2 hd mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0848 | K0848 - POWER WHEELCHAIR GROUP 3 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0848 - | K0848 - PWC gp 3 std seat/back | 01-10-2006 | 12/31/2999 |
| K0849 | K0849 - POWER WHEELCHAIR GROUP 3 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0849 - | K0849 - PWC gp 3 std cap chair | 01-10-2006 | 12/31/2999 |
| K0850 | K0850 - POWER WHEELCHAIR GROUP 3 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0850 - | K0850 - PWC gp 3 hd seat/back | 01-10-2006 | 12/31/2999 |
| K0851 | K0851 - POWER WHEELCHAIR GROUP 3 HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0851 - | K0851 - PWC gp 3 hd cap chair | 01-10-2006 | 12/31/2999 |
| K0852 | K0852 - POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0852 - | K0852 - PWC gp 3 vhd seat/back | 01-10-2006 | 12/31/2999 |
| K0853 | K0853 - POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0853 - | K0853 - PWC gp 3 vhd cap chair | 01-10-2006 | 12/31/2999 |
| K0854 | K0854 - POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0854 - | K0854 - PWC gp 3 xhd seat/back | 01-10-2006 | 12/31/2999 |
| K0855 | K0855 - POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0855 - | K0855 - PWC gp 3 xhd cap chair | 01-10-2006 | 12/31/2999 |
| K0856 | K0856 - POWER WHEELCHAIR GROUP 3 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0856 - | K0856 - PWC gp3 std sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0857 | K0857 - POWER WHEELCHAIR GROUP 3 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0857 - | K0857 - PWC gp3 std sing pow opt cap | 01-10-2006 | 12/31/2999 |
| K0858 | K0858 - POWER WHEELCHAIR GROUP 3 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0858 - | K0858 - PWC gp3 hd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0859 | K0859 - POWER WHEELCHAIR GROUP 3 HEAVY DUTY SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0859 - | K0859 - PWC gp3 hd sing pow opt cap | 01-10-2006 | 12/31/2999 |
| K0860 | K0860 - POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0860 - | K0860 - PWC gp3 vhd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0861 | K0861 - POWER WHEELCHAIR GROUP 3 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0861 - | K0861 - PWC gp3 std mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0862 | K0862 - POWER WHEELCHAIR GROUP 3 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0862 - | K0862 - PWC gp3 hd mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0863 | K0863 - POWER WHEELCHAIR GROUP 3 VERY HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0863 - | K0863 - PWC gp3 vhd mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0864 | K0864 - POWER WHEELCHAIR GROUP 3 EXTRA HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 601 POUNDS OR MORE | K0864 - | K0864 - PWC gp3 xhd mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0868 | K0868 - POWER WHEELCHAIR GROUP 4 STANDARD SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0868 - | K0868 - PWC gp 4 std seat/back | 01-10-2006 | 12/31/2999 |
| K0869 | K0869 - POWER WHEELCHAIR GROUP 4 STANDARD CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0869 - | K0869 - PWC gp 4 std cap chair | 01-10-2006 | 12/31/2999 |
| K0870 | K0870 - POWER WHEELCHAIR GROUP 4 HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0870 - | K0870 - PWC gp 4 hd seat/back | 01-10-2006 | 12/31/2999 |
| K0871 | K0871 - POWER WHEELCHAIR GROUP 4 VERY HEAVY DUTY SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 451 TO 600 POUNDS | K0871 - | K0871 - PWC gp 4 vhd seat/back | 01-10-2006 | 12/31/2999 |
| K0877 | K0877 - POWER WHEELCHAIR GROUP 4 STANDARD SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0877 - | K0877 - PWC gp4 std sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0878 | K0878 - POWER WHEELCHAIR GROUP 4 STANDARD SINGLE POWER OPTION CAPTAINS CHAIR PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0878 - | K0878 - PWC gp4 std sing pow opt cap | 01-10-2006 | 12/31/2999 |
| K0879 | K0879 - POWER WHEELCHAIR GROUP 4 HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0879 - | K0879 - PWC gp4 hd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0880 | K0880 - POWER WHEELCHAIR GROUP 4 VERY HEAVY DUTY SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT 451 TO 600 POUNDS | K0880 - | K0880 - PWC gp4 vhd sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0884 | K0884 - POWER WHEELCHAIR GROUP 4 STANDARD MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0884 - | K0884 - PWC gp4 std mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0885 | K0885 - POWER WHEELCHAIR GROUP 4 STANDARD MULTIPLE POWER OPTION CAPTAINS CHAIR WEIGHT CAPACITY UP TO AND INCLUDING 300 POUNDS | K0885 - | K0885 - PWC gp4 std mult pow opt cap | 01-10-2006 | 12/31/2999 |
| K0886 | K0886 - POWER WHEELCHAIR GROUP 4 HEAVY DUTY MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY 301 TO 450 POUNDS | K0886 - | K0886 - PWC gp4 hd mult pow s/b | 01-10-2006 | 12/31/2999 |
| K0890 | K0890 - POWER WHEELCHAIR GROUP 5 PEDIATRIC SINGLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 125 POUNDS | K0890 - | K0890 - PWC gp5 ped sing pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0891 | K0891 - POWER WHEELCHAIR GROUP 5 PEDIATRIC MULTIPLE POWER OPTION SLING/SOLID SEAT/BACK PATIENT WEIGHT CAPACITY UP TO AND INCLUDING 125 POUNDS | K0891 - | K0891 - PWC gp5 ped mult pow opt s/b | 01-10-2006 | 12/31/2999 |
| K0898 | K0898 - POWER WHEELCHAIR NOT OTHERWISE CLASSIFIED | K0898 - | K0898 - Power wheelchair NOC | 01-10-2006 | 12/31/2999 |
| K0899 | K0899 - Power mobile device; no dme pdac | K0899 - | K0899 - Pow mobil dev no dmepdac | '07/01/2010 | 12/31/2999 |
| K0900 | K0900 - Customized Durable Medical Equipment Other Than Wheelchair | K0900 - | K0900 - Cstm dme other than wheelchr | '07/01/2013 | 12/31/2999 |
| K1001 | K1001 - Electronic positional obstructive sleep apnea treatment with sensor includes all components and accessories any type | K1001 - | K1001 - Electronic posa treatment | '01/01/2020 | 12/31/2999 |
| K1002 | K1002 - Cranial electrotherapy stimulation (ces) system any type | K1002 - | K1002 - Ces system | 01-10-2022 | 12/31/2999 |
| K1003 | K1003 - Whirlpool tub walk-in portable | K1003 - | K1003 - Whirlpool tub walkin portabl | '01/01/2020 | 12/31/2999 |
| K1004 | K1004 - Low frequency ultrasonic diathermy treatment device for home use includes all components and accessories | K1004 - | K1004 - Lo freq us diathermy device | '01/01/2020 | 12/31/2999 |
| K1005 | K1005 - Disposable collection and storage bag for breast milk any size any type each | K1005 - | K1005 - Disp col sto bag breast milk | '01/01/2020 | 12/31/2999 |
| K1006 | K1006 - Suction pump home model portable or stationary electric any type for use with external urine management system | K1006 - | K1006 - Suct pum ext urine mgmt sys | 01-10-2020 | 12/31/2999 |
| K1007 | K1007 - Bilateral hip knee ankle foot device powered includes pelvic component single or double upright(s) knee joints any type with or without ankle joints any type includes all components and accessories motors microprocessors sensors | K1007 - | K1007 - Bil hkaf pc s/d micro sensor | 01-10-2020 | 12/31/2999 |
| K1009 | K1009 - Speech volume modulation system any type including all components and accessories | K1009 - | K1009 - Speech volume modulation sys | 01-10-2020 | 12/31/2999 |
| K1013 | K1013 - Enema tube with or without adapter any type replacement only each | K1013 - | K1013 - Enema tube any type repl | 01-10-2021 | 12/31/2999 |
| K1014 | K1014 - Addition endoskeletal knee-shin system 4 bar linkage or multiaxial fluid swing and stance phase control | K1014 - | K1014 - Ak 4 bar link hydl swg/stanc | '04/01/2021 | 12/31/2999 |
| K1015 | K1015 - Foot adductus positioning device adjustable | K1015 - | K1015 - Foot adductus position adj | '04/01/2021 | 12/31/2999 |
| K1016 | K1016 - Transcutaneous electrical nerve stimulator for electrical stimulation of the trigeminal nerve | K1016 - | K1016 - Trans elec nerv for trigemin | '04/01/2021 | 12/31/2999 |
| K1017 | K1017 - Monthly supplies for use of device coded at k1016 | K1017 - | K1017 - Monthly supp use with k1016 | '04/01/2021 | 12/31/2999 |
| K1018 | K1018 - External upper limb tremor stimulator of the peripheral nerves of the wrist | K1018 - | K1018 - Ext up limb tremor stim wris | '04/01/2021 | 12/31/2999 |
| K1019 | K1019 - Replacement supplies and accessories for external upper limb tremor stimulator of the peripheral nerves of the wrist | K1019 - | K1019 - Supp ext up limb tremor stim | 01-10-2022 | 12/31/2999 |
| K1020 | K1020 - Non-invasive vagus nerve stimulator | K1020 - | K1020 - Non-invasive vagus nerv stim | '04/01/2021 | 12/31/2999 |
| K1021 | K1021 - Exsufflation belt includes all supplies and accessories | K1021 - | K1021 - Exsuff belt incl all sup acc | 01-10-2021 | 12/31/2999 |
| K1022 | K1022 - Addition to lower extremity prosthesis endoskeletal knee disarticulation above knee hip disarticulation positional rotation unit any type | K1022 - | K1022 - Endoskel posit rotat unit | 01-10-2021 | 12/31/2999 |
| K1023 | K1023 - Distal transcutaneous electrical nerve stimulator stimulates peripheral nerves of the upper arm | K1023 - | K1023 - Trans elec nerv periph nerv | 01-10-2021 | 12/31/2999 |
| K1024 | K1024 - Non-pneumatic compression controller with sequential calibrated gradient pressure | K1024 - | K1024 - Non pneum comp control cal | 01-10-2021 | 12/31/2999 |
| K1025 | K1025 - Non-pneumatic sequential compression garment full arm | K1025 - | K1025 - Non pneum compress full arm | 01-10-2021 | 12/31/2999 |
| K1026 | K1026 - Mechanical allergen particle barrier/inhalation filter cream nasal topical | K1026 - | K1026 - Mech allergen parti barrier | 01-10-2021 | 12/31/2999 |
| K1027 | K1027 - Oral device/appliance used to reduce upper airway collapsibility without fixed mechanical hinge custom fabricated includes fitting and adjustment | K1027 - | K1027 - Oral dev without fix mech | 01-10-2021 | 12/31/2999 |
| K1028 | K1028 - Power source and control electronics unit for oral device/appliance for neuromuscular electrical stimulation of the tongue muscle for the reduction of snoring and obstructive sleep apnea controlled by phone application | K1028 - | K1028 - Control unit neuromuscul osa | '04/01/2022 | 12/31/2999 |
| K1029 | K1029 - Oral device/appliance for neuromuscular electrical stimulation of the tongue muscle used in conjunction with the power source and control electronics unit controlled by phone application 90-day supply | K1029 - | K1029 - Oral dv/app neuromus mouthpi | '04/01/2022 | 12/31/2999 |
| K1030 | K1030 - External recharging system for battery (internal) for use with implanted cardiac contractility modulation generator replacement only | K1030 - | K1030 - Ext recharge bat replacement | '04/01/2022 | 12/31/2999 |
| K1031 | K1031 - Non-pneumatic compression controller without calibrated gradient pressure | K1031 - | K1031 - Non pneu comp control w/o ca | '04/01/2022 | 12/31/2999 |
| K1032 | K1032 - Non-pneumatic sequential compression garment full leg | K1032 - | K1032 - Non pneum seq comp full leg | '04/01/2022 | 12/31/2999 |
| K1033 | K1033 - Non-pneumatic sequential compression garment half leg | K1033 - | K1033 - Non pneum seq comp half leg | '04/01/2022 | 12/31/2999 |
| K1034 | K1034 - Provision of COVID-19 test nonprescription self-administered and self-collected use FDA approved authorized or cleared one test count | K1034 - | K1034 - Covid test self-admn/collect | '04/04/2022 | 12/31/2999 |
| L0112 | L0112 - Cranial cervical orthosis congenital torticollis type with or without soft interface material adjustable range of motion joint custom fabricated | L0112 - | L0112 - Cranial cervical orthosis | '01/01/2004 | 12/31/2999 |
| L0113 | L0113 - CRANIAL CERVICAL ORTHOSIS TORTICOLLIS TYPE WITH OR WITHOUT JOINT WITH OR WITHOUT SOFT INTERFACE MATERIAL PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L0113 - | L0113 - Cranial cervical torticollis | '01/01/2009 | 12/31/2999 |
| L0120 | L0120 - Cervical flexible non-adjustable prefabricated off-the-shelf (foam collar) | L0120 - | L0120 - Cerv flex n/adj foam pre ots | '01/01/2014 | 12/31/2999 |
| L0130 | L0130 - Cervical flexible thermoplastic collar molded to patient | L0130 - | L0130 - Flex thermoplastic collar mo | '01/01/1996 | 12/31/2999 |
| L0140 | L0140 - Cervical semi-rigid adjustable (plastic collar) | L0140 - | L0140 - Cervical semi-rigid adjustab | '01/01/1996 | 12/31/2999 |
| L0150 | L0150 - Cervical semi-rigid adjustable molded chin cup (plastic collar with mandibular/occipital piece) | L0150 - | L0150 - Cerv semi-rig adj molded chn | '01/01/1996 | 12/31/2999 |
| L0160 | L0160 - Cervical semi-rigid wire frame occipital/mandibular support prefabricated off-the-shelf | L0160 - | L0160 - Cerv sr wire occ/man pre ots | '01/01/2014 | 12/31/2999 |
| L0170 | L0170 - Cervical collar molded to patient model | L0170 - | L0170 - Cervical collar molded to pt | '01/01/1996 | 12/31/2999 |
| L0172 | L0172 - Cervical collar semi-rigid thermoplastic foam two-piece prefabricated off-the-shelf | L0172 - | L0172 - Cerv col sr foam 2pc pre ots | '01/01/2014 | 12/31/2999 |
| L0174 | L0174 - Cervical collar semi-rigid thermoplastic foam two piece with thoracic extension prefabricated off-the-shelf | L0174 - | L0174 - Cerv sr 2pc thor ext pre ots | '01/01/2014 | 12/31/2999 |
| L0180 | L0180 - Cervical multiple post collar occipital/mandibular supports adjustable | L0180 - | L0180 - Cer post col occ/man sup adj | '01/01/1996 | 12/31/2999 |
| L0190 | L0190 - Cervical multiple post collar occipital/mandibular supports adjustable cervical bars (somi guilford taylor types) | L0190 - | L0190 - Cerv collar supp adj cerv ba | '01/01/1996 | 12/31/2999 |
| L0200 | L0200 - Cervical multiple post collar occipital/mandibular supports adjustable cervical bars and thoracic extension | L0200 - | L0200 - Cerv col supp adj bar & thor | '01/01/1996 | 12/31/2999 |
| L0220 | L0220 - Thoracic rib belt custom fabricated | L0220 - | L0220 - Thor rib belt custom fabrica | '01/01/1996 | 12/31/2999 |
| L0450 | L0450 - Tlso flexible provides trunk support upper thoracic region produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s) includes shoulder straps and closures prefabricated off-the-shelf | L0450 - | L0450 - Tlso flex trunk/thor pre ots | '01/01/2014 | 12/31/2999 |
| L0452 | L0452 - Tlso flexible provides trunk support upper thoracic region produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s) includes shoulder straps and closures custom fabricated | L0452 - | L0452 - tlso flex custom fab thoraci | '01/01/2003 | 12/31/2999 |
| L0454 | L0454 - Tlso flexible provides trunk support extends from sacrococcygeal junction to above t-9 vertebra restricts gross trunk motion in the sagittal plane produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s) includes shoulder straps and closures prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0454 - | L0454 - Tlso trnk sj-t9 pre cst | '01/01/2014 | 12/31/2999 |
| L0455 | L0455 - Tlso flexible provides trunk support extends from sacrococcygeal junction to above t-9 vertebra restricts gross trunk motion in the sagittal plane produces intracavitary pressure to reduce load on the intervertebral disks with rigid stays or panel(s) includes shoulder straps and closures prefabricated off-the-shelf | L0455 - | L0455 - Tlso flex trnk sj-t9 pre ots | '01/01/2014 | 12/31/2999 |
| L0456 | L0456 - Tlso flexible provides trunk support thoracic region rigid posterior panel and soft anterior apron extends from the sacrococcygeal junction and terminates just inferior to the scapular spine restricts gross trunk motion in the sagittal plane produces intracavitary pressure to reduce load on the intervertebral disks includes straps and closures prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0456 - | L0456 - Tlso flex trnk sj-ss pre cst | '01/01/2014 | 12/31/2999 |
| L0457 | L0457 - Tlso flexible provides trunk support thoracic region rigid posterior panel and soft anterior apron extends from the sacrococcygeal junction and terminates just inferior to the scapular spine restricts gross trunk motion in the sagittal plane produces intracavitary pressure to reduce load on the intervertebral disks includes straps and closures prefabricated off-the-shelf | L0457 - | L0457 - Tlso flex trnk sj-ss pre ots | '01/01/2014 | 12/31/2999 |
| L0458 | L0458 - Tlso triplanar control modular segmented spinal system two rigid plastic shells posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine anterior extends from the symphysis pubis to the xiphoid soft liner restricts gross trunk motion in the sagittal coronal and tranverse planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures prefabricated includes fitting and adjustment | L0458 - | L0458 - TLSO 2Mod symphis-xipho pre | '01/01/2003 | 12/31/2999 |
| L0460 | L0460 - Tlso triplanar control modular segmented spinal system two rigid plastic shells posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine anterior extends from the symphysis pubis to the sternal notch soft liner restricts gross trunk motion in the sagittal coronal and transverse planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0460 - | L0460 - Tlso 2 shl symphys-stern cst | '01/01/2014 | 12/31/2999 |
| L0462 | L0462 - Tlso triplanar control modular segmented spinal system three rigid plastic shells posterior extends from the sacrococcygeal junction and terminates just inferior to the scapular spine anterior extends from the symphysis pubis to the sternal notch soft liner restricts gross trunk motion in the sagittal coronal and transverse planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures prefabricated includes fitting and adjustment | L0462 - | L0462 - TLSO 3Mod sacro-scap pre | '01/01/2003 | 12/31/2999 |
| L0464 | L0464 - Tlso triplanar control modular segmented spinal system four rigid plastic shells posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to the sternal notch soft liner restricts gross trunk motion in sagittal coronal and transverse planes lateral strength is provided by overlapping plastic and stabilizing closures includes straps and closures prefabricated includes fitting and adjustment | L0464 - | L0464 - TLSO 4Mod sacro-scap pre | '01/01/2003 | 12/31/2999 |
| L0466 | L0466 - Tlso sagittal control rigid posterior frame and flexible soft anterior apron with straps closures and padding restricts gross trunk motion in sagittal plane produces intracavitary pressure to reduce load on intervertebral disks prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0466 - | L0466 - Tlso r fram soft ant pre cst | '01/01/2014 | 12/31/2999 |
| L0467 | L0467 - Tlso sagittal control rigid posterior frame and flexible soft anterior apron with straps closures and padding restricts gross trunk motion in sagittal plane produces intracavitary pressure to reduce load on intervertebral disks prefabricated off-the-shelf | L0467 - | L0467 - Tlso r fram soft pre ots | '01/01/2014 | 12/31/2999 |
| L0468 | L0468 - Tlso sagittal-coronal control rigid posterior frame and flexible soft anterior apron with straps closures and padding extends from sacrococcygeal junction over scapulae lateral strength provided by pelvic thoracic and lateral frame pieces restricts gross trunk motion in sagittal and coronal planes produces intracavitary pressure to reduce load on intervertebral disks prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0468 - | L0468 - Tlso rig fram pelvic pre cst | '01/01/2014 | 12/31/2999 |
| L0469 | L0469 - Tlso sagittal-coronal control rigid posterior frame and flexible soft anterior apron with straps closures and padding extends from sacrococcygeal junction over scapulae lateral strength provided by pelvic thoracic and lateral frame pieces restricts gross trunk motion in sagittal and coronal planes produces intracavitary pressure to reduce load on intervertebral disks prefabricated off-the-shelf | L0469 - | L0469 - Tlso rig fram pelvic pre ots | '01/01/2014 | 12/31/2999 |
| L0470 | L0470 - TLSO TRIPLANAR CONTROL RIGID POSTERIOR FRAME AND FLEXIBLE SOFT ANTERIOR APRON WITH STRAPS CLOSURES AND PADDING EXTENDS FROM SACROCOCCYGEAL JUNCTION TO SCAPULA LATERAL STRENGTH PROVIDED BY PELVIC THORACIC AND LATERAL FRAME PIECES ROTATIONAL STRENGTH PROVIDED BY SUBCLAVICULAR EXTENSIONS RESTRICTS GROSS TRUNK MOTION IN SAGITTAL CORONAL AND TRANSVERSE PLANES PROVIDES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISKS INCLUDES FITTING AND SHAPING THE FRAME PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L0470 - | L0470 - | '01/01/2012 | 12/31/2999 |
| L0472 | L0472 - Tlso triplanar control hyperextension rigid anterior and lateral frame extends from symphysis pubis to sternal notch with two anterior components (one pubic and one sternal) posterior and lateral pads with straps and closures limits spinal flexion restricts gross trunk motion in sagittal coronal and transverse planes includes fitting and shaping the frame prefabricated includes fitting and adjustment | L0472 - | L0472 - TLSO rigid frame hyperex pre | '01/01/2003 | 12/31/2999 |
| L0480 | L0480 - Tlso triplanar control one piece rigid plastic shell without interface liner with multiple straps and closures posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to sternal notch anterior or posterior opening restricts gross trunk motion in sagittal coronal and transverse planes includes a carved plaster or cad-cam model custom fabricated | L0480 - | L0480 - TLSO rigid plastic custom fa | '01/01/2004 | 12/31/2999 |
| L0482 | L0482 - Tlso triplanar control one piece rigid plastic shell with interface liner multiple straps and closures posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to sternal notch anterior or posterior opening restricts gross trunk motion in sagittal coronal and transverse planes includes a carved plaster or cad-cam model custom fabricated | L0482 - | L0482 - TLSO rigid lined custom fab | '01/01/2003 | 12/31/2999 |
| L0484 | L0484 - Tlso triplanar control two piece rigid plastic shell without interface liner with multiple straps and closures posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to sternal notch lateral strength is enhanced by overlapping plastic restricts gross trunk motion in the sagittal coronal and transverse planes includes a carved plaster or cad-cam model custom fabricated | L0484 - | L0484 - TLSO rigid plastic cust fab | '01/01/2003 | 12/31/2999 |
| L0486 | L0486 - Tlso triplanar control two piece rigid plastic shell with interface liner multiple straps and closures posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to sternal notch lateral strength is enhanced by overlapping plastic restricts gross trunk motion in the sagittal coronal and transverse planes includes a carved plaster or cad-cam model custom fabricated | L0486 - | L0486 - TLSO rigidlined cust fab two | '01/01/2003 | 12/31/2999 |
| L0488 | L0488 - Tlso triplanar control one piece rigid plastic shell with interface liner multiple straps and closures posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine anterior extends from symphysis pubis to sternal notch anterior or posterior opening restricts gross trunk motion in sagittal coronal and transverse planes prefabricated includes fitting and adjustment | L0488 - | L0488 - TLSO rigid lined pre one pie | '01/01/2003 | 12/31/2999 |
| L0490 | L0490 - Tlso sagittal-coronal control one piece rigid plastic shell with overlapping reinforced anterior with multiple straps and closures posterior extends from sacrococcygeal junction and terminates at or before the t-9 vertebra anterior extends from symphysis pubis to xiphoid anterior opening restricts gross trunk motion in sagittal and coronal planes prefabricated includes fitting and adjustment | L0490 - | L0490 - TLSO rigid plastic pre one | '01/01/2003 | 12/31/2999 |
| L0491 | L0491 - TLSO SAGITTAL-CORONAL CONTROL MODULAR SEGMENTED SPINAL SYSTEM TWO RIGID PLASTIC SHELLS POSTERIOR EXTENDS FROM THE SACROCOCCYGEAL JUNCTION AND TERMINATES JUST INFERIOR TO THE SCAPULAR SPINE ANTERIOR EXTENDS FROM THE SYMPHYSIS PUBIS TO THE XIPHOID SOFT LINER RESTRICTS GROSS TRUNK MOTION IN THE SAGITTAL AND CORONAL PLANES LATERAL STRENGTH IS PROVIDED BY OVERLAPPING PLASTIC AND STABILIZING CLOSURES INCLUDES STRAPS AND CLOSURES PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L0491 - | L0491 - TLSO 2 piece rigid shell | '01/01/2006 | 12/31/2999 |
| L0492 | L0492 - TLSO SAGITTAL-CORONAL CONTROL MODULAR SEGMENTED SPINAL SYSTEM THREE RIGID PLASTIC SHELLS POSTERIOR EXTENDS FROM THE SACROCOCCYGEAL JUNCTION AND TERMINATES JUST INFERIOR TO THE SCAPULAR SPINE ANTERIOR EXTENDS FROM THE SYMPHYSIS PUBIS TO THE XIPHOID SOFT LINER RESTRICTS GROSS TRUNK MOTION IN THE SAGITTAL AND CORONAL PLANES LATERAL STRENGTH IS PROVIDED BY OVERLAPPING PLASTIC AND STABILIZING CLOSURES INCLUDES STRAPS AND CLOSURES PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L0492 - | L0492 - TLSO 3 piece rigid shell | '01/01/2006 | 12/31/2999 |
| L0621 | L0621 - Sacroiliac orthosis flexible provides pelvic-sacral support reduces motion about the sacroiliac joint includes straps closures may include pendulous abdomen design prefabricated off-the-shelf | L0621 - | L0621 - Sio flex pelvic/sacr pre ots | '01/01/2014 | 12/31/2999 |
| L0622 | L0622 - SACROILIAC ORTHOSIS FLEXIBLE PROVIDES PELVIC-SACRAL SUPPORT REDUCES MOTION ABOUT THE SACROILIAC JOINT INCLUDES STRAPS CLOSURES MAY INCLUDE PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0622 - | L0622 - SIO flex pelvisacral custom | '01/01/2006 | 12/31/2999 |
| L0623 | L0623 - Sacroiliac orthosis provides pelvic-sacral support with rigid or semi-rigid panels over the sacrum and abdomen reduces motion about the sacroiliac joint includes straps closures may include pendulous abdomen design prefabricated off-the-shelf | L0623 - | L0623 - Sio rig pnl pelv/sac pre ots | '01/01/2014 | 12/31/2999 |
| L0624 | L0624 - SACROILIAC ORTHOSIS PROVIDES PELVIC-SACRAL SUPPORT WITH RIGID OR SEMI-RIGID PANELS PLACED OVER THE SACRUM AND ABDOMEN REDUCES MOTION ABOUT THE SACROILIAC JOINT INCLUDES STRAPS CLOSURES MAY INCLUDE PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0624 - | L0624 - SIO panel custom | '01/01/2006 | 12/31/2999 |
| L0625 | L0625 - Lumbar orthosis flexible provides lumbar support posterior extends from l-1 to below l-5 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include pendulous abdomen design shoulder straps stays prefabricated off-the-shelf | L0625 - | L0625 - Lo flex l1-below l5 pre ots | '01/01/2014 | 12/31/2999 |
| L0626 | L0626 - Lumbar orthosis sagittal control with rigid posterior panel(s) posterior extends from l-1 to below l-5 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0626 - | L0626 - Lo sag rig pnl stays pre cst | '01/01/2014 | 12/31/2999 |
| L0627 | L0627 - Lumbar orthosis sagittal control with rigid anterior and posterior panels posterior extends from l-1 to below l-5 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0627 - | L0627 - Lo sag ri an/pos pnl pre cst | '01/01/2014 | 12/31/2999 |
| L0628 | L0628 - Lumbar-sacral orthosis flexible provides lumbo-sacral support posterior extends from sacrococcygeal junction to t-9 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include stays shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0628 - | L0628 - Lso flex no ri stays pre ots | '01/01/2014 | 12/31/2999 |
| L0629 | L0629 - LUMBAR-SACRAL ORTHOSIS FLEXIBLE PROVIDES LUMBO-SACRAL SUPPORT POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE STAYS SHOULDER STRAPS PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0629 - | L0629 - LSO flex w/rigid stays cust | '01/01/2006 | 12/31/2999 |
| L0630 | L0630 - Lumbar-sacral orthosis sagittal control with rigid posterior panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0630 - | L0630 - Lso r post pnl sj-t9 pre cst | '01/01/2014 | 12/31/2999 |
| L0631 | L0631 - Lumbar-sacral orthosis sagittal control with rigid anterior and posterior panels posterior extends from sacrococcygeal junction to t-9 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0631 - | L0631 - Lso sag r an/pos pnl pre cst | '01/01/2014 | 12/31/2999 |
| L0632 | L0632 - LUMBAR-SACRAL ORTHOSIS SAGITTAL CONTROL WITH RIGID ANTERIOR AND POSTERIOR PANELS POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE PADDING SHOULDER STRAPS PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0632 - | L0632 - LSO sag rigid frame cust | '01/01/2006 | 12/31/2999 |
| L0633 | L0633 - Lumbar-sacral orthosis sagittal-coronal control with rigid posterior frame/panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra lateral strength provided by rigid lateral frame/panels produces intracavitary pressure to reduce load on intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0633 - | L0633 - Lso sc r pos/lat pnl pre cst | '01/01/2014 | 12/31/2999 |
| L0634 | L0634 - LUMBAR-SACRAL ORTHOSIS SAGITTAL-CORONAL CONTROL WITH RIGID POSTERIOR FRAME/PANEL(S) POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANEL(S) PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE PADDING STAYS SHOULDER STRAPS PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0634 - | L0634 - LSO flexion control custom | '01/01/2006 | 12/31/2999 |
| L0635 | L0635 - LUMBAR-SACRAL ORTHOSIS SAGITTAL-CORONAL CONTROL LUMBAR FLEXION RIGID POSTERIOR FRAME/PANEL(S) LATERAL ARTICULATING DESIGN TO FLEX THE LUMBAR SPINE POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANEL(S) PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE PADDING ANTERIOR PANEL PENDULOUS ABDOMEN DESIGN PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L0635 - | L0635 - LSO sagit rigid panel prefab | '01/01/2006 | 12/31/2999 |
| L0636 | L0636 - LUMBAR SACRAL ORTHOSIS SAGITTAL-CORONAL CONTROL LUMBAR FLEXION RIGID POSTERIOR FRAME/PANELS LATERAL ARTICULATING DESIGN TO FLEX THE LUMBAR SPINE POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANELS PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE PADDING ANTERIOR PANEL PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0636 - | L0636 - LSO sagittal rigid panel cus | '01/01/2006 | 12/31/2999 |
| L0637 | L0637 - Lumbar-sacral orthosis sagittal-coronal control with rigid anterior and posterior frame/panels posterior extends from sacrococcygeal junction to t-9 vertebra lateral strength provided by rigid lateral frame/panels produces intracavitary pressure to reduce load on intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0637 - | L0637 - Lso sc r ant/pos pnl pre cst | '01/01/2014 | 12/31/2999 |
| L0638 | L0638 - LUMBAR-SACRAL ORTHOSIS SAGITTAL-CORONAL CONTROL WITH RIGID ANTERIOR AND POSTERIOR FRAME/PANELS POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA LATERAL STRENGTH PROVIDED BY RIGID LATERAL FRAME/PANELS PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON INTERVERTEBRAL DISCS INCLUDES STRAPS CLOSURES MAY INCLUDE PADDING SHOULDER STRAPS PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0638 - | L0638 - LSO sag-coronal panel custom | '01/01/2006 | 12/31/2999 |
| L0639 | L0639 - Lumbar-sacral orthosis sagittal-coronal control rigid shell(s)/panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra anterior extends from symphysis pubis to xyphoid produces intracavitary pressure to reduce load on the intervertebral discs overall strength is provided by overlapping rigid material and stabilizing closures includes straps closures may include soft interface pendulous abdomen design prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L0639 - | L0639 - Lso s/c shell/panel prefab | '01/01/2014 | 12/31/2999 |
| L0640 | L0640 - LUMBAR-SACRAL ORTHOSIS SAGITTAL-CORONAL CONTROL RIGID SHELL(S)/PANEL(S) POSTERIOR EXTENDS FROM SACROCOCCYGEAL JUNCTION TO T-9 VERTEBRA ANTERIOR EXTENDS FROM SYMPHYSIS PUBIS TO XYPHOID PRODUCES INTRACAVITARY PRESSURE TO REDUCE LOAD ON THE INTERVERTEBRAL DISCS OVERALL STRENGTH IS PROVIDED BY OVERLAPPING RIGID MATERIAL AND STABILIZING CLOSURES INCLUDES STRAPS CLOSURES MAY INCLUDE SOFT INTERFACE PENDULOUS ABDOMEN DESIGN CUSTOM FABRICATED | L0640 - | L0640 - LSO s/c shell/panel custom | '01/01/2006 | 12/31/2999 |
| L0641 | L0641 - Lumbar orthosis sagittal control with rigid posterior panel(s) posterior extends from l-1 to below l-5 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0641 - | L0641 - Lo rig pos pnl l1-l5 pre ots | '01/01/2014 | 12/31/2999 |
| L0642 | L0642 - Lumbar orthosis sagittal control with rigid anterior and posterior panels posterior extends from l-1 to below l-5 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0642 - | L0642 - Lo sag ri an/pos pnl pre ots | '01/01/2014 | 12/31/2999 |
| L0643 | L0643 - Lumbar-sacral orthosis sagittal control with rigid posterior panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0643 - | L0643 - Lso sag ctr rigi pos pre ots | '01/01/2014 | 12/31/2999 |
| L0648 | L0648 - Lumbar-sacral orthosis sagittal control with rigid anterior and posterior panels posterior extends from sacrococcygeal junction to t-9 vertebra produces intracavitary pressure to reduce load on the intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0648 - | L0648 - Lso sag r an/pos pnl pre ots | '01/01/2014 | 12/31/2999 |
| L0649 | L0649 - Lumbar-sacral orthosis sagittal-coronal control with rigid posterior frame/panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra lateral strength provided by rigid lateral frame/panels produces intracavitary pressure to reduce load on intervertebral discs includes straps closures may include padding stays shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0649 - | L0649 - Lso sc r pos/lat pnl pre ots | '01/01/2014 | 12/31/2999 |
| L0650 | L0650 - Lumbar-sacral orthosis sagittal-coronal control with rigid anterior and posterior frame/panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra lateral strength provided by rigid lateral frame/panel(s) produces intracavitary pressure to reduce load on intervertebral discs includes straps closures may include padding shoulder straps pendulous abdomen design prefabricated off-the-shelf | L0650 - | L0650 - Lso sc r ant/pos pnl pre ots | '01/01/2014 | 12/31/2999 |
| L0651 | L0651 - Lumbar-sacral orthosis sagittal-coronal control rigid shell(s)/panel(s) posterior extends from sacrococcygeal junction to t-9 vertebra anterior extends from symphysis pubis to xyphoid produces intracavitary pressure to reduce load on the intervertebral discs overall strength is provided by overlapping rigid material and stabilizing closures includes straps closures may include soft interface pendulous abdomen design prefabricated off-the-shelf | L0651 - | L0651 - | '01/01/2014 | 12/31/2999 |
| L0700 | L0700 - Cervical-thoracic-lumbar-sacral-orthoses (ctlso) anterior-posterior-lateral control molded to patient model (minerva type) | L0700 - | L0700 - Ctlso a-p-l control molded | '01/01/1996 | 12/31/2999 |
| L0710 | L0710 - Ctlso anterior-posterior-lateral-control molded to patient model with interface material (minerva type) | L0710 - | L0710 - Ctlso a-p-l control w/ inter | '01/01/1996 | 12/31/2999 |
| L0810 | L0810 - Halo procedure cervical halo incorporated into jacket vest | L0810 - | L0810 - Halo cervical into jckt vest | '01/01/1996 | 12/31/2999 |
| L0820 | L0820 - Halo procedure cervical halo incorporated into plaster body jacket | L0820 - | L0820 - Halo cervical into body jack | '01/01/1996 | 12/31/2999 |
| L0830 | L0830 - Halo procedure cervical halo incorporated into milwaukee type orthosis | L0830 - | L0830 - Halo cerv into milwaukee typ | '01/01/1996 | 12/31/2999 |
| L0859 | L0859 - ADDITION TO HALO PROCEDURE MAGNETIC RESONANCE IMAGE COMPATIBLE SYSTEMS RINGS AND PINS ANY MATERIAL | L0859 - | L0859 - MRI compatible system | '01/01/2006 | 12/31/2999 |
| L0861 | L0861 - Addition to halo procedure replacement liner/interface material | L0861 - | L0861 - Halo repl liner/interface | '01/01/2004 | 12/31/2999 |
| L0970 | L0970 - Tlso corset front | L0970 - | L0970 - Tlso corset front | '01/01/1996 | 12/31/2999 |
| L0972 | L0972 - Lso corset front | L0972 - | L0972 - Lso corset front | '01/01/1996 | 12/31/2999 |
| L0974 | L0974 - Tlso full corset | L0974 - | L0974 - Tlso full corset | '01/01/1996 | 12/31/2999 |
| L0976 | L0976 - Lso full corset | L0976 - | L0976 - Lso full corset | '01/01/1996 | 12/31/2999 |
| L0978 | L0978 - Axillary crutch extension | L0978 - | L0978 - Axillary crutch extension | '01/01/1996 | 12/31/2999 |
| L0980 | L0980 - Peroneal straps prefabricated off-the-shelf pair | L0980 - | L0980 - Peroneal straps pair pre ots | '01/01/2014 | 12/31/2999 |
| L0982 | L0982 - Stocking supporter grips prefabricated off-the-shelf set of four (4) | L0982 - | L0982 - Stocking sup grips 4 pre ots | '01/01/2014 | 12/31/2999 |
| L0984 | L0984 - Protective body sock prefabricated off-the-shelf each | L0984 - | L0984 - Protect body sock ea pre ots | '01/01/2014 | 12/31/2999 |
| L0999 | L0999 - Addition to spinal orthosis not otherwise specified | L0999 - | L0999 - Add to spinal orthosis NOS | '01/01/1998 | 12/31/2999 |
| L1000 | L1000 - Cervical-thoracic-lumbar-sacral orthosis (ctlso) (milwaukee) inclusive of furnishing initial orthosis including model | L1000 - | L1000 - Ctlso milwauke initial model | '01/01/1996 | 12/31/2999 |
| L1001 | L1001 - CERVICAL THORACIC LUMBAR SACRAL ORTHOSIS IMMOBILIZER INFANT SIZE PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L1001 - | L1001 - CTLSO infant immobilizer | '01/01/2007 | 12/31/2999 |
| L1005 | L1005 - Tension based scoliosis orthosis and accessory pads includes fitting and adjustment | L1005 - | L1005 - Tension based scoliosis orth | '01/01/2002 | 12/31/2999 |
| L1010 | L1010 - Addition to cervical-thoracic-lumbar-sacral orthosis (ctlso) or scoliosis orthosis axilla sling | L1010 - | L1010 - Ctlso axilla sling | '01/01/1996 | 12/31/2999 |
| L1020 | L1020 - Addition to ctlso or scoliosis orthosis kyphosis pad | L1020 - | L1020 - Kyphosis pad | '01/01/1996 | 12/31/2999 |
| L1025 | L1025 - Addition to ctlso or scoliosis orthosis kyphosis pad floating | L1025 - | L1025 - Kyphosis pad floating | '01/01/1996 | 12/31/2999 |
| L1030 | L1030 - Addition to ctlso or scoliosis orthosis lumbar bolster pad | L1030 - | L1030 - Lumbar bolster pad | '01/01/1996 | 12/31/2999 |
| L1040 | L1040 - Addition to ctlso or scoliosis orthosis lumbar or lumbar rib pad | L1040 - | L1040 - Lumbar or lumbar rib pad | '01/01/1996 | 12/31/2999 |
| L1050 | L1050 - Addition to ctlso or scoliosis orthosis sternal pad | L1050 - | L1050 - Sternal pad | '01/01/1996 | 12/31/2999 |
| L1060 | L1060 - Addition to ctlso or scoliosis orthosis thoracic pad | L1060 - | L1060 - Thoracic pad | '01/01/1996 | 12/31/2999 |
| L1070 | L1070 - Addition to ctlso or scoliosis orthosis trapezius sling | L1070 - | L1070 - Trapezius sling | '01/01/1996 | 12/31/2999 |
| L1080 | L1080 - Addition to ctlso or scoliosis orthosis outrigger | L1080 - | L1080 - Outrigger | '01/01/1996 | 12/31/2999 |
| L1085 | L1085 - Addition to ctlso or scoliosis orthosis outrigger bilateral with vertical extensions | L1085 - | L1085 - Outrigger bil w/ vert extens | '01/01/1996 | 12/31/2999 |
| L1090 | L1090 - Addition to ctlso or scoliosis orthosis lumbar sling | L1090 - | L1090 - Lumbar sling | '01/01/1996 | 12/31/2999 |
| L1100 | L1100 - Addition to ctlso or scoliosis orthosis ring flange plastic or leather | L1100 - | L1100 - Ring flange plastic/leather | '01/01/1996 | 12/31/2999 |
| L1110 | L1110 - Addition to ctlso or scoliosis orthosis ring flange plastic or leather molded to patient model | L1110 - | L1110 - Ring flange plas/leather mol | '01/01/1996 | 12/31/2999 |
| L1120 | L1120 - Addition to ctlso scoliosis orthosis cover for upright each | L1120 - | L1120 - Covers for upright each | '01/01/1996 | 12/31/2999 |
| L1200 | L1200 - Thoracic-lumbar-sacral-orthosis (tlso) inclusive of furnishing initial orthosis only | L1200 - | L1200 - Furnsh initial orthosis only | '01/01/1996 | 12/31/2999 |
| L1210 | L1210 - Addition to tlso (low profile) lateral thoracic extension | L1210 - | L1210 - Lateral thoracic extension | '01/01/1996 | 12/31/2999 |
| L1220 | L1220 - Addition to tlso (low profile) anterior thoracic extension | L1220 - | L1220 - Anterior thoracic extension | '01/01/1996 | 12/31/2999 |
| L1230 | L1230 - Addition to tlso (low profile) milwaukee type superstructure | L1230 - | L1230 - Milwaukee type superstructur | '01/01/1996 | 12/31/2999 |
| L1240 | L1240 - Addition to tlso (low profile) lumbar derotation pad | L1240 - | L1240 - Lumbar derotation pad | '01/01/1996 | 12/31/2999 |
| L1250 | L1250 - Addition to tlso (low profile) anterior asis pad | L1250 - | L1250 - Anterior asis pad | '01/01/1996 | 12/31/2999 |
| L1260 | L1260 - Addition to tlso (low profile) anterior thoracic derotation pad | L1260 - | L1260 - Anterior thoracic derotation | '01/01/1996 | 12/31/2999 |
| L1270 | L1270 - Addition to tlso (low profile) abdominal pad | L1270 - | L1270 - Abdominal pad | '01/01/1996 | 12/31/2999 |
| L1280 | L1280 - Addition to tlso (low profile) rib gusset (elastic) each | L1280 - | L1280 - Rib gusset (elastic) each | '01/01/1996 | 12/31/2999 |
| L1290 | L1290 - Addition to tlso (low profile) lateral trochanteric pad | L1290 - | L1290 - Lateral trochanteric pad | '01/01/1996 | 12/31/2999 |
| L1300 | L1300 - Other scoliosis procedure body jacket molded to patient model | L1300 - | L1300 - Body jacket mold to patient | '01/01/1996 | 12/31/2999 |
| L1310 | L1310 - Other scoliosis procedure post-operative body jacket | L1310 - | L1310 - Post-operative body jacket | '01/01/1996 | 12/31/2999 |
| L1499 | L1499 - Spinal orthosis not otherwise specified | L1499 - | L1499 - Spinal orthosis NOS | '01/01/1998 | 12/31/2999 |
| L1600 | L1600 - Hip orthosis abduction control of hip joints flexible frejka type with cover prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an inidividual with expertise | L1600 - | L1600 - Ho flex frejka w/cov pre cst | '01/01/2014 | 12/31/2999 |
| L1610 | L1610 - Hip orthosis abduction control of hip joints flexible (frejka cover only) prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1610 - | L1610 - Ho frejka cov only pre cst | '01/01/2014 | 12/31/2999 |
| L1620 | L1620 - Hip orthosis abduction control of hip joints flexible (pavlik harness) prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1620 - | L1620 - Ho flex pavlik harns pre cst | '01/01/2014 | 12/31/2999 |
| L1630 | L1630 - Hip orthosis abduction control of hip joints semi-flexible (von rosen type) custom-fabricated | L1630 - | L1630 - Abduct control hip semi-flex | '01/01/2001 | 12/31/2999 |
| L1640 | L1640 - Hip orthosis abduction control of hip joints static pelvic band or spreader bar thigh cuffs custom-fabricated | L1640 - | L1640 - Pelv band/spread bar thigh c | '01/01/2001 | 12/31/2999 |
| L1650 | L1650 - Hip orthosis abduction control of hip joints static adjustable (ilfled type) prefabricated includes fitting and adjustment | L1650 - | L1650 - HO abduction hip adjustable | '01/01/2001 | 12/31/2999 |
| L1652 | L1652 - Hip orthosis bilateral thigh cuffs with adjustable abductor spreader bar adult size prefabricated includes fitting and adjustment any type | L1652 - | L1652 - HO bi thighcuffs w sprdr bar | '01/01/2003 | 12/31/2999 |
| L1660 | L1660 - Hip orthosis abduction control of hip joints static plastic prefabricated includes fitting and adjustment | L1660 - | L1660 - HO abduction static plastic | '01/01/2001 | 12/31/2999 |
| L1680 | L1680 - Hip orthosis abduction control of hip joints dynamic pelvic control adjustable hip motion control thigh cuffs (rancho hip action type) custom fabricated | L1680 - | L1680 - Pelvic & hip control thigh c | '01/01/2001 | 12/31/2999 |
| L1685 | L1685 - Hip orthosis abduction control of hip joint postoperative hip abduction type custom fabricated | L1685 - | L1685 - Post-op hip abduct custom fa | '01/01/2001 | 12/31/2999 |
| L1686 | L1686 - Hip orthosis abduction control of hip joint postoperative hip abduction type prefabricated includes fitting and adjustment | L1686 - | L1686 - HO post-op hip abduction | '01/01/2001 | 12/31/2999 |
| L1690 | L1690 - Combination bilateral lumbo-sacral hip femur orthosis providing adduction and internal rotation control prefabricated includes fitting and adjustment | L1690 - | L1690 - Combination bilateral HO | '01/01/2001 | 12/31/2999 |
| L1700 | L1700 - Legg perthes orthosis (toronto type) custom-fabricated | L1700 - | L1700 - Leg perthes orth toronto typ | '01/01/2001 | 12/31/2999 |
| L1710 | L1710 - Legg perthes orthosis (newington type) custom fabricated | L1710 - | L1710 - Legg perthes orth newington | '01/01/2001 | 12/31/2999 |
| L1720 | L1720 - Legg perthes orthosis trilateral (tachdijan type) custom-fabricated | L1720 - | L1720 - Legg perthes orthosis trilat | '01/01/2001 | 12/31/2999 |
| L1730 | L1730 - Legg perthes orthosis (scottish rite type) custom-fabricated | L1730 - | L1730 - Legg perthes orth scottish r | '01/01/2001 | 12/31/2999 |
| L1755 | L1755 - Legg perthes orthosis (patten bottom type) custom-fabricated | L1755 - | L1755 - Legg perthes patten bottom t | '01/01/2001 | 12/31/2999 |
| L1810 | L1810 - Knee orthosis elastic with joints prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1810 - | L1810 - Ko elastic with joints | '01/01/2014 | 12/31/2999 |
| L1812 | L1812 - Knee orthosis elastic with joints prefabricated off-the-shelf | L1812 - | L1812 - Ko elastic w/joints pre ots | '01/01/2014 | 12/31/2999 |
| L1820 | L1820 - Knee orthosis elastic with condylar pads and joints with or without patellar control prefabricated includes fitting and adjustment | L1820 - | L1820 - Ko elas w/ condyle pads & jo | '01/01/2005 | 12/31/2999 |
| L1830 | L1830 - Knee orthosis immobilizer canvas longitudinal prefabricated off-the-shelf | L1830 - | L1830 - Ko immob canvas long pre ots | '01/01/2014 | 12/31/2999 |
| L1831 | L1831 - Knee orthosis locking knee joint(s) positional orthosis prefabricated includes fitting and adjustment | L1831 - | L1831 - Knee orth pos locking joint | '01/01/2004 | 12/31/2999 |
| L1832 | L1832 - Knee orthosis adjustable knee joints (unicentric or polycentric) positional orthosis rigid support prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1832 - | L1832 - Ko adj jnt pos r sup pre cst | '01/01/2014 | 12/31/2999 |
| L1833 | L1833 - Knee orthosis adjustable knee joints (unicentric or polycentric) positional orthosis rigid support prefabricated off-the shelf | L1833 - | L1833 - Ko adj jnt pos r sup pre ots | '01/01/2014 | 12/31/2999 |
| L1834 | L1834 - Knee orthosis without knee joint rigid custom-fabricated | L1834 - | L1834 - Ko w/0 joint rigid molded to | '01/01/2001 | 12/31/2999 |
| L1836 | L1836 - Knee orthosis rigid without joint(s) includes soft interface material prefabricated off-the-shelf | L1836 - | L1836 - Ko rigid w/o joints pre ots | '01/01/2014 | 12/31/2999 |
| L1840 | L1840 - Knee orthosis derotation medial-lateral anterior cruciate ligament custom fabricated | L1840 - | L1840 - Ko derot ant cruciate custom | '01/01/2001 | 12/31/2999 |
| L1843 | L1843 - Knee orthosis single upright thigh and calf with adjustable flexion and extension joint (unicentric or polycentric) medial-lateral and rotation control with or without varus/valgus adjustment prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1843 - | L1843 - Ko single upright pre cst | '01/01/2014 | 12/31/2999 |
| L1844 | L1844 - KNEE ORTHOSIS SINGLE UPRIGHT THIGH AND CALF WITH ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC) MEDIAL-LATERAL AND ROTATION CONTROL WITH OR WITHOUT VARUS/VALGUS ADJUSTMENT CUSTOM FABRICATED | L1844 - | L1844 - Ko w/adj jt rot cntrl molded | '01/01/2006 | 12/31/2999 |
| L1845 | L1845 - Knee orthosis double upright thigh and calf with adjustable flexion and extension joint (unicentric or polycentric) medial-lateral and rotation control with or without varus/valgus adjustment prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1845 - | L1845 - Ko double upright pre cst | '01/01/2014 | 12/31/2999 |
| L1846 | L1846 - KNEE ORTHOSIS DOUBLE UPRIGHT THIGH AND CALF WITH ADJUSTABLE FLEXION AND EXTENSION JOINT (UNICENTRIC OR POLYCENTRIC) MEDIAL-LATERAL AND ROTATION CONTROL WITH OR WITHOUT VARUS/VALGUS ADJUSTMENT CUSTOM FABRICATED | L1846 - | L1846 - Ko w adj flex/ext rotat mold | '01/01/2006 | 12/31/2999 |
| L1847 | L1847 - Knee orthosis double upright with adjustable joint with inflatable air support chamber(s) prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L1847 - | L1847 - Ko dbl upright w/air pre cst | '01/01/2014 | 12/31/2999 |
| L1848 | L1848 - Knee orthosis double upright with adjustable joint with inflatable air support chamber(s) prefabricated off-the-shelf | L1848 - | L1848 - Ko dbl upright w/air pre ots | '01/01/2014 | 12/31/2999 |
| L1850 | L1850 - Knee orthosis swedish type prefabricated off-the-shelf | L1850 - | L1850 - Ko swedish type pre ots | '01/01/2014 | 12/31/2999 |
| L1851 | L1851 - Knee orthosis (ko) single upright thigh and calf with adjustable flexion and extension joint (unicentric or polycentric) medial-lateral and rotation control with or without varus/valgus adjustment prefabricated off-the-shelf | L1851 - | L1851 - Ko single upright prefab ots | '01/01/2017 | 12/31/2999 |
| L1852 | L1852 - Knee orthosis (ko) double upright thigh and calf with adjustable flexion and extension joint (unicentric or polycentric) medial-lateral and rotation control with or without varus/valgus adjustment prefabricated off-the-shelf | L1852 - | L1852 - Ko double upright prefab ots | '01/01/2017 | 12/31/2999 |
| L1860 | L1860 - Knee orthosis modification of supracondylar prosthetic socket custom-fabricated (sk) | L1860 - | L1860 - Ko supracondylar socket mold | '01/01/2001 | 12/31/2999 |
| L1900 | L1900 - Ankle foot orthosis spring wire dorsiflexion assist calf band custom-fabricated | L1900 - | L1900 - Afo sprng wir drsflx calf bd | '01/01/2001 | 12/31/2999 |
| L1902 | L1902 - Ankle orthosis ankle gauntlet or similar with or without joints prefabricated off-the-shelf | L1902 - | L1902 - Afo ankle gauntlet pre ots | '01/01/2016 | 12/31/2999 |
| L1904 | L1904 - Ankle orthosis ankle gauntlet or similar with or without joints custom fabricated | L1904 - | L1904 - Afo molded ankle gauntlet | '01/01/2016 | 12/31/2999 |
| L1906 | L1906 - Ankle foot orthosis multiligamentous ankle support prefabricated off-the-shelf | L1906 - | L1906 - Afo multilig ank sup pre ots | '01/01/2017 | 12/31/2999 |
| L1907 | L1907 - Ankle orthosis supramalleolar with straps with or without interface/pads custom fabricated | L1907 - | L1907 - Afo supramalleolar custom | '01/01/2014 | 12/31/2999 |
| L1910 | L1910 - Ankle foot orthosis posterior single bar clasp attachment to shoe counter prefabricated includes fitting and adjustment | L1910 - | L1910 - Afo sing bar clasp attach sh | '01/01/2001 | 12/31/2999 |
| L1920 | L1920 - Ankle foot orthosis single upright with static or adjustable stop (phelps or perlstein type) custom-fabricated | L1920 - | L1920 - Afo sing upright w/ adjust s | '01/01/2001 | 12/31/2999 |
| L1930 | L1930 - Ankle foot orthosis plastic or other material prefabricated includes fitting and adjustment | L1930 - | L1930 - Afo plastic | '01/01/2002 | 12/31/2999 |
| L1932 | L1932 - AFO RIGID ANTERIOR TIBIAL SECTION TOTAL CARBON FIBER OR EQUAL MATERIAL PREFABRICATED INCLUDES FITTING AND ADJUSTMENT | L1932 - | L1932 - Afo rig ant tib prefab TCF/= | '01/01/2005 | 12/31/2999 |
| L1940 | L1940 - Ankle foot orthosis plastic or other material custom-fabricated | L1940 - | L1940 - Afo molded to patient plasti | '01/01/2002 | 12/31/2999 |
| L1945 | L1945 - Ankle foot orthosis plastic rigid anterior tibial section (floor reaction) custom-fabricated | L1945 - | L1945 - Afo molded plas rig ant tib | '01/01/2001 | 12/31/2999 |
| L1950 | L1950 - Ankle foot orthosis spiral (institute of rehabilitative medicine type) plastic custom-fabricated | L1950 - | L1950 - Afo spiral molded to pt plas | '01/01/2004 | 12/31/2999 |
| L1951 | L1951 - Ankle foot orthosis spiral (institute of rehabilitative medicine type) plastic or other material prefabricated includes fitting and adjustment | L1951 - | L1951 - AFO spiral prefabricated | '01/01/2004 | 12/31/2999 |
| L1960 | L1960 - Ankle foot orthosis posterior solid ankle plastic custom-fabricated | L1960 - | L1960 - Afo pos solid ank plastic mo | '01/01/2001 | 12/31/2999 |
| L1970 | L1970 - Ankle foot orthosis plastic with ankle joint custom-fabricated | L1970 - | L1970 - Afo plastic molded w/ankle j | '01/01/2001 | 12/31/2999 |
| L1971 | L1971 - Ankle foot orthosis plastic or other material with ankle joint prefabricated includes fitting and adjustment | L1971 - | L1971 - AFO w/ankle joint prefab | '01/01/2004 | 12/31/2999 |
| L1980 | L1980 - Ankle foot orthosis single upright free plantar dorsiflexion solid stirrup calf band/cuff (single bar 'bk' orthosis) custom-fabricated | L1980 - | L1980 - Afo sing solid stirrup calf | '01/01/2001 | 12/31/2999 |
| L1990 | L1990 - Ankle foot orthosis double upright free plantar dorsiflexion solid stirrup calf band/cuff (double bar 'bk' orthosis) custom-fabricated | L1990 - | L1990 - Afo doub solid stirrup calf | '01/01/2001 | 12/31/2999 |
| L2000 | L2000 - Knee ankle foot orthosis single upright free knee free ankle solid stirrup thigh and calf bands/cuffs (single bar 'ak' orthosis) custom-fabricated | L2000 - | L2000 - Kafo sing fre stirr thi/calf | '01/01/2001 | 12/31/2999 |
| L2005 | L2005 - KNEE ANKLE FOOT ORTHOSIS ANY MATERIAL SINGLE OR DOUBLE UPRIGHT STANCE CONTROL AUTOMATIC LOCK AND SWING PHASE RELEASE ANY TYPE ACTIVATION INCLUDES ANKLE JOINT ANY TYPE CUSTOM FABRICATED | L2005 - | L2005 - KAFO sng/dbl mechanical act | '01/01/2012 | 12/31/2999 |
| L2006 | L2006 - Knee ankle foot device any material single or double upright swing and stance phase microprocessor control with adjustability includes all components (e.g. sensors batteries charger) any type activation with or without ankle joint(s) custom fabricated | L2006 - | L2006 - Kaf sng/dbl swg/stn mcpr cus | '01/01/2020 | 12/31/2999 |
| L2010 | L2010 - Knee ankle foot orthosis single upright free ankle solid stirrup thigh and calf bands/cuffs (single bar 'ak' orthosis) without knee joint custom-fabricated | L2010 - | L2010 - Kafo sng solid stirrup w/o j | '01/01/2001 | 12/31/2999 |
| L2020 | L2020 - Knee ankle foot orthosis double upright free ankle solid stirrup thigh and calf bands/cuffs (double bar 'ak' orthosis) custom-fabricated | L2020 - | L2020 - Kafo dbl solid stirrup band/ | '01/01/2001 | 12/31/2999 |
| L2030 | L2030 - Knee ankle foot orthosis double upright free ankle solid stirrup thigh and calf bands/cuffs (double bar 'ak' orthosis) without knee joint custom fabricated | L2030 - | L2030 - Kafo dbl solid stirrup w/o j | '01/01/2001 | 12/31/2999 |
| L2034 | L2034 - KNEE ANKLE FOOT ORTHOSIS FULL PLASTIC SINGLE UPRIGHT WITH OR WITHOUT FREE MOTION KNEE MEDIAL LATERAL ROTATION CONTROL WITH OR WITHOUT FREE MOTION ANKLE CUSTOM FABRICATED | L2034 - | L2034 - KAFO pla sin up w/wo k/a cus | '01/01/2006 | 12/31/2999 |
| L2035 | L2035 - Knee ankle foot orthosis full plastic static (pediatric size) without free motion ankle prefabricated includes fitting and adjustment | L2035 - | L2035 - KAFO plastic pediatric size | '01/01/2005 | 12/31/2999 |
| L2036 | L2036 - KNEE ANKLE FOOT ORTHOSIS FULL PLASTIC DOUBLE UPRIGHT WITH OR WITHOUT FREE MOTION KNEE WITH OR WITHOUT FREE MOTION ANKLE CUSTOM FABRICATED | L2036 - | L2036 - Kafo plas doub free knee mol | '01/01/2006 | 12/31/2999 |
| L2037 | L2037 - KNEE ANKLE FOOT ORTHOSIS FULL PLASTIC SINGLE UPRIGHT WITH OR WITHOUT FREE MOTION KNEE WITH OR WITHOUT FREE MOTION ANKLE CUSTOM FABRICATED | L2037 - | L2037 - Kafo plas sing free knee mol | '01/01/2006 | 12/31/2999 |
| L2038 | L2038 - KNEE ANKLE FOOT ORTHOSIS FULL PLASTIC WITH OR WITHOUT FREE MOTION KNEE MULTI-AXIS ANKLE CUSTOM FABRICATED | L2038 - | L2038 - Kafo w/o joint multi-axis an | '01/01/2006 | 12/31/2999 |
| L2040 | L2040 - Hip knee ankle foot orthosis torsion control bilateral rotation straps pelvic band/belt custom fabricated | L2040 - | L2040 - Hkafo torsion bil rot straps | '01/01/2001 | 12/31/2999 |
| L2050 | L2050 - Hip knee ankle foot orthosis torsion control bilateral torsion cables hip joint pelvic band/belt custom-fabricated | L2050 - | L2050 - Hkafo torsion cable hip pelv | '01/01/2001 | 12/31/2999 |
| L2060 | L2060 - Hip knee ankle foot orthosis torsion control bilateral torsion cables ball bearing hip joint pelvic band/ belt custom-fabricated | L2060 - | L2060 - Hkafo torsion ball bearing j | '01/01/2001 | 12/31/2999 |
| L2070 | L2070 - Hip knee ankle foot orthosis torsion control unilateral rotation straps pelvic band/belt custom fabricated | L2070 - | L2070 - Hkafo torsion unilat rot str | '01/01/2001 | 12/31/2999 |
| L2080 | L2080 - Hip knee ankle foot orthosis torsion control unilateral torsion cable hip joint pelvic band/belt custom-fabricated | L2080 - | L2080 - Hkafo unilat torsion cable | '01/01/2001 | 12/31/2999 |
| L2090 | L2090 - Hip knee ankle foot orthosis torsion control unilateral torsion cable ball bearing hip joint pelvic band/ belt custom-fabricated | L2090 - | L2090 - Hkafo unilat torsion ball br | '01/01/2001 | 12/31/2999 |
| L2106 | L2106 - Ankle foot orthosis fracture orthosis tibial fracture cast orthosis thermoplastic type casting material custom-fabricated | L2106 - | L2106 - Afo tib fx cast plaster mold | '01/01/2001 | 12/31/2999 |
| L2108 | L2108 - Ankle foot orthosis fracture orthosis tibial fracture cast orthosis custom-fabricated | L2108 - | L2108 - Afo tib fx cast molded to pt | '01/01/2001 | 12/31/2999 |
| L2112 | L2112 - Ankle foot orthosis fracture orthosis tibial fracture orthosis soft prefabricated includes fitting and adjustment | L2112 - | L2112 - Afo tibial fracture soft | '01/01/2001 | 12/31/2999 |
| L2114 | L2114 - Ankle foot orthosis fracture orthosis tibial fracture orthosis semi-rigid prefabricated includes fitting and adjustment | L2114 - | L2114 - Afo tib fx semi-rigid | '01/01/2001 | 12/31/2999 |
| L2116 | L2116 - Ankle foot orthosis fracture orthosis tibial fracture orthosis rigid prefabricated includes fitting and adjustment | L2116 - | L2116 - Afo tibial fracture rigid | '01/01/2001 | 12/31/2999 |
| L2126 | L2126 - Knee ankle foot orthosis fracture orthosis femoral fracture cast orthosis thermoplastic type casting material custom-fabricated | L2126 - | L2126 - Kafo fem fx cast thermoplas | '01/01/2001 | 12/31/2999 |
| L2128 | L2128 - Knee ankle foot orthosis fracture orthosis femoral fracture cast orthosis custom-fabricated | L2128 - | L2128 - Kafo fem fx cast molded to p | '01/01/2001 | 12/31/2999 |
| L2132 | L2132 - Kafo fracture orthosis femoral fracture cast orthosis soft prefabricated includes fitting and adjustment | L2132 - | L2132 - Kafo femoral fx cast soft | '01/01/2001 | 12/31/2999 |
| L2134 | L2134 - Kafo fracture orthosis femoral fracture cast orthosis semi-rigid prefabricated includes fitting and adjustment | L2134 - | L2134 - Kafo fem fx cast semi-rigid | '01/01/2001 | 12/31/2999 |
| L2136 | L2136 - Kafo fracture orthosis femoral fracture cast orthosis rigid prefabricated includes fitting and adjustment | L2136 - | L2136 - Kafo femoral fx cast rigid | '01/01/2001 | 12/31/2999 |
| L2180 | L2180 - Addition to lower extremity fracture orthosis plastic shoe insert with ankle joints | L2180 - | L2180 - Plas shoe insert w ank joint | '01/01/1996 | 12/31/2999 |
| L2182 | L2182 - Addition to lower extremity fracture orthosis drop lock knee joint | L2182 - | L2182 - Drop lock knee | '01/01/1996 | 12/31/2999 |
| L2184 | L2184 - Addition to lower extremity fracture orthosis limited motion knee joint | L2184 - | L2184 - Limited motion knee joint | '01/01/1996 | 12/31/2999 |
| L2186 | L2186 - Addition to lower extremity fracture orthosis adjustable motion knee joint lerman type | L2186 - | L2186 - Adj motion knee jnt lerman t | '01/01/1996 | 12/31/2999 |
| L2188 | L2188 - Addition to lower extremity fracture orthosis quadrilateral brim | L2188 - | L2188 - Quadrilateral brim | '01/01/1996 | 12/31/2999 |
| L2190 | L2190 - Addition to lower extremity fracture orthosis waist belt | L2190 - | L2190 - Waist belt | '01/01/1996 | 12/31/2999 |
| L2192 | L2192 - Addition to lower extremity fracture orthosis hip joint pelvic band thigh flange and pelvic belt | L2192 - | L2192 - Pelvic band & belt thigh fla | '01/01/1996 | 12/31/2999 |
| L2200 | L2200 - Addition to lower extremity limited ankle motion each joint | L2200 - | L2200 - Limited ankle motion ea jnt | '01/01/1996 | 12/31/2999 |
| L2210 | L2210 - Addition to lower extremity dorsiflexion assist (plantar flexion resist) each joint | L2210 - | L2210 - Dorsiflexion assist each joi | '01/01/1996 | 12/31/2999 |
| L2220 | L2220 - Addition to lower extremity dorsiflexion and plantar flexion assist/resist each joint | L2220 - | L2220 - Dorsi & plantar flex ass/res | '01/01/1996 | 12/31/2999 |
| L2230 | L2230 - Addition to lower extremity split flat caliper stirrups and plate attachment | L2230 - | L2230 - Split flat caliper stirr & p | '01/01/1996 | 12/31/2999 |
| L2232 | L2232 - ADDITION TO LOWER EXTREMITY ORTHOSIS ROCKER BOTTOM FOR TOTAL CONTACT ANKLE FOOT ORTHOSIS FOR CUSTOM FABRICATED ORTHOSIS ONLY | L2232 - | L2232 - Rocker bottom contact AFO | '01/01/2005 | 12/31/2999 |
| L2240 | L2240 - Addition to lower extremity round caliper and plate attachment | L2240 - | L2240 - Round caliper and plate atta | '01/01/1996 | 12/31/2999 |
| L2250 | L2250 - Addition to lower extremity foot plate molded to patient model stirrup attachment | L2250 - | L2250 - Foot plate molded stirrup at | '01/01/1996 | 12/31/2999 |
| L2260 | L2260 - Addition to lower extremity reinforced solid stirrup (scott-craig type) | L2260 - | L2260 - Reinforced solid stirrup | '01/01/1996 | 12/31/2999 |
| L2265 | L2265 - Addition to lower extremity long tongue stirrup | L2265 - | L2265 - Long tongue stirrup | '01/01/1996 | 12/31/2999 |
| L2270 | L2270 - Addition to lower extremity varus/valgus correction ('t') strap padded/lined or malleolus pad | L2270 - | L2270 - Varus/valgus strap padded/li | '01/01/1996 | 12/31/2999 |
| L2275 | L2275 - Addition to lower extremity varus/valgus correction plastic modification padded/lined | L2275 - | L2275 - Plastic mod low ext pad/line | '01/01/1996 | 12/31/2999 |
| L2280 | L2280 - Addition to lower extremity molded inner boot | L2280 - | L2280 - Molded inner boot | '01/01/1996 | 12/31/2999 |
| L2300 | L2300 - Addition to lower extremity abduction bar (bilateral hip involvement) jointed adjustable | L2300 - | L2300 - Abduction bar jointed adjust | '01/01/1996 | 12/31/2999 |
| L2310 | L2310 - Addition to lower extremity abduction bar-straight | L2310 - | L2310 - Abduction bar-straight | '01/01/1996 | 12/31/2999 |
| L2320 | L2320 - Addition to lower extremity non-molded lacer for custom fabricated orthosis only | L2320 - | L2320 - Non-molded lacer | '01/01/2005 | 12/31/2999 |
| L2330 | L2330 - Addition to lower extremity lacer molded to patient model for custom fabricated orthosis only | L2330 - | L2330 - Lacer molded to patient mode | '01/01/2005 | 12/31/2999 |
| L2335 | L2335 - Addition to lower extremity anterior swing band | L2335 - | L2335 - Anterior swing band | '01/01/1996 | 12/31/2999 |
| L2340 | L2340 - Addition to lower extremity pre-tibial shell molded to patient model | L2340 - | L2340 - Pre-tibial shell molded to p | '01/01/1996 | 12/31/2999 |
| L2350 | L2350 - Addition to lower extremity prosthetic type (bk) socket molded to patient model (used for 'ptb' 'afo' orthoses) | L2350 - | L2350 - Prosthetic type socket molde | '01/01/1996 | 12/31/2999 |
| L2360 | L2360 - Addition to lower extremity extended steel shank | L2360 - | L2360 - Extended steel shank | '01/01/1996 | 12/31/2999 |
| L2370 | L2370 - Addition to lower extremity patten bottom | L2370 - | L2370 - Patten bottom | '01/01/1996 | 12/31/2999 |
| L2375 | L2375 - Addition to lower extremity torsion control ankle joint and half solid stirrup | L2375 - | L2375 - Torsion ank & half solid sti | '01/01/1996 | 12/31/2999 |
| L2380 | L2380 - Addition to lower extremity torsion control straight knee joint each joint | L2380 - | L2380 - Torsion straight knee joint | '01/01/1996 | 12/31/2999 |
| L2385 | L2385 - Addition to lower extremity straight knee joint heavy duty each joint | L2385 - | L2385 - Straight knee joint heavy du | '01/01/1996 | 12/31/2999 |
| L2387 | L2387 - ADDITION TO LOWER EXTREMITY POLYCENTRIC KNEE JOINT FOR CUSTOM FABRICATED KNEE ANKLE FOOT ORTHOSIS EACH JOINT | L2387 - | L2387 - Add LE poly knee custom KAFO | '01/01/2006 | 12/31/2999 |
| L2390 | L2390 - Addition to lower extremity offset knee joint each joint | L2390 - | L2390 - Offset knee joint each | '01/01/1996 | 12/31/2999 |
| L2395 | L2395 - Addition to lower extremity offset knee joint heavy duty each joint | L2395 - | L2395 - Offset knee joint heavy duty | '01/01/1996 | 12/31/2999 |
| L2397 | L2397 - Addition to lower extremity orthosis suspension sleeve | L2397 - | L2397 - Suspension sleeve lower ext | '01/01/1996 | 12/31/2999 |
| L2405 | L2405 - ADDITION TO KNEE JOINT DROP LOCK EACH | L2405 - | L2405 - Knee joint drop lock ea jnt | '01/01/2006 | 12/31/2999 |
| L2415 | L2415 - Addition to knee lock with integrated release mechanism ( bail cable or equal) any material each joint | L2415 - | L2415 - Knee joint cam lock each joi | '01/01/2002 | 12/31/2999 |
| L2425 | L2425 - Addition to knee joint disc or dial lock for adjustable knee flexion each joint | L2425 - | L2425 - Knee disc/dial lock/adj flex | '01/01/1996 | 12/31/2999 |
| L2430 | L2430 - Addition to knee joint ratchet lock for active and progressive knee extension each joint | L2430 - | L2430 - Knee jnt ratchet lock ea jnt | '01/01/1997 | 12/31/2999 |
| L2492 | L2492 - Addition to knee joint lift loop for drop lock ring | L2492 - | L2492 - Knee lift loop drop lock rin | '01/01/1996 | 12/31/2999 |
| L2500 | L2500 - Addition to lower extremity thigh/weight bearing gluteal/ ischial weight bearing ring | L2500 - | L2500 - Thi/glut/ischia wgt bearing | '01/01/1996 | 12/31/2999 |
| L2510 | L2510 - Addition to lower extremity thigh/weight bearing quadri- lateral brim molded to patient model | L2510 - | L2510 - Th/wght bear quad-lat brim m | '01/01/1996 | 12/31/2999 |
| L2520 | L2520 - Addition to lower extremity thigh/weight bearing quadri- lateral brim custom fitted | L2520 - | L2520 - Th/wght bear quad-lat brim c | '01/01/1996 | 12/31/2999 |
| L2525 | L2525 - Addition to lower extremity thigh/weight bearing ischial containment/narrow m-l brim molded to patient model | L2525 - | L2525 - Th/wght bear nar m-l brim mo | '01/01/1996 | 12/31/2999 |
| L2526 | L2526 - Addition to lower extremity thigh/weight bearing ischial containment/narrow m-l brim custom fitted | L2526 - | L2526 - Th/wght bear nar m-l brim cu | '01/01/1996 | 12/31/2999 |
| L2530 | L2530 - Addition to lower extremity thigh-weight bearing lacer non-molded | L2530 - | L2530 - Thigh/wght bear lacer non-mo | '01/01/1996 | 12/31/2999 |
| L2540 | L2540 - Addition to lower extremity thigh/weight bearing lacer molded to patient model | L2540 - | L2540 - Thigh/wght bear lacer molded | '01/01/1996 | 12/31/2999 |
| L2550 | L2550 - Addition to lower extremity thigh/weight bearing high roll cuff | L2550 - | L2550 - Thigh/wght bear high roll cu | '01/01/1996 | 12/31/2999 |
| L2570 | L2570 - Addition to lower extremity pelvic control hip joint clevis type two position joint each | L2570 - | L2570 - Hip clevis type 2 posit jnt | '01/01/1996 | 12/31/2999 |
| L2580 | L2580 - Addition to lower extremity pelvic control pelvic sling | L2580 - | L2580 - Pelvic control pelvic sling | '01/01/1996 | 12/31/2999 |
| L2600 | L2600 - Addition to lower extremity pelvic control hip joint clevis type or thrust bearing free each | L2600 - | L2600 - Hip clevis/thrust bearing fr | '01/01/1996 | 12/31/2999 |
| L2610 | L2610 - Addition to lower extremity pelvic control hip joint clevis or thrust bearing lock each | L2610 - | L2610 - Hip clevis/thrust bearing lo | '01/01/1996 | 12/31/2999 |
| L2620 | L2620 - Addition to lower extremity pelvic control hip joint heavy duty each | L2620 - | L2620 - Pelvic control hip heavy dut | '01/01/1996 | 12/31/2999 |
| L2622 | L2622 - Addition to lower extremity pelvic control hip joint adjustable flexion each | L2622 - | L2622 - Hip joint adjustable flexion | '01/01/1996 | 12/31/2999 |
| L2624 | L2624 - Addition to lower extremity pelvic control hip joint adjustable flexion extension abduction control each | L2624 - | L2624 - Hip adj flex ext abduct cont | '01/01/1996 | 12/31/2999 |
| L2627 | L2627 - Addition to lower extremity pelvic control plastic molded to patient model reciprocating hip joint and cables | L2627 - | L2627 - Plastic mold recipro hip & c | '01/01/1996 | 12/31/2999 |
| L2628 | L2628 - Addition to lower extremity pelvic control metal frame reciprocating hip joint and cables | L2628 - | L2628 - Metal frame recipro hip & ca | '01/01/1996 | 12/31/2999 |
| L2630 | L2630 - Addition to lower extremity pelvic control band and belt unilateral | L2630 - | L2630 - Pelvic control band & belt u | '01/01/1996 | 12/31/2999 |
| L2640 | L2640 - Addition to lower extremity pelvic control band and belt bilateral | L2640 - | L2640 - Pelvic control band & belt b | '01/01/1996 | 12/31/2999 |
| L2650 | L2650 - Addition to lower extremity pelvic and thoracic control gluteal pad each | L2650 - | L2650 - Pelv & thor control gluteal | '01/01/1996 | 12/31/2999 |
| L2660 | L2660 - Addition to lower extremity thoracic control thoracic band | L2660 - | L2660 - Thoracic control thoracic ba | '01/01/1996 | 12/31/2999 |
| L2670 | L2670 - Addition to lower extremity thoracic control paraspinal uprights | L2670 - | L2670 - Thorac cont paraspinal uprig | '01/01/1996 | 12/31/2999 |
| L2680 | L2680 - Addition to lower extremity thoracic control lateral support uprights | L2680 - | L2680 - Thorac cont lat support upri | '01/01/1996 | 12/31/2999 |
| L2750 | L2750 - Addition to lower extremity orthosis plating chrome or nickel per bar | L2750 - | L2750 - Plating chrome/nickel pr bar | '01/01/1996 | 12/31/2999 |
| L2755 | L2755 - Addition to lower extremity orthosis high strength lightweight material all hybrid lamination/prepreg composite per segment for custom fabricated orthosis only | L2755 - | L2755 - Carbon graphite lamination | '01/01/2005 | 12/31/2999 |
| L2760 | L2760 - Addition to lower extremity orthosis extension per extension per bar (for lineal adjustment for growth) | L2760 - | L2760 - Extension per extension per | '01/01/1996 | 12/31/2999 |
| L2768 | L2768 - Orthotic side bar disconnect device per bar | L2768 - | L2768 - Ortho sidebar disconnect | '01/01/2002 | 12/31/2999 |
| L2780 | L2780 - Addition to lower extremity orthosis non-corrosive finish per bar | L2780 - | L2780 - Non-corrosive finish | '01/01/1996 | 12/31/2999 |
| L2785 | L2785 - Addition to lower extremity orthosis drop lock retainer each | L2785 - | L2785 - Drop lock retainer each | '01/01/1996 | 12/31/2999 |
| L2795 | L2795 - Addition to lower extremity orthosis knee control full kneecap | L2795 - | L2795 - Knee control full kneecap | '01/01/1996 | 12/31/2999 |
| L2800 | L2800 - Addition to lower extremity orthosis knee control knee cap medial or lateral pull for use with custom fabricated orthosis only | L2800 - | L2800 - Knee cap medial or lateral p | '01/01/2005 | 12/31/2999 |
| L2810 | L2810 - Addition to lower extremity orthosis knee control condylar pad | L2810 - | L2810 - Knee control condylar pad | '01/01/1996 | 12/31/2999 |
| L2820 | L2820 - Addition to lower extremity orthosis soft interface for molded plastic below knee section | L2820 - | L2820 - Soft interface below knee se | '01/01/1996 | 12/31/2999 |
| L2830 | L2830 - Addition to lower extremity orthosis soft interface for molded plastic above knee section | L2830 - | L2830 - Soft interface above knee se | '01/01/1996 | 12/31/2999 |
| L2840 | L2840 - Addition to lower extremity orthosis tibial length sock fracture or equal each | L2840 - | L2840 - Tibial length sock fx or equ | '01/01/1996 | 12/31/2999 |
| L2850 | L2850 - Addition to lower extremity orthosis femoral length sock fracture or equal each | L2850 - | L2850 - Femoral lgth sock fx or equa | '01/01/1996 | 12/31/2999 |
| L2861 | L2861 - ADDITION TO LOWER EXTREMITY JOINT KNEE OR ANKLE CONCENTRIC ADJUSTABLE TORSION STYLE MECHANISM FOR CUSTOM FABRICATED ORTHOTICS ONLY EACH | L2861 - | L2861 - Torsion mechanism knee/ankle | '01/01/2010 | 12/31/2999 |
| L2999 | L2999 - Lower extremity orthoses not otherwise specified | L2999 - | L2999 - Lower extremity orthosis NOS | '01/01/1998 | 12/31/2999 |
| L3000 | L3000 - Foot insert removable molded to patient model 'ucb' type berkeley shell each | L3000 - | L3000 - Ft insert ucb berkeley shell | '01/01/1997 | 12/31/2999 |
| L3001 | L3001 - Foot insert removable molded to patient model spenco each | L3001 - | L3001 - Foot insert remov molded spe | '01/01/1997 | 12/31/2999 |
| L3002 | L3002 - Foot insert removable molded to patient model plastazote or equal each | L3002 - | L3002 - Foot insert plastazote or eq | '01/01/1997 | 12/31/2999 |
| L3003 | L3003 - Foot insert removable molded to patient model silicone gel each | L3003 - | L3003 - Foot insert silicone gel eac | '01/01/1997 | 12/31/2999 |
| L3010 | L3010 - Foot insert removable molded to patient model longitudinal arch support each | L3010 - | L3010 - Foot longitudinal arch suppo | '01/01/1997 | 12/31/2999 |
| L3020 | L3020 - Foot insert removable molded to patient model longitudinal/ metatarsal support each | L3020 - | L3020 - Foot longitud/metatarsal sup | '01/01/1997 | 12/31/2999 |
| L3030 | L3030 - Foot insert removable formed to patient foot each | L3030 - | L3030 - Foot arch support remov prem | '01/01/1997 | 12/31/2999 |
| L3031 | L3031 - Foot insert/plate removable addition to lower extremity orthosis high strength lightweight material all hybrid lamination/prepreg composite each | L3031 - | L3031 - Foot lamin/prepreg composite | '01/01/2005 | 12/31/2999 |
| L3040 | L3040 - Foot arch support removable premolded longitudinal each | L3040 - | L3040 - Ft arch suprt premold longit | '01/01/1997 | 12/31/2999 |
| L3050 | L3050 - Foot arch support removable premolded metatarsal each | L3050 - | L3050 - Foot arch supp premold metat | '01/01/1997 | 12/31/2999 |
| L3060 | L3060 - Foot arch support removable premolded longitudinal/ metatarsal each | L3060 - | L3060 - Foot arch supp longitud/meta | '01/01/1997 | 12/31/2999 |
| L3070 | L3070 - Foot arch support non-removable attached to shoe longitudinal each | L3070 - | L3070 - Arch suprt att to sho longit | '01/01/1997 | 12/31/2999 |
| L3080 | L3080 - Foot arch support non-removable attached to shoe metatarsal each | L3080 - | L3080 - Arch supp att to shoe metata | '01/01/1997 | 12/31/2999 |
| L3090 | L3090 - Foot arch support non-removable attached to shoe longitudinal/metatarsal each | L3090 - | L3090 - Arch supp att to shoe long/m | '01/01/1997 | 12/31/2999 |
| L3100 | L3100 - Hallus-valgus night dynamic splint prefabricated off-the-shelf | L3100 - | L3100 - Hallus-valgus nt dyn pre ots | '01/01/2014 | 12/31/2999 |
| L3140 | L3140 - Foot abduction rotation bar including shoes | L3140 - | L3140 - Abduction rotation bar shoe | '01/01/1997 | 12/31/2999 |
| L3150 | L3150 - Foot abduction rotatation bar without shoes | L3150 - | L3150 - Abduct rotation bar w/o shoe | '01/01/1997 | 12/31/2999 |
| L3160 | L3160 - Foot adjustable shoe-styled positioning device | L3160 - | L3160 - Shoe styled positioning dev | '01/01/1995 | 12/31/2999 |
| L3170 | L3170 - Foot plastic silicone or equal heel stabilizer prafabricated off-the-shelf each | L3170 - | L3170 - Foot plas heel stabi pre ots | '01/01/2014 | 12/31/2999 |
| L3201 | L3201 - Orthopedic shoe oxford with supinator or pronator infant | L3201 - | L3201 - Oxford w supinat/pronat inf | '01/01/1997 | 12/31/2999 |
| L3202 | L3202 - Orthopedic shoe oxford with supinator or pronator child | L3202 - | L3202 - Oxford w/ supinat/pronator c | '01/01/1997 | 12/31/2999 |
| L3203 | L3203 - Orthopedic shoe oxford with supinator or pronator junior | L3203 - | L3203 - Oxford w/ supinator/pronator | '01/01/1997 | 12/31/2999 |
| L3204 | L3204 - Orthopedic shoe hightop with supinator or pronator infant | L3204 - | L3204 - Hightop w/ supp/pronator inf | '01/01/1997 | 12/31/2999 |
| L3206 | L3206 - Orthopedic shoe hightop with supinator or pronator child | L3206 - | L3206 - Hightop w/ supp/pronator chi | '01/01/1997 | 12/31/2999 |
| L3207 | L3207 - Orthopedic shoe hightop with supinator or pronator junior | L3207 - | L3207 - Hightop w/ supp/pronator jun | '01/01/1997 | 12/31/2999 |
| L3208 | L3208 - Surgical boot each infant | L3208 - | L3208 - Surgical boot each infant | '01/01/1996 | 12/31/2999 |
| L3209 | L3209 - Surgical boot each child | L3209 - | L3209 - Surgical boot each child | '01/01/1996 | 12/31/2999 |
| L3211 | L3211 - Surgical boot each junior | L3211 - | L3211 - Surgical boot each junior | '01/01/1996 | 12/31/2999 |
| L3212 | L3212 - Benesch boot pair infant | L3212 - | L3212 - Benesch boot pair infant | '01/01/1996 | 12/31/2999 |
| L3213 | L3213 - Benesch boot pair child | L3213 - | L3213 - Benesch boot pair child | '01/01/1996 | 12/31/2999 |
| L3214 | L3214 - Benesch boot pair junior | L3214 - | L3214 - Benesch boot pair junior | '01/01/1996 | 12/31/2999 |
| L3215 | L3215 - ORTHOPEDIC FOOTWEAR LADIES SHOE OXFORD EACH | L3215 - | L3215 - Orthopedic ftwear ladies oxf | '01/01/2006 | 12/31/2999 |
| L3216 | L3216 - ORTHOPEDIC FOOTWEAR LADIES SHOE DEPTH INLAY EACH | L3216 - | L3216 - Orthoped ladies shoes dpth i | '01/01/2006 | 12/31/2999 |
| L3217 | L3217 - ORTHOPEDIC FOOTWEAR LADIES SHOE HIGHTOP DEPTH INLAY EACH | L3217 - | L3217 - Ladies shoes hightop depth i | '01/01/2006 | 12/31/2999 |
| L3219 | L3219 - ORTHOPEDIC FOOTWEAR MENS SHOE OXFORD EACH | L3219 - | L3219 - Orthopedic mens shoes oxford | '01/01/2006 | 12/31/2999 |
| L3221 | L3221 - ORTHOPEDIC FOOTWEAR MENS SHOE DEPTH INLAY EACH | L3221 - | L3221 - Orthopedic mens shoes dpth i | '01/01/2006 | 12/31/2999 |
| L3222 | L3222 - ORTHOPEDIC FOOTWEAR MENS SHOE HIGHTOP DEPTH INLAY EACH | L3222 - | L3222 - Mens shoes hightop depth inl | '01/01/2006 | 12/31/2999 |
| L3224 | L3224 - Orthopedic footwear woman's shoe oxford used as an integral part of a brace (orthosis) | L3224 - | L3224 - Woman's shoe oxford brace | '01/01/1995 | 12/31/2999 |
| L3225 | L3225 - Orthopedic footwear man's shoe oxford used as an integral part of a brace (orthosis) | L3225 - | L3225 - Man's shoe oxford brace | '01/01/1995 | 12/31/2999 |
| L3230 | L3230 - ORTHOPEDIC FOOTWEAR CUSTOM SHOE DEPTH INLAY EACH | L3230 - | L3230 - Custom shoes depth inlay | '01/01/2006 | 12/31/2999 |
| L3250 | L3250 - Orthopedic footwear custom molded shoe removable inner mold prosthetic shoe each | L3250 - | L3250 - Custom mold shoe remov prost | '01/01/1997 | 12/31/2999 |
| L3251 | L3251 - Foot shoe molded to patient model silicone shoe each | L3251 - | L3251 - Shoe molded to pt silicone s | '01/01/1997 | 12/31/2999 |
| L3252 | L3252 - Foot shoe molded to patient model plastazote (or similar) custom fabricated each | L3252 - | L3252 - Shoe molded plastazote cust | '01/01/1997 | 12/31/2999 |
| L3253 | L3253 - Foot molded shoe plastazote (or similar) custom fitted each | L3253 - | L3253 - Shoe molded plastazote cust | '01/01/1997 | 12/31/2999 |
| L3254 | L3254 - Non-standard size or width | L3254 - | L3254 - Orth foot non-stndard size/w | '01/01/1997 | 12/31/2999 |
| L3255 | L3255 - Non-standard size or length | L3255 - | L3255 - Orth foot non-standard size/ | '01/01/1997 | 12/31/2999 |
| L3257 | L3257 - Orthopedic footwear additional charge for split size | L3257 - | L3257 - Orth foot add charge split s | '01/01/1997 | 12/31/2999 |
| L3260 | L3260 - Surgical boot/shoe each | L3260 - | L3260 - Ambulatory surgical boot eac | '01/01/2003 | 12/31/2999 |
| L3265 | L3265 - Plastazote sandal each | L3265 - | L3265 - Plastazote sandal each | '01/01/1996 | 12/31/2999 |
| L3300 | L3300 - Lift elevation heel tapered to metatarsals per inch | L3300 - | L3300 - Sho lift taper to metatarsal | '01/01/1997 | 12/31/2999 |
| L3310 | L3310 - Lift elevation heel and sole neoprene per inch | L3310 - | L3310 - Shoe lift elev heel/sole neo | '01/01/1997 | 12/31/2999 |
| L3320 | L3320 - Lift elevation heel and sole cork per inch | L3320 - | L3320 - Shoe lift elev heel/sole cor | '01/01/1997 | 12/31/2999 |
| L3330 | L3330 - Lift elevation metal extension (skate) | L3330 - | L3330 - Lifts elevation metal extens | '01/01/1997 | 12/31/2999 |
| L3332 | L3332 - Lift elevation inside shoe tapered up to one-half inch | L3332 - | L3332 - Shoe lifts tapered to one-ha | '01/01/1997 | 12/31/2999 |
| L3334 | L3334 - Lift elevation heel per inch | L3334 - | L3334 - Shoe lifts elevation heel /i | '01/01/1997 | 12/31/2999 |
| L3340 | L3340 - Heel wedge sach | L3340 - | L3340 - Shoe wedge sach | '01/01/1997 | 12/31/2999 |
| L3350 | L3350 - Heel wedge | L3350 - | L3350 - Shoe heel wedge | '01/01/1997 | 12/31/2999 |
| L3360 | L3360 - Sole wedge outside sole | L3360 - | L3360 - Shoe sole wedge outside sole | '01/01/1997 | 12/31/2999 |
| L3370 | L3370 - Sole wedge between sole | L3370 - | L3370 - Shoe sole wedge between sole | '01/01/1997 | 12/31/2999 |
| L3380 | L3380 - Clubfoot wedge | L3380 - | L3380 - Shoe clubfoot wedge | '01/01/1997 | 12/31/2999 |
| L3390 | L3390 - Outflare wedge | L3390 - | L3390 - Shoe outflare wedge | '01/01/1997 | 12/31/2999 |
| L3400 | L3400 - Metatarsal bar wedge rocker | L3400 - | L3400 - Shoe metatarsal bar wedge ro | '01/01/1997 | 12/31/2999 |
| L3410 | L3410 - Metatarsal bar wedge between sole | L3410 - | L3410 - Shoe metatarsal bar between | '01/01/1997 | 12/31/2999 |
| L3420 | L3420 - Full sole and heel wedge between sole | L3420 - | L3420 - Full sole/heel wedge btween | '01/01/1997 | 12/31/2999 |
| L3430 | L3430 - Heel counter plastic reinforced | L3430 - | L3430 - Sho heel count plast reinfor | '01/01/1997 | 12/31/2999 |
| L3440 | L3440 - Heel counter leather reinforced | L3440 - | L3440 - Heel leather reinforced | '01/01/1997 | 12/31/2999 |
| L3450 | L3450 - Heel sach cushion type | L3450 - | L3450 - Shoe heel sach cushion type | '01/01/1997 | 12/31/2999 |
| L3455 | L3455 - Heel new leather standard | L3455 - | L3455 - Shoe heel new leather standa | '01/01/1997 | 12/31/2999 |
| L3460 | L3460 - Heel new rubber standard | L3460 - | L3460 - Shoe heel new rubber standar | '01/01/1997 | 12/31/2999 |
| L3465 | L3465 - Heel thomas with wedge | L3465 - | L3465 - Shoe heel thomas with wedge | '01/01/1997 | 12/31/2999 |
| L3470 | L3470 - Heel thomas extended to ball | L3470 - | L3470 - Shoe heel thomas extend to b | '01/01/1997 | 12/31/2999 |
| L3480 | L3480 - Heel pad and depression for spur | L3480 - | L3480 - Shoe heel pad & depress for | '01/01/1997 | 12/31/2999 |
| L3485 | L3485 - Heel pad removable for spur | L3485 - | L3485 - Shoe heel pad removable for | '01/01/1997 | 12/31/2999 |
| L3500 | L3500 - Orthopedic shoe addition insole leather | L3500 - | L3500 - Ortho shoe add leather insol | '01/01/1999 | 12/31/2999 |
| L3510 | L3510 - Orthopedic shoe addition insole rubber | L3510 - | L3510 - Orthopedic shoe add rub insl | '01/01/1999 | 12/31/2999 |
| L3520 | L3520 - Orthopedic shoe addition insole felt covered with leather | L3520 - | L3520 - O shoe add felt w leath insl | '01/01/1999 | 12/31/2999 |
| L3530 | L3530 - Orthopedic shoe addition sole half | L3530 - | L3530 - Ortho shoe add half sole | '01/01/1999 | 12/31/2999 |
| L3540 | L3540 - Orthopedic shoe addition sole full | L3540 - | L3540 - Ortho shoe add full sole | '01/01/1999 | 12/31/2999 |
| L3550 | L3550 - Orthopedic shoe addition toe tap standard | L3550 - | L3550 - O shoe add standard toe tap | '01/01/1999 | 12/31/2999 |
| L3560 | L3560 - Orthopedic shoe addition toe tap horseshoe | L3560 - | L3560 - O shoe add horseshoe toe tap | '01/01/1999 | 12/31/2999 |
| L3570 | L3570 - Orthopedic shoe addition special extension to instep (leather with eyelets) | L3570 - | L3570 - O shoe add instep extension | '01/01/1999 | 12/31/2999 |
| L3580 | L3580 - Orthopedic shoe addition convert instep to velcro closure | L3580 - | L3580 - O shoe add instep velcro clo | '01/01/1999 | 12/31/2999 |
| L3590 | L3590 - Orthopedic shoe addition convert firm shoe counter to soft counter | L3590 - | L3590 - O shoe convert to sof counte | '01/01/1999 | 12/31/2999 |
| L3595 | L3595 - Orthopedic shoe addition march bar | L3595 - | L3595 - Ortho shoe add march bar | '01/01/1999 | 12/31/2999 |
| L3600 | L3600 - Transfer of an orthosis from one shoe to another caliper plate existing | L3600 - | L3600 - Trans shoe calip plate exist | '01/01/1997 | 12/31/2999 |
| L3610 | L3610 - Transfer of an orthosis from one shoe to another caliper plate new | L3610 - | L3610 - Trans shoe caliper plate new | '01/01/1997 | 12/31/2999 |
| L3620 | L3620 - Transfer of an orthosis from one shoe to another solid stirrup existing | L3620 - | L3620 - Trans shoe solid stirrup exi | '01/01/1997 | 12/31/2999 |
| L3630 | L3630 - Transfer of an orthosis from one shoe to another solid stirrup new | L3630 - | L3630 - Trans shoe solid stirrup new | '01/01/1997 | 12/31/2999 |
| L3640 | L3640 - Transfer of an orthosis from one shoe to another dennis browne splint (riveton) both shoes | L3640 - | L3640 - Shoe dennis browne splint bo | '01/01/1997 | 12/31/2999 |
| L3649 | L3649 - Orthopedic shoe modification addition or transfer not otherwise specified | L3649 - | L3649 - Orthopedic shoe modifica NOS | '01/01/1999 | 12/31/2999 |
| L3650 | L3650 - Shoulder orthosis figure of eight design abduction restrainer prefabricated off-the-shelf | L3650 - | L3650 - So 8 abd restraint pre ots | '01/01/2014 | 12/31/2999 |
| L3660 | L3660 - Shoulder orthosis figure of eight design abduction restrainer canvas and webbing prefabricated off-the-shelf | L3660 - | L3660 - So 8 ab rstr can/web pre ots | '01/01/2014 | 12/31/2999 |
| L3670 | L3670 - Shoulder orthosis acromio/clavicular (canvas and webbing type) prefabricated off-the-shelf | L3670 - | L3670 - So acro/clav can web pre ots | '01/01/2014 | 12/31/2999 |
| L3671 | L3671 - SHOULDER ORTHOSIS SHOULDER JOINT DESIGN WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3671 - | L3671 - SO cap design w/o jnts CF | '01/01/2011 | 12/31/2999 |
| L3674 | L3674 - SHOULDER ORTHOSIS ABDUCTION POSITIONING (AIRPLANE DESIGN) THORACIC COMPONENT AND SUPPORT BAR WITH OR WITHOUT NONTORSION JOINT/TURNBUCKLE MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3674 - | L3674 - SO airplane w/wo joint CF | '01/01/2011 | 12/31/2999 |
| L3675 | L3675 - Shoulder orthosis vest type abduction restrainer canvas webbing type or equal prefabricated off-the-shelf | L3675 - | L3675 - So vest canvas/web pre ots | '01/01/2014 | 12/31/2999 |
| L3677 | L3677 - Shoulder orthosis shoulder joint design without joints may include soft interface straps prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3677 - | L3677 - So hard plas stabili pre cst | '01/01/2014 | 12/31/2999 |
| L3678 | L3678 - Shoulder orthosis shoulder joint design without joints may include soft interface straps prefabricated off-the-shelf | L3678 - | L3678 - So hard plas stabili pre ots | '01/01/2014 | 12/31/2999 |
| L3702 | L3702 - ELBOW ORTHOSIS WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3702 - | L3702 - EO w/o joints CF | '01/01/2006 | 12/31/2999 |
| L3710 | L3710 - Elbow orthosis elastic with metal joints prefabricated off-the-shelf | L3710 - | L3710 - Eo elas w/metal jnts pre ots | '01/01/2014 | 12/31/2999 |
| L3720 | L3720 - Elbow orthosis double upright with forearm/arm cuffs free motion custom-fabricated | L3720 - | L3720 - Forearm/arm cuffs free motio | '01/01/2001 | 12/31/2999 |
| L3730 | L3730 - Elbow orthosis double upright with forearm/arm cuffs extension/ flexion assist custom-fabricated | L3730 - | L3730 - Forearm/arm cuffs ext/flex a | '01/01/2001 | 12/31/2999 |
| L3740 | L3740 - Elbow orthosis double upright with forearm/arm cuffs adjustable position lock with active control custom-fabricated | L3740 - | L3740 - Cuffs adj lock w/ active con | '01/01/2001 | 12/31/2999 |
| L3760 | L3760 - Elbow orthosis (eo) with adjustable position locking joint(s) prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3760 - | L3760 - Eo adj jt prefab custom fit | '01/01/2018 | 12/31/2999 |
| L3761 | L3761 - Elbow orthosis (eo) with adjustable position locking joint(s) prefabricated off-the-shelf | L3761 - | L3761 - Eo adj lock joint prefab ot | '01/01/2018 | 12/31/2999 |
| L3762 | L3762 - Elbow orthosis rigid without joints includes soft interface material prefabricated off-the-shelf | L3762 - | L3762 - Eo rigid w/o joints pre ots | '01/01/2014 | 12/31/2999 |
| L3763 | L3763 - ELBOW WRIST HAND ORTHOSIS RIGID WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3763 - | L3763 - EWHO rigid w/o jnts CF | '01/01/2006 | 12/31/2999 |
| L3764 | L3764 - ELBOW WRIST HAND ORTHOSIS INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3764 - | L3764 - EWHO w/joint(s) CF | '01/01/2006 | 12/31/2999 |
| L3765 | L3765 - ELBOW WRIST HAND FINGER ORTHOSIS RIGID WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3765 - | L3765 - EWHFO rigid w/o jnts CF | '01/01/2006 | 12/31/2999 |
| L3766 | L3766 - ELBOW WRIST HAND FINGER ORTHOSIS INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3766 - | L3766 - EWHFO w/joint(s) CF | '01/01/2006 | 12/31/2999 |
| L3806 | L3806 - Wrist hand finger orthosis includes one or more nontorsion joint(s) turnbuckles elastic bands/springs may include soft interface material straps custom fabricated includes fitting and adjustment | L3806 - | L3806 - WHFO w/joint(s) custom fab | '01/01/2008 | 12/31/2999 |
| L3807 | L3807 - Wrist hand finger orthosis without joint(s) prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3807 - | L3807 - Whfo w/o joints pre cst | '01/01/2014 | 12/31/2999 |
| L3808 | L3808 - WRIST HAND FINGER ORTHOSIS RIGID WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE MATERIAL; STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3808 - | L3808 - WHFO rigid w/o joints | '01/01/2007 | 12/31/2999 |
| L3809 | L3809 - Wrist hand finger orthosis without joint(s) prefabricated off-the-shelf any type | L3809 - | L3809 - Whfo w/o joints pre ots | '01/01/2014 | 12/31/2999 |
| L3891 | L3891 - ADDITION TO UPPER EXTREMITY JOINT WRIST OR ELBOW CONCENTRIC ADJUSTABLE TORSION STYLE MECHANISM FOR CUSTOM FABRICATED ORTHOTICS ONLY EACH | L3891 - | L3891 - Torsion mechanism wrist/elbo | '01/01/2010 | 12/31/2999 |
| L3900 | L3900 - Wrist hand finger orthosis dynamic flexor hinge reciprocal wrist extension/ flexion finger flexion/extension wrist or finger driven custom-fabricated | L3900 - | L3900 - Hinge extension/flex wrist/f | '01/01/2001 | 12/31/2999 |
| L3901 | L3901 - Wrist hand finger orthosis dynamic flexor hinge reciprocal wrist extension/ flexion finger flexion/extension cable driven custom-fabricated | L3901 - | L3901 - Hinge ext/flex wrist finger | '01/01/2001 | 12/31/2999 |
| L3904 | L3904 - Wrist hand finger orthosis external powered electric custom-fabricated | L3904 - | L3904 - Whfo electric custom fitted | '01/01/2001 | 12/31/2999 |
| L3905 | L3905 - WRIST HAND ORTHOSIS INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3905 - | L3905 - WHO w/nontorsion jnt(s) CF | '01/01/2006 | 12/31/2999 |
| L3906 | L3906 - WRIST HAND ORTHOSIS WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3906 - | L3906 - WHO w/o joints CF | '01/01/2006 | 12/31/2999 |
| L3908 | L3908 - Wrist hand orthosis wrist extension control cock-up non molded prefabricated off-the-shelf | L3908 - | L3908 - Who cock-up nonmolde pre ots | '01/01/2014 | 12/31/2999 |
| L3912 | L3912 - Hand finger orthosis (hfo) flexion glove with elastic finger control prefabricated off-the-shelf | L3912 - | L3912 - Hfo flexion glove pre ots | '01/01/2014 | 12/31/2999 |
| L3913 | L3913 - HAND FINGER ORTHOSIS WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3913 - | L3913 - HFO w/o joints CF | '01/01/2006 | 12/31/2999 |
| L3915 | L3915 - Wrist hand orthosis includes one or more nontorsion joint(s) elastic bands turnbuckles may include soft interface straps prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3915 - | L3915 - Who nontorsion jnts pre cst | '01/01/2014 | 12/31/2999 |
| L3916 | L3916 - Wrist hand orthosis includes one or more nontorsion joint(s) elastic bands turnbuckles may include soft interface straps prefabricated off-the-shelf | L3916 - | L3916 - Who nontorsion jnts pre ots | '01/01/2014 | 12/31/2999 |
| L3917 | L3917 - Hand orthosis metacarpal fracture orthosis prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3917 - | L3917 - Metacarp fx orthosis pre cst | '01/01/2014 | 12/31/2999 |
| L3918 | L3918 - Hand orthosis metacarpal fracture orthosis prefabricated off-the-shelf | L3918 - | L3918 - Metacarp fx orthosis pre ots | '01/01/2014 | 12/31/2999 |
| L3919 | L3919 - HAND ORTHOSIS WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3919 - | L3919 - HO w/o joints CF | '01/01/2006 | 12/31/2999 |
| L3921 | L3921 - HAND FINGER ORTHOSIS INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3921 - | L3921 - HFO w/joint(s) CF | '01/01/2006 | 12/31/2999 |
| L3923 | L3923 - Hand finger orthosis without joints may include soft interface straps prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3923 - | L3923 - Hfo without joints pre cst | '01/01/2014 | 12/31/2999 |
| L3924 | L3924 - Hand finger orthosis without joints may include soft interface straps prefabricated off-the-shelf | L3924 - | L3924 - Hfo without joints pre ots | '01/01/2014 | 12/31/2999 |
| L3925 | L3925 - Finger orthosis proximal interphalangeal (pip)/distal interphalangeal (dip) non torsion joint/spring extension/flexion may include soft interface material prefabricated off-the-shelf | L3925 - | L3925 - Fo pip dip jnt/sprng pre ots | '01/01/2014 | 12/31/2999 |
| L3927 | L3927 - Finger orthosis proximal interphalangeal (pip)/distal interphalangeal (dip) without joint/spring extension/flexion (e.g. static or ring type) may include soft interface material prefabricated off-the-shelf | L3927 - | L3927 - Fo pip dip no jt spr pre ots | '01/01/2014 | 12/31/2999 |
| L3929 | L3929 - Hand finger orthosis includes one or more nontorsion joint(s) turnbuckles elastic bands/springs may include soft interface material straps prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L3929 - | L3929 - Hfo nontorsion jnts pre cst | '01/01/2014 | 12/31/2999 |
| L3930 | L3930 - Hand finger orthosis includes one or more nontorsion joint(s) turnbuckles elastic bands/springs may include soft interface material straps prefabricated off-the-shelf | L3930 - | L3930 - Hfo nontorsion jnts pre ots | '01/01/2014 | 12/31/2999 |
| L3931 | L3931 - WRIST HAND FINGER ORTHOSIS INCLUDES ONE OR MORE NONTORSION JOINT(S) | L3931 - | L3931 - WHFO nontorsion joint prefab | '01/01/2008 | 12/31/2999 |
| L3933 | L3933 - FINGER ORTHOSIS WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3933 - | L3933 - FO w/o joints CF | '01/01/2006 | 12/31/2999 |
| L3935 | L3935 - FINGER ORTHOSIS NONTORSION JOINT MAY INCLUDE SOFT INTERFACE CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3935 - | L3935 - FO nontorsion joint CF | '01/01/2006 | 12/31/2999 |
| L3956 | L3956 - Addition of joint to upper extremity orthosis any material; per joint | L3956 - | L3956 - Add joint upper ext orthosis | '01/01/1997 | 12/31/2999 |
| L3960 | L3960 - Shoulder elbow wrist hand orthosis abduction positioning airplane design prefabricated includes fitting and adjustment | L3960 - | L3960 - Sewho airplan desig abdu pos | '01/01/2001 | 12/31/2999 |
| L3961 | L3961 - SHOULDER ELBOW WRIST HAND ORTHOSIS SHOULDER CAP DESIGN WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3961 - | L3961 - SEWHO cap design w/o jnts CF | '01/01/2006 | 12/31/2999 |
| L3962 | L3962 - Shoulder elbow wrist hand orthosis abduction positioning erbs palsey design prefabricated includes fitting and adjustment | L3962 - | L3962 - Sewho erbs palsey design abd | '01/01/2001 | 12/31/2999 |
| L3967 | L3967 - SHOULDER ELBOW WRIST HAND ORTHOSIS ABDUCTION POSITIONING (AIRPLANE DESIGN) THORACIC COMPONENT AND SUPPORT BAR WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3967 - | L3967 - SEWHO airplane w/o jnts CF | '01/01/2006 | 12/31/2999 |
| L3971 | L3971 - SHOULDER ELBOW WRIST HAND ORTHOSIS SHOULDER CAP DESIGN INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3971 - | L3971 - SEWHO cap design w/jnt(s) CF | '01/01/2006 | 12/31/2999 |
| L3973 | L3973 - SHOULDER ELBOW WRIST HAND ORTHOSIS ABDUCTION POSITIONING (AIRPLANE DESIGN) THORACIC COMPONENT AND SUPPORT BAR INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3973 - | L3973 - SEWHO airplane w/jnt(s) CF | '01/01/2006 | 12/31/2999 |
| L3975 | L3975 - SHOULDER ELBOW WRIST HAND FINGER ORTHOSIS SHOULDER CAP DESIGN WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3975 - | L3975 - SEWHFO cap design w/o jnt CF | '01/01/2006 | 12/31/2999 |
| L3976 | L3976 - SHOULDER ELBOW WRIST HAND FINGER ORTHOSIS ABDUCTION POSITIONING (AIRPLANE DESIGN) THORACIC COMPONENT AND SUPPORT BAR WITHOUT JOINTS MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3976 - | L3976 - SEWHFO airplane w/o jnts CF | '01/01/2006 | 12/31/2999 |
| L3977 | L3977 - SHOULDER ELBOW WRIST HAND FINGER ORTHOSIS SHOULDER CAP DESIGN INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3977 - | L3977 - SEWHFO cap desgn w/jnt(s) CF | '01/01/2006 | 12/31/2999 |
| L3978 | L3978 - SHOULDER ELBOW WRIST HAND FINGER ORTHOSIS ABDUCTION POSITIONING (AIRPLANE DESIGN) THORACIC COMPONENT AND SUPPORT BAR INCLUDES ONE OR MORE NONTORSION JOINTS ELASTIC BANDS TURNBUCKLES MAY INCLUDE SOFT INTERFACE STRAPS CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT | L3978 - | L3978 - SEWHFO airplane w/jnt(s) CF | '01/01/2006 | 12/31/2999 |
| L3980 | L3980 - Upper extremity fracture orthosis humeral prefabricated includes fitting and adjustment | L3980 - | L3980 - Up ext fx orthos humeral nos | '01/01/2015 | 12/31/2999 |
| L3981 | L3981 - Upper extremity fracture orthosis humeral prefabricated includes shoulder cap design with or without joints forearm section may include soft interface straps includes fitting and adjustments | L3981 - | L3981 - Ue fx orth shoul cap forearm | '01/01/2015 | 12/31/2999 |
| L3982 | L3982 - Upper extremity fracture orthosis radius/ulnar prefabricated includes fitting and adjustment | L3982 - | L3982 - Upper ext fx orthosis rad/ul | '01/01/2001 | 12/31/2999 |
| L3984 | L3984 - Upper extremity fracture orthosis wrist prefabricated includes fitting and adjustment | L3984 - | L3984 - Upper ext fx orthosis wrist | '01/01/2001 | 12/31/2999 |
| L3995 | L3995 - Addition to upper extremity orthosis sock fracture or equal each | L3995 - | L3995 - Sock fracture or equal each | '01/01/1996 | 12/31/2999 |
| L3999 | L3999 - Upper limb orthosis not otherwise specified | L3999 - | L3999 - Upper limb orthosis NOS | '01/01/1998 | 12/31/2999 |
| L4000 | L4000 - Replace girdle for spinal orthosis (ctlso or so) | L4000 - | L4000 - Repl girdle milwaukee orth | '01/01/2002 | 12/31/2999 |
| L4002 | L4002 - REPLACEMENT STRAP ANY ORTHOSIS INCLUDES ALL COMPONENTS ANY LENGTH ANY TYPE | L4002 - | L4002 - Replace strap any orthosis | '01/01/2005 | 12/31/2999 |
| L4010 | L4010 - Replace trilateral socket brim | L4010 - | L4010 - Replace trilateral socket br | '01/01/1996 | 12/31/2999 |
| L4020 | L4020 - Replace quadrilateral socket brim molded to patient model | L4020 - | L4020 - Replace quadlat socket brim | '01/01/1996 | 12/31/2999 |
| L4030 | L4030 - Replace quadrilateral socket brim custom fitted | L4030 - | L4030 - Replace socket brim cust fit | '01/01/1996 | 12/31/2999 |
| L4040 | L4040 - Replace molded thigh lacer for custom fabricated orthosis only | L4040 - | L4040 - Replace molded thigh lacer | '01/01/2005 | 12/31/2999 |
| L4045 | L4045 - Replace non-molded thigh lacer for custom fabricated orthosis only | L4045 - | L4045 - Replace non-molded thigh lac | '01/01/2005 | 12/31/2999 |
| L4050 | L4050 - Replace molded calf lacer for custom fabricated orthosis only | L4050 - | L4050 - Replace molded calf lacer | '01/01/2005 | 12/31/2999 |
| L4055 | L4055 - Replace non-molded calf lacer for custom fabricated orthosis only | L4055 - | L4055 - Replace non-molded calf lace | '01/01/2005 | 12/31/2999 |
| L4060 | L4060 - Replace high roll cuff | L4060 - | L4060 - Replace high roll cuff | '01/01/1996 | 12/31/2999 |
| L4070 | L4070 - Replace proximal and distal upright for kafo | L4070 - | L4070 - Replace prox & dist upright | '01/01/1996 | 12/31/2999 |
| L4080 | L4080 - Replace metal bands kafo proximal thigh | L4080 - | L4080 - Repl met band kafo-afo prox | '01/01/1996 | 12/31/2999 |
| L4090 | L4090 - Replace metal bands kafo-afo calf or distal thigh | L4090 - | L4090 - Repl met band kafo-afo calf/ | '01/01/1996 | 12/31/2999 |
| L4100 | L4100 - Replace leather cuff kafo proximal thigh | L4100 - | L4100 - Repl leath cuff kafo prox th | '01/01/1996 | 12/31/2999 |
| L4110 | L4110 - Replace leather cuff kafo-afo calf or distal thigh | L4110 - | L4110 - Repl leath cuff kafo-afo cal | '01/01/1996 | 12/31/2999 |
| L4130 | L4130 - Replace pretibial shell | L4130 - | L4130 - Replace pretibial shell | '01/01/1996 | 12/31/2999 |
| L4205 | L4205 - Repair of orthotic device labor component per 15 minutes | L4205 - | L4205 - Ortho dvc repair per 15 min | '01/01/1997 | 12/31/2999 |
| L4210 | L4210 - Repair of orthotic device repair or replace minor parts | L4210 - | L4210 - Orth dev repair/repl minor p | '01/01/1996 | 12/31/2999 |
| L4350 | L4350 - Ankle control orthosis stirrup style rigid includes any type interface (e.g. pneumatic gel) prefabricated off-the-shelf | L4350 - | L4350 - Ankle control ortho pre ots | '01/01/2014 | 12/31/2999 |
| L4360 | L4360 - Walking boot pneumatic and/or vacuum with or without joints with or without interface material prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L4360 - | L4360 - Pneumat walking boot pre cst | '01/01/2014 | 12/31/2999 |
| L4361 | L4361 - Walking boot pneumatic and/or vacuum with or without joints with or without interface material prefabricated off-the-shelf | L4361 - | L4361 - Pneuma/vac walk boot pre ots | '01/01/2014 | 12/31/2999 |
| L4370 | L4370 - Pneumatic full leg splint prefabricated off-the-shelf | L4370 - | L4370 - Pneum full leg splnt pre ots | '01/01/2014 | 12/31/2999 |
| L4386 | L4386 - Walking boot non-pneumatic with or without joints with or without interface material prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L4386 - | L4386 - Non-pneum walk boot pre cst | '01/01/2014 | 12/31/2999 |
| L4387 | L4387 - Walking boot non-pneumatic with or without joints with or without interface material prefabricated off-the-shelf | L4387 - | L4387 - Non-pneum walk boot pre ots | '01/01/2014 | 12/31/2999 |
| L4392 | L4392 - Replacement soft interface material static afo | L4392 - | L4392 - Replace AFO soft interface | '01/01/2001 | 12/31/2999 |
| L4394 | L4394 - Replace soft interface material foot drop splint | L4394 - | L4394 - Replace foot drop spint | '01/01/1997 | 12/31/2999 |
| L4396 | L4396 - Static or dynamic ankle foot orthosis including soft interface material adjustable for fit for positioning may be used for minimal ambulation prefabricated item that has been trimmed bent molded assembled or otherwise customized to fit a specific patient by an individual with expertise | L4396 - | L4396 - Static or dynami afo pre cst | '01/01/2014 | 12/31/2999 |
| L4397 | L4397 - Static or dynamic ankle foot orthosis including soft interface material adjustable for fit for positioning may be used for minimal ambulation prefabricated off-the-shelf | L4397 - | L4397 - Static or dynami afo pre ots | '01/01/2014 | 12/31/2999 |
| L4398 | L4398 - Foot drop splint recumbent positioning device prefabricated off-the-shelf | L4398 - | L4398 - Foot drop splint pre ots | '01/01/2014 | 12/31/2999 |
| L4631 | L4631 - ANKLE FOOT ORTHOSIS WALKING BOOT TYPE VARUS/VALGUS CORRECTION ROCKER BOTTOM ANTERIOR TIBIAL SHELL SOFT INTERFACE CUSTOM ARCH SUPPORT PLASTIC OR OTHER MATERIAL INCLUDES STRAPS AND CLOSURES CUSTOM FABRICATED | L4631 - | L4631 - Afo walk boot type cus fab | '01/01/2011 | 12/31/2999 |
| L5000 | L5000 - Partial foot shoe insert with longitudinal arch toe filler | L5000 - | L5000 - Sho insert w arch toe filler | '01/01/1996 | 12/31/2999 |
| L5010 | L5010 - Partial foot molded socket ankle height with toe filler | L5010 - | L5010 - Mold socket ank hgt w/ toe f | '01/01/1996 | 12/31/2999 |
| L5020 | L5020 - Partial foot molded socket tibial tubercle height with toe filler | L5020 - | L5020 - Tibial tubercle hgt w/ toe f | '01/01/1996 | 12/31/2999 |
| L5050 | L5050 - Ankle symes molded socket sach foot | L5050 - | L5050 - Ank symes mold sckt sach ft | '01/01/1996 | 12/31/2999 |
| L5060 | L5060 - Ankle symes metal frame molded leather socket articulated ankle/foot | L5060 - | L5060 - Symes met fr leath socket ar | '01/01/1996 | 12/31/2999 |
| L5100 | L5100 - Below knee molded socket shin sach foot | L5100 - | L5100 - Molded socket shin sach foot | '01/01/1996 | 12/31/2999 |
| L5105 | L5105 - Below knee plastic socket joints and thigh lacer sach foot | L5105 - | L5105 - Plast socket jts/thgh lacer | '01/01/1996 | 12/31/2999 |
| L5150 | L5150 - Knee disarticulation (or through knee) molded socket external knee joints shin sach foot | L5150 - | L5150 - Mold sckt ext knee shin sach | '01/01/1996 | 12/31/2999 |
| L5160 | L5160 - Knee disarticulation (or through knee) molded socket bent knee configuration external knee joints shin sach foot | L5160 - | L5160 - Mold socket bent knee shin s | '01/01/1996 | 12/31/2999 |
| L5200 | L5200 - Above knee molded socket single axis constant friction knee shin sach foot | L5200 - | L5200 - Kne sing axis fric shin sach | '01/01/1996 | 12/31/2999 |
| L5210 | L5210 - Above knee short prosthesis no knee joint ('stubbies') with foot blocks no ankle joints each | L5210 - | L5210 - No knee/ankle joints w/ ft b | '01/01/1996 | 12/31/2999 |
| L5220 | L5220 - Above knee short prosthesis no knee joint ('stubbies') with articulated ankle/foot dynamically aligned each | L5220 - | L5220 - No knee joint with artic ali | '01/01/1996 | 12/31/2999 |
| L5230 | L5230 - Above knee for proximal femoral focal deficiency constant friction knee shin sach foot | L5230 - | L5230 - Fem focal defic constant fri | '01/01/1996 | 12/31/2999 |
| L5250 | L5250 - Hip disarticulation canadian type; molded socket hip joint single axis constant friction knee shin sach foot | L5250 - | L5250 - Hip canad sing axi cons fric | '01/01/1996 | 12/31/2999 |
| L5270 | L5270 - Hip disarticulation tilt table type; molded socket locking hip joint single axis constant friction knee shin sach foot | L5270 - | L5270 - Tilt table locking hip sing | '01/01/1996 | 12/31/2999 |
| L5280 | L5280 - Hemipelvectomy canadian type; molded socket hip joint single axis constant friction knee shin sach foot | L5280 - | L5280 - Hemipelvect canad sing axis | '01/01/1996 | 12/31/2999 |
| L5301 | L5301 - Below knee molded socket shin sach foot endoskeletal system | L5301 - | L5301 - BK mold socket SACH ft endo | '01/01/2002 | 12/31/2999 |
| L5312 | L5312 - KNEE DISARTICULATION (OR THROUGH KNEE) MOLDED SOCKET SINGLE AXIS KNEE PYLON SACH FOOT ENDOSKELETAL SYSTEM | L5312 - | L5312 - | '01/01/2012 | 12/31/2999 |
| L5321 | L5321 - Above knee molded socket open end sach foot endoskeletal system single axis knee | L5321 - | L5321 - AK open end SACH | '01/01/2002 | 12/31/2999 |
| L5331 | L5331 - Hip disarticulation canadian type molded socket endoskeletal system hip joint single axis knee sach foot | L5331 - | L5331 - Hip disart canadian SACH ft | '01/01/2002 | 12/31/2999 |
| L5341 | L5341 - Hemipelvectomy canadian type molded socket endoskeletal system hip joint single axis knee sach foot | L5341 - | L5341 - Hemipelvectomy canadian SACH | '01/01/2002 | 12/31/2999 |
| L5400 | L5400 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment suspension and one cast change below knee | L5400 - | L5400 - Postop dress & 1 cast chg bk | '01/01/1996 | 12/31/2999 |
| L5410 | L5410 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment and suspension below knee each additional cast change and realignment | L5410 - | L5410 - Postop dsg bk ea add cast ch | '01/01/1996 | 12/31/2999 |
| L5420 | L5420 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment and suspension and one cast change 'ak' or knee disarticulation | L5420 - | L5420 - Postop dsg & 1 cast chg ak/d | '01/01/1996 | 12/31/2999 |
| L5430 | L5430 - Immediate post surgical or early fitting application of initial rigid dressing incl. Fitting alignment and supension 'ak' or knee disarticulation each additional cast change and realignment | L5430 - | L5430 - Postop dsg ak ea add cast ch | '01/01/1996 | 12/31/2999 |
| L5450 | L5450 - Immediate post surgical or early fitting application of non-weight bearing rigid dressing below knee | L5450 - | L5450 - Postop app non-wgt bear dsg | '01/01/1996 | 12/31/2999 |
| L5460 | L5460 - Immediate post surgical or early fitting application of non-weight bearing rigid dressing above knee | L5460 - | L5460 - Postop app non-wgt bear dsg | '01/01/1996 | 12/31/2999 |
| L5500 | L5500 - Initial below knee 'ptb' type socket non-alignable system pylon no cover sach foot plaster socket direct formed | L5500 - | L5500 - Init bk ptb plaster direct | '01/01/1996 | 12/31/2999 |
| L5505 | L5505 - Initial above knee - knee disarticulation ischial level socket non-alignable system pylon no cover sach foot plaster socket direct formed | L5505 - | L5505 - Init ak ischal plstr direct | '01/01/1996 | 12/31/2999 |
| L5510 | L5510 - Preparatory below knee 'ptb' type socket non-alignable system pylon no cover sach foot plaster socket molded to model | L5510 - | L5510 - Prep BK ptb plaster molded | '01/01/1996 | 12/31/2999 |
| L5520 | L5520 - Preparatory below knee 'ptb' type socket non-alignable system pylon no cover sach foot thermoplastic or equal direct formed | L5520 - | L5520 - Perp BK ptb thermopls direct | '01/01/1996 | 12/31/2999 |
| L5530 | L5530 - Preparatory below knee 'ptb' type socket non-alignable system pylon no cover sach foot thermoplastic or equal molded to model | L5530 - | L5530 - Prep BK ptb thermopls molded | '01/01/1996 | 12/31/2999 |
| L5535 | L5535 - Preparatory below knee 'ptb' type socket non-alignable system no cover sach foot prefabricated adjustable open end socket | L5535 - | L5535 - Prep BK ptb open end socket | '01/01/1996 | 12/31/2999 |
| L5540 | L5540 - Preparatory below knee 'ptb' type socket non-alignable system pylon no cover sach foot laminated socket molded to model | L5540 - | L5540 - Prep BK ptb laminated socket | '01/01/1996 | 12/31/2999 |
| L5560 | L5560 - Preparatory above knee- knee disarticulation ischial level socket non-alignable system pylon no cover sach foot plaster socket molded to model | L5560 - | L5560 - Prep AK ischial plast molded | '01/01/1996 | 12/31/2999 |
| L5570 | L5570 - Preparatory above knee - knee disarticulation ischial level socket non-alignable system pylon no cover sach foot thermoplastic or equal direct formed | L5570 - | L5570 - Prep AK ischial direct form | '01/01/1996 | 12/31/2999 |
| L5580 | L5580 - Preparatory above knee - knee disarticulation ischial level socket non-alignable system pylon no cover sach foot thermoplastic or equal molded to model | L5580 - | L5580 - Prep AK ischial thermo mold | '01/01/1996 | 12/31/2999 |
| L5585 | L5585 - Preparatory above knee - knee disarticulation ischial level socket non-alignable system pylon no cover sach foot prefabricated adjustable open end socket | L5585 - | L5585 - Prep AK ischial open end | '01/01/1996 | 12/31/2999 |
| L5590 | L5590 - Preparatory above knee - knee disarticulation ischial level socket non-alignable system pylon no cover sach foot laminated socket molded to model | L5590 - | L5590 - Prep AK ischial laminated | '01/01/1996 | 12/31/2999 |
| L5595 | L5595 - Preparatory hip disarticulation-hemipelvectomy pylon no cover sach foot thermoplastic or equal molded to patient model | L5595 - | L5595 - Hip disartic sach thermopls | '01/01/1996 | 12/31/2999 |
| L5600 | L5600 - Preparatory hip disarticulation-hemipelvectomy pylon no cover sach foot laminated socket molded to patient model | L5600 - | L5600 - Hip disart sach laminat mold | '01/01/1996 | 12/31/2999 |
| L5610 | L5610 - Addition to lower extremity endoskeletal system above knee hydracadence system | L5610 - | L5610 - Above knee hydracadence | '01/01/1996 | 12/31/2999 |
| L5611 | L5611 - Addition to lower extremity endoskeletal system above knee - knee disarticulation 4 bar linkage with friction swing phase control | L5611 - | L5611 - Ak 4 bar link w/fric swing | '01/01/1996 | 12/31/2999 |
| L5613 | L5613 - Addition to lower extremity endoskeletal system above knee-knee disarticulation 4 bar linkage with hydraulic swing phase control | L5613 - | L5613 - Ak 4 bar ling w/hydraul swig | '01/01/1996 | 12/31/2999 |
| L5614 | L5614 - Addition to lower extremity exoskeletal system above knee-knee disarticulation 4 bar linkage with pneumatic swing phase control | L5614 - | L5614 - 4-bar link above knee w/swng | '01/01/1996 | 12/31/2999 |
| L5616 | L5616 - Addition to lower extremity endoskeletal system above knee universal multiplex system friction swing phase control | L5616 - | L5616 - Ak univ multiplex sys frict | '01/01/1996 | 12/31/2999 |
| L5617 | L5617 - Addition to lower extremity quick change self-aligning unit above knee or below knee each | L5617 - | L5617 - AK/BK self-aligning unit ea | '01/01/1996 | 12/31/2999 |
| L5618 | L5618 - Addition to lower extremity test socket symes | L5618 - | L5618 - Test socket symes | '01/01/1996 | 12/31/2999 |
| L5620 | L5620 - Addition to lower extremity test socket below knee | L5620 - | L5620 - Test socket below knee | '01/01/1996 | 12/31/2999 |
| L5622 | L5622 - Addition to lower extremity test socket knee disarticulation | L5622 - | L5622 - Test socket knee disarticula | '01/01/1996 | 12/31/2999 |
| L5624 | L5624 - Addition to lower extremity test socket above knee | L5624 - | L5624 - Test socket above knee | '01/01/1996 | 12/31/2999 |
| L5626 | L5626 - Addition to lower extremity test socket hip disarticulation | L5626 - | L5626 - Test socket hip disarticulat | '01/01/1996 | 12/31/2999 |
| L5628 | L5628 - Addition to lower extremity test socket hemipelvectomy | L5628 - | L5628 - Test socket hemipelvectomy | '01/01/1996 | 12/31/2999 |
| L5629 | L5629 - Addition to lower extremity below knee acrylic socket | L5629 - | L5629 - Below knee acrylic socket | '01/01/1996 | 12/31/2999 |
| L5630 | L5630 - Addition to lower extremity symes type expandable wall socket | L5630 - | L5630 - Syme typ expandabl wall sckt | '01/01/1996 | 12/31/2999 |
| L5631 | L5631 - Addition to lower extremity above knee or knee disarticulation acrylic socket | L5631 - | L5631 - Ak/knee disartic acrylic soc | '01/01/1996 | 12/31/2999 |
| L5632 | L5632 - Addition to lower extremity symes type 'ptb' brim design socket | L5632 - | L5632 - Symes type ptb brim design s | '01/01/1996 | 12/31/2999 |
| L5634 | L5634 - Addition to lower extremity symes type posterior opening (canadian) socket | L5634 - | L5634 - Symes type poster opening so | '01/01/1996 | 12/31/2999 |
| L5636 | L5636 - Addition to lower extremity symes type medial opening socket | L5636 - | L5636 - Symes type medial opening so | '01/01/1996 | 12/31/2999 |
| L5637 | L5637 - Addition to lower extremity below knee total contact | L5637 - | L5637 - Below knee total contact | '01/01/1996 | 12/31/2999 |
| L5638 | L5638 - Addition to lower extremity below knee leather socket | L5638 - | L5638 - Below knee leather socket | '01/01/1996 | 12/31/2999 |
| L5639 | L5639 - Addition to lower extremity below knee wood socket | L5639 - | L5639 - Below knee wood socket | '01/01/1996 | 12/31/2999 |
| L5640 | L5640 - Addition to lower extremity knee disarticulation leather socket | L5640 - | L5640 - Knee disarticulat leather so | '01/01/1996 | 12/31/2999 |
| L5642 | L5642 - Addition to lower extremity above knee leather socket | L5642 - | L5642 - Above knee leather socket | '01/01/1996 | 12/31/2999 |
| L5643 | L5643 - Addition to lower extremity hip disarticulation flexible inner socket external frame | L5643 - | L5643 - Hip flex inner socket ext fr | '01/01/1996 | 12/31/2999 |
| L5644 | L5644 - Addition to lower extremity above knee wood socket | L5644 - | L5644 - Above knee wood socket | '01/01/1996 | 12/31/2999 |
| L5645 | L5645 - Addition to lower extremity below knee flexible inner socket external frame | L5645 - | L5645 - Bk flex inner socket ext fra | 12/13/2000 | 12/31/2999 |
| L5646 | L5646 - Addition to lower extremity below knee air fluid gel or equal cushion socket | L5646 - | L5646 - Below knee cushion socket | '01/01/2004 | 12/31/2999 |
| L5647 | L5647 - Addition to lower extremity below knee suction socket | L5647 - | L5647 - Below knee suction socket | '01/01/1996 | 12/31/2999 |
| L5648 | L5648 - Addition to lower extremity above knee air fluid gel or equal cushion socket | L5648 - | L5648 - Above knee cushion socket | '01/01/2004 | 12/31/2999 |
| L5649 | L5649 - Addition to lower extremity ischial containment/narrow m-l socket | L5649 - | L5649 - Isch containmt/narrow m-l so | '01/01/1996 | 12/31/2999 |
| L5650 | L5650 - Additions to lower extremity total contact above knee or knee disarticulation socket | L5650 - | L5650 - Tot contact ak/knee disart s | '01/01/1996 | 12/31/2999 |
| L5651 | L5651 - Addition to lower extremity above knee flexible inner socket external frame | L5651 - | L5651 - Ak flex inner socket ext fra | '01/01/1996 | 12/31/2999 |
| L5652 | L5652 - Addition to lower extremity suction suspension above knee or knee disarticulation socket | L5652 - | L5652 - Suction susp ak/knee disart | '01/01/1996 | 12/31/2999 |
| L5653 | L5653 - Addition to lower extremity knee disarticulation expandable wall socket | L5653 - | L5653 - Knee disart expand wall sock | '01/01/1996 | 12/31/2999 |
| L5654 | L5654 - Addition to lower extremity socket insert symes (kemblo pelite aliplast plastazote or equal) | L5654 - | L5654 - Socket insert symes | '01/01/1996 | 12/31/2999 |
| L5655 | L5655 - Addition to lower extremity socket insert below knee (kemblo pelite aliplast plastazote or equal) | L5655 - | L5655 - Socket insert below knee | '01/01/1996 | 12/31/2999 |
| L5656 | L5656 - Addition to lower extremity socket insert knee disarticulation (kemblo pelite aliplast plastazote or equal) | L5656 - | L5656 - Socket insert knee articulat | '01/01/1996 | 12/31/2999 |
| L5658 | L5658 - Addition to lower extremity socket insert above knee (kemblo pelite aliplast plastazote or equal) | L5658 - | L5658 - Socket insert above knee | '01/01/1996 | 12/31/2999 |
| L5661 | L5661 - Addition to lower extremity socket insert multi-durometer symes | L5661 - | L5661 - Multi-durometer symes | '01/01/1996 | 12/31/2999 |
| L5665 | L5665 - Addition to lower extremity socket insert multi-durometer below knee | L5665 - | L5665 - Multi-durometer below knee | '01/01/1996 | 12/31/2999 |
| L5666 | L5666 - Addition to lower extremity below knee cuff suspension | L5666 - | L5666 - Below knee cuff suspension | '01/01/1996 | 12/31/2999 |
| L5668 | L5668 - Addition to lower extremity below knee molded distal cushion | L5668 - | L5668 - Bk molded distal cushion | '01/01/2014 | 12/31/2999 |
| L5670 | L5670 - Addition to lower extremity below knee molded supracondylar suspension ('pts' or similar) | L5670 - | L5670 - Bk molded supracondylar susp | '01/01/1996 | 12/31/2999 |
| L5671 | L5671 - Addition to lower extremity below knee / above knee suspension locking mechanism (shuttle lanyard or equal) excludes socket insert | L5671 - | L5671 - BK/AK locking mechanism | '01/01/2002 | 12/31/2999 |
| L5672 | L5672 - Addition to lower extremity below knee removable medial brim suspension | L5672 - | L5672 - Bk removable medial brim sus | '01/01/1996 | 12/31/2999 |
| L5673 | L5673 - Addition to lower extremity below knee/above knee custom fabricated from existing mold or prefabricated socket insert silicone gel elastomeric or equal for use with locking mechanism | L5673 - | L5673 - Socket insert w lock mech | '01/01/2004 | 12/31/2999 |
| L5676 | L5676 - Additions to lower extremity below knee knee joints single axis pair | L5676 - | L5676 - Bk knee joints single axis p | '01/01/1996 | 12/31/2999 |
| L5677 | L5677 - Additions to lower extremity below knee knee joints polycentric pair | L5677 - | L5677 - Bk knee joints polycentric p | '01/01/1996 | 12/31/2999 |
| L5678 | L5678 - Additions to lower extremity below knee joint covers pair | L5678 - | L5678 - Bk joint covers pair | '01/01/1996 | 12/31/2999 |
| L5679 | L5679 - Addition to lower extremity below knee/above knee custom fabricated from existing mold or prefabricated socket insert silicone gel elastomeric or equal not for use with locking mechanism | L5679 - | L5679 - Socket insert w/o lock mech | '01/01/2004 | 12/31/2999 |
| L5680 | L5680 - Addition to lower extremity below knee thigh lacer nonmolded | L5680 - | L5680 - Bk thigh lacer non-molded | '01/01/1996 | 12/31/2999 |
| L5681 | L5681 - Addition to lower extremity below knee/above knee custom fabricated socket insert for congenital or atypical traumatic amputee silicone gel elastomeric or equal for use with or without locking mechanism initial only (for other than initial use code l5673 or l5679) | L5681 - | L5681 - Intl custm cong/latyp insert | '01/01/2004 | 12/31/2999 |
| L5682 | L5682 - Addition to lower extremity below knee thigh lacer gluteal/ischial molded | L5682 - | L5682 - Bk thigh lacer glut/ischia m | '01/01/1996 | 12/31/2999 |
| L5683 | L5683 - Addition to lower extremity below knee/above knee custom fabricated socket insert for other than congenital or atypical traumatic amputee silicone gel elastomeric or equal for use with or without locking mechanism initial only (for other than initial use code l5673 or l5679) | L5683 - | L5683 - Initial custom socket insert | '01/01/2004 | 12/31/2999 |
| L5684 | L5684 - Addition to lower extremity below knee fork strap | L5684 - | L5684 - Bk fork strap | '01/01/1996 | 12/31/2999 |
| L5685 | L5685 - ADDITION TO LOWER EXTREMITY PROSTHESIS BELOW KNEE SUSPENSION/SEALING SLEEVE WITH OR WITHOUT VALVE ANY MATERIAL EACH | L5685 - | L5685 - Below knee sus/seal sleeve | '01/01/2005 | 12/31/2999 |
| L5686 | L5686 - Addition to lower extremity below knee back check (extension control) | L5686 - | L5686 - Bk back check | '01/01/1996 | 12/31/2999 |
| L5688 | L5688 - Addition to lower extremity below knee waist belt webbing | L5688 - | L5688 - Bk waist belt webbing | '01/01/1996 | 12/31/2999 |
| L5690 | L5690 - Addition to lower extremity below knee waist belt padded and lined | L5690 - | L5690 - Bk waist belt padded and lin | '01/01/1996 | 12/31/2999 |
| L5692 | L5692 - Addition to lower extremity above knee pelvic control belt light | L5692 - | L5692 - Ak pelvic control belt light | '01/01/1996 | 12/31/2999 |
| L5694 | L5694 - Addition to lower extremity above knee pelvic control belt padded and lined | L5694 - | L5694 - Ak pelvic control belt pad/l | '01/01/1996 | 12/31/2999 |
| L5695 | L5695 - Addition to lower extremity above knee pelvic control sleeve suspension neoprene or equal each | L5695 - | L5695 - Ak sleeve susp neoprene/equa | '01/01/1996 | 12/31/2999 |
| L5696 | L5696 - Addition to lower extremity above knee or knee disarticulation pelvic joint | L5696 - | L5696 - Ak/knee disartic pelvic join | '01/01/1996 | 12/31/2999 |
| L5697 | L5697 - Addition to lower extremity above knee or knee disarticulation pelvic band | L5697 - | L5697 - Ak/knee disartic pelvic band | '01/01/1996 | 12/31/2999 |
| L5698 | L5698 - Addition to lower extremity above knee or knee disarticulation silesian bandage | L5698 - | L5698 - Ak/knee disartic silesian ba | '01/01/1996 | 12/31/2999 |
| L5699 | L5699 - All lower extremity prostheses shoulder harness | L5699 - | L5699 - Shoulder harness | '01/01/1996 | 12/31/2999 |
| L5700 | L5700 - Replacement socket below knee molded to patient model | L5700 - | L5700 - Replace socket below knee | '01/01/1994 | 12/31/2999 |
| L5701 | L5701 - Replacement socket above knee/knee disarticulation including attachment plate molded to patient model | L5701 - | L5701 - Replace socket above knee | '01/01/1994 | 12/31/2999 |
| L5702 | L5702 - Replacement socket hip disarticulation including hip joint molded to patient model | L5702 - | L5702 - Replace socket hip | '01/01/1994 | 12/31/2999 |
| L5703 | L5703 - ANKLE SYMES MOLDED TO PATIENT MODEL SOCKET WITHOUT SOLID ANKLE CUSHION HEEL (SACH) FOOT REPLACEMENT ONLY | L5703 - | L5703 - Symes ankle w/o (SACH) foot | '01/01/2006 | 12/31/2999 |
| L5704 | L5704 - Custom shaped protective cover below knee | L5704 - | L5704 - Custom shape cover BK | '01/01/2002 | 12/31/2999 |
| L5705 | L5705 - Custom shaped protective cover above knee | L5705 - | L5705 - Custom shape cover AK | '01/01/2002 | 12/31/2999 |
| L5706 | L5706 - Custom shaped protective cover knee disarticulation | L5706 - | L5706 - Custom shape cvr knee disart | '01/01/2002 | 12/31/2999 |
| L5707 | L5707 - Custom shaped protective cover hip disarticulation | L5707 - | L5707 - Custom shape cvr hip disart | '01/01/2002 | 12/31/2999 |
| L5710 | L5710 - Addition exoskeletal knee-shin system single axis manual lock | L5710 - | L5710 - Kne-shin exo sng axi mnl loc | '01/01/1996 | 12/31/2999 |
| L5711 | L5711 - Additions exoskeletal knee-shin system single axis manual lock ultra-light material | L5711 - | L5711 - Knee-shin exo mnl lock ultra | '01/01/1996 | 12/31/2999 |
| L5712 | L5712 - Addition exoskeletal knee-shin system single axis friction swing and stance phase control (safety knee) | L5712 - | L5712 - Knee-shin exo frict swg & st | '01/01/1996 | 12/31/2999 |
| L5714 | L5714 - Addition exoskeletal knee-shin system single axis variable friction swing phase control | L5714 - | L5714 - Knee-shin exo variable frict | '01/01/1996 | 12/31/2999 |
| L5716 | L5716 - Addition exoskeletal knee-shin system polycentric mechanical stance phase lock | L5716 - | L5716 - Knee-shin exo mech stance ph | '01/01/1996 | 12/31/2999 |
| L5718 | L5718 - Addition exoskeletal knee-shin system polycentric friction swing and stance phase control | L5718 - | L5718 - Knee-shin exo frct swg & sta | '01/01/1996 | 12/31/2999 |
| L5722 | L5722 - Addition exoskeletal knee-shin system single axis pneumatic swing friction stance phase control | L5722 - | L5722 - Knee-shin pneum swg frct exo | '01/01/1996 | 12/31/2999 |
| L5724 | L5724 - Addition exoskeletal knee-shin system single axis fluid swing phase control | L5724 - | L5724 - Knee-shin exo fluid swing ph | '01/01/1996 | 12/31/2999 |
| L5726 | L5726 - Addition exoskeletal knee-shin system single axis external joints fluid swing phase control | L5726 - | L5726 - Knee-shin ext jnts fld swg e | '01/01/1996 | 12/31/2999 |
| L5728 | L5728 - Addition exoskeletal knee-shin system single axis fluid swing and stance phase control | L5728 - | L5728 - Knee-shin fluid swg & stance | '01/01/1996 | 12/31/2999 |
| L5780 | L5780 - Addition exoskeletal knee-shin system single axis pneumatic/hydra pneumatic swing phase control | L5780 - | L5780 - Knee-shin pneum/hydra pneum | '01/01/1996 | 12/31/2999 |
| L5781 | L5781 - Addition to lower limb prosthesis vacuum pump residual limb volume management and moisture evacuation system | L5781 - | L5781 - Lower limb pros vacuum pump | '01/01/2003 | 12/31/2999 |
| L5782 | L5782 - Addition to lower limb prosthesis vacuum pump residual limb volume management and moisture evacuation system heavy duty | L5782 - | L5782 - HD low limb pros vacuum pump | '01/01/2003 | 12/31/2999 |
| L5785 | L5785 - Addition exoskeletal system below knee ultra-light material (titanium carbon fiber or equal) | L5785 - | L5785 - Exoskeletal bk ultralt mater | '01/01/1996 | 12/31/2999 |
| L5790 | L5790 - Addition exoskeletal system above knee ultra-light material (titanium carbon fiber or equal) | L5790 - | L5790 - Exoskeletal ak ultra-light m | '01/01/1996 | 12/31/2999 |
| L5795 | L5795 - Addition exoskeletal system hip disarticulation ultra-light material (titanium carbon fiber or equal) | L5795 - | L5795 - Exoskel hip ultra-light mate | '01/01/1996 | 12/31/2999 |
| L5810 | L5810 - Addition endoskeletal knee-shin system single axis manual lock | L5810 - | L5810 - Endoskel knee-shin mnl lock | '01/01/1996 | 12/31/2999 |
| L5811 | L5811 - Addition endoskeletal knee-shin system single axis manual lock ultra-light material | L5811 - | L5811 - Endo knee-shin mnl lck ultra | '01/01/1996 | 12/31/2999 |
| L5812 | L5812 - Addition endoskeletal knee-shin system single axis friction swing and stance phase control (safety knee) | L5812 - | L5812 - Endo knee-shin frct swg & st | '01/01/1996 | 12/31/2999 |
| L5814 | L5814 - Addition endoskeletal knee-shin system polycentric hydraulic swing phase control mechanical stance phase lock | L5814 - | L5814 - Endo knee-shin hydral swg ph | '01/01/1997 | 12/31/2999 |
| L5816 | L5816 - Addition endoskeletal knee-shin system polycentric mechanical stance phase lock | L5816 - | L5816 - Endo knee-shin polyc mch sta | '01/01/1996 | 12/31/2999 |
| L5818 | L5818 - Addition endoskeletal knee-shin system polycentric friction swing and stance phase control | L5818 - | L5818 - Endo knee-shin frct swg & st | '01/01/1996 | 12/31/2999 |
| L5822 | L5822 - Addition endoskeletal knee-shin system single axis pneumatic swing friction stance phase control | L5822 - | L5822 - Endo knee-shin pneum swg frc | '01/01/1996 | 12/31/2999 |
| L5824 | L5824 - Addition endoskeletal knee-shin system single axis fluid swing phase control | L5824 - | L5824 - Endo knee-shin fluid swing p | '01/01/1996 | 12/31/2999 |
| L5826 | L5826 - Addition endoskeletal knee-shin system single axis hydraulic swing phase control with miniature high activity frame | L5826 - | L5826 - Miniature knee joint | '01/01/1999 | 12/31/2999 |
| L5828 | L5828 - Addition endoskeletal knee-shin system single axis fluid swing and stance phase control | L5828 - | L5828 - Endo knee-shin fluid swg/sta | '01/01/1996 | 12/31/2999 |
| L5830 | L5830 - Addition endoskeletal knee-shin system single axis pneumatic/ swing phase control | L5830 - | L5830 - Endo knee-shin pneum/swg pha | '01/01/1996 | 12/31/2999 |
| L5840 | L5840 - Addition endoskeletal knee/shin system 4-bar linkage or multiaxial pneumatic swing phase control | L5840 - | L5840 - Multi-axial knee/shin system | '01/01/1999 | 12/31/2999 |
| L5845 | L5845 - Addition endoskeletal knee-shin system stance flexion feature adjustable | L5845 - | L5845 - Knee-shin sys stance flexion | '01/01/1996 | 12/31/2999 |
| L5848 | L5848 - ADDITION TO ENDOSKELETAL KNEE-SHIN SYSTEM FLUID STANCE EXTENSION DAMPENING FEATURE WITH OR WITHOUT ADJUSTABILITY | L5848 - | L5848 - Knee-shin sys hydraul stance | '01/01/2007 | 12/31/2999 |
| L5850 | L5850 - Addition endoskeletal system above knee or hip disarticulation knee extension assist | L5850 - | L5850 - Endo ak/hip knee extens assi | '01/01/1996 | 12/31/2999 |
| L5855 | L5855 - Addition endoskeletal system hip disarticulation mechanical hip extension assist | L5855 - | L5855 - Mech hip extension assist | '01/01/1995 | 12/31/2999 |
| L5856 | L5856 - ADDITION TO LOWER EXTREMITY PROSTHESIS ENDOSKELETAL KNEE-SHIN SYSTEM MICROPROCESSOR CONTROL FEATURE SWING AND STANCE PHASE INCLUDES ELECTRONIC SENSOR(S) ANY TYPE | L5856 - | L5856 - Elec knee-shin swing/stance | '01/01/2005 | 12/31/2999 |
| L5857 | L5857 - ADDITION TO LOWER EXTREMITY PROSTHESIS ENDOSKELETAL KNEE-SHIN SYSTEM MICROPROCESSOR CONTROL FEATURE SWING PHASE ONLY INCLUDES ELECTRONIC SENSOR(S) ANY TYPE | L5857 - | L5857 - Elec knee-shin swing only | '01/01/2005 | 12/31/2999 |
| L5858 | L5858 - ADDITION TO LOWER EXTREMITY PROSTHESIS ENDOSKELETAL KNEE SHIN SYSTEM MICROPROCESSOR CONTROL FEATURE STANCE PHASE ONLY INCLUDES ELECTRONIC SENSOR(S) ANY TYPE | L5858 - | L5858 - Stance phase only | '01/01/2006 | 12/31/2999 |
| L5859 | L5859 - Addition to lower extremity prosthesis endoskeletal knee-shin system powered and programmable flexion/extension assist control includes any type motor(s) | L5859 - | L5859 - Knee-shin pro flex/ext cont | '01/01/2013 | 12/31/2999 |
| L5910 | L5910 - Addition endoskeletal system below knee alignable system | L5910 - | L5910 - Endo below knee alignable sy | '01/01/1996 | 12/31/2999 |
| L5920 | L5920 - Addition endoskeletal system above knee or hip disarticulation alignable system | L5920 - | L5920 - Endo ak/hip alignable system | '01/01/1996 | 12/31/2999 |
| L5925 | L5925 - Addition endoskeletal system above knee knee disarticulation or hip disarticulation manual lock | L5925 - | L5925 - Above knee manual lock | '01/01/2000 | 12/31/2999 |
| L5930 | L5930 - Addition endoskeletal system high activity knee control frame | L5930 - | L5930 - High activity knee frame | '01/01/1996 | 12/31/2999 |
| L5940 | L5940 - Addition endoskeletal system below knee ultra-light material (titanium carbon fiber or equal) | L5940 - | L5940 - Endo bk ultra-light material | '01/01/1996 | 12/31/2999 |
| L5950 | L5950 - Addition endoskeletal system above knee ultra-light material (titanium carbon fiber or equal) | L5950 - | L5950 - Endo ak ultra-light material | '01/01/1996 | 12/31/2999 |
| L5960 | L5960 - Addition endoskeletal system hip disarticulation ultra-light material (titanium carbon fiber or equal) | L5960 - | L5960 - Endo hip ultra-light materia | '01/01/1996 | 12/31/2999 |
| L5961 | L5961 - ADDITION ENDOSKELETAL SYSTEM POLYCENTRIC HIP JOINT PNEUMATIC OR HYDRAULIC CONTROL ROTATION CONTROL WITH OR WITHOUT FLEXION AND/OR EXTENSION CONTROL | L5961 - | L5961 - Endo poly hip pneu/hyd/rot | '01/01/2011 | 12/31/2999 |
| L5962 | L5962 - Addition endoskeletal system below knee flexible protective outer surface covering system | L5962 - | L5962 - Below knee flex cover system | '01/01/1994 | 12/31/2999 |
| L5964 | L5964 - Addition endoskeletal system above knee flexible protective outer surface covering system | L5964 - | L5964 - Above knee flex cover system | '01/01/1994 | 12/31/2999 |
| L5966 | L5966 - Addition endoskeletal system hip disarticulation flexible protective outer surface covering system | L5966 - | L5966 - Hip flexible cover system | '01/01/1994 | 12/31/2999 |
| L5968 | L5968 - Addition to lower limb prosthesis multiaxial ankle with swing phase active dorsiflexion feature | L5968 - | L5968 - Multiaxial ankle w dorsiflex | '01/01/2000 | 12/31/2999 |
| L5969 | L5969 - Addition endoskeletal ankle-foot or ankle system power assist includes any type motor(s) | L5969 - | L5969 - Ak/ft power asst incl motors | '01/01/2014 | 12/31/2999 |
| L5970 | L5970 - All lower extremity prostheses foot external keel sach foot | L5970 - | L5970 - Foot external keel sach foot | '01/01/1996 | 12/31/2999 |
| L5971 | L5971 - ALL LOWER EXTREMITY PROSTHESIS SOLID ANKLE CUSHION HEEL (SACH) FOOT REPLACEMENT ONLY | L5971 - | L5971 - SACH foot replacement | '01/01/2006 | 12/31/2999 |
| L5972 | L5972 - All lower extremity prostheses foot flexible keel | L5972 - | L5972 - Flexible keel foot | '01/01/2013 | 12/31/2999 |
| L5973 | L5973 - ENDOSKELETAL ANKLE FOOT SYSTEM MICROPROCESSOR CONTROLLED FEATURE DORSIFLEXION AND/OR PLANTAR FLEXION CONTROL INCLUDES POWER SOURCE | L5973 - | L5973 - Ank-foot sys dors-plant flex | '01/01/2010 | 12/31/2999 |
| L5974 | L5974 - All lower extremity prostheses foot single axis ankle/foot | L5974 - | L5974 - Foot single axis ankle/foot | '01/01/1996 | 12/31/2999 |
| L5975 | L5975 - All lower extremity prosthesis combination single axis ankle and flexible keel foot | L5975 - | L5975 - Combo ankle/foot prosthesis | '01/01/1999 | 12/31/2999 |
| L5976 | L5976 - All lower extremity prostheses energy storing foot (seattle carbon copy ii or equal) | L5976 - | L5976 - Energy storing foot | '01/01/1996 | 12/31/2999 |
| L5978 | L5978 - All lower extremity prostheses foot multiaxial ankle/foot | L5978 - | L5978 - Ft prosth multiaxial ankl/ft | '01/01/1996 | 12/31/2999 |
| L5979 | L5979 - All lower extremity prosthesis multi-axial ankle dynamic response foot one piece system | L5979 - | L5979 - Multi-axial ankle/ft prosth | '01/01/2001 | 12/31/2999 |
| L5980 | L5980 - All lower extremity prostheses flex foot system | L5980 - | L5980 - Flex foot system | '01/01/1996 | 12/31/2999 |
| L5981 | L5981 - All lower extremity prostheses flex-walk system or equal | L5981 - | L5981 - Flex-walk sys low ext prosth | '01/01/1994 | 12/31/2999 |
| L5982 | L5982 - All exoskeletal lower extremity prostheses axial rotation unit | L5982 - | L5982 - Exoskeletal axial rotation u | '01/01/1996 | 12/31/2999 |
| L5984 | L5984 - All endoskeletal lower extremity prosthesis axial rotation unit with or without adjustability | L5984 - | L5984 - Endoskeletal axial rotation | '01/01/2004 | 12/31/2999 |
| L5985 | L5985 - All endoskeletal lower extremity prostheses dynamic prosthetic pylon | L5985 - | L5985 - Lwr ext dynamic prosth pylon | '01/01/1996 | 12/31/2999 |
| L5986 | L5986 - All lower extremity prostheses multi-axial rotation unit ('mcp' or equal) | L5986 - | L5986 - Multi-axial rotation unit | '01/01/1996 | 12/31/2999 |
| L5987 | L5987 - All lower extremity prosthesis shank foot system with vertical loading pylon | L5987 - | L5987 - Shank ft w vert load pylon | '01/01/1997 | 12/31/2999 |
| L5988 | L5988 - Addition to lower limb prosthesis vertical shock reducing pylon feature | L5988 - | L5988 - Vertical shock reducing pylo | '01/01/2000 | 12/31/2999 |
| L5990 | L5990 - Addition to lower extremity prosthesis user adjustable heel height | L5990 - | L5990 - User adjustable heel height | '01/01/2002 | 12/31/2999 |
| L5999 | L5999 - Lower extremity prosthesis not otherwise specified | L5999 - | L5999 - Lowr extremity prosthes NOS | '01/01/1998 | 12/31/2999 |
| L6000 | L6000 - PARTIAL HAND THUMB REMAINING | L6000 - | L6000 - Part hand thumb rem | '01/01/2012 | 12/31/2999 |
| L6010 | L6010 - PARTIAL HAND LITTLE AND/OR RING FINGER REMAINING | L6010 - | L6010 - Part hand little/ring | '01/01/2012 | 12/31/2999 |
| L6020 | L6020 - PARTIAL HAND NO FINGER REMAINING | L6020 - | L6020 - Part hand no fingers | '01/01/2012 | 12/31/2999 |
| L6026 | L6026 - Transcarpal/metacarpal or partial hand disarticulation prosthesis external power self-suspended inner socket with removable forearm section electrodes and cables two batteries charger myoelectric control of terminal device excludes terminal device(s) | L6026 - | L6026 - Part hand myo exclu term dev | '01/01/2015 | 12/31/2999 |
| L6050 | L6050 - Wrist disarticulation molded socket flexible elbow hinges triceps pad | L6050 - | L6050 - Wrst MLd sck flx hng tri pad | '01/01/1996 | 12/31/2999 |
| L6055 | L6055 - Wrist disarticulation molded socket with expandable interface flexible elbow hinges triceps pad | L6055 - | L6055 - Wrst mold sock w/exp interfa | '01/01/1996 | 12/31/2999 |
| L6100 | L6100 - Below elbow molded socket flexible elbow hinge triceps pad | L6100 - | L6100 - Elb mold sock flex hinge pad | '01/01/1996 | 12/31/2999 |
| L6110 | L6110 - Below elbow molded socket (muenster or northwestern suspension types) | L6110 - | L6110 - Elbow mold sock suspension t | '01/01/1996 | 12/31/2999 |
| L6120 | L6120 - Below elbow molded double wall split socket step-up hinges half cuff | L6120 - | L6120 - Elbow mold doub splt soc ste | '01/01/1996 | 12/31/2999 |
| L6130 | L6130 - Below elbow molded double wall split socket stump activated locking hinge half cuff | L6130 - | L6130 - Elbow stump activated lock h | '01/01/1996 | 12/31/2999 |
| L6200 | L6200 - Elbow disarticulation molded socket outside locking hinge forearm | L6200 - | L6200 - Elbow mold outsid lock hinge | '01/01/1996 | 12/31/2999 |
| L6205 | L6205 - Elbow disarticulation molded socket with expandable interface outside locking hinges forearm | L6205 - | L6205 - Elbow molded w/ expand inter | '01/01/1996 | 12/31/2999 |
| L6250 | L6250 - Above elbow molded double wall socket internal locking elbow forearm | L6250 - | L6250 - Elbow inter loc elbow forarm | '01/01/1996 | 12/31/2999 |
| L6300 | L6300 - Shoulder disarticulation molded socket shoulder bulkhead humeral section internal locking elbow forearm | L6300 - | L6300 - Shlder disart int lock elbow | '01/01/1996 | 12/31/2999 |
| L6310 | L6310 - Shoulder disarticulation passive restoration (complete prosthesis) | L6310 - | L6310 - Shoulder passive restor comp | '01/01/1996 | 12/31/2999 |
| L6320 | L6320 - Shoulder disarticulation passive restoration (shoulder cap only) | L6320 - | L6320 - Shoulder passive restor cap | '01/01/1996 | 12/31/2999 |
| L6350 | L6350 - Interscapular thoracic molded socket shoulder bulkhead humeral section internal locking elbow forearm | L6350 - | L6350 - Thoracic intern lock elbow | '01/01/1996 | 12/31/2999 |
| L6360 | L6360 - Interscapular thoracic passive restoration (complete prosthesis) | L6360 - | L6360 - Thoracic passive restor comp | '01/01/1996 | 12/31/2999 |
| L6370 | L6370 - Interscapular thoracic passive restoration (shoulder cap only) | L6370 - | L6370 - Thoracic passive restor cap | '01/01/1996 | 12/31/2999 |
| L6380 | L6380 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment and suspension of components and one cast change wrist disarticulation or below elbow | L6380 - | L6380 - Postop dsg cast chg wrst/elb | '01/01/1996 | 12/31/2999 |
| L6382 | L6382 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment and suspension of components and one cast change elbow disarticulation or above elbow | L6382 - | L6382 - Postop dsg cast chg elb dis/ | '01/01/1996 | 12/31/2999 |
| L6384 | L6384 - Immediate post surgical or early fitting application of initial rigid dressing including fitting alignment and suspension of components and one cast change shoulder disarticulation or interscapular thoracic | L6384 - | L6384 - Postop dsg cast chg shlder/t | '01/01/1996 | 12/31/2999 |
| L6386 | L6386 - Immediate post surgical or early fitting each additional cast change and realignment | L6386 - | L6386 - Postop ea cast chg & realign | '01/01/1996 | 12/31/2999 |
| L6388 | L6388 - Immediate post surgical or early fitting application of rigid dressing only | L6388 - | L6388 - Postop applicat rigid dsg on | '01/01/1996 | 12/31/2999 |
| L6400 | L6400 - Below elbow molded socket endoskeletal system including soft prosthetic tissue shaping | L6400 - | L6400 - Below elbow prosth tiss shap | '01/01/1996 | 12/31/2999 |
| L6450 | L6450 - Elbow disarticulation molded socket endoskeletal system including soft prosthetic tissue shaping | L6450 - | L6450 - Elb disart prosth tiss shap | '01/01/1996 | 12/31/2999 |
| L6500 | L6500 - Above elbow molded socket endoskeletal system including soft prosthetic tissue shaping | L6500 - | L6500 - Above elbow prosth tiss shap | '01/01/1996 | 12/31/2999 |
| L6550 | L6550 - Shoulder disarticulation molded socket endoskeletal system including soft prosthetic tissue shaping | L6550 - | L6550 - Shldr disar prosth tiss shap | '01/01/1996 | 12/31/2999 |
| L6570 | L6570 - Interscapular thoracic molded socket endoskeletal system including soft prosthetic tissue shaping | L6570 - | L6570 - Scap thorac prosth tiss shap | '01/01/1996 | 12/31/2999 |
| L6580 | L6580 - Preparatory wrist disarticulation or below elbow single wall plastic socket friction wrist flexible elbow hinges figure of eight harness humeral cuff bowden cable control usmc or equal pylon no cover molded to patient model | L6580 - | L6580 - Wrist/elbow bowden cable mol | '01/01/1996 | 12/31/2999 |
| L6582 | L6582 - Preparatory wrist disarticulation or below elbow single wall socket friction wrist flexible elbow hinges figure of eight harness humeral cuff bowden cable control usmc or equal pylon no cover direct formed | L6582 - | L6582 - Wrist/elbow bowden cbl dir f | '01/01/1996 | 12/31/2999 |
| L6584 | L6584 - Preparatory elbow disarticulation or above elbow single wall plastic socket friction wrist locking elbow figure of eight harness fair lead cable control usmc or equal pylon no cover molded to patient model | L6584 - | L6584 - Elbow fair lead cable molded | '01/01/1996 | 12/31/2999 |
| L6586 | L6586 - Preparatory elbow disarticulation or above elbow single wall socket friction wrist locking elbow figure of eight harness fair lead cable control usmc or equal pylon no cover direct formed | L6586 - | L6586 - Elbow fair lead cable dir fo | '01/01/1996 | 12/31/2999 |
| L6588 | L6588 - Preparatory shoulder disarticulation or interscapular thoracic single wall plastic socket shoulder joint locking elbow friction wrist chest strap fair lead cable control usmc or equal pylon no cover molded to patient model | L6588 - | L6588 - Shdr fair lead cable molded | '01/01/1996 | 12/31/2999 |
| L6590 | L6590 - Preparatory shoulder disarticulation or interscapular thoracic single wall socket shoulder joint locking elbow friction wrist chest strap fair lead cable control usmc or equal pylon no cover direct formed | L6590 - | L6590 - Shdr fair lead cable direct | '01/01/1996 | 12/31/2999 |
| L6600 | L6600 - Upper extremity additions polycentric hinge pair | L6600 - | L6600 - Polycentric hinge pair | '01/01/1996 | 12/31/2999 |
| L6605 | L6605 - Upper extremity additions single pivot hinge pair | L6605 - | L6605 - Single pivot hinge pair | '01/01/1996 | 12/31/2999 |
| L6610 | L6610 - Upper extremity additions flexible metal hinge pair | L6610 - | L6610 - Flexible metal hinge pair | '01/01/1996 | 12/31/2999 |
| L6611 | L6611 - ADDITION TO UPPER EXTREMITY PROSTHESIS EXTERNAL POWERED ADDITIONAL SWITCH ANY TYPE | L6611 - | L6611 - Additional switch ext power | '01/01/2007 | 12/31/2999 |
| L6615 | L6615 - Upper extremity addition disconnect locking wrist unit | L6615 - | L6615 - Disconnect locking wrist uni | '01/01/1996 | 12/31/2999 |
| L6616 | L6616 - Upper extremity addition additional disconnect insert for locking wrist unit each | L6616 - | L6616 - Disconnect insert locking wr | '01/01/1996 | 12/31/2999 |
| L6620 | L6620 - Upper extremity addition flexion/extension wrist unit with or without friction | L6620 - | L6620 - Flexion/extension wrist unit | '01/01/2004 | 12/31/2999 |
| L6621 | L6621 - UPPER EXTREMITY PROSTHESIS ADDITION FLEXION/EXTENSION WRIST WITH OR WITHOUT FRICTION FOR USE WITH EXTERNAL POWERED TERMINAL DEVICE | L6621 - | L6621 - Flex/ext wrist w/wo friction | '01/01/2006 | 12/31/2999 |
| L6623 | L6623 - Upper extremity addition spring assisted rotational wrist unit with latch release | L6623 - | L6623 - Spring-ass rot wrst w/ latch | '01/01/1996 | 12/31/2999 |
| L6624 | L6624 - UPPER EXTREMITY ADDITION FLEXION/EXTENSION AND ROTATION WRIST UNIT | L6624 - | L6624 - Flex/ext/rotation wrist unit | '01/01/2007 | 12/31/2999 |
| L6625 | L6625 - Upper extremity addition rotation wrist unit with cable lock | L6625 - | L6625 - Rotation wrst w/ cable lock | '01/01/1996 | 12/31/2999 |
| L6628 | L6628 - Upper extremity addition quick disconnect hook adapter otto bock or equal | L6628 - | L6628 - Quick disconn hook adapter o | '01/01/1996 | 12/31/2999 |
| L6629 | L6629 - Upper extremity addition quick disconnect lamination collar with coupling piece otto bock or equal | L6629 - | L6629 - Lamination collar w/ couplin | '01/01/1996 | 12/31/2999 |
| L6630 | L6630 - Upper extremity addition stainless steel any wrist | L6630 - | L6630 - Stainless steel any wrist | '01/01/1996 | 12/31/2999 |
| L6632 | L6632 - Upper extremity addition latex suspension sleeve each | L6632 - | L6632 - Latex suspension sleeve each | '01/01/1996 | 12/31/2999 |
| L6635 | L6635 - Upper extremity addition lift assist for elbow | L6635 - | L6635 - Lift assist for elbow | '01/01/1996 | 12/31/2999 |
| L6637 | L6637 - Upper extremity addition nudge control elbow lock | L6637 - | L6637 - Nudge control elbow lock | '01/01/1996 | 12/31/2999 |
| L6638 | L6638 - Upper extremity addition to prosthesis electric locking feature only for use with manually powered elbow | L6638 - | L6638 - Elec lock on manual pw elbow | '01/01/2003 | 12/31/2999 |
| L6640 | L6640 - Upper extremity additions shoulder abduction joint pair | L6640 - | L6640 - Shoulder abduction joint pai | '01/01/1996 | 12/31/2999 |
| L6641 | L6641 - Upper extremity addition excursion amplifier pulley type | L6641 - | L6641 - Excursion amplifier pulley t | '01/01/1996 | 12/31/2999 |
| L6642 | L6642 - Upper extremity addition excursion amplifier lever type | L6642 - | L6642 - Excursion amplifier lever ty | '01/01/1996 | 12/31/2999 |
| L6645 | L6645 - Upper extremity addition shoulder flexion-abduction joint each | L6645 - | L6645 - Shoulder flexion-abduction j | '01/01/1996 | 12/31/2999 |
| L6646 | L6646 - Upper extremity addition shoulder joint multipositional locking flexion adjustable abduction friction control for use with body powered or external powered system | L6646 - | L6646 - Multipo locking shoulder jnt | '01/01/2003 | 12/31/2999 |
| L6647 | L6647 - Upper extremity addition shoulder lock mechanism body powered actuator | L6647 - | L6647 - Shoulder lock actuator | '01/01/2003 | 12/31/2999 |
| L6648 | L6648 - Upper extremity addition shoulder lock mechanism external powered actuator | L6648 - | L6648 - Ext pwrd shlder lock/unlock | '01/01/2003 | 12/31/2999 |
| L6650 | L6650 - Upper extremity addition shoulder universal joint each | L6650 - | L6650 - Shoulder universal joint | '01/01/1996 | 12/31/2999 |
| L6655 | L6655 - Upper extremity addition standard control cable extra | L6655 - | L6655 - Standard control cable extra | '01/01/1996 | 12/31/2999 |
| L6660 | L6660 - Upper extremity addition heavy duty control cable | L6660 - | L6660 - Heavy duty control cable | '01/01/1996 | 12/31/2999 |
| L6665 | L6665 - Upper extremity addition teflon or equal cable lining | L6665 - | L6665 - Teflon or equal cable lining | '01/01/1996 | 12/31/2999 |
| L6670 | L6670 - Upper extremity addition hook to hand cable adapter | L6670 - | L6670 - Hook to hand cable adapter | '01/01/1996 | 12/31/2999 |
| L6672 | L6672 - Upper extremity addition harness chest or shoulder saddle type | L6672 - | L6672 - Harness chest/shlder saddle | '01/01/1996 | 12/31/2999 |
| L6675 | L6675 - Upper extremity addition harness (e. G. Figure of eight type) single cable design | L6675 - | L6675 - Harness figure of 8 sing con | '01/01/2004 | 12/31/2999 |
| L6676 | L6676 - Upper extremity addition harness (e. G. Figure of eight type) dual cable design | L6676 - | L6676 - Harness figure of 8 dual con | '01/01/2004 | 12/31/2999 |
| L6677 | L6677 - UPPER EXTREMITY ADDITION HARNESS TRIPLE CONTROL SIMULTANEOUS OPERATION OF TERMINAL DEVICE AND ELBOW | L6677 - | L6677 - UE triple control harness | '01/01/2006 | 12/31/2999 |
| L6680 | L6680 - Upper extremity addition test socket wrist disarticulation or below elbow | L6680 - | L6680 - Test sock wrist disart/bel e | '01/01/1996 | 12/31/2999 |
| L6682 | L6682 - Upper extremity addition test socket elbow disarticulation or above elbow | L6682 - | L6682 - Test sock elbw disart/above | '01/01/1996 | 12/31/2999 |
| L6684 | L6684 - Upper extremity addition test socket shoulder disarticulation or interscapular thoracic | L6684 - | L6684 - Test socket shldr disart/tho | '01/01/1996 | 12/31/2999 |
| L6686 | L6686 - Upper extremity addition suction socket | L6686 - | L6686 - Suction socket | '01/01/1996 | 12/31/2999 |
| L6687 | L6687 - Upper extremity addition frame type socket below elbow or wrist disarticulation | L6687 - | L6687 - Frame typ socket bel elbow/w | '01/01/1996 | 12/31/2999 |
| L6688 | L6688 - Upper extremity addition frame type socket above elbow or elbow disarticulation | L6688 - | L6688 - Frame typ sock above elb/dis | '01/01/1996 | 12/31/2999 |
| L6689 | L6689 - Upper extremity addition frame type socket shoulder disarticulation | L6689 - | L6689 - Frame typ socket shoulder di | '01/01/1996 | 12/31/2999 |
| L6690 | L6690 - Upper extremity addition frame type socket interscapular-thoracic | L6690 - | L6690 - Frame typ sock interscap-tho | '01/01/1996 | 12/31/2999 |
| L6691 | L6691 - Upper extremity addition removable insert each | L6691 - | L6691 - Removable insert each | '01/01/1996 | 12/31/2999 |
| L6692 | L6692 - Upper extremity addition silicone gel insert or equal each | L6692 - | L6692 - Silicone gel insert or equal | '01/01/1996 | 12/31/2999 |
| L6693 | L6693 - Upper extremity addition locking elbow forearm counterbalance | L6693 - | L6693 - Lockingelbow forearm cntrbal | '01/01/2000 | 12/31/2999 |
| L6694 | L6694 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/ABOVE ELBOW CUSTOM FABRICATED FROM EXISTING MOLD OR PREFABRICATED SOCKET INSERT SILICONE GEL ELASTOMERIC OR EQUAL FOR USE WITH LOCKING MECHANISM | L6694 - | L6694 - Elbow socket ins use w/lock | '01/01/2005 | 12/31/2999 |
| L6695 | L6695 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/ABOVE ELBOW CUSTOM FABRICATED FROM EXISTING MOLD OR PREFABRICATED SOCKET INSERT SILICONE GEL ELASTOMERIC OR EQUAL NOT FOR USE WITH LOCKING MECHANISM | L6695 - | L6695 - Elbow socket ins use w/o lck | '01/01/2005 | 12/31/2999 |
| L6696 | L6696 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/ABOVE ELBOW CUSTOM FABRICATED SOCKET INSERT FOR CONGENITAL OR ATYPICAL TRAUMATIC AMPUTEE SILICONE GEL ELASTOMERIC OR EQUAL FOR USE WITH OR WITHOUT LOCKING MECHANISM INITIAL ONLY (FOR OTHER THAN INITIAL USE CODE L6694 OR L6695) | L6696 - | L6696 - Cus elbo skt in for con/atyp | '01/01/2005 | 12/31/2999 |
| L6697 | L6697 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/ABOVE ELBOW CUSTOM FABRICATED SOCKET INSERT FOR OTHER THAN CONGENITAL OR ATYPICAL TRAUMATIC AMPUTEE SILICONE GEL ELASTOMERIC OR EQUAL FOR USE WITH OR WITHOUT LOCKING MECHANISM INITIAL ONLY (FOR OTHER THAN INITIAL USE CODE L6694 OR L6695) | L6697 - | L6697 - Cus elbo skt in not con/atyp | '01/01/2005 | 12/31/2999 |
| L6698 | L6698 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/ABOVE ELBOW LOCK MECHANISM EXCLUDES SOCKET INSERT | L6698 - | L6698 - Below/above elbow lock mech | '01/01/2005 | 12/31/2999 |
| L6703 | L6703 - TERMINAL DEVICE PASSIVE HAND/MITT ANY MATERIAL ANY SIZE | L6703 - | L6703 - Term dev passive hand mitt | '01/01/2007 | 12/31/2999 |
| L6704 | L6704 - TERMINAL DEVICE SPORT/RECREATIONAL/WORK ATTACHMENT ANY MATERIAL ANY SIZE | L6704 - | L6704 - Term dev sport/rec/work att | '01/01/2007 | 12/31/2999 |
| L6706 | L6706 - TERMINAL DEVICE HOOK MECHANICAL VOLUNTARY OPENING ANY MATERIAL ANY SIZE LINED OR UNLINED | L6706 - | L6706 - Term dev mech hook vol open | '01/01/2007 | 12/31/2999 |
| L6707 | L6707 - TERMINAL DEVICE HOOK MECHANICAL VOLUNTARY CLOSING ANY MATERIAL ANY SIZE LINED OR UNLINED | L6707 - | L6707 - Term dev mech hook vol close | '01/01/2007 | 12/31/2999 |
| L6708 | L6708 - TERMINAL DEVICE HAND MECHANICAL VOLUNTARY OPENING ANY MATERIAL ANY SIZE | L6708 - | L6708 - Term dev mech hand vol open | '01/01/2007 | 12/31/2999 |
| L6709 | L6709 - TERMINAL DEVICE HAND MECHANICAL VOLUNTARY CLOSING ANY MATERIAL ANY SIZE | L6709 - | L6709 - Term dev mech hand vol close | '01/01/2007 | 12/31/2999 |
| L6711 | L6711 - TERMINAL DEVICE HOOK MECHANICAL VOLUNTARY OPENING ANY MATERIAL ANY SIZE LINED OR UNLINED PEDIATRIC | L6711 - | L6711 - Ped term dev hook vol open | '01/01/2009 | 12/31/2999 |
| L6712 | L6712 - TERMINAL DEVICE HOOK MECHANICAL VOLUNTARY CLOSING ANY MATERIAL ANY SIZE LINED OR UNLINED PEDIATRIC | L6712 - | L6712 - Ped term dev hook vol clos | '01/01/2009 | 12/31/2999 |
| L6713 | L6713 - TERMINAL DEVICE HAND MECHANICAL VOLUNTARY OPENING ANY MATERIAL ANY SIZE PEDIATRIC | L6713 - | L6713 - Ped term dev hand vol open | '01/01/2009 | 12/31/2999 |
| L6714 | L6714 - TERMINAL DEVICE HAND MECHANICAL VOLUNTARY CLOSING ANY MATERIAL ANY SIZE PEDIATRIC | L6714 - | L6714 - Ped term dev hand vol clos | '01/01/2009 | 12/31/2999 |
| L6715 | L6715 - TERMINAL DEVICE MULTIPLE ARTICULATING DIGIT INCLUDES MOTOR(S) INITIAL ISSUE OR REPLACEMENT | L6715 - | L6715 - | '01/01/2012 | 12/31/2999 |
| L6721 | L6721 - TERMINAL DEVICE HOOK OR HAND HEAVY DUTY MECHANICAL VOLUNTARY OPENING ANY MATERIAL ANY SIZE LINED OR UNLINED | L6721 - | L6721 - Hook/hand hvy dty vol open | '01/01/2009 | 12/31/2999 |
| L6722 | L6722 - TERMINAL DEVICE HOOK OR HAND HEAVY DUTY MECHANICAL VOLUNTARY CLOSING ANY MATERIAL ANY SIZE LINED OR UNLINED | L6722 - | L6722 - Hook/hand hvy dty vol clos | '01/01/2009 | 12/31/2999 |
| L6805 | L6805 - ADDITION TO TERMINAL DEVICE MODIFIER WRIST UNIT | L6805 - | L6805 - Term dev modifier wrist unit | '01/01/2007 | 12/31/2999 |
| L6810 | L6810 - ADDITION TO TERMINAL DEVICE PRECISION PINCH DEVICE | L6810 - | L6810 - Term dev precision pinch dev | '01/01/2007 | 12/31/2999 |
| L6880 | L6880 - ELECTRIC HAND SWITCH OR MYOLELECTRIC CONTROLLED INDEPENDENTLY ARTICULATING DIGITS ANY GRASP PATTERN OR COMBINATION OF GRASP PATTERNS INCLUDES MOTOR(S) | L6880 - | L6880 - | '01/01/2012 | 12/31/2999 |
| L6881 | L6881 - AUTOMATIC GRASP FEATURE ADDITION TO UPPER LIMB ELECTRIC PROSTHETIC TERMINAL DEVICE | L6881 - | L6881 - Term dev auto grasp feature | '01/01/2007 | 12/31/2999 |
| L6882 | L6882 - Microprocessor control feature addition to upper limb prosthetic terminal device | L6882 - | L6882 - Microprocessor control uplmb | '01/01/2002 | 12/31/2999 |
| L6883 | L6883 - REPLACEMENT SOCKET BELOW ELBOW/WRIST DISARTICULATION MOLDED TO PATIENT MODEL FOR USE WITH OR WITHOUT EXTERNAL POWER | L6883 - | L6883 - Replc sockt below e/w disa | '01/01/2006 | 12/31/2999 |
| L6884 | L6884 - REPLACEMENT SOCKET ABOVE ELBOW/ELBOW DISARTICULATION MOLDED TO PATIENT MODEL FOR USE WITH OR WITHOUT EXTERNAL POWER | L6884 - | L6884 - Replc sockt above elbow disa | '01/01/2007 | 12/31/2999 |
| L6885 | L6885 - REPLACEMENT SOCKET SHOULDER DISARTICULATION/INTERSCAPULAR THORACIC MOLDED TO PATIENT MODEL FOR USE WITH OR WITHOUT EXTERNAL POWER | L6885 - | L6885 - Replc sockt shldr dis/interc | '01/01/2006 | 12/31/2999 |
| L6890 | L6890 - Addition to upper extremity prosthesis glove for terminal device any material prefabricated includes fitting and adjustment | L6890 - | L6890 - Prefab glove for term device | '01/01/2005 | 12/31/2999 |
| L6895 | L6895 - Addition to upper extremity prosthesis glove for terminal device any material custom fabricated | L6895 - | L6895 - Custom glove for term device | '01/01/2005 | 12/31/2999 |
| L6900 | L6900 - Hand restoration (casts shading and measurements included) partial hand with glove thumb or one finger remaining | L6900 - | L6900 - Hand restorat thumb/1 finger | '01/01/1996 | 12/31/2999 |
| L6905 | L6905 - Hand restoration (casts shading and measurements included) partial hand with glove multiple fingers remaining | L6905 - | L6905 - Hand restoration multiple fi | '01/01/1996 | 12/31/2999 |
| L6910 | L6910 - Hand restoration (casts shading and measurements included) partial hand with glove no fingers remaining | L6910 - | L6910 - Hand restoration no fingers | '01/01/1996 | 12/31/2999 |
| L6915 | L6915 - Hand restoration (shading and measurements included) replacement glove for above | L6915 - | L6915 - Hand restoration replacmnt g | '01/01/1996 | 12/31/2999 |
| L6920 | L6920 - Wrist disarticulation external power self-suspended inner socket removable forearm shell otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6920 - | L6920 - Wrist disarticul switch ctrl | '01/01/1996 | 12/31/2999 |
| L6925 | L6925 - Wrist disarticulation external power self-suspended inner socket removable forearm shell otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6925 - | L6925 - Wrist disart myoelectronic c | '01/01/1996 | 12/31/2999 |
| L6930 | L6930 - Below elbow external power self-suspended inner socket removable forearm shell otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6930 - | L6930 - Below elbow switch control | '01/01/1996 | 12/31/2999 |
| L6935 | L6935 - Below elbow external power self-suspended inner socket removable forearm shell otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6935 - | L6935 - Below elbow myoelectronic ct | '01/01/1996 | 12/31/2999 |
| L6940 | L6940 - Elbow disarticulation external power molded inner socket removable humeral shell outside locking hinges forearm otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6940 - | L6940 - Elbow disarticulation switch | '01/01/1996 | 12/31/2999 |
| L6945 | L6945 - Elbow disarticulation external power molded inner socket removable humeral shell outside locking hinges forearm otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6945 - | L6945 - Elbow disart myoelectronic c | '01/01/1996 | 12/31/2999 |
| L6950 | L6950 - Above elbow external power molded inner socket removable humeral shell internal locking elbow forearm otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6950 - | L6950 - Above elbow switch control | '01/01/1996 | 12/31/2999 |
| L6955 | L6955 - Above elbow external power molded inner socket removable humeral shell internal locking elbow forearm otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6955 - | L6955 - Above elbow myoelectronic ct | '01/01/1996 | 12/31/2999 |
| L6960 | L6960 - Shoulder disarticulation external power molded inner socket removable shoulder shell shoulder bulkhead humeral section mechanical elbow forearm otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6960 - | L6960 - Shldr disartic switch contro | '01/01/1996 | 12/31/2999 |
| L6965 | L6965 - Shoulder disarticulation external power molded inner socket removable shoulder shell shoulder bulkhead humeral section mechanical elbow forearm otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6965 - | L6965 - Shldr disartic myoelectronic | '01/01/1996 | 12/31/2999 |
| L6970 | L6970 - Interscapular-thoracic external power molded inner socket removable shoulder shell shoulder bulkhead humeral section mechanical elbow forearm otto bock or equal switch cables two batteries and one charger switch control of terminal device | L6970 - | L6970 - Interscapular-thor switch ct | '01/01/1996 | 12/31/2999 |
| L6975 | L6975 - Interscapular-thoracic external power molded inner socket removable shoulder shell shoulder bulkhead humeral section mechanical elbow forearm otto bock or equal electrodes cables two batteries and one charger myoelectronic control of terminal device | L6975 - | L6975 - Interscap-thor myoelectronic | '01/01/1996 | 12/31/2999 |
| L7007 | L7007 - ELECTRIC HAND SWITCH OR MYOELECTRIC CONTROLLED ADULT | L7007 - | L7007 - Adult electric hand | '01/01/2007 | 12/31/2999 |
| L7008 | L7008 - ELECTRIC HAND SWITCH OR MYOELECTRIC CONTROLLED PEDIATRIC | L7008 - | L7008 - Pediatric electric hand | '01/01/2007 | 12/31/2999 |
| L7009 | L7009 - ELECTRIC HOOK SWITCH OR MYOELECTRIC CONTROLLED ADULT | L7009 - | L7009 - Adult electric hook | '01/01/2007 | 12/31/2999 |
| L7040 | L7040 - PREHENSILE ACTUATOR SWITCH CONTROLLED | L7040 - | L7040 - Prehensile actuator | '01/01/2007 | 12/31/2999 |
| L7045 | L7045 - ELECTRIC HOOK SWITCH OR MYOELECTRIC ONTROLLED PEDIATRIC | L7045 - | L7045 - Pediatric electric hook | '01/01/2007 | 12/31/2999 |
| L7170 | L7170 - Electronic elbow hosmer or equal switch controlled | L7170 - | L7170 - Electronic elbow hosmer swit | '01/01/1996 | 12/31/2999 |
| L7180 | L7180 - Electronic elbow microprocessor sequential control of elbow and terminal device | L7180 - | L7180 - Electronic elbow sequential | '01/01/2005 | 12/31/2999 |
| L7181 | L7181 - ELECTRONIC ELBOW MICROPROCESSOR SIMULTANEOUS CONTROL OF ELBOW AND TERMINAL DEVICE | L7181 - | L7181 - Electronic elbo simultaneous | '01/01/2005 | 12/31/2999 |
| L7185 | L7185 - Electronic elbow adolescent variety village or equal switch controlled | L7185 - | L7185 - Electron elbow adolescent sw | '01/01/1996 | 12/31/2999 |
| L7186 | L7186 - Electronic elbow child variety village or equal switch controlled | L7186 - | L7186 - Electron elbow child switch | '01/01/1996 | 12/31/2999 |
| L7190 | L7190 - Electronic elbow adolescent variety village or equal myoelectronically controlled | L7190 - | L7190 - Elbow adolescent myoelectron | '01/01/1996 | 12/31/2999 |
| L7191 | L7191 - Electronic elbow child variety village or equal myoelectronically controlled | L7191 - | L7191 - Elbow child myoelectronic ct | '01/01/1996 | 12/31/2999 |
| L7259 | L7259 - Electronic wrist rotator any type | L7259 - | L7259 - Electronic wrist rotator any | '01/01/2015 | 12/31/2999 |
| L7360 | L7360 - Six volt battery each | L7360 - | L7360 - Six volt bat otto bock/eq ea | '01/01/2008 | 12/31/2999 |
| L7362 | L7362 - Battery charger six volt each | L7362 - | L7362 - Battery chrgr six volt otto | '01/01/2008 | 12/31/2999 |
| L7364 | L7364 - Twelve volt battery each | L7364 - | L7364 - Twelve volt battery utah/equ | '01/01/2008 | 12/31/2999 |
| L7366 | L7366 - Battery charger twelve volt each | L7366 - | L7366 - Battery chrgr 12 volt utah/e | '01/01/2008 | 12/31/2999 |
| L7367 | L7367 - Lithium ion battery rechargeable replacement | L7367 - | L7367 - Replacemnt lithium ionbatter | '01/01/2015 | 12/31/2999 |
| L7368 | L7368 - LITHIUM ION BATTERY CHARGER REPLACEMENT ONLY | L7368 - | L7368 - Lithium ion battery charger | '01/01/2012 | 12/31/2999 |
| L7400 | L7400 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/WRIST DISARTICULATION ULTRALIGHT MATERIAL (TITANIUM CARBON FIBER OR EQUAL) | L7400 - | L7400 - Add UE prost be/wd ultlite | '01/01/2006 | 12/31/2999 |
| L7401 | L7401 - ADDITION TO UPPER EXTREMITY PROSTHESIS ABOVE ELBOW DISARTICULATION ULTRALIGHT MATERIAL (TITANIUM CARBON FIBER OR EQUAL) | L7401 - | L7401 - Add UE prost a/e ultlite mat | '01/01/2006 | 12/31/2999 |
| L7402 | L7402 - ADDITION TO UPPER EXTREMITY PROSTHESIS SHOULDER DISARTICULATION/INTERSCAPULAR THORACIC ULTRALIGHT MATERIAL (TITANIUM CARBON FIBER OR EQUAL) | L7402 - | L7402 - Add UE prost s/d ultlite mat | '01/01/2006 | 12/31/2999 |
| L7403 | L7403 - ADDITION TO UPPER EXTREMITY PROSTHESIS BELOW ELBOW/WRIST DISARTICULATION ACRYLIC MATERIAL | L7403 - | L7403 - Add UE prost b/e acrylic | '01/01/2006 | 12/31/2999 |
| L7404 | L7404 - ADDITION TO UPPER EXTREMITY PROSTHESIS ABOVE ELBOW DISARTICULATION ACRYLIC MATERIAL | L7404 - | L7404 - Add UE prost a/e acrylic | '01/01/2006 | 12/31/2999 |
| L7405 | L7405 - ADDITION TO UPPER EXTREMITY PROSTHESIS SHOULDER DISARTICULATION/INTERSCAPULAR THORACIC ACRYLIC MATERIAL | L7405 - | L7405 - Add UE prost s/d acrylic | '01/01/2006 | 12/31/2999 |
| L7499 | L7499 - Upper extremity prosthesis not otherwise specified | L7499 - | L7499 - Upper extremity prosthes NOS | '01/01/1998 | 12/31/2999 |
| L7510 | L7510 - Repair of prosthetic device repair or replace minor parts | L7510 - | L7510 - Prosthetic device repair rep | '01/01/2003 | 12/31/2999 |
| L7520 | L7520 - Repair prosthetic device labor component per 15 minutes | L7520 - | L7520 - Repair prosthesis per 15 min | '01/01/2000 | 12/31/2999 |
| L7600 | L7600 - PROSTHETIC DONNING SLEEVE ANY MATERIAL EACH | L7600 - | L7600 - Prosthetic donning sleeve | '01/01/2006 | 12/31/2999 |
| L7700 | L7700 - Gasket or seal for use with prosthetic socket insert any type each | L7700 - | L7700 - Pros soc insert gasket/seal | '01/01/2018 | 12/31/2999 |
| L7900 | L7900 - Male vacuum erection system | L7900 - | L7900 - Male vacuum erection system | '01/01/2003 | 12/31/2999 |
| L7902 | L7902 - Tension ring for vacuum erection device any type replacement only each | L7902 - | L7902 - Tension ring vac erect dev | '01/01/2013 | 12/31/2999 |
| L8000 | L8000 - Breast prosthesis mastectomy bra without integrated breast prosthesis form any size any type | L8000 - | L8000 - Mastectomy bra | '01/01/2013 | 12/31/2999 |
| L8001 | L8001 - Breast prosthesis mastectomy bra with integrated breast prosthesis form unilateral any size any type | L8001 - | L8001 - Breast prosthesis bra & form | '01/01/2013 | 12/31/2999 |
| L8002 | L8002 - Breast prosthesis mastectomy bra with integrated breast prosthesis form bilateral any size any type | L8002 - | L8002 - Brst prsth bra & bilat form | '01/01/2013 | 12/31/2999 |
| L8010 | L8010 - Breast prosthesis mastectomy sleeve | L8010 - | L8010 - Mastectomy sleeve | '04/01/2005 | 12/31/2999 |
| L8015 | L8015 - External breast prosthesis garment with mastectomy form post mastectomy | L8015 - | L8015 - Ext breastprosthesis garment | '01/01/1999 | 12/31/2999 |
| L8020 | L8020 - Breast prosthesis mastectomy form | L8020 - | L8020 - Mastectomy form | '01/01/1996 | 12/31/2999 |
| L8030 | L8030 - BREAST PROSTHESIS SILICONE OR EQUAL WITHOUT INTEGRAL ADHESIVE | L8030 - | L8030 - Breast prosthes w/o adhesive | '01/01/2010 | 12/31/2999 |
| L8031 | L8031 - BREAST PROSTHESIS SILICONE OR EQUAL WITH INTEGRAL ADHESIVE | L8031 - | L8031 - Breast prosthesis w adhesive | '01/01/2010 | 12/31/2999 |
| L8032 | L8032 - Nipple prosthesis prefabricated reusable any type each | L8032 - | L8032 - Reusable nipple prosthesis | '01/01/2020 | 12/31/2999 |
| L8033 | L8033 - Nipple prosthesis custom fabricated reusable any material any type each | L8033 - | L8033 - Nipple prosthesis custom ea | '01/01/2020 | 12/31/2999 |
| L8035 | L8035 - Custom breast prosthesis post mastectomy molded to patient model | L8035 - | L8035 - Custom breast prosthesis | '01/01/1999 | 12/31/2999 |
| L8039 | L8039 - Breast prosthesis not otherwise specified | L8039 - | L8039 - Breast prosthesis NOS | '01/01/1998 | 12/31/2999 |
| L8040 | L8040 - Nasal prosthesis provided by a non-physician | L8040 - | L8040 - Nasal prosthesis | '01/01/2001 | 12/31/2999 |
| L8041 | L8041 - Midfacial prosthesis provided by a non-physician | L8041 - | L8041 - Midfacial prosthesis | '01/01/2001 | 12/31/2999 |
| L8042 | L8042 - Orbital prosthesis provided by a non-physician | L8042 - | L8042 - Orbital prosthesis | '01/01/2001 | 12/31/2999 |
| L8043 | L8043 - Upper facial prosthesis provided by a non-physician | L8043 - | L8043 - Upper facial prosthesis | '01/01/2001 | 12/31/2999 |
| L8044 | L8044 - Hemi-facial prosthesis provided by a non-physician | L8044 - | L8044 - Hemi-facial prosthesis | '01/01/2001 | 12/31/2999 |
| L8045 | L8045 - Auricular prosthesis provided by a non-physician | L8045 - | L8045 - Auricular prosthesis | '01/01/2001 | 12/31/2999 |
| L8046 | L8046 - Partial facial prosthesis provided by a non-physician | L8046 - | L8046 - Partial facial prosthesis | '01/01/2001 | 12/31/2999 |
| L8047 | L8047 - Nasal septal prosthesis provided by a non-physician | L8047 - | L8047 - Nasal septal prosthesis | '01/01/2001 | 12/31/2999 |
| L8048 | L8048 - Unspecified maxillofacial prosthesis by report provided by a non-physician | L8048 - | L8048 - Unspec maxillofacial prosth | '01/01/2001 | 12/31/2999 |
| L8049 | L8049 - Repair or modification of maxillofacial prosthesis labor component 15 minute increments provided by a non-physician | L8049 - | L8049 - Repair maxillofacial prosth | '01/01/2001 | 12/31/2999 |
| L8300 | L8300 - Truss single with standard pad | L8300 - | L8300 - Truss single w/ standard pad | '01/01/1996 | 12/31/2999 |
| L8310 | L8310 - Truss double with standard pads | L8310 - | L8310 - Truss double w/ standard pad | '01/01/1996 | 12/31/2999 |
| L8320 | L8320 - Truss addition to standard pad water pad | L8320 - | L8320 - Truss addition to std pad wa | '01/01/1996 | 12/31/2999 |
| L8330 | L8330 - Truss addition to standard pad scrotal pad | L8330 - | L8330 - Truss add to std pad scrotal | '01/01/1996 | 12/31/2999 |
| L8400 | L8400 - Prosthetic sheath below knee each | L8400 - | L8400 - Sheath below knee | '01/01/1996 | 12/31/2999 |
| L8410 | L8410 - Prosthetic sheath above knee each | L8410 - | L8410 - Sheath above knee | '01/01/1996 | 12/31/2999 |
| L8415 | L8415 - Prosthetic sheath upper limb each | L8415 - | L8415 - Sheath upper limb | '01/01/1996 | 12/31/2999 |
| L8417 | L8417 - Prosthetic sheath/sock including a gel cushion layer below knee or above knee each | L8417 - | L8417 - Pros sheath/sock w gel cushn | '01/01/1997 | 12/31/2999 |
| L8420 | L8420 - Prosthetic sock multiple ply below knee each | L8420 - | L8420 - Prosthetic sock multi ply BK | '01/01/1999 | 12/31/2999 |
| L8430 | L8430 - Prosthetic sock multiple ply above knee each | L8430 - | L8430 - Prosthetic sock multi ply AK | '01/01/1999 | 12/31/2999 |
| L8435 | L8435 - Prosthetic sock multiple ply upper limb each | L8435 - | L8435 - Pros sock multi ply upper lm | '01/01/2000 | 12/31/2999 |
| L8440 | L8440 - Prosthetic shrinker below knee each | L8440 - | L8440 - Shrinker below knee | '01/01/1996 | 12/31/2999 |
| L8460 | L8460 - Prosthetic shrinker above knee each | L8460 - | L8460 - Shrinker above knee | '01/01/1996 | 12/31/2999 |
| L8465 | L8465 - Prosthetic shrinker upper limb each | L8465 - | L8465 - Shrinker upper limb | '01/01/1996 | 12/31/2999 |
| L8470 | L8470 - Prosthetic sock single ply fitting below knee each | L8470 - | L8470 - Pros sock single ply BK | '01/01/1999 | 12/31/2999 |
| L8480 | L8480 - Prosthetic sock single ply fitting above knee each | L8480 - | L8480 - Pros sock single ply AK | '01/01/1999 | 12/31/2999 |
| L8485 | L8485 - Prosthetic sock single ply fitting upper limb each | L8485 - | L8485 - Pros sock single ply upper l | '01/01/1999 | 12/31/2999 |
| L8499 | L8499 - Unlisted procedure for miscellaneous prosthetic services | L8499 - | L8499 - Unlisted misc prosthetic ser | '01/01/2002 | 12/31/2999 |
| L8500 | L8500 - Artificial larynx any type | L8500 - | L8500 - Artificial larynx | '01/01/1996 | 12/31/2999 |
| L8501 | L8501 - Tracheostomy speaking valve | L8501 - | L8501 - Tracheostomy speaking valve | '01/01/1996 | 12/31/2999 |
| L8505 | L8505 - Artificial larynx replacement battery / accessory any type | L8505 - | L8505 - Artificial larynx accessory | '01/01/2002 | 12/31/2999 |
| L8507 | L8507 - Tracheo-esophageal voice prosthesis patient inserted any type each | L8507 - | L8507 - Trach-esoph voice pros pt in | '01/01/2002 | 12/31/2999 |
| L8509 | L8509 - Tracheo-esophageal voice prosthesis inserted by a licensed health care provider any type | L8509 - | L8509 - Trach-esoph voice pros md in | '01/01/2002 | 12/31/2999 |
| L8510 | L8510 - Voice amplifier | L8510 - | L8510 - Voice amplifier | '01/01/2002 | 12/31/2999 |
| L8511 | L8511 - Insert for indwelling tracheoesophageal prosthesis with or without valve replacement only each | L8511 - | L8511 - Indwelling trach insert | '01/01/2004 | 12/31/2999 |
| L8512 | L8512 - Gelatin capsules or equivalent for use with tracheoesophageal voice prosthesis replacement only per 10 | L8512 - | L8512 - Gel cap for trach voice pros | '01/01/2004 | 12/31/2999 |
| L8513 | L8513 - Cleaning device used with tracheoesophageal voice prosthesis pipet brush or equal replacement only each | L8513 - | L8513 - Trach pros cleaning device | '01/01/2004 | 12/31/2999 |
| L8514 | L8514 - Tracheoesophageal puncture dilator replacement only each | L8514 - | L8514 - Repl trach puncture dilator | '01/01/2004 | 12/31/2999 |
| L8515 | L8515 - GELATIN CAPSULE APPLICATION DEVICE FOR USE WITH TRACHEOESOPHAGEAL VOICE PROSTHESIS EACH | L8515 - | L8515 - Gel cap app device for trach | '01/01/2005 | 12/31/2999 |
| L8600 | L8600 - Implantable breast prosthesis silicone or equal | L8600 - | L8600 - Implant breast silicone/eq | 01-10-1997 | 12/31/2999 |
| L8603 | L8603 - Injectable bulking agent collagen implant urinary tract 2. 5 ml syringe includes shipping and necessary supplies | L8603 - | L8603 - Collagen imp urinary 2.5 ml | '01/01/2001 | 12/31/2999 |
| L8604 | L8604 - INJECTABLE BULKING AGENT DEXTRANOMER/HYALURONIC ACID COPOLYMER IMPLANT URINARY TRACT 1 ML INCLUDES SHIPPING AND NECESSARY SUPPLIES | L8604 - | L8604 - Dextranomer/hyaluronic acid | '01/01/2009 | 12/31/2999 |
| L8605 | L8605 - Injectable bulking agent dextranomer/hyaluronic acid copolymer implant anal canal 1 ml includes shipping and necessary supplies | L8605 - | L8605 - Inj bulking agent anal canal | '01/01/2013 | 12/31/2999 |
| L8606 | L8606 - Injectable bulking agent synthetic implant urinary tract 1 ml syringe includes shipping and necessary supplies | L8606 - | L8606 - Synthetic implnt urinary 1ml | '01/01/2001 | 12/31/2999 |
| L8607 | L8607 - Injectable bulking agent for vocal cord medialization 0.1 ml includes shipping and necessary supplies | L8607 - | L8607 - Inj vocal cord bulking agent | '01/01/2016 | 12/31/2999 |
| L8608 | L8608 - Miscellaneous external component supply or accessory for use with the argus ii retinal prosthesis system | L8608 - | L8608 - Arg ii ext com/sup/acc misc | '01/01/2019 | 12/31/2999 |
| L8609 | L8609 - ARTIFICIAL CORNEA | L8609 - | L8609 - Artificial cornea | '01/01/2006 | 12/31/2999 |
| L8610 | L8610 - Ocular implant | L8610 - | L8610 - Ocular implant | 01-10-1997 | 12/31/2999 |
| L8612 | L8612 - Aqueous shunt | L8612 - | L8612 - Aqueous shunt prosthesis | 01-10-1997 | 12/31/2999 |
| L8613 | L8613 - Ossicula implant | L8613 - | L8613 - Ossicular implant | 01-10-1997 | 12/31/2999 |
| L8614 | L8614 - COCHLEAR DEVICE INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | L8614 - | L8614 - Cochlear device | '01/01/2007 | 12/31/2999 |
| L8615 | L8615 - HEADSET/HEADPIECE FOR USE WITH COCHLEAR IMPLANT DEVICE REPLACEMENT | L8615 - | L8615 - Coch implant headset replace | '01/01/2005 | 12/31/2999 |
| L8616 | L8616 - MICROPHONE FOR USE WITH COCHLEAR IMPLANT DEVICE REPLACEMENT | L8616 - | L8616 - Coch implant microphone repl | '01/01/2005 | 12/31/2999 |
| L8617 | L8617 - TRANSMITTING COIL FOR USE WITH COCHLEAR IMPLANT DEVICE REPLACEMENT | L8617 - | L8617 - Coch implant trans coil repl | '01/01/2005 | 12/31/2999 |
| L8618 | L8618 - Transmitter cable for use with cochlear implant device or auditory osseointegrated device replacement | L8618 - | L8618 - Coch implant tran cable repl | '01/01/2018 | 12/31/2999 |
| L8619 | L8619 - COCHLEAR IMPLANT EXTERNAL SPEECH PROCESSOR AND CONTROLLER INTEGRATED SYSTEM REPLACEMENT | L8619 - | L8619 - Coch imp ext proc/contr rplc | '01/01/2010 | 12/31/2999 |
| L8621 | L8621 - Zinc air battery for use with cochlear implant device and auditory osseointegrated sound processors replacement each | L8621 - | L8621 - Repl zinc air battery | '01/01/2016 | 12/31/2999 |
| L8622 | L8622 - ALKALINE BATTERY FOR USE WITH COCHLEAR IMPLANT DEVICE ANY SIZE REPLACEMENT EACH | L8622 - | L8622 - Repl alkaline battery | '01/01/2005 | 12/31/2999 |
| L8623 | L8623 - LITHIUM ION BATTERY FOR USE WITH COCHLEAR IMPLANT DEVICE SPEECH PROCESSOR OTHER THAN EAR LEVEL REPLACEMENT EACH | L8623 - | L8623 - Lith ion batt CID non-earlvl | '01/01/2006 | 12/31/2999 |
| L8624 | L8624 - Lithium ion battery for use with cochlear implant or auditory osseointegrated device speech processor ear level replacement each | L8624 - | L8624 - Lith ion batt cid ear level | '01/01/2018 | 12/31/2999 |
| L8625 | L8625 - External recharging system for battery for use with cochlear implant or auditory osseointegrated device replacement only each | L8625 - | L8625 - Charger coch impl/aoi battry | '01/01/2018 | 12/31/2999 |
| L8627 | L8627 - COCHLEAR IMPLANT EXTERNAL SPEECH PROCESSOR COMPONENT REPLACEMENT | L8627 - | L8627 - CID ext speech process repl | '01/01/2010 | 12/31/2999 |
| L8628 | L8628 - COCHLEAR IMPLANT EXTERNAL CONTROLLER COMPONENT REPLACEMENT | L8628 - | L8628 - CID ext controller repl | '01/01/2010 | 12/31/2999 |
| L8629 | L8629 - TRANSMITTING COIL AND CABLE INTEGRATED FOR USE WITH COCHLEAR IMPLANT DEVICE REPLACEMENT | L8629 - | L8629 - CID transmit coil and cable | '01/01/2010 | 12/31/2999 |
| L8630 | L8630 - Metacarpophalangeal joint implant | L8630 - | L8630 - Metacarpophalangeal implant | 01-10-1997 | 12/31/2999 |
| L8631 | L8631 - Metacarpal phalangeal joint replacement two or more pieces metal (e. G. stainless steel or cobalt chrome) ceramic-like material (e. G. pyrocarbon) for surgical implantation (all sizes includes entire system) | L8631 - | L8631 - MCP joint repl 2 pc or more | '01/01/2004 | 12/31/2999 |
| L8641 | L8641 - Metatarsal joint implant | L8641 - | L8641 - Metatarsal joint implant | 01-10-1997 | 12/31/2999 |
| L8642 | L8642 - Hallux implant | L8642 - | L8642 - Hallux implant | 01-10-1997 | 12/31/2999 |
| L8658 | L8658 - Interphalangeal joint spacer silicone or equal each | L8658 - | L8658 - Interphalangeal joint spacer | '01/01/2004 | 12/31/2999 |
| L8659 | L8659 - Interphalangeal finger joint replacement 2 or more pieces metal (e. G. stainless steel or cobalt chrome) ceramic-like material (e. G. pyrocarbon) for surgical implantation any size | L8659 - | L8659 - Interphalangeal joint repl | '01/01/2004 | 12/31/2999 |
| L8670 | L8670 - Vascular graft material synthetic implant | L8670 - | L8670 - Vascular graft synthetic | 01-10-1997 | 12/31/2999 |
| L8679 | L8679 - Implantable neurostimulator pulse generator any type | L8679 - | L8679 - Imp neurosti pls gn any type | '01/01/2014 | 12/31/2999 |
| L8680 | L8680 - Implantable neurostimulator electrode each | L8680 - | L8680 - Implt neurostim elctr each | '01/01/2013 | 12/31/2999 |
| L8681 | L8681 - PATIENT PROGRAMMER (EXTERNAL) FOR USE WITH IMPLANTABLE PROGRAMMABLE NEUROSTIMULATOR PULSE GENERATOR REPLACEMENT ONLY | L8681 - | L8681 - Pt prgrm for implt neurostim | '01/01/2009 | 12/31/2999 |
| L8682 | L8682 - Implantable neurostimulator radiofrequency receiver | L8682 - | L8682 - Implt neurostim radiofq rec | '01/01/2013 | 12/31/2999 |
| L8683 | L8683 - Radiofrequency transmitter (external) for use with implantable neurostimulator radiofrequency receiver | L8683 - | L8683 - Radiofq trsmtr for implt neu | '01/01/2013 | 12/31/2999 |
| L8684 | L8684 - Radiofrequency transmitter (external) for use with implantable sacral root neurostimulator receiver for bowel and bladder management replacement | L8684 - | L8684 - Radiof trsmtr implt scrl neu | '01/01/2013 | 12/31/2999 |
| L8685 | L8685 - Implantable neurostimulator pulse generator single array rechargeable includes extension | L8685 - | L8685 - Implt nrostm pls gen sng rec | '01/01/2013 | 12/31/2999 |
| L8686 | L8686 - Implantable neurostimulator pulse generator single array non-rechargeable includes extension | L8686 - | L8686 - Implt nrostm pls gen sng non | '01/01/2013 | 12/31/2999 |
| L8687 | L8687 - Implantable neurostimulator pulse generator dual array rechargeable includes extension | L8687 - | L8687 - Implt nrostm pls gen dua rec | '01/01/2013 | 12/31/2999 |
| L8688 | L8688 - Implantable neurostimulator pulse generator dual array non-rechargeable includes extension | L8688 - | L8688 - Implt nrostm pls gen dua non | '01/01/2013 | 12/31/2999 |
| L8689 | L8689 - EXTERNAL RECHARGING SYSTEM FOR BATTERY (INTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR REPLACEMENT ONLY | L8689 - | L8689 - External recharg sys intern | '01/01/2009 | 12/31/2999 |
| L8690 | L8690 - AUDITORY OSSEOINTEGRATED DEVICE INCLUDES ALL INTERNAL AND EXTERNAL COMPONENTS | L8690 - | L8690 - Aud osseo dev int/ext comp | '01/01/2007 | 12/31/2999 |
| L8691 | L8691 - Auditory osseointegrated device external sound processor excludes transducer/actuator replacement only each | L8691 - | L8691 - Aoi snd proc repl excl actua | '01/01/2018 | 12/31/2999 |
| L8692 | L8692 - AUDITORY OSSEOINTEGRATED DEVICE EXTERNAL SOUND PROCESSOR USED WITHOUT OSSEOINTEGRATION BODY WORN INCLUDES HEADBAND OR OTHER MEANS OF EXTERNAL ATTACHMENT | L8692 - | L8692 - Non-osseointegrated snd proc | '01/01/2010 | 12/31/2999 |
| L8693 | L8693 - AUDITORY OSSEOINTEGRATED DEVICE ABUTMENT ANY LENGTH REPLACEMENT ONLY | L8693 - | L8693 - Aud osseo dev abutment | '01/01/2011 | 12/31/2999 |
| L8694 | L8694 - Auditory osseointegrated device transducer/actuator replacement only each | L8694 - | L8694 - Aoi transducer/actuator repl | '01/01/2018 | 12/31/2999 |
| L8695 | L8695 - EXTERNAL RECHARGING SYSTEM FOR BATTERY (EXTERNAL) FOR USE WITH IMPLANTABLE NEUROSTIMULATOR REPLACEMENT ONLY | L8695 - | L8695 - External recharg sys extern | '01/01/2009 | 12/31/2999 |
| L8696 | L8696 - Antenna (external) for use with implantable diaphragmatic/phrenic nerve stimulation device replacement each | L8696 - | L8696 - Ext antenna phren nerve stim | '01/01/2015 | 12/31/2999 |
| L8698 | L8698 - Miscellaneous component supply or accessory for use with total artificial heart system | L8698 - | L8698 - Misc used with tot art heart | '01/01/2019 | 12/31/2999 |
| L8699 | L8699 - Prosthetic implant not otherwise specified | L8699 - | L8699 - Prosthetic implant NOS | '01/01/1998 | 12/31/2999 |
| L8701 | L8701 - Powered upper extremity range of motion assist device elbow wrist hand with single or double upright(s) includes microprocessor sensors all components and accessories custom fabricated | L8701 - | L8701 - Ewh s/d uprt micro sensor | 01-10-2020 | 12/31/2999 |
| L8702 | L8702 - Powered upper extremity range of motion assist device elbow wrist hand finger single or double upright(s) includes microprocessor sensors all components and accessories custom fabricated | L8702 - | L8702 - Ewhf s/d uprt micro sensor | 01-10-2020 | 12/31/2999 |
| L9900 | L9900 - Orthotic and prosthetic supply accessory and/or service component of another HCPCS L code | L9900 - | L9900 - O&P supply/accessory/service | '01/01/2000 | 12/31/2999 |
| M0001 | M0001 - Advancing cancer care mips value pathways | M0001 - | M0001 - Advancing cancer care mvp | '01/01/2023 | 12/31/2999 |
| M0002 | M0002 - Optimal care for kidney health mips value pathways | M0002 - | M0002 - Opt care kidney hlth mvp | '01/01/2023 | 12/31/2999 |
| M0003 | M0003 - Optimal care for patients with episodic neurological conditions mips value pathways | M0003 - | M0003 - Opt care episod neuro mvp | '01/01/2023 | 12/31/2999 |
| M0004 | M0004 - Supportive care for neurodegenerative conditions mips value pathways | M0004 - | M0004 - Support care neur cond mvp | '01/01/2023 | 12/31/2999 |
| M0005 | M0005 - Promoting wellness mips value pathways | M0005 - | M0005 - Promot wellness mvp | '01/01/2023 | 12/31/2999 |
| M0075 | M0075 - Cellular therapy | M0075 - | M0075 - Cellular therapy | '01/01/1996 | 12/31/2999 |
| M0076 | M0076 - Prolotherapy | M0076 - | M0076 - Prolotherapy | '01/01/1996 | 12/31/2999 |
| M0100 | M0100 - Intragastric hypothermia using gastric freezing | M0100 - | M0100 - Intragastric hypothermia | '01/01/2004 | 12/31/2999 |
| M0201 | M0201 - Covid-19 vaccine administration inside a patient's home; reported only once per individual home per date of service when only covid-19 vaccine administration is performed at the patient's home | M0201 - | M0201 - Covid-19 vaccine home admin | '06/08/2021 | 12/31/2999 |
| M0220 | M0220 - Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) includes injection and post administration monitoring | M0220 - | M0220 - Tixagev and cilgav inj | 08-12-2021 | 12/31/2999 |
| M0221 | M0221 - Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) includes injection and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency | M0221 - | M0221 - Tixagev and cilgav inj hm | 08-12-2021 | 12/31/2999 |
| M0222 | M0222 - Intravenous infusion bebtelovimab includes infusion and post administration monitoring | M0222 - | M0222 - Bebtelovimab injection | '02/11/2022 | 12/31/2999 |
| M0223 | M0223 - Intravenous infusion bebtelovimab includes infusion and post administration monitoring in the home or residence; this includes a beneficiary’s home that has been made provider-based to the hospital during the covid-19 public health emergency | M0223 - | M0223 - Bebtelovimab injection home | '02/11/2022 | 12/31/2999 |
| M0240 | M0240 - Intravenous infusion or subcutaneous injection casirivimab and imdevimab includes infusion or injection and post administration monitoring subsequent repeat doses | M0240 - | M0240 - Casiri and imdev repeat | '07/30/2021 | 12/31/2999 |
| M0241 | M0241 - Intravenous infusion or subcutaneous injection casirivimab and imdevimab includes infusion or injection and post administration monitoring in the home or residence this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency subsequent repeat doses | M0241 - | M0241 - Casiri and imdev repeat hm | '07/30/2021 | 12/31/2999 |
| M0243 | M0243 - Intravenous infusion or subcutaneous injection casirivimab and imdevimab includes infusion or injection and post administration monitoring | M0243 - | M0243 - Casirivi and imdevi inj | 01-10-2021 | 12/31/2999 |
| M0244 | M0244 - Intravenous infusion or subcutaneous injection casirivimab and imdevimab includes infusion or injection and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | M0244 - | M0244 - Casirivi and imdevi inj hm | 01-10-2021 | 12/31/2999 |
| M0245 | M0245 - Intravenous infusion bamlanivimab and etesevimab includes infusion and post administration monitoring | M0245 - | M0245 - bamlan and etesev infusion | '02/09/2021 | 12/31/2999 |
| M0246 | M0246 - Intravenous infusion bamlanivimab and etesevimab includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider based to the hospital during the covid 19 public health emergency | M0246 - | M0246 - Bamlan and etesev infus home | '05/06/2021 | 12/31/2999 |
| M0247 | M0247 - Intravenous infusion sotrovimab includes infusion and post administration monitoring | M0247 - | M0247 - Sotrovimab infusion | '05/26/2021 | 12/31/2999 |
| M0248 | M0248 - Intravenous infusion sotrovimab includes infusion and post administration monitoring in the home or residence; this includes a beneficiary's home that has been made provider-based to the hospital during the covid-19 public health emergency | M0248 - | M0248 - Sotrovimab inf home admin | '05/26/2021 | 12/31/2999 |
| M0249 | M0249 - Intravenous infusion tocilizumab for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen non-invasive or invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) only includes infusion and post administration monitoring first dose | M0249 - | M0249 - Adm tocilizu covid-19 1st | '06/24/2021 | 12/31/2999 |
| M0250 | M0250 - Â Intravenous infusion tocilizumab for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen non-invasive or invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) only includes infusion and post administration monitoring second dose | M0250 - | M0250 - Adm tocilizu covid-19 2nd | '06/24/2021 | 12/31/2999 |
| M0300 | M0300 - Iv chelation therapy (chemical endarterectomy) | M0300 - | M0300 - IV chelationtherapy | '01/01/1996 | 12/31/2999 |
| M0301 | M0301 - Fabric wrapping of abdominal aneurysm | M0301 - | M0301 - Fabric wrapping of aneurysm | '01/01/2004 | 12/31/2999 |
| M1003 | M1003 - Tb screening performed and results interpreted within twelve months prior to initiation of first-time biologic and/or immune response modifier therapy | M1003 - | M1003 - Tb scr 12 mo pri fst bio dz | '01/01/2023 | 12/31/2999 |
| M1004 | M1004 - Documentation of medical reason for not screening for tb or interpreting results (i.e. patient positive for tb and documentation of past treatment; patient who has recently completed a course of anti-tb therapy) | M1004 - | M1004 - Doc med rsn no srn tb | '01/01/2019 | 12/31/2999 |
| M1005 | M1005 - Tb screening not performed or results not interpreted reason not given | M1005 - | M1005 - Tb scr no perf | '01/01/2019 | 12/31/2999 |
| M1006 | M1006 - Disease activity not assessed reason not given | M1006 - | M1006 - Dz not ases no rsn | '01/01/2019 | 12/31/2999 |
| M1007 | M1007 - >=50% of total number of a patient's outpatient ra encounters assessed | M1007 - | M1007 - >=50% total pt outpt ra enct | '01/01/2019 | 12/31/2999 |
| M1008 | M1008 - <50% of total number of a patient's outpatient ra encounters assessed | M1008 - | M1008 - <50% total pt outpt ra encts | '01/01/2019 | 12/31/2999 |
| M1009 | M1009 - Discharge/discontinuation of the episode of care documented in the medical record | M1009 - | M1009 - Dc eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1010 | M1010 - Discharge/discontinuation of the episode of care documented in the medical record | M1010 - | M1010 - Dc eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1011 | M1011 - Discharge/discontinuation of the episode of care documented in the medical record | M1011 - | M1011 - Dc eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1012 | M1012 - Discharge/discontinuation of the episode of care documented in the medical record | M1012 - | M1012 - Dc eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1013 | M1013 - Discharge/discontinuation of the episode of care documented in the medical record | M1013 - | M1013 - Dc eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1014 | M1014 - Discharge/discontinuation of the episode of care documented in the medical record | M1014 - | M1014 - Dc epi care doc medrec | '01/01/2020 | 12/31/2999 |
| M1016 | M1016 - Female patients unable to bear children | M1016 - | M1016 - Pt dx meop or sur steri | '01/01/2019 | 12/31/2999 |
| M1018 | M1018 - Patients with an active diagnosis or history of cancer (except basal cell and squamous cell skin carcinoma) patients who are heavy tobacco smokers lung cancer screening patients | M1018 - | M1018 - Pt dx hst cr pt sk lg cr scr | '01/01/2019 | 12/31/2999 |
| M1019 | M1019 - Adolescent patients 12 to 17 years of age with major depression or dysthymia who reached remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5 | M1019 - | M1019 - Adl pt mj dep ds rs 12 phq<5 | '01/01/2019 | 12/31/2999 |
| M1020 | M1020 - Adolescent patients 12 to 17 years of age with major depression or dysthymia who did not reach remission at twelve months as demonstrated by a twelve month (+/-60 days) phq-9 or phq-9m score of less than 5. either phq-9 or phq-9m score was not assessed or is greater than or equal to 5 | M1020 - | M1020 - Adl pt mj dep ds no rs 12 mo | '01/01/2019 | 12/31/2999 |
| M1021 | M1021 - Patient had only urgent care visits during the performance period | M1021 - | M1021 - Pt uc in pp | '01/01/2019 | 12/31/2999 |
| M1027 | M1027 - Imaging of the head (ct or mri) was obtained | M1027 - | M1027 - Img head (ct or mri) obtnd | '01/01/2019 | 12/31/2999 |
| M1028 | M1028 - Documentation of patients with primary headache diagnosis and imaging other than ct or mri obtained | M1028 - | M1028 - Doc of pt prm hda dx and otr | '01/01/2019 | 12/31/2999 |
| M1029 | M1029 - Imaging of the head (ct or mri) was not obtained reason not given | M1029 - | M1029 - Doc sysm rsn img hd | '01/01/2019 | 12/31/2999 |
| M1032 | M1032 - Adults currently taking pharmacotherapy for oud | M1032 - | M1032 - Adt tkng pharmthry for oud | '01/01/2019 | 12/31/2999 |
| M1034 | M1034 - Adults who have at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days | M1034 - | M1034 - Adt 180 dys pharmthry oud | '01/01/2019 | 12/31/2999 |
| M1035 | M1035 - Adults who are deliberately phased out of medication assisted treatment (mat) prior to 180 days of continuous treatment | M1035 - | M1035 - Adt pd out mat pr 180 dys tx | '01/01/2019 | 12/31/2999 |
| M1036 | M1036 - Adults who have not had at least 180 days of continuous pharmacotherapy with a medication prescribed for oud without a gap of more than seven days | M1036 - | M1036 - Adt no 180 dys pharmthry oud | '01/01/2019 | 12/31/2999 |
| M1037 | M1037 - Patients with a diagnosis of lumbar spine region cancer at the time of the procedure | M1037 - | M1037 - Pt dx lum sp reg cacr | '01/01/2019 | 12/31/2999 |
| M1038 | M1038 - Patients with a diagnosis of lumbar spine region fracture at the time of the procedure | M1038 - | M1038 - Pt dx lum sp reg fract | '01/01/2019 | 12/31/2999 |
| M1039 | M1039 - Patients with a diagnosis of lumbar spine region infection at the time of the procedure | M1039 - | M1039 - Pt dx lum sp reg inf | '01/01/2019 | 12/31/2999 |
| M1040 | M1040 - Patients with a diagnosis of lumbar idiopathic or congenital scoliosis | M1040 - | M1040 - Pt dx lum idi or cong scol | '01/01/2019 | 12/31/2999 |
| M1041 | M1041 - Patient had cancer acute fracture or infection related to the lumbar spine or patient had neuromuscular idiopathic or congenital lumbar scoliosis | M1041 - | M1041 - Pt cr ft inf lm or pt id sl | '01/01/2021 | 12/31/2999 |
| M1043 | M1043 - Functional status was not measured by the oswestry disability index (odi version 2.1a) at one year (9 to 15 months) postoperatively | M1043 - | M1043 - Fs no odi 9-15mo | '01/01/2020 | 12/31/2999 |
| M1045 | M1045 - Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was greater than or equal to 37 or knee injury and osteoarthritis outcome score joint replacement (koos jr.) was greater than or equal to 71 | M1045 - | M1045 - Fs oks 9-15mo >= 37 >= 71 | '01/01/2021 | 12/31/2999 |
| M1046 | M1046 - Functional status measured by the oxford knee score (oks) at one year (9 to 15 months) postoperatively was less than 37 or the knee injury and osteoarthritis outcome score joint replacement (koos jr.) was less than 71 postoperatively | M1046 - | M1046 - Fs oks 9-15mo < 37 < 71 | '01/01/2021 | 12/31/2999 |
| M1049 | M1049 - Functional status was not measured by the oswestry disability index (odi version 2.1a) at three months (6 - 20 weeks) postoperatively | M1049 - | M1049 - Fs wth scr no odi pre and p | '01/01/2020 | 12/31/2999 |
| M1051 | M1051 - Patient had cancer acute fracture or infection related to the lumbar spine or patient had neuromuscular idiopathic or congenital lumbar scoliosis | M1051 - | M1051 - Pt w/cancer scoliosis | '01/01/2021 | 12/31/2999 |
| M1052 | M1052 - Leg pain was not measured by the visual analog scale (vas) or numeric pain scale at one year (9 to 15 months) postoperatively | M1052 - | M1052 - Lg pn not meas w/ vas 1yr po | '01/01/2023 | 12/31/2999 |
| M1054 | M1054 - Patient had only urgent care visits during the performance period | M1054 - | M1054 - Pt uc in pp | '01/01/2019 | 12/31/2999 |
| M1055 | M1055 - Aspirin or another antiplatelet therapy used | M1055 - | M1055 - Aspirin used | '01/01/2019 | 12/31/2999 |
| M1056 | M1056 - Prescribed anticoagulant medication during the performance period history of gi bleeding history of intracranial bleeding bleeding disorder and specific provider documented reasons: allergy to aspirin or anti-platelets use of non-steroidal anti-inflammatory agents drug-drug interaction uncontrolled hypertension > 180/110 mmhg or gastroesophageal reflux disease | M1056 - | M1056 - Presc antico med in pp | '01/01/2019 | 12/31/2999 |
| M1057 | M1057 - Aspirin or another antiplatelet therapy not used reason not given | M1057 - | M1057 - Aspirin not used no rsn | '01/01/2019 | 12/31/2999 |
| M1058 | M1058 - Patient was a permanent nursing home resident at any time during the performance period | M1058 - | M1058 - Pt prm nurs hm res in pp | '01/01/2019 | 12/31/2999 |
| M1059 | M1059 - Patient was in hospice or receiving palliative care at any time during the performance period | M1059 - | M1059 - Pt no prm nurs hm res in pp | '01/01/2019 | 12/31/2999 |
| M1060 | M1060 - Patient died prior to the end of the performance period | M1060 - | M1060 - Pt died in pp | '01/01/2019 | 12/31/2999 |
| M1067 | M1067 - Hospice services for patient provided any time during the measurement period | M1067 - | M1067 - Hspc pt prv time meam per | '01/01/2019 | 12/31/2999 |
| M1068 | M1068 - Adults who are not ambulatory | M1068 - | M1068 - Pt not ambulatory | '01/01/2019 | 12/31/2999 |
| M1069 | M1069 - Patient screened for future fall risk | M1069 - | M1069 - Pt scr ft fall rsk | '01/01/2019 | 12/31/2999 |
| M1070 | M1070 - Patient not screened for future fall risk reason not given | M1070 - | M1070 - Pt not scrn fut fall no rsn | '01/01/2019 | 12/31/2999 |
| M1106 | M1106 - The start of an episode of care documented in the medical record | M1106 - | M1106 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1107 | M1107 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1107 - | M1107 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1108 | M1108 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1108 - | M1108 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1109 | M1109 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1109 - | M1109 - Oc ni pt dc | '01/01/2021 | 12/31/2999 |
| M1110 | M1110 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1110 - | M1110 - Oc not p pt selfdc | '01/01/2021 | 12/31/2999 |
| M1111 | M1111 - The start of an episode of care documented in the medical record | M1111 - | M1111 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1112 | M1112 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1112 - | M1112 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1113 | M1113 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1113 - | M1113 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1114 | M1114 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1114 - | M1114 - Oc ni pt dc | '01/01/2021 | 12/31/2999 |
| M1115 | M1115 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1115 - | M1115 - Oc ni pt selfdc | '01/01/2021 | 12/31/2999 |
| M1116 | M1116 - The start of an episode of care documented in the medical record | M1116 - | M1116 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1117 | M1117 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1117 - | M1117 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1118 | M1118 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1118 - | M1118 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1119 | M1119 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1119 - | M1119 - Oc ni pt dc | '01/01/2021 | 12/31/2999 |
| M1120 | M1120 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1120 - | M1120 - Oc ni pt selfdc | '01/01/2021 | 12/31/2999 |
| M1121 | M1121 - The start of an episode of care documented in the medical record | M1121 - | M1121 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1122 | M1122 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1122 - | M1122 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1123 | M1123 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1123 - | M1123 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1124 | M1124 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1124 - | M1124 - Oc ni pt dc 1-2 vis | '01/01/2021 | 12/31/2999 |
| M1125 | M1125 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1125 - | M1125 - Oc ni pt selfdc 1-2 vis | '01/01/2021 | 12/31/2999 |
| M1126 | M1126 - The start of an episode of care documented in the medical record | M1126 - | M1126 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1127 | M1127 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1127 - | M1127 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1128 | M1128 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1128 - | M1128 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1129 | M1129 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1129 - | M1129 - Oc ni pt dc | '01/01/2021 | 12/31/2999 |
| M1130 | M1130 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1130 - | M1130 - Oc ni pt selfdc | '01/01/2021 | 12/31/2999 |
| M1131 | M1131 - Documentation stating patient has a diagnosis of a degenerative neurological condition such as als ms or parkinson's diagnosed at any time before or during the episode of care | M1131 - | M1131 - Docu dx degen neuro | '01/01/2020 | 12/31/2999 |
| M1132 | M1132 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1132 - | M1132 - Oc ni pt home prog | '01/01/2021 | 12/31/2999 |
| M1133 | M1133 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1133 - | M1133 - Oc ni pt dc | '01/01/2021 | 12/31/2999 |
| M1134 | M1134 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1134 - | M1134 - Oc ni pt selfdc | '01/01/2021 | 12/31/2999 |
| M1135 | M1135 - The start of an episode of care documented in the medical record | M1135 - | M1135 - Start eoc doc med rec | '01/01/2020 | 12/31/2999 |
| M1141 | M1141 - Functional status was not measured by the oxford knee score (oks) or the knee injury and osteoarthritis outcome score joint replacement (koos jr.) at one year (9 to 15 months) postoperatively | M1141 - | M1141 - Fs no oks | '01/01/2021 | 12/31/2999 |
| M1142 | M1142 - Emergent cases | M1142 - | M1142 - Emerge cases | '01/01/2020 | 12/31/2999 |
| M1143 | M1143 - Initiated episode of rehabilitation therapy medical or chiropractic care for neck impairment | M1143 - | M1143 - Ni rehab med chiro | '01/01/2020 | 12/31/2999 |
| M1146 | M1146 - Ongoing care not clinically indicated because the patient needed a home program only referral to another provider or facility or consultation only as documented in the medical record | M1146 - | M1146 - Ongoing care not ind | '01/01/2021 | 12/31/2999 |
| M1147 | M1147 - Ongoing care not medically possible because the patient was discharged early due to specific medical events documented in the medical record such as the patient became hospitalized or scheduled for surgery | M1147 - | M1147 - Care not poss med rsn | '01/01/2021 | 12/31/2999 |
| M1148 | M1148 - Ongoing care not possible because the patient self-discharged early (e.g. financial or insurance reasons transportation problems or reason unknown) | M1148 - | M1148 - Pt self dschg | '01/01/2021 | 12/31/2999 |
| M1149 | M1149 - Patient unable to complete the neck fs prom at initial evaluation and/or discharge due to blindness illiteracy severe mental incapacity or language incompatibility and an adequate proxy is not available | M1149 - | M1149 - No neck fs prom incap | '01/01/2021 | 12/31/2999 |
| M1150 | M1150 - Left ventricular ejection fraction (lvef) less than or equal to 40% or documentation of moderately or severely depressed left ventricular systolic function | M1150 - | M1150 - Lvef <=40% or mod/sev l vsf | '01/01/2023 | 12/31/2999 |
| M1151 | M1151 - Patients with a history of heart transplant or with a left ventricular assist device (lvad) | M1151 - | M1151 - Pt w/ hx trnsplt or lvad | '01/01/2023 | 12/31/2999 |
| M1152 | M1152 - Patients with a history of heart transplant or with a left ventricular assist device (lvad) | M1152 - | M1152 - Pt w/ hx trnsplt or lvad | '01/01/2023 | 12/31/2999 |
| M1153 | M1153 - Patient with diagnosis of osteoporosis on date of encounter | M1153 - | M1153 - Pt w/ dx osteo doe | '01/01/2023 | 12/31/2999 |
| M1154 | M1154 - Hospice services provided to patient any time during the measurement period | M1154 - | M1154 - Hospc serv dur meas pd | '01/01/2023 | 12/31/2999 |
| M1155 | M1155 - Patient had anaphylaxis due to the pneumococcal vaccine any time during or before the measurement period | M1155 - | M1155 - Pt anphx due to pneum | '01/01/2023 | 12/31/2999 |
| M1156 | M1156 - Patient received active chemotherapy any time during the measurement period | M1156 - | M1156 - Pt recd actv chemo any time | '01/01/2023 | 12/31/2999 |
| M1157 | M1157 - Patient received bone marrow transplant any time during the measurement period | M1157 - | M1157 - Pt recd bone mar trnsplt | '01/01/2023 | 12/31/2999 |
| M1158 | M1158 - Patient had history of immunocompromising conditions prior to or during the measurement period | M1158 - | M1158 - Pt hx immcomp prior/dur pd | '01/01/2023 | 12/31/2999 |
| M1159 | M1159 - Hospice services provided to patient any time during the measurement period | M1159 - | M1159 - Hospc serv dur meas pd | '01/01/2023 | 12/31/2999 |
| M1160 | M1160 - Patient had anaphylaxis due to the meningococcal vaccine any time on or before the patient's 13th birthday | M1160 - | M1160 - Pt anphx due to mengb bef 13 | '01/01/2023 | 12/31/2999 |
| M1161 | M1161 - Patient had anaphylaxis due to the tetanus diphtheria or pertussis vaccine any time on or before the patient's 13th birthday | M1161 - | M1161 - Pt anphx due to dtp bef 13 | '01/01/2023 | 12/31/2999 |
| M1162 | M1162 - Patient had encephalitis due to the tetanus diphtheria or pertussis vaccine any time on or before the patient's 13th birthday | M1162 - | M1162 - Pt enceph due to dtp bef 13 | '01/01/2023 | 12/31/2999 |
| M1163 | M1163 - Patient had anaphylaxis due to the hpv vaccine any time on or before the patient's 13th birthday | M1163 - | M1163 - Pt anphx due to hpv bef 13 | '01/01/2023 | 12/31/2999 |
| M1164 | M1164 - Patients with dementia any time during the patient's history through the end of the measurement period | M1164 - | M1164 - Pt w/ dementia any time | '01/01/2023 | 12/31/2999 |
| M1165 | M1165 - Patients who use hospice services any time during the measurement period | M1165 - | M1165 - Pt use hspc dur meas pd | '01/01/2023 | 12/31/2999 |
| M1166 | M1166 - Pathology report for tissue specimens produced from wide local excisions or re-excisions | M1166 - | M1166 - Path rpt tis spec wle/reexc | '01/01/2023 | 12/31/2999 |
| M1167 | M1167 - In hospice or using hospice services during the measurement period | M1167 - | M1167 - Hspc dur meas pd | '01/01/2023 | 12/31/2999 |
| M1168 | M1168 - Patient received an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | M1168 - | M1168 - Pt recd flu vax 7/1-6/30 | '01/01/2023 | 12/31/2999 |
| M1169 | M1169 - Documentation of medical reason(s) for not administering influenza vaccine (e.g. prior anaphylaxis due to the influenza vaccine) | M1169 - | M1169 - Doc med rsn no flu vax | '01/01/2023 | 12/31/2999 |
| M1170 | M1170 - Patient did not receive an influenza vaccine on or between july 1 of the year prior to the measurement period and june 30 of the measurement period | M1170 - | M1170 - Pt w/o flu vax 7/1-6/30 | '01/01/2023 | 12/31/2999 |
| M1171 | M1171 - Patient received at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | M1171 - | M1171 - Pt recd 1 td/tdap 9yrs prior | '01/01/2023 | 12/31/2999 |
| M1172 | M1172 - Documentation of medical reason(s) for not administering td or tdap vaccine (e.g. prior anaphylaxis due to the td or tdap vaccine or history of encephalopathy within seven days after a previous dose of a td-containing vaccine) | M1172 - | M1172 - Doc med rsn no td/tdap | '01/01/2023 | 12/31/2999 |
| M1173 | M1173 - Patient did not receive at least one td vaccine or one tdap vaccine between nine years prior to the encounter and the end of the measurement period | M1173 - | M1173 - Pt no rec td/tdap 9yrs prior | '01/01/2023 | 12/31/2999 |
| M1174 | M1174 - Patient received at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period | M1174 - | M1174 - Pt w/ 1 hzv lv or 2 hzv recm | '01/01/2023 | 12/31/2999 |
| M1175 | M1175 - Documentation of medical reason(s) for not administering zoster vaccine (e.g. prior anaphylaxis due to the zoster vaccine) | M1175 - | M1175 - Doc med rsn no hzv | '01/01/2023 | 12/31/2999 |
| M1176 | M1176 - Patient did not receive at least one dose of the herpes zoster live vaccine or two doses of the herpes zoster recombinant vaccine (at least 28 days apart) anytime on or after the patient's 50th birthday before or during the measurement period | M1176 - | M1176 - Pt w/o hzv on/aft age 50 | '01/01/2023 | 12/31/2999 |
| M1177 | M1177 - Patient received any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before the end of the measurement period | M1177 - | M1177 - Pt recd pcv on/aft 60 | '01/01/2023 | 12/31/2999 |
| M1178 | M1178 - Documentation of medical reason(s) for not administering pneumococcal vaccine (e.g. prior anaphylaxis due to the pneumococcal vaccine) | M1178 - | M1178 - Doc med rsn no pcv | '01/01/2023 | 12/31/2999 |
| M1179 | M1179 - Patient did not receive any pneumococcal conjugate or polysaccharide vaccine on or after their 60th birthday and before or during measurement period | M1179 - | M1179 - No pcv recd | '01/01/2023 | 12/31/2999 |
| M1180 | M1180 - Patients on immune checkpoint inhibitor therapy | M1180 - | M1180 - Pt imm ckpt inhib therapy | '01/01/2023 | 12/31/2999 |
| M1181 | M1181 - Grade 2 or above diarrhea and/or grade 2 or above colitis | M1181 - | M1181 - Gr 2 or> dia or gr2 or> col | '01/01/2023 | 12/31/2999 |
| M1182 | M1182 - Patients not eligible due to pre-existing inflammatory bowel disease (ibd) (e.g. ulcerative colitis crohn's disease) | M1182 - | M1182 - Not elg pre ex ibd/uc/crohn | '01/01/2023 | 12/31/2999 |
| M1183 | M1183 - Documentation of immune checkpoint inhibitor therapy held and corticosteroids or immunosuppressants prescribed or administered | M1183 - | M1183 - Doc imm ckpt inhib hld | '01/01/2023 | 12/31/2999 |
| M1184 | M1184 - Documentation of medical reason(s) for not prescribing or administering corticosteroid or immunosuppressant treatment (e.g. allergy intolerance infectious etiology pancreatic insufficiency hyperthyroidism prior bowel surgical interventions celiac disease receiving other medication awaiting diagnostic workup results for alternative etiologies other medical reasons/contraindication) | M1184 - | M1184 - Doc med rsn no cst/ist rx | '01/01/2023 | 12/31/2999 |
| M1185 | M1185 - Documentation of immune checkpoint inhibitor therapy not held and/or corticosteroids or immunosuppressants prescribed or administered was not performed reason not given | M1185 - | M1185 - Imm ckpt inhib not hld no rx | '01/01/2023 | 12/31/2999 |
| M1186 | M1186 - Patients who have an order for or are receiving hospice or palliative care | M1186 - | M1186 - Pt w/ rx for hspc/plltv care | '01/01/2023 | 12/31/2999 |
| M1187 | M1187 - Patients with a diagnosis of end stage renal disease (esrd) | M1187 - | M1187 - Pt w/ esrd | '01/01/2023 | 12/31/2999 |
| M1188 | M1188 - Patients with a diagnosis of chronic kidney disease (ckd) stage 5 | M1188 - | M1188 - Pt w/ ckd stg 5 | '01/01/2023 | 12/31/2999 |
| M1189 | M1189 - Documentation of a kidney health evaluation defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) performed | M1189 - | M1189 - Doc khe pef w/efgr/uacr | '01/01/2023 | 12/31/2999 |
| M1190 | M1190 - Documentation of a kidney health evaluation was not performed or defined by an estimated glomerular filtration rate (egfr) and urine albumin-creatinine ratio (uacr) | M1190 - | M1190 - Doc khe not pef w/efgr/uacr | '01/01/2023 | 12/31/2999 |
| M1191 | M1191 - Hospice services provided to patient any time during the measurement period | M1191 - | M1191 - Hspc svc any time in meas pd | '01/01/2023 | 12/31/2999 |
| M1192 | M1192 - Patients with an existing diagnosis of squamous cell carcinoma of the esophagus | M1192 - | M1192 - Pt w/ dx sq cell ca of esoph | '01/01/2023 | 12/31/2999 |
| M1193 | M1193 - Surgical pathology reports that contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry msi by dna-based testing status or both | M1193 - | M1193 - Rpts w/ imp/con mmr/msi | '01/01/2023 | 12/31/2999 |
| M1194 | M1194 - Documentation of medical reason(s) surgical pathology reports did not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry msi by dna-based testing status or both tests were not included (e.g. patient will not be treated with checkpoint inhibitor therapy no residual carcinoma is present in the sample [tissue exhausted or status post neoadjuvant treatment] insufficient tumor for testing) | M1194 - | M1194 - Med rsn no imp/con mmr/msi | '01/01/2023 | 12/31/2999 |
| M1195 | M1195 - Surgical pathology reports that do not contain impression or conclusion of or recommendation for testing of mmr by immunohistochemistry msi by dna-based testing status or both reason not given | M1195 - | M1195 - Rpt wo imp/con mmr/msi | '01/01/2023 | 12/31/2999 |
| M1196 | M1196 - Initial (index visit) numeric rating scale (nrs) visual rating scale (vrs) or itchyquant assessment score of greater than or equal to 4 | M1196 - | M1196 - Ixv nrs vrs iqa >=4 | '01/01/2023 | 12/31/2999 |
| M1197 | M1197 - Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score | M1197 - | M1197 - Isa red >=2 fr ixv | '01/01/2023 | 12/31/2999 |
| M1198 | M1198 - Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter | M1198 - | M1198 - Isa not red 2pts fr ixv | '01/01/2023 | 12/31/2999 |
| M1199 | M1199 - Patients receiving rrt | M1199 - | M1199 - Pt rec'g rrt | '01/01/2023 | 12/31/2999 |
| M1200 | M1200 - Ace inhibitor (ace-i) or arb therapy prescribed during the measurement period | M1200 - | M1200 - Ace-i/arb rx | '01/01/2023 | 12/31/2999 |
| M1201 | M1201 - Documentation of medical reason(s) for not prescribing ace inhibitor (ace-i) or arb therapy during the measurement period (e.g. pregnancy history of angioedema to ace-i other allergy to ace-i and arb hyperkalemia or history of hyperkalemia while on ace-i or arb therapy acute kidney injury due to ace-i or arb therapy) other medical reasons) | M1201 - | M1201 - Med rsn no ace-i/arb rx | '01/01/2023 | 12/31/2999 |
| M1202 | M1202 - Documentation of patient reason(s) for not prescribing ace inhibitor or arb therapy during the measurement period (e.g. patient declined other patient reasons) | M1202 - | M1202 - Pt rsn no ace-i/arb rx | '01/01/2023 | 12/31/2999 |
| M1203 | M1203 - Ace inhibitor or arb therapy not prescribed during the measurement period reason not given | M1203 - | M1203 - No rsn ace-i/arb rx | '01/01/2023 | 12/31/2999 |
| M1204 | M1204 - Initial (index visit) numeric rating scale (nrs) visual rating scale (vrs) or itchyquant assessment score of greater than or equal to 4 | M1204 - | M1204 - Ixv nrs vrs iqa >=4 | '01/01/2023 | 12/31/2999 |
| M1205 | M1205 - Itch severity assessment score is reduced by 2 or more points from the initial (index) assessment score to the follow-up visit score | M1205 - | M1205 - Isa red >=2 fr ixv | '01/01/2023 | 12/31/2999 |
| M1206 | M1206 - Itch severity assessment score was not reduced by at least 2 points from initial (index) score to the follow-up visit score or assessment was not completed during the follow-up encounter | M1206 - | M1206 - Isa not red 2pts fr ixv | '01/01/2023 | 12/31/2999 |
| M1207 | M1207 - Number of patients screened for food insecurity housing instability transportation needs utility difficulties and interpersonal safety | M1207 - | M1207 - #pts scrn sdoh | '01/01/2023 | 12/31/2999 |
| M1208 | M1208 - Number of patients not screened for food insecurity housing instability transportation needs utility difficulties and interpersonal safety | M1208 - | M1208 - #pts no scrn sdoh | '01/01/2023 | 12/31/2999 |
| M1209 | M1209 - At least two orders for high-risk medications from the same drug class (table 4) not ordered | M1209 - | M1209 - >=2 same hi-rsk med w/o diag | '01/01/2023 | 12/31/2999 |
| M1210 | M1210 - At least two orders for high-risk medications from the same drug class (table 4) not ordered | M1210 - | M1210 - >=2 same meds tbl4 not ord | '01/01/2023 | 12/31/2999 |
| P2028 | P2028 - Cephalin floculation blood | P2028 - | P2028 - Cephalin floculation test | '01/01/1990 | 12/31/2999 |
| P2029 | P2029 - Congo red blood | P2029 - | P2029 - Congo red blood test | '01/01/1990 | 12/31/2999 |
| P2031 | P2031 - Hair analysis (excluding arsenic) | P2031 - | P2031 - Hair analysis | '01/01/1989 | 12/31/2999 |
| P2033 | P2033 - Thymol turbidity blood | P2033 - | P2033 - Blood thymol turbidity | '01/01/1990 | 12/31/2999 |
| P2038 | P2038 - Mucoprotein blood (seromucoid) (medical necessity procedure) | P2038 - | P2038 - Blood mucoprotein | '01/01/1993 | 12/31/2999 |
| P3000 | P3000 - Screening papanicolaou smear cervical or vaginal up to three smears by technician under physician supervision | P3000 - | P3000 - Screen pap by tech w md supv | '01/01/1995 | 12/31/2999 |
| P3001 | P3001 - Screening papanicolaou smear cervical or vaginal up to three smears requiring interpretation by physician | P3001 - | P3001 - Screening pap smear by phys | '01/01/2002 | 12/31/2999 |
| P7001 | P7001 - Culture bacterial urine; quantitative sensitivity study | P7001 - | P7001 - Culture bacterial urine | '01/01/1996 | 12/31/2999 |
| P9010 | P9010 - Blood (whole) for transfusion per unit | P9010 - | P9010 - Whole blood for transfusion | '01/01/1987 | 12/31/2999 |
| P9011 | P9011 - BLOOD SPLIT UNIT | P9011 - | P9011 - Blood split unit | '01/01/2007 | 12/31/2999 |
| P9012 | P9012 - Cryoprecipitate each unit | P9012 - | P9012 - Cryoprecipitate each unit | '01/01/2001 | 12/31/2999 |
| P9016 | P9016 - Red blood cells leukocytes reduced each unit | P9016 - | P9016 - RBC leukocytes reduced | '01/01/2001 | 12/31/2999 |
| P9017 | P9017 - Fresh frozen plasma (single donor) frozen within 8 hours of collection each unit | P9017 - | P9017 - Plasma 1 donor frz w/in 8 hr | '01/01/2004 | 12/31/2999 |
| P9019 | P9019 - Platelets each unit | P9019 - | P9019 - Platelets each unit | '01/01/2001 | 12/31/2999 |
| P9020 | P9020 - Platelet rich plasma each unit | P9020 - | P9020 - Plaelet rich plasma unit | '01/01/2001 | 12/31/2999 |
| P9021 | P9021 - Red blood cells each unit | P9021 - | P9021 - Red blood cells unit | '01/01/2001 | 12/31/2999 |
| P9022 | P9022 - Red blood cells washed each unit | P9022 - | P9022 - Washed red blood cells unit | '01/01/1987 | 12/31/2999 |
| P9023 | P9023 - Plasma pooled multiple donor solvent/detergent treated frozen each unit | P9023 - | P9023 - Frozen plasma pooled sd | '01/01/2001 | 12/31/2999 |
| P9025 | P9025 - Plasma cryoprecipitate reduced pathogen reduced each unit | P9025 - | P9025 - Plasma cryo redu path each | 01-10-2021 | 12/31/2999 |
| P9026 | P9026 - Cryoprecipitated fibrinogen complex pathogen reduced each unit | P9026 - | P9026 - Cryo fib comp path redu each | 01-10-2021 | 12/31/2999 |
| P9031 | P9031 - Platelets leukocytes reduced each unit | P9031 - | P9031 - Platelets leukocytes reduced | '01/01/2001 | 12/31/2999 |
| P9032 | P9032 - Platelets irradiated each unit | P9032 - | P9032 - Platelets irradiated | '01/01/2001 | 12/31/2999 |
| P9033 | P9033 - Platelets leukocytes reduced irradiated each unit | P9033 - | P9033 - Platelets leukoreduced irrad | '01/01/2001 | 12/31/2999 |
| P9034 | P9034 - Platelets pheresis each unit | P9034 - | P9034 - Platelets pheresis | '01/01/2001 | 12/31/2999 |
| P9035 | P9035 - Platelets pheresis leukocytes reduced each unit | P9035 - | P9035 - Platelet pheres leukoreduced | '01/01/2001 | 12/31/2999 |
| P9036 | P9036 - Platelets pheresis irradiated each unit | P9036 - | P9036 - Platelet pheresis irradiated | '01/01/2001 | 12/31/2999 |
| P9037 | P9037 - Platelets pheresis leukocytes reduced irradiated each unit | P9037 - | P9037 - Plate pheres leukoredu irrad | '01/01/2001 | 12/31/2999 |
| P9038 | P9038 - Red blood cells irradiated each unit | P9038 - | P9038 - RBC irradiated | '01/01/2001 | 12/31/2999 |
| P9039 | P9039 - Red blood cells deglycerolized each unit | P9039 - | P9039 - RBC deglycerolized | '01/01/2001 | 12/31/2999 |
| P9040 | P9040 - Red blood cells leukocytes reduced irradiated each unit | P9040 - | P9040 - RBC leukoreduced irradiated | '01/01/2001 | 12/31/2999 |
| P9041 | P9041 - Infusion albumin (human) 5% 50 ml | P9041 - | P9041 - Albumin (human) 5% 50ml | '01/01/2001 | 12/31/2999 |
| P9043 | P9043 - Infusion plasma protein fraction (human) 5% 50 ml | P9043 - | P9043 - Plasma protein fract 5% 50ml | '01/01/2001 | 12/31/2999 |
| P9044 | P9044 - Plasma cryoprecipitate reduced each unit | P9044 - | P9044 - Cryoprecipitatereducedplasma | '01/01/2001 | 12/31/2999 |
| P9045 | P9045 - Infusion albumin (human) 5% 250 ml | P9045 - | P9045 - Albumin (human) 5% 250 ml | '01/01/2002 | 12/31/2999 |
| P9046 | P9046 - Infusion albumin (human) 25% 20 ml | P9046 - | P9046 - Albumin (human) 25% 20 ml | '01/01/2002 | 12/31/2999 |
| P9047 | P9047 - Infusion albumin (human) 25% 50 ml | P9047 - | P9047 - Albumin (human) 25% 50ml | '01/01/2002 | 12/31/2999 |
| P9048 | P9048 - Infusion plasma protein fraction (human) 5% 250ml | P9048 - | P9048 - Plasmaprotein fract 5% 250ml | '01/01/2002 | 12/31/2999 |
| P9050 | P9050 - Granulocytes pheresis each unit | P9050 - | P9050 - Granulocytes pheresis unit | '01/01/2002 | 12/31/2999 |
| P9051 | P9051 - Whole blood or red blood cells leukocytes reduced cmv-negative each unit | P9051 - | P9051 - Blood l/r cmv-neg | '01/01/2004 | 12/31/2999 |
| P9052 | P9052 - Platelets hla-matched leukocytes reduced apheresis/pheresis each unit | P9052 - | P9052 - Platelets hla-m l/r unit | '01/01/2004 | 12/31/2999 |
| P9053 | P9053 - Platelets pheresis leukocytes reduced cmv-negative irradiated each unit | P9053 - | P9053 - Plt pher l/r cmv-neg irr | '01/01/2004 | 12/31/2999 |
| P9054 | P9054 - Whole blood or red blood cells leukocytes reduced frozen deglycerol washed each unit | P9054 - | P9054 - Blood l/r froz/degly/wash | '01/01/2004 | 12/31/2999 |
| P9055 | P9055 - Platelets leukocytes reduced cmv-negative apheresis/pheresis each unit | P9055 - | P9055 - Plt aph/pher l/r cmv-neg | '01/01/2004 | 12/31/2999 |
| P9056 | P9056 - Whole blood leukocytes reduced irradiated each unit | P9056 - | P9056 - Blood l/r irradiated | '01/01/2004 | 12/31/2999 |
| P9057 | P9057 - Red blood cells frozen/deglycerolized/washed leukocytes reduced irradiated each unit | P9057 - | P9057 - RBC frz/deg/wsh l/r irrad | '01/01/2004 | 12/31/2999 |
| P9058 | P9058 - Red blood cells leukocytes reduced cmv-negative irradiated each unit | P9058 - | P9058 - RBC l/r cmv-neg irrad | '01/01/2004 | 12/31/2999 |
| P9059 | P9059 - Fresh frozen plasma between 8-24 hours of collection each unit | P9059 - | P9059 - Plasma frz between 8-24hour | '01/01/2004 | 12/31/2999 |
| P9060 | P9060 - Fresh frozen plasma donor retested each unit | P9060 - | P9060 - Fr frz plasma donor retested | '01/01/2004 | 12/31/2999 |
| P9070 | P9070 - Plasma pooled multiple donor pathogen reduced frozen each unit | P9070 - | P9070 - Pathogen reduced plasma pool | '01/01/2016 | 12/31/2999 |
| P9071 | P9071 - Plasma (single donor) pathogen reduced frozen each unit | P9071 - | P9071 - Pathogen reduced plasma sing | '01/01/2016 | 12/31/2999 |
| P9073 | P9073 - Platelets pheresis pathogen-reduced each unit | P9073 - | P9073 - Platelets pheresis path redu | '01/01/2019 | 12/31/2999 |
| P9099 | P9099 - Blood component or product not otherwise classified | P9099 - | P9099 - Blood component/product noc | '01/01/2020 | 12/31/2999 |
| P9100 | P9100 - Pathogen(s) test for platelets | P9100 - | P9100 - Pathogen test for platelets | '01/01/2018 | 12/31/2999 |
| P9603 | P9603 - Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated miles actually travelled | P9603 - | P9603 - One-way allow prorated miles | '01/01/1992 | 12/31/2999 |
| P9604 | P9604 - Travel allowance one way in connection with medically necessary laboratory specimen collection drawn from home bound or nursing home bound patient; prorated trip charge. | P9604 - | P9604 - One-way allow prorated trip | '01/01/1992 | 12/31/2999 |
| P9612 | P9612 - CATHETERIZATION FOR COLLECTION OF SPECIMEN SINGLE PATIENT ALL PLACES | P9612 - | P9612 - | '01/01/2007 | 12/31/2999 |
| P9615 | P9615 - Catheterization for collection of specimen (s) (multiple patients) | P9615 - | P9615 - Urine specimen collect mult | '01/01/1992 | 12/31/2999 |
| Q0035 | Q0035 - Cardiokymography | Q0035 - | Q0035 - Cardiokymography | '01/01/1991 | 12/31/2999 |
| Q0081 | Q0081 - Infusion therapy using other than chemotherapeutic drugs per visit | Q0081 - | Q0081 - Infusion ther other than che | '01/01/1996 | 12/31/2999 |
| Q0083 | Q0083 - Chemotherapy administration by other than infusion technique only (eg subcutaneous intramuscular push) per visit | Q0083 - | Q0083 - Chemo by other than infusion | '01/01/1996 | 12/31/2999 |
| Q0084 | Q0084 - Chemotherapy administration by infusion technique only per visit | Q0084 - | Q0084 - Chemotherapy by infusion | '01/01/1996 | 12/31/2999 |
| Q0085 | Q0085 - Chemotherapy administration by both infusion technique and other techique(s) (eg subcutaneous intramuscular push) per visit | Q0085 - | Q0085 - Chemo by both infusion and o | '01/01/1996 | 12/31/2999 |
| Q0091 | Q0091 - Screening papanicolaou smear; obtaining preparing and conveyance of cervical or vaginal smear to laboratory | Q0091 - | Q0091 - Obtaining screen pap smear | '07/01/1996 | 12/31/2999 |
| Q0092 | Q0092 - Set-up portable x-ray equipment | Q0092 - | Q0092 - Set up port xray equipment | '01/01/1996 | 12/31/2999 |
| Q0111 | Q0111 - Wet mounts including preparations of vaginal cervical or skin specimens | Q0111 - | Q0111 - Wet mounts/ w preparations | '01/01/1994 | 12/31/2999 |
| Q0112 | Q0112 - All potassium hydroxide (koh) preparations | Q0112 - | Q0112 - Potassium hydroxide preps | '01/01/1994 | 12/31/2999 |
| Q0113 | Q0113 - Pinworm examinations | Q0113 - | Q0113 - Pinworm examinations | '01/01/1994 | 12/31/2999 |
| Q0114 | Q0114 - Fern test | Q0114 - | Q0114 - Fern test | '01/01/1994 | 12/31/2999 |
| Q0115 | Q0115 - Post-coital direct qualitative examinations of vaginal or cervical mucous | Q0115 - | Q0115 - Post-coital mucous exam | '01/01/1994 | 12/31/2999 |
| Q0138 | Q0138 - INJECTION FERUMOXYTOL FOR TREATMENT OF IRON DEFICIENCY ANEMIA 1 MG (NON-ESRD USE) | Q0138 - | Q0138 - Ferumoxytol non-esrd | '01/01/2010 | 12/31/2999 |
| Q0139 | Q0139 - INJECTION FERUMOXYTOL FOR TREATMENT OF IRON DEFICIENCY ANEMIA 1 MG (FOR ESRD ON DIALYSIS) | Q0139 - | Q0139 - Ferumoxytol esrd use | '01/01/2010 | 12/31/2999 |
| Q0144 | Q0144 - Azithromycin dihydrate oral capsules/powder 1 gram | Q0144 - | Q0144 - Azithromycin dihydrate oral | '07/01/2002 | 12/31/2999 |
| Q0161 | Q0161 - Chlorpromazine hydrochloride 5 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0161 - | Q0161 - Chlorpromazine hcl 5mg oral | '01/01/2014 | 12/31/2999 |
| Q0162 | Q0162 - ONDANSETRON 1 MG ORAL FDA APPROVED PRESCRIPTION ANTI-EMETIC FOR USE AS A COMPLETE THERAPEUTIC SUBSTITUTE FOR AN IV ANTI-EMETIC AT THE TIME OF CHEMOTHERAPY TREATMENT NOT TO EXCEED A 48 HOUR DOSAGE REGIMEN | Q0162 - | Q0162 - | '01/01/2012 | 12/31/2999 |
| Q0163 | Q0163 - Diphenhydramine hydrochloride 50 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0163 - | Q0163 - Diphenhydramine HCl 50mg | '04/01/1998 | 12/31/2999 |
| Q0164 | Q0164 - Prochlorperazine maleate 5 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0164 - | Q0164 - Prochlorperazine maleate 5mg | '04/01/1998 | 12/31/2999 |
| Q0166 | Q0166 - Granisetron hydrochloride 1 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 24 hour dosage regimen | Q0166 - | Q0166 - Granisetron hcl 1 mg oral | '01/01/2009 | 12/31/2999 |
| Q0167 | Q0167 - Dronabinol 2. 5 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0167 - | Q0167 - Dronabinol 2.5mg oral | '04/01/1998 | 12/31/2999 |
| Q0169 | Q0169 - Promethazine hydrochloride 12. 5 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0169 - | Q0169 - Promethazine HCl 12.5mg oral | '04/01/1998 | 12/31/2999 |
| Q0173 | Q0173 - Trimethobenzamide hydrochloride 250 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0173 - | Q0173 - Trimethobenzamide HCl 250mg | '04/01/1998 | 12/31/2999 |
| Q0174 | Q0174 - Thiethylperazine maleate 10 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0174 - | Q0174 - Thiethylperazine maleate10mg | '04/01/1998 | 12/31/2999 |
| Q0175 | Q0175 - Perphenazine 4 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0175 - | Q0175 - Perphenazine 4mg oral | '04/01/1998 | 12/31/2999 |
| Q0177 | Q0177 - Hydroxyzine pamoate 25 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0177 - | Q0177 - Hydroxyzine pamoate 25mg | '04/01/1998 | 12/31/2999 |
| Q0180 | Q0180 - Dolasetron mesylate 100 mg oral fda approved prescription anti-emetic for use as a complete therapeutic substitute for an iv anti-emetic at the time of chemotherapy treatment not to exceed a 24 hour dosage regimen | Q0180 - | Q0180 - Dolasetron mesylate oral | '04/01/1998 | 12/31/2999 |
| Q0181 | Q0181 - Unspecified oral dosage form fda approved prescription anti-emetic for use as a complete therapeutic substitute for a iv anti-emetic at the time of chemotherapy treatment not to exceed a 48 hour dosage regimen | Q0181 - | Q0181 - Unspecified oral anti-emetic | '04/01/1998 | 12/31/2999 |
| Q0220 | Q0220 - Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) 300 mg | Q0220 - | Q0220 - Tixagev and cilgav 300mg | 08-12-2021 | 12/31/2999 |
| Q0221 | Q0221 - Injection tixagevimab and cilgavimab for the pre-exposure prophylaxis only for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known sars-cov-2 exposure who either have moderate to severely compromised immune systems or for whom vaccination with any available covid-19 vaccine is not recommended due to a history of severe adverse reaction to a covid-19 vaccine(s) and/or covid-19 vaccine component(s) 600 mg | Q0221 - | Q0221 - Tixagev and cilgav 600mg | '02/24/2022 | 12/31/2999 |
| Q0222 | Q0222 - Injection bebtelovimab 175 mg | Q0222 - | Q0222 - Bebtelovimab 175mg | '02/11/2022 | 12/31/2999 |
| Q0240 | Q0240 - Injection casirivimab and imdevimab 600 mg | Q0240 - | Q0240 - Casirivi and imdevi 600mg | '07/30/2021 | 12/31/2999 |
| Q0243 | Q0243 - Injection casirivimab and imdevimab 2400 mg | Q0243 - | Q0243 - casirivimab and imdevimab | 11/21/2020 | 12/31/2999 |
| Q0244 | Q0244 - Injection casirivimab and imdevimab 1200 mg | Q0244 - | Q0244 - Casirivi and imdevi 1200 mg | '06/03/2021 | 12/31/2999 |
| Q0245 | Q0245 - Injection bamlanivimab and etesevimab 2100 mg | Q0245 - | Q0245 - bamlanivimab and etesevima | '02/09/2021 | 12/31/2999 |
| Q0247 | Q0247 - Injection sotrovimab 500 mg | Q0247 - | Q0247 - Sotrovimab | '05/26/2021 | 12/31/2999 |
| Q0249 | Q0249 - Injection tocilizumab for hospitalized adults and pediatric patients (2 years of age and older) with covid-19 who are receiving systemic corticosteroids and require supplemental oxygen non-invasive or invasive mechanical ventilation or extracorporeal membrane oxygenation (ECMO) only 1 mg | Q0249 - | Q0249 - Tocilizumab for covid-19 | '06/24/2021 | 12/31/2999 |
| Q0477 | Q0477 - Power module patient cable for use with electric or electric/pneumatic ventricular assist device replacement only | Q0477 - | Q0477 - Pwr module pt cable lvad rpl | '01/01/2018 | 12/31/2999 |
| Q0478 | Q0478 - Power adapter for use with electric or electric/pneumatic ventricular assist device vehicle type | Q0478 - | Q0478 - Power adapter combo vad | '01/01/2013 | 12/31/2999 |
| Q0479 | Q0479 - Power module for use with electric or electric/pneumatic ventricular assist device replacement only | Q0479 - | Q0479 - Power module combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0480 | Q0480 - Driver for use with pneumatic ventricular assist device replacement only | Q0480 - | Q0480 - Driver pneumatic vad rep | '01/01/2013 | 12/31/2999 |
| Q0481 | Q0481 - Microprocessor control unit for use with electric ventricular assist device replacement only | Q0481 - | Q0481 - Microprcsr cu elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0482 | Q0482 - Microprocessor control unit for use with electric/pneumatic combination ventricular assist device replacement only | Q0482 - | Q0482 - Microprcsr cu combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0483 | Q0483 - Monitor/display module for use with electric ventricular assist device replacement only | Q0483 - | Q0483 - Monitor elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0484 | Q0484 - Monitor/display module for use with electric or electric/pneumatic ventricular assist device replacement only | Q0484 - | Q0484 - Monitor elec or comb vad rep | '01/01/2013 | 12/31/2999 |
| Q0485 | Q0485 - Monitor control cable for use with electric ventricular assist device replacement only | Q0485 - | Q0485 - Monitor cable elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0486 | Q0486 - Monitor control cable for use with electric/pneumatic ventricular assist device replacement only | Q0486 - | Q0486 - Mon cable elec/pneum vad rep | '01/01/2013 | 12/31/2999 |
| Q0487 | Q0487 - Leads (pneumatic/electrical) for use with any type electric/pneumatic ventricular assist device replacement only | Q0487 - | Q0487 - Leads any type vad rep only | '01/01/2013 | 12/31/2999 |
| Q0488 | Q0488 - Power pack base for use with electric ventricular assist device replacement only | Q0488 - | Q0488 - Pwr pack base elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0489 | Q0489 - Power pack base for use with electric/pneumatic ventricular assist device replacement only | Q0489 - | Q0489 - Pwr pck base combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0490 | Q0490 - Emergency power source for use with electric ventricular assist device replacement only | Q0490 - | Q0490 - Emr pwr source elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0491 | Q0491 - Emergency power source for use with electric/pneumatic ventricular assist device replacement only | Q0491 - | Q0491 - Emr pwr source combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0492 | Q0492 - Emergency power supply cable for use with electric ventricular assist device replacement only | Q0492 - | Q0492 - Emr pwr cbl elec vad rep | '01/01/2013 | 12/31/2999 |
| Q0493 | Q0493 - Emergency power supply cable for use with electric/pneumatic ventricular assist device replacement only | Q0493 - | Q0493 - Emr pwr cbl combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0494 | Q0494 - Emergency hand pump for use with electric or electric/pneumatic ventricular assist device replacement only | Q0494 - | Q0494 - Emr hd pmp elec/combo rep | '01/01/2013 | 12/31/2999 |
| Q0495 | Q0495 - Battery/power pack charger for use with electric or electric/pneumatic ventricular assist device replacement only | Q0495 - | Q0495 - Charger elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0496 | Q0496 - Battery other than lithium-ion for use with electric or electric/pneumatic ventricular assist device replacement only | Q0496 - | Q0496 - Battery elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0497 | Q0497 - Battery clips for use with electric or electric/pneumatic ventricular assist device replacement only | Q0497 - | Q0497 - Bat clps elec/comb vad rep | '01/01/2013 | 12/31/2999 |
| Q0498 | Q0498 - Holster for use with electric or electric/pneumatic ventricular assist device replacement only | Q0498 - | Q0498 - Holster elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0499 | Q0499 - Belt/vest/bag for use to carry external peripheral components of any type ventricular assist device replacement only | Q0499 - | Q0499 - Belt/vest elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0500 | Q0500 - Filters for use with electric or electric/pneumatic ventricular assist device replacement only | Q0500 - | Q0500 - Filters elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0501 | Q0501 - Shower cover for use with electric or electric/pneumatic ventricular assist device replacement only | Q0501 - | Q0501 - Shwr cov elec/combo vad rep | '01/01/2013 | 12/31/2999 |
| Q0502 | Q0502 - Mobility cart for pneumatic ventricular assist device replacement only | Q0502 - | Q0502 - Mobility cart pneum vad rep | '01/01/2013 | 12/31/2999 |
| Q0503 | Q0503 - Battery for pneumatic ventricular assist device replacement only each | Q0503 - | Q0503 - Battery pneum vad replacemnt | '01/01/2013 | 12/31/2999 |
| Q0504 | Q0504 - Power adapter for pneumatic ventricular assist device replacement only vehicle type | Q0504 - | Q0504 - Pwr adpt pneum vad rep veh | '01/01/2013 | 12/31/2999 |
| Q0506 | Q0506 - Battery lithium-ion for use with electric or electric/pneumatic ventricular assist device replacement only | Q0506 - | Q0506 - Lith-ion batt elec/pneum VAD | '01/01/2013 | 12/31/2999 |
| Q0507 | Q0507 - MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN EXTERNAL VENTRICULAR ASSIST DEVICE | Q0507 - | Q0507 - Misc sup/acc ext VAD | '04/01/2013 | 12/31/2999 |
| Q0508 | Q0508 - MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH AN IMPLANTED VENTRICULAR ASSIST DEVICE | Q0508 - | Q0508 - Misc sup/acc imp VAD | '04/01/2013 | 12/31/2999 |
| Q0509 | Q0509 - MISCELLANEOUS SUPPLY OR ACCESSORY FOR USE WITH ANY IMPLANTED VENTRICULAR ASSIST DEVICE FOR WHICH PAYMENT WAS NOT MADE UNDER MEDICARE PART A | Q0509 - | Q0509 - Mis sup/ac imp VAD nopay med | '04/01/2013 | 12/31/2999 |
| Q0510 | Q0510 - PHARMACY SUPPLY FEE FOR INITIAL IMMUNOSUPPRESSIVE DRUG(S) FIRST MONTH FOLLOWING transPLANT | Q0510 - | Q0510 - Dispens fee immunosupressive | '01/01/2006 | 12/31/2999 |
| Q0511 | Q0511 - PHARMACY SUPPLY FEE FOR ORAL ANTI-CANCER ORAL ANTI-EMETIC OR IMMUNOSUPPRESSIVE DRUG(S); FOR THE FIRST PRESCRIPTION IN A 30-DAY PERIOD | Q0511 - | Q0511 - Sup fee antiem antica immuno | '01/01/2006 | 12/31/2999 |
| Q0512 | Q0512 - Pharmacy supply fee for oral anti-cancer oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period | Q0512 - | Q0512 - Px sup fee anti-can sub pres | '01/01/2009 | 12/31/2999 |
| Q0513 | Q0513 - PHARMACY DISPENSING FEE FOR INHALATION DRUG(S); PER 30 DAYS | Q0513 - | Q0513 - Disp fee inhal drugs/30 days | '01/01/2006 | 12/31/2999 |
| Q0514 | Q0514 - PHARMACY DISPENSING FEE FOR INHALATION DRUG(S); PER 90 DAYS | Q0514 - | Q0514 - Disp fee inhal drugs/90 days | '01/01/2006 | 12/31/2999 |
| Q0515 | Q0515 - INJECTION SERMORELIN ACETATE 1 MICROGRAM | Q0515 - | Q0515 - Sermorelin acetate injection | '01/01/2006 | 12/31/2999 |
| Q1004 | Q1004 - New technology intraocular lens category 4 as defined in federal register notice | Q1004 - | Q1004 - Ntiol category 4 | 01-10-2003 | 12/31/2999 |
| Q1005 | Q1005 - New technology intraocular lens category 5 as defined in federal register notice | Q1005 - | Q1005 - Ntiol category 5 | 01-10-2003 | 12/31/2999 |
| Q2004 | Q2004 - Irrigation solution for treatment of bladder calculi for example renacidin per 500 ml | Q2004 - | Q2004 - Bladder calculi irrig sol | '01/01/2007 | 12/31/2999 |
| Q2009 | Q2009 - INJECTION FOSPHENYTOIN 50 MG PHENYTOIN EQUIVALENT | Q2009 - | Q2009 - Fosphenytoin inj PE | '01/01/2010 | 12/31/2999 |
| Q2017 | Q2017 - Injection teniposide 50 mg | Q2017 - | Q2017 - Teniposide 50 mg | '01/01/2007 | 12/31/2999 |
| Q2026 | Q2026 - INJECTION RADIESSE 0.1 ML | Q2026 - | Q2026 - Radiesse injection | '07/01/2010 | 12/31/2999 |
| Q2028 | Q2028 - Injection sculptra 0.5 mg | Q2028 - | Q2028 - Inj sculptra 0.5mg | '01/01/2014 | 12/31/2999 |
| Q2034 | Q2034 - Influenza virus vaccine split virus for intramuscular use (AGRIFLU) | Q2034 - | Q2034 - Agriflu vaccine | '07/01/2012 | 12/31/2999 |
| Q2035 | Q2035 - INFLUENZA VIRUS VACCINE SPLIT VIRUS WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER FOR INTRAMUSCULAR USE (AFLURIA) | Q2035 - | Q2035 - Afluria vacc 3 yrs & > im | '01/01/2011 | 12/31/2999 |
| Q2036 | Q2036 - INFLUENZA VIRUS VACCINE SPLIT VIRUS WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER FOR INTRAMUSCULAR USE (FLULAVAL) | Q2036 - | Q2036 - Flulaval vacc 3 yrs & > im | '01/01/2011 | 12/31/2999 |
| Q2037 | Q2037 - INFLUENZA VIRUS VACCINE SPLIT VIRUS WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER FOR INTRAMUSCULAR USE (FLUVIRIN) | Q2037 - | Q2037 - Fluvirin vacc 3 yrs & > im | '01/01/2011 | 12/31/2999 |
| Q2038 | Q2038 - INFLUENZA VIRUS VACCINE SPLIT VIRUS WHEN ADMINISTERED TO INDIVIDUALS 3 YEARS OF AGE AND OLDER FOR INTRAMUSCULAR USE (FLUZONE) | Q2038 - | Q2038 - Fluzone vacc 3 yrs & > im | '01/01/2011 | 12/31/2999 |
| Q2039 | Q2039 - Influenza virus vaccine not otherwise specified | Q2039 - | Q2039 - Influenza virus vaccine nos | '01/01/2017 | 12/31/2999 |
| Q2041 | Q2041 - Axicabtagene ciloleucel up to 200 million autologous anti-cd19 car positive viable t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2041 - | Q2041 - Axicabtagene ciloleucel car+ | '01/01/2019 | 12/31/2999 |
| Q2042 | Q2042 - Tisagenlecleucel up to 600 million car-positive viable t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2042 - | Q2042 - Tisagenlecleucel car-pos t | '01/01/2019 | 12/31/2999 |
| Q2043 | Q2043 - SIPULEUCEL-T MINIMUM OF 50 MILLION AUTOLOGOUS CD54+ CELLS ACTIVATED WITH PAP-GM-CSF INCLUDING LEUKAPHERESIS AND ALL OTHER PREPARATORY PROCEDURES PER INFUSION | Q2043 - | Q2043 - | '07/01/2011 | 12/31/2999 |
| Q2049 | Q2049 - Injection Doxorubicin Hydrochloride Liposomal Imported Lipodox 10 mg | Q2049 - | Q2049 - Imported Lipodox inj | '07/01/2012 | 12/31/2999 |
| Q2050 | Q2050 - Injection Doxorubicin Hydrochloride Liposomal Not Otherwise Specified 10mg | Q2050 - | Q2050 - Doxorubicin inj 10mg | '07/01/2013 | 12/31/2999 |
| Q2052 | Q2052 - Services supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration | Q2052 - | Q2052 - Ivig demo services/supplies | '04/01/2014 | 12/31/2999 |
| Q2053 | Q2053 - Brexucabtagene autoleucel up to 200 million autologous anti-cd19 car positive viable t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2053 - | Q2053 - Brexucabtagene car pos t | '04/01/2021 | 12/31/2999 |
| Q2054 | Q2054 - Lisocabtagene maraleucel up to 110 million autologous anti-cd19 car-positive viable t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2054 - | Q2054 - Lisocabtagene mara car pos t | 01-10-2021 | 12/31/2999 |
| Q2055 | Q2055 - Idecabtagene vicleucel up to 460 million autologous b-cell maturation antigen (bcma) directed car-positive t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2055 - | Q2055 - Idecabtagene vicleucel car | '01/01/2022 | 12/31/2999 |
| Q2056 | Q2056 - Ciltacabtagene autoleucel up to 100 million autologous b-cell maturation antigen (bcma) directed car-positive t cells including leukapheresis and dose preparation procedures per therapeutic dose | Q2056 - | Q2056 - Ciltacabtagene car-pos t | 01-10-2022 | 12/31/2999 |
| Q3001 | Q3001 - Radioelements for brachytherapy any type each | Q3001 - | Q3001 - Brachytherapy Radioelements | '01/01/2005 | 12/31/2999 |
| Q3014 | Q3014 - Telehealth originating site facility fee | Q3014 - | Q3014 - Telehealth facility fee | 01-10-2001 | 12/31/2999 |
| Q3027 | Q3027 - Injection interferon beta-1a 1 mcg for intramuscular use | Q3027 - | Q3027 - Inj beta interferon im 1 mcg | '01/01/2014 | 12/31/2999 |
| Q3028 | Q3028 - Injection interferon beta-1a 1 mcg for subcutaneous use | Q3028 - | Q3028 - Inj beta interferon sq 1 mcg | '01/01/2014 | 12/31/2999 |
| Q3031 | Q3031 - Collagen skin test | Q3031 - | Q3031 - Collagen skin test | 01-10-2004 | 12/31/2999 |
| Q4001 | Q4001 - Casting supplies body cast adult with or without head plaster | Q4001 - | Q4001 - Cast sup body cast plaster | '07/01/2001 | 12/31/2999 |
| Q4002 | Q4002 - Cast supplies body cast adult with or without head fiberglass | Q4002 - | Q4002 - Cast sup body cast fiberglas | '07/01/2001 | 12/31/2999 |
| Q4003 | Q4003 - Cast supplies shoulder cast adult (11 years +) plaster | Q4003 - | Q4003 - Cast sup shoulder cast plstr | '07/01/2001 | 12/31/2999 |
| Q4004 | Q4004 - Cast supplies shoulder cast adult (11 years +) fiberglass | Q4004 - | Q4004 - Cast sup shoulder cast fbrgl | '07/01/2001 | 12/31/2999 |
| Q4005 | Q4005 - Cast supplies long arm cast adult (11 years +) plaster | Q4005 - | Q4005 - Cast sup long arm adult plst | '07/01/2001 | 12/31/2999 |
| Q4006 | Q4006 - Cast supplies long arm cast adult (11 years +) fiberglass | Q4006 - | Q4006 - Cast sup long arm adult fbrg | '07/01/2001 | 12/31/2999 |
| Q4007 | Q4007 - Cast supplies long arm cast pediatric (0-10 years) plaster | Q4007 - | Q4007 - Cast sup long arm ped plster | '07/01/2001 | 12/31/2999 |
| Q4008 | Q4008 - Cast supplies long arm cast pediatric (0-10 years) fiberglass | Q4008 - | Q4008 - Cast sup long arm ped fbrgls | '07/01/2001 | 12/31/2999 |
| Q4009 | Q4009 - Cast supplies short arm cast adult (11 years +) plaster | Q4009 - | Q4009 - Cast sup sht arm adult plstr | '07/01/2001 | 12/31/2999 |
| Q4010 | Q4010 - Cast supplies short arm cast adult (11 years +) fiberglass | Q4010 - | Q4010 - Cast sup sht arm adult fbrgl | '07/01/2001 | 12/31/2999 |
| Q4011 | Q4011 - Cast supplies short arm cast pediatric (0-10 years) plaster | Q4011 - | Q4011 - Cast sup sht arm ped plaster | '07/01/2001 | 12/31/2999 |
| Q4012 | Q4012 - Cast supplies short arm cast pediatric (0-10 years) fiberglass | Q4012 - | Q4012 - Cast sup sht arm ped fbrglas | '07/01/2001 | 12/31/2999 |
| Q4013 | Q4013 - Cast supplies gauntlet cast (includes lower forearm and hand) adult (11 years +) plaster | Q4013 - | Q4013 - Cast sup gauntlet plaster | '07/01/2001 | 12/31/2999 |
| Q4014 | Q4014 - Cast supplies gauntlet cast (includes lower forearm and hand) adult (11 years +) fiberglass | Q4014 - | Q4014 - Cast sup gauntlet fiberglass | '07/01/2001 | 12/31/2999 |
| Q4015 | Q4015 - Cast supplies gauntlet cast (includes lower forearm and hand) pediatric (0-10 years) plaster | Q4015 - | Q4015 - Cast sup gauntlet ped plster | '07/01/2001 | 12/31/2999 |
| Q4016 | Q4016 - Cast supplies gauntlet cast (includes lower forearm and hand) pediatric (0-10 years) fiberglass | Q4016 - | Q4016 - Cast sup gauntlet ped fbrgls | '07/01/2001 | 12/31/2999 |
| Q4017 | Q4017 - Cast supplies long arm splint adult (11 years +) plaster | Q4017 - | Q4017 - Cast sup lng arm splint plst | '07/01/2001 | 12/31/2999 |
| Q4018 | Q4018 - Cast supplies long arm splint adult (11 years +) fiberglass | Q4018 - | Q4018 - Cast sup lng arm splint fbrg | '07/01/2001 | 12/31/2999 |
| Q4019 | Q4019 - Cast supplies long arm splint pediatric (0-10 years) plaster | Q4019 - | Q4019 - Cast sup lng arm splnt ped p | '07/01/2001 | 12/31/2999 |
| Q4020 | Q4020 - Cast supplies long arm splint pediatric (0-10 years) fiberglass | Q4020 - | Q4020 - Cast sup lng arm splnt ped f | '07/01/2001 | 12/31/2999 |
| Q4021 | Q4021 - Cast supplies short arm splint adult (11 years +) plaster | Q4021 - | Q4021 - Cast sup sht arm splint plst | '07/01/2001 | 12/31/2999 |
| Q4022 | Q4022 - Cast supplies short arm splint adult (11 years +) fiberglass | Q4022 - | Q4022 - Cast sup sht arm splint fbrg | '07/01/2001 | 12/31/2999 |
| Q4023 | Q4023 - Cast supplies short arm splint pediatric (0-10 years) plaster | Q4023 - | Q4023 - Cast sup sht arm splnt ped p | '07/01/2001 | 12/31/2999 |
| Q4024 | Q4024 - Cast supplies short arm splint pediatric (0-10 years) fiberglass | Q4024 - | Q4024 - Cast sup sht arm splnt ped f | '07/01/2001 | 12/31/2999 |
| Q4025 | Q4025 - Cast supplies hip spica (one or both legs) adult (11 years +) plaster | Q4025 - | Q4025 - Cast sup hip spica plaster | '07/01/2001 | 12/31/2999 |
| Q4026 | Q4026 - Cast supplies hip spica (one or both legs) adult (11 years +) fiberglass | Q4026 - | Q4026 - Cast sup hip spica fiberglas | '07/01/2001 | 12/31/2999 |
| Q4027 | Q4027 - Cast supplies hip spica (one or both legs) pediatric (0-10 years) plaster | Q4027 - | Q4027 - Cast sup hip spica ped plstr | '07/01/2001 | 12/31/2999 |
| Q4028 | Q4028 - Cast supplies hip spica (one or both legs) pediatric (0-10 years) fiberglass | Q4028 - | Q4028 - Cast sup hip spica ped fbrgl | '07/01/2001 | 12/31/2999 |
| Q4029 | Q4029 - Cast supplies long leg cast adult (11 years +) plaster | Q4029 - | Q4029 - Cast sup long leg plaster | '07/01/2001 | 12/31/2999 |
| Q4030 | Q4030 - Cast supplies long leg cast adult (11 years +) fiberglass | Q4030 - | Q4030 - Cast sup long leg fiberglass | '07/01/2001 | 12/31/2999 |
| Q4031 | Q4031 - Cast supplies long leg cast pediatric (0-10 years) plaster | Q4031 - | Q4031 - Cast sup lng leg ped plaster | '07/01/2001 | 12/31/2999 |
| Q4032 | Q4032 - Cast supplies long leg cast pediatric (0-10 years) fiberglass | Q4032 - | Q4032 - Cast sup lng leg ped fbrgls | '07/01/2001 | 12/31/2999 |
| Q4033 | Q4033 - Cast supplies long leg cylinder cast adult (11 years +) plaster | Q4033 - | Q4033 - Cast sup lng leg cylinder pl | '07/01/2001 | 12/31/2999 |
| Q4034 | Q4034 - Cast supplies long leg cylinder cast adult (11 years +) fiberglass | Q4034 - | Q4034 - Cast sup lng leg cylinder fb | '07/01/2001 | 12/31/2999 |
| Q4035 | Q4035 - Cast supplies long leg cylinder cast pediatric (0-10 years) plaster | Q4035 - | Q4035 - Cast sup lngleg cylndr ped p | '07/01/2001 | 12/31/2999 |
| Q4036 | Q4036 - Cast supplies long leg cylinder cast pediatric (0-10 years) fiberglass | Q4036 - | Q4036 - Cast sup lngleg cylndr ped f | '07/01/2001 | 12/31/2999 |
| Q4037 | Q4037 - Cast supplies short leg cast adult (11 years +) plaster | Q4037 - | Q4037 - Cast sup shrt leg plaster | '07/01/2001 | 12/31/2999 |
| Q4038 | Q4038 - Cast supplies short leg cast adult (11 years +) fiberglass | Q4038 - | Q4038 - Cast sup shrt leg fiberglass | '07/01/2001 | 12/31/2999 |
| Q4039 | Q4039 - Cast supplies short leg cast pediatric (0-10 years) plaster | Q4039 - | Q4039 - Cast sup shrt leg ped plster | '07/01/2001 | 12/31/2999 |
| Q4040 | Q4040 - Cast supplies short leg cast pediatric (0-10 years) fiberglass | Q4040 - | Q4040 - Cast sup shrt leg ped fbrgls | '07/01/2001 | 12/31/2999 |
| Q4041 | Q4041 - Cast supplies long leg splint adult (11 years +) plaster | Q4041 - | Q4041 - Cast sup lng leg splnt plstr | '07/01/2001 | 12/31/2999 |
| Q4042 | Q4042 - Cast supplies long leg splint adult (11 years +) fiberglass | Q4042 - | Q4042 - Cast sup lng leg splnt fbrgl | '07/01/2001 | 12/31/2999 |
| Q4043 | Q4043 - Cast supplies long leg splint pediatric (0-10 years) plaster | Q4043 - | Q4043 - Cast sup lng leg splnt ped p | '07/01/2001 | 12/31/2999 |
| Q4044 | Q4044 - Cast supplies long leg splint pediatric (0-10 years) fiberglass | Q4044 - | Q4044 - Cast sup lng leg splnt ped f | '07/01/2001 | 12/31/2999 |
| Q4045 | Q4045 - Cast supplies short leg splint adult (11 years +) plaster | Q4045 - | Q4045 - Cast sup sht leg splnt plstr | '07/01/2001 | 12/31/2999 |
| Q4046 | Q4046 - Cast supplies short leg splint adult (11 years +) fiberglass | Q4046 - | Q4046 - Cast sup sht leg splnt fbrgl | '07/01/2001 | 12/31/2999 |
| Q4047 | Q4047 - Cast supplies short leg splint pediatric (0-10 years) plaster | Q4047 - | Q4047 - Cast sup sht leg splnt ped p | '07/01/2001 | 12/31/2999 |
| Q4048 | Q4048 - Cast supplies short leg splint pediatric (0-10 years) fiberglass | Q4048 - | Q4048 - Cast sup sht leg splnt ped f | '07/01/2001 | 12/31/2999 |
| Q4049 | Q4049 - Finger splint static | Q4049 - | Q4049 - Finger splint static | '07/01/2001 | 12/31/2999 |
| Q4050 | Q4050 - Cast supplies for unlisted types and materials of casts | Q4050 - | Q4050 - Cast supplies unlisted | '07/01/2001 | 12/31/2999 |
| Q4051 | Q4051 - Splint supplies miscellaneous (includes thermoplastics strapping fasteners padding and other supplies) | Q4051 - | Q4051 - Splint supplies misc | '07/01/2001 | 12/31/2999 |
| Q4074 | Q4074 - ILOPROST INHALATION SOLUTION FDA-APPROVED FINAL PRODUCT NON-COMPOUNDED ADMINISTERED THROUGH DME UNIT DOSE FORM UP TO 20 MICROGRAMS | Q4074 - | Q4074 - Iloprost non-comp unit dose | '01/01/2010 | 12/31/2999 |
| Q4081 | Q4081 - INJECTION EPOETIN ALFA 100 UNITS (FOR ESRD ON DIALYSIS) | Q4081 - | Q4081 - Epoetin alfa 100 units ESRD | '01/01/2007 | 12/31/2999 |
| Q4082 | Q4082 - DRUG OR BIOLOGICAL NOT OTHERWISE CLASSIFIED PART B DRUG COMPETITIVE ACQUISITION PROGRAM (CAP) | Q4082 - | Q4082 - Drug/bio NOC part B drug CAP | '01/01/2007 | 12/31/2999 |
| Q4100 | Q4100 - SKIN SUBSTITUTE NOT OTHERWISE SPECIFIED | Q4100 - | Q4100 - Skin substitute NOS | '05/01/2014 | 12/31/2999 |
| Q4101 | Q4101 - APLIGRAF PER SQUARE CENTIMETER | Q4101 - | Q4101 - Apligraf | '05/01/2014 | 12/31/2999 |
| Q4102 | Q4102 - OASIS WOUND MATRIX PER SQUARE CENTIMETER | Q4102 - | Q4102 - Oasis wound matrix | '05/01/2014 | 12/31/2999 |
| Q4103 | Q4103 - OASIS BURN MATRIX PER SQUARE CENTIMETER | Q4103 - | Q4103 - Oasis burn matrix | '05/01/2014 | 12/31/2999 |
| Q4104 | Q4104 - INTEGRA BILAYER MATRIX WOUND DRESSING (BMWD) PER SQUARE CENTIMETER | Q4104 - | Q4104 - Integra BMWD | '05/01/2014 | 12/31/2999 |
| Q4105 | Q4105 - Integra dermal regeneration template (drt) or integra omnigraft dermal regeneration matrix per square centimeter | Q4105 - | Q4105 - Integra drt or omnigraft | '01/01/2017 | 12/31/2999 |
| Q4106 | Q4106 - DERMAGRAFT PER SQUARE CENTIMETER | Q4106 - | Q4106 - Dermagraft | '05/01/2014 | 12/31/2999 |
| Q4107 | Q4107 - GRAFTJACKET PER SQUARE CENTIMETER | Q4107 - | Q4107 - Graftjacket | '05/01/2014 | 12/31/2999 |
| Q4108 | Q4108 - INTEGRA MATRIX PER SQUARE CENTIMETER | Q4108 - | Q4108 - Integra matrix | '05/01/2014 | 12/31/2999 |
| Q4110 | Q4110 - PRIMATRIX PER SQUARE CENTIMETER | Q4110 - | Q4110 - Primatrix | '05/01/2014 | 12/31/2999 |
| Q4111 | Q4111 - GAMMAGRAFT PER SQUARE CENTIMETER | Q4111 - | Q4111 - Gammagraft | '05/01/2014 | 12/31/2999 |
| Q4112 | Q4112 - CYMETRA INJECTABLE 1CC | Q4112 - | Q4112 - Cymetra injectable | '05/01/2014 | 12/31/2999 |
| Q4113 | Q4113 - GRAFTJACKET XPRESS INJECTABLE 1CC | Q4113 - | Q4113 - Graftjacket xpress | '05/01/2014 | 12/31/2999 |
| Q4114 | Q4114 - INTEGRA FLOWABLE WOUND MATRIX INJECTABLE 1CC | Q4114 - | Q4114 - Integra flowable wound matri | '05/01/2014 | 12/31/2999 |
| Q4115 | Q4115 - ALLOSKIN PER SQUARE CENTIMETER | Q4115 - | Q4115 - Alloskin | '05/01/2014 | 12/31/2999 |
| Q4116 | Q4116 - ALLODERM PER SQUARE CENTIMETER | Q4116 - | Q4116 - Alloderm | '05/01/2014 | 12/31/2999 |
| Q4117 | Q4117 - HYALOMATRIX PER SQUARE CENTIMETER | Q4117 - | Q4117 - Hyalomatrix | '05/01/2014 | 12/31/2999 |
| Q4118 | Q4118 - MATRISTEM MICROMATRIX 1 MG | Q4118 - | Q4118 - Matristem micromatrix | '05/01/2014 | 12/31/2999 |
| Q4121 | Q4121 - THERASKIN PER SQUARE CENTIMETER | Q4121 - | Q4121 - Theraskin | '05/01/2014 | 12/31/2999 |
| Q4122 | Q4122 - Dermacell dermacell awm or dermacell awm porous per square centimeter | Q4122 - | Q4122 - Dermacell awm porous sq cm | 01-10-2019 | 12/31/2999 |
| Q4123 | Q4123 - ALLOSKIN RT PER SQUARE CENTIMETER | Q4123 - | Q4123 - | '01/01/2012 | 12/31/2999 |
| Q4124 | Q4124 - OASIS ULTRA TRI-LAYER WOUND MATRIX PER SQUARE CENTIMETER | Q4124 - | Q4124 - | '01/01/2012 | 12/31/2999 |
| Q4125 | Q4125 - ARTHROFLEX PER SQUARE CENTIMETER | Q4125 - | Q4125 - | '01/01/2012 | 12/31/2999 |
| Q4126 | Q4126 - Memoderm dermaspan tranzgraft or integuply per square centimeter | Q4126 - | Q4126 - Memoderm/derma/tranz/integup | '01/01/2013 | 12/31/2999 |
| Q4127 | Q4127 - TALYMED PER SQUARE CENTIMETER | Q4127 - | Q4127 - | '01/01/2012 | 12/31/2999 |
| Q4128 | Q4128 - Flex hd or allopatch hd per square centimeter | Q4128 - | Q4128 - Flexhd/allopatchhd/sq cm | 01-10-2022 | 12/31/2999 |
| Q4130 | Q4130 - STRATTICE TM PER SQUARE CENTIMETER | Q4130 - | Q4130 - | '01/01/2012 | 12/31/2999 |
| Q4132 | Q4132 - Grafix core and grafixpl core per square centimeter | Q4132 - | Q4132 - Grafix core grafixpl core | '01/01/2018 | 12/31/2999 |
| Q4133 | Q4133 - Grafix prime grafixpl prime stravix and stravixpl per square centimeter | Q4133 - | Q4133 - Grafix stravix prime pl sqcm | '01/01/2019 | 12/31/2999 |
| Q4134 | Q4134 - Hmatrix per square centimeter | Q4134 - | Q4134 - hMatrix | '01/01/2013 | 12/31/2999 |
| Q4135 | Q4135 - Mediskin per square centimeter | Q4135 - | Q4135 - Mediskin | '01/01/2013 | 12/31/2999 |
| Q4136 | Q4136 - Ez-derm per square centimeter | Q4136 - | Q4136 - EZderm | '01/01/2013 | 12/31/2999 |
| Q4137 | Q4137 - Amnioexcel amnioexcel plus or biodexcel per square centimeter | Q4137 - | Q4137 - Amnioexcel biodexcel 1sq cm | '01/01/2019 | 12/31/2999 |
| Q4138 | Q4138 - Biodfence dryflex per square centimeter | Q4138 - | Q4138 - Biodfence dryflex 1cm | '01/01/2014 | 12/31/2999 |
| Q4139 | Q4139 - Amniomatrix or biodmatrix injectable 1 cc | Q4139 - | Q4139 - Amnio or biodmatrix inj 1cc | '01/01/2014 | 12/31/2999 |
| Q4140 | Q4140 - Biodfence per square centimeter | Q4140 - | Q4140 - Biodfence 1cm | '01/01/2014 | 12/31/2999 |
| Q4141 | Q4141 - Alloskin ac per square centimeter | Q4141 - | Q4141 - Alloskin ac 1 cm | '01/01/2014 | 12/31/2999 |
| Q4142 | Q4142 - Xcm biologic tissue matrix per square centimeter | Q4142 - | Q4142 - Xcm biologic tiss matrix 1cm | '01/01/2014 | 12/31/2999 |
| Q4143 | Q4143 - Repriza per square centimeter | Q4143 - | Q4143 - Repriza 1cm | '01/01/2014 | 12/31/2999 |
| Q4145 | Q4145 - Epifix injectable 1 mg | Q4145 - | Q4145 - Epifix inj 1mg | 01-10-2017 | 12/31/2999 |
| Q4146 | Q4146 - Tensix per square centimeter | Q4146 - | Q4146 - Tensix 1cm | '01/01/2014 | 12/31/2999 |
| Q4147 | Q4147 - Architect architect px or architect fx extracellular matrix per square centimeter | Q4147 - | Q4147 - Architect ecm px fx 1 sq cm | '01/01/2015 | 12/31/2999 |
| Q4148 | Q4148 - Neox cord 1k neox cord rt or clarix cord 1k per square centimeter | Q4148 - | Q4148 - Neox neox rt or clarix cord | '01/01/2018 | 12/31/2999 |
| Q4149 | Q4149 - Excellagen 0.1 cc | Q4149 - | Q4149 - Excellagen 0.1 cc | 01-10-2017 | 12/31/2999 |
| Q4150 | Q4150 - Allowrap ds or dry per square centimeter | Q4150 - | Q4150 - Allowrap ds or dry 1 sq cm | '01/01/2015 | 12/31/2999 |
| Q4151 | Q4151 - Amnioband or guardian per square centimeter | Q4151 - | Q4151 - Amnioband guardian 1 sq cm | '01/01/2015 | 12/31/2999 |
| Q4152 | Q4152 - Dermapure per square centimeter | Q4152 - | Q4152 - Dermapure 1 square cm | '01/01/2015 | 12/31/2999 |
| Q4153 | Q4153 - Dermavest and plurivest per square centimeter | Q4153 - | Q4153 - Dermavest plurivest sq cm | '01/01/2016 | 12/31/2999 |
| Q4154 | Q4154 - Biovance per square centimeter | Q4154 - | Q4154 - Biovance 1 square cm | '01/01/2015 | 12/31/2999 |
| Q4155 | Q4155 - Neoxflo or clarixflo 1 mg | Q4155 - | Q4155 - Neoxflo or clarixflo 1 mg | '01/01/2015 | 12/31/2999 |
| Q4156 | Q4156 - Neox 100 or clarix 100 per square centimeter | Q4156 - | Q4156 - Neox 100 or clarix 100 | '01/01/2018 | 12/31/2999 |
| Q4157 | Q4157 - Revitalon per square centimeter | Q4157 - | Q4157 - Revitalon 1 square cm | '01/01/2015 | 12/31/2999 |
| Q4158 | Q4158 - Kerecis omega3 per square centimeter | Q4158 - | Q4158 - Kerecis omega3 per sq cm | '01/01/2018 | 12/31/2999 |
| Q4159 | Q4159 - Affinity per square centimeter | Q4159 - | Q4159 - Affinity1 square cm | '01/01/2015 | 12/31/2999 |
| Q4160 | Q4160 - Nushield per square centimeter | Q4160 - | Q4160 - Nushield 1 square cm | '01/01/2015 | 12/31/2999 |
| Q4161 | Q4161 - Bio-connekt wound matrix per square centimeter | Q4161 - | Q4161 - Bio-connekt per square cm | '01/01/2016 | 12/31/2999 |
| Q4162 | Q4162 - Woundex flow bioskin flow 0.5 cc | Q4162 - | Q4162 - Wndex flw bioskn flw 0.5cc | '01/01/2018 | 12/31/2999 |
| Q4163 | Q4163 - Woundex bioskin per square centimeter | Q4163 - | Q4163 - Woundex bioskin per sq cm | '01/01/2018 | 12/31/2999 |
| Q4164 | Q4164 - Helicoll per square centimeter | Q4164 - | Q4164 - Helicoll per square cm | '01/01/2016 | 12/31/2999 |
| Q4165 | Q4165 - Keramatrix or kerasorb per square centimeter | Q4165 - | Q4165 - Keramatrix Kerasorb sq cm | 01-10-2019 | 12/31/2999 |
| Q4166 | Q4166 - Cytal per square centimeter | Q4166 - | Q4166 - Cytal per square centimeter | '01/01/2017 | 12/31/2999 |
| Q4167 | Q4167 - Truskin per square centimeter | Q4167 - | Q4167 - Truskin per sq centimeter | '01/01/2017 | 12/31/2999 |
| Q4168 | Q4168 - Amnioband 1 mg | Q4168 - | Q4168 - Amnioband 1 mg | '01/01/2017 | 12/31/2999 |
| Q4169 | Q4169 - Artacent wound per square centimeter | Q4169 - | Q4169 - Artacent wound per sq cm | '01/01/2017 | 12/31/2999 |
| Q4170 | Q4170 - Cygnus per square centimeter | Q4170 - | Q4170 - Cygnus per sq cm | '01/01/2017 | 12/31/2999 |
| Q4171 | Q4171 - Interfyl 1 mg | Q4171 - | Q4171 - Interfyl 1 mg | '01/01/2017 | 12/31/2999 |
| Q4173 | Q4173 - Palingen or palingen xplus per square centimeter | Q4173 - | Q4173 - Palingen or palingen xplus | '01/01/2017 | 12/31/2999 |
| Q4174 | Q4174 - Palingen or promatrx 0.36 mg per 0.25 cc | Q4174 - | Q4174 - Palingen or promatrx | '01/01/2017 | 12/31/2999 |
| Q4175 | Q4175 - Miroderm per square centimeter | Q4175 - | Q4175 - Miroderm | '01/01/2017 | 12/31/2999 |
| Q4176 | Q4176 - Neopatch or therion per square centimeter | Q4176 - | Q4176 - | '07/01/2020 | 12/31/2999 |
| Q4177 | Q4177 - Floweramnioflo 0.1 cc | Q4177 - | Q4177 - Floweramnioflo 0.1 cc | '01/01/2018 | 12/31/2999 |
| Q4178 | Q4178 - Floweramniopatch per square centimeter | Q4178 - | Q4178 - Floweramniopatch per sq cm | '01/01/2018 | 12/31/2999 |
| Q4179 | Q4179 - Flowerderm per square centimeter | Q4179 - | Q4179 - Flowerderm per sq cm | '01/01/2018 | 12/31/2999 |
| Q4180 | Q4180 - Revita per square centimeter | Q4180 - | Q4180 - Revita per sq cm | '01/01/2018 | 12/31/2999 |
| Q4181 | Q4181 - Amnio wound per square centimeter | Q4181 - | Q4181 - Amnio wound per square cm | '01/01/2018 | 12/31/2999 |
| Q4182 | Q4182 - Transcyte per square centimeter | Q4182 - | Q4182 - Transcyte per sq centimeter | '01/01/2018 | 12/31/2999 |
| Q4183 | Q4183 - Surgigraft per square centimeter | Q4183 - | Q4183 - Surgigraft 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4184 | Q4184 - Cellesta or cellesta duo per square centimeter | Q4184 - | Q4184 - Cellesta or duo per sq cm | 01-10-2019 | 12/31/2999 |
| Q4185 | Q4185 - Cellesta flowable amnion (25 mg per cc); per 0.5 cc | Q4185 - | Q4185 - Cellesta flowab amnion 0.5cc | '01/01/2019 | 12/31/2999 |
| Q4186 | Q4186 - Epifix per square centimeter | Q4186 - | Q4186 - Epifix 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4187 | Q4187 - Epicord per square centimeter | Q4187 - | Q4187 - Epicord 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4188 | Q4188 - Amnioarmor per square centimeter | Q4188 - | Q4188 - Amnioarmor 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4189 | Q4189 - Artacent ac 1 mg | Q4189 - | Q4189 - Artacent ac 1 mg | '01/01/2019 | 12/31/2999 |
| Q4190 | Q4190 - Artacent ac per square centimeter | Q4190 - | Q4190 - Artacent ac 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4191 | Q4191 - Restorigin per square centimeter | Q4191 - | Q4191 - Restorigin 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4192 | Q4192 - Restorigin 1 cc | Q4192 - | Q4192 - Restorigin 1 cc | '01/01/2019 | 12/31/2999 |
| Q4193 | Q4193 - Coll-e-derm per square centimeter | Q4193 - | Q4193 - Coll-e-derm 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4194 | Q4194 - Novachor per square centimeter | Q4194 - | Q4194 - Novachor 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4195 | Q4195 - Puraply per square centimeter | Q4195 - | Q4195 - Puraply 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4196 | Q4196 - Puraply am per square centimeter | Q4196 - | Q4196 - Puraply am 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4197 | Q4197 - Puraply xt per square centimeter | Q4197 - | Q4197 - Puraply xt 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4198 | Q4198 - Genesis amniotic membrane per square centimeter | Q4198 - | Q4198 - Genesis amnio membrane 1sqcm | '01/01/2019 | 12/31/2999 |
| Q4199 | Q4199 - Cygnus matrix per square centimeter | Q4199 - | Q4199 - Cygnus matrix per sq cm | '01/01/2022 | 12/31/2999 |
| Q4200 | Q4200 - Skin te per square centimeter | Q4200 - | Q4200 - Skin te 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4201 | Q4201 - Matrion per square centimeter | Q4201 - | Q4201 - Matrion 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4202 | Q4202 - Keroxx (2.5g/cc) 1cc | Q4202 - | Q4202 - Keroxx (2.5g/cc) 1cc | '01/01/2019 | 12/31/2999 |
| Q4203 | Q4203 - Derma-gide per square centimeter | Q4203 - | Q4203 - Derma-gide 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4204 | Q4204 - Xwrap per square centimeter | Q4204 - | Q4204 - Xwrap 1 sq cm | '01/01/2019 | 12/31/2999 |
| Q4205 | Q4205 - Membrane graft or membrane wrap per square centimeter | Q4205 - | Q4205 - Membrane graft or wrap sq cm | 01-10-2019 | 12/31/2999 |
| Q4206 | Q4206 - Fluid flow or fluid GF 1 cc | Q4206 - | Q4206 - Fluid flow or fluid gf 1 cc | 01-10-2019 | 12/31/2999 |
| Q4208 | Q4208 - Novafix per square cenitmeter | Q4208 - | Q4208 - Novafix per sq cm | 01-10-2019 | 12/31/2999 |
| Q4209 | Q4209 - Surgraft per square centimeter | Q4209 - | Q4209 - Surgraft per sq cm | 01-10-2019 | 12/31/2999 |
| Q4210 | Q4210 - Axolotl graft or axolotl dualgraft per square centimeter | Q4210 - | Q4210 - Axolotl graf dualgraf sq cm | 01-10-2019 | 12/31/2999 |
| Q4211 | Q4211 - Amnion bio or Axobiomembrane per square centimeter | Q4211 - | Q4211 - Amnion bio or axobio sq cm | 01-10-2019 | 12/31/2999 |
| Q4212 | Q4212 - Allogen per cc | Q4212 - | Q4212 - Allogen per cc | 01-10-2019 | 12/31/2999 |
| Q4213 | Q4213 - Ascent 0.5 mg | Q4213 - | Q4213 - Ascent 0.5 mg | 01-10-2019 | 12/31/2999 |
| Q4214 | Q4214 - Cellesta cord per square centimeter | Q4214 - | Q4214 - Cellesta cord per sq cm | 01-10-2019 | 12/31/2999 |
| Q4215 | Q4215 - Axolotl ambient or axolotl cryo 0.1 mg | Q4215 - | Q4215 - Axolotl ambient cryo 0.1 mg | 01-10-2019 | 12/31/2999 |
| Q4216 | Q4216 - Artacent cord per square centimeter | Q4216 - | Q4216 - Artacent cord per sq cm | 01-10-2019 | 12/31/2999 |
| Q4217 | Q4217 - Woundfix BioWound Woundfix Plus BioWound Plus Woundfix Xplus or BioWound Xplus per square centimeter | Q4217 - | Q4217 - Woundfix biowound plus xplus | 01-10-2019 | 12/31/2999 |
| Q4218 | Q4218 - Surgicord per square centimeter | Q4218 - | Q4218 - Surgicord per sq cm | 01-10-2019 | 12/31/2999 |
| Q4219 | Q4219 - Surgigraft-dual per square centimeter | Q4219 - | Q4219 - Surgigraft dual per sq cm | 01-10-2019 | 12/31/2999 |
| Q4220 | Q4220 - BellaCell HD or Surederm per square centimeter | Q4220 - | Q4220 - Bellacell HD Surederm sq cm | 01-10-2019 | 12/31/2999 |
| Q4221 | Q4221 - Amniowrap2 per square centimeter | Q4221 - | Q4221 - Amniowrap2 per sq cm | 01-10-2019 | 12/31/2999 |
| Q4222 | Q4222 - Progenamatrix per square centimeter | Q4222 - | Q4222 - Progenamatrix per sq cm | 01-10-2019 | 12/31/2999 |
| Q4224 | Q4224 - Human health factor 10 amniotic patch (hhf10-p) per square centimeter | Q4224 - | Q4224 - Hhf10-p per sq cm | '04/01/2022 | 12/31/2999 |
| Q4225 | Q4225 - Amniobind per square centimeter | Q4225 - | Q4225 - Amniobind per sq cm | '04/01/2022 | 12/31/2999 |
| Q4226 | Q4226 - MyOwn skin includes harvesting and preparation procedures per square centimeter | Q4226 - | Q4226 - Myown harv prep proc sq cm | 01-10-2019 | 12/31/2999 |
| Q4227 | Q4227 - Amniocore per square centimeter | Q4227 - | Q4227 - Amniocore per sq cm | '07/01/2020 | 12/31/2999 |
| Q4229 | Q4229 - Cogenex amniotic membrane per square centimeter | Q4229 - | Q4229 - Cogenex amnio memb per sq cm | '07/01/2020 | 12/31/2999 |
| Q4230 | Q4230 - Cogenex flowable amnion per 0.5 cc | Q4230 - | Q4230 - Cogenex flow amnion 0.5 cc | '07/01/2020 | 12/31/2999 |
| Q4231 | Q4231 - Corplex p per cc | Q4231 - | Q4231 - Corplex p per cc | '07/01/2020 | 12/31/2999 |
| Q4232 | Q4232 - Corplex per square centimeter | Q4232 - | Q4232 - Corplex per sq cm | '07/01/2020 | 12/31/2999 |
| Q4233 | Q4233 - Surfactor or nudyn per 0.5 cc | Q4233 - | Q4233 - Surfactor /nudyn per 0.5 cc | '07/01/2020 | 12/31/2999 |
| Q4234 | Q4234 - Xcellerate per square centimeter | Q4234 - | Q4234 - Xcellerate per sq cm | '07/01/2020 | 12/31/2999 |
| Q4235 | Q4235 - Amniorepair or altiply per square centimeter | Q4235 - | Q4235 - Amniorepair or altiply sq cm | '07/01/2020 | 12/31/2999 |
| Q4236 | Q4236 - Carepatch per square centimeter | Q4236 - | Q4236 - Carepatch per sq cm | '01/01/2023 | 12/31/2999 |
| Q4237 | Q4237 - Cryo-cord per square centimeter | Q4237 - | Q4237 - Cryo-cord per sq cm | '07/01/2020 | 12/31/2999 |
| Q4238 | Q4238 - Derm-maxx per square centimeter | Q4238 - | Q4238 - Derm-maxx per sq cm | '07/01/2020 | 12/31/2999 |
| Q4239 | Q4239 - Amnio-maxx or amnio-maxx lite per square centimeter | Q4239 - | Q4239 - Amnio-maxx or lite per sq cm | '07/01/2020 | 12/31/2999 |
| Q4240 | Q4240 - Corecyte for topical use only per 0.5 cc | Q4240 - | Q4240 - Corecyte topical only 0.5 cc | '07/01/2020 | 12/31/2999 |
| Q4241 | Q4241 - Polycyte for topical use only per 0.5 cc | Q4241 - | Q4241 - Polycyte topical only 0.5cc | '07/01/2020 | 12/31/2999 |
| Q4242 | Q4242 - Amniocyte plus per 0.5 cc | Q4242 - | Q4242 - Amniocyte plus per 0.5 cc | '07/01/2020 | 12/31/2999 |
| Q4244 | Q4244 - Procenta per 200 mg | Q4244 - | Q4244 - Procenta per 200 mg | '07/01/2020 | 12/31/2999 |
| Q4245 | Q4245 - Amniotext per cc | Q4245 - | Q4245 - Amniotext per cc | '07/01/2020 | 12/31/2999 |
| Q4246 | Q4246 - Coretext or protext per cc | Q4246 - | Q4246 - Coretext or protext per cc | '07/01/2020 | 12/31/2999 |
| Q4247 | Q4247 - Amniotext patch per square centimeter | Q4247 - | Q4247 - Amniotext patch per sq cm | '07/01/2020 | 12/31/2999 |
| Q4248 | Q4248 - Dermacyte amniotic membrane allograft per square centimeter | Q4248 - | Q4248 - Dermacyte amn mem allo sq cm | '07/01/2020 | 12/31/2999 |
| Q4249 | Q4249 - Amniply for topical use only per square centimeter | Q4249 - | Q4249 - Amniply per sq cm | 01-10-2020 | 12/31/2999 |
| Q4250 | Q4250 - Amnioamp-mp per square centimeter | Q4250 - | Q4250 - Amnioamp-mp per sq cm | 01-10-2020 | 12/31/2999 |
| Q4251 | Q4251 - Vim per square centimeter | Q4251 - | Q4251 - Vim per square centimeter | 01-10-2021 | 12/31/2999 |
| Q4252 | Q4252 - Vendaje per square centimeter | Q4252 - | Q4252 - Vendaje per square centimet | 01-10-2021 | 12/31/2999 |
| Q4253 | Q4253 - Zenith amniotic membrane per square centimeter | Q4253 - | Q4253 - Zenith amniotic membrane psc | 01-10-2021 | 12/31/2999 |
| Q4254 | Q4254 - Novafix dl per square centimeter | Q4254 - | Q4254 - Novafix dl per sq cm | 01-10-2020 | 12/31/2999 |
| Q4255 | Q4255 - Reguard for topical use only per square centimeter | Q4255 - | Q4255 - Reguard topical use per sq | 01-10-2020 | 12/31/2999 |
| Q4256 | Q4256 - Mlg-complete per square centimeter | Q4256 - | Q4256 - Mlg complet per sq cm | '04/01/2022 | 12/31/2999 |
| Q4257 | Q4257 - Relese per square centimeter | Q4257 - | Q4257 - Relese per sq cm | '04/01/2022 | 12/31/2999 |
| Q4258 | Q4258 - Enverse per square centimeter | Q4258 - | Q4258 - Enverse per sq cm | '04/01/2022 | 12/31/2999 |
| Q4259 | Q4259 - Celera dual layer or celera dual membrane per square centimeter | Q4259 - | Q4259 - Celera per sq cm | '07/01/2022 | 12/31/2999 |
| Q4260 | Q4260 - Signature apatch per square centimeter | Q4260 - | Q4260 - Signature apatch per sq cm | '07/01/2022 | 12/31/2999 |
| Q4261 | Q4261 - Tag per square centimeter | Q4261 - | Q4261 - Tag per square centimeter | '07/01/2022 | 12/31/2999 |
| Q4262 | Q4262 - Dual layer impax membrane per square centimeter | Q4262 - | Q4262 - Dual layer impax per sq cm | '01/01/2023 | 12/31/2999 |
| Q4263 | Q4263 - Surgraft tl per square centimeter | Q4263 - | Q4263 - Surgraft tl per sq cm | '01/01/2023 | 12/31/2999 |
| Q4264 | Q4264 - Cocoon membrane per square centimeter | Q4264 - | Q4264 - Cocoon membrane per sq cm | '01/01/2023 | 12/31/2999 |
| Q5001 | Q5001 - Hospice Or Home Health Care Provided In Patient's Home/Residence | Q5001 - | Q5001 - Hospice in patient home | '07/01/2013 | 12/31/2999 |
| Q5002 | Q5002 - Hospice Or Home Health Care Provided In Assisted Living Facility | Q5002 - | Q5002 - Hospice/home hlth in asst lv | '07/01/2013 | 12/31/2999 |
| Q5003 | Q5003 - HOSPICE CARE PROVIDED IN NURSING LONG TERM CARE FACILITY (LTC) OR NON-SKILLED NURSING FACILITY (NF) | Q5003 - | Q5003 - Hospice in LT/non-skilled NF | '01/01/2007 | 12/31/2999 |
| Q5004 | Q5004 - HOSPICE CARE PROVIDED IN SKILLED NURSING FACILITY (SNF) | Q5004 - | Q5004 - Hospice in SNF | '01/01/2007 | 12/31/2999 |
| Q5005 | Q5005 - HOSPICE CARE PROVIDED IN INPATIENT HOSPITAL | Q5005 - | Q5005 - Hospice inpatient hospital | '01/01/2007 | 12/31/2999 |
| Q5006 | Q5006 - HOSPICE CARE PROVIDED IN INPATIENT HOSPICE FACILITY | Q5006 - | Q5006 - Hospice in hospice facility | '01/01/2007 | 12/31/2999 |
| Q5007 | Q5007 - HOSPICE CARE PROVIDED IN LONG TERM CARE FACILITY | Q5007 - | Q5007 - Hospice in LTCH | '01/01/2007 | 12/31/2999 |
| Q5008 | Q5008 - HOSPICE CARE PROVIDED IN INPATIENT PSYCHIATRIC FACILITY | Q5008 - | Q5008 - Hospice in inpatient psych | '01/01/2007 | 12/31/2999 |
| Q5009 | Q5009 - Hospice Or Home Health Care Provided In Place Not Otherwise Specified (NOS) | Q5009 - | Q5009 - Hospice care NOS | '07/01/2013 | 12/31/2999 |
| Q5010 | Q5010 - HOSPICE HOME CARE PROVIDED IN A HOSPICE FACILITY | Q5010 - | Q5010 - Hospice home care in hospice | 01-10-2010 | 12/31/2999 |
| Q5101 | Q5101 - Injection filgrastim-sndz biosimilar (zarxio) 1 microgram | Q5101 - | Q5101 - Injection zarxio | '04/01/2018 | 12/31/2999 |
| Q5103 | Q5103 - Injection infliximab-dyyb biosimilar (inflectra) 10 mg | Q5103 - | Q5103 - Injection inflectra | '04/01/2018 | 12/31/2999 |
| Q5104 | Q5104 - Injection infliximab-abda biosimilar (renflexis) 10 mg | Q5104 - | Q5104 - Injection renflexis | '04/01/2018 | 12/31/2999 |
| Q5105 | Q5105 - Injection epoetin alfa-epbx biosimilar (retacrit) (for esrd on dialysis) 100 units | Q5105 - | Q5105 - Inj retacrit esrd on dialysi | '01/01/2020 | 12/31/2999 |
| Q5106 | Q5106 - Injection epoetin alfa-epbx biosimilar (retacrit) (for non-esrd use) 1000 units | Q5106 - | Q5106 - Inj retacrit non-esrd use | '01/01/2020 | 12/31/2999 |
| Q5107 | Q5107 - Injection bevacizumab-awwb biosimilar (mvasi) 10 mg | Q5107 - | Q5107 - Inj mvasi 10 mg | '01/01/2019 | 12/31/2999 |
| Q5108 | Q5108 - Injection pegfilgrastim-jmdb biosimilar (fulphila) 0.5 mg | Q5108 - | Q5108 - Injection fulphila | '07/12/2018 | 12/31/2999 |
| Q5109 | Q5109 - Injection infliximab-qbtx biosimilar (ixifi) 10 mg | Q5109 - | Q5109 - Injection ixifi 10 mg | '01/01/2019 | 12/31/2999 |
| Q5110 | Q5110 - Injection filgrastim-aafi biosimilar (nivestym) 1 microgram | Q5110 - | Q5110 - Nivestym | 01-10-2018 | 12/31/2999 |
| Q5111 | Q5111 - Injection Pegfilgrastim-cbqv biosimilar (udenyca) 0.5 mg. | Q5111 - | Q5111 - Injection udenyca 0.5 mg | '01/01/2019 | 12/31/2999 |
| Q5112 | Q5112 - Injection trastuzumab-dttb biosimilar (Ontruzant) 10 mg | Q5112 - | Q5112 - Inj ontruzant 10 mg | '07/01/2019 | 12/31/2999 |
| Q5113 | Q5113 - Injection trastuzumab-pkrb biosimilar (Herzuma) 10 mg | Q5113 - | Q5113 - Inj herzuma 10 mg | '07/01/2019 | 12/31/2999 |
| Q5114 | Q5114 - Injection Trastuzumab-dkst biosimilar (Ogivri) 10 mg | Q5114 - | Q5114 - Inj ogivri 10 mg | '07/01/2019 | 12/31/2999 |
| Q5115 | Q5115 - Injection rituximab-abbs biosimilar (Truxima) 10 mg | Q5115 - | Q5115 - Inj truxima 10 mg | '07/01/2019 | 12/31/2999 |
| Q5116 | Q5116 - Injection trastuzumab-qyyp biosimilar (trazimera) 10 mg | Q5116 - | Q5116 - Inj. trazimera 10 mg | 01-10-2019 | 12/31/2999 |
| Q5117 | Q5117 - Injection trastuzumab-anns biosimilar (kanjinti) 10 mg | Q5117 - | Q5117 - Inj. kanjinti 10 mg | 01-10-2019 | 12/31/2999 |
| Q5118 | Q5118 - Injection bevacizumab-bvzr biosimilar (Zirabev) 10 mg | Q5118 - | Q5118 - Inj. zirabev 10 mg | 01-10-2019 | 12/31/2999 |
| Q5119 | Q5119 - Injection rituximab-pvvr biosimilar (ruxience) 10 mg | Q5119 - | Q5119 - Inj ruxience 10 mg | '07/01/2020 | 12/31/2999 |
| Q5120 | Q5120 - Injection pegfilgrastim-bmez biosimilar (ziextenzo) 0.5 mg | Q5120 - | Q5120 - Inj pegfilgrastim-bmez 0.5mg | '07/01/2020 | 12/31/2999 |
| Q5121 | Q5121 - Injection infliximab-axxq biosimilar (avsola) 10 mg | Q5121 - | Q5121 - Inj. avsola 10 mg | '07/01/2020 | 12/31/2999 |
| Q5122 | Q5122 - Injection pegfilgrastim-apgf biosimilar (nyvepria) 0.5 mg | Q5122 - | Q5122 - Inj nyvepria | '01/01/2021 | 12/31/2999 |
| Q5123 | Q5123 - Injection rituximab-arrx biosimilar (riabni) 10 mg | Q5123 - | Q5123 - Inj. riabni 10 mg | '07/01/2021 | 12/31/2999 |
| Q5124 | Q5124 - Injection ranibizumab-nuna biosimilar (byooviz) 0.1 mg | Q5124 - | Q5124 - Inj. byooviz 0.1 mg | '04/01/2022 | 12/31/2999 |
| Q5125 | Q5125 - Injection filgrastim-ayow biosimilar (releuko) 1 microgram | Q5125 - | Q5125 - Inj releuko 1 mcg | 01-10-2022 | 12/31/2999 |
| Q5126 | Q5126 - Injection bevacizumab-maly biosimilar (alymsys) 10 mg | Q5126 - | Q5126 - Inj alymsys 10 mg | '01/01/2023 | 12/31/2999 |
| Q9001 | Q9001 - Assessment by chaplain services | Q9001 - | Q9001 - Chaplain assessment | 01-10-2022 | 12/31/2999 |
| Q9002 | Q9002 - Counseling individual by chaplain services | Q9002 - | Q9002 - Chaplain counsel individu | 01-10-2022 | 12/31/2999 |
| Q9003 | Q9003 - Counseling group by chaplain services | Q9003 - | Q9003 - Chaplain counsel group | 01-10-2022 | 12/31/2999 |
| Q9004 | Q9004 - Department of veterans affairs whole health partner services | Q9004 - | Q9004 - Va whole health partner serv | 01-10-2021 | 12/31/2999 |
| Q9950 | Q9950 - Injection sulfur hexafluoride lipid microspheres per ml | Q9950 - | Q9950 - Inj sulf hexa lipid microsph | '01/01/2016 | 12/31/2999 |
| Q9951 | Q9951 - LOW OSMOLAR CONTRAST MATERIAL 400 OR GREATER MG/ML IODINE CONCENTRATION PER ML | Q9951 - | Q9951 - | '07/01/2010 | 12/31/2999 |
| Q9953 | Q9953 - INJECTION IRON-BASED MAGNETIC RESONANCE CONTRAST AGENT PER ML | Q9953 - | Q9953 - Inj Fe-based MR contrast 1ml | '04/01/2005 | 12/31/2999 |
| Q9954 | Q9954 - ORAL MAGNETIC RESONANCE CONTRAST AGENT PER ML | Q9954 - | Q9954 - Oral MR contrast 100 ml | '04/01/2005 | 12/31/2999 |
| Q9955 | Q9955 - INJECTION PERFLEXANE LIPID MICROSPHERES PER ML | Q9955 - | Q9955 - Inj perflexane lip micros ml | '04/01/2005 | 12/31/2999 |
| Q9956 | Q9956 - INJECTION OCTAFLUOROPROPANCE MICROSPHERES PER ML | Q9956 - | Q9956 - Inj octafluoropropane mic ml | '04/01/2005 | 12/31/2999 |
| Q9957 | Q9957 - INJECTION PERFLUTREN LIPID MICROSPHERES PER ML | Q9957 - | Q9957 - Inj perflutren lip micros ml | '04/01/2005 | 12/31/2999 |
| Q9958 | Q9958 - High Osmolar contrast material up to 149 MG/ML Iodine concentration per ML | Q9958 - | Q9958 - HOCM <=149 mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9959 | Q9959 - High Osmolar contrast material 150-199 MG/ML Iodine concentration per ML | Q9959 - | Q9959 - | '07/01/2010 | 12/31/2999 |
| Q9960 | Q9960 - High Osmolar contrast material 200-249 MG/ML Iodine concentration per ML | Q9960 - | Q9960 - HOCM 200-249mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9961 | Q9961 - High Osmolar contrast material 250-299 MG/ML Iodine concentration per ML | Q9961 - | Q9961 - HOCM 250-299mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9962 | Q9962 - High Osmolar contrast material 300-349 MG/ML Iodine concentration per ML | Q9962 - | Q9962 - HOCM 300-349mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9963 | Q9963 - High Osmolar contrast material 350-399 MG/ML Iodine concentration per ML | Q9963 - | Q9963 - HOCM 350-399mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9964 | Q9964 - High Osmolar contrast material 400 or greater MG/ML Iodine concentration per ML | Q9964 - | Q9964 - HOCM>= 400mg/ml iodine 1ml | '07/01/2005 | 12/31/2999 |
| Q9965 | Q9965 - LOW OSMOLAR CONTRAST MATERIAL 100-199 MG/ML IODINE CONCENTRATION PER ML | Q9965 - | Q9965 - LOCM 100-199mg/ml iodine 1ml | '01/01/2008 | 12/31/2999 |
| Q9966 | Q9966 - LOW OSMOLAR CONTRAST MATERIAL 200-299 MG/ML IODINE CONCENTRATION PER ML | Q9966 - | Q9966 - LOCM 200-299mg/ml iodine 1ml | '01/01/2008 | 12/31/2999 |
| Q9967 | Q9967 - LOW OSMOLAR CONTRAST MATERIAL 300-399 MG/ML IODINE CONCENTRATION PER ML | Q9967 - | Q9967 - LOCM 300-399mg/ml iodine 1ml | '01/01/2008 | 12/31/2999 |
| Q9968 | Q9968 - INJECTION NON-RADIOACTIVE NON-CONTRAST VISUALIZATION ADJUNCT (E.G. METHYLENE BLUE ISOSULFAN BLUE) 1 MG | Q9968 - | Q9968 - Visualization adjunct | '01/01/2010 | 12/31/2999 |
| Q9969 | Q9969 - Tc-99m from non-highly enriched uranium source full cost recovery add-on per study dose | Q9969 - | Q9969 - Non-HEU TC-99M add-on/dose | '01/01/2013 | 12/31/2999 |
| Q9982 | Q9982 - Flutemetamol F18 diagnostic per study dose up to 5 millicuries | Q9982 - | Q9982 - flutemetamol f18 diagnostic | '07/01/2016 | 12/31/2999 |
| Q9983 | Q9983 - Florbetaben f18 diagnostic per study dose up to 8.1 millicuries | Q9983 - | Q9983 - florbetaben f18 diagnostic | '07/01/2016 | 12/31/2999 |
| Q9991 | Q9991 - Injection buprenorphine extended-release (sublocade) less than or equal to 100 mg | Q9991 - | Q9991 - Buprenorph xr 100 mg or less | '07/01/2018 | 12/31/2999 |
| Q9992 | Q9992 - Injection buprenorphine extended-release (sublocade) greater than 100 mg | Q9992 - | Q9992 - Buprenorph xr over 100 mg | '07/01/2018 | 12/31/2999 |
| R0070 | R0070 - Transportation of portable x-ray equipment and personnel to home or nursing home per trip to facility or location one patient seen | R0070 - | R0070 - Transport portable x-ray | '01/01/1998 | 12/31/2999 |
| R0075 | R0075 - Transportation of portable x-ray equipment and personnel to home or nursing home per trip to facility or location more than one patient seen | R0075 - | R0075 - Transport port x-ray multipl | '01/01/1998 | 12/31/2999 |
| R0076 | R0076 - Transportation of portable ekg to facility or location per patient | R0076 - | R0076 - Transport portable EKG | '01/01/1998 | 12/31/2999 |
| S0012 | S0012 - Butorphanol tartrate nasal spray 25 mg | S0012 - | S0012 - Butorphanol tartrate nasal | '01/01/2000 | 12/31/2999 |
| S0013 | S0013 - Esketamine nasal spray 1 mg | S0013 - | S0013 - Esketamine nasal spray | '01/01/2021 | 12/31/2999 |
| S0014 | S0014 - Tacrine hydrochloride 10 mg | S0014 - | S0014 - Tacrine hydrochloride 10 mg | '01/01/2000 | 12/31/2999 |
| S0017 | S0017 - Injection aminocaproic acid 5 grams | S0017 - | S0017 - Injection aminocaproic acid | '01/01/2000 | 12/31/2999 |
| S0020 | S0020 - Injection bupivicaine hydrochloride 30 ml | S0020 - | S0020 - Injection bupivicaine hydro | '01/01/2000 | 12/31/2999 |
| S0021 | S0021 - Injection cefoperazone sodium 1 gram | S0021 - | S0021 - Injection cefoperazone sod | '01/01/2000 | 12/31/2999 |
| S0023 | S0023 - Injection cimetidine hydrochloride 300 mg | S0023 - | S0023 - Injection cimetidine hydroc | '01/01/2000 | 12/31/2999 |
| S0028 | S0028 - Injection famotidine 20 mg | S0028 - | S0028 - Injection famotidine 20 mg | '01/01/2000 | 12/31/2999 |
| S0030 | S0030 - Injection metronidazole 500 mg | S0030 - | S0030 - Injection metronidazole | '01/01/2000 | 12/31/2999 |
| S0032 | S0032 - Injection nafcillin sodium 2 grams | S0032 - | S0032 - Injection nafcillin sodium | '01/01/2000 | 12/31/2999 |
| S0034 | S0034 - Injection ofloxacin 400 mg | S0034 - | S0034 - Injection ofloxacin 400 mg | '01/01/2000 | 12/31/2999 |
| S0039 | S0039 - Injection sulfamethoxazole and trimethoprim 10 ml | S0039 - | S0039 - Injection sulfamethoxazole | '01/01/2000 | 12/31/2999 |
| S0040 | S0040 - Injection ticarcillin disodium and clavulanate potassium 3. 1 grams | S0040 - | S0040 - Injection ticarcillin disod | '01/01/2000 | 12/31/2999 |
| S0073 | S0073 - Injection aztreonam 500 mg | S0073 - | S0073 - Injection aztreonam 500 mg | '01/01/2000 | 12/31/2999 |
| S0074 | S0074 - Injection cefotetan disodium 500 mg | S0074 - | S0074 - Injection cefotetan disodiu | '01/01/2000 | 12/31/2999 |
| S0077 | S0077 - Injection clindamycin phosphate 300 mg | S0077 - | S0077 - Injection clindamycin phosp | '01/01/2000 | 12/31/2999 |
| S0078 | S0078 - Injection fosphenytoin sodium 750 mg | S0078 - | S0078 - Injection fosphenytoin sodi | '01/01/2000 | 12/31/2999 |
| S0080 | S0080 - Injection pentamidine isethionate 300 mg | S0080 - | S0080 - Injection pentamidine iseth | '01/01/2000 | 12/31/2999 |
| S0081 | S0081 - Injection piperacillin sodium 500 mg | S0081 - | S0081 - Injection piperacillin sodi | '01/01/2000 | 12/31/2999 |
| S0088 | S0088 - Imatinib 100 mg | S0088 - | S0088 - Imatinib 100 mg | 01-10-2008 | 12/31/2999 |
| S0090 | S0090 - Sildenafil citrate 25 mg | S0090 - | S0090 - Sildenafil citrate 25 mg | '01/01/2000 | 12/31/2999 |
| S0091 | S0091 - Granisetron hydrochloride 1mg (for circumstances falling under the medicare statute use q0166) | S0091 - | S0091 - Granisetron 1mg | '07/01/2001 | 12/31/2999 |
| S0092 | S0092 - Injection hydromorphone hydrochloride 250 mg (loading dose for infusion pump) | S0092 - | S0092 - Hydromorphone 250 mg | '07/01/2001 | 12/31/2999 |
| S0093 | S0093 - Injection morphine sulfate 500 mg (loading dose for infusion pump) | S0093 - | S0093 - Morphine 500 mg | '07/01/2001 | 12/31/2999 |
| S0104 | S0104 - Zidovudine oral 100 mg | S0104 - | S0104 - Zidovudine oral 100 mg | 01-10-2002 | 12/31/2999 |
| S0106 | S0106 - Bupropion hcl sustained release tablet 150 mg per bottle of 60 tablets | S0106 - | S0106 - Bupropion HCL SR 60 tablets | '04/01/2002 | 12/31/2999 |
| S0108 | S0108 - Mercaptopurine oral 50 mg | S0108 - | S0108 - Mercaptopurine 50 mg | '04/01/2002 | 12/31/2999 |
| S0109 | S0109 - Methadone oral 5 mg | S0109 - | S0109 - Methadone oral 5mg | 01-10-2004 | 12/31/2999 |
| S0117 | S0117 - Tretinoin topical 5 grams | S0117 - | S0117 - Tretinoin topical 5 g | '07/01/2004 | 12/31/2999 |
| S0119 | S0119 - ONDANSETRON ORAL 4 MG (FOR CIRCUMSTANCES FALLING UNDER THE MEDICARE STATUTE USE HCPCS Q CODE) | S0119 - | S0119 - | '01/01/2012 | 12/31/2999 |
| S0122 | S0122 - Injection menotropins 75 iu | S0122 - | S0122 - Inj menotropins 75 iu | '04/01/2002 | 12/31/2999 |
| S0126 | S0126 - Injection follitropin alfa 75 iu | S0126 - | S0126 - Inj follitropin alfa 75 iu | '04/01/2002 | 12/31/2999 |
| S0128 | S0128 - Injection follitropin beta 75 iu | S0128 - | S0128 - Inj follitropin beta 75 iu | '04/01/2002 | 12/31/2999 |
| S0132 | S0132 - Injection ganirelix acetate 250 mcg | S0132 - | S0132 - Inj ganirelix acetat 250 mcg | '04/01/2002 | 12/31/2999 |
| S0136 | S0136 - Clozapine 25 mg | S0136 - | S0136 - Clozapine 25 mg | '04/01/2003 | 12/31/2999 |
| S0137 | S0137 - Didanosine (ddi) 25 mg | S0137 - | S0137 - Didanosine 25 mg | '04/01/2003 | 12/31/2999 |
| S0138 | S0138 - Finasteride 5 mg | S0138 - | S0138 - Finasteride 5 mg | '04/01/2003 | 12/31/2999 |
| S0139 | S0139 - Minoxidil 10 mg | S0139 - | S0139 - Minoxidil 10 mg | '04/01/2003 | 12/31/2999 |
| S0140 | S0140 - Saquinavir 200 mg | S0140 - | S0140 - Saquinavir 200 mg | '04/01/2003 | 12/31/2999 |
| S0142 | S0142 - COLISTIMETHATE SODIUM INHALATION SOLUTION ADMINISTERED THROUGH DME CONCENTRATED FORM PER MG | S0142 - | S0142 - Colistimethate inh sol mg | '04/01/2005 | 12/31/2999 |
| S0145 | S0145 - Injection Pegylated Interferon Alfa-2A 180 MCG Per ML | S0145 - | S0145 - Peg interferon alfa-2A/180 | '07/01/2005 | 12/31/2999 |
| S0148 | S0148 - INJECTION PEGYLATED INTERFERON ALFA-2B 10 MCG | S0148 - | S0148 - Peg interferon alfa-2b/10 | 01-10-2010 | 12/31/2999 |
| S0155 | S0155 - Sterile dilutant for epoprostenol 50ml | S0155 - | S0155 - Epoprostenol dilutant | '01/01/2002 | 12/31/2999 |
| S0156 | S0156 - Exemestane 25 mg | S0156 - | S0156 - Exemestane 25 mg | '01/01/2001 | 12/31/2999 |
| S0157 | S0157 - Becaplermin gel 0. 01% 0. 5 gm | S0157 - | S0157 - Becaplermin gel 1% 0.5 gm | '01/01/2001 | 12/31/2999 |
| S0160 | S0160 - DEXTROAMPHETAMINE SULFATE 5MG | S0160 - | S0160 - | '07/01/2010 | 12/31/2999 |
| S0164 | S0164 - Injection pantoprazole sodium 40 mg | S0164 - | S0164 - Injection pantroprazole | '04/01/2004 | 12/31/2999 |
| S0166 | S0166 - Injection olanzapine 2. 5 mg | S0166 - | S0166 - Inj olanzapine 2.5mg | 01-10-2004 | 12/31/2999 |
| S0169 | S0169 - CALCITROL 0.25 MICROGRAM | S0169 - | S0169 - Calcitrol | 01-10-2010 | 12/31/2999 |
| S0170 | S0170 - Anastrozole oral 1mg | S0170 - | S0170 - Anastrozole 1 mg | '01/01/2002 | 12/31/2999 |
| S0171 | S0171 - Injection bumetanide 0. 5mg | S0171 - | S0171 - Bumetanide 0.5 mg | '01/01/2002 | 12/31/2999 |
| S0172 | S0172 - Chlorambucil oral 2mg | S0172 - | S0172 - Chlorambucil 2 mg | '01/01/2002 | 12/31/2999 |
| S0174 | S0174 - Dolasetron mesylate oral 50mg (for circumstances falling under the medicare statute use q0180) | S0174 - | S0174 - Dolasetron 50 mg | '01/01/2002 | 12/31/2999 |
| S0175 | S0175 - Flutamide oral 125mg | S0175 - | S0175 - Flutamide 125 mg | '01/01/2002 | 12/31/2999 |
| S0176 | S0176 - Hydroxyurea oral 500mg | S0176 - | S0176 - Hydroxyurea 500 mg | '01/01/2002 | 12/31/2999 |
| S0177 | S0177 - Levamisole hydrochloride oral 50mg | S0177 - | S0177 - Levamisole 50 mg | '01/01/2002 | 12/31/2999 |
| S0178 | S0178 - Lomustine oral 10mg | S0178 - | S0178 - Lomustine 10 mg | '01/01/2002 | 12/31/2999 |
| S0179 | S0179 - Megestrol acetate oral 20mg | S0179 - | S0179 - Megestrol 20 mg | '01/01/2002 | 12/31/2999 |
| S0182 | S0182 - Procarbazine hydrochloride oral 50mg | S0182 - | S0182 - Procarbazine oral | '01/01/2014 | 12/31/2999 |
| S0183 | S0183 - Prochlorperazine maleate oral 5mg (for circumstances falling under the medicare statute use q0164) | S0183 - | S0183 - Prochlorperazine 5 mg | '01/01/2015 | 12/31/2999 |
| S0187 | S0187 - Tamoxifen citrate oral 10mg | S0187 - | S0187 - Tamoxifen 10 mg | '01/01/2002 | 12/31/2999 |
| S0189 | S0189 - Testosterone pellet 75mg | S0189 - | S0189 - Testosterone pellet 75 mg | '01/01/2002 | 12/31/2999 |
| S0190 | S0190 - Mifepristone oral 200 mg | S0190 - | S0190 - Mifepristone oral 200 mg | '01/01/2001 | 12/31/2999 |
| S0191 | S0191 - Misoprostol oral 200 mcg | S0191 - | S0191 - Misoprostol oral 200 mcg | '01/01/2001 | 12/31/2999 |
| S0194 | S0194 - DIALYSIS/STRESS VITAMIN SUPPLEMENT ORAL100 CAPSULES | S0194 - | S0194 - | '07/01/2010 | 12/31/2999 |
| S0197 | S0197 - PRENATAL VITAMINS 30-DAY SUPPLY | S0197 - | S0197 - Prenatal vitamins 30 day | '04/01/2005 | 12/31/2999 |
| S0199 | S0199 - Medically induced abortion by oral ingestion of medication including all associated services and supplies (e. G. patient counseling office visits confirmation of pregnancy by hcg ultrasound to confirm duration of pregnancy ultrasound to confirm completion of abortion) except drugs | S0199 - | S0199 - Med abortion inc all ex drug | '01/01/2001 | 12/31/2999 |
| S0201 | S0201 - Partial hospitalization services less than 24 hours per diem | S0201 - | S0201 - Partial hospitalization serv | 01-10-2002 | 12/31/2999 |
| S0207 | S0207 - Paramedic intercept non-hospital-based als service (non-voluntary) non-transport | S0207 - | S0207 - Paramedicintercep nonhospals | 01-10-2002 | 12/31/2999 |
| S0208 | S0208 - Paramedic intercept hospital-based als service (non-voluntary) non-transport | S0208 - | S0208 - Paramed intrcept nonvol | '01/01/2002 | 12/31/2999 |
| S0209 | S0209 - Wheelchair van mileage per mile | S0209 - | S0209 - WC van mileage per mi | '01/01/2002 | 12/31/2999 |
| S0215 | S0215 - Non-emergency transportation; mileage per mile | S0215 - | S0215 - Nonemerg transp mileage | '04/01/2002 | 12/31/2999 |
| S0220 | S0220 - Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 30 minutes | S0220 - | S0220 - Medical conference by physic | '01/01/2001 | 12/31/2999 |
| S0221 | S0221 - Medical conference by a physician with interdisciplinary team of health professionals or representatives of community agencies to coordinate activities of patient care (patient is present); approximately 60 minutes | S0221 - | S0221 - Medical conference 60 min | '01/01/2001 | 12/31/2999 |
| S0250 | S0250 - Comprehensive geriatric assessment and treatment planning performed by assessment team | S0250 - | S0250 - Comp geriatr assmt team | '01/01/2002 | 12/31/2999 |
| S0255 | S0255 - Hospice referral visit (advising patient and family of care options) performed by nurse social worker or other designated staff | S0255 - | S0255 - Hospice refer visit nonmd | '01/01/2002 | 12/31/2999 |
| S0257 | S0257 - COUNSELING AND DISCUSSION REGARDING ADVANCE DIRECTIVES OR END OF LIFE CARE PLANNING AND DECISIONS WITH PATIENT AND/OR SURROGATE (LIST SEPARATELY IN ADDITION TO CODE FOR APPROPRIATE EVALUATION AND MANAGEMENT SERVICE) | S0257 - | S0257 - End of life counseling | '01/01/2005 | 12/31/2999 |
| S0260 | S0260 - History and physical (outpatient or office) related to surgical procedure (list separately in addition to code for appropriate evaluation and management service) | S0260 - | S0260 - H&P for surgery | '01/01/2002 | 12/31/2999 |
| S0265 | S0265 - Genetic counseling under physician supervision each 15 minutes | S0265 - | S0265 - Genetic counsel 15 mins | '07/01/2005 | 12/31/2999 |
| S0270 | S0270 - PHYSICIAN MANAGEMENT OF PATIENT HOME CARE STANDARD MONTHLY CASE RATE (PER 30 DAYS) | S0270 - | S0270 - Home std case rate 30 days | '04/01/2007 | 12/31/2999 |
| S0271 | S0271 - PHYSICIAN MANAGEMENT OF PATIENT HOME CARE HOSPICE MONTHLY CASE RATE (PER 30 DAYS) | S0271 - | S0271 - Home hospice case 30 days | '04/01/2007 | 12/31/2999 |
| S0272 | S0272 - PHYSICIAN MANAGEMENT OF PATIENT HOME CARE EPISODIC CARE MONTHLY CASE RATE (PER 30 DAYS) | S0272 - | S0272 - Home episodic case 30 days | '04/01/2007 | 12/31/2999 |
| S0273 | S0273 - PHYSICIAN VISIT AT MEMBER'S HOME OUTSIDE OF A CAPITATION ARRANGEMENT | S0273 - | S0273 - MD home visit outside cap | '04/01/2007 | 12/31/2999 |
| S0274 | S0274 - NURSE PRACTIONER VISIT AT MEMBER'S HOME OUTSIDE OF A CAPITATION ARRANGEMENT | S0274 - | S0274 - Nurse practr visit outs cap | '04/01/2007 | 12/31/2999 |
| S0280 | S0280 - MEDICAL HOME PROGRAM COMPREHENSIVE CARE COORDINATION AND PLANNING INITIAL PLAN | S0280 - | S0280 - Medical home initial plan | '01/01/2010 | 12/31/2999 |
| S0281 | S0281 - MEDICAL HOME PROGRAM COMPREHENSIVE CARE COORDINATION AND PLANNING MAINTENANCE OF PLAN | S0281 - | S0281 - Medical home maintenance | '01/01/2010 | 12/31/2999 |
| S0285 | S0285 - Colonoscopy consultation performed prior to a screening colonoscopy procedure | S0285 - | S0285 - cnslt before screen colonoscop | '07/01/2016 | 12/31/2999 |
| S0302 | S0302 - Completed early periodic screening diagnosis and treatment (epsdt) service (list in addition to code for appropriate evaluation and management service) | S0302 - | S0302 - Completed EPSDT | '01/01/2002 | 12/31/2999 |
| S0310 | S0310 - Hospitalist services (list separately in addition to code for appropriate evaluation and management service) | S0310 - | S0310 - Hospitalist visit | '01/01/2002 | 12/31/2999 |
| S0311 | S0311 - Comprehensive management and care coordination for advanced illness per calendar month | S0311 - | S0311 - Comp mgmt care coord adv ill | '07/01/2016 | 12/31/2999 |
| S0315 | S0315 - Disease management program; initial assessment and initiation of the program | S0315 - | S0315 - Disease management program | 01-10-2002 | 12/31/2999 |
| S0316 | S0316 - DISEASE MANAGEMENT PROGRAM; FOLLOW-UP/REASSESSMENT | S0316 - | S0316 - Follow-up/reassessment | 01-10-2006 | 12/31/2999 |
| S0317 | S0317 - Disease management program; per diem | S0317 - | S0317 - Disease mgmt per diem | '07/01/2003 | 12/31/2999 |
| S0320 | S0320 - Telephone calls by a registered nurse to a disease management program member for monitoring purposes; per month | S0320 - | S0320 - RN telephone calls to DMP | 01-10-2002 | 12/31/2999 |
| S0340 | S0340 - Lifestyle modification program for management of coronary artery disease including all supportive services; first quarter / stage | S0340 - | S0340 - Lifestyle mod 1st stage | '01/01/2002 | 12/31/2999 |
| S0341 | S0341 - Lifestyle modification program for management of coronary artery disease including all supportive services; second or third quarter / stage | S0341 - | S0341 - Lifestyle mod 2 or 3 stage | '01/01/2002 | 12/31/2999 |
| S0342 | S0342 - Lifestyle modification program for management of coronary artery disease including all supportive services; fourth quarter / stage | S0342 - | S0342 - Lifestyle mod 4th stage | '01/01/2002 | 12/31/2999 |
| S0353 | S0353 - TREATMENT PLANNING AND CARE COORDINATION MANAGEMENT FOR CANCER INITIAL TREATMENT | S0353 - | S0353 - Cancer treatment plan initial | '04/01/2012 | 12/31/2999 |
| S0354 | S0354 - TREATMENT PLANNING AND CARE COORDINATION MANAGEMENT FOR CANCER ESTABLISHED PATIENT WITH A CHANGE OF REGIMEN | S0354 - | S0354 - Cancer treatment plan change | '04/01/2012 | 12/31/2999 |
| S0390 | S0390 - Routine foot care; removal and/or trimming of corns calluses and/or nails and preventive maintenance in specific medical conditions (e. G. Diabetes) per visit | S0390 - | S0390 - Rout foot care per visit | '04/01/2002 | 12/31/2999 |
| S0395 | S0395 - Impression casting of a foot performed by a practitioner other than the manufacturer of the orthotic | S0395 - | S0395 - Impression casting ft | '01/01/2002 | 12/31/2999 |
| S0400 | S0400 - Global fee for extracorporeal shock wave lithotripsy treatment of kidney stone(s) | S0400 - | S0400 - Global eswl kidney | '01/01/2002 | 12/31/2999 |
| S0500 | S0500 - Disposable contact lens per lens | S0500 - | S0500 - Dispos cont lens | '07/01/2001 | 12/31/2999 |
| S0504 | S0504 - Single vision prescription lens (safety athletic or sunglass) per lens | S0504 - | S0504 - Singl prscrp lens | '07/01/2001 | 12/31/2999 |
| S0506 | S0506 - Bifocal vision prescription lens (safety athletic or sunglass) per lens | S0506 - | S0506 - Bifoc prscp lens | '07/01/2001 | 12/31/2999 |
| S0508 | S0508 - Trifocal vision prescription lens (safety athletic or sunglass) per lens | S0508 - | S0508 - Trifoc prscrp lens | '07/01/2001 | 12/31/2999 |
| S0510 | S0510 - Non-prescription lens (safety athletic or sunglass) per lens | S0510 - | S0510 - Non-prscrp lens | '07/01/2001 | 12/31/2999 |
| S0512 | S0512 - Daily wear specialty contact lens per lens | S0512 - | S0512 - Daily cont lens | '07/01/2001 | 12/31/2999 |
| S0514 | S0514 - Color contact lens per lens | S0514 - | S0514 - Color cont lens | '07/01/2001 | 12/31/2999 |
| S0515 | S0515 - Scleral lens liquid bandage device per lens | S0515 - | S0515 - Scleral lens liquid bandage | 01-10-2004 | 12/31/2999 |
| S0516 | S0516 - Safety eyeglass frames | S0516 - | S0516 - Safety frames | '07/01/2001 | 12/31/2999 |
| S0518 | S0518 - Sunglasses frames | S0518 - | S0518 - Sunglass frames | '07/01/2001 | 12/31/2999 |
| S0580 | S0580 - Polycarbonate lens (list this code in addition to the basic code for the lens) | S0580 - | S0580 - Polycarb lens | '07/01/2001 | 12/31/2999 |
| S0581 | S0581 - Nonstandard lens (list this code in addition to the basic code for the lens) | S0581 - | S0581 - Nonstnd lens | '07/01/2001 | 12/31/2999 |
| S0590 | S0590 - Integral lens service miscellaneous services reported separately | S0590 - | S0590 - Misc integral lens serv | '07/01/2001 | 12/31/2999 |
| S0592 | S0592 - Comprehensive contact lens evaluation | S0592 - | S0592 - Comp cont lens eval | '07/01/2001 | 12/31/2999 |
| S0595 | S0595 - DISPENSING NEW SPECTACLE LENSES FOR PATIENT SUPPLIED FRAME | S0595 - | S0595 - New lenses in pts old frame | '04/01/2005 | 12/31/2999 |
| S0596 | S0596 - PHAKIC INTRAOCULAR LENS FOR CORRECTION OF REFRACTIVE ERROR | S0596 - | S0596 - Phakic iol refractive error | '04/01/2012 | 12/31/2999 |
| S0601 | S0601 - Screening proctoscopy | S0601 - | S0601 - Screening proctoscopy | '01/01/2000 | 12/31/2999 |
| S0610 | S0610 - Annual gynecological examination new patient | S0610 - | S0610 - Annual gynecological examina | '01/01/2000 | 12/31/2999 |
| S0612 | S0612 - Annual gynecological examination established patient | S0612 - | S0612 - Annual gynecological examina | '01/01/2000 | 12/31/2999 |
| S0613 | S0613 - Annual gynecological examination; clinical breast examination without pelvic examination | S0613 - | S0613 - | '07/01/2005 | 12/31/2999 |
| S0618 | S0618 - Audiometry for hearing aid evaluation to determine the level and degree of hearing loss | S0618 - | S0618 - Audiometry for hearing aid | '04/01/2004 | 12/31/2999 |
| S0620 | S0620 - Routine ophthalmological examination including refraction; new patient | S0620 - | S0620 - Routine ophthalmological exa | '01/01/2000 | 12/31/2999 |
| S0621 | S0621 - Routine ophthalmological examination including refraction; established patient | S0621 - | S0621 - Routine ophthalmological exa | '01/01/2000 | 12/31/2999 |
| S0622 | S0622 - Physical exam for college new or established patient (list separately in addition to appropriate evaluation and management code) | S0622 - | S0622 - Phys exam for college | '01/01/2002 | 12/31/2999 |
| S0630 | S0630 - Removal of sutures; by a physician other than the physician who originally closed the wound | S0630 - | S0630 - Removal of sutures | '01/01/2001 | 12/31/2999 |
| S0800 | S0800 - Laser in situ keratomileusis (lasik) | S0800 - | S0800 - Laser in situ keratomileusis | '01/01/2000 | 12/31/2999 |
| S0810 | S0810 - Photorefractive keratectomy (prk) | S0810 - | S0810 - Photorefractive keratectomy | '01/01/2000 | 12/31/2999 |
| S0812 | S0812 - Phototherapeutic keratectomy (ptk) | S0812 - | S0812 - Phototherap keratect | '07/01/2001 | 12/31/2999 |
| S1001 | S1001 - Deluxe item patient aware (list in addition to code for basic item) | S1001 - | S1001 - Deluxe item | '07/01/2001 | 12/31/2999 |
| S1002 | S1002 - Customized item (list in addition to code for basic item) | S1002 - | S1002 - Custom item | '07/01/2001 | 12/31/2999 |
| S1015 | S1015 - Iv tubing extension set | S1015 - | S1015 - IV tubing extension set | '01/01/2001 | 12/31/2999 |
| S1016 | S1016 - Non-pvc (polyvinyl chloride) intravenous administration set for use with drugs that are not stable in pvc e. G. Paclitaxel | S1016 - | S1016 - Non-pvc intravenous administ | '01/01/2001 | 12/31/2999 |
| S1030 | S1030 - Continuous noninvasive glucose monitoring device purchase (for physician interpretation of data use cpt code) | S1030 - | S1030 - Gluc monitor purchase | '01/01/2002 | 12/31/2999 |
| S1031 | S1031 - Continuous noninvasive glucose monitoring device rental including sensor sensor replacement and download to monitor (for physician interpretation of data use cpt code) | S1031 - | S1031 - Gluc monitor rental | '01/01/2002 | 12/31/2999 |
| S1034 | S1034 - Artificial pancreas device system (eg low glucose suspend [LGS] feature) including continuous glucose monitor blood glucose device insulin pump and computer algorithm that communicates with all of the devices | S1034 - | S1034 - Art pancreas system | '07/01/2014 | 12/31/2999 |
| S1035 | S1035 - Sensor; invasive (eg subcutaneous) disposable for use with artificial pancreas device system 1 unit = 1 day supply | S1035 - | S1035 - Art pancreas inv disp sensor | '07/01/2014 | 12/31/2999 |
| S1036 | S1036 - Transmitter; external for use with artificial pancreas device system | S1036 - | S1036 - Art pancreas ext transmitter | '07/01/2014 | 12/31/2999 |
| S1037 | S1037 - Receiver (monitor); external for use with artificial pancreas device system | S1037 - | S1037 - Art pancreas ext receiver | '07/01/2014 | 12/31/2999 |
| S1040 | S1040 - CRANIAL REMOLDING ORTHOSIS PEDIATRIC RIGID WITH SOFT INTERFACE MATERIAL CUSTOM FABRICATED INCLUDES FITTING AND ADJUSTMENT(S) | S1040 - | S1040 - Cranial remolding orthosis | '01/01/2007 | 12/31/2999 |
| S1091 | S1091 - Stent non-coronary temporary with delivery system (propel) | S1091 - | S1091 - Stent non-coronary propel | '08/01/2021 | 12/31/2999 |
| S2053 | S2053 - Transplantation of small intestine and liver allografts | S2053 - | S2053 - Transplantation of small int | '01/01/2000 | 12/31/2999 |
| S2054 | S2054 - Transplantation of multivisceral organs | S2054 - | S2054 - Transplantation of multivisc | '01/01/2000 | 12/31/2999 |
| S2055 | S2055 - Harvesting of donor multivisceral organs with preparation and maintenance of allografts; from cadaver donor | S2055 - | S2055 - Harvesting of donor multivis | '01/01/2000 | 12/31/2999 |
| S2060 | S2060 - Lobar lung transplantation | S2060 - | S2060 - Lobar lung transplantation | '01/01/2001 | 12/31/2999 |
| S2061 | S2061 - Donor lobectomy (lung) for transplantation living donor | S2061 - | S2061 - Donor lobectomy (lung) | '01/01/2001 | 12/31/2999 |
| S2065 | S2065 - Simultaneous pancreas kidney transplantation | S2065 - | S2065 - Simult panc kidn trans | '07/01/2001 | 12/31/2999 |
| S2066 | S2066 - BREAST RECONSTRUCTION WITH GLUTEAL ARTERY PERFORATOR (GAP) FLAP INCLUDING HARVESTING OF THE FLAP MICROVASCULAR TRANSFER CLOSURE OF DONOR SITE AND SHAPING THE FLAP INTO A BREAST UNILATERAL | S2066 - | S2066 - Breast GAP flap reconst | '07/01/2007 | 12/31/2999 |
| S2067 | S2067 - BREAST RECONSTRUCTION OF A SINGLE BREAST WITH "STACKED" DEPP INFERIOR EPIGASTRIC PERFORATOR (DIEP) FLAP(S) AND/OR GLUTEAL ARTERY PERFORATOR (GAP) FLAP(S) INCLUDING HARVESTING OF THE FLAP(S) MICROVASCULAR TRANSFER CLOSURE OF DONOR SITE(S) AND SHAPING TH | S2067 - | S2067 - Breast "stacked" DIEP/GAP | '07/01/2007 | 12/31/2999 |
| S2068 | S2068 - BREAST RECONSTRUCTION WITH DEEP INFERIOR EPIGASTRIC PERFORATOR (DIEP) FLAP OR SUPERFICIAL INFERIOR EPIGASTRIC ARTERY (SIEA) FLAP INCLUDING HARVESTING OF THE FLAP MICROVASCULAR TRANSFER CLOSURE OF DONOR SITE AND SHAPING THE FLAP INTO A BREAST UNILATERA | S2068 - | S2068 - Breast DIEP or SIEA flap | '07/01/2007 | 12/31/2999 |
| S2070 | S2070 - Cystourethroscopy with ureteroscopy and/or pyeloscopy; with endoscopic laser treatment of ureteral calculi (includes ureteral catheterization) | S2070 - | S2070 - Cysto laser tx ureteral calc | 01-10-2003 | 12/31/2999 |
| S2079 | S2079 - LAPAROSCOPIC ESOPHAGOMYOTOMY (HELLER TYPE) | S2079 - | S2079 - Lap esophagomyotomy | '01/01/2006 | 12/31/2999 |
| S2080 | S2080 - Laser-assisted uvulopalatoplasty (laup) | S2080 - | S2080 - Laup | '01/01/2002 | 12/31/2999 |
| S2083 | S2083 - Adjustment of gastric band diameter via subcutaneous port by injection or aspiration of saline | S2083 - | S2083 - Adjustment gastric band | '04/01/2004 | 12/31/2999 |
| S2095 | S2095 - Transcatheter occlusion or embolization for tumor destruction percutaneous any method using yttrium-90 microspheres | S2095 - | S2095 - Transcath emboliz microspher | '01/01/2004 | 12/31/2999 |
| S2102 | S2102 - Islet cell tissue transplant from pancreas; allogeneic | S2102 - | S2102 - Islet cell tissue transplant | '01/01/2001 | 12/31/2999 |
| S2103 | S2103 - Adrenal tissue transplant to brain | S2103 - | S2103 - Adrenal tissue transplant | '01/01/2001 | 12/31/2999 |
| S2107 | S2107 - Adoptive immunotherapy i. E. Development of specific anti-tumor reactivity (e. G. Tumor-infiltrating lymphocyte therapy) per course of treatment | S2107 - | S2107 - Adoptive immunotherapy | '04/01/2002 | 12/31/2999 |
| S2112 | S2112 - Arthroscopy knee surgical for harvesting of cartilage (chondrocyte cells) | S2112 - | S2112 - Knee arthroscp harv | '07/01/2001 | 12/31/2999 |
| S2115 | S2115 - Osteotomy periacetabular with internal fixation | S2115 - | S2115 - Periacetabular osteotomy | '01/01/2002 | 12/31/2999 |
| S2117 | S2117 - Arthroereisis subtalar | S2117 - | S2117 - Arthroereisis subtalar | 01-10-2005 | 12/31/2999 |
| S2118 | S2118 - Metal-on-metal total hip resurfacing including acetabular and femoral components | S2118 - | S2118 - Total hip resurfacing | 01-10-2008 | 12/31/2999 |
| S2120 | S2120 - Low density lipoprotein (ldl) apheresis using heparin-induced extracorporeal ldl precipitation | S2120 - | S2120 - Low density lipoprotein(LDL) | '01/01/2001 | 12/31/2999 |
| S2140 | S2140 - Cord blood harvesting for transplantation allogeneic | S2140 - | S2140 - Cord blood harvesting | '01/01/2001 | 12/31/2999 |
| S2142 | S2142 - Cord blood-derived stem-cell transplantation allogeneic | S2142 - | S2142 - Cord blood-derived stem-cell | '01/01/2001 | 12/31/2999 |
| S2150 | S2150 - Bone marrow or blood-derived stem cells (peripheral or umbilical) allogeneic or autologous harvesting transplantation and related complications; including: pheresis and cell preparation/storage; marrow ablative therapy; drugs supplies hospitalization with outpatient follow-up; medical/surgical diagnostic emergency and rehabilitative services; and the number of days of pre-and post-transplant care in the global definition | S2150 - | S2150 - BMT harv/transpl 28d pkg | '04/01/2004 | 12/31/2999 |
| S2152 | S2152 - Solid organ(s) complete or segmental single organ or combination of organs; deceased or living donor (s) procurement transplantation and related complications; including: drugs; supplies; hospitalization with outpatient follow-up; medical/surgical diagnostic emergency and rehabilitative services and the number of days of pre- and post-transplant care in the global definition | S2152 - | S2152 - Solid organ transpl pkg | '04/01/2004 | 12/31/2999 |
| S2202 | S2202 - Echosclerotherapy | S2202 - | S2202 - Echosclerotherapy | '01/01/2001 | 12/31/2999 |
| S2205 | S2205 - Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery performed under direct vision; using arterial graft(s) single coronary arterial graft | S2205 - | S2205 - Minimally invasive direct co | '01/01/2000 | 12/31/2999 |
| S2206 | S2206 - Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery performed under direct vision; using arterial graft(s) two coronary arterial grafts | S2206 - | S2206 - Minimally invasive direct co | '01/01/2000 | 12/31/2999 |
| S2207 | S2207 - Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery performed under direct vision; using venous graft only single coronary venous graft | S2207 - | S2207 - Minimally invasive direct co | '01/01/2000 | 12/31/2999 |
| S2208 | S2208 - Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery performed under direct vision; using single arterial and venous graft(s) single venous graft | S2208 - | S2208 - Minimally invasive direct co | '01/01/2000 | 12/31/2999 |
| S2209 | S2209 - Minimally invasive direct coronary artery bypass surgery involving mini-thoracotomy or mini-sternotomy surgery performed under direct vision; using two arterial grafts and single venous graft | S2209 - | S2209 - Minimally invasive direct co | '01/01/2000 | 12/31/2999 |
| S2225 | S2225 - Myringotomy laser-assisted | S2225 - | S2225 - Myringotomy laser-assist | '01/01/2004 | 12/31/2999 |
| S2230 | S2230 - Implantation of magnetic component of semi-implantable hearing device on ossicles in middle ear | S2230 - | S2230 - Implant semi-imp hear | 01-10-2003 | 12/31/2999 |
| S2235 | S2235 - Implantation of auditory brain stem implant | S2235 - | S2235 - Implant auditory brain imp | 01-10-2003 | 12/31/2999 |
| S2260 | S2260 - INDUCED ABORTION 17 TO 24 WEEKS | S2260 - | S2260 - Induced abortion 17-24 weeks | '01/01/2007 | 12/31/2999 |
| S2265 | S2265 - INDUCED ABORTION 25 TO 28 WEEKS | S2265 - | S2265 - Induced abortion 25-28 wks | '01/01/2007 | 12/31/2999 |
| S2266 | S2266 - INDUCED ABORTION 29 TO 31 WEEKS | S2266 - | S2266 - Induced abortion 29-31 wks | '01/01/2007 | 12/31/2999 |
| S2267 | S2267 - INDUCED ABORTION 32 WEEKS OR GREATER | S2267 - | S2267 - Induced abortion 32 or more | '01/01/2007 | 12/31/2999 |
| S2300 | S2300 - Arthroscopy shoulder surgical; with thermally-induced capsulorrhaphy | S2300 - | S2300 - Arthroscopy shoulder surgi | '01/01/2000 | 12/31/2999 |
| S2325 | S2325 - HIP CORE DECOMPRESSION | S2325 - | S2325 - Hip core decompression | 01-10-2006 | 12/31/2999 |
| S2340 | S2340 - Chemodenervation of abductor muscle(s) of vocal cord | S2340 - | S2340 - Chemodenervation of abductor | '01/01/2001 | 12/31/2999 |
| S2341 | S2341 - Chemodenervation of adductor muscle(s) of vocal cord | S2341 - | S2341 - Chemodenerv adduct vocal | '01/01/2002 | 12/31/2999 |
| S2342 | S2342 - Nasal endoscopy for post-operative debridement following functional endoscopic sinus surgery nasal and/or sinus cavity(s) unilateral or bilateral | S2342 - | S2342 - Nasal endoscop po debrid | '01/01/2002 | 12/31/2999 |
| S2348 | S2348 - DECOMPRESSION PROCEDURE PERCUTANEOUS OF NUCLEUS PULPOSUS OF INTERVERTEBRAL DISC USING RADIOFREQUENCY ENERGY SINGLE OR MULTIPLE LEVELS LUMBAR | S2348 - | S2348 - Decompress disc RF lumbar | '01/01/2005 | 12/31/2999 |
| S2350 | S2350 - Diskectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; lumbar single interspace | S2350 - | S2350 - Diskectomy anterior with d | '01/01/2000 | 12/31/2999 |
| S2351 | S2351 - Diskectomy anterior with decompression of spinal cord and/or nerve root(s) including osteophytectomy; lumbar each additional interspace (list separately in addition to code for primary procedure) | S2351 - | S2351 - Diskectomy anterior with d | '01/01/2000 | 12/31/2999 |
| S2400 | S2400 - Repair congenital diaphragmatic hernia in the fetus using temporary tracheal occlusion procedure performed in utero | S2400 - | S2400 - Fetal surg congen hernia | '04/01/2002 | 12/31/2999 |
| S2401 | S2401 - Repair urinary tract obstruction in the fetus procedure performed in utero | S2401 - | S2401 - Fetal surg urin trac obstr | '01/01/2002 | 12/31/2999 |
| S2402 | S2402 - Repair congenital cystic adenomatoid malformation in the fetus procedure performed in utero | S2402 - | S2402 - Fetal surg cong cyst malf | '01/01/2002 | 12/31/2999 |
| S2403 | S2403 - Repair extralobar pulmonary sequestration in the fetus procedure performed in utero | S2403 - | S2403 - Fetal surg pulmon sequest | '01/01/2002 | 12/31/2999 |
| S2404 | S2404 - Repair myelomeningocele in the fetus procedure performed in utero | S2404 - | S2404 - Fetal surg myelomeningo | '01/01/2002 | 12/31/2999 |
| S2405 | S2405 - Repair of sacrococcygeal teratoma in the fetus procedure performed in utero | S2405 - | S2405 - Fetal surg sacrococ teratoma | '04/01/2002 | 12/31/2999 |
| S2409 | S2409 - Repair congenital malformation of fetus procedure performed in utero not otherwise classified | S2409 - | S2409 - Fetal surg noc | '01/01/2002 | 12/31/2999 |
| S2411 | S2411 - Fetoscopic laser therapy for treatment of twin-to-twin transfusion syndrome | S2411 - | S2411 - Fetoscop laser ther TTTS | '01/01/2002 | 12/31/2999 |
| S2900 | S2900 - Surgical techniques requiring use of robotic surgical system (List separately in addition to code for primary procedure) | S2900 - | S2900 - | '07/01/2005 | 12/31/2999 |
| S3000 | S3000 - Diabetic indicator; retinal eye exam dilated bilateral | S3000 - | S3000 - Bilat dil retinal exam | '04/01/2003 | 12/31/2999 |
| S3005 | S3005 - PERFORMANCE MEASUREMENT EVALUATION OF PATIENT SELF ASSESSMENT DEPRESSION | S3005 - | S3005 - Eval self-assess depression | '04/01/2005 | 12/31/2999 |
| S3600 | S3600 - Stat laboratory request (situations other than s3601) | S3600 - | S3600 - Stat lab | '01/01/2002 | 12/31/2999 |
| S3601 | S3601 - Emergency stat laboratory charge for patient who is homebound or residing in a nursing facility | S3601 - | S3601 - Stat lab home/nf | '01/01/2002 | 12/31/2999 |
| S3620 | S3620 - Newborn metabolic screening panel includes test kit postage and the laboratory tests specified by the state for inclusion in this panel (e. G. Galactose; hemoglobin electrophoresis; hydroxyprogesterone 17-d; phenylanine (pku); and thyroxine total) | S3620 - | S3620 - Newborn metabolic screening | '01/01/2001 | 12/31/2999 |
| S3630 | S3630 - Eosinophil count blood direct | S3630 - | S3630 - Eosinophil blood count | '01/01/2002 | 12/31/2999 |
| S3645 | S3645 - Hiv-1 antibody testing of oral mucosal transudate | S3645 - | S3645 - HIV-1 antibody testing of or | '01/01/2000 | 12/31/2999 |
| S3650 | S3650 - Saliva test hormone level; during menopause | S3650 - | S3650 - Saliva test hormone level; | '01/01/2000 | 12/31/2999 |
| S3652 | S3652 - Saliva test hormone level; to assess preterm labor risk | S3652 - | S3652 - Saliva test hormone level; | '01/01/2000 | 12/31/2999 |
| S3655 | S3655 - Antisperm antibodies test (immunobead) | S3655 - | S3655 - Antisperm antibodies test | 01-10-2002 | 12/31/2999 |
| S3708 | S3708 - Gastrointestinal fat absorption study | S3708 - | S3708 - Gastrointestinal fat absorpt | '01/01/2001 | 12/31/2999 |
| S3722 | S3722 - DOSE OPTIMIZATION BY AREA UNDER THE CURVE (AUC) ANALYSIS FOR INFUSIONAL 5-FLUOROURACIL | S3722 - | S3722 - | '01/01/2012 | 12/31/2999 |
| S3800 | S3800 - GENETIC TESTING FOR AMYOTROPHIC LATERAL SCLEROSIS (ALS) | S3800 - | S3800 - Genetic testing ALS | '07/01/2007 | 12/31/2999 |
| S3840 | S3840 - Dna analysis for germline mutations of the ret proto-oncogene for susceptibility to multiple endocrine neoplasia type 2 | S3840 - | S3840 - DNA analysis RET-oncogene | '07/01/2003 | 12/31/2999 |
| S3841 | S3841 - Genetic testing for retinoblastoma | S3841 - | S3841 - Gene test retinoblastoma | '07/01/2003 | 12/31/2999 |
| S3842 | S3842 - Genetic testing for von hippel-lindau disease | S3842 - | S3842 - Gene test Hippel-Lindau | '07/01/2003 | 12/31/2999 |
| S3844 | S3844 - Dna analysis of the connexin 26 gene (gjb2) for susceptibility to congenital profound deafness | S3844 - | S3844 - DNA analysis deafness | '07/01/2003 | 12/31/2999 |
| S3845 | S3845 - Genetic testing for alpha-thalassemia | S3845 - | S3845 - Gene test alpha-thalassemia | '07/01/2003 | 12/31/2999 |
| S3846 | S3846 - Genetic testing for hemoglobin e beta-thalassemia | S3846 - | S3846 - Gene test beta-thalassemia | '07/01/2003 | 12/31/2999 |
| S3849 | S3849 - Genetic testing for niemann-pick disease | S3849 - | S3849 - Gene test Niemann-Pick | '07/01/2003 | 12/31/2999 |
| S3850 | S3850 - Genetic testing for sickle cell anemia | S3850 - | S3850 - Gene test sickle cell | '07/01/2003 | 12/31/2999 |
| S3852 | S3852 - Dna analysis for apoe epsilon 4 allele for susceptibility to alzheimer's disease | S3852 - | S3852 - DNA analysis APOE alzheimer | '07/01/2003 | 12/31/2999 |
| S3853 | S3853 - Genetic testing for myotonic muscular dystrophy | S3853 - | S3853 - Gene test myo musclr dyst | '01/01/2004 | 12/31/2999 |
| S3854 | S3854 - Gene expression profiling panel for use in the management of breast cancer treatment | S3854 - | S3854 - Gene profile panel breast | '07/01/2016 | 12/31/2999 |
| S3861 | S3861 - Genetic testing sodium channel voltage-gated type V alpha subunit (SCN5A) and variants for suspected Brugada syndrome | S3861 - | S3861 - Genetic test brugada | 01-10-2008 | 12/31/2999 |
| S3865 | S3865 - COMPREHENSIVE GENE SEQUENCE ANALYSIS FOR HYPERTROPHIC CARDIOMYOPATHY | S3865 - | S3865 - Comp genet test hyp cardiomy | '04/01/2009 | 12/31/2999 |
| S3866 | S3866 - GENETIC ANALYSIS FOR A SPECIFIC GENE MUTATION FOR HYPERTROPHIC CARDIOMYOPATHY (HCM) IN AN INDIVIDUAL WITH A KNOWN HCM MUTATION IN THE FAMILY | S3866 - | S3866 - Spec gene test hyp cardiomy | '04/01/2009 | 12/31/2999 |
| S3870 | S3870 - Comparative genomic hybridization (cgh) microarray testing for developmental delay autism spectrum disorder and/or intellectual disability | S3870 - | S3870 - Cgh test developmental delay | '01/01/2014 | 12/31/2999 |
| S3900 | S3900 - Surface electromyography (emg) | S3900 - | S3900 - Surface EMG | '07/01/2001 | 12/31/2999 |
| S3902 | S3902 - Ballistocardiogram | S3902 - | S3902 - Ballistocardiogram | '01/01/2001 | 12/31/2999 |
| S3904 | S3904 - Masters two step | S3904 - | S3904 - Masters two step | '01/01/2001 | 12/31/2999 |
| S4005 | S4005 - Interim labor facility global (labor occurring but not resulting in delivery) | S4005 - | S4005 - Interim labor facility globa | '04/01/2002 | 12/31/2999 |
| S4011 | S4011 - In vitro fertilization; including but not limited to identification and incubation of mature oocytes fertilization with sperm incubation of embryo(s) and subsequent visualization for determination of development | S4011 - | S4011 - IVF package | '01/01/2002 | 12/31/2999 |
| S4013 | S4013 - Complete cycle gamete intrafallopian transfer (gift) case rate | S4013 - | S4013 - Compl GIFT case rate | '04/01/2002 | 12/31/2999 |
| S4014 | S4014 - Complete cycle zygote intrafallopian transfer (zift) case rate | S4014 - | S4014 - Compl ZIFT case rate | '04/01/2002 | 12/31/2999 |
| S4015 | S4015 - Complete in vitro fertilization cycle not otherwise specified case rate | S4015 - | S4015 - Complete IVF nos case rate | '04/01/2002 | 12/31/2999 |
| S4016 | S4016 - Frozen in vitro fertilization cycle case rate | S4016 - | S4016 - Frozen IVF case rate | '01/01/2002 | 12/31/2999 |
| S4017 | S4017 - Incomplete cycle treatment cancelled prior to stimulation case rate | S4017 - | S4017 - IVF canc a stim case rate | '04/01/2002 | 12/31/2999 |
| S4018 | S4018 - Frozen embryo transfer procedure cancelled before transfer case rate | S4018 - | S4018 - F EMB trns canc case rate | '01/01/2002 | 12/31/2999 |
| S4020 | S4020 - In vitro fertilization procedure cancelled before aspiration case rate | S4020 - | S4020 - IVF canc a aspir case rate | '01/01/2002 | 12/31/2999 |
| S4021 | S4021 - In vitro fertilization procedure cancelled after aspiration case rate | S4021 - | S4021 - IVF canc p aspir case rate | '01/01/2002 | 12/31/2999 |
| S4022 | S4022 - Assisted oocyte fertilization case rate | S4022 - | S4022 - Asst oocyte fert case rate | '01/01/2002 | 12/31/2999 |
| S4023 | S4023 - Donor egg cycle incomplete case rate | S4023 - | S4023 - Incompl donor egg case rate | '04/01/2002 | 12/31/2999 |
| S4025 | S4025 - Donor services for in vitro fertilization (sperm or embryo) case rate | S4025 - | S4025 - Donor serv IVF case rate | '01/01/2002 | 12/31/2999 |
| S4026 | S4026 - Procurement of donor sperm from sperm bank | S4026 - | S4026 - Procure donor sperm | '01/01/2002 | 12/31/2999 |
| S4027 | S4027 - Storage of previously frozen embryos | S4027 - | S4027 - Store prev froz embryos | '01/01/2002 | 12/31/2999 |
| S4028 | S4028 - Microsurgical epididymal sperm aspiration (mesa) | S4028 - | S4028 - Microsurg epi sperm asp | '01/01/2002 | 12/31/2999 |
| S4030 | S4030 - Sperm procurement and cryopreservation services; initial visit | S4030 - | S4030 - Sperm procure init visit | '01/01/2002 | 12/31/2999 |
| S4031 | S4031 - Sperm procurement and cryopreservation services; subsequent visit | S4031 - | S4031 - Sperm procure subs visit | '01/01/2002 | 12/31/2999 |
| S4035 | S4035 - Stimulated intrauterine insemination (iui) case rate | S4035 - | S4035 - Stimulated IUI case rate | '04/01/2002 | 12/31/2999 |
| S4037 | S4037 - Cryopreserved embryo transfer case rate | S4037 - | S4037 - Cryo embryo transf case rate | '04/01/2002 | 12/31/2999 |
| S4040 | S4040 - Monitoring and storage of cryopreserved embryos per 30 days | S4040 - | S4040 - Monit store cryo embryo 30 d | '04/01/2002 | 12/31/2999 |
| S4042 | S4042 - MANAGEMENT OF OVULATION INDUCTION (INTERPRETATION OF DIAGNOSTIC TESTS AND STUDIES NON-FACE-TO-FACE MEDICAL MANAGEMENT OF THE PATIENT) PER CYCLE | S4042 - | S4042 - Ovulation mgmt per cycle | '01/01/2005 | 12/31/2999 |
| S4981 | S4981 - Insertion of levonorgestrel-releasing intrauterine system | S4981 - | S4981 - Insert levonorgestrel ius | '07/01/2001 | 12/31/2999 |
| S4989 | S4989 - Contraceptive intrauterine device (e. G. Progestacert iud) including implants and supplies | S4989 - | S4989 - Contracept IUD | '01/01/2002 | 12/31/2999 |
| S4990 | S4990 - Nicotine patches legend | S4990 - | S4990 - Nicotine patch legend | '01/01/2002 | 12/31/2999 |
| S4991 | S4991 - Nicotine patches non-legend | S4991 - | S4991 - Nicotine patch nonlegend | '01/01/2002 | 12/31/2999 |
| S4993 | S4993 - Contraceptive pills for birth control | S4993 - | S4993 - Contraceptive pills for bc | '04/01/2002 | 12/31/2999 |
| S4995 | S4995 - Smoking cessation gum | S4995 - | S4995 - Smoking cessation gum | '04/01/2002 | 12/31/2999 |
| S5000 | S5000 - Prescription drug generic | S5000 - | S5000 - Prescription drug generic | '01/01/2001 | 12/31/2999 |
| S5001 | S5001 - Prescription drug brand name | S5001 - | S5001 - Prescription drug brand name | '01/01/2001 | 12/31/2999 |
| S5010 | S5010 - 5% dextrose and 0. 45% normal saline 1000 ml | S5010 - | S5010 - 5% dextrose and 0.45% saline | '01/01/2001 | 12/31/2999 |
| S5012 | S5012 - 5% dextrose with potassium chloride 1000 ml | S5012 - | S5012 - 5% dextrose with potassium | '01/01/2001 | 12/31/2999 |
| S5013 | S5013 - 5% dextrose/0. 45% normal saline with potassium chloride and magnesium sulfate 1000 ml | S5013 - | S5013 - 5%dextrose/0.45%saline1000ml | '01/01/2001 | 12/31/2999 |
| S5014 | S5014 - 5% dextrose/0. 45% normal saline with potassium chloride and magnesium sulfate 1500 ml | S5014 - | S5014 - D5W/0.45NS w KCl and MGS04 | '01/01/2001 | 12/31/2999 |
| S5035 | S5035 - Home infusion therapy routine service of infusion device (e. G. Pump maintenance) | S5035 - | S5035 - HIT routine device maint | '01/01/2002 | 12/31/2999 |
| S5036 | S5036 - Home infusion therapy repair of infusion device (e. G. Pump repair) | S5036 - | S5036 - HIT device repair | '01/01/2002 | 12/31/2999 |
| S5100 | S5100 - Day care services adult; per 15 minutes | S5100 - | S5100 - Adult daycare services 15min | '01/01/2003 | 12/31/2999 |
| S5101 | S5101 - Day care services adult; per half day | S5101 - | S5101 - Adult day care per half day | '01/01/2003 | 12/31/2999 |
| S5102 | S5102 - Day care services adult; per diem | S5102 - | S5102 - Adult day care per diem | '01/01/2003 | 12/31/2999 |
| S5105 | S5105 - Day care services center-based; services not included in program fee per diem | S5105 - | S5105 - Centerbased day care perdiem | '01/01/2003 | 12/31/2999 |
| S5108 | S5108 - Home care training to home care client per 15 minutes | S5108 - | S5108 - Homecare train pt 15 min | '04/01/2003 | 12/31/2999 |
| S5109 | S5109 - Home care training to home care client per session | S5109 - | S5109 - Homecare train pt session | '04/01/2003 | 12/31/2999 |
| S5110 | S5110 - Home care training family; per 15 minutes | S5110 - | S5110 - Family homecare training 15m | '01/01/2003 | 12/31/2999 |
| S5111 | S5111 - Home care training family; per session | S5111 - | S5111 - Family homecare train/sessio | '01/01/2003 | 12/31/2999 |
| S5115 | S5115 - Home care training non-family; per 15 minutes | S5115 - | S5115 - Nonfamily homecare train/15m | '01/01/2003 | 12/31/2999 |
| S5116 | S5116 - Home care training non-family; per session | S5116 - | S5116 - Nonfamily HC train/session | '01/01/2003 | 12/31/2999 |
| S5120 | S5120 - Chore services; per 15 minutes | S5120 - | S5120 - Chore services per 15 min | '01/01/2003 | 12/31/2999 |
| S5121 | S5121 - Chore services; per diem | S5121 - | S5121 - Chore services per diem | '01/01/2003 | 12/31/2999 |
| S5125 | S5125 - Attendant care services; per 15 minutes | S5125 - | S5125 - Attendant care service /15m | '01/01/2003 | 12/31/2999 |
| S5126 | S5126 - Attendant care services; per diem | S5126 - | S5126 - Attendant care service /diem | '01/01/2003 | 12/31/2999 |
| S5130 | S5130 - Homemaker service nos; per 15 minutes | S5130 - | S5130 - Homaker service nos per 15m | '01/01/2003 | 12/31/2999 |
| S5131 | S5131 - Homemaker service nos; per diem | S5131 - | S5131 - Homemaker service nos /diem | '01/01/2003 | 12/31/2999 |
| S5135 | S5135 - Companion care adult (e. G. Iadl/adl); per 15 minutes | S5135 - | S5135 - Adult companioncare per 15m | '01/01/2003 | 12/31/2999 |
| S5136 | S5136 - Companion care adult (e. G. Iadl/adl); per diem | S5136 - | S5136 - Adult companioncare per diem | '01/01/2003 | 12/31/2999 |
| S5140 | S5140 - Foster care adult; per diem | S5140 - | S5140 - Adult foster care per diem | '01/01/2003 | 12/31/2999 |
| S5141 | S5141 - Foster care adult; per month | S5141 - | S5141 - Adult foster care per month | '01/01/2003 | 12/31/2999 |
| S5145 | S5145 - Foster care therapeutic child; per diem | S5145 - | S5145 - Child fostercare th per diem | '01/01/2003 | 12/31/2999 |
| S5146 | S5146 - Foster care therapeutic child; per month | S5146 - | S5146 - Ther fostercare child /month | '01/01/2003 | 12/31/2999 |
| S5150 | S5150 - Unskilled respite care not hospice; per 15 minutes | S5150 - | S5150 - Unskilled respite care /15m | '01/01/2003 | 12/31/2999 |
| S5151 | S5151 - Unskilled respite care not hospice; per diem | S5151 - | S5151 - Unskilled respitecare /diem | '01/01/2003 | 12/31/2999 |
| S5160 | S5160 - Emergency response system; installation and testing | S5160 - | S5160 - Emer response sys instal&tst | '01/01/2003 | 12/31/2999 |
| S5161 | S5161 - Emergency response system; service fee per month (excludes installation and testing) | S5161 - | S5161 - Emer rspns sys serv permonth | '01/01/2003 | 12/31/2999 |
| S5162 | S5162 - Emergency response system; purchase only | S5162 - | S5162 - Emer rspns system purchase | '01/01/2003 | 12/31/2999 |
| S5165 | S5165 - Home modifications; per service | S5165 - | S5165 - Home modifications per serv | '01/01/2003 | 12/31/2999 |
| S5170 | S5170 - Home delivered meals including preparation; per meal | S5170 - | S5170 - Homedelivered prepared meal | '01/01/2003 | 12/31/2999 |
| S5175 | S5175 - Laundry service external professional; per order | S5175 - | S5175 - Laundry serv ext prof /order | '01/01/2003 | 12/31/2999 |
| S5180 | S5180 - Home health respiratory therapy initial evaluation | S5180 - | S5180 - HH respiratory thrpy in eval | '01/01/2003 | 12/31/2999 |
| S5181 | S5181 - Home health respiratory therapy nos per diem | S5181 - | S5181 - HH respiratory thrpy nos/day | '01/01/2003 | 12/31/2999 |
| S5185 | S5185 - Medication reminder service non-face-to-face; per month | S5185 - | S5185 - Med reminder serv per month | '01/01/2003 | 12/31/2999 |
| S5190 | S5190 - Wellness assessment performed by non-physician | S5190 - | S5190 - Wellness assessment by nonph | '01/01/2003 | 12/31/2999 |
| S5199 | S5199 - Personal care item nos each | S5199 - | S5199 - Personal care item nos each | '01/01/2003 | 12/31/2999 |
| S5497 | S5497 - Home infusion therapy catheter care / maintenance not otherwise classified; includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S5497 - | S5497 - HIT cath care noc | '01/01/2002 | 12/31/2999 |
| S5498 | S5498 - Home infusion therapy catheter care / maintenance simple (single lumen) includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S5498 - | S5498 - HIT simple cath care | '01/01/2002 | 12/31/2999 |
| S5501 | S5501 - Home infusion therapy catheter care / maintenance complex (more than one lumen) includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S5501 - | S5501 - HIT complex cath care | '01/01/2002 | 12/31/2999 |
| S5502 | S5502 - Home infusion therapy catheter care / maintenance implanted access device includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (use this code for interim maintenance of vascular access not currently in use) | S5502 - | S5502 - HIT interim cath care | '01/01/2002 | 12/31/2999 |
| S5517 | S5517 - Home infusion therapy all supplies necessary for restoration of catheter patency or declotting | S5517 - | S5517 - HIT declotting kit | '01/01/2002 | 12/31/2999 |
| S5518 | S5518 - Home infusion therapy all supplies necessary for catheter repair | S5518 - | S5518 - HIT cath repair kit | '01/01/2002 | 12/31/2999 |
| S5520 | S5520 - Home infusion therapy all supplies (including catheter) necessary for a peripherally inserted central venous catheter (picc) line insertion | S5520 - | S5520 - HIT picc insert kit | '01/01/2002 | 12/31/2999 |
| S5521 | S5521 - Home infusion therapy all supplies (including catheter) necessary for a midline catheter insertion | S5521 - | S5521 - HIT midline cath insert kit | '01/01/2002 | 12/31/2999 |
| S5522 | S5522 - Home infusion therapy insertion of peripherally inserted central venous catheter (picc) nursing services only (no supplies or catheter included) | S5522 - | S5522 - HIT picc insert no supp | '01/01/2002 | 12/31/2999 |
| S5523 | S5523 - Midline Venous Catheter Nursing Services Only (No supplies or catheter included) | S5523 - | S5523 - HIP midline cath insert kit | '07/01/2006 | 12/31/2999 |
| S5550 | S5550 - Insulin rapid onset 5 units | S5550 - | S5550 - Insulin rapid 5 u | 01-10-2003 | 12/31/2999 |
| S5551 | S5551 - Insulin most rapid onset (lispro or aspart); 5 units | S5551 - | S5551 - Insulin most rapid 5 u | 01-10-2003 | 12/31/2999 |
| S5552 | S5552 - Insulin intermediate acting (nph or lente); 5 units | S5552 - | S5552 - Insulin intermed 5 u | 01-10-2003 | 12/31/2999 |
| S5553 | S5553 - Insulin long acting; 5 units | S5553 - | S5553 - Insulin long acting 5 u | 01-10-2003 | 12/31/2999 |
| S5560 | S5560 - Insulin delivery device reusable pen; 1. 5 ml size | S5560 - | S5560 - Insulin reuse pen 1.5 ml | 01-10-2003 | 12/31/2999 |
| S5561 | S5561 - Insulin delivery device reusable pen; 3 ml size | S5561 - | S5561 - Insulin reuse pen 3 ml | 01-10-2003 | 12/31/2999 |
| S5565 | S5565 - Insulin cartridge for use in insulin delivery device other than pump; 150 units | S5565 - | S5565 - Insulin cartridge 150 u | 01-10-2003 | 12/31/2999 |
| S5566 | S5566 - Insulin cartridge for use in insulin delivery device other than pump; 300 units | S5566 - | S5566 - Insulin cartridge 300 u | 01-10-2003 | 12/31/2999 |
| S5570 | S5570 - Insulin delivery device disposable pen (including insulin); 1. 5 ml size | S5570 - | S5570 - Insulin dispos pen 1.5 ml | 01-10-2003 | 12/31/2999 |
| S5571 | S5571 - Insulin delivery device disposable pen (including insulin); 3 ml size | S5571 - | S5571 - Insulin dispos pen 3 ml | 01-10-2003 | 12/31/2999 |
| S8030 | S8030 - Scleral application of tantalum ring(s) for localization of lesions for proton beam therapy | S8030 - | S8030 - Tantalum ring application | '01/01/2002 | 12/31/2999 |
| S8035 | S8035 - Magnetic source imaging | S8035 - | S8035 - Magnetic source imaging | '01/01/2000 | 12/31/2999 |
| S8037 | S8037 - Magnetic resonance cholangiopancreatography (mrcp) | S8037 - | S8037 - mrcp | '07/01/2001 | 12/31/2999 |
| S8040 | S8040 - Topographic brain mapping | S8040 - | S8040 - Topographic brain mapping | '01/01/2000 | 12/31/2999 |
| S8042 | S8042 - Magnetic resonance imaging (mri) low-field | S8042 - | S8042 - MRI low field | '04/01/2002 | 12/31/2999 |
| S8055 | S8055 - Ultrasound guidance for multifetal pregnancy reduction(s) technical component (only to be used when the physician doing the reduction procedure does not perform the ultrasound guidance is included in the cpt code for multifetal pregnancy reduction - 59866) | S8055 - | S8055 - Us guidance fetal reduct | '01/01/2002 | 12/31/2999 |
| S8080 | S8080 - Scintimammography (radioimmunoscintigraphy of the breast) unilateral including supply of radiopharmaceutical | S8080 - | S8080 - Scintimammography | '01/01/2001 | 12/31/2999 |
| S8085 | S8085 - Fluorine-18 fluorodeoxyglucose (f-18 fdg) imaging using dual-head coincidence detection system (non-dedicated pet scan) | S8085 - | S8085 - Fluorine-18 fluorodeoxygluco | '01/01/2001 | 12/31/2999 |
| S8092 | S8092 - Electron beam computed tomography (also known as ultrafast ct cine ct) | S8092 - | S8092 - Electron beam computed tomog | '01/01/2000 | 12/31/2999 |
| S8096 | S8096 - Portable peak flow meter | S8096 - | S8096 - Portable peak flow meter | '01/01/2000 | 12/31/2999 |
| S8097 | S8097 - Asthma kit (including but not limited to portable peak expiratory flow meter instructional video brochure and/or spacer) | S8097 - | S8097 - Asthma kit | '01/01/2002 | 12/31/2999 |
| S8100 | S8100 - Holding chamber or spacer for use with an inhaler or nebulizer; without mask | S8100 - | S8100 - Spacer without mask | '01/01/2002 | 12/31/2999 |
| S8101 | S8101 - Holding chamber or spacer for use with an inhaler or nebulizer; with mask | S8101 - | S8101 - Spacer with mask | '01/01/2002 | 12/31/2999 |
| S8110 | S8110 - Peak expiratory flow rate (physician services) | S8110 - | S8110 - Peak expiratory flow rate (p | '01/01/2000 | 12/31/2999 |
| S8120 | S8120 - Oxygen contents gaseous 1 unit equals 1 cubic foot | S8120 - | S8120 - O2 contents gas cubic ft | 01-10-2003 | 12/31/2999 |
| S8121 | S8121 - Oxygen contents liquid 1 unit equals 1 pound | S8121 - | S8121 - O2 contents liquid lb | 01-10-2003 | 12/31/2999 |
| S8130 | S8130 - INTERFERENTIAL CURRENT STIMULATOR 2 CHANNEL | S8130 - | S8130 - | '01/01/2012 | 12/31/2999 |
| S8131 | S8131 - INTERFERENTIAL CURRENT STIMULATOR 4 CHANNEL | S8131 - | S8131 - | '01/01/2012 | 12/31/2999 |
| S8185 | S8185 - Flutter device | S8185 - | S8185 - Flutter device | '01/01/2002 | 12/31/2999 |
| S8186 | S8186 - Swivel adaptor | S8186 - | S8186 - Swivel adaptor | '01/01/2002 | 12/31/2999 |
| S8189 | S8189 - Tracheostomy supply not otherwise classified | S8189 - | S8189 - Trach supply noc | '01/01/2002 | 12/31/2999 |
| S8210 | S8210 - Mucus trap | S8210 - | S8210 - Mucus trap | '01/01/2001 | 12/31/2999 |
| S8265 | S8265 - Haberman feeder for cleft lip/palate | S8265 - | S8265 - Haberman feeder | '04/01/2002 | 12/31/2999 |
| S8270 | S8270 - Enuresis alarm using auditory buzzer and/or vibration device | S8270 - | S8270 - Enuresis alarm | '07/01/2005 | 12/31/2999 |
| S8301 | S8301 - Infection control supplies not otherwise specified | S8301 - | S8301 - Infect control supplies NOS | '07/01/2004 | 12/31/2999 |
| S8415 | S8415 - Supplies for home delivery of infant | S8415 - | S8415 - Supplies for home delivery | '01/01/2002 | 12/31/2999 |
| S8420 | S8420 - Gradient pressure aid (sleeve and glove combination) custom made | S8420 - | S8420 - Custom gradient sleev/glov | '01/01/2002 | 12/31/2999 |
| S8421 | S8421 - Gradient pressure aid (sleeve and glove combination) ready made | S8421 - | S8421 - Ready gradient sleev/glov | '01/01/2002 | 12/31/2999 |
| S8422 | S8422 - Gradient pressure aid (sleeve) custom made medium weight | S8422 - | S8422 - Custom grad sleeve med | '01/01/2002 | 12/31/2999 |
| S8423 | S8423 - Gradient pressure aid (sleeve) custom made heavy weight | S8423 - | S8423 - Custom grad sleeve heavy | '01/01/2002 | 12/31/2999 |
| S8424 | S8424 - Gradient pressure aid (sleeve) ready made | S8424 - | S8424 - Ready gradient sleeve | '01/01/2002 | 12/31/2999 |
| S8425 | S8425 - Gradient pressure aid (glove) custom made medium weight | S8425 - | S8425 - Custom grad glove med | '01/01/2002 | 12/31/2999 |
| S8426 | S8426 - Gradient pressure aid (glove) custom made heavy weight | S8426 - | S8426 - Custom grad glove heavy | '01/01/2002 | 12/31/2999 |
| S8427 | S8427 - Gradient pressure aid (glove) ready made | S8427 - | S8427 - Ready gradient glove | '01/01/2002 | 12/31/2999 |
| S8428 | S8428 - Gradient pressure aid (gauntlet) ready made | S8428 - | S8428 - Ready gradient gauntlet | '01/01/2002 | 12/31/2999 |
| S8429 | S8429 - Gradient pressure exterior wrap | S8429 - | S8429 - Gradient pressure wrap | '01/01/2002 | 12/31/2999 |
| S8430 | S8430 - Padding for compression bandage roll | S8430 - | S8430 - Padding for comprssn bdg | '01/01/2002 | 12/31/2999 |
| S8431 | S8431 - Compression bandage roll | S8431 - | S8431 - Compression bandage | '01/01/2002 | 12/31/2999 |
| S8450 | S8450 - Splint prefabricated digit (specify digit by use of modifier) | S8450 - | S8450 - Splint digit | '01/01/2002 | 12/31/2999 |
| S8451 | S8451 - Splint prefabricated wrist or ankle | S8451 - | S8451 - Splint wrist or ankle | '01/01/2002 | 12/31/2999 |
| S8452 | S8452 - Splint prefabricated elbow | S8452 - | S8452 - Splint elbow | '01/01/2002 | 12/31/2999 |
| S8460 | S8460 - Camisole post-mastectomy | S8460 - | S8460 - Camisole post-mast | '04/01/2003 | 12/31/2999 |
| S8490 | S8490 - Insulin syringes (100 syringes any size) | S8490 - | S8490 - 100 insulin syringes | '01/01/2002 | 12/31/2999 |
| S8930 | S8930 - ELECTRICAL STIMULATION OF AURICULAR ACUPUNCTURE POINTS; EACH 15 MINUTES OF PERSONAL ONE-ON-ONE CONTACT WITH THE PATIENT | S8930 - | S8930 - Auricular electrostimulation | '04/01/2012 | 12/31/2999 |
| S8940 | S8940 - EQUESTRIAN/HIPPOTHERAPY PER SESSION | S8940 - | S8940 - Hippotherapy per session | '04/01/2005 | 12/31/2999 |
| S8948 | S8948 - Application of a modality (requiring constant provider attendance) to one or more areas; low-level laser; each 15 minutes | S8948 - | S8948 - Low-level laser trmt 15 min | '01/01/2004 | 12/31/2999 |
| S8950 | S8950 - Complex lymphedema therapy each 15 minutes | S8950 - | S8950 - Complex lymphedema therapy | '01/01/2000 | 12/31/2999 |
| S8990 | S8990 - Physical or manipulative therapy performed for maintenance rather than restoration | S8990 - | S8990 - Pt or manip for maint | '04/01/2003 | 12/31/2999 |
| S8999 | S8999 - Resuscitation bag (for use by patient on artificial respiration during power failure or other catastrophic event) | S8999 - | S8999 - Resuscitation bag | '01/01/2001 | 12/31/2999 |
| S9001 | S9001 - Home uterine monitor with or without associated nursing services | S9001 - | S9001 - Home uterine monitor with or | '01/01/2000 | 12/31/2999 |
| S9007 | S9007 - Ultrafiltration monitor | S9007 - | S9007 - Ultrafiltration monitor | '01/01/2001 | 12/31/2999 |
| S9024 | S9024 - Paranasal sinus ultrasound | S9024 - | S9024 - Paranasal sinus ultrasound | '01/01/2000 | 12/31/2999 |
| S9025 | S9025 - Omnicardiogram/cardiointegram | S9025 - | S9025 - Omnicardiogram/cardiointegra | '01/01/2001 | 12/31/2999 |
| S9034 | S9034 - Extracorporeal shockwave lithotripsy for gall stones (if performed with ercp use 43265) | S9034 - | S9034 - ESWL for gallstones | '04/01/2002 | 12/31/2999 |
| S9055 | S9055 - Procuren or other growth factor preparation to promote wound healing | S9055 - | S9055 - Procuren or other growth fac | '01/01/2000 | 12/31/2999 |
| S9056 | S9056 - Coma stimulation per diem | S9056 - | S9056 - Coma stimulation per diem | '01/01/2000 | 12/31/2999 |
| S9061 | S9061 - Home administration of aerosolized drug therapy (e. G. pentamidine); administrative services professional pharmacy services care coordination all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9061 - | S9061 - Medical supplies and equipme | '01/01/2002 | 12/31/2999 |
| S9083 | S9083 - Global fee urgent care centers | S9083 - | S9083 - Urgent care center global | '01/01/2002 | 12/31/2999 |
| S9088 | S9088 - Services provided in an urgent care center (list in addition to code for service) | S9088 - | S9088 - Services provided in urgent | '01/01/2002 | 12/31/2999 |
| S9090 | S9090 - Vertebral axial decompression per session | S9090 - | S9090 - Vertebral axial decompressio | '01/01/2000 | 12/31/2999 |
| S9097 | S9097 - Home visit for wound care | S9097 - | S9097 - Home visit wound care | 01-10-2004 | 12/31/2999 |
| S9098 | S9098 - Home visit phototherapy services (e. G. Bili-lite) including equipment rental nursing services blood draw supplies and other services per diem | S9098 - | S9098 - Home phototherapy visit | '01/01/2002 | 12/31/2999 |
| S9110 | S9110 - Telemonitoring of patient in their home including all necessary equipment; computer system connections and software; maintenance; patient education and support; per month | S9110 - | S9110 - Telemonitoring/home per mnth | '01/01/2013 | 12/31/2999 |
| S9117 | S9117 - Back school per visit | S9117 - | S9117 - Back school visit | '01/01/2002 | 12/31/2999 |
| S9122 | S9122 - Home health aide or certified nurse assistant providing care in the home; per hour | S9122 - | S9122 - Home health aide or certifie | '01/01/2000 | 12/31/2999 |
| S9123 | S9123 - Nursing care in the home; by registered nurse per hour (use for general nursing care only not to be used when cpt codes 99500-99602 can be used) | S9123 - | S9123 - Nursing care in home RN | '01/01/2004 | 12/31/2999 |
| S9124 | S9124 - Nursing care in the home; by licensed practical nurse per hour | S9124 - | S9124 - Nursing care in the home; b | '01/01/2000 | 12/31/2999 |
| S9125 | S9125 - Respite care in the home per diem | S9125 - | S9125 - Respite care in the home p | '01/01/2000 | 12/31/2999 |
| S9126 | S9126 - Hospice care in the home per diem | S9126 - | S9126 - Hospice care in the home p | '01/01/2000 | 12/31/2999 |
| S9127 | S9127 - Social work visit in the home per diem | S9127 - | S9127 - Social work visit in the ho | '01/01/2000 | 12/31/2999 |
| S9128 | S9128 - Speech therapy in the home per diem | S9128 - | S9128 - Speech therapy in the home | '01/01/2000 | 12/31/2999 |
| S9129 | S9129 - Occupational therapy in the home per diem | S9129 - | S9129 - Occupational therapy in the | '01/01/2000 | 12/31/2999 |
| S9131 | S9131 - Physical therapy; in the home per diem | S9131 - | S9131 - PT in the home per diem | '01/01/2002 | 12/31/2999 |
| S9140 | S9140 - Diabetic management program follow-up visit to non-md provider | S9140 - | S9140 - Diabetic Management Program | '01/01/2000 | 12/31/2999 |
| S9141 | S9141 - Diabetic management program follow-up visit to md provider | S9141 - | S9141 - Diabetic Management Program | '01/01/2000 | 12/31/2999 |
| S9145 | S9145 - Insulin pump initiation instruction in initial use of pump (pump not included) | S9145 - | S9145 - Insulin pump initiation | '04/01/2002 | 12/31/2999 |
| S9150 | S9150 - Evaluation by ocularist | S9150 - | S9150 - Evaluation by ocularist | '04/01/2002 | 12/31/2999 |
| S9152 | S9152 - SPEECH THERAPY RE-EVALUATION | S9152 - | S9152 - Speech therapy re-eval | '07/01/2007 | 12/31/2999 |
| S9208 | S9208 - Home management of preterm labor including administrative services professional pharmacy services care coordination and all necessary supplies or equipment (drugs and nursing visits coded separately) per diem (do not use this code with any home infusion per diem code) | S9208 - | S9208 - Home mgmt preterm labor | '01/01/2002 | 12/31/2999 |
| S9209 | S9209 - Home management of preterm premature rupture of membranes (pprom) including administrative services professional pharmacy services care coordination and all necessary supplies or equipment (drugs and nursing visits coded separately) per diem (do not use this code with any home infusion per diem code) | S9209 - | S9209 - Home mgmt PPROM | '01/01/2002 | 12/31/2999 |
| S9211 | S9211 - Home management of gestational hypertension includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) | S9211 - | S9211 - Home mgmt gest hypertension | '01/01/2002 | 12/31/2999 |
| S9212 | S9212 - Home management of postpartum hypertension includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use this code with any home infusion per diem code) | S9212 - | S9212 - Hm postpar hyper per diem | '01/01/2002 | 12/31/2999 |
| S9213 | S9213 - Home management of preeclampsia includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing services coded separately); per diem (do not use this code with any home infusion per diem code) | S9213 - | S9213 - Hm preeclamp per diem | '01/01/2002 | 12/31/2999 |
| S9214 | S9214 - Home management of gestational diabetes includes administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately); per diem (do not use this code with any home infusion per diem code) | S9214 - | S9214 - Hm gest dm per diem | '01/01/2002 | 12/31/2999 |
| S9325 | S9325 - Home infusion therapy pain management infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use this code with s9326 s9327 or s9328) | S9325 - | S9325 - HIT pain mgmt per diem | '01/01/2002 | 12/31/2999 |
| S9326 | S9326 - Home infusion therapy continuous (twenty-four hours or more) pain management infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9326 - | S9326 - HIT cont pain per diem | '01/01/2002 | 12/31/2999 |
| S9327 | S9327 - Home infusion therapy intermittent (less than twenty-four hours) pain management infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9327 - | S9327 - HIT int pain per diem | '01/01/2002 | 12/31/2999 |
| S9328 | S9328 - Home infusion therapy implanted pump pain management infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9328 - | S9328 - HIT pain imp pump diem | '01/01/2002 | 12/31/2999 |
| S9329 | S9329 - Home infusion therapy chemotherapy infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use this code with s9330 or s9331) | S9329 - | S9329 - HIT chemo per diem | '01/01/2002 | 12/31/2999 |
| S9330 | S9330 - Home infusion therapy continuous (twenty-four hours or more) chemotherapy infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9330 - | S9330 - HIT cont chem diem | '01/01/2002 | 12/31/2999 |
| S9331 | S9331 - Home infusion therapy intermittent (less than twenty-four hours) chemotherapy infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9331 - | S9331 - HIT intermit chemo diem | '01/01/2002 | 12/31/2999 |
| S9335 | S9335 - Home therapy hemodialysis; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing services coded separately) per diem | S9335 - | S9335 - HT hemodialysis diem | '07/01/2003 | 12/31/2999 |
| S9336 | S9336 - Home infusion therapy continuous anticoagulant infusion therapy (e. G. Heparin) administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9336 - | S9336 - HIT cont anticoag diem | '01/01/2002 | 12/31/2999 |
| S9338 | S9338 - Home infusion therapy immunotherapy administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9338 - | S9338 - HIT immunotherapy diem | '01/01/2002 | 12/31/2999 |
| S9339 | S9339 - Home therapy; peritoneal dialysis administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9339 - | S9339 - HIT periton dialysis diem | '01/01/2002 | 12/31/2999 |
| S9340 | S9340 - Home therapy; enteral nutrition; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (enteral formula and nursing visits coded separately) per diem | S9340 - | S9340 - HIT enteral per diem | '01/01/2002 | 12/31/2999 |
| S9341 | S9341 - Home therapy; enteral nutrition via gravity; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (enteral formula and nursing visits coded separately) per diem | S9341 - | S9341 - HIT enteral grav diem | '01/01/2002 | 12/31/2999 |
| S9342 | S9342 - Home therapy; enteral nutrition via pump; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (enteral formula and nursing visits coded separately) per diem | S9342 - | S9342 - HIT enteral pump diem | '01/01/2002 | 12/31/2999 |
| S9343 | S9343 - Home therapy; enteral nutrition via bolus; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (enteral formula and nursing visits coded separately) per diem | S9343 - | S9343 - HIT enteral bolus nurs | '01/01/2002 | 12/31/2999 |
| S9345 | S9345 - Home infusion therapy anti-hemophilic agent infusion therapy (e. G. Factor viii); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9345 - | S9345 - HIT anti-hemophil diem | '01/01/2002 | 12/31/2999 |
| S9346 | S9346 - Home infusion therapy alpha-1-proteinase inhibitor (e. G. prolastin); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9346 - | S9346 - HIT alpha-1-proteinas diem | '01/01/2002 | 12/31/2999 |
| S9347 | S9347 - Home infusion therapy uninterrupted long-term controlled rate intravenous or subcutaneous infusion therapy (e. G. Epoprostenol); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9347 - | S9347 - HIT longterm infusion diem | '01/01/2003 | 12/31/2999 |
| S9348 | S9348 - Home infusion therapy sympathomimetic/inotropic agent infusion therapy (e. G. dobutamine); administrative services professional pharmacy services care coordination all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9348 - | S9348 - HIT sympathomim diem | '01/01/2002 | 12/31/2999 |
| S9349 | S9349 - Home infusion therapy tocolytic infusion therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9349 - | S9349 - HIT tocolysis diem | '01/01/2002 | 12/31/2999 |
| S9351 | S9351 - HOME INFUSION THERAPY CONTINUOUS OR INTERMITTENT ANTI-EMETIC INFUSION THERAPY; ADMINISTRATIVE SERVICES PROFESSIONAL PHARMACY SERVICES CARE COORDINATION AND ALL NECESSARY SUPPLIES AND EQUIPMENT (DRUGS AND VISITS CODED SEPARATELY) PER DIEM | S9351 - | S9351 - HIT cont antiemetic diem | '04/01/2007 | 12/31/2999 |
| S9353 | S9353 - Home infusion therapy continuous insulin infusion therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9353 - | S9353 - HIT cont insulin diem | '01/01/2002 | 12/31/2999 |
| S9355 | S9355 - Home infusion therapy chelation therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9355 - | S9355 - HIT chelation diem | '01/01/2002 | 12/31/2999 |
| S9357 | S9357 - Home infusion therapy enzyme replacement intravenous therapy; (e. G. Imiglucerase); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9357 - | S9357 - HIT enzyme replace diem | '01/01/2002 | 12/31/2999 |
| S9359 | S9359 - Home infusion therapy anti-tumor necrosis factor intravenous therapy; (e. G. Infliximab); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9359 - | S9359 - HIT anti-tnf per diem | '01/01/2002 | 12/31/2999 |
| S9361 | S9361 - Home infusion therapy diuretic intravenous therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9361 - | S9361 - HIT diuretic infus diem | '01/01/2002 | 12/31/2999 |
| S9363 | S9363 - Home infusion therapy anti-spasmotic therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9363 - | S9363 - HIT anti-spasmotic diem | 01-10-2004 | 12/31/2999 |
| S9364 | S9364 - Home infusion therapy total parenteral nutrition (tpn); administrative services professional pharmacy services care coordination and all necessary supplies and equipment including standard tpn formula (lipids specialty amino acid formulas drugs other than in standard formula and nursing visits coded separately) per diem (do not use with home infusion codes s9365-s9368 using daily volume scales) | S9364 - | S9364 - HIT tpn total diem | '01/01/2002 | 12/31/2999 |
| S9365 | S9365 - Home infusion therapy total parenteral nutrition (tpn); one liter per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment including standard tpn formula (lipids specialty amino acid formulas drugs other than in standard formula and nursing visits coded separately) per diem | S9365 - | S9365 - HIT tpn 1 liter diem | '01/01/2002 | 12/31/2999 |
| S9366 | S9366 - Home infusion therapy total parenteral nutrition (tpn); more than one liter but no more than two liters per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment including standard tpn formula (lipids specialty amino acid formulas drugs other than in standard formula and nursing visits coded separately) per diem | S9366 - | S9366 - HIT tpn 2 liter diem | '01/01/2002 | 12/31/2999 |
| S9367 | S9367 - Home infusion therapy total parenteral nutrition (tpn); more than two liters but no more than three liters per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment including standard tpn formula (lipids specialty amino acid formulas drugs other than in standard formula and nursing visits coded separately) per diem | S9367 - | S9367 - HIT tpn 3 liter diem | '01/01/2002 | 12/31/2999 |
| S9368 | S9368 - Home infusion therapy total parenteral nutrition (tpn); more than three liters per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment including standard tpn formula (lipids specialty amino acid formulas drugs other than in standard formula and nursing visits coded separately) per diem | S9368 - | S9368 - HIT tpn over 3l diem | '01/01/2002 | 12/31/2999 |
| S9370 | S9370 - Home therapy intermittent anti-emetic injection therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9370 - | S9370 - HT inj antiemetic diem | '01/01/2002 | 12/31/2999 |
| S9372 | S9372 - Home therapy; intermittent anticoagulant injection therapy (e. G. Heparin); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use this code for flushing of infusion devices with heparin to maintain patency) | S9372 - | S9372 - HT inj anticoag diem | '01/01/2002 | 12/31/2999 |
| S9373 | S9373 - Home infusion therapy hydration therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use with hydration therapy codes s9374-s9377 using daily volume scales) | S9373 - | S9373 - HIT hydra total diem | '01/01/2002 | 12/31/2999 |
| S9374 | S9374 - Home infusion therapy hydration therapy; one liter per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9374 - | S9374 - HIT hydra 1 liter diem | '01/01/2002 | 12/31/2999 |
| S9375 | S9375 - Home infusion therapy hydration therapy; more than one liter but no more than two liters per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9375 - | S9375 - HIT hydra 2 liter diem | '01/01/2002 | 12/31/2999 |
| S9376 | S9376 - Home infusion therapy hydration therapy; more than two liters but no more than three liters per day administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9376 - | S9376 - HIT hydra 3 liter diem | '01/01/2002 | 12/31/2999 |
| S9377 | S9377 - Home infusion therapy hydration therapy; more than three liters per day administrative services professional pharmacy services care coordination and all necessary supplies (drugs and nursing visits coded separately) per diem | S9377 - | S9377 - HIT hydra over 3l diem | '01/01/2002 | 12/31/2999 |
| S9379 | S9379 - Home infusion therapy infusion therapy not otherwise classified; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9379 - | S9379 - HIT noc per diem | '01/01/2002 | 12/31/2999 |
| S9381 | S9381 - Delivery or service to high risk areas requiring escort or extra protection per visit | S9381 - | S9381 - HIT high risk/escort | '01/01/2002 | 12/31/2999 |
| S9401 | S9401 - Anticoagulation clinic inclusive of all services except laboratory tests per session | S9401 - | S9401 - Anticoag clinic per session | '04/01/2002 | 12/31/2999 |
| S9430 | S9430 - Pharmacy compounding and dispensing services | S9430 - | S9430 - Pharmacy comp/disp serv | '04/01/2002 | 12/31/2999 |
| S9432 | S9432 - Medical foods for non-inborn errors of metabolism | S9432 - | S9432 - Med food non inborn err meta | 01-10-2021 | 12/31/2999 |
| S9433 | S9433 - MEDICAL FOOD NUTRITIONALLY COMPLETE ADMINISTERED ORALLY PROVIDING 100% OF NUTRITIONAL INTAKE | S9433 - | S9433 - Medical food oral 100% nutr | '01/01/2009 | 12/31/2999 |
| S9434 | S9434 - Modified solid food supplements for inborn errors of metabolism | S9434 - | S9434 - Mod solid food suppl | '04/01/2003 | 12/31/2999 |
| S9435 | S9435 - Medical foods for inborn errors of metabolism | S9435 - | S9435 - Medical foods for inborn err | '01/01/2001 | 12/31/2999 |
| S9436 | S9436 - Childbirth preparation/lamaze classes non-physician provider per session | S9436 - | S9436 - Lamaze class | '04/01/2002 | 12/31/2999 |
| S9437 | S9437 - Childbirth refresher classes non-physician provider per session | S9437 - | S9437 - Childbirth refresher class | '04/01/2002 | 12/31/2999 |
| S9438 | S9438 - Cesarean birth classes non-physician provider per session | S9438 - | S9438 - Cesarean birth class | '04/01/2002 | 12/31/2999 |
| S9439 | S9439 - Vbac (vaginal birth after cesarean) classes non-physician provider per session | S9439 - | S9439 - VBAC class | '04/01/2002 | 12/31/2999 |
| S9441 | S9441 - Asthma education non-physician provider per session | S9441 - | S9441 - Asthma education | '01/01/2002 | 12/31/2999 |
| S9442 | S9442 - Birthing classes non-physician provider per session | S9442 - | S9442 - Birthing class | '01/01/2002 | 12/31/2999 |
| S9443 | S9443 - Lactation classes non-physician provider per session | S9443 - | S9443 - Lactation class | '01/01/2002 | 12/31/2999 |
| S9444 | S9444 - Parenting classes non-physician provider per session | S9444 - | S9444 - Parenting class | '04/01/2002 | 12/31/2999 |
| S9445 | S9445 - Patient education not otherwise classified non-physician provider individual per session | S9445 - | S9445 - PT education noc individ | '01/01/2002 | 12/31/2999 |
| S9446 | S9446 - Patient education not otherwise classified non-physician provider group per session | S9446 - | S9446 - PT education noc group | '01/01/2002 | 12/31/2999 |
| S9447 | S9447 - Infant safety (including cpr) classes non-physician provider per session | S9447 - | S9447 - Infant safety class | '04/01/2002 | 12/31/2999 |
| S9449 | S9449 - Weight management classes non-physician provider per session | S9449 - | S9449 - Weight mgmt class | '04/01/2002 | 12/31/2999 |
| S9451 | S9451 - Exercise classes non-physician provider per session | S9451 - | S9451 - Exercise class | '04/01/2002 | 12/31/2999 |
| S9452 | S9452 - Nutrition classes non-physician provider per session | S9452 - | S9452 - Nutrition class | '04/01/2002 | 12/31/2999 |
| S9453 | S9453 - Smoking cessation classes non-physician provider per session | S9453 - | S9453 - Smoking cessation class | '04/01/2002 | 12/31/2999 |
| S9454 | S9454 - Stress management classes non-physician provider per session | S9454 - | S9454 - Stress mgmt class | '04/01/2002 | 12/31/2999 |
| S9455 | S9455 - Diabetic management program group session | S9455 - | S9455 - Diabetic Management Program | '01/01/2000 | 12/31/2999 |
| S9460 | S9460 - Diabetic management program nurse visit | S9460 - | S9460 - Diabetic Management Program | '01/01/2000 | 12/31/2999 |
| S9465 | S9465 - Diabetic management program dietitian visit | S9465 - | S9465 - Diabetic Management Program | '01/01/2000 | 12/31/2999 |
| S9470 | S9470 - Nutritional counseling dietitian visit | S9470 - | S9470 - Nutritional counseling diet | '01/01/2000 | 12/31/2999 |
| S9472 | S9472 - Cardiac rehabilitation program non-physician provider per diem | S9472 - | S9472 - Cardiac rehabilitation progr | '01/01/2000 | 12/31/2999 |
| S9473 | S9473 - Pulmonary rehabilitation program non-physician provider per diem | S9473 - | S9473 - Pulmonary rehabilitation pro | '01/01/2000 | 12/31/2999 |
| S9474 | S9474 - Enterostomal therapy by a registered nurse certified in enterostomal therapy per diem | S9474 - | S9474 - Enterostomal therapy by a re | '01/01/2000 | 12/31/2999 |
| S9475 | S9475 - Ambulatory setting substance abuse treatment or detoxification services per diem | S9475 - | S9475 - Ambulatory setting substance | '01/01/2000 | 12/31/2999 |
| S9476 | S9476 - Vestibular rehabilitation program non-physician provider per diem | S9476 - | S9476 - Vestibular rehab per diem | 01-10-2003 | 12/31/2999 |
| S9480 | S9480 - Intensive outpatient psychiatric services per diem | S9480 - | S9480 - Intensive outpatient psychia | '01/01/2000 | 12/31/2999 |
| S9482 | S9482 - FAMILY STABILIZATION SERVICES PER 15 MINUTES | S9482 - | S9482 - Family stabilization 15 min | '01/01/2005 | 12/31/2999 |
| S9484 | S9484 - Crisis intervention mental health services per hour | S9484 - | S9484 - Crisis intervention per hour | '07/01/2002 | 12/31/2999 |
| S9485 | S9485 - Crisis intervention mental health services per diem | S9485 - | S9485 - Crisis intervention mental h | '01/01/2000 | 12/31/2999 |
| S9490 | S9490 - Home infusion therapy corticosteroid infusion; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9490 - | S9490 - HIT corticosteroid/diem | '07/01/2002 | 12/31/2999 |
| S9494 | S9494 - Home infusion therapy antibiotic antiviral or antifungal therapy; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem (do not use this code with home infusion codes for hourly dosing schedules s9497-s9504) | S9494 - | S9494 - HIT antibiotic total diem | '01/01/2002 | 12/31/2999 |
| S9497 | S9497 - Home infusion therapy antibiotic antiviral or antifungal therapy; once every 3 hours; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9497 - | S9497 - HIT antibiotic q3h diem | '01/01/2002 | 12/31/2999 |
| S9500 | S9500 - Home infusion therapy antibiotic antiviral or antifungal therapy; once every 24 hours; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9500 - | S9500 - HIT antibiotic q24h diem | '01/01/2002 | 12/31/2999 |
| S9501 | S9501 - Home infusion therapy antibiotic antiviral or antifungal therapy; once every 12 hours; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9501 - | S9501 - HIT antibiotic q12h diem | '01/01/2002 | 12/31/2999 |
| S9502 | S9502 - Home infusion therapy antibiotic antiviral or antifungal therapy; once every 8 hours administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9502 - | S9502 - HIT antibiotic q8h diem | '01/01/2002 | 12/31/2999 |
| S9503 | S9503 - Home infusion therapy antibiotic antiviral or antifungal; once every 6 hours; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9503 - | S9503 - HIT antibiotic q6h diem | '01/01/2002 | 12/31/2999 |
| S9504 | S9504 - Home infusion therapy antibiotic antiviral or antifungal; once every 4 hours; administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9504 - | S9504 - HIT antibiotic q4h diem | '01/01/2002 | 12/31/2999 |
| S9529 | S9529 - Routine venipuncture for collection of specimen(s) single home bound nursing home or skilled nursing facility patient | S9529 - | S9529 - Venipuncture home/snf | '01/01/2002 | 12/31/2999 |
| S9537 | S9537 - Home therapy; hematopoietic hormone injection therapy (e. G. Erythropoietin g-csf gm-csf); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9537 - | S9537 - HT hem horm inj diem | '01/01/2002 | 12/31/2999 |
| S9538 | S9538 - Home transfusion of blood product(s); administrative services professional pharmacy services care coordination and all necessary supplies and equipment (blood products drugs and nursing visits coded separately) per diem | S9538 - | S9538 - HIT blood products diem | '01/01/2002 | 12/31/2999 |
| S9542 | S9542 - Home injectable therapy not otherwise classified including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9542 - | S9542 - HT inj noc per diem | '01/01/2002 | 12/31/2999 |
| S9558 | S9558 - Home injectable therapy; growth hormone including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9558 - | S9558 - HT inj growth horm diem | '01/01/2002 | 12/31/2999 |
| S9559 | S9559 - Home injectable therapy interferon including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9559 - | S9559 - HIT inj interferon diem | '01/01/2002 | 12/31/2999 |
| S9560 | S9560 - Home injectable therapy; hormonal therapy (e. G. ; leuprolide goserelin) including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9560 - | S9560 - HT inj hormone diem | '01/01/2002 | 12/31/2999 |
| S9562 | S9562 - Home injectable therapy palivizumab including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9562 - | S9562 - HT inj palivizumab diem | '01/01/2003 | 12/31/2999 |
| S9590 | S9590 - Home therapy irrigation therapy (e. G. Sterile irrigation of an organ or anatomical cavity); including administrative services professional pharmacy services care coordination and all necessary supplies and equipment (drugs and nursing visits coded separately) per diem | S9590 - | S9590 - HT irrigation diem | '01/01/2003 | 12/31/2999 |
| S9810 | S9810 - Home therapy; professional pharmacy services for provision of infusion specialty drug administration and/or disease state management not otherwise classified per hour (do not use this code with any per diem code) | S9810 - | S9810 - HT pharm per hour | '01/01/2002 | 12/31/2999 |
| S9900 | S9900 - SERVICES BY A JOURNAL-LISTED CHRISTIAN SCIENCE PRACTITIONER FOR THE PURPOSE OF HEALING PER DIEM | S9900 - | S9900 - Christian Sci Pract visit | '01/01/2012 | 12/31/2999 |
| S9901 | S9901 - Services by a journal-listed christian science nurse per hour | S9901 - | S9901 - Christian sci nurse visit | '01/01/2015 | 12/31/2999 |
| S9960 | S9960 - Ambulance service conventional air services nonemergency transport one way (fixed wing) | S9960 - | S9960 - Air ambulanc nonemerg fixed | '01/01/2014 | 12/31/2999 |
| S9961 | S9961 - Ambulance service conventional air service nonemergency transport one way (rotary wing) | S9961 - | S9961 - Air ambulan nonemerg rotary | '01/01/2014 | 12/31/2999 |
| S9970 | S9970 - Health club membership annual | S9970 - | S9970 - Health club membership yr | '04/01/2002 | 12/31/2999 |
| S9975 | S9975 - Transplant related lodging meals and transportation per diem | S9975 - | S9975 - Transplant related per diem | '04/01/2002 | 12/31/2999 |
| S9976 | S9976 - Lodging per diem not otherwise classified | S9976 - | S9976 - Lodging per diem | '04/01/2004 | 12/31/2999 |
| S9977 | S9977 - Meals per diem not otherwise specified | S9977 - | S9977 - Meals per diem | '04/01/2004 | 12/31/2999 |
| S9981 | S9981 - Medical records copying fee administrative | S9981 - | S9981 - Med record copy admin | '01/01/2002 | 12/31/2999 |
| S9982 | S9982 - Medical records copying fee per page | S9982 - | S9982 - Med record copy per page | '01/01/2002 | 12/31/2999 |
| S9986 | S9986 - Not medically necessary service (patient is aware that service not medically necessary) | S9986 - | S9986 - Not medically necessary svc | '01/01/2002 | 12/31/2999 |
| S9988 | S9988 - Services provided as part of a phase i clinical trial | S9988 - | S9988 - Serv part of phase I trial | '04/01/2004 | 12/31/2999 |
| S9989 | S9989 - Services provided outside of the united states of america (list in addition to code(s) for services(s)) | S9989 - | S9989 - Services outside US | '01/01/2002 | 12/31/2999 |
| S9990 | S9990 - Services provided as part of a phase ii clinical trial | S9990 - | S9990 - Services provided as part of | '01/01/2000 | 12/31/2999 |
| S9991 | S9991 - Services provided as part of a phase iii clinical trial | S9991 - | S9991 - Services provided as part of | '01/01/2000 | 12/31/2999 |
| S9992 | S9992 - Transportation costs to and from trial location and local transportation costs (e. G. fares for taxicab or bus) for clinical trial participant and one caregiver/companion | S9992 - | S9992 - Transportation costs to and | '01/01/2000 | 12/31/2999 |
| S9994 | S9994 - Lodging costs (e. G. hotel charges) for clinical trial participant and one caregiver/companion | S9994 - | S9994 - Lodging costs (e.g. hotel ch | '01/01/2000 | 12/31/2999 |
| S9996 | S9996 - Meals for clinical trial participant and one caregiver/companion | S9996 - | S9996 - Meals for clinical trial par | '01/01/2000 | 12/31/2999 |
| S9999 | S9999 - Sales tax | S9999 - | S9999 - Sales tax | '01/01/2000 | 12/31/2999 |
| T1000 | T1000 - Private duty / independent nursing service(s) - licensed up to 15 minutes | T1000 - | T1000 - Private duty/independent nsg | '07/01/2001 | 12/31/2999 |
| T1001 | T1001 - Nursing assessment / evaluation | T1001 - | T1001 - Nursing assessment/evaluatn | '07/01/2001 | 12/31/2999 |
| T1002 | T1002 - Rn services up to 15 minutes | T1002 - | T1002 - RN services up to 15 minutes | '07/01/2001 | 12/31/2999 |
| T1003 | T1003 - Lpn/lvn services up to 15 minutes | T1003 - | T1003 - LPN/LVN services up to 15min | '07/01/2001 | 12/31/2999 |
| T1004 | T1004 - Services of a qualified nursing aide up to 15 minutes | T1004 - | T1004 - Nsg aide service up to 15min | '07/01/2001 | 12/31/2999 |
| T1005 | T1005 - Respite care services up to 15 minutes | T1005 - | T1005 - Respite care service 15 min | '07/01/2001 | 12/31/2999 |
| T1006 | T1006 - Alcohol and/or substance abuse services family/couple counseling | T1006 - | T1006 - Family/Couple Counseling | '07/01/2001 | 12/31/2999 |
| T1007 | T1007 - Alcohol and/or substance abuse services treatment plan development and/or modification | T1007 - | T1007 - Treatment Plan Development | '07/01/2001 | 12/31/2999 |
| T1009 | T1009 - Child sitting services for children of the individual receiving alcohol and/or substance abuse services | T1009 - | T1009 - Child Sitting Services | '07/01/2001 | 12/31/2999 |
| T1010 | T1010 - Meals for individuals receiving alcohol and/or substance abuse services (when meals not included in the program) | T1010 - | T1010 - Meals when Receive Services | '07/01/2001 | 12/31/2999 |
| T1012 | T1012 - Alcohol and/or substance abuse services skills development | T1012 - | T1012 - Alcohol/Substance Abuse Skil | '07/01/2001 | 12/31/2999 |
| T1013 | T1013 - Sign language or oral interpretive services per 15 minutes | T1013 - | T1013 - Sign Lang/Oral Interpreter | '01/01/2003 | 12/31/2999 |
| T1014 | T1014 - Telehealth transmission per minute professional services bill separately | T1014 - | T1014 - Telehealth transmit per min | '07/01/2001 | 12/31/2999 |
| T1015 | T1015 - Clinic visit/encounter all-inclusive | T1015 - | T1015 - Clinic service | '01/01/2002 | 12/31/2999 |
| T1016 | T1016 - Case management each 15 minutes | T1016 - | T1016 - Case management | '07/01/2002 | 12/31/2999 |
| T1017 | T1017 - Targeted case management each 15 minutes | T1017 - | T1017 - Targeted case management | '07/01/2002 | 12/31/2999 |
| T1018 | T1018 - School-based individualized education program (iep) services bundled | T1018 - | T1018 - School-based IEP ser bundled | '07/01/2002 | 12/31/2999 |
| T1019 | T1019 - Personal care services per 15 minutes not for an inpatient or resident of a hospital nursing facility icf/mr or imd part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | T1019 - | T1019 - Personal care ser per 15 min | '07/01/2002 | 12/31/2999 |
| T1020 | T1020 - Personal care services per diem not for an inpatient or resident of a hospital nursing facility icf/mr or imd part of the individualized plan of treatment (code may not be used to identify services provided by home health aide or certified nurse assistant) | T1020 - | T1020 - Personal care ser per diem | '07/01/2002 | 12/31/2999 |
| T1021 | T1021 - Home health aide or certified nurse assistant per visit | T1021 - | T1021 - HH Aide or cn aide per visit | '07/01/2002 | 12/31/2999 |
| T1022 | T1022 - Contracted home health agency services all services provided under contract per day | T1022 - | T1022 - Contracted services per day | '01/01/2003 | 12/31/2999 |
| T1023 | T1023 - Screening to determine the appropriateness of consideration of an individual for participation in a specified program project or treatment protocol per encounter | T1023 - | T1023 - Program intake assessment | '01/01/2003 | 12/31/2999 |
| T1024 | T1024 - Evaluation and treatment by an integrated specialty team contracted to provide coordinated care to multiple or severely handicapped children per encounter | T1024 - | T1024 - Team evaluation & management | '01/01/2003 | 12/31/2999 |
| T1025 | T1025 - Intensive extended multidisciplinary services provided in a clinic setting to children with complex medical physical mental and psychosocial impairments per diem | T1025 - | T1025 - Ped compr care pkg per diem | '01/01/2003 | 12/31/2999 |
| T1026 | T1026 - Intensive extended multidisciplinary services provided in a clinic setting to children with complex medical physical medical and psychosocial impairments per hour | T1026 - | T1026 - Ped compr care pkg per hour | '01/01/2003 | 12/31/2999 |
| T1027 | T1027 - Family training and counseling for child development per 15 minutes | T1027 - | T1027 - Family training & counseling | '01/01/2003 | 12/31/2999 |
| T1028 | T1028 - Assessment of home physical and family environment to determine suitability to meet patient's medical needs | T1028 - | T1028 - Home environment assessment | '01/01/2003 | 12/31/2999 |
| T1029 | T1029 - Comprehensive environmental lead investigation not including laboratory analysis per dwelling | T1029 - | T1029 - Dwelling lead investigation | '01/01/2003 | 12/31/2999 |
| T1030 | T1030 - Nursing care in the home by registered nurse per diem | T1030 - | T1030 - RN home care per diem | '01/01/2003 | 12/31/2999 |
| T1031 | T1031 - Nursing care in the home by licensed practical nurse per diem | T1031 - | T1031 - LPN home care per diem | '01/01/2003 | 12/31/2999 |
| T1032 | T1032 - Services performed by a doula birth worker per 15 minutes | T1032 - | T1032 - Sv doula brth wrk per 15 min | 01-10-2022 | 12/31/2999 |
| T1033 | T1033 - Services performed by a doula birth worker per diem | T1033 - | T1033 - Sv doula brth wrk per diem | 01-10-2022 | 12/31/2999 |
| T1040 | T1040 - Medicaid certified community behavioral health clinic services per diem | T1040 - | T1040 - Comm bh clinic svc per diem | '01/01/2017 | 12/31/2999 |
| T1041 | T1041 - Medicaid certified community behavioral health clinic services per month | T1041 - | T1041 - Comm bh clinic svc per month | '01/01/2017 | 12/31/2999 |
| T1502 | T1502 - Administration of oral intramuscular and/or subcutaneous medication by health care agency/professional per visit | T1502 - | T1502 - Medication admin visit | '01/01/2003 | 12/31/2999 |
| T1503 | T1503 - ADMINISTRATION OF MEDICATION OTHER THAN ORAL AND/OR INJECTABLE BY A HEALTH CARE AGENCY/PROFESSIONAL PER VISIT | T1503 - | T1503 - Med admin not oral/inject | '04/01/2007 | 12/31/2999 |
| T1505 | T1505 - ELECTRONIC MEDICATION COMPLIANCE MANAGEMENT DEVICE INCLUDES ALL COMPONENTS AND ACCESSORIES NOT OTHERWISE CLASSIFIED | T1505 - | T1505 - Elec med comp dev noc | '01/01/2011 | 12/31/2999 |
| T1999 | T1999 - Miscellaneous therapeutic items and supplies retail purchases not otherwise classified; identify product in remarks | T1999 - | T1999 - NOC retail items andsupplies | '01/01/2003 | 12/31/2999 |
| T2001 | T2001 - Non-emergency transportation; patient attendant/escort | T2001 - | T2001 - N-et; patient attend/escort | '04/01/2002 | 12/31/2999 |
| T2002 | T2002 - Non-emergency transportation; per diem | T2002 - | T2002 - N-et; per diem | '04/01/2002 | 12/31/2999 |
| T2003 | T2003 - Non-emergency transportation; encounter/trip | T2003 - | T2003 - N-et; encounter/trip | '04/01/2002 | 12/31/2999 |
| T2004 | T2004 - Non-emergency transport; commercial carrier multi-pass | T2004 - | T2004 - N-et; commerc carrier pass | '04/01/2002 | 12/31/2999 |
| T2005 | T2005 - Non-emergency transportation; stretcher van | T2005 - | T2005 - N-et; stretcher van | '07/01/2004 | 12/31/2999 |
| T2007 | T2007 - Transportation waiting time air ambulance and non-emergency vehicle one-half (1/2) hour increments | T2007 - | T2007 - Non-emer transport wait time | '01/01/2003 | 12/31/2999 |
| T2010 | T2010 - Preadmission screening and resident review (pasrr) level i identification screening per screen | T2010 - | T2010 - PASRR Level I | '04/01/2003 | 12/31/2999 |
| T2011 | T2011 - Preadmission screening and resident review (pasrr) level ii evaluation per evaluation | T2011 - | T2011 - PASRR Level II | '04/01/2003 | 12/31/2999 |
| T2012 | T2012 - Habilitation educational; waiver per diem | T2012 - | T2012 - Habil ed waiver per diem | 01-10-2003 | 12/31/2999 |
| T2013 | T2013 - Habilitation educational waiver; per hour | T2013 - | T2013 - Habil ed waiver per hour | 01-10-2003 | 12/31/2999 |
| T2014 | T2014 - Habilitation prevocational waiver; per diem | T2014 - | T2014 - Habil prevoc waiver per d | 01-10-2003 | 12/31/2999 |
| T2015 | T2015 - Habilitation prevocational waiver; per hour | T2015 - | T2015 - Habil prevoc waiver per hr | 01-10-2003 | 12/31/2999 |
| T2016 | T2016 - Habilitation residential waiver; per diem | T2016 - | T2016 - Habil res waiver per diem | 01-10-2003 | 12/31/2999 |
| T2017 | T2017 - Habilitation residential waiver; 15 minutes | T2017 - | T2017 - Habil res waiver 15 min | 01-10-2003 | 12/31/2999 |
| T2018 | T2018 - Habilitation supported employment waiver; per diem | T2018 - | T2018 - Habil sup empl waiver/diem | 01-10-2003 | 12/31/2999 |
| T2019 | T2019 - Habilitation supported employment waiver; per 15 minutes | T2019 - | T2019 - Habil sup empl waiver 15min | 01-10-2003 | 12/31/2999 |
| T2020 | T2020 - Day habilitation waiver; per diem | T2020 - | T2020 - Day habil waiver per diem | 01-10-2003 | 12/31/2999 |
| T2021 | T2021 - Day habilitation waiver; per 15 minutes | T2021 - | T2021 - Day habil waiver per 15 min | 01-10-2003 | 12/31/2999 |
| T2022 | T2022 - Case management per month | T2022 - | T2022 - Case management per month | 01-10-2003 | 12/31/2999 |
| T2023 | T2023 - Targeted case management; per month | T2023 - | T2023 - Targeted case mgmt per month | 01-10-2003 | 12/31/2999 |
| T2024 | T2024 - Service assessment/plan of care development waiver | T2024 - | T2024 - Serv asmnt/care plan waiver | 01-10-2003 | 12/31/2999 |
| T2025 | T2025 - Waiver services; not otherwise specified (nos) | T2025 - | T2025 - Waiver service nos | 01-10-2003 | 12/31/2999 |
| T2026 | T2026 - Specialized childcare waiver; per diem | T2026 - | T2026 - Special childcare waiver/d | 01-10-2003 | 12/31/2999 |
| T2027 | T2027 - Specialized childcare waiver; per 15 minutes | T2027 - | T2027 - Spec childcare waiver 15 min | 01-10-2003 | 12/31/2999 |
| T2028 | T2028 - Specialized supply not otherwise specified waiver | T2028 - | T2028 - Special supply nos waiver | 01-10-2003 | 12/31/2999 |
| T2029 | T2029 - Specialized medical equipment not otherwise specified waiver | T2029 - | T2029 - Special med equip noswaiver | 01-10-2003 | 12/31/2999 |
| T2030 | T2030 - Assisted living waiver; per month | T2030 - | T2030 - Assist living waiver/month | 01-10-2003 | 12/31/2999 |
| T2031 | T2031 - Assisted living; waiver per diem | T2031 - | T2031 - Assist living waiver/diem | 01-10-2003 | 12/31/2999 |
| T2032 | T2032 - Residential care not otherwise specified (nos) waiver; per month | T2032 - | T2032 - Res care nos waiver/month | 01-10-2003 | 12/31/2999 |
| T2033 | T2033 - Residential care not otherwise specified (nos) waiver; per diem | T2033 - | T2033 - Res nos waiver per diem | 01-10-2003 | 12/31/2999 |
| T2034 | T2034 - Crisis intervention waiver; per diem | T2034 - | T2034 - Crisis interven waiver/diem | 01-10-2003 | 12/31/2999 |
| T2035 | T2035 - Utility services to support medical equipment and assistive technology/devices waiver | T2035 - | T2035 - Utility services waiver | 01-10-2003 | 12/31/2999 |
| T2036 | T2036 - Therapeutic camping overnight waiver; each session | T2036 - | T2036 - Camp overnite waiver/session | 01-10-2003 | 12/31/2999 |
| T2037 | T2037 - Therapeutic camping day waiver; each session | T2037 - | T2037 - Camp day waiver/session | 01-10-2003 | 12/31/2999 |
| T2038 | T2038 - Community transition waiver; per service | T2038 - | T2038 - Comm trans waiver/service | 01-10-2003 | 12/31/2999 |
| T2039 | T2039 - Vehicle modifications waiver; per service | T2039 - | T2039 - Vehicle mod waiver/service | 01-10-2003 | 12/31/2999 |
| T2040 | T2040 - Financial management self-directed waiver; per 15 minutes | T2040 - | T2040 - Financial mgt waiver/15min | 01-10-2003 | 12/31/2999 |
| T2041 | T2041 - Supports brokerage self-directed waiver; per 15 minutes | T2041 - | T2041 - Support broker waiver/15 min | 01-10-2003 | 12/31/2999 |
| T2042 | T2042 - Hospice routine home care; per diem | T2042 - | T2042 - Hospice routine home care | 01-10-2003 | 12/31/2999 |
| T2043 | T2043 - Hospice continuous home care; per hour | T2043 - | T2043 - Hospice continuous home care | 01-10-2003 | 12/31/2999 |
| T2044 | T2044 - Hospice inpatient respite care; per diem | T2044 - | T2044 - Hospice respite care | 01-10-2003 | 12/31/2999 |
| T2045 | T2045 - Hospice general inpatient care; per diem | T2045 - | T2045 - Hospice general care | 01-10-2003 | 12/31/2999 |
| T2046 | T2046 - Hospice long term care room and board only; per diem | T2046 - | T2046 - Hospice long term care r&b | 01-10-2003 | 12/31/2999 |
| T2047 | T2047 - Habilitation prevocational waiver; per 15 minutes | T2047 - | T2047 - Hab prevo waiver per 15 | 01-10-2020 | 12/31/2999 |
| T2048 | T2048 - Behavioral health; long-term care residential (non-acute care in a residential treatment program where stay is typically longer than 30 days) with room and board per diem | T2048 - | T2048 - Bh ltc res r&b per diem | 01-10-2003 | 12/31/2999 |
| T2049 | T2049 - NON-EMERGENCY TRANSPORTATION; STRETCHER VAN MILEAGE; PER MILE | T2049 - | T2049 - N-ET; stretcher van mileage | '07/01/2004 | 12/31/2999 |
| T2050 | T2050 - Financial management self-directed waiver; per diem | T2050 - | T2050 - Financial mgt waiver/diem | '04/01/2022 | 12/31/2999 |
| T2051 | T2051 - Supports brokerage self-directed waiver; per diem | T2051 - | T2051 - Support broker waiver/diem | '04/01/2022 | 12/31/2999 |
| T2101 | T2101 - Human breast milk processing storage and distribution only | T2101 - | T2101 - Breast milk proc/store/dist | '01/01/2004 | 12/31/2999 |
| T4521 | T4521 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER SMALL EACH | T4521 - | T4521 - Adult size brief/diaper sm | '01/01/2005 | 12/31/2999 |
| T4522 | T4522 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER MEDIUM EACH | T4522 - | T4522 - Adult size brief/diaper med | '01/01/2005 | 12/31/2999 |
| T4523 | T4523 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER LARGE EACH | T4523 - | T4523 - Adult size brief/diaper lg | '01/01/2005 | 12/31/2999 |
| T4524 | T4524 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER EXTRA LARGE EACH | T4524 - | T4524 - Adult size brief/diaper xl | '01/01/2005 | 12/31/2999 |
| T4525 | T4525 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON SMALL SIZE EACH | T4525 - | T4525 - Adult size pull-on sm | '01/01/2005 | 12/31/2999 |
| T4526 | T4526 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON MEDIUM SIZE EACH | T4526 - | T4526 - Adult size pull-on med | '01/01/2005 | 12/31/2999 |
| T4527 | T4527 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON LARGE SIZE EACH | T4527 - | T4527 - Adult size pull-on lg | '01/01/2005 | 12/31/2999 |
| T4528 | T4528 - ADULT SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON EXTRA LARGE SIZE EACH | T4528 - | T4528 - Adult size pull-on xl | '01/01/2005 | 12/31/2999 |
| T4529 | T4529 - PEDIATRIC SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER SMALL/MEDIUM SIZE EACH | T4529 - | T4529 - Ped size brief/diaper sm/med | '01/01/2005 | 12/31/2999 |
| T4530 | T4530 - PEDIATRIC SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER LARGE SIZE EACH | T4530 - | T4530 - Ped size brief/diaper lg | '01/01/2005 | 12/31/2999 |
| T4531 | T4531 - PEDIATRIC SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON SMALL/MEDIUM SIZE EACH | T4531 - | T4531 - Ped size pull-on sm/med | '01/01/2005 | 12/31/2999 |
| T4532 | T4532 - PEDIATRIC SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON LARGE SIZE EACH | T4532 - | T4532 - Ped size pull-on lg | '01/01/2005 | 12/31/2999 |
| T4533 | T4533 - YOUTH SIZED DISPOSABLE INCONTINENCE PRODUCT BRIEF/DIAPER EACH | T4533 - | T4533 - Youth size brief/diaper | '01/01/2005 | 12/31/2999 |
| T4534 | T4534 - YOUTH SIZED DISPOSABLE INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON EACH | T4534 - | T4534 - Youth size pull-on | '01/01/2005 | 12/31/2999 |
| T4535 | T4535 - DISPOSABLE LINER/SHIELD/GUARD/PAD/UNDERGARMENT FOR INCONTINENCE EACH | T4535 - | T4535 - Disposable liner/shield/pad | '01/01/2005 | 12/31/2999 |
| T4536 | T4536 - INCONTINENCE PRODUCT PROTECTIVE UNDERWEAR/PULL-ON REUSABLE ANY SIZE EACH | T4536 - | T4536 - Reusable pull-on any size | '01/01/2005 | 12/31/2999 |
| T4537 | T4537 - INCONTINENCE PRODUCT PROTECTIVE UNDERPAD REUSABLE BED SIZE EACH | T4537 - | T4537 - Reusable underpad bed size | '01/01/2005 | 12/31/2999 |
| T4538 | T4538 - DIAPER SERVICE REUSABLE DIAPER EACH DIAPER | T4538 - | T4538 - Diaper serv reusable diaper | '01/01/2005 | 12/31/2999 |
| T4539 | T4539 - INCONTINENCE PRODUCT DIAPER/BRIEF REUSABLE ANY SIZE EACH | T4539 - | T4539 - Reuse diaper/brief any size | '01/01/2005 | 12/31/2999 |
| T4540 | T4540 - INCONTINENCE PRODUCT PROTECTIVE UNDERPAD REUSABLE CHAIR SIZE EACH | T4540 - | T4540 - Reusable underpad chair size | '01/01/2005 | 12/31/2999 |
| T4541 | T4541 - INCONTINENCE PRODUCT DISPOSABLE UNDERPAD LARGE EACH | T4541 - | T4541 - Large disposable underpad | '01/01/2005 | 12/31/2999 |
| T4542 | T4542 - INCONTINENCE PRODUCT DISPOSABLE UNDERPAD SMALL SIZE EACH | T4542 - | T4542 - Small disposable underpad | '01/01/2005 | 12/31/2999 |
| T4543 | T4543 - Adult sized disposable incontinence product protective brief/diaper above extra large each | T4543 - | T4543 - Adult disp brief/diap abv xl | '01/01/2014 | 12/31/2999 |
| T4544 | T4544 - Adult sized disposable incontinence product protective underwear/pull-on above extra large each | T4544 - | T4544 - Adlt disp und/pull on abv xl | '01/01/2014 | 12/31/2999 |
| T4545 | T4545 - Incontinence product disposable penile wrap each | T4545 - | T4545 - Incon disposable penile wrap | '01/01/2019 | 12/31/2999 |
| T5001 | T5001 - POSITIONING SEAT FOR PERSONS WITH SPECIAL ORTHOPEDIC NEEDS | T5001 - | T5001 - Position seat spec orth need | '01/01/2007 | 12/31/2999 |
| T5999 | T5999 - Supply not otherwise specified | T5999 - | T5999 - Supply nos | '01/01/2004 | 12/31/2999 |
| U0001 | U0001 - Cdc 2019 novel coronavirus (2019-ncov) real-time rt-pcr diagnostic panel | U0001 - | U0001 - 2019-ncov diagnostic p | '02/04/2020 | 12/31/2999 |
| U0002 | U0002 - Non-CDC 2019-nCoV Coronavirus SARS-CoV-2/2019-nCoV (COVID-19) using any technique multiple types or subtypes (includes all targets). | U0002 - | U0002 - Covid-19 lab test non-cdc | '02/04/2020 | 12/31/2999 |
| U0003 | U0003 - Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (Coronavirus disease [COVID-19]) amplified probe technique making use of high throughput technologies as described by CMS-2020-01-R. | U0003 - | U0003 - SARS-COV-2 COVID-19 AMP PRB | '04/14/2020 | 12/31/2999 |
| U0004 | U0004 - 2019-nCoV Coronavirus SARS-CoV-2/2019-nCoV (COVID-19) any technique multiple types or subtypes (includes all targets) non-CDC making use of high throughput technologies as described by CMS-2020-01-R. | U0004 - | U0004 - Covid-19 lab test non-cdc | '04/14/2020 | 12/31/2999 |
| U0005 | U0005 - Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]) amplified probe technique cdc or non-cdc making use of high throughput technologies completed within 2 calendar days from date of specimen collection (list separately in addition to either hcpcs code u0003 or u0004) as described by cms-2020-01-r2 | U0005 - | U0005 - Infec agen detec ampli probe | '01/01/2021 | 12/31/2999 |
| V0100 | V0100 - EYE EXAM INCLUDING HISTORY; OPHTHALMO- SCOPY & TONOMETRY BY OPTOMETRIST | V0100 - | V0100 - | '01/01/1950 | 12/31/2999 |
| V0105 | V0105 - EYE EXAM (HISTORY/OPHTHALMOSCOPY/TONOM./VISUAL FIELDS/REFRACTION)OPHTHALMOLOGIST | V0105 - | V0105 - | '01/01/1950 | 12/31/2999 |
| V2020 | V2020 - Frames purchases | V2020 - | V2020 - Vision svcs frames purchases | 01-10-2003 | 12/31/2999 |
| V2025 | V2025 - Deluxe frame | V2025 - | V2025 - Eyeglasses delux frames | 01-10-2003 | 12/31/2999 |
| V2100 | V2100 - Sphere single vision plano to plus or minus 4. 00 per lens | V2100 - | V2100 - Lens spher single plano 4.00 | 01-10-2003 | 12/31/2999 |
| V2101 | V2101 - Sphere single vision plus or minus 4. 12 to plus or minus 7. 00d per lens | V2101 - | V2101 - Single visn sphere 4.12-7.00 | 01-10-2003 | 12/31/2999 |
| V2102 | V2102 - Sphere single vision plus or minus 7. 12 to plus or minus 20. 00d per lens | V2102 - | V2102 - Singl visn sphere 7.12-20.00 | 01-10-2003 | 12/31/2999 |
| V2103 | V2103 - Spherocylinder single vision plano to plus or minus 4. 00d sphere . 12 to 2. 00d cylinder per lens | V2103 - | V2103 - Spherocylindr 4.00d/12-2.00d | 01-10-2003 | 12/31/2999 |
| V2104 | V2104 - Spherocylinder single vision plano to plus or minus 4. 00d sphere 2. 12 to 4. 00d cylinder per lens | V2104 - | V2104 - Spherocylindr 4.00d/2.12-4d | 01-10-2003 | 12/31/2999 |
| V2105 | V2105 - Spherocylinder single vision plano to plus or minus 4. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2105 - | V2105 - Spherocylinder 4.00d/4.25-6d | 01-10-2003 | 12/31/2999 |
| V2106 | V2106 - Spherocylinder single vision plano to plus or minus 4. 00d sphere over 6. 00d cylinder per lens | V2106 - | V2106 - Spherocylinder 4.00d/>6.00d | 01-10-2003 | 12/31/2999 |
| V2107 | V2107 - Spherocylinder single vision plus or minus 4. 25 to plus or minus 7. 00 sphere . 12 to 2. 00d cylinder per lens | V2107 - | V2107 - Spherocylinder 4.25d/12-2d | 01-10-2003 | 12/31/2999 |
| V2108 | V2108 - Spherocylinder single vision plus or minus 4. 25d to plus or minus 7. 00d sphere 2. 12 to 4. 00d cylinder per lens | V2108 - | V2108 - Spherocylinder 4.25d/2.12-4d | 01-10-2003 | 12/31/2999 |
| V2109 | V2109 - Spherocylinder single vision plus or minus 4. 25 to plus or minus 7. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2109 - | V2109 - Spherocylinder 4.25d/4.25-6d | 01-10-2003 | 12/31/2999 |
| V2110 | V2110 - Spherocylinder single vision plus or minus 4. 25 to 7. 00d sphere over 6. 00d cylinder per lens | V2110 - | V2110 - Spherocylinder 4.25d/over 6d | 01-10-2003 | 12/31/2999 |
| V2111 | V2111 - Spherocylinder single vision plus or minus 7. 25 to plus or minus 12. 00d sphere . 25 to 2. 25d cylinder per lens | V2111 - | V2111 - Spherocylindr 7.25d/.25-2.25 | 01-10-2003 | 12/31/2999 |
| V2112 | V2112 - Spherocylinder single vision plus or minus 7. 25 to plus or minus 12. 00d sphere 2. 25d to 4. 00d cylinder per lens | V2112 - | V2112 - Spherocylindr 7.25d/2.25-4d | 01-10-2003 | 12/31/2999 |
| V2113 | V2113 - Spherocylinder single vision plus or minus 7. 25 to plus or minus 12. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2113 - | V2113 - Spherocylindr 7.25d/4.25-6d | 01-10-2003 | 12/31/2999 |
| V2114 | V2114 - Spherocylinder single vision sphere over plus or minus 12. 00d per lens | V2114 - | V2114 - Spherocylinder over 12.00d | 01-10-2003 | 12/31/2999 |
| V2115 | V2115 - Lenticular (myodisc) per lens single vision | V2115 - | V2115 - Lens lenticular bifocal | 01-10-2003 | 12/31/2999 |
| V2118 | V2118 - Aniseikonic lens single vision | V2118 - | V2118 - Lens aniseikonic single | 01-10-2003 | 12/31/2999 |
| V2121 | V2121 - Lenticular lens per lens single | V2121 - | V2121 - Lenticular lens single | '01/01/2004 | 12/31/2999 |
| V2199 | V2199 - Not otherwise classified single vision lens | V2199 - | V2199 - Lens single vision not oth c | 01-10-2003 | 12/31/2999 |
| V2200 | V2200 - Sphere bifocal plano to plus or minus 4. 00d per lens | V2200 - | V2200 - Lens spher bifoc plano 4.00d | 01-10-2003 | 12/31/2999 |
| V2201 | V2201 - Sphere bifocal plus or minus 4. 12 to plus or minus 7. 00d per lens | V2201 - | V2201 - Lens sphere bifocal 4.12-7.0 | 01-10-2003 | 12/31/2999 |
| V2202 | V2202 - Sphere bifocal plus or minus 7. 12 to plus or minus 20. 00d per lens | V2202 - | V2202 - Lens sphere bifocal 7.12-20. | 01-10-2003 | 12/31/2999 |
| V2203 | V2203 - Spherocylinder bifocal plano to plus or minus 4. 00d sphere . 12 to 2. 00d cylinder per lens | V2203 - | V2203 - Lens sphcyl bifocal 4.00d/.1 | 01-10-2003 | 12/31/2999 |
| V2204 | V2204 - Spherocylinder bifocal plano to plus or minus 4. 00d sphere 2. 12 to 4. 00d cylinder per lens | V2204 - | V2204 - Lens sphcy bifocal 4.00d/2.1 | 01-10-2003 | 12/31/2999 |
| V2205 | V2205 - Spherocylinder bifocal plano to plus or minus 4. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2205 - | V2205 - Lens sphcy bifocal 4.00d/4.2 | 01-10-2003 | 12/31/2999 |
| V2206 | V2206 - Spherocylinder bifocal plano to plus or minus 4. 00d sphere over 6. 00d cylinder per lens | V2206 - | V2206 - Lens sphcy bifocal 4.00d/ove | 01-10-2003 | 12/31/2999 |
| V2207 | V2207 - Spherocylinder bifocal plus or minus 4. 25 to plus or minus 7. 00d sphere . 12 to 2. 00d cylinder per lens | V2207 - | V2207 - Lens sphcy bifocal 4.25-7d/. | 01-10-2003 | 12/31/2999 |
| V2208 | V2208 - Spherocylinder bifocal plus or minus 4. 25 to plus or minus 7. 00d sphere 2. 12 to 4. 00d cylinder per lens | V2208 - | V2208 - Lens sphcy bifocal 4.25-7/2. | 01-10-2003 | 12/31/2999 |
| V2209 | V2209 - Spherocylinder bifocal plus or minus 4. 25 to plus or minus 7. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2209 - | V2209 - Lens sphcy bifocal 4.25-7/4. | 01-10-2003 | 12/31/2999 |
| V2210 | V2210 - Spherocylinder bifocal plus or minus 4. 25 to plus or minus 7. 00d sphere over 6. 00d cylinder per lens | V2210 - | V2210 - Lens sphcy bifocal 4.25-7/ov | 01-10-2003 | 12/31/2999 |
| V2211 | V2211 - Spherocylinder bifocal plus or minus 7. 25 to plus or minus 12. 00d sphere . 25 to 2. 25d cylinder per lens | V2211 - | V2211 - Lens sphcy bifo 7.25-12/.25- | 01-10-2003 | 12/31/2999 |
| V2212 | V2212 - Spherocylinder bifocal plus or minus 7. 25 to plus or minus 12. 00d sphere 2. 25 to 4. 00d cylinder per lens | V2212 - | V2212 - Lens sphcyl bifo 7.25-12/2.2 | 01-10-2003 | 12/31/2999 |
| V2213 | V2213 - Spherocylinder bifocal plus or minus 7. 25 to plus or minus 12. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2213 - | V2213 - Lens sphcyl bifo 7.25-12/4.2 | 01-10-2003 | 12/31/2999 |
| V2214 | V2214 - Spherocylinder bifocal sphere over plus or minus 12. 00d per lens | V2214 - | V2214 - Lens sphcyl bifocal over 12. | 01-10-2003 | 12/31/2999 |
| V2215 | V2215 - Lenticular (myodisc) per lens bifocal | V2215 - | V2215 - Lens lenticular bifocal | 01-10-2003 | 12/31/2999 |
| V2218 | V2218 - Aniseikonic per lens bifocal | V2218 - | V2218 - Lens aniseikonic bifocal | 01-10-2003 | 12/31/2999 |
| V2219 | V2219 - Bifocal seg width over 28mm | V2219 - | V2219 - Lens bifocal seg width over | 01-10-2003 | 12/31/2999 |
| V2220 | V2220 - Bifocal add over 3. 25d | V2220 - | V2220 - Lens bifocal add over 3.25d | 01-10-2003 | 12/31/2999 |
| V2221 | V2221 - Lenticular lens per lens bifocal | V2221 - | V2221 - Lenticular lens bifocal | '01/01/2004 | 12/31/2999 |
| V2299 | V2299 - Specialty bifocal (by report) | V2299 - | V2299 - Lens bifocal speciality | 01-10-2003 | 12/31/2999 |
| V2300 | V2300 - Sphere trifocal plano to plus or minus 4. 00d per lens | V2300 - | V2300 - Lens sphere trifocal 4.00d | 01-10-2003 | 12/31/2999 |
| V2301 | V2301 - Sphere trifocal plus or minus 4. 12 to plus or minus 7. 00d per lens | V2301 - | V2301 - Lens sphere trifocal 4.12-7. | 01-10-2003 | 12/31/2999 |
| V2302 | V2302 - Sphere trifocal plus or minus 7. 12 to plus or minus 20. 00 per lens | V2302 - | V2302 - Lens sphere trifocal 7.12-20 | 01-10-2003 | 12/31/2999 |
| V2303 | V2303 - Spherocylinder trifocal plano to plus or minus 4. 00d sphere . 12-2. 00d cylinder per lens | V2303 - | V2303 - Lens sphcy trifocal 4.0/.12- | 01-10-2003 | 12/31/2999 |
| V2304 | V2304 - Spherocylinder trifocal plano to plus or minus 4. 00d sphere 2. 25-4. 00d cylinder per lens | V2304 - | V2304 - Lens sphcy trifocal 4.0/2.25 | 01-10-2003 | 12/31/2999 |
| V2305 | V2305 - Spherocylinder trifocal plano to plus or minus 4. 00d sphere 4. 25 to 6. 00 cylinder per lens | V2305 - | V2305 - Lens sphcy trifocal 4.0/4.25 | 01-10-2003 | 12/31/2999 |
| V2306 | V2306 - Spherocylinder trifocal plano to plus or minus 4. 00d sphere over 6. 00d cylinder per lens | V2306 - | V2306 - Lens sphcyl trifocal 4.00/>6 | 01-10-2003 | 12/31/2999 |
| V2307 | V2307 - Spherocylinder trifocal plus or minus 4. 25 to plus or minus 7. 00d sphere . 12 to 2. 00d cylinder per lens | V2307 - | V2307 - Lens sphcy trifocal 4.25-7/. | 01-10-2003 | 12/31/2999 |
| V2308 | V2308 - Spherocylinder trifocal plus or minus 4. 25 to plus or minus 7. 00d sphere 2. 12 to 4. 00d cylinder per lens | V2308 - | V2308 - Lens sphc trifocal 4.25-7/2. | 01-10-2003 | 12/31/2999 |
| V2309 | V2309 - Spherocylinder trifocal plus or minus 4. 25 to plus or minus 7. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2309 - | V2309 - Lens sphc trifocal 4.25-7/4. | 01-10-2003 | 12/31/2999 |
| V2310 | V2310 - Spherocylinder trifocal plus or minus 4. 25 to plus or minus 7. 00d sphere over 6. 00d cylinder per lens | V2310 - | V2310 - Lens sphc trifocal 4.25-7/>6 | 01-10-2003 | 12/31/2999 |
| V2311 | V2311 - Spherocylinder trifocal plus or minus 7. 25 to plus or minus 12. 00d sphere . 25 to 2. 25d cylinder per lens | V2311 - | V2311 - Lens sphc trifo 7.25-12/.25- | 01-10-2003 | 12/31/2999 |
| V2312 | V2312 - Spherocylinder trifocal plus or minus 7. 25 to plus or minus 12. 00d sphere 2. 25 to 4. 00d cylinder per lens | V2312 - | V2312 - Lens sphc trifo 7.25-12/2.25 | 01-10-2003 | 12/31/2999 |
| V2313 | V2313 - Spherocylinder trifocal plus or minus 7. 25 to plus or minus 12. 00d sphere 4. 25 to 6. 00d cylinder per lens | V2313 - | V2313 - Lens sphc trifo 7.25-12/4.25 | 01-10-2003 | 12/31/2999 |
| V2314 | V2314 - Spherocylinder trifocal sphere over plus or minus 12. 00d per lens | V2314 - | V2314 - Lens sphcyl trifocal over 12 | 01-10-2003 | 12/31/2999 |
| V2315 | V2315 - Lenticular (myodisc) per lens trifocal | V2315 - | V2315 - Lens lenticular trifocal | 01-10-2003 | 12/31/2999 |
| V2318 | V2318 - Aniseikonic lens trifocal | V2318 - | V2318 - Lens aniseikonic trifocal | 01-10-2003 | 12/31/2999 |
| V2319 | V2319 - Trifocal seg width over 28 mm | V2319 - | V2319 - Lens trifocal seg width > 28 | 01-10-2003 | 12/31/2999 |
| V2320 | V2320 - Trifocal add over 3. 25d | V2320 - | V2320 - Lens trifocal add over 3.25d | 01-10-2003 | 12/31/2999 |
| V2321 | V2321 - Lenticular lens per lens trifocal | V2321 - | V2321 - Lenticular lens trifocal | '01/01/2004 | 12/31/2999 |
| V2399 | V2399 - Specialty trifocal (by report) | V2399 - | V2399 - Lens trifocal speciality | 01-10-2003 | 12/31/2999 |
| V2410 | V2410 - Variable asphericity lens single vision full field glass or plastic per lens | V2410 - | V2410 - Lens variab asphericity sing | 01-10-2003 | 12/31/2999 |
| V2430 | V2430 - Variable asphericity lens bifocal full field glass or plastic per lens | V2430 - | V2430 - Lens variable asphericity bi | 01-10-2003 | 12/31/2999 |
| V2499 | V2499 - Variable sphericity lens other type | V2499 - | V2499 - Variable asphericity lens | 01-10-2003 | 12/31/2999 |
| V2500 | V2500 - Contact lens pmma spherical per lens | V2500 - | V2500 - Contact lens pmma spherical | 01-10-2003 | 12/31/2999 |
| V2501 | V2501 - Contact lens pmma toric or prism ballast per lens | V2501 - | V2501 - Cntct lens pmma-toric/prism | 01-10-2003 | 12/31/2999 |
| V2502 | V2502 - Contact lens pmma bifocal per lens | V2502 - | V2502 - Contact lens pmma bifocal | 01-10-2003 | 12/31/2999 |
| V2503 | V2503 - Contact lens pmma color vision deficiency per lens | V2503 - | V2503 - Cntct lens pmma color vision | 01-10-2003 | 12/31/2999 |
| V2510 | V2510 - Contact lens gas permeable spherical per lens | V2510 - | V2510 - Cntct gas permeable sphericl | 01-10-2003 | 12/31/2999 |
| V2511 | V2511 - Contact lens gas permeable toric prism ballast per lens | V2511 - | V2511 - Cntct toric prism ballast | 01-10-2003 | 12/31/2999 |
| V2512 | V2512 - Contact lens gas permeable bifocal per lens | V2512 - | V2512 - Cntct lens gas permbl bifocl | 01-10-2003 | 12/31/2999 |
| V2513 | V2513 - Contact lens gas permeable extended wear per lens | V2513 - | V2513 - Contact lens extended wear | 01-10-2003 | 12/31/2999 |
| V2520 | V2520 - Contact lens hydrophilic spherical per lens | V2520 - | V2520 - Contact lens hydrophilic | 01-10-2003 | 12/31/2999 |
| V2521 | V2521 - Contact lens hydrophilic toric or prism ballast per lens | V2521 - | V2521 - Cntct lens hydrophilic toric | 01-10-2003 | 12/31/2999 |
| V2522 | V2522 - Contact lens hydrophillic bifocal per lens | V2522 - | V2522 - Cntct lens hydrophil bifocl | 01-10-2003 | 12/31/2999 |
| V2523 | V2523 - Contact lens hydrophilic extended wear per lens | V2523 - | V2523 - Cntct lens hydrophil extend | 01-10-2003 | 12/31/2999 |
| V2524 | V2524 - Contact lens hydrophilic spherical photochromic additive per lens | V2524 - | V2524 - Cntct lens hydrophil photoch | 01-10-2020 | 12/31/2999 |
| V2525 | V2525 - Contact lens hydrophilic dual focus per lens | V2525 - | V2525 - Cl hydrophilic dual focus | '04/01/2022 | 12/31/2999 |
| V2530 | V2530 - Contact lens scleral gas impermeable per lens (for contact lens modification see 92325) | V2530 - | V2530 - Contact lens gas impermeable | 01-10-2003 | 12/31/2999 |
| V2531 | V2531 - Contact lens scleral gas permeable per lens (for contact lens modification see 92325) | V2531 - | V2531 - Contact lens gas permeable | 01-10-2003 | 12/31/2999 |
| V2599 | V2599 - Contact lens other type | V2599 - | V2599 - Contact lens/es other type | 01-10-2003 | 12/31/2999 |
| V2600 | V2600 - Hand held low vision aids and other nonspectacle mounted aids | V2600 - | V2600 - Hand held low vision aids | 01-10-2003 | 12/31/2999 |
| V2610 | V2610 - Single lens spectacle mounted low vision aids | V2610 - | V2610 - Single lens spectacle mount | 01-10-2003 | 12/31/2999 |
| V2615 | V2615 - Telescopic and other compound lens system including distance vision telescopic near vision telescopes and compound microscopic lens system | V2615 - | V2615 - Telescop/othr compound lens | 01-10-2003 | 12/31/2999 |
| V2623 | V2623 - Prosthetic eye plastic custom | V2623 - | V2623 - Plastic eye prosth custom | 01-10-2003 | 12/31/2999 |
| V2624 | V2624 - Polishing/resurfacing of ocular prosthesis | V2624 - | V2624 - Polishing artifical eye | 01-10-2003 | 12/31/2999 |
| V2625 | V2625 - Enlargement of ocular prosthesis | V2625 - | V2625 - Enlargemnt of eye prosthesis | 01-10-2003 | 12/31/2999 |
| V2626 | V2626 - Reduction of ocular prosthesis | V2626 - | V2626 - Reduction of eye prosthesis | 01-10-2003 | 12/31/2999 |
| V2627 | V2627 - Scleral cover shell | V2627 - | V2627 - Scleral cover shell | 01-10-2003 | 12/31/2999 |
| V2628 | V2628 - Fabrication and fitting of ocular conformer | V2628 - | V2628 - Fabrication & fitting | 01-10-2003 | 12/31/2999 |
| V2629 | V2629 - Prosthetic eye other type | V2629 - | V2629 - Prosthetic eye other type | 01-10-2003 | 12/31/2999 |
| V2630 | V2630 - Anterior chamber intraocular lens | V2630 - | V2630 - Anter chamber intraocul lens | 01-10-2003 | 12/31/2999 |
| V2631 | V2631 - Iris supported intraocular lens | V2631 - | V2631 - Iris support intraoclr lens | 01-10-2003 | 12/31/2999 |
| V2632 | V2632 - Posterior chamber intraocular lens | V2632 - | V2632 - Post chmbr intraocular lens | 01-10-2003 | 12/31/2999 |
| V2700 | V2700 - Balance lens per lens | V2700 - | V2700 - Balance lens | 01-10-2003 | 12/31/2999 |
| V2702 | V2702 - DELUXE LENS FEATURE | V2702 - | V2702 - Deluxe lens feature | '01/01/2005 | 12/31/2999 |
| V2710 | V2710 - Slab off prism glass or plastic per lens | V2710 - | V2710 - Glass/plastic slab off prism | 01-10-2003 | 12/31/2999 |
| V2715 | V2715 - Prism per lens | V2715 - | V2715 - Prism lens/es | 01-10-2003 | 12/31/2999 |
| V2718 | V2718 - Press-on lens fresnell prism per lens | V2718 - | V2718 - Fresnell prism press-on lens | 01-10-2003 | 12/31/2999 |
| V2730 | V2730 - Special base curve glass or plastic per lens | V2730 - | V2730 - Special base curve | 01-10-2003 | 12/31/2999 |
| V2744 | V2744 - Tint photochromatic per lens | V2744 - | V2744 - Tint photochromatic lens/es | 01-10-2003 | 12/31/2999 |
| V2745 | V2745 - Addition to lens; tint any color solid gradient or equal excludes photochromatic any lens material per lens | V2745 - | V2745 - Tint any color/solid/grad | '01/01/2005 | 12/31/2999 |
| V2750 | V2750 - Anti-reflective coating per lens | V2750 - | V2750 - Anti-reflective coating | 01-10-2003 | 12/31/2999 |
| V2755 | V2755 - U-v lens per lens | V2755 - | V2755 - UV lens/es | 01-10-2003 | 12/31/2999 |
| V2756 | V2756 - Eye glass case | V2756 - | V2756 - Eye glass case | '01/01/2007 | 12/31/2999 |
| V2760 | V2760 - Scratch resistant coating per lens | V2760 - | V2760 - Scratch resistant coating | 01-10-2003 | 12/31/2999 |
| V2761 | V2761 - Mirror coating any type solid gradient or equal any lens material per lens | V2761 - | V2761 - Mirror coating | '01/01/2004 | 12/31/2999 |
| V2762 | V2762 - Polarization any lens material per lens | V2762 - | V2762 - Polarization any lens | '01/01/2004 | 12/31/2999 |
| V2770 | V2770 - Occluder lens per lens | V2770 - | V2770 - Occluder lens/es | 01-10-2003 | 12/31/2999 |
| V2780 | V2780 - Oversize lens per lens | V2780 - | V2780 - Oversize lens/es | 01-10-2003 | 12/31/2999 |
| V2781 | V2781 - Progressive lens per lens | V2781 - | V2781 - Progressive lens per lens | 01-10-2003 | 12/31/2999 |
| V2782 | V2782 - Lens index 1. 54 to 1. 65 plastic or 1. 60 to 1. 79 glass excludes polycarbonate per lens | V2782 - | V2782 - Lens 1.54-1.65 p/1.60-1.79g | '01/01/2004 | 12/31/2999 |
| V2783 | V2783 - Lens index greater than or equal to 1. 66 plastic or greater than or equal to 1. 80 glass excludes polycarbonate per lens | V2783 - | V2783 - Lens >= 1.66 p/>=1.80 g | '01/01/2004 | 12/31/2999 |
| V2784 | V2784 - Lens polycarbonate or equal any index per lens | V2784 - | V2784 - Lens polycarb or equal | '01/01/2004 | 12/31/2999 |
| V2785 | V2785 - PROCESSING PRESERVING AND TRANSPORTING CORNEAL TISSUE | V2785 - | V2785 - | '05/01/2009 | 12/31/2999 |
| V2786 | V2786 - Specialty occupational multifocal lens per lens | V2786 - | V2786 - Occupational multifocal lens | '01/01/2004 | 12/31/2999 |
| V2787 | V2787 - ASTIGMATISM CORRECTING FUNCTION OF INTRAOCULAR LENS | V2787 - | V2787 - Astigmatism-correct function | '01/01/2008 | 12/31/2999 |
| V2788 | V2788 - PRESBYOPIA CORRECTING FUNCTION OF INTRAOCULAR LENS | V2788 - | V2788 - Presbyopia-correct function | '01/01/2006 | 12/31/2999 |
| V2790 | V2790 - Amniotic membrane for surgical reconstruction per procedure | V2790 - | V2790 - Amniotic membrane | 01-10-2003 | 12/31/2999 |
| V2797 | V2797 - Vision supply accessory and/or service component of another hcpcs vision code | V2797 - | V2797 - Vis item/svc in other code | '01/01/2004 | 12/31/2999 |
| V2799 | V2799 - Vision item or service miscellaneous | V2799 - | V2799 - Misc vision item or service | '01/01/2015 | 12/31/2999 |
| V5008 | V5008 - Hearing screening | V5008 - | V5008 - Hearing screening | '01/01/1995 | 12/31/2999 |
| V5010 | V5010 - Assessment for hearing aid | V5010 - | V5010 - Assessment for hearing aid | '01/01/1995 | 12/31/2999 |
| V5011 | V5011 - Fitting/orientation/checking of hearing aid | V5011 - | V5011 - Hearing aid fitting/checking | '01/01/1995 | 12/31/2999 |
| V5014 | V5014 - Repair/modification of a hearing aid | V5014 - | V5014 - Hearing aid repair/modifying | '01/01/1995 | 12/31/2999 |
| V5020 | V5020 - Conformity evaluation | V5020 - | V5020 - Conformity evaluation | '01/01/1995 | 12/31/2999 |
| V5030 | V5030 - Hearing aid monaural body worn air conduction | V5030 - | V5030 - Body-worn hearing aid air | '01/01/1995 | 12/31/2999 |
| V5040 | V5040 - Hearing aid monaural body worn bone conduction | V5040 - | V5040 - Body-worn hearing aid bone | '01/01/1995 | 12/31/2999 |
| V5050 | V5050 - Hearing aid monaural in the ear | V5050 - | V5050 - Hearing aid monaural in ear | '01/01/2001 | 12/31/2999 |
| V5060 | V5060 - Hearing aid monaural behind the ear | V5060 - | V5060 - Behind ear hearing aid | '01/01/1995 | 12/31/2999 |
| V5070 | V5070 - Glasses air conduction | V5070 - | V5070 - Glasses air conduction | '01/01/1995 | 12/31/2999 |
| V5080 | V5080 - Glasses bone conduction | V5080 - | V5080 - Glasses bone conduction | '01/01/1995 | 12/31/2999 |
| V5090 | V5090 - Dispensing fee unspecified hearing aid | V5090 - | V5090 - Hearing aid dispensing fee | '01/01/1995 | 12/31/2999 |
| V5095 | V5095 - Semi-implantable middle ear hearing prosthesis | V5095 - | V5095 - Implant mid ear hearing pros | '01/01/2003 | 12/31/2999 |
| V5100 | V5100 - Hearing aid bilateral body worn | V5100 - | V5100 - Body-worn bilat hearing aid | '01/01/1995 | 12/31/2999 |
| V5110 | V5110 - Dispensing fee bilateral | V5110 - | V5110 - Hearing aid dispensing fee | '01/01/1995 | 12/31/2999 |
| V5120 | V5120 - Binaural body | V5120 - | V5120 - Body-worn binaur hearing aid | '01/01/1995 | 12/31/2999 |
| V5130 | V5130 - Binaural in the ear | V5130 - | V5130 - In ear binaural hearing aid | '01/01/1995 | 12/31/2999 |
| V5140 | V5140 - Binaural behind the ear | V5140 - | V5140 - Behind ear binaur hearing ai | '01/01/1995 | 12/31/2999 |
| V5150 | V5150 - Binaural glasses | V5150 - | V5150 - Glasses binaural hearing aid | '01/01/1995 | 12/31/2999 |
| V5160 | V5160 - Dispensing fee binaural | V5160 - | V5160 - Dispensing fee binaural | '01/01/1995 | 12/31/2999 |
| V5171 | V5171 - Hearing aid contralateral routing device monaural in the ear (ite) | V5171 - | V5171 - Hearing aid monaural ite | '01/01/2019 | 12/31/2999 |
| V5172 | V5172 - Hearing aid contralateral routing device monaural in the canal (itc) | V5172 - | V5172 - Hearing aid monaural itc | '01/01/2019 | 12/31/2999 |
| V5181 | V5181 - Hearing aid contralateral routing device monaural behind the ear (bte) | V5181 - | V5181 - Hearing aid monaural bte | '01/01/2019 | 12/31/2999 |
| V5190 | V5190 - Hearing aid contralateral routing monaural glasses | V5190 - | V5190 - Hearing aid monaural glasses | '01/01/2019 | 12/31/2999 |
| V5200 | V5200 - Dispensing fee contralateral monaural | V5200 - | V5200 - Disp fee contralateral monau | '01/01/2019 | 12/31/2999 |
| V5211 | V5211 - Hearing aid contralateral routing system binaural ite/ite | V5211 - | V5211 - Hearing aid binaural ite/ite | '01/01/2019 | 12/31/2999 |
| V5212 | V5212 - Hearing aid contralateral routing system binaural ite/itc | V5212 - | V5212 - Hearing aid binaural ite/itc | '01/01/2019 | 12/31/2999 |
| V5213 | V5213 - Hearing aid contralateral routing system binaural ite/bte | V5213 - | V5213 - Hearing aid binaural ite/bte | '01/01/2019 | 12/31/2999 |
| V5214 | V5214 - Hearing aid contralateral routing system binaural itc/itc | V5214 - | V5214 - Hearing aid binaural itc/itc | '01/01/2019 | 12/31/2999 |
| V5215 | V5215 - Hearing aid contralateral routing system binaural itc/bte | V5215 - | V5215 - Hearing aid binaural itc/bte | '01/01/2019 | 12/31/2999 |
| V5221 | V5221 - Hearing aid contralateral routing system binaural bte/bte | V5221 - | V5221 - Hearing aid binaural bte/bte | '01/01/2019 | 12/31/2999 |
| V5230 | V5230 - Hearing aid contralateral routing system binaural glasses | V5230 - | V5230 - Hearing aid binaural glasses | '01/01/2019 | 12/31/2999 |
| V5240 | V5240 - Dispensing fee contralateral routing system binaural | V5240 - | V5240 - Disp fee contralateral binau | '01/01/2019 | 12/31/2999 |
| V5241 | V5241 - Dispensing fee monaural hearing aid any type | V5241 - | V5241 - Dispensing fee monaural | '01/01/2002 | 12/31/2999 |
| V5242 | V5242 - Hearing aid analog monaural cic (completely in the ear canal) | V5242 - | V5242 - Hearing aid monaural cic | '01/01/2002 | 12/31/2999 |
| V5243 | V5243 - Hearing aid analog monaural itc (in the canal) | V5243 - | V5243 - Hearing aid monaural itc | '01/01/2002 | 12/31/2999 |
| V5244 | V5244 - Hearing aid digitally programmable analog monaural cic | V5244 - | V5244 - Hearing aid prog mon cic | '01/01/2002 | 12/31/2999 |
| V5245 | V5245 - Hearing aid digitally programmable analog monaural itc | V5245 - | V5245 - Hearing aid prog mon itc | '01/01/2002 | 12/31/2999 |
| V5246 | V5246 - Hearing aid digitally programmable analog monaural ite (in the ear) | V5246 - | V5246 - Hearing aid prog mon ite | '01/01/2002 | 12/31/2999 |
| V5247 | V5247 - Hearing aid digitally programmable analog monaural bte (behind the ear) | V5247 - | V5247 - Hearing aid prog mon bte | '01/01/2002 | 12/31/2999 |
| V5248 | V5248 - Hearing aid analog binaural cic | V5248 - | V5248 - Hearing aid binaural cic | '01/01/2002 | 12/31/2999 |
| V5249 | V5249 - Hearing aid analog binaural itc | V5249 - | V5249 - Hearing aid binaural itc | '01/01/2002 | 12/31/2999 |
| V5250 | V5250 - Hearing aid digitally programmable analog binaural cic | V5250 - | V5250 - Hearing aid prog bin cic | '01/01/2002 | 12/31/2999 |
| V5251 | V5251 - Hearing aid digitally programmable analog binaural itc | V5251 - | V5251 - Hearing aid prog bin itc | '01/01/2002 | 12/31/2999 |
| V5252 | V5252 - Hearing aid digitally programmable binaural ite | V5252 - | V5252 - Hearing aid prog bin ite | '01/01/2002 | 12/31/2999 |
| V5253 | V5253 - Hearing aid digitally programmable binaural bte | V5253 - | V5253 - Hearing aid prog bin bte | '01/01/2002 | 12/31/2999 |
| V5254 | V5254 - Hearing aid digital monaural cic | V5254 - | V5254 - Hearing id digit mon cic | '01/01/2002 | 12/31/2999 |
| V5255 | V5255 - Hearing aid digital monaural itc | V5255 - | V5255 - Hearing aid digit mon itc | '01/01/2002 | 12/31/2999 |
| V5256 | V5256 - Hearing aid digital monaural ite | V5256 - | V5256 - Hearing aid digit mon ite | '01/01/2002 | 12/31/2999 |
| V5257 | V5257 - Hearing aid digital monaural bte | V5257 - | V5257 - Hearing aid digit mon bte | '01/01/2002 | 12/31/2999 |
| V5258 | V5258 - Hearing aid digital binaural cic | V5258 - | V5258 - Hearing aid digit bin cic | '01/01/2002 | 12/31/2999 |
| V5259 | V5259 - Hearing aid digital binaural itc | V5259 - | V5259 - Hearing aid digit bin itc | '01/01/2002 | 12/31/2999 |
| V5260 | V5260 - Hearing aid digital binaural ite | V5260 - | V5260 - Hearing aid digit bin ite | '01/01/2002 | 12/31/2999 |
| V5261 | V5261 - Hearing aid digital binaural bte | V5261 - | V5261 - Hearing aid digit bin bte | '01/01/2002 | 12/31/2999 |
| V5262 | V5262 - Hearing aid disposable any type monaural | V5262 - | V5262 - Hearing aid disp monaural | '01/01/2002 | 12/31/2999 |
| V5263 | V5263 - Hearing aid disposable any type binaural | V5263 - | V5263 - Hearing aid disp binaural | '01/01/2002 | 12/31/2999 |
| V5264 | V5264 - Ear mold/insert not disposable any type | V5264 - | V5264 - Ear mold/insert | '01/01/2002 | 12/31/2999 |
| V5265 | V5265 - Ear mold/insert disposable any type | V5265 - | V5265 - Ear mold/insert disp | '01/01/2002 | 12/31/2999 |
| V5266 | V5266 - Battery for use in hearing device | V5266 - | V5266 - Battery for hearing device | '01/01/2002 | 12/31/2999 |
| V5267 | V5267 - Hearing aid or assistive listening device/supplies/accessories not otherwise specified | V5267 - | V5267 - Hearing aid sup/access/dev | '01/01/2013 | 12/31/2999 |
| V5268 | V5268 - Assistive listening device telephone amplifier any type | V5268 - | V5268 - ALD Telephone Amplifier | '01/01/2002 | 12/31/2999 |
| V5269 | V5269 - Assistive listening device alerting any type | V5269 - | V5269 - Alerting device any type | '01/01/2002 | 12/31/2999 |
| V5270 | V5270 - Assistive listening device television amplifier any type | V5270 - | V5270 - ALD TV amplifier any type | '01/01/2002 | 12/31/2999 |
| V5271 | V5271 - Assistive listening device television caption decoder | V5271 - | V5271 - ALD TV caption decoder | '01/01/2002 | 12/31/2999 |
| V5272 | V5272 - Assistive listening device tdd | V5272 - | V5272 - Tdd | '01/01/2002 | 12/31/2999 |
| V5273 | V5273 - Assistive listening device for use with cochlear implant | V5273 - | V5273 - ALD for cochlear implant | '01/01/2002 | 12/31/2999 |
| V5274 | V5274 - Assistive listening device not otherwise specified | V5274 - | V5274 - ALD unspecified | '01/01/2002 | 12/31/2999 |
| V5275 | V5275 - Ear impression each | V5275 - | V5275 - Ear impression | '01/01/2002 | 12/31/2999 |
| V5281 | V5281 - Assistive listening device personal fm/dm system monaural (1 receiver transmitter microphone) any type | V5281 - | V5281 - Ald fm/dm system monaural | '01/01/2013 | 12/31/2999 |
| V5282 | V5282 - Assistive listening device personal fm/dm system binaural (2 receivers transmitter microphone) any type | V5282 - | V5282 - Ald fm/dm system binaural | '01/01/2013 | 12/31/2999 |
| V5283 | V5283 - Assistive listening device personal fm/dm neck loop induction receiver | V5283 - | V5283 - Ald neck loop ind receiver | '01/01/2013 | 12/31/2999 |
| V5284 | V5284 - Assistive listening device personal fm/dm ear level receiver | V5284 - | V5284 - Ald FM/DM ear level receiver | '01/01/2013 | 12/31/2999 |
| V5285 | V5285 - Assistive listening device personal fm/dm direct audio input receiver | V5285 - | V5285 - Ald fm/dm aud input receiver | '01/01/2013 | 12/31/2999 |
| V5286 | V5286 - Assistive listening device personal blue tooth fm/dm receiver | V5286 - | V5286 - Ald blu tooth fm/dm receiver | '01/01/2013 | 12/31/2999 |
| V5287 | V5287 - Assistive listening device personal fm/dm receiver not otherwise specified | V5287 - | V5287 - Ald fm/dm receiver NOS | '01/01/2013 | 12/31/2999 |
| V5288 | V5288 - Assistive listening device personal fm/dm transmitter assistive listening device | V5288 - | V5288 - Ald fm/dm transmitter ald | '01/01/2013 | 12/31/2999 |
| V5289 | V5289 - Assistive listening device personal fm/dm adapter/boot coupling device for receiver any type | V5289 - | V5289 - Ald fm/dm adapt/boot couplin | '01/01/2013 | 12/31/2999 |
| V5290 | V5290 - Assistive listening device transmitter microphone any type | V5290 - | V5290 - Ald transmitter microphone | '01/01/2013 | 12/31/2999 |
| V5298 | V5298 - Hearing aid not otherwise classified | V5298 - | V5298 - Hearing aid noc | '01/01/2003 | 12/31/2999 |
| V5299 | V5299 - Hearing service miscellaneous | V5299 - | V5299 - Hearing service | '01/01/1995 | 12/31/2999 |
| V5336 | V5336 - Repair/modification of augmentative communicative system or device (excludes adaptive hearing aid) | V5336 - | V5336 - Repair communication device | '01/01/1991 | 12/31/2999 |
| V5362 | V5362 - Speech screening | V5362 - | V5362 - Speech screening | '01/01/2004 | 12/31/2999 |
| V5363 | V5363 - Language screening | V5363 - | V5363 - Language screening | '01/01/2004 | 12/31/2999 |